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Analysis of Suicide-related Tweets During the COVID-19 Pandemic 分析 COVID-19 大流行期间与自杀有关的推文
Pub Date : 2024-03-25 DOI: 10.2174/0126667975296097240321060634
K.D.S. Balasooriya, R. Rupasingha, B. Kumara
The COVID-19 virus started in 2019 and badly affected the different sectorsof many countries around the world. Based on this, financial difficulties, loss of loved ones, suddenanger, relationships, family disputes, and psychological distress increased, and individuals werestalled from carrying out their lifestyle in a normal way, and some individuals were even motivatedto commit suicide.It is important to reduce the number of suicides and identify the reasons for this situation.Through this research, the focus is on identifying the main topics discussed relevant to suicides duringthe COVID-19 pandemic.Individuals use Twitter, a social media platform, to share their ideas freely and publically.We collected 9750 primary data through Twitter API (Application Programming Interface). Afterpreprocessing and feature extraction by TF-IDF (Term Frequency-Inverse Document Frequency), weapplied the LDA (Latent Dirichlet Allocation) and Probabilistic Latent Semantic Analysis (PLSA)topic modeling algorithms to identify topics.Based on the LDA results, we extracted ten different topics under the three themes, such asthe impact of COVID-19, human feelings, getting support, and having awareness. Intertopic DistanceMap, Most Salient Terms, and Word Clouds Visualization are used to check the results. The coherencescore and perplexing value are used to measure how interpretable the extracted topics are tohumans. PLSA also extracted 25 topics with their probabilities, and Kullback–Leibler (KL) divergencewas used to check the results.We were able to gain insight into human emotions and the main motivations behindsuicide attempts using the topics we extracted. Expert feedback proved that LDA results were betterthan PLSA. Based on that, we found the main impact of COVID-19 on human lives, how humanfeelings were changed positively and negatively during that period, what supporting and awarenessmethods people used, and what they preferred. The required measures can then be taken by thoseresponsible authorities and individuals to prevent, reduce, and get ready for this kind of suicidal incidentin the future.
COVID-19 病毒始于 2019 年,严重影响了世界上许多国家的各个领域。在此基础上,经济困难、失去亲人、突发危险、人际关系、家庭纠纷、心理困扰等问题增多,人们无法正常地生活,有些人甚至产生了自杀的动机。我们通过 Twitter API(应用程序接口)收集了 9750 条原始数据。我们通过 Twitter API(应用程序接口)收集了 9750 条原始数据,经过 TF-IDF(词频-反向文档频率)预处理和特征提取后,我们应用 LDA(潜在德里希特分配)和概率潜在语义分析(PLSA)主题建模算法识别主题。我们使用主题间距离图(Intertopic DistanceMap)、最显著术语(Most Salient Terms)和词云可视化(Word Clouds Visualization)来检验结果。一致性分数(coherencescore)和令人困惑值(perplexing value)用于衡量提取的主题对人类的可解释性。PLSA 还提取了 25 个主题及其概率,并使用 Kullback-Leibler (KL) 分歧来检验结果。专家反馈证明,LDA 的结果优于 PLSA。在此基础上,我们发现了 COVID-19 对人类生活的主要影响,在此期间人类情感发生了哪些积极和消极的变化,人们使用了哪些支持和宣传方法,以及他们更喜欢哪些方法。这样,负责任的当局和个人就可以采取必要的措施来预防、减少和应对未来的自杀事件。
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引用次数: 0
Identification of Autoantigen Markers for SARS CoV-2 Infection withMachine Learning-based Feature Selection: An Insight into COVIDSymptoms 利用基于机器学习的特征选择识别 SARS CoV-2 感染的自身抗原标记:洞察COVIDS症状
Pub Date : 2024-03-25 DOI: 10.2174/0126667975296293240320041641
Aruna Rajalingam, Chaitra Mallasandra Krishnappa, Shanker G, Anjali Ganjiwale
Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) infection has been shown to trigger autoimmunity, and the phenomenon leads to severalchronic human diseases such as Type-1 diabetes, Crohn’s disease, vasculitis, Guillian-Barrė syndrome,etc. The mechanism underlying SARS CoV-2-induced autoimmune response is unknown andis an active area of interest for the researchers.The primary objective of this study is to identify the autoantigen markers for the classificationof SARS CoV-2 (COVID-19 positive and negative samples) that trigger an immune responseleading to autoimmunity using a machine learning approach that provides information to obtain amore accurate diagnosis for COVID-induced diseases.Our study reports the transcriptomic profile of the COVID patient's wholeblood samples collected from 0 to 35th day of acute infection as described in the GSE215865 dataset.The binary classification algorithm from the sci-kit learn python library, namely logistic regressionand random forest with 10-fold cross-validation, was applied to the processed data, followed by aselection of the 20 best gene features with recursive feature elimination from a set of 10,719 genefeatures to obtain the classification accuracy of 87%.The fidgetin, microtubule severing factor (FIGN), SH3 and cysteine-rich domain (STAC),Cadherin-6 (CDH6), docking protein 6 (DOK6), nuclear RNA export factor 3 (NXF3) and maternallyexpressed 3 (MEG3) are the autoantigens markers identified for classification of COVID-positiveand negative samples.The identified autoantigen markers from transcriptomic datasets using machine learningtechniques provide a deeper understanding of COVID-induced diseases and may play an importantrole as potential diagnostic and drug targets for COVID-19.
