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Polyherbal Syrup for Coronavirus Infection: Formulation and Evaluation 冠状病毒感染复方糖浆:配方与评价
Pub Date : 2023-10-27 DOI: 10.2174/0126667975265630231025112858
K. Kranthi Kumar, Sunil Kumar Kadiri, Sampath. A. G
Background: SARS-CoV-2 emerged in Wuhan in December 2019, and after that, it spread quickly around the world. The virus could spread to millions of individuals since there were no particular treatments or preventative measures. The COVID-19 infection is often treated with current drugs such as Remdesivir, steroids, tocilizumab, favipiravir, and ivermectin. However, the immunosuppressive effects of these medicines might worsen COVID-19 symptoms and put the lives of immunocompromised individuals in peril. Thus, it is important to sustain a robust immune system when undergoing therapy for COVID-19. Herbal treatment has the potential to accomplish this objective. Objective: The current investigation involves the preparation of polyherbal syrup containing various medicinal plants such as ephedra, diascorea, ginger, echinacea, garlic, rhubarb, and glycyrrhiza for the effective control of the COVID-19 infection. Methods: All varieties of the individual plant powders (200 g) were treated to a 7 day maceration in aqueous ethanol (70:30) in a percolator at room temperature with intermittent vigorous shaking at room temperature and storage of the extract in a dark room. The mixture was run through a muslin cloth and then a Whatman qualitative grade 1 filter paper to produce the filtrate. The filtrate was evaporated to a thick paste-like consistency at 370 °C under decreased pressure in a rota evaporator connected to a vacuum pump. After that, each individual extract was collected and kept in airtight jars at 4°C. According to the Indian Pharmacopoeia, simple syrup (66.67% w/v) of polyherbal extract was prepared. The oral administration of polyherbal syrup was carried out at varied doses of 0.5 ml, 1 ml, and 1.5 ml to infected golden Syrian hamsters from the 7th day for one week after infection reached its peak. Results: When compared to the infection control group, the results revealed that the viral load was significantly reduced by 79.1% when treated with polyherbal syrup. A histological examination of the infected hamster lung on days 7, 10, and 13 demonstrated that polyherbal syrup significantly decreased viral load in a dose-dependent manner. Conclusion: It is inferred that the polyherbal syrup formulation demonstrates efficacy in the prevention of COVID-19 infection during its first stages and may serve as a potential contender for SARSCoV- 2 due to its immunomodulatory properties.
背景:2019年12月,SARS-CoV-2在武汉出现,此后在全球迅速传播。由于没有特别的治疗或预防措施,这种病毒可能会传播给数百万人。COVID-19感染通常用目前的药物治疗,如瑞德西韦、类固醇、托珠单抗、法匹拉韦和伊维菌素。然而,这些药物的免疫抑制作用可能会加重COVID-19的症状,并危及免疫功能低下者的生命。因此,在接受COVID-19治疗时,保持强大的免疫系统非常重要。草药治疗有可能实现这一目标。目的:本研究采用麻黄、一水莲、生姜、紫锥菊、大蒜、大黄、甘草等多种药用植物制备复方中草药糖浆,有效控制新冠肺炎感染。方法:将所有品种的单株植物粉末(200 g)在室温下,在乙醇水溶液(70:30)中浸泡7天,在室温下进行间歇性剧烈摇动,并将提取物保存在暗室中。将混合物通过一块薄纱,然后通过一张Whatman 1级定性滤纸来产生滤液。在连接到真空泵的旋转蒸发器中,在370°C的低压下将滤液蒸发成粘稠的糊状稠度。之后,收集每个单独的提取物并保存在4°C的密封罐中。根据印度药典,制备了复方提取物的简单糖浆(66.67% w/v)。从感染高峰后第7天开始,对感染的叙利亚金仓鼠口服0.5 ml、1 ml和1.5 ml不同剂量的复方糖浆,持续1周。结果:与感染对照组相比,多中草药糖浆治疗组的病毒载量显著降低79.1%。在第7、10和13天对受感染的仓鼠肺进行组织学检查,结果表明,复方中草药糖浆以剂量依赖性的方式显著降低了病毒载量。结论:推测复方中草药糖浆制剂在初期具有预防COVID-19感染的功效,并可能因其免疫调节特性而成为SARSCoV- 2的潜在竞争者。
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引用次数: 0
Amidst Cytokine Storm in Metabolic Diseases: Can 2-deoxy-D-glucose (2- DG) Cure COVID-19? 在代谢疾病的细胞因子风暴中:2-脱氧-d -葡萄糖(2- DG)能治愈COVID-19吗?
