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Analyzing Uttarakhand's COVID-19 Outbreak: Demographic Insights and Strategies for Future Pandemic Prevention 分析 Uttarakhand 的 COVID-19 爆发:人口学见解和未来预防大流行病的战略
Pub Date : 2023-12-18 DOI: 10.2174/0126667975257267231213071226
Gaurav Joshi, Akshara Pande, Omdeep Gupta, Anoop Nautiyal, Sanjay Jasola, Prashant Gahtori
The Indian state of Uttarakhand, also known as "Dev Bhoomi" or the Abode of Gods, is snuggled in the lap of the Himalayas. It is endowed with an abundant natural hilly environment and occupies more people in total than Israel, Switzerland, Hong Kong, etc. In this report, we look closely at the impact of COVID-19 on both high land/ hilly and low land/ plain bhabar zones across the state. The data was retrieved from the Uttarakhand Government Covid-19 health bulletin for 12 months using the Python command line. The data analysis covers percentage positivity/COVID-19 positivity rate, recovery, deceased and doubling rate, along with a detailed statistical analysis. In the first wave, low-land- inhabitants residing in 4 districts, Dehradun, Haridwar, U. S. Nagar and Nainital, were found more vulnerable, with a peak positive case during the 21st – 26th week. On the other hand, the districts with exclusive hilly terrains, including Chamoli, Pauri Garhwal, and Rudraprayag, were found to be the least susceptible and reported a high number of positive cases between the 30th and 31st week. The highest recovery rate was found to be in the hilly district of Rudraprayag. The multiple regression with confirmed cases was explained in relation to deceased, recovered, other, and tested variables (R2 adj= 0.99). The analysis also revealed a very high doubling rate from the last week of May to the first week of Jun 2020. The reduced number of COVID-19 cases in high-altitude hilly districts may be associated with factors such as enhanced ventilation, improved arterial oxygen transport, and increased tissue oxygenation. The findings from this study offer insights that can contribute to future pandemic prevention efforts. Summarising the current study, we have suggested 5-point solutions for preventing the next pandemic. It's important to note that while this study suggests a potential link between these factors and lower COVID-19 cases, further research is needed to establish a conclusive connection.
印度的北阿坎德邦(Uttarakhand)又称 "Dev Bhoomi "或 "神的居所",依偎在喜马拉雅山的怀抱中。它拥有丰富的自然丘陵环境,人口总数超过以色列、瑞士和香港等。在本报告中,我们将仔细研究 COVID-19 对全邦高地/丘陵和低地/平原 bhabar 地区的影响。 我们使用 Python 命令行从北阿坎德邦政府的 Covid-19 健康公报中获取了 12 个月的数据。数据分析包括阳性百分比/COVID-19 阳性率、康复率、死亡人数和加倍率,以及详细的统计分析。 在第一轮分析中,发现居住在德拉敦、哈里瓦、U. S. 纳加尔和奈尼塔尔四个地区的低地居民更易感染,阳性病例高峰期为第 21-26 周。另一方面,查莫利(Chamoli)、保利加瓦尔(Pauri Garhwal)和鲁德拉普拉亚格(Rudraprayag)等地形为丘陵的地区最不容易受到感染,报告的阳性病例多发生在第 30 至 31 周。鲁德拉普拉亚格丘陵地区的恢复率最高。确诊病例的多元回归与死亡病例、康复病例、其他病例和检测病例变量的关系得到了解释(R2 adj=0.99)。分析还显示,从 2020 年 5 月的最后一周到 6 月的第一周,翻倍率非常高。 高海拔丘陵地区 COVID-19 病例的减少可能与通气功能增强、动脉氧输送改善和组织氧合增加等因素有关。这项研究的结果为今后的大流行病预防工作提供了启示。总结当前的研究,我们提出了预防下一次大流行的 5 点解决方案。值得注意的是,虽然这项研究表明这些因素与 COVID-19 病例的减少之间存在潜在联系,但要确定两者之间的联系还需要进一步的研究。
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引用次数: 0
In silico Molecular Docking of SARS-CoV-2 Surface Proteins withBenzimidazole Scaffolds: Strategy to Discover Lead Compounds SARS-CoV-2 表面蛋白与苯并咪唑支架的分子对接:发现先导化合物的策略
Pub Date : 2023-12-11 DOI: 10.2174/0126667975272375231201073215
Monika Meghani, Shikha Sharma, Nitin Kumar, B. Sahoo