严重急性呼吸系统综合征冠状病毒2(SARSCoV-2)感染可诱发自身免疫,并导致多种人类慢性疾病,如1型糖尿病、克罗恩病、血管炎、吉利安-巴氏综合征等。本研究的主要目的是利用机器学习方法识别SARS CoV-2(COVID-19阳性和阴性样本)中引发免疫反应导致自身免疫的自身抗原标记物,为COVID诱发疾病的更准确诊断提供信息。我们的研究报告了在 GSE215865 数据集中收集的 COVID 患者急性感染第 0 天至第 35 天全血样本的转录组图谱。对处理后的数据采用了 sci-kit learn python 库中的二元分类算法,即逻辑回归和随机森林,并进行了 10 倍交叉验证,然后从 10,719 个基因特征集合中用递归特征消除法选出了 20 个最佳基因特征,从而获得了 87% 的分类准确率。Fidgetin、微管切断因子(FIGN)、SH3和富含半胱氨酸结构域(STAC)、Cadherin-6(CDH6)、对接蛋白6(DOK6)、核RNA导出因子3(NXF3)和母体表达3(MEG3)是用于COVID阳性和阴性样本分类的自身抗原标记。利用机器学习技术从转录组数据集中鉴定出的自身抗原标志物加深了人们对COVID诱发疾病的理解,并可能作为COVID-19的潜在诊断和药物靶点发挥重要作用。
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引用次数: 0
Association Between Changes in Haematological Parameters and Mortality in Patients Hospitalized Due to Severe COVID-19 in a Peruvian Reference Hospital 秘鲁一家参考医院中因严重 COVID-19 住院患者的血液参数变化与死亡率之间的关系
Pub Date : 2024-03-20 DOI: 10.2174/0126667975298504240311064331
Claudia Benavides-Luyo, Annie Velasquez-Manrique, D. M. Quiñones-Laveriano, Susan Chaupi-Rojas, Johan Azañero-Haro, A. Soto
To determine the association between changes in haematological parametersand mortality in patients hospitalized due to severe COVID-19 at a Peruvian reference hospital fromApril to December 2020.Observational, analytical, historical cohort study based on the review ofclinical records of patients hospitalized due to severe COVID-19 from April to December 2020. Weevaluated changes in common haematological parameters, including white blood cells (WBCs), lymphocytes,neutrophils, and platelet counts, as well as the neutrophil-to-lymphocyte ratio (NLR) on thethird and seventh days of hospitalization compared with admission values in the deceased and nondeceasedgroups. Changes in haematological parameters were expressed as median and interquartileranges (IQR). Multivariate Poisson regression analysis was further done to evaluate the effect ofhaematological changes in mortality, adjusting for gender, age, and comorbidities.We included 1033 cases, of which 68.05% were male. Deceased patients had a significantincrease in total WBC on the third day (1.0 *103/μL; IQR -1.7 to 5.4) and the seventh day(1.6*103/μL; IQR -1.9 to 4.9) compared to their admission values. The neutrophil count in the deceasedpatients also increased on the third day (1.2; IQR -1.7 to 4.9) and seventh day (1.9; IQR-1.5 to5.8), as did the NLR ratio on the third day (0.2; IQR -0.4 to 1.6) and seventh day (0.7; IQR -0.2 to2.2). Surviving patients showed an opposite trend in these parameters. In contrast, platelet countsincreased on the third day (49*105/μL; IQR -0.3 to 1.3) and the seventh day (90*105; IQR 0.0 to 2.0)in surviving patients, whereas deceased patients did not show significant changes. All these differencesremained statistically significant in the adjusted analysis.An increase in total WBC, neutrophils, and NLR at the third and seventh days comparedto admission values was associated with higher mortality in patients hospitalized due to COVID-19,while an increase in platelet count was associated with decreased mortality. Monitoring these changescan help in identifying those patients with higher mortality risk.