Pub Date : 2023-10-27 DOI: 10.2174/0126667975246836231019052126
Shweta Shrivastava, Ayush Kumar, Manish Kumar Jeengar, Elsy Xavier, Prashant Tiwari
Abstract: The SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2)-related pandemic disease COVID-19, which began in China in 2019, became the leading cause of fatalities globally. The transmission rate of the virus is directly proportional to the so-called ‘dance dynamic’ energy of the spike protein as this phenomenon favours the ligand-receptor binding. The clinical spectrum of the COVID-19 disease, which includes (inflammation, cytokine storm, and multi-organ dysfunction), puts Corona Warriors active in various aspects of the disease, such as the efficient management of critically ill COVID-19 patients, in danger of losing their lives. Due to its effects on an ancient oxygen-independent glycolytic pathway, anti-inflammatory properties, and competitive interaction with viral proteins, 2-deoxy-D-glucose (2-DG), which is being developed in India at the Defence Research and Development Organization (DRDO), has emerged as a ground-breaking agent for COVID-19 treatment. After a virus gains entry into host cells, it is found that metabolic reprogramming takes place to meet the nutritional and energy requirements for virus reproduction. The recent approval of 2-DG for adjunctive emergency usage by the Drug Controller General of India (DCGI) may mark a turning point in the management of mild to moderate COVID-19 infection.
摘要:2019年在中国爆发的与SARS-CoV-2(严重急性呼吸综合征冠状病毒2)相关的大流行疾病COVID-19已成为全球死亡人数最多的疾病。病毒的传播速率与刺突蛋白的所谓“舞蹈动态”能量成正比,因为这种现象有利于配体与受体的结合。COVID-19疾病的临床谱包括(炎症、细胞因子风暴和多器官功能障碍),这使得冠状病毒战士活跃在疾病的各个方面,例如有效管理COVID-19危重患者,面临生命危险。印度国防研究与发展组织(DRDO)正在开发的2-脱氧-d -葡萄糖(2-DG),由于其对一种古老的不依赖氧的糖酵解途径的影响、抗炎特性以及与病毒蛋白的竞争性相互作用,已成为治疗COVID-19的突破性药物。病毒进入宿主细胞后,会发生代谢重编程,以满足病毒繁殖所需的营养和能量。印度药品监督管理局(DCGI)最近批准2-DG用于辅助紧急使用,这可能标志着轻中度COVID-19感染管理的一个转折点。
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引用次数: 0
Biomarkers can Predict COVID-19 Disease 生物标志物可以预测COVID-19疾病
Pub Date : 2023-10-24 DOI: 10.2174/0126667975259658231003074600
Utkarsh Sharma, Shikha Sharma
abstract: Health professionals have been confronted with a series of challenges because of the ongoing pandemic of coronavirus disease 2019 (COVID-19). To save the greatest number of lives possible, it is essential to make a prompt diagnosis and admission to the hospital, as well as to stratify risks, make efficient use of intensive care services, choose appropriate treatments, monitor patients, and ensure a prompt discharge. Laboratory markers, also known as biomarkers, can provide additional information that is objective and has the potential to significantly influence various aspects of patient care. Clinical assessment is necessary, but laboratory markers can provide this information. The COVID-19 virus is not an infection that causes the respiratory system; rather, it is a multisystem disease that is caused by a diffuse system-wide process that involves a complex interplay of the immune, nervous, and endocrine systems in inflammatory and coagulative cascades. A wide variety of potential biomarkers have been uncovered because of a better understanding of the virus's effects on the body and how the body responds to them. Here, the pathophysiology and current data are examined in relation to various kinds of biomarkers, such as immunological and inflammation biomarkers, coagulation and hematological biomarkers, as well as cardiac, biochemical, and other biomarkers. This review provides a comprehensive analysis of the research on the association between biomarkers and clinical characteristics, viral load, treatment efficacy, and how this knowledge might most usefully contribute to patient care.
