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The Effects of the COVID-19 Pandemic on Air Pollution: A Systematic Review COVID-19 大流行对空气污染的影响:系统回顾
Pub Date : 2024-07-03 DOI: 10.2174/0126667975303562240625061226
Seyedahmad Seyedalinaghi, A. Karimi, Ava Pashaei, Shaghayegh Kianzad, Mahdi Soleymanzadeh, Hengameh Mojdeganlou, Paniz Mojdeganlou, Afsaneh Ghasemzadeh, A. Razi, Mohsen Dashti, A. Shojaei, Seyed Saeed Tamehri Zadeh, Ava Amiri, Sahar Nooralioghli Parikhani, E. Mehraeen, Shayesteh Jahanfar, A. Afsahi
The efforts to reduce COVID-19 transmission could significantly affectpollution and weather in most parts of the world due to the reduction of industrial activities and roadtransport. Hence, this systematic review aimed to assess the effects of the COVID-19 pandemic onair pollution.The keywords were searched in the online databases of Scopus, PubMed, and Cochrane.We applied the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA).Generally ambient air pollutants (PM2.5, PM10, NO2, NOX, NO, SO2, CO, black carbon,BTX (benzene, toluene, and Xylene), NH3, HCHO, PAHs, CH4, Solid Waste, UFPs (Ultrafine particle,≥115.5 nm)) decreased significantly during lockdown period due to restricted human activities.Noteworthy, controversial findings have been reported concerning O3 levels; most studies, especiallyin East Asia, reported enhancement in the levels of O3, which was mainly attributed to meteorologyfactors. Although the COVID-19 pandemic caused a global health crisis, the improvement inworldwide air quality status was significant.Generally, pollutants generated by industrial activities were observed to be significantlyreduced during lockdowns.
由于工业活动和公路运输的减少,减少 COVID-19 传播的努力可能会对世界大部分地区的污染和天气产生重大影响。因此,本系统综述旨在评估 COVID-19 大流行对空气污染的影响。关键词在 Scopus、PubMed 和 Cochrane 在线数据库中进行了检索。由于人类活动受到限制,封锁期间环境空气污染物(PM2.5、PM10、NO2、NOX、NO、SO2、CO、黑碳、BTX(苯、甲苯和二甲苯)、NH3、HCHO、PAHs、CH4、固体废物、UFPs(超细颗粒物,≥115.5 nm))显著减少。尽管 COVID-19 大流行造成了全球健康危机,但全球空气质量状况的改善是显著的。
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引用次数: 0
Pandemic and Pregnancy: Impact of COVID-19 Medication on PregnantWomen Outcomes 流行病与怀孕:COVID-19 药物对孕妇结果的影响
Pub Date : 2024-07-02 DOI: 10.2174/0126667975291684240528100603
Jyotsana Dwivedi, Amrita Verma Pargaien, Bhawana Chilwal, Arpita Bhakuni, Shubhi Kaushal, Richa Dayaramani, Mukesh Chandra Sharma
The devastating outcomes of the Coronavirus disease 2019 (COVID-19) outbreak havetraumatized the world, as they are highly infectious and mainly attack the respiratory tract. Althoughpregnant women are not at a higher risk of infection, it may result in more severe consequences thanin the general population. Treatment of pregnant women with COVID-19 is challenging for doctors,as they need to consider the safety of both the mother and fetus. In addition, there is a lack ofknowledge regarding the safety, effectiveness, and possible adverse outcomes of drugs used inCOVID-19 pregnant women because they are generally excluded from clinical trials. We brieflyreviewed the pathophysiology of drugs currently used in the treatment of COVID-19 in pregnantwomen and excluded drugs contraindicated during pregnancy. The safety of these drugs is derivedfrom small case studies or clinical trials on other diseases. This article may be useful to physicians,researchers, and people interested in treating COVID-19.