根据对 2020 年 4 月至 12 月期间因重症 COVID-19 而住院的患者临床记录的回顾,对其进行观察、分析和历史队列研究。我们评估了死亡组和非死亡组患者在住院第三天和第七天的常见血液学参数变化,包括白细胞、淋巴细胞、中性粒细胞和血小板计数,以及中性粒细胞与淋巴细胞比值(NLR)与入院值的比较。血液学参数的变化以中位数和四分位数间距(IQR)表示。在对性别、年龄和合并症进行调整后,我们进一步进行了多变量泊松回归分析,以评估血液学变化对死亡率的影响。与入院值相比,死亡患者的白细胞总数在第三天(1.0*103/μL;IQR-1.7至5.4)和第七天(1.6*103/μL;IQR-1.9至4.9)显著增加。死亡患者的中性粒细胞计数在第三天(1.2;IQR-1.7 至 4.9)和第七天(1.9;IQR-1.5 至 5.8)也有所增加,NLR 比值在第三天(0.2;IQR-0.4 至 1.6)和第七天(0.7;IQR-0.2 至 2.2)也有所增加。存活的患者在这些参数上呈现出相反的趋势。与此相反,存活患者的血小板计数在第三天(49*105/μL;IQR -0.3至1.3)和第七天(90*105;IQR 0.0至2.0)有所增加,而死亡患者则没有明显变化。与入院值相比,第三天和第七天的白细胞总数、中性粒细胞和 NLR 的增加与 COVID-19 住院患者的死亡率升高有关,而血小板计数的增加与死亡率降低有关。监测这些变化有助于识别死亡率风险较高的患者。
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引用次数: 0
Which Laboratory and Clinical Feature are different in Pregnant and Non-pregnant Women with COVID-19? A Cross-sectional Study in the West of Iran 患有 COVID-19 的孕妇和非孕妇的实验室和临床特征有何不同?伊朗西部的一项横断面研究
Pub Date : 2024-03-14 DOI: 10.2174/0126667975284200240307062509
E. Talebi-Ghane, N. Radnia, Fariba Daneshvar, Maryam Garousian, Saeed Bashirian, Salman Khazaei, Neda Alimohammadi
This study aimed to determine the differences in laboratory and clinicalcharacteristics of pregnant and non-pregnant women with COVID-19 in Hamadan, the west of Iran.This cross-sectional study compared 135 pregnant with 135 non-pregnantwomen without underlying diseases and matched by age with COVID-19 from March 2020 to June2021 in Hamadan, a western city in Iran. Their demographic characteristics, clinical symptoms, vitalsigns, and laboratory findings were evaluated using a preset checklist and contrasted between the twogroups. The adjusted odds ratios (ORs) for the outcomes of illness were presented. A considerableamount of analysis was performed on all data using the SPSS version 26 software.In general, there was a significant association between most clinical symptoms and status ofpregnancy. Although the Peripheral oxygen saturation with a pulse oximeter (SPO2) mean was significantlylower among non-pregnant compared to the pregnant women (89.19±4.52 versus94.91±3.12; p < 0.001), the mean of heart rate was significantly lower among pregnant women comparedto non-pregnant women (90.59±11.80 versus 96.50±15.02; p = 0.001). The percentage of lowhemoglobin (Hb), abnormal Blood Urea Nitrogen, high Creatinine (CR), high Erythrocyte SedimentationRate and high Lactate Dehydrogenase was significantly higher in non-pregnant women comparedto the pregnant women. Women with pregnancy compared to non-pregnant women and womenwith low Hb compared to normal Hb had a considerably increased chance of intensive care unit/death. Each unit increase in SPO2 and pulse rate resulted in a considerable reduction in this risk. Inaddition, women with high CR, shortness of breath and per unit rise in temperature had a considerablyhigher chance of staying in the hospital for a longer period of time.The clinical and para-clinical manifestations of pregnant women with COVID-19 aredifferent from non-pregnant women. Although there was a significant difference between the twogroups due to mortality, the percentage of admission to the intensive care unit in pregnant womenwith COVID-19 is higher than in non-pregnant women. To avoid these adverse outcomes, pregnantwomen should take precautions to avoid COVID-19 infection.