2019冠状病毒病(COVID-19)的持续流行给卫生专业人员带来了一系列挑战。为了尽可能多地挽救生命,必须及时诊断和入院,并对风险进行分层,有效利用重症监护服务,选择适当的治疗方法,对患者进行监测,并确保及时出院。实验室标记物,也称为生物标记物,可以提供客观的附加信息,并有可能显著影响患者护理的各个方面。临床评估是必要的,但实验室标记可以提供这一信息。COVID-19病毒不是引起呼吸系统的感染;相反,它是一种多系统疾病,由弥漫性全系统过程引起,涉及免疫、神经和内分泌系统在炎症和凝血级联反应中的复杂相互作用。由于对病毒对人体的影响以及人体如何对其作出反应有了更好的了解,各种潜在的生物标志物已经被发现。在这里,病理生理学和当前数据被检查与各种生物标志物,如免疫和炎症生物标志物,凝血和血液学生物标志物,以及心脏,生化和其他生物标志物。这篇综述全面分析了生物标志物与临床特征、病毒载量、治疗效果之间的关系,以及这些知识如何最有用地为患者护理做出贡献。
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引用次数: 0
Molecular Docking Analysis of SARS-CoV-2 Inhibitor N3 (6LU7) against Selected Flavonoids and Vitamins SARS-CoV-2抑制剂N3 (6LU7)与选定类黄酮和维生素的分子对接分析
Pub Date : 2023-10-24 DOI: 10.2174/0126667975261384231010181117
Sunil Junapudi, Yasodha Krishna Janapati, Susmitha Uppugalla, Timothy Harris, Muhammad Yaseen, Muhammad Latif
Background: Coronavirus is a zoonotic disease and transmits between animals and humans. The disease known as COVID-19 (SARS-CoV-2) has become a pandemic since its outbreak. In addition to vaccines, a combination of antiretroviral agents, chloroquine derivatives, and vitamins are being used to treat SARS-CoV-2.

Method: We performed molecular docking analysis of SARS-CoV-2 inhibitor N3 (6LU7) using a series of flavonoid derivatives and vitamins. The X-ray crystallographic 3D structures of COVID-19 main protease in complex with an inhibitor N3 (PDB code: 6LU7, resolution 2.16 Å complexed with a selective substance) were downloaded from the online Protein Data Bank. The structures of the ligands and protein were constructed using ChemDrawUltra 8.0. The docking process, interactions, and binding of ligands were visualized using the software Molegro Virtual Dockings (MVD). The physicochemical and toxicity characteristics of tested flavonoid derivatives and vitamins were determined using Swiss-ADME and pkCSM online software. We found that molecular docking scores were between -64.42 and –172.00 Kcal/mol. The H-bonding and steric interactions were compared with other flavonoid derivatives. The ADMET parameters suggested that compounds 4, 68, 90, 92, and 94 have a higher GI rate.

Results: Our results also indicated that compound 78 was more potent and had higher skin permeation than other flavonoid derivatives. The study showed that the compounds 5, 28, 74, 78, and folic acid fitted well in the active site of COVID-19 inhibitor N3 (6LU7) and interacted with the residues in the active site, which are essential for their biological activity.