The severe acute respiratory illness that was brought on because of theoutbreak of COVID-19 caused by the SARS-CoV-2 infection has been designated as a publichealth emergency of worldwide concern. There is an immediate and pressing need to establish aneffective therapeutic strategy to bring infections under control. COVID-19 viral spike glycoproteins and proteases both play important roles in the process of viral entrance as well as in the process of virus reproduction.Benzimidazole derivatives show antiviral activity against various RNA and DNA virusesand stop the early viral replication cycle. Based on this information, we designed eighteen newbenzimidazole derivatives and screened them against the proteins S-glycoprotein 6VSB and papain-like protease 6W9C using molecular docking studies. Compounds that bind strongly to theseproteins were evaluated again in an in vitro study.When docked with SARS-CoV-2 spike glycoprotein, the binding affinity of R1 and R7was –7.1 kcal/mol and -7.3 kcal/mol, respectively. This showed that they might be able to stop theSARS spike protein from binding to the ACE2 receptor on the human host, making it harder for thevirus to get into the cells. The binding affinity of SARS-CoV-2 papain-like protease with R4, R14,and R15 was –6.7 kcal/mol, -6.5 kcal/mol, and –6.5 kcal/mol, respectively. COVID-19 could stopthe protease from working by binding it.It was suggested, on the basis of the binding energy score, that these pharmacologically potent benzimidazole derivatives may be tested against SARS-CoV-2 and utilized in the production of efficient antiviral medicines
由 SARS-CoV-2 感染引起的 COVID-19 爆发所导致的严重急性呼吸道疾病已被定为全球关注的紧急公共卫生事件。当务之急是制定有效的治疗策略,以控制感染。COVID-19 病毒的尖峰糖蛋白和蛋白酶在病毒进入和复制过程中都起着重要作用。根据这些信息,我们设计了 18 种新的苯并咪唑衍生物,并利用分子对接研究筛选出了它们与 S 糖蛋白 6VSB 和木瓜蛋白酶样蛋白酶 6W9C 蛋白的结合。当与 SARS-CoV-2 穗状糖蛋白对接时,R1 和 R7 的结合亲和力分别为 -7.1 kcal/mol 和 -7.3 kcal/mol。这表明它们可能能够阻止SARS尖峰蛋白与人类宿主的ACE2受体结合,从而使病毒更难进入细胞。SARS-CoV-2木瓜蛋白酶与R4、R14和R15的结合亲和力分别为-6.7 kcal/mol、-6.5 kcal/mol和-6.5 kcal/mol。根据结合能得分,研究人员认为这些具有药理作用的苯并咪唑衍生物可以对 SARS-CoV-2 进行试验,并可用于生产高效的抗病毒药物。
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引用次数: 0
Screening the Effectiveness of Kabasura Kudineer against COVID 19 andImmune Proteins in Humans: In silico 筛选 Kabasura Kudineer 对 COVID 19 和人体免疫蛋白的有效性:硅学
Pub Date : 2023-12-11 DOI: 10.2174/0126667975281429231206073959
Architha Vijayalakshmi, Hemalatha S
The advent of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) triggered a pandemic known as coronavirus disease 2019 (COVID-19) in the twenty-firstcentury. Recent research has revealed several details about SARS-CoV-2 pathogenesis, which hasgreatly boosted research on COVID-19 vaccines and therapy methods for all the COVID variants.However, significant doubts about its treatment persist due to its fast mutating capability and its resistance to various drugs administered. Thus, there is a need for a cure to treat all the variants andtheir side effects.The main aim of this study is to check 1) the effectiveness of Kabasura Kudineer againstCOVID 19 2) the side effects of Kabasura Kudineer with the help of immune proteins in humansThe molecular docking was carried out between SARS-CoV-2 proteins and immune proteins in humans against Kabasura Kudineer compounds. The ADMET was also carried out to checkthe Pharmacokinetics.The results showed that chebulagic acid from Terminalia chebula has good binding capability with all the chosen targets1. The drug likeliness screening also proved it a good drug candidate.Siddha way of treatment has popped out which has been traditionally used for thetreatment of viral respiratory infections. The formulation called Kabasura Kudineer has been provento have antiviral agents and compounds that boost the immune system