这项横断面研究比较了 2020 年 3 月至 2021 年 6 月期间伊朗西部城市哈马丹的 135 名 COVID-19 孕妇和 135 名无基础疾病且年龄匹配的非孕妇。使用预设检查表评估了两组妇女的人口统计学特征、临床症状、生命体征和实验室检查结果,并进行了对比。结果显示了疾病结果的调整后几率比(ORs)。使用 SPSS 26 版软件对所有数据进行了大量分析。虽然使用脉搏氧饱和度(SPO2)测量的外周血氧饱和度的平均值在非孕妇中明显低于孕妇(89.19±4.52 对 94.91±3.12;P < 0.001),但孕妇的心率平均值明显低于非孕妇(90.59±11.80 对 96.50±15.02;P = 0.001)。低血红蛋白(Hb)、血尿素氮异常、高肌酐(CR)、高红细胞沉降率和高乳酸脱氢酶的比例在非孕妇中明显高于孕妇。妊娠妇女与非妊娠妇女相比,低血红蛋白妇女与正常血红蛋白妇女相比,进入重症监护室/死亡的几率大大增加。SPO2 和脉搏每增加一个单位,这种风险就会大大降低。此外,CR 值高、呼吸急促和体温每升高一个单位的妇女住院时间延长的几率也大大增加。COVID-19 孕妇的临床和辅助临床表现与非孕妇不同。虽然在死亡率方面,两组患者之间存在显著差异,但患有 COVID-19 的孕妇入住重症监护室的比例高于非孕妇。为避免这些不良后果,孕妇应采取预防措施,避免感染 COVID-19。
{"title":"Which Laboratory and Clinical Feature are different in Pregnant and Non-pregnant Women with COVID-19? A Cross-sectional Study in the West of Iran","authors":"E. Talebi-Ghane, N. Radnia, Fariba Daneshvar, Maryam Garousian, Saeed Bashirian, Salman Khazaei, Neda Alimohammadi","doi":"10.2174/0126667975284200240307062509","DOIUrl":"https://doi.org/10.2174/0126667975284200240307062509","url":null,"abstract":"\u0000\u0000This study aimed to determine the differences in laboratory and clinical\u0000characteristics of pregnant and non-pregnant women with COVID-19 in Hamadan, the west of Iran.\u0000\u0000\u0000\u0000This cross-sectional study compared 135 pregnant with 135 non-pregnant\u0000women without underlying diseases and matched by age with COVID-19 from March 2020 to June\u00002021 in Hamadan, a western city in Iran. Their demographic characteristics, clinical symptoms, vital\u0000signs, and laboratory findings were evaluated using a preset checklist and contrasted between the two\u0000groups. The adjusted odds ratios (ORs) for the outcomes of illness were presented. A considerable\u0000amount of analysis was performed on all data using the SPSS version 26 software.\u0000\u0000\u0000\u0000In general, there was a significant association between most clinical symptoms and status of\u0000pregnancy. Although the Peripheral oxygen saturation with a pulse oximeter (SPO2) mean was significantly\u0000lower among non-pregnant compared to the pregnant women (89.19±4.52 versus\u000094.91±3.12; p < 0.001), the mean of heart rate was significantly lower among pregnant women compared\u0000to non-pregnant women (90.59±11.80 versus 96.50±15.02; p = 0.001). The percentage of low\u0000hemoglobin (Hb), abnormal Blood Urea Nitrogen, high Creatinine (CR), high Erythrocyte Sedimentation\u0000Rate and high Lactate Dehydrogenase was significantly higher in non-pregnant women compared\u0000to the pregnant women. Women with pregnancy compared to non-pregnant women and women\u0000with low Hb compared to normal Hb had a considerably increased chance of intensive care unit\u0000/death. Each unit increase in SPO2 and pulse rate resulted in a considerable reduction in this risk. In\u0000addition, women with high CR, shortness of breath and per unit rise in temperature had a considerably\u0000higher chance of staying in the hospital for a longer period of time.\u0000\u0000\u0000\u0000The clinical and para-clinical manifestations of pregnant women with COVID-19 are\u0000different from non-pregnant women. Although there was a significant difference between the two\u0000groups due to mortality, the percentage of admission to the intensive care unit in pregnant women\u0000with COVID-19 is higher than in non-pregnant women. To avoid these adverse outcomes, pregnant\u0000women should take precautions to avoid COVID-19 infection.\u0000","PeriodicalId":10815,"journal":{"name":"Coronaviruses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140243152","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
A Comprehensive Report on Long COVID, Emerging Challenges, andResearch Priorities in the Pandemic 关于长期 COVID、新出现的挑战和大流行病研究重点的综合报告
