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Analysis of Research Publication on Logistics at the Time of COVID-19: A Scientometric Study 基于科学计量学的新冠肺炎时期物流研究论文分析
Pub Date : 2023-08-15 DOI: 10.2174/2666796704666230815143020
P. Thangaraju, Kunal Verma, Hemasri Velmurugan, Himanshu Nirmal Chanu, T. Chakrabarti, P. Chakrabarti, S. Venkatesan
Coronaviruses have a wide range of health, mobility, and economic consequences. The Coronavirus pandemic is an unprecedented incident that has drawn the attention of the general public to supply chain management. It caused severe interruptions between 2020 and 2022. Despite the importance and size of the impact of coronaviruses on research performance across time, the literature on comprehensive coronavirus-related research performance is limited. This study aimed at a scientometric evaluation of bibliographic facts associated with the supply chain during the pandemic, and data related to it was extracted from PubMed between January 2020 and December 2022. The purpose of this research is to examine scientometric methods such as frequency distribution, percentage analysis, relative growth rate, doubling time, and degree of collaboration. We have obtained a total of 116 publications during this study period, and a maximum of 26 (22.4%) contributions were made in the months of May to August 2021. The relative growth rate is declining, and the doubling time is increasing between May to August 2021. Scientifically analysing and comprehending bibliographic facts associated with the supply chain during the COVID-19 pandemic as widely as possible can also assist society in being better prepared for future pandemic breakouts, ultimately supporting informed decision-making in light of societal values. The authors highly advocate the recent COVID-19 epidemic as a call for greater collaborative, worldwide research.
冠状病毒具有广泛的健康、流动性和经济后果。新冠肺炎疫情是前所未有的事件,引起了公众对供应链管理的关注。它在2020年至2022年间造成了严重的中断。尽管随着时间的推移,冠状病毒对研究绩效的影响非常重要和巨大,但有关冠状病毒相关研究绩效的综合文献有限。本研究旨在对大流行期间与供应链相关的书目事实进行科学计量学评估,并从2020年1月至2022年12月期间从PubMed中提取与之相关的数据。本研究的目的是检验科学计量方法,如频率分布、百分比分析、相对增长率、加倍时间和合作程度。在本次研究期间,我们共获得了116篇论文,其中最多26篇(22.4%)发表于2021年5月至8月。2021年5月至8月,相对增长率在下降,翻倍时间在增加。在2019冠状病毒病大流行期间,尽可能广泛地科学分析和理解与供应链相关的书目事实,还可以帮助社会为未来的大流行疫情做好更好的准备,最终支持根据社会价值观做出明智的决策。作者强烈主张,最近的COVID-19疫情呼吁加强全球合作研究。
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引用次数: 0
Ethical Challenges at the Time of the Covid-19 Pandemic – A Systematic Review 2019冠状病毒病大流行时期的伦理挑战——系统回顾
Pub Date : 2023-08-15 DOI: 10.2174/2666796704666230815142955
P. Thangaraju, Hemasri Velmurugan
The worldwide COVID-19 pandemic has resulted in an unprecedented influx of patients in hospitals, raising ethical concerns not just about triage and life-support decisions but also about family visits and the quality of end-of-life care. The value of ethics in the public healthcare system cannot be overstated; nonetheless, the ethics-related problems (or issues) identified during this epidemic have been linked to a lack of accountability, resource allocation challenges, and a loss of trust in healthcare providers. These elements have the ability to shake our ethical ideas, exacerbate ethical dilemmas, and put carers in dangerous situations.To determine the prevalence and distribution of ethical principles in COVID-19-related research publications.The keywords were used to check the articles published on ethics-related problems at the time of the COVID-19 pandemic, published between January 1, 2021, and August 31, 2022. Secondly, we aimed to identify the prevalence and distribution of these ethical principles in research publications related to COVID-19.A total of 6152 articles were identified; 2816 were included for abstract and title screening. Of the 159 articles, 134 were excluded based on the inclusion and exclusion criteria. The remaining 25 articles were scrutinised extensively. There were 17 (68%) literature reviews, 5 (20%) systematic reviews, 1 (4%) integrative review, 1 (4%) cross-sectional study, and 1 (4%) observational study.It is evident from the multitude of papers on the issue that medical ethical challenges, as well as ethical discussions and debates, continue to develop virtually every day. We attempted to portray the COVID-19 whirlpool, encompassing the scope, nature, and urgency of the issues that developed in a highly charged political atmosphere. There have been efforts to use ethical considerations to justify triage procedures. An imbalance between utilitarian and individual ethics, regardless of perspective, leads to insoluble discomforts that carers must overcome.