冠状病毒病 2019(COVID-19)疫情的破坏性后果给全世界带来了创伤,因为它们具有高度传染性,主要侵袭呼吸道。虽然孕妇的感染风险并不高,但可能会导致比普通人群更严重的后果。治疗感染 COVID-19 的孕妇对医生来说具有挑战性,因为他们需要考虑母亲和胎儿的安全。此外,由于COVID-19孕妇通常被排除在临床试验之外,因此对用于COVID-19孕妇的药物的安全性、有效性和可能的不良后果缺乏了解。我们简要回顾了目前用于治疗孕妇 COVID-19 的药物的病理生理学,并排除了孕期禁用的药物。这些药物的安全性来自小型病例研究或其他疾病的临床试验。本文可能对医生、研究人员以及对治疗 COVID-19 感兴趣的人士有所帮助。
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引用次数: 0
Microbiota and COVID-19: A Novel Diagnostic Approach to Health and Diseases 微生物群和 COVID-19:健康与疾病的新型诊断方法
Pub Date : 2024-05-13 DOI: 10.2174/0126667975291873240506111439
D. Venkatesan, Sheetal Kaur, Mahalaxmi Iyer, Mohan Gomathi, Reza Rastmanesh, B. Vellingiri
Coronavirus Disease 2019 (COVID-19) is a pandemic disease caused by a novel virus,SARS-CoV-2. COVID-19-infected people have high chance of altered microbiota in various regionsof the human body, such as gut, oral, and respiratory pathways. In one such case, gastrointestinalsymptoms are mostly caused by disturbances in gut microbiota. The gut microbiota shows magnificentchanges in response to SARS-CoV-2 infection. The impairment of microbiota levels in humanscan lead to various neurological diseases. Here, in the present chapter, we have discussed the probablemechanistic approaches of SARS-CoV-2 infection altering microbiota present in the gut, oral,and respiratory regions, thereby leading to neurological diseases – Parkinson’s Disease (PD), Alzheimer’sDisease (AD) and depression mediated by inflammatory cytokines. We conclude that althoughthere are many underpinnings in the current knowledge on the mechanism of COVID-19-related microbiota disturbance, it can be speculated that these mechanistic approaches may be morethan just a coincidence. We advise conducting extensive epidemiologic investigations to create diagnosticand therapeutic options in the future.
冠状病毒病 2019(COVID-19)是一种由新型病毒 SARS-CoV-2 引起的流行病。COVID-19 感染者很有可能在人体的各个部位,如肠道、口腔和呼吸道,发生微生物群的改变。其中,胃肠道症状大多是由肠道微生物群紊乱引起的。SARS-CoV-2 感染后,肠道微生物群发生了巨大变化。人体微生物群水平的损害可导致各种神经系统疾病。在本章中,我们讨论了 SARS-CoV-2 感染改变肠道、口腔和呼吸道微生物群,从而导致由炎症细胞因子介导的神经系统疾病--帕金森病(PD)、阿尔茨海默病(AD)和抑郁症的可能机制。我们的结论是,尽管目前关于 COVID-19 相关微生物群紊乱机制的知识有许多基础,但可以推测这些机制方法可能不仅仅是巧合。我们建议开展广泛的流行病学调查,以便为未来的诊断和治疗提供选择。
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引用次数: 0
Patient Outcomes and Healthcare Practices Before and After COVID-19 Vaccination: A Comprehensive Analysis 接种 COVID-19 疫苗前后的患者疗效和医疗实践:综合分析
Pub Date : 2024-05-06 DOI: 10.2174/0126667975285693240427073251
Asma Imran Ansari, M. Abbas, A. A. Rizvi, Sheeba Afreen, Shrikant Verma, Mahvish Mehdi, Sushma Verma, Farzana Mahdi
The Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) unleashed a globalpneumonia pandemic, causing significant harm to both physical and mental health. It emphasizedthe urgency for specialized therapies and protective measures. Approaches, including immunotherapy,antiviral drugs, and lifestyle improvements, like diet and exercise, have shown promise in controllingviral spread before widespread vaccination. However, COVID-19 vaccinations, while criticalfor reducing disease severity, have been associated with potential side effects, including transientcognitive impairment, rare renal disorders, physiologic anomalies, and dermatological reactions. Thescientific community continues to rigorously study these issues to ensure the safety and efficacy ofvaccination programs and to address the multifaceted impact of the pandemic.