Pub Date : 2024-03-04 DOI: 10.2174/0126667975293898240227062513
Mohd Mustafa, Kashif Abbas, S. Habib
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引用次数: 0
Medicinal Plants and Natural Antioxidants Effective Against Corona: ASystematic Review 药用植物和天然抗氧化剂可有效抗晕:系统综述
Pub Date : 2024-02-29 DOI: 10.2174/0126667975292612240219084431
Damoun Razmjoue, Mohadeseh Pirhadi, Mahmoud Bahmani
Coronavirus disease 2019 or COVID-19 is a type of acute respiratory syndromecaused by a virus from the family of coronaviruses that has affected all the countries of theworld in a short period.The purpose of this review is to identify and report medicinal plants effective againstcovid-19. In this study, the keywords containing medicinal plants and "corona disease" i.e. covid-19,MERS, SARS-CoV-2, and medicinal plants or natural antioxidants were used.Search databases including ISI, Scopus, Science Direct, Google Scholar, Mag Iran,and SID were used. Relevant articles were selected and unrelated articles were excluded.Based on the obtained results, medicinal plants such as Isatis indigotica Fortune, Bupleurumspp., Curcuma longa L., Cibotium barometz (L.), Rheum palmatum L., Rheum palmatum L., Sprag,Scutettaria baicalensis Georg, Alnus japonica (Thunb.) Steud, Camellia sinensis (L.) Kuntze, Salviamiltiorrhiza Bunge, Paulownia tomentosa (Thunb.) Steud. Salvia miltiorrhiza Bunge, Tribulus terrestrisL, Broussonetia papyrifera (L.) Vent., Stephania tetrandra S. Moore and related species,Sambucus formosana Nakai, Strobilanthes cusia, Lycoris radiata, E. purpurea, Lobelia inflata,Eupatorium perfoliatum, and Achyranthes aspera are the most important medicinal plants that areused in the treatment of Covid-19.Due to having secondary metabolites and antioxidant activity, medicinal plants have afavorable effect in improving corona symptoms in patients with covid-19.
2019 年冠状病毒病或 COVID-19 是由冠状病毒家族中的一种病毒引起的一种急性呼吸道综合征,在短期内影响了世界所有国家。本研究使用了包含药用植物和 "冠状病毒病"(即 covid-19、MERS、SARS-CoV-2)以及药用植物或天然抗氧化剂的关键词,检索数据库包括 ISI、Scopus、Science Direct、Google Scholar、Mag Iran 和 SID。根据研究结果,药用植物如 Isatis indigotica Fortune、Bupleurumspp、Cibotium barometz (L.), Rheum palmatum L., Rheum palmatum L., Sprag, Scutettaria baicalensis Georg, Alnus japonica (Thunb.) Steud, Camellia sinensis (L.) Kuntze, Salviamiltiorrhiza Bunge, Paulownia tomentosa (Thunb.) Steud.Salvia miltiorrhiza Bunge, Tribulus terrestrisL, Broussonetia papyrifera (L.) Vent、Stephania tetrandra S. Moore 及其相关种、Sambucus formosana Nakai、Strobilanthes cusia、Lycoris radiata、E. purpurea、Lobelia inflata、Eupatorium perfoliatum 和 Achyranthes aspera 是用于治疗 Covid-19 的最重要的药用植物。
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引用次数: 0
An Updated Review on the Alarming Epidemic of the Monkeypox Virus 猴痘病毒疫情最新回顾
Pub Date : 2024-02-29 DOI: 10.2174/0126667975274137240222091059
Neelam Singh, M. Alam, Charu Bharti, Nitin Kumar, Shalini Jayant, Reetu, Aayush Sharma
After the COVID-19 pandemic, the world has been vulnerable due to another virus calledmonkeypox. Monkeypox is a very uncommon zoonotic infectious condition that occurs in both humanand non-human primates with similar clinical characteristics as smallpox along with remarkableepidemic potential because of the increasing existence of human outbursts in recent scenarios. Theincreasing number of cases of this virus is developing curiosity among the people, hence scientistsare aiming to become aware of various pathological characteristics and management of this virusbefore it becomes an epidemic. Currently, the monkeypox outbreak is a trending headline and hasincreased as an alarming tone after continuous upcoming cases. Previous studies revealed that thefirst