Conclusion: Therefore, compounds 5, 28, 74, and 78 and folic acid can be a COVID-19 inhibitor N3 (6LU7) and might be used in the treatment of COVID-19 infection.
背景:冠状病毒是一种人畜共患疾病,可在动物和人之间传播。这种被称为COVID-19 (SARS-CoV-2)的疾病自爆发以来已成为一种大流行。除疫苗外,抗逆转录病毒药物、氯喹衍生物和维生素的组合也被用于治疗SARS-CoV-2。& lt; P>& lt; / P>方法:利用一系列类黄酮衍生物和维生素对SARS-CoV-2抑制剂N3 (6LU7)进行分子对接分析。从在线蛋白质数据库下载COVID-19主蛋白酶与抑制剂N3复合物(PDB代码:6LU7,分辨率2.16 Å与选择性物质络合)的x射线晶体三维结构。使用ChemDrawUltra 8.0构建配体和蛋白的结构。利用Molegro虚拟对接软件(MVD)可视化了配体的对接过程、相互作用和结合。采用Swiss-ADME和pkCSM在线软件对所测黄酮类衍生物和维生素的理化特性和毒性特性进行测定。我们发现分子对接分数在-64.42 ~ -172.00 Kcal/mol之间。并与其他类黄酮衍生物进行了氢键和空间相互作用的比较。ADMET参数表明化合物4、68、90、92和94具有较高的GI率。& lt; P>& lt; / P>结果:化合物78比其他类黄酮衍生物具有更强的药效和更高的透皮性。研究结果表明,化合物5、28、74、78和叶酸与COVID-19抑制剂N3 (6LU7)的活性位点契合,并与活性位点残基相互作用,这对其生物活性至关重要。& lt; P>& lt; / P>结论:化合物5、28、74、78与叶酸可作为COVID-19抑制剂N3 (6LU7),可用于治疗COVID-19感染。
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引用次数: 0
Is it the Right Time to Coin the Term “Expanded COVID Syndrome (ECS)”? 现在是创造“扩张性COVID综合征(ECS)”一词的合适时机吗?
Pub Date : 2023-10-24 DOI: 10.2174/0126667975267580231020111734
Tauqeer Hussain Mallhi, Muhammad Salman, Yusra Habib Khan, Muhammad Hammad Butt
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引用次数: 0
Phytochemical Profiling of Borassus flabellifer Haustorium and its Potential Role in Combating COVID-19-Associated Encephalopathy: A Computational Perspective 花楸吸器的植物化学特征及其在抗击新冠肺炎相关脑病中的潜在作用:计算视角
Pub Date : 2023-10-23 DOI: 10.2174/0126667975267554231013112949
Noorul Samsoon Maharifa Haja Mohaideen, Hemalatha Srinivasan
Background: In response to the global outbreak of SARS-CoV-2, researchers have been conducting extensive investigations into potential drug candidates for combating coronavirus infections. One such focus has been on the ethanolic extract of Borassus flabellifer haustorium. While various components of Borassus flabellifer have been explored for their pharmaceutical applications, the potential of the haustorium remains relatively unexplored in this context. Objective: This study aimed to assess the phytocompounds from Borassus flabellifer haustorium using GC MS analysis, evaluate their drug-likeness properties, and perform molecular docking against crucial proteins involved in SARS-CoV-2 infection, namely the Main protease (6LU7), Spike trimer (7AD1), and ACE2 receptor (1R42). The goal was to identify promising compounds with good binding affinity as potential candidates for preventing coronavirus infection. Methods: The ethanolic extract of Borassus flabellifer haustorium underwent GC-MS analysis to identify phytocompounds. Drug-likeness properties of screened compounds were assessed using the Swiss ADME, followed by molecular docking against COVID-19 protein targets using PyRx. Results: The phytocompounds from Borassus flabellifer haustorium namely Phenanthro[1,2-b]furan10,11-dione, 6,7,8,9-tetrahydro-1,6,6-trimethyl-, Ethanone, 1-phenyl-2-(4,5-diphenyl-2- imidazolylthio)-, and Thiazolo[3.2-a]benzimidazol-3(2H)-one, 2-(4-acetoxybenzylideno)-, exhibit binding affinities of -7.3, -8.8, and -7.3 for the Main protease, -8, -8.5, and -9.2 for the Spike protein, and -8, -8.1, and -7.9 for the ACE2 receptor, respectively exhibited favourable interactions with COVID-19 protein targets. This suggests their potential as promising drug candidates for preventing coronavirus infection. Despite limited previous exploration, the haustorium emerges as a rich source of such candidates. Conclusion: The study underscores the significance of investigating the haustorium of Borassus flabellifer identified in this study holds promise as a potential breakthrough treatment for COVID19-associated disease and the need for further investigations and experimental studies is warranted to validate these findings.