严重急性呼吸系统综合征冠状病毒 2(SARSCoV-2)的出现引发了 21 世纪冠状病毒病 2019(COVID-19)的大流行。最近的研究揭示了 SARS-CoV-2 发病机制的一些细节,极大地推动了 COVID-19 疫苗和所有 COVID 变种治疗方法的研究。本研究的主要目的是检测 1) Kabasura Kudineer 对 COVID 19 的有效性 2) Kabasura Kudineer 在人体免疫蛋白的帮助下产生的副作用。结果表明,来自诃子树的诃子酸与所有选定的靶标都有很好的结合能力1。结果表明,从诃子中提取的诃子酸与所有选定的靶点都有很好的结合能力1,药物相似性筛选也证明它是一种很好的候选药物。被称为 Kabasura Kudineer 的配方已被证明具有抗病毒剂和增强免疫系统的化合物。
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引用次数: 0
Recent Scenario of the Indian Healthcare System Post COVID-19 Emergence and in Severely Ill Patients COVID-19 出现后印度医疗系统和重症患者的近况
Pub Date : 2023-12-06 DOI: 10.2174/0126667975270646231127091030
Sushant Mishra, Shushank Mahajan, Able Mogha, Abhinav Yadav, Wandeep Dagar, Isha Chawla, Meenakshi Dhanawat
The coronavirus disease 2019 pandemic has brought fundamental changes to our prioritiesand problems, especially those related to the healthcare sector. The COVID-19 pandemic puteven the world's most advanced healthcare systems to the test and India's healthcare system has beenrattled as well. In this accordance, the Indian government has introduced many new policies andschemes like free vaccination drive, Atmanirbhar Bharat, and free COVID care under AyushmanBharat. With the continuation of COVID-19, problems like Self-medication and hoarding of medicinesamong the common population keep on rising and this was due to flu-like symptoms ofCOVID-19, miss information on social media, or due to less or no interaction between patients anddoctors as the population is now shifting to telemedicine which offers the benefit of consultation attheir own home. These situations served as a boon to the Pharma sector as stocks of many pharmacompanies and industries have been reported to have increased in the past 2 years of the pandemicdue to an increase in demand and manufacturing and consumption of pharmaceutical goods and alsoreportedly being increased by alot in coming years. However, this rapid growth of the pharmaceuticalsector is beneficial for pharmacists, businessmen, and others who are directly or indirectly associatedwith the healthcare fraternity but in our opinion, it will negatively impact the Indian economyor can be viewed as a problem which can lead to the downfall of the qualitative aspect of thepharma sector in the long term.
2019年冠状病毒病大流行给我们的优先事项和问题带来了根本性的变化,特别是与医疗保健部门有关的问题。COVID-19大流行甚至对世界上最先进的医疗体系进行了考验,印度的医疗体系也受到了冲击。为此,印度政府推出了许多新政策和计划,如免费疫苗接种运动、阿特曼Bharat和AyushmanBharat下的免费COVID护理。随着COVID-19的持续,普通人群中自我药疗和囤积药物等问题不断增加,这是由于COVID-19的流感样症状,社交媒体上的信息缺失,或者由于患者和医生之间的互动减少或没有,因为人们现在转向远程医疗,提供在家咨询的好处。这些情况对制药部门来说是一个福音,因为据报道,由于对药品的需求、制造和消费增加,许多制药公司和行业的股票在大流行的过去两年里有所增加,而且据报道,在未来几年还会增加很多。然而,制药行业的快速增长对药剂师、商人和其他直接或间接与医疗保健行业相关的人是有益的,但在我们看来,这将对印度经济产生负面影响,从长远来看,这可能会导致制药行业质量方面的下降。
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引用次数: 0
Maternal and Neonatal Outcomes after Vaccination with SARS-CoV-2: ASystematic Review and Meta-analysis of Cohort Studies 接种 SARS-CoV-2 疫苗后的产妇和新生儿结局:队列研究的系统回顾和元分析
Pub Date : 2023-12-04 DOI: 10.2174/0126667975269133231117062158