human suspected case was found on September 1, 1970, when a 9-month-old baby was admittedto the Basankusu Hospital in the Democratic Republic of Congo. It is hard to distinguish monkeypoxfrom the smallpox virus therefore, laboratory testing is the technique of disease identification andmonitoring. Various new approaches and vaccines are being positioned for the prevention and clinicalmanagement of monkeypox through the entanglement of metallic and organic nanocarriers.However, more researchers suggested that virology and ecology of the virus in endemic areas is essentialto recognize and avoid further worldwide occurrence of this virus. On behalf of an exhaustiveliterature survey, We are providing a rationalizing overview of monkeypox in the context of its presentglobal outbreak, as well as its symptoms, prevention, treatment, assessment, and clinical studies.
继 COVID-19 大流行之后,另一种名为 "猴痘 "的病毒又使世界变得脆弱不堪。猴痘是一种非常罕见的人畜共患传染病,既发生在人类灵长类动物身上,也发生在非人类灵长类动物身上,其临床特征与天花相似,由于近年来人类感染猴痘的病例不断增加,猴痘具有显著的流行潜力。这种病毒的病例越来越多,引起了人们的好奇,因此科学家们希望在这种病毒成为流行病之前了解它的各种病理特征和处理方法。目前,猴痘疫情已成为头条新闻,在不断出现病例后,疫情已上升到令人担忧的程度。以往的研究表明,第一例人类疑似病例发现于 1970 年 9 月 1 日,当时刚果民主共和国的巴桑库苏医院收治了一名 9 个月大的婴儿。猴痘与天花病毒很难区分,因此,实验室检测是疾病识别和监测的技术。然而,更多的研究人员认为,要认识和避免猴痘病毒在世界范围内进一步流行,流行地区的病毒学和生态学研究至关重要。通过详尽的文献调查,我们对猴痘目前的全球疫情、症状、预防、治疗、评估和临床研究进行了合理化概述。
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引用次数: 0
Comparison of Changes in Liver Function Tests in Pregnant Women with Mild and Severe COVID-19 轻度和重度 COVID-19 孕妇肝功能检测变化的比较
Pub Date : 2024-02-28 DOI: 10.2174/0126667975289100240216115702
P. Pooransari, Razieh Pouransari, Mahboobeh Gharib Laki, Zhila Abedi Asl, Samira Yavari, Reza Hosseiniara
Some pregnancies are affected by liver dysfunction, and differentiating themfrom possible liver dysfunction caused by COVID-19 in pregnancy will lead to a better therapeuticapproach and management.The current study was conducted with the aim of investigating changes in liver functiontests (LFTs) in pregnant women with mild and severe COVID-19.In this retrospective observational study, 130 pregnant women with COVID-19 wereexamined in two referral hospitals in Iran in 2021-2022. COVID-19 was confirmed by reversetranscription-polymerase chain reaction (RT-PCR) and WHO guidelines. Pregnant women wereassigned into two categories of mild and severe COVID-19 based on clinical symptoms and radiologicchest evaluation. Demographic and clinical data of women were recorded. The level of liverenzymes AST, ALT, ALP, total and direct bilirubin was measured in all patients. Fever, oxygensaturation level, preterm delivery, and maternal mortality were reported as final clinical outcomesand compared in two groups.Forty-nine pregnant women with severe COVID-19 and 81 pregnant women with mildCOVID-19 were matched in terms of demographic data. The proportion of women with abnormalAST and ALT in the severe COVID-19 group was significantly higher than in the mild group(p<0.05). However, the proportion of women with abnormal ALP levels in the mild COVID-19group was significantly higher than in the severe group. Moreover, there was no significant differencebetween the two groups in terms of the proportion of women with abnormal levels of totaland direct bilirubin. Most pregnant women with severe COVID-19 (50%) had a hepatocellularabnormality, while most women with mild COVID-19 (42%) had abnormalities in cholestasis(p=0.003).According to the present findings, liver dysfunction and increased liver enzymes inpregnant women with COVID-19 were related to the severity of the disease, and most women withsevere COVID-19 had hepatocellular abnormality, respectively. Therefore, pregnant women withCOVID-19 should be closely monitored for LFTs assessment.