背景:为了应对SARS-CoV-2的全球爆发,研究人员一直在对对抗冠状病毒感染的潜在候选药物进行广泛调查。一个这样的焦点一直是对牛蒡吸器的乙醇提取物。虽然已经探索了各种成分的药用价值,但吸器的潜力在这方面仍然相对未被探索。目的:利用气相色谱-质谱(GC - MS)分析方法对黄花Borassus flabellifer吸器中的植物化合物进行鉴定,评价其药物相似性,并对SARS-CoV-2感染的关键蛋白Main蛋白酶(6LU7)、Spike三聚体(7AD1)和ACE2受体(1R42)进行分子对接。目标是确定具有良好结合亲和力的有希望的化合物,作为预防冠状病毒感染的潜在候选者。方法:采用气相色谱-质谱联用分析方法鉴定黄花菖蒲吸器乙醇提取物中的植物成分。筛选的化合物使用瑞士ADME评估药物相似特性,然后使用PyRx与COVID-19蛋白靶点进行分子对接。结果:flabellifer吸器中的植物化合物Phenanthro[1,2-b]呋喃10,11-二酮,6,7,8,9-四氢-1,6,6-三甲基-,乙酮,1 -苯基-2-(4,5-二苯基-2-咪唑基)-和Thiazolo[3.2-a]苯并咪唑-3(2H)- 1,2-(4-乙酰氧基苄基)-对Main蛋白酶的结合亲和力为-7.3,-8.8和-7.3,对Spike蛋白的结合亲和力为-8,-8.5和-9.2,对ACE2受体的结合亲和力为-8,-8.1和-7.9。分别与COVID-19蛋白靶点表现出良好的相互作用。这表明它们有潜力成为预防冠状病毒感染的有希望的候选药物。尽管之前的探索有限,吸器成为了这类候选者的丰富来源。结论:本研究强调了对本研究中发现的牛牙吸器进行研究的重要性,该吸器有望成为治疗covid - 19相关疾病的潜在突破性治疗方法,需要进一步的调查和实验研究来验证这些发现。
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引用次数: 0
COVID-19: Different Strains of Corona, Vaccine Efficacy, Treatment, Medical Ethics, and Future Perspectives 2019冠状病毒病:不同冠状病毒株、疫苗效力、治疗、医学伦理和未来展望
Pub Date : 2023-10-20 DOI: 10.2174/0126667975265095231019065626
Sonia Singh, Ashima Ahuja, Raghavan Ramankutty, sarada Ramaswamy
Abstarct: In the pandemic era of COVID-19, there is an urgent need to develop a safe and effective vaccine to prevent different variants/strains of COVID-19. The developed vaccine must have the potency of sustained/controlled drug release into the body. The emergency is reinforced by detailed scientific knowledge in the genomic field, which eases the rapid development of an effective vaccine using novel approaches that enhance large-scale production, manufacturing, and testing analysis. This manuscript concludes the various variants of COVID-19 and types of COVID-19 vaccines available in the pharmaceutical market with their pricing details and even discusses their efficacy against various COVID-19 variants. Global partnerships with other pharmaceutical industries and countries have played a significant role in distributing and deploying the vaccine among the masses. Social support, relaxation exercise, psychological counseling, parents’ role, psychiatrist help, family support, yoga, meditation, exercise, and a balanced diet reduce psychosocial stress and promote health.