严重急性呼吸系统综合症冠状病毒 2(SARS-CoV-2)引发了一场全球性肺炎大流行,给人们的身心健康造成了巨大伤害。它凸显了专门疗法和保护措施的紧迫性。在广泛接种疫苗之前,包括免疫疗法、抗病毒药物和改善生活方式(如饮食和锻炼)在内的各种方法已显示出控制病毒传播的希望。然而,COVID-19 疫苗虽然对降低疾病的严重程度至关重要,但也存在潜在的副作用,包括短暂的认知障碍、罕见的肾功能紊乱、生理异常和皮肤病反应。科学界将继续严格研究这些问题,以确保疫苗接种计划的安全性和有效性,并应对大流行病的多方面影响。
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引用次数: 0
Evaluating the Health Effects of COVID-19 Vaccination on the Population of East Punjab (India): A Comprehensive Survey 评估 COVID-19 疫苗接种对印度东旁遮普人口的健康影响:全面调查
Pub Date : 2024-05-06 DOI: 10.2174/0126667975289337240428021013
Chirag Aggrawal, Chander Mohan, Ayush, Ashna Gupta, Deepak Kumar, Ashish Kumar, Sweta Kamboj, Shikha Kamboj, Kumar Guarve, R. Kamboj
The impressive and innovative efforts of scientists worldwide have played apivotal role in shaping the development and production of COVID-19 vaccines, widely acknowledgedas vital resources for pandemic control.The primary aim of this investigation was to identify the prevailing effects linked to thesevaccines, particularly considering their implications for human well-being.An online survey was conducted in various cities in India, and a trial version of QualtricsCoreXM software was implemented to prototype 22 questionnaires.After vaccination, respondents reported health changes: skin (26.9%), eye (22.3%), stomachissues (22.8%), respiratory (12.5%), and mental health (2.9%). Among 1,047 participants, 8.9% hadintercourse, 11.3% men, 7.3% women. 17.9% were unsure; 19.7% were men, 13.7% were women,and 37.5% were "others". A majority (73.3%) reported no sexual experiences: 68.9% men, 78.8%women, and 62.5% "others".This study offers an extensive perspective on the vaccination situation in the northernregion of India. It delves into the intricate demographic factors influencing vaccine acceptance andunderstanding potential side effects. These discoveries contribute substantially to the ongoing conversationregarding the COVID-19 vaccination and its various impacts on public health and societalwelfare.
全世界科学家们令人印象深刻的创新努力在 COVID-19 疫苗的开发和生产过程中发挥了关键作用,COVID-19 疫苗被广泛认为是大流行病控制的重要资源。这项调查的主要目的是确定与这些疫苗相关的普遍影响,特别是考虑其对人类福祉的影响。接种疫苗后,受访者报告的健康变化包括:皮肤(26.9%)、眼睛(22.3%)、肠胃(22.8%)、呼吸系统(12.5%)和心理健康(2.9%)。在 1 047 名参与者中,8.9% 的人有性交史,其中男性占 11.3%,女性占 7.3%。17.9%不确定;19.7%为男性,13.7%为女性,37.5%为 "其他"。大多数人(73.3%)表示没有性经历:本研究提供了有关印度北部地区疫苗接种情况的广泛视角。这项研究对印度北部地区的疫苗接种情况提供了一个广泛的视角,深入探讨了影响疫苗接受度的复杂人口因素,并了解了潜在的副作用。这些发现极大地推动了目前关于 COVID-19 疫苗接种及其对公共卫生和社会福利的各种影响的讨论。
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引用次数: 0
Updated COVID-19 Pharmacotherapy in Different Diseases Such as Cancer 更新的 COVID-19 不同疾病(如癌症)的药物疗法
Pub Date : 2024-05-06 DOI: 10.2174/0126667975259296240409061101
Z. Tolou_Ghamari
Studies suggest that cancer is a main complication regarding life expectancyand a foremost reason for death worldwide. For the treatment of COVID-19 infected 703,525,337cases with 6,984,801 deaths worldwide up to February 21, 2024, well-designed pharmacotherapymanagement in different diseases, such as cancer, is respected. This investigation aims to review thecurrent accessible medical treatment for patients with different diseases, cancer, and COVID-19.The appropriate documents for this review were achieved by searching databases such asWeb of Science, Scopus, and PUBMED. Relevant studies included in review articles, clinical trials,and case reports that were evaluated