全球COVID-19大流行导致医院患者前所未有地涌入,不仅引发了对分诊和生命支持决定的伦理担忧,还引发了对家庭探视和临终关怀质量的伦理担忧。伦理在公共医疗体系中的价值怎么强调都不为过;尽管如此,在这次流行病期间发现的与道德有关的问题(或问题)与缺乏问责制、资源分配挑战以及对医疗保健提供者失去信任有关。这些因素有能力动摇我们的道德观念,加剧道德困境,并将护理人员置于危险的境地。确定伦理原则在covid -19相关研究出版物中的流行程度和分布情况。这些关键词用于检查2021年1月1日至2022年8月31日期间发表的关于新冠肺炎大流行时期伦理学相关问题的文章。其次,我们的目的是确定这些伦理原则在与COVID-19相关的研究出版物中的流行程度和分布。共鉴定出6152件物品;2816份纳入摘要和标题筛选。在159篇文章中,根据纳入和排除标准,134篇文章被排除在外。其余25篇文章经过了广泛审查。文献综述17篇(68%),系统综述5篇(20%),综合综述1篇(4%),横断面研究1篇(4%),观察性研究1篇(4%)。从大量关于这一问题的论文中可以明显看出,医学伦理挑战以及伦理讨论和辩论几乎每天都在继续发展。我们试图描绘COVID-19的漩涡,包括在高度紧张的政治气氛中发展起来的问题的范围、性质和紧迫性。人们一直在努力用伦理考虑来证明分诊程序的合理性。功利主义和个人道德之间的不平衡,无论从哪个角度来看,都会导致照顾者必须克服的无法解决的不适。
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引用次数: 0
My Quarantine Diary: a tool for self-care and learning about COVID-19 我的隔离日记:一个自我保健和了解COVID-19的工具
Pub Date : 2023-08-08 DOI: 10.2174/2666796704666230808162930
A. M. de Oliveira, Luana Michelly Aparecida da Costa, G. J. Aguilar, Luiz Ricardo Albano Dos Santos, Wilbert Dener Lemos Costa, Dantony de Castro Barros Donato, Felipe Foresto, V. Bollela
Self-care and self-education are essential for maintaining the health of the population, mainly in the pandemic scenario as established by COVID-19, where social distancing and avoiding agglomeration in closed environments is strongly recommended, as well as preventing the spread of fake news.This study aimed to describe the development and implementation of a self-care and learning application related to COVID-19.In 2020, right at the beginning of the pandemic, a multidisciplinary team at the University of São Paulo -Brazil, was formed to develop a technological platform called Meu Diário de Quarentena® (My Quarantine Diary). In this environment, information on self-care, self-monitoring, and health education was made available to people facing the challenges of the COVID-19 pandemic. The tools, including HTML, CSS, PHP, and MySQL database manager, were used.Meu Diário de Quarentena® (My Quarantine Diary) platform allowed each person to make their own assessment and keep a follow-up of signs and symptoms of COVID-19 through a diary that analyzed the clinical presentation, provided guidance, and suggested an action in real-time to reduce stress and worries. A diagnostic support algorithm was implemented to mitigate false alarms and highlight the importance of caring for family members when an infection was suspected. Furthermore, people were trained with an interactive quiz to promote health education and to offer relevant and updated information related to the pandemic, which contributed to preventing the spread of fake news.A website application (web app) for screening signs and symptoms, self-care, self-monitoring, and promoting health education related to the COVID-19 pandemic was developed and made available on the network. The entire population was given access to Meu Diário de Quarentena® (My Quarantine Diary).