本研究旨在调查轻度和重度 COVID-19 孕妇肝功能检测(LFTs)的变化。在这项回顾性观察研究中,伊朗的两家转诊医院于 2021-2022 年对 130 名 COVID-19 孕妇进行了检查。COVID-19通过反转录聚合酶链反应(RT-PCR)和世界卫生组织指南进行确诊。根据临床症状和胸部放射学评估结果,将孕妇分为轻度和重度 COVID-19 两类。记录孕妇的人口统计学和临床数据。对所有患者的肝酶 AST、ALT、ALP、总胆红素和直接胆红素水平进行了测量。49 名重度 COVID-19 孕妇和 81 名轻度 COVID-19 孕妇的人口统计学数据相匹配。重度 COVID-19 组中出现AST 和 ALT 异常的孕妇比例明显高于轻度组(P<0.05)。然而,轻度 COVID-19 组中 ALP 水平异常的妇女比例明显高于重度组。此外,在总胆红素和直接胆红素水平异常的孕妇比例方面,两组之间没有明显差异。大多数重度 COVID-19 孕妇(50%)肝细胞异常,而大多数轻度 COVID-19 孕妇(42%)胆汁淤积异常(P=0.003)。因此,患有 COVID-19 的孕妇应密切监测 LFTs 评估。
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引用次数: 0
The Level of Knowledge and Performance of Iranian Medical Students in The Second Year of the COVID-19 Pandemic 伊朗医科学生在 COVID-19 大流行第二年的知识水平和表现
Pub Date : 2024-02-28 DOI: 10.2174/0126667975287209240216054141
Mohammad Shahin Shahvardizadeh, Faranak Rezaei, Shahnaz Halimi, S. Delfani, P. Shakib, S. Soroush
It has been four years since the onset of the COVID-19 pandemic. In additionto medical professionals, medical students have also been at the forefront of the fight against thispandemic and, like them, have been highly susceptible to the virus. The aim of this study was toevaluate the level of knowledge of Iranian medical students about COVID-19, preventive behaviors,and their perception of risk in the second year of this pandemic.The study was conducted from January to October 2021 (during the fourth and fifth wavesof COVID-19) on Iranian medical students who were undergoing clinical courses in university hospitals.In this study, an online questionnaire consisting of 48 questions in Persian was provided to thestudents.After sending an electronic questionnaire to the students, 401 medical students fromLorestan University of Medical Sciences participated in the survey. Of these, 62.8% were studyingmedicine in the medical field. About 66.1%, 69.1%, and 54.9% of medical students consideredcommon antiviral drugs, traditional medicine, and the flu vaccine to be ineffective in preventingCOVID-19, respectively. To effectively prevent the transmission of COVID-19, 72.6% of medicalstudents used 3-layer surgical masks, 18.7% relied on hand washing and personal hygiene alone,73.6% advocated for mask usage by all members of the community, and 47.4% believed in usingN95 masks during intubation, suction, bronchoscopy, and cardiopulmonary resuscitation. In terms ofinformation sources, 65.1% of medical students trusted the opinions of doctors and nurses, and40.6% obtained necessary information about the disease from these healthcare professionals.The basic and clinical knowledge of medical students was at an average level, indicatingthe need for retraining courses to update their information and impart current knowledge. Thenormalization of epidemic conditions for medical staff and the students under their supervision wasnot prevalent among the students. This not only increases the likelihood of individuals contracting thedisease multiple times but also poses a potential source of contamination for society. Therefore, conductingeducational workshops in this field can significantly impact compliance with health protocols.