and used (n=109 articles).In those with cancer and COVID-19, publications reported worsened clinical conditionswith a considerably higher risk of death. The result of existing regular antitumor management couldbe a basis of debate. In the general population, asymptomatic patients with positive nasopharyngealswabs are recommended to receive antibiotic prophylaxis, and in those with symptomatic signs, adjustmentof angiotensin-converting enzyme based on anti-hypertensive therapy should be considered.In patients with liver disease, nitazoxanide plus sofosbuvir, ivermectin, tocilizumab, convalescentplasma, and low molecular weight heparin in certain situations is recommended. Furthermore, favipiravir,chloroquine, and hydroxychloroquine could also be recommended, but with caution regardingto polypharmacy interactions. For those with moderate disease, hydroxychloroquine or chloroquine/azithromycin was recommended. In the patients with respiratory failure, convalescent plasmawas suggested. In the populations where those symptoms progress to the sign of a cytokine storm,the antagonists of interleukin-6 (IL-6) were suggested. To reduce fever, however, ibuprofen showedmore potent efficacy compared to acetaminophen, but it may delay the benefits of a fever response.Owing to the immune suppression that could be caused by anti-cancer drugs and deteriorationof lung functions due to COVID-19, for proposed management regarding pharmacotherapystrategies, further evidence-based studies seem to be advantageous.
研究表明,癌症是影响预期寿命的主要并发症,也是全球死亡的首要原因。截至 2024 年 2 月 21 日,全球 COVID-19 感染病例达 703 525 337 例,死亡 6 984 801 例,为治疗这些病例,必须对癌症等不同疾病进行精心设计的药物治疗管理。本调查旨在回顾目前针对不同疾病、癌症和 COVID-19 患者的可获得的药物治疗。相关研究包括综述文章、临床试验和病例报告(n=109 篇文章)。现有常规抗肿瘤治疗的结果可能是争论的基础。在普通人群中,建议鼻咽部拭子阳性的无症状患者接受抗生素预防,对于有症状体征的患者,应考虑在抗高血压治疗的基础上调整血管紧张素转换酶。此外,还可以推荐使用法非比拉韦、氯喹和羟氯喹,但要注意多种药物之间的相互作用。对于中度患者,建议使用羟氯喹或氯喹/阿奇霉素。对于呼吸衰竭患者,建议使用康复血浆。对于症状发展为细胞因子风暴的人群,建议使用白细胞介素-6(IL-6)拮抗剂。由于抗癌药物可能会导致免疫抑制,而 COVID-19 又会导致肺功能恶化,因此对于药物治疗策略的管理建议,进一步的循证研究似乎是有益的。
{"title":"Updated COVID-19 Pharmacotherapy in Different Diseases Such as Cancer","authors":"Z. Tolou_Ghamari","doi":"10.2174/0126667975259296240409061101","DOIUrl":"https://doi.org/10.2174/0126667975259296240409061101","url":null,"abstract":"\u0000\u0000Studies suggest that cancer is a main complication regarding life expectancy\u0000and a foremost reason for death worldwide. For the treatment of COVID-19 infected 703,525,337\u0000cases with 6,984,801 deaths worldwide up to February 21, 2024, well-designed pharmacotherapy\u0000management in different diseases, such as cancer, is respected. This investigation aims to review the\u0000current accessible medical treatment for patients with different diseases, cancer, and COVID-19.\u0000\u0000\u0000\u0000The appropriate documents for this review were achieved by searching databases such as\u0000Web of Science, Scopus, and PUBMED. Relevant studies included in review articles, clinical trials,\u0000and case reports that were evaluated and used (n=109 articles).\u0000\u0000\u0000\u0000In those with cancer and COVID-19, publications reported worsened clinical conditions\u0000with a considerably higher risk of death. The result of existing regular antitumor management could\u0000be a basis of debate. In the general population, asymptomatic patients with positive nasopharyngeal\u0000swabs are recommended to receive antibiotic prophylaxis, and in those with symptomatic signs, adjustment\u0000of angiotensin-converting enzyme based on anti-hypertensive therapy should be considered.