Anand Vijayakumar Palur Ramakrishnan, R. Basutkar, Sugash Murugan, Shonitha Sagadevan, Oorvashree Sri Hari, Shanmuga Priyan
SARS-CoV-2 infection among pregnant women causes maternal and neonatal complications. Professional societies endorse the vaccination among pregnant women. This review of thecohort studies aims to assess the short-term maternal and neonatal outcomes among vaccinated vs.non-vaccinated pregnant women with SARS-CoV-2 vaccination. We searched Cochrane CentralRegistry of Controlled Trials, Scopus, Google Scholar, and PubMed databases. The observationalcohort studies published from July 2021 to December 2022 were included. The eligibility criteriawere assessed. The studies documenting maternal and neonatal outcomes and the relative risk, and95% confidence interval were considered. Joanna Briggs Institute data extraction form was used,and the quality assessment of the included study was conducted using the Newcastle-Ottawa quality assessment scale. The quality of the grading was summarised with GradePro software. Datafrom the five cohort studies are considered. 56% of the un-vaccinated pregnant women experiencecomposite adverse maternal outcomes (RR: 3.97; 95% CI:0.73,21.49; p-value: ˂0.11). There was areduced risk of occurrence of the meconium-stained amniotic fluid who are vaccinated (RR: 0.89;95% CI:0.71, 1.12; p value=0.33). The unvaccinated group is 3.16 times more likely to take infertility treatment (RR: 3.54; 95% CI:2.04, 6.12; p-value: ˂0.00001). There was no significant difference concerning neonatal outcomes between both groups. The pregnant women who were not vaccinated against SARS-CoV had an increased risk for a composite adverse maternal outcome andmeconium-stained amniotic fluid. The vaccine has effectively prevented the disease in the first sixmonths. Additional studies are needed to understand the safety of the SARS-CoV vaccine.
孕妇感染SARS-CoV-2可导致孕产妇和新生儿并发症。专业协会支持孕妇接种疫苗。本综述旨在评估接种SARS-CoV-2疫苗的孕妇与未接种疫苗的孕妇之间的短期孕产妇和新生儿结局。我们检索了Cochrane CentralRegistry of Controlled Trials、Scopus、Google Scholar和PubMed数据库。纳入了从2021年7月至2022年12月发表的观察性研究。对入选标准进行了评估。研究记录了产妇和新生儿的结局和相对风险,并考虑了95%的置信区间。采用Joanna Briggs研究所数据提取表,采用Newcastle-Ottawa质量评估量表对纳入研究进行质量评估。用GradePro软件对评分质量进行总结。我们考虑了五个队列研究的数据。未接种疫苗的孕妇中有56%出现了综合不良孕产妇结局(RR: 3.97;95%置信区间:0.73,21.49;假定值:˂0.11)。接种疫苗的羊水出现粪染的风险降低(RR: 0.89;95% CI:0.71, 1.12;p值= 0.33)。未接种疫苗组接受不孕症治疗的可能性是未接种疫苗组的3.16倍(RR: 3.54;95% ci:2.04, 6.12;假定值:˂0.00001)。两组新生儿结局无显著差异。未接种sars冠状病毒疫苗的孕妇出现复合不良产妇结局和羊水粪染色的风险增加。疫苗在头六个月有效地预防了这种疾病。需要进一步的研究来了解sars冠状病毒疫苗的安全性。
{"title":"Maternal and Neonatal Outcomes after Vaccination with SARS-CoV-2: A\u0000Systematic Review and Meta-analysis of Cohort Studies","authors":"Anand Vijayakumar Palur Ramakrishnan, R. Basutkar, Sugash Murugan, Shonitha Sagadevan, Oorvashree Sri Hari, Shanmuga Priyan","doi":"10.2174/0126667975269133231117062158","DOIUrl":"https://doi.org/10.2174/0126667975269133231117062158","url":null,"abstract":"\u0000\u0000SARS-CoV-2 infection among pregnant women causes maternal and neonatal complications. Professional societies endorse the vaccination among pregnant women. This review of the\u0000cohort studies aims to assess the short-term maternal and neonatal outcomes among vaccinated vs.