COVID-19 大流行已经过去四年了。除了医学专业人员,医科学生也站在了抗击这一流行病的最前沿,他们和医科学生一样,都是病毒的高危人群。本研究的目的是评估伊朗医科学生对 COVID-19 的了解程度、预防行为以及他们在这一流行病第二年的风险感知。研究于 2021 年 1 月至 10 月(COVID-19 第四波和第五波期间)进行,对象是在大学医院接受临床课程的伊朗医科学生。在向学生发送电子问卷后,来自洛雷斯坦医科大学的 401 名医学生参与了调查。在发送电子问卷后,401 名洛雷斯坦医科大学的医学生参与了调查。分别约有 66.1%、69.1% 和 54.9% 的医学生认为普通抗病毒药物、传统药物和流感疫苗对预防 COVID-19 无效。为了有效预防 COVID-19 的传播,72.6% 的医学生使用三层外科口罩,18.7% 的医学生仅依靠洗手和个人卫生,73.6% 的医学生提倡社区所有成员使用口罩,47.4% 的医学生认为在插管、吸痰、支气管镜检查和心肺复苏时应使用 N95 口罩。在信息来源方面,65.1%的医学生相信医生和护士的意见,40.6%的医学生从这些医护人员那里获得了有关疾病的必要信息。医学生的基础知识和临床知识处于平均水平,这表明需要通过再培训课程来更新他们的信息和传授最新知识。医护人员及其指导下的学生对疫情的正常化认识在学生中并不普遍。这不仅增加了个人多次感染该疾病的可能性,也为社会带来了潜在的污染源。因此,在这一领域举办教育讲习班会对遵守卫生规程产生重大影响。
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引用次数: 0
Impact of MDRs on COVID-19 Patients Among Developing Countries MDRs 对发展中国家 COVID-19 患者的影响
Pub Date : 2024-01-31 DOI: 10.2174/0126667975284845231205102151
A. Bharadwaj
The COVID-19 virus has killed more than 6.3 million people worldwide. The misuse ofantibiotics increased during epidemics, leading to the spread of MDRs. Although antibiotic use isincreasing in both developed and developing countries, the utility level and abuse are higher in developingcountries. This could have negative consequences for the vaccine, especially consideringthat many developing countries reported the emergence of many resistant microbes even before thepandemic. Infectious diseases, social and cultural pressures, and telemedicine facilities can all contributeto the overuse of antibiotics. The emergence of multidrug resistance is a major concern, especiallyin developing countries where health services are already inadequate and diagnostic capacityand facilities for disease prevention and control are inadequate. This might be the major cause of theextensive spread of such diseases. Improper waste management and disposal in hospitals and communitiesmake it easy for clean water to leak from the area, causing many diseases and causing manyantibiotics. The potential for microplastics to be turned into anti-bacterial products is also of particularconcern for low- and middle-income countries. In the present review, we aim to examine the impactof multidrug resistance in ESKAPE infections coupled with healthcare-associated infections anddetermine their risk of secondary infection in COVID-19 patients in low- and middle-income countriesduring the COVID-19 epidemic from a multidisciplinary perspective, identify the challenge fordeveloping countries and seek solutions to solve this problem.
COVID-19 病毒已在全球造成 630 多万人死亡。在流行病期间,抗生素的滥用增加,导致了耐药菌的传播。尽管抗生素的使用在发达国家和发展中国家都在增加,但发展中国家的使用水平和滥用程度更高。这可能会对疫苗产生负面影响,特别是考虑到许多发展中国家甚至在大流行之前就报告出现了许多耐药微生物。传染病、社会和文化压力以及远程医疗设施都可能导致抗生素的过度使用。多重耐药性的出现是一个令人担忧的重大问题,尤其是在医疗服务已经不足、诊断能力和疾病预防与控制设施不足的发展中国家。这可能是此类疾病广泛传播的主要原因。医院和社区的废物管理和处理不当,很容易使清洁的水从该地区泄漏,导致许多疾病,并引起许多抗生素。对于低收入和中等收入国家来说,微塑料被转化为抗菌产品的可能性也尤其令人担忧。在本综述中,我们旨在从多学科角度研究 ESKAPE 感染中的多重耐药性与医疗相关感染的影响,并确定其在 COVID-19 流行期间对中低收入国家 COVID-19 患者造成二次感染的风险,明确发展中国家面临的挑战,并寻求解决这一问题的方案。
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引用次数: 0
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Coronaviruses
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