\u0000In patients with liver disease, nitazoxanide plus sofosbuvir, ivermectin, tocilizumab, convalescent\u0000plasma, and low molecular weight heparin in certain situations is recommended. Furthermore, favipiravir,\u0000chloroquine, and hydroxychloroquine could also be recommended, but with caution regarding\u0000to polypharmacy interactions. For those with moderate disease, hydroxychloroquine or chloroquine/\u0000azithromycin was recommended. In the patients with respiratory failure, convalescent plasma\u0000was suggested. In the populations where those symptoms progress to the sign of a cytokine storm,\u0000the antagonists of interleukin-6 (IL-6) were suggested. To reduce fever, however, ibuprofen showed\u0000more potent efficacy compared to acetaminophen, but it may delay the benefits of a fever response.\u0000\u0000\u0000\u0000Owing to the immune suppression that could be caused by anti-cancer drugs and deterioration\u0000of lung functions due to COVID-19, for proposed management regarding pharmacotherapy\u0000strategies, further evidence-based studies seem to be advantageous.\u0000","PeriodicalId":10815,"journal":{"name":"Coronaviruses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141011255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Curcumin as a Potential Candidate for Patients with COVID-19 Infectionand Diabetes: A Review 姜黄素作为 COVID-19 感染和糖尿病患者的潜在候选药物:综述
Pub Date : 2024-03-26 DOI: 10.2174/0126667975292793240320052355
Mana Shojapour, Seyedeh Maryam Hosseinikhah, Mehrnoush Sohrab, Parastoo Karimi Aliabadi, Zahra Kashi, T. Jamialahmadi, Zahra Hosseini-khah, A. Sahebkar
COVID-19 causes a range of illnesses, from mild symptoms resembling the common coldto severe pulmonary damage leading to Acute Respiratory Distress Syndrome (ARDS). Researchersworldwide are actively searching for the most effective medications with minimal side effects fortreating COVID-19. This review aimed to discuss the therapeutic potential of Curcumin (CUR) inmanaging COVID-19 infection in patients with comorbidities, such as Diabetes Mellitus (DM), aswell as the underlying mechanisms of action responsible for CUR's anti-inflammatory and immunomodulatoryeffects. Given the natural origin and fewer adverse effects of herbal and medicinalplants, many researchers have turned their attention to exploring their therapeutic properties. Turmeric,the main source of polyphenol CUR, has long been recognized for its beneficial pharmacologicaleffects in traditional Ayurveda medicine in China and has recently gained attention from scientists.The study reviewed various types of studies investigating the antiviral activity of CUR. Among the16 studies reviewed, 4 were computational studies, 2 were in vitro studies, and the remaining 10were clinical trials. Among the 10 recent studies, 4 studies focused on patients with COVID-19 whohad diabetes as an underlying condition. The findings from these studies suggested that CUR is asafe and pleiotropic molecule with multiple effects on intracellular signaling pathways, includingalterations in cell growth, apoptosis, inflammation, and oxidation.