摘要:在COVID-19大流行时代,迫切需要开发安全有效的疫苗来预防不同变体/株的COVID-19。开发的疫苗必须具有持续/控制药物释放到体内的效力。基因组学领域的详细科学知识加强了这一紧急情况,这有助于利用加强大规模生产、制造和测试分析的新方法快速开发有效疫苗。本文总结了COVID-19的各种变体和药品市场上可获得的COVID-19疫苗类型及其定价细节,甚至讨论了它们对各种COVID-19变体的功效。与其他制药业和国家的全球伙伴关系在向大众分发和部署疫苗方面发挥了重要作用。社会支持、放松运动、心理咨询、父母的作用、精神科医生的帮助、家庭支持、瑜伽、冥想、运动和均衡的饮食可以减少社会心理压力,促进健康。
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引用次数: 0
Computational Investigation of Endophytic Fungal (Penicillium citrinum CGJ-C2) Compound and its In-silico Derivatives on the Inhibition of RNA-dependent RNA Polymerase of SARS-CoV2 内生真菌(Penicillium citriinum CGJ-C2)化合物及其硅衍生物抑制SARS-CoV2 RNA依赖性RNA聚合酶的计算研究
Pub Date : 2023-10-16 DOI: 10.2174/0126667975260543231011113718
Jagadeesha Poyya, Ananda Danagoudar, Chandrasekhar G Joshi, Ajay S Khandagale, Raju N. G
Background: The SARS-CoV2 was responsible for the pandemic situation across the world. SARS-CoV2 is an RNA virus, and its replication depends on RNA Dependent RNA Polymerase (RdRp). Hence, blocking of RdRP would be an alternative strategy to inhibit the virus multiplication without affecting the host physiology. Objective: The current study investigated the inhibitory effect of bioactive compound F3 isolated from P. citrinum CGJ-C2 and its in-silico derivates against RdRp of COVID using computational methods. Methods: Compound F3 and its derivatives were generated computationally, and the crystal structure of RdRp was processed prior to docking. The RdRp and the bioactive compounds were docked using Glide with three levels of precisions. Post-docking MMGBSA analysis and Molecular Dynamic simulations were carried out to study the stability of the docking interactions. Results: Based on the Glide XP score and MMGBSA analysis of fifteen ligands, three leads were selected, compound F3 (-8.655 Kcal/mol), D-1(-8.295 Kcal/mol), and D-14(-8.262 Kcal/mol). These leads (Compound F3, D-1, and D-14) were further evaluated using molecular dynamics (MD) simulation. MD simulations studies showed the stable bonding interaction between LYS500 and ARG569 residues of RdRp with the three lead molecules. Conclusion: Our study highlighted the potential of compounds in terms of binding, interaction stability, and structural integrity. Therefore, these leads can be chosen for further studies in in vitro and in vivo to develop a novel anti-SARS-CoV2 agent with minimal side effects.