\u0000non-vaccinated pregnant women with SARS-CoV-2 vaccination. We searched Cochrane Central\u0000Registry of Controlled Trials, Scopus, Google Scholar, and PubMed databases. The observational\u0000cohort studies published from July 2021 to December 2022 were included. The eligibility criteria\u0000were assessed. The studies documenting maternal and neonatal outcomes and the relative risk, and\u000095% confidence interval were considered. Joanna Briggs Institute data extraction form was used,\u0000and the quality assessment of the included study was conducted using the Newcastle-Ottawa quality assessment scale. The quality of the grading was summarised with GradePro software. Data\u0000from the five cohort studies are considered. 56% of the un-vaccinated pregnant women experience\u0000composite adverse maternal outcomes (RR: 3.97; 95% CI:0.73,21.49; p-value: ˂0.11). There was a\u0000reduced risk of occurrence of the meconium-stained amniotic fluid who are vaccinated (RR: 0.89;\u000095% CI:0.71, 1.12; p value=0.33). The unvaccinated group is 3.16 times more likely to take infertility treatment (RR: 3.54; 95% CI:2.04, 6.12; p-value: ˂0.00001). There was no significant difference concerning neonatal outcomes between both groups. The pregnant women who were not vaccinated against SARS-CoV had an increased risk for a composite adverse maternal outcome and\u0000meconium-stained amniotic fluid. The vaccine has effectively prevented the disease in the first six\u0000months. Additional studies are needed to understand the safety of the SARS-CoV vaccine.\u0000","PeriodicalId":10815,"journal":{"name":"Coronaviruses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138603118","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
Exploring Effective Therapeutic Approaches for COVID-19: A Review onProgress and Prospects 探索 COVID-19 的有效治疗方法:进展与前景综述
Pub Date : 2023-12-04 DOI: 10.2174/0126667975267776231117052825
Oritoke M. Okeowo, Nzube F. Olung, O. Ijomone, Ayotunde S. Adeagbo
Global health and economy have been severely impacted by the COVID-19 pandemic thatwas brought on by the SARS-CoV-2 coronavirus. This makes the creation of potent medications forthe treatment of COVID-19 disease a top goal. In clinical trials, several medications that have beenrepurposed for the treatment of COVID-19 have shown promise. Nevertheless, there are a lot of obstacles to overcome in the creation of COVID-19 pharmacological therapy. The inability to pinpointprospective treatment targets is one difficulty caused by the unclear etiology of COVID-19. Anotherdifficulty is the virus' quick evolution, which can result in the creation of drug-resistant variants.Furthermore, the quick start of clinical trials has been prompted by the strong demand for effectivetherapies. A lack of reliable data on the safety and efficacy of medications can result from the earlystart of clinical trials that have been prompted by the strong demand for effective medicines. Despitethese obstacles, the development of various promising pharmacological treatments for COVID-19has advanced. These include immune-modulating medications, like dexamethasone and tocilizumab,as well as antiviral medicines, like remdesivir and favipiravir. Combination therapies using severalmedications may also be useful in enhancing outcomes for COVID-19 patients. Despite some encouraging advancements, there are still a lot of obstacles to be addressed in the development ofpharmacological therapy for COVID-19. Further research is needed to identify the most effectivetreatment approaches for this disease.