COVID-19 会导致一系列疾病,从类似普通感冒的轻微症状到导致急性呼吸窘迫综合征(ARDS)的严重肺损伤。全世界的研究人员都在积极寻找治疗 COVID-19 副作用最小的最有效药物。本综述旨在讨论姜黄素(CUR)在管理糖尿病(DM)等合并症患者的 COVID-19 感染方面的治疗潜力,以及姜黄素的抗炎和免疫调节作用的基本作用机制。鉴于草药和药用植物的天然来源和较少的不良反应,许多研究人员已将注意力转向探索其治疗特性。姜黄是多酚 CUR 的主要来源,其有益的药理作用在中国传统的阿育吠陀医学中早已得到认可,最近也受到了科学家们的关注。在 16 项研究中,4 项为计算研究,2 项为体外研究,其余 10 项为临床试验。在这 10 项近期研究中,有 4 项研究的对象是患有 COVID-19 并伴有糖尿病的患者。这些研究结果表明,CUR 是一种安全的多效应分子,对细胞内信号通路有多种影响,包括改变细胞生长、凋亡、炎症和氧化。
{"title":"Curcumin as a Potential Candidate for Patients with COVID-19 Infection\u0000and Diabetes: A Review","authors":"Mana Shojapour, Seyedeh Maryam Hosseinikhah, Mehrnoush Sohrab, Parastoo Karimi Aliabadi, Zahra Kashi, T. Jamialahmadi, Zahra Hosseini-khah, A. Sahebkar","doi":"10.2174/0126667975292793240320052355","DOIUrl":"https://doi.org/10.2174/0126667975292793240320052355","url":null,"abstract":"\u0000\u0000COVID-19 causes a range of illnesses, from mild symptoms resembling the common cold\u0000to severe pulmonary damage leading to Acute Respiratory Distress Syndrome (ARDS). Researchers\u0000worldwide are actively searching for the most effective medications with minimal side effects for\u0000treating COVID-19. This review aimed to discuss the therapeutic potential of Curcumin (CUR) in\u0000managing COVID-19 infection in patients with comorbidities, such as Diabetes Mellitus (DM), as\u0000well as the underlying mechanisms of action responsible for CUR's anti-inflammatory and immunomodulatory\u0000effects. Given the natural origin and fewer adverse effects of herbal and medicinal\u0000plants, many researchers have turned their attention to exploring their therapeutic properties. Turmeric,\u0000the main source of polyphenol CUR, has long been recognized for its beneficial pharmacological\u0000effects in traditional Ayurveda medicine in China and has recently gained attention from scientists.\u0000The study reviewed various types of studies investigating the antiviral activity of CUR. Among the\u000016 studies reviewed, 4 were computational studies, 2 were in vitro studies, and the remaining 10\u0000were clinical trials. Among the 10 recent studies, 4 studies focused on patients with COVID-19 who\u0000had diabetes as an underlying condition. The findings from these studies suggested that CUR is a\u0000safe and pleiotropic molecule with multiple effects on intracellular signaling pathways, including\u0000alterations in cell growth, apoptosis, inflammation, and oxidation.\u0000","PeriodicalId":10815,"journal":{"name":"Coronaviruses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140378279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mode of Deliveries and Perinatal Outcomes in Prenatal COVID-19Infections 产前 COVID-19 感染的分娩方式和围产期结果
Pub Date : 2024-03-26 DOI: 10.2174/0126667975291928240319083013
Supakarn Pongsatonwiwat, B. Chumworathayi, Chatuporn Duangkum
The Royal Thai College of Obstetricians and Gynaecologists (RTCOG)clinical practice guideline (CPG) does not recommend elective Cesarean Section (CS) in case ofprenatal maternal COVID-19 infections without obstetric indication. In Thailand, little is knownabout the mode of deliveries and perinatal outcomes in the mentioned group of patients. Therefore,this study aims to fill the gap in knowledge.The objective of this study was to compare the mode of deliveries and perinatal outcomesbetween pregnant women, who were infected with COVID-19 and those who were without COVID-19 infection.The retrospective cohort study was based on data retrieved between February 1st andMarch 31st, 2023. The primary data was collected between July 1st, 2021, and October 31st, 2022.Women with COVID-19 infection were matched with the non-COVID-19 group in a 1:1 ratio bydate at antenatal care (± 7 days) and their gestational age (± 1 week). Comparison of maternal andperinatal outcomes was made by using chi-squared, Fisher’s exact, relative risk, and t-test as appropriatein STATA software version 10.0.A total of 252 participants were recruited in this study, with 126 patients in each group.Demographic data between the two groups were comparable except for previous CS. The CS rates inthe COVID-19 and non-COVID-19 groups were 46.03% and 30.95%, respectively, with p = 0.009.The significantly increased relative risk of CS in COVID-19 was 1.49 (95%CI, 1.07 to 2.05, p =0.02). Eight women out of 126 had undergone CS with a “COVID-19 infection” indication (p =0.007). The length of the maternal hospital stay was comparable. No serious maternal complicationswere observed. Perinatal outcomes were similar among the two groups, except for neonatal jaundice(p = 0.029), with no reports of COVID-19 infections in delivery-related personnel.Prenatal COVID-19 infections lead to an increase in CS rate, while perinatal morbiditieswere comparable in both groups, with COVID-19 and non-COVID-19. The RTCOG’s CPG shouldbe modified.