背景:SARS-CoV2是造成全球疫情的主要原因。SARS-CoV2是一种RNA病毒,其复制依赖于RNA依赖性RNA聚合酶(RdRp)。因此,阻断RdRP可能是抑制病毒增殖而不影响宿主生理的另一种策略。目的:采用计算方法研究从柑橘属植物CGJ-C2中分离的生物活性化合物F3及其硅衍生物对新冠病毒RdRp的抑制作用。方法:通过计算生成化合物F3及其衍生物,对接前对RdRp的晶体结构进行处理。RdRp和生物活性化合物使用Glide进行对接,精度为三个级别。通过对接后MMGBSA分析和分子动力学模拟研究了对接相互作用的稳定性。结果:根据15个配体的Glide XP评分和MMGBSA分析,选择了3个先导化合物F3 (-8.655 Kcal/mol)、D-1(-8.295 Kcal/mol)和D-14(-8.262 Kcal/mol)。这些先导物(化合物F3、D-1和D-14)进一步通过分子动力学(MD)模拟进行评估。MD模拟研究表明,RdRp的LYS500和ARG569残基与三种铅分子之间存在稳定的键相互作用。结论:我们的研究突出了化合物在结合、相互作用稳定性和结构完整性方面的潜力。因此,可以选择这些线索进行进一步的体外和体内研究,以开发一种副作用最小的新型抗sars - cov2药物。
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引用次数: 0
Mental Health and Stigmatization Linked to the COVID-19 Pandemic 与COVID-19大流行相关的心理健康和污名化
Pub Date : 2023-10-10 DOI: 10.2174/0126667975250861231005103042
Sunil Kumar Kadiri, Shakshi Mundhra, Prashant Tiwari
Abstract: The COVID-19 pandemic has reached an entirely new level of severity. It has jolted the entire world and caused pervasive chaos. A significant portion of the psychological responses thus far have been reactions to events in other countries, worries about the future, and responses to confinement. Initial and prominent responses to the pandemic in India have been appalling, with a sense of impending and palpable danger. Concerns based on facts coexist with those based on the abundance of information and misinformation disseminated by the media, particularly social media. Even with the stringent requirements for testing, many individuals still seek reassurance through testing. Despite the lack of general indications for their use, they stockpile pharmaceuticals out of dread of contracting the disease. In addition to recommendations regarding hand cleansing, there are uncer.tainties regarding whether to wear a mask, the type of mask to use, the distance to be maintained, and how to disinfect surfaces. There are legitimate concerns regarding employment losses and economic decline during and after the pandemic. Social isolation and social prejudice are not synonymous. Maintaining a distance of 1-2 meters is permissible for security purposes. In terms of status and opportunities, everyone should be treated equally. The situation calls for a cheerful tone of speech. Using expressions such as "the end of the world" and "the plague" is discouraged. Contamination caused by rumors must be avoided. It is essential to promote early detection and prevention. Those who have been afflicted with COVID-19 must share their accounts of compassion and struggle. Before COVID-19, only a minority of individuals with mental health issues were treated. According to studies, the pandemic has widened the mental health treatment divide, and outpatient mental health services have been particularly disrupted.
摘要:2019冠状病毒病大流行的严重程度达到了一个全新的水平。它震动了整个世界,造成了普遍的混乱。到目前为止,很大一部分心理反应是对其他国家发生的事件的反应,对未来的担忧,以及对禁闭的反应。印度对这一流行病的初步和突出反应令人震惊,有一种迫在眉睫和明显的危险感。基于事实的担忧与基于媒体(特别是社交媒体)传播的大量信息和错误信息的担忧并存。即使有严格的检测要求,许多人仍然通过检测寻求安慰。尽管缺乏一般的使用适应症,但出于对感染这种疾病的恐惧,他们囤积了药物。除了洗手的建议外,还有以下建议。关于是否佩戴口罩、使用哪种口罩、保持距离以及如何对表面消毒的问题。在大流行期间和之后,人们对失业和经济衰退的担忧是合理的。社会孤立和社会偏见不是同义词。出于安全考虑,允许保持1-2米的距离。在地位和机会上,每个人都应该被平等对待。这种情况需要用愉快的语气讲话。不鼓励使用诸如“世界末日”和“瘟疫”之类的表达。必须避免谣言造成的污染。促进早期发现和预防至关重要。那些遭受COVID-19折磨的人必须分享他们的同情和斗争。在COVID-19之前,只有少数有精神健康问题的人得到了治疗。研究表明,疫情扩大了心理健康治疗的鸿沟,门诊心理健康服务尤其受到干扰。
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引用次数: 0