由SARS-CoV-2冠状病毒引发的COVID-19大流行对全球卫生和经济造成了严重影响。这使得开发治疗COVID-19疾病的有效药物成为首要目标。在临床试验中,几种被重新用于治疗COVID-19的药物显示出了希望。尽管如此,在新冠病毒药物治疗的创造过程中,仍有许多障碍需要克服。由于COVID-19的病因不明,无法确定未来的治疗靶点是一个困难。另一个困难是病毒的快速进化,这可能导致产生耐药变种。此外,对有效疗法的强烈需求推动了临床试验的快速启动。由于对有效药物的强烈需求,临床试验过早开始,可能导致缺乏关于药物安全性和有效性的可靠数据。尽管存在这些障碍,但针对covid -19的各种有希望的药物治疗方法的开发取得了进展。这些药物包括免疫调节药物,如地塞米松和托珠单抗,以及抗病毒药物,如瑞德西韦和法匹拉韦。使用多种药物的联合治疗也可能有助于提高COVID-19患者的预后。尽管取得了一些令人鼓舞的进展,但在COVID-19药物治疗的开发过程中仍有许多障碍需要解决。需要进一步的研究来确定这种疾病最有效的治疗方法。
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引用次数: 0
Relationship between COVID-19 and Neurological Disorder COVID-19 与神经系统疾病的关系
Pub Date : 2023-12-01 DOI: 10.2174/0126667975253863230920070917
Shivendra Mani Tripathi, Pratik Kumar Vishwakarma, Smriti Ojha, Sudhanshu Mishra
The COVID-19 pandemic has resulted in a socially isolating way of life, and dementiapatients are among those who are most affected. Lockdown procedures and the inability to monitorillnesses have led to a rapid decline in cognitive function in these individuals, with neuropsychiatricsymptoms, such as agitation, delirium, and impaired motor performance being prevalent. However, theuse of antipsychotics in treating these symptoms can increase the risk of death during COVID-19. Effectivepain therapy can be used as an alternative to reduce or avoid the use of antipsychotics, given theconsistent relationship between agitation and pain in dementia patients. The importance of properlyassessing and managing pain in dementia patients is highlighted. Additionally, the article discusseshow COVID-19 can affect brain health through inflammation, blood clotting, and blood vessel damage,leading to potential long-term effects on cognitive function. Healthcare professionals must beaware of the increased risk of neuropsychiatric symptoms in dementia patients during the pandemicand prioritize pain management as a viable alternative to antipsychotics. Proper care and attention arenecessary to prevent cognitive decline and potential long-term effects on brain health in these vulnerableindividuals.
COVID-19大流行导致了一种社会孤立的生活方式,痴呆症患者是受影响最大的人群之一。封锁程序和无法监测疾病导致这些人的认知功能迅速下降,神经精神症状,如躁动、谵妄和运动能力受损普遍存在。然而,在治疗这些症状时使用抗精神病药物会增加COVID-19期间的死亡风险。考虑到痴呆患者的躁动和疼痛之间的一致关系,有效的疼痛治疗可以作为减少或避免使用抗精神病药物的替代方法。强调了正确评估和管理痴呆患者疼痛的重要性。此外,文章还讨论了COVID-19如何通过炎症、凝血和血管损伤影响大脑健康,从而对认知功能产生潜在的长期影响。卫生保健专业人员必须意识到,在大流行期间,痴呆患者神经精神症状的风险增加,优先考虑疼痛管理,作为抗精神病药物的可行替代方案。适当的护理和关注是必要的,以防止这些脆弱个体的认知能力下降和对大脑健康的潜在长期影响。
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引用次数: 0
Is It Safe to Take 650 mg of Paracetamol on a Regular Basis? 经常服用 650 毫克扑热息痛安全吗?
Pub Date : 2023-11-28 DOI: 10.2174/0126667975267870231115052446
Sunil Kumar Kadiri, Deepika Uchil, Dhani M G, Dhritija Sathavalli, Durgesh Singh
The commonest medication to treat moderate to severe pain and fever in adults and children is paracetamol and it has been observed that there has been a rapid increase in the intake of paracetamol-650 since the COVID-19 pandemic and it has continued to date. This analgesic and antipyretic medication showed an increase of 150% in its consumption during the pandemic, simultaneously escalating its self-medication. Concerns have been expressed about the indirect advertising of prescription medications, their illogical use, and improper self-medication, which has resulted in overdose and certain serious side effects. Chronic pain and pyrexia are the most common symptoms witnessed during the COVID-19 pandemic. The intake of paracetamol-650 has also been increased as a prophylactic measure due to the widespread fear generated during COVID-19. The usage of paracetamol has been shifted from 500 mg to 650 mg for mild and moderate pain and fever during and after the end of the pandemic. This raises concerns about the misuse of paracetamol-650mg which may cause damage to the liver, stomach, and kidney chronically. So, this review article aims to generate awareness among the public and physicians about the rationale of paracetamol as an analgesic and antipyretic.