泰国皇家妇产科医学院(RTCOG)的临床实践指南(CPG)不建议无产科指征的产前母体 COVID-19 感染者选择剖腹产(CS)。在泰国,人们对上述患者的分娩方式和围产期结局知之甚少。本研究旨在比较感染 COVID-19 和未感染 COVID-19 的孕妇的分娩方式和围产期结局。根据产前检查日期(± 7 天)和胎龄(± 1 周),将感染 COVID-19 的产妇与未感染 COVID-19 的产妇按 1:1 的比例进行配对。本研究共招募了 252 名参与者,每组各有 126 名患者,除既往 CS 外,两组的人口统计学数据具有可比性。COVID-19组和非COVID-19组的CS率分别为46.03%和30.95%,P=0.009。COVID-19组CS相对风险显著增加,为1.49(95%CI,1.07至2.05,P=0.02)。在 126 名产妇中,有 8 名产妇在 "COVID-19 感染 "指征下进行了 CS(P =0.007)。产妇的住院时间相当。未发现严重的产妇并发症。除了新生儿黄疸(P = 0.029)外,两组围产期结果相似,没有关于分娩相关人员感染 COVID-19 的报道。产前 COVID-19 感染会导致 CS 率上升,而两组围产期发病率(COVID-19 和非 COVID-19 两组)相当。应修改 RTCOG 的 CPG。
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引用次数: 0
Spectroscopic Analysis of Severe Acute Respiratory SyndromeCoronavirus 2 (SARS-COV-2) 严重急性呼吸系统综合征冠状病毒 2(SARS-COV-2)的光谱分析
Pub Date : 2024-03-25 DOI: 10.2174/0126667975284619240222051806
P. Hitaishi, Akash Anandrao Parab, Rohit Verma, P. Khurana, Sheenam Thatai
When light shines on an object, it sheds focus on the intrinsic characteristics of that material.Transmission of light or an electromagnetic (em) wave through a matter undergoes variousphysiochemical processes, like emission, absorption, and splitting of light into its constituent wavelengths.This interaction of em radiation with matter is widely used for the investigation of unknownand new target analytes in a sample, and the technique is known as spectroscopy. In the early 2000s,energy excitation of the virus was demonstrated in influenza. The research first demonstrated the useof Surface-enhanced Raman Scattering (SERS), whose biomedical application became a potentialdiagnostic tool. The LASERs also attracted attention and were incorporated with the optical andspectroscopy instruments that significantly enhanced the application, reach, and detection limit of airand waterborne elements. Surface plasmon resonance and SERS are the most applied spectroscopictechniques with high accuracy and speed. A combination of these techniques with other advancedmicroscopy techniques, such as atomic force microscopy, scanning electron microscopy, and tunnellingelectron microscopy, may ease and boost biomedical applications. This review is focused on theapplication of spectroscopy and laser-based techniques in the detection of Severe Acute RespiratorySyndrome Coronavirus 2 (SARS-COV-2).