Ultrastructural Blood Cell Changes in Patients with COVID-19 COVID-19患者超微结构血细胞的变化
Pub Date : 2023-10-05 DOI: 10.2174/0126667975265782230925055259
Yulian Kyyak, Olga Barnett, Olha Labinska, Orysia Kysil, Marta Halkevych
Introduction:: Nowadays, the coronavirus disease COVID-19 is a global problem for the population of the whole world which has acquired the character of a pandemic. Under physiological conditions, in a healthy person, erythrocytes make up 96 % of all blood cells, leukocytes 3 %, and thrombocytes about 1 %. In healthy individuals, erythrocytes are mostly shaped like a biconcave disc and do not contain a nucleus. The diameter of the erythrocyte is 8 microns, but the peculiarities of the cell structure and the membrane structure ensure their great ability to deform and pass through capillaries with a narrow lumen of 2-3 microns. Therefore, the study of the morpho-functional state of blood cells, namely erythrocytes, in this category of patients is relevant and deserves further research. The Aim: To figure out the effect of the coronavirus disease COVID-19 on the ultrastructural blood cell changes, in particular erythrocytes, in patients with ischemic heart disease (IHD) and diabetes mellitus type 2. Materials and Methods: Twelve patients with COVID-19 who had an acute myocardial infarction were examined. The comparison group consisted of 10 people with acute myocardial infarction without symptoms of COVID-19. The average age of the patients was 62 ± 5,6 years. The functional state and ultrastructure of blood cells were studied using electron microscopy. Results:: In the presence of COVID-19, we detected both calcification and destruction of erythrocytes and platelets. Reticulocytes were detected much more often in these individuals than in the comparison group. In patients with acute myocardial infarction in the presence of type 2 diabetes and COVID-19, a significant number of markedly deformed, hemolyzed erythrocytes or with signs of acanthosis, which stuck together and with other destructively changed blood cells, were found. We also detected «neutrophils extracellular traps» (NETs). Conclusions:: Morphological changes of blood cells in COVID-19 varied according to the disease course and severity especially in the background of a weakened immune system in older and elderly people, in the presence of diabetes, excessive body weight, cardiovascular diseases and occupational hazards. Under the influence of COVID-19, blood cells are destroyed by apoptosis and necrosis. Therefore, hypoxia and ischemia of vital organs of the human body occur.
导言:目前,新型冠状病毒病COVID-19已成为全球人口面临的全球性问题,具有大流行的特征。在生理条件下,健康人的红细胞占全部血细胞的96%,白细胞占3%,血小板约占1%。在健康个体中,红细胞大多呈双凹盘状,不含细胞核。红细胞的直径为8微米,但细胞结构和膜结构的特殊性使其具有很强的变形能力,并能通过2-3微米狭窄管腔的毛细血管。因此,研究这类患者的血细胞即红细胞的形态功能状态是有意义的,值得进一步研究。目的:探讨新型冠状病毒病COVID-19对缺血性心脏病(IHD)合并2型糖尿病患者超微结构血细胞(尤其是红细胞)变化的影响。材料与方法:对12例合并急性心肌梗死的COVID-19患者进行检查。对照组为10例无COVID-19症状的急性心肌梗死患者。患者平均年龄62±5.6岁。用电镜观察了血细胞的功能状态和超微结构。结果:在COVID-19存在时,我们检测到红细胞和血小板的钙化和破坏。网织红细胞在这些个体中被检测到的频率比对照组高得多。在合并2型糖尿病和COVID-19的急性心肌梗死患者中,发现大量明显变形、溶血的红细胞或有棘层增生迹象,这些红细胞粘在一起并与其他破坏性改变的血细胞一起。我们还检测了“中性粒细胞胞外陷阱”(NETs)。结论:COVID-19患者的血细胞形态变化随病程和严重程度的不同而不同,特别是在老年人免疫系统较弱、存在糖尿病、体重超标、心血管疾病和职业危害的背景下。在COVID-19的影响下,血细胞被凋亡和坏死破坏。因此,出现了人体重要器官的缺氧和缺血。
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