治疗成人和儿童中度至重度疼痛和发烧的最常用药物是扑热息痛,据观察,自 COVID-19 大流行以来,扑热息痛-650 的摄入量迅速增加,并持续至今。在大流行期间,这种镇痛和解热药物的消费量增加了 150%,同时其自我药疗也在升级。人们对处方药的间接广告、不合逻辑的使用和不恰当的自我药疗表示担忧,这导致了用药过量和某些严重的副作用。慢性疼痛和发热是 COVID-19 大流行期间最常见的症状。由于 COVID-19 期间引发的广泛恐惧,作为预防措施,扑热息痛-650 的摄入量也有所增加。在大流行期间和结束后,用于轻度和中度疼痛和发烧的扑热息痛已从 500 毫克改为 650 毫克。这引发了人们对滥用扑热息痛-650 毫克的担忧,因为长期滥用扑热息痛-650 毫克可能会对肝、胃和肾造成损害。因此,这篇综述文章旨在提高公众和医生对扑热息痛作为镇痛药和退烧药的合理性的认识。
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引用次数: 0
Cheminformatics Screening of Phytochemicals Targeting Diverse Potential Receptors to Elicit Antiviral Properties 以多种潜在受体为靶点激发抗病毒特性的植物化学物质的化学信息学筛选
Pub Date : 2023-11-16 DOI: 10.2174/0126667975270644231107110626
Ravi Kumar, Garima Gupta, Aditi Mohan, Madhu Gupta
Recently, the COVID-19 (coronavirus disease) pandemic caused by SARSCoV-2 (severe acute respiratory syndrome coronavirus) gave rise to a public health emergency worldwide. Similarly, other viruses like HIV (Human Immunodeficiency Virus)/AIDS (acquired immunodeficiency syndrome), Zika, Ebola, and Influenza and their mutants have called for an urgent need for a Broad-spectrum antiviral drug, inhibiting the infection by targeting the common essential components of different viruses. Based on ancient medicinal knowledge, we made an attempt through molecular docking analysis to explore different phytochemical compounds against well-recognized viral receptors. A total of 29 phytochemicals were virtually examined against 4 targets essential in the life cycle of viral infection: CD147 (Cluster of Differentiation 147), CD209L (Cluster of Differentiation 209 Lectin), eIF4A (Eukaryotic Initiation Factor 4A), and RdRp (RNA-dependent RNA polymerase). Providentially, Berbamine was identified as the best-hit lead molecule based on binding energies, conventional hydrogen bonding numbers, and non-covalent interactions. It exhibited binding energies as -8.3 kcal/mol with CD147, -8.2 kcal/mol with CD209L, -9.5 kcal/mol with eIF4A, and - 10.5 kcal/mol with RdRp. Additionally, in-silico drug likeliness (Lipinski’s rule) and ADME studies depict high bioavailability and gastrointestinal absorption and follow Lipinski’s rule. The data presented by our study exemplify phytochemicals from the selected plants that could target conserved viral components shared across multiple viruses. Berbamine can be designed as a possible drug to target Broad-Spectrum viruses, limiting the effectiveness of different viruses.
最近,由 SARSCoV-2(严重急性呼吸系统综合症冠状病毒)引起的 COVID-19(冠状病毒病)大流行在全球范围内引发了公共卫生紧急事件。同样,HIV(人类免疫缺陷病毒)/AIDS(获得性免疫缺陷综合征)、寨卡、埃博拉和流感等病毒及其变种也迫切需要一种广谱抗病毒药物,通过靶向不同病毒的共同基本成分来抑制感染。 基于古老的药学知识,我们尝试通过分子对接分析来探索不同植物化学物质对公认病毒受体的作用。 实际上,共有 29 种植物化学物质针对病毒感染生命周期中必不可少的 4 个靶点进行了研究:CD147(分化簇 147)、CD209L(分化簇 209ectin)、eIF4A(真核启动因子 4A)和 RdRp(RNA 依赖性 RNA 聚合酶)。幸运的是,根据结合能、常规氢键数和非共价相互作用,小檗胺被确定为命中率最高的先导分子。它与 CD147 的结合能为 -8.3 kcal/mol,与 CD209L 的结合能为 -8.2 kcal/mol,与 eIF4A 的结合能为 -9.5 kcal/mol,与 RdRp 的结合能为 -10.5 kcal/mol。此外,硅学药物相似性(利平斯基规则)和 ADME 研究表明,生物利用度和胃肠道吸收率都很高,并且遵循利平斯基规则。 我们的研究提供的数据说明,从所选植物中提取的植物化学物质可针对多种病毒共有的保守病毒成分。小檗胺可作为一种针对广谱病毒的药物,限制不同病毒的效力。
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引用次数: 0
COVID-19 Pandemic and its Economic Impact on the Global Economy: A Computable General Equilibrium Approach COVID-19 大流行病及其对全球经济的影响:可计算一般均衡方法