光或电磁波(em)通过物质时,会发生各种生化过程,如发射、吸收和将光分成不同波长。em 辐射与物质的这种相互作用被广泛用于研究样品中未知的和新的目标分析物,这种技术被称为光谱学。本世纪初,流感病毒的能量激发得到了证实。这项研究首次展示了表面增强拉曼散射(SERS)的应用,其生物医学应用成为一种潜在的诊断工具。激光器也引起了人们的关注,并与光学和光谱仪器相结合,大大提高了对空气和水传播元素的应用、覆盖范围和检测限。表面等离子体共振和 SERS 是应用最广泛的光谱技术,具有精度高、速度快的特点。将这些技术与其他先进的显微技术(如原子力显微镜、扫描电子显微镜和隧道电子显微镜)结合起来,可以简化和促进生物医学应用。本综述主要介绍光谱学和激光技术在检测严重急性呼吸系统综合症冠状病毒 2(SARS-COV-2)中的应用。
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引用次数: 0
A Retrospective Study on Azvudine in Hospitalized Elderly Patients withCOVID-19 关于阿兹夫定在住院老年 COVID-19 患者中应用的回顾性研究
Pub Date : 2024-03-25 DOI: 10.2174/0126667975276135240321054227
Ruifang Nie, Ning Hou, Ke Xu, Shan Shen, Shuangshuang Yang
The ongoing 2019 novel coronavirus pneumonia pandemic continues topose a serious threat to public health and safety. In response, numerous specific anti-SARS-CoV-2drugs have been urgently approved for use. Azvudine has been recommended as a priority treatmentfor COVID-19 patients, but its efficacy and safety in elderly patients remain unexplored.In this retrospective, single-center, observational study, we assessed the impact of Azvudinetreatment on elderly hospitalized patients aged over 70 years. We analyzed parameters such asthe time of SARS-CoV-2 negative conversion, clinical outcomes, length of hospital stay, and respiratorysupport requirements. Additionally, we compared changes in blood routine indicators, liver andkidney function indicators, and the incidence of adverse events before and after Azvudine administrationto provide real-world data concerning elderly patients.The study included 36 elderly patients aged 70 to 95 years. Following Azvudineadministration, the average time for SARS-CoV-2 negative conversion was 5.15 days. Clinicaloutcomes revealed improvement and discharge in 74.3% of the patients, exacerbation in 5.7% of thepatients, and mortality in 20% of the patients. Analysis of blood routine indicators and liver functionindicators before and after medication showed no clinically significant changes. However, serumcreatinine levels (Scr) demonstrated a statistically significant increase (71.12 ± 44.22 vs. 87.88 ±57.39, p < 0.05). Although correlation analysis was not conducted, limited by the small sample size andretrospective nature of the study, these findings underscore the importance of monitoring Azvudine’simpact on renal function.
正在发生的 2019 年新型冠状病毒肺炎大流行继续对公众健康和安全构成严重威胁。为此,许多抗 SARS-CoV-2 的特效药已被紧急批准使用。在这项回顾性、单中心观察性研究中,我们评估了阿兹夫定治疗对 70 岁以上老年住院患者的影响。我们分析了 SARS-CoV-2 转阴时间、临床结果、住院时间和呼吸支持需求等参数。此外,我们还比较了阿兹夫定用药前后血常规指标、肝肾功能指标以及不良反应发生率的变化,以提供有关老年患者的真实数据。使用阿兹夫定后,SARS-CoV-2 转阴的平均时间为 5.15 天。临床结果显示,74.3%的患者病情好转并出院,5.7%的患者病情加重,20%的患者死亡。对用药前后的血常规指标和肝功能指标进行的分析表明,临床上没有发生显著变化。然而,血清肌酐水平(Scr)却出现了统计学意义上的显著上升(71.12 ± 44.22 vs. 87.88 ± 57.39,P < 0.05)。虽然由于样本量较小和研究的回顾性,没有进行相关性分析,但这些发现强调了监测阿兹夫定对肾功能影响的重要性。
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