Pub Date : 2023-11-14 DOI: 10.2174/0126667975269693231107072320
Esambe Sone, Jong-Hwan Ko
The COVID-19 pandemic, caused by the novel coronavirus SARS-CoV- 2, has been a global health crisis since its emergence in late 2019, impacting all aspects of life worldwide. It has revealed vulnerabilities in healthcare systems while also inspiring scientific advancements and cooperation in developing vaccines, highlighting the importance of preparedness and equitable healthcare for future challenges. This paper evaluates the economic impact of the COVID-19 pandemic on the global economy. The study employed the Global Trade Analysis Project model using GTAP database version 10A with 2014 as the base year. The database's 141 regions and 65 sectors are aggregated into 20 regions and 29 sectors. The model used involves a baseline and two policy scenarios. The baseline scenario projected the global economy to 2020 from 2014 using macroeconomic variables, such as real GDP, population, capital stock, and labor supply. Policy scenarios 1 and 2 accounted for the impact of the COVID-19 pandemic and fiscal stimulus package, respectively. The impacts of the pandemic are measured in real GDP, welfare, export and import volumes, trade balance, and output by sector. Simulation results indicate that the real GDP for all regions declined. The impact of COVID-19 on the welfare of countries, including Korea, Japan, the US, Mexico, China, Italy, and Great Britain, varied. In all these countries, the pandemic highlighted existing inequalities and vulnerabilities, affecting countries disproportionately. Government interventions, such as stimulus packages, income support programs, and vaccination campaigns, have aimed to mitigate the impact and support the welfare of the population. The pandemic disrupted global supply chains and increased trade costs, thereby negatively impacting both import and export volumes. The output of some sectors, such as tourism-related sectors, was heavily affected. The COVID-19 pandemic has impacted real GDP, welfare, export and import volumes, trade balance, and output by sector. By examining the specific implications of the pandemic on each of these economic factors, policymakers and researchers can gain valuable insights into the challenges faced and potential avenues for recovery.
由新型冠状病毒 SARS-CoV- 2 引起的 COVID-19 大流行自 2019 年底出现以来一直是一场全球性的健康危机,影响着全世界生活的方方面面。它揭示了医疗保健系统的薄弱环节,同时也激发了科学进步和合作开发疫苗的热情,凸显了为未来挑战做好准备和公平医疗保健的重要性。 本文评估了 COVID-19 大流行对全球经济的影响。研究采用全球贸易分析项目模型,使用 GTAP 数据库 10A 版,以 2014 年为基准年。数据库中的 141 个地区和 65 个部门被汇总为 20 个地区和 29 个部门。所使用的模型包括一个基准情景和两个政策情景。基线情景使用宏观经济变量,如实际 GDP、人口、资本存量和劳动力供应,预测了从 2014 年到 2020 年的全球经济。政策情景 1 和 2 分别考虑了 COVID-19 大流行病和一揽子财政刺激计划的影响。 大流行病的影响以实际国内生产总值、福利、进出口量、贸易平衡和各部门产出来衡量。模拟结果表明,所有地区的实际国内生产总值都有所下降。COVID-19 对韩国、日本、美国、墨西哥、中国、意大利和英国等国福利的影响各不相同。在所有这些国家中,大流行病凸显了现有的不平等和脆弱性,对各国的影响尤为严重。政府采取了一揽子刺激计划、收入支持计划和疫苗接种运动等干预措施,旨在减轻影响并支持民众的福利。大流行病扰乱了全球供应链,增加了贸易成本,从而对进出口量产生了负面影响。一些部门,如旅游业相关部门的产出受到严重影响。 COVID-19 大流行影响了实际国内生产总值、福利、进出口量、贸易平衡和各部门的产出。通过研究大流行病对这些经济因素的具体影响,决策者和研究人员可以对面临的挑战和潜在的恢复途径获得宝贵的见解。
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