自我保健和自我教育对于维持人口健康至关重要,特别是在COVID-19造成的大流行情况下,强烈建议保持社交距离和避免在封闭环境中聚集,并防止假新闻的传播。本研究旨在描述与COVID-19相关的自我保健和学习应用程序的开发和实施。2020年,就在大流行开始时,巴西圣保罗大学成立了一个多学科团队,开发了一个名为Meu Diário de Quarentena®(我的检疫日记)的技术平台。在这种环境下,面对COVID-19大流行挑战的人们可以获得有关自我保健、自我监测和健康教育的信息。使用的工具包括HTML、CSS、PHP和MySQL数据库管理器。Meu Diário de Quarentena®(我的隔离日记)平台允许每个人进行自己的评估,并通过日记跟踪COVID-19的体征和症状,分析临床表现,提供指导,并实时提出行动建议,以减少压力和担忧。实施了一种诊断支持算法,以减少误报,并强调在怀疑感染时照顾家庭成员的重要性。此外,还对人们进行了互动测验培训,以促进健康教育,并提供与大流行病有关的相关和最新信息,这有助于防止假新闻的传播。开发并上线新冠肺炎疫情体征、症状筛查、自我保健、自我监测、健康教育网站应用程序(web app)。所有人都可以访问Meu Diário de Quarentena®(我的隔离日记)。
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引用次数: 0
Criticism of the HAS Opinion of July 21st, 2022, on Maintaining of the SARS-Cov-2 Vaccine Mandate for Healthcare Workers 对卫生部2022年7月21日关于维持医护人员SARS-Cov-2疫苗授权意见的批评
Pub Date : 2023-08-04 DOI: 10.2174/2666796704666230804103419
Jérôme Sainton
The opinion of the French National Authority for Health (HAS) on July 21st, 2022, concluded that the mechanism of the SARS-Cov-2 vaccine mandate for caregivers and other health professionals should be maintained. Constructed as a syllogism, the opinion states that the benefit-risk balance of a three-dose vaccination schedule to limit transmission is favorable (major premise) and that this balance necessarily determines the mechanism of SARS-Cov-2 vaccine mandate (minor premise) so that it should be maintained (conclusion). Each of these steps is flawed.First, the benefit-risk analysis of a three-dose vaccination schedule is many times distorted: it fails to transpose the relative efficacy of the vaccination in terms of absolute efficacy; it fails to take into account both the particularly poor efficacy of the vaccination against the risk of infection (symptomatic or not) and its decrease, or even negativation, over time, as well as the worsening of the vaccine escape with the latest Omicron sub-lineages; it does not assess the risk associated with the mechanism, particularly with regard to Covid convalescents and pregnant women.Secondly, the inference made from this analysis to the specific mechanism of mandatory vaccination of caregivers is distorted. There is no refocusing on the specific population of caregivers, and the real and concrete benefit of the mechanism itself is not measured.Thirdly, the very construction of the reasoning is distorted. By reducing a medical problem to the calibration of a strictly technical benefit-risk balance, it evades the intrinsic practical and ethical dimensions of the issue.
法国国家卫生管理局(HAS)于2022年7月21日得出结论,认为应维持护理人员和其他卫生专业人员的SARS-Cov-2疫苗授权机制。该意见以三段论的形式构建,指出限制传播的三剂疫苗接种计划的利益-风险平衡是有利的(大前提),这种平衡必然决定了SARS-Cov-2疫苗授权的机制(小前提),因此应该保持这种平衡(结论)。这些步骤都有缺陷。首先,三剂疫苗接种计划的收益-风险分析多次被扭曲:它未能将疫苗接种的相对效力转换为绝对效力;它没有考虑到疫苗接种对感染风险(有症状或无症状)的特别差的效力,以及随着时间的推移其减少,甚至无效,以及最新的欧米克隆亚系疫苗逃逸的恶化;它没有评估与该机制相关的风险,特别是对Covid - 19恢复期和孕妇的风险。其次,该分析对看护人强制接种疫苗具体机制的推断是扭曲的。没有重新关注照顾者的特定人群,该机制本身的实际和具体效益也没有得到衡量。第三,推理的结构本身是扭曲的。通过将医疗问题简化为严格的技术利益-风险平衡的校准,它回避了该问题内在的实际和道德层面。
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引用次数: 0
Mucormycosis: A serious catastrophe involving COVID-19 patients 毛霉病:涉及COVID-19患者的严重灾难
Pub Date : 2023-08-01 DOI: 10.2174/2666796704666230801092541
Neha Dangi, Himanshu Mehendiratta, Shikha Sharma
With the global pandemic, COVID-19, spurred on by the "Severe Acute Respiratory Syndrome Corona Virus-2 (SARS-CoV-2)," India has been greatly impacted. With a rare fungus known as Mucormycosis, the second wave of COVID-19 significantly impacted the Indian population after the initial phase. Mucormycosis is also known as "black fungus" because of the necrosis of infected skin tissue, which causes it to become black. It is caused by Mucoromycetes, members of the Zygomycetes order and the Mucorales class. COVID-19's effects on various comorbid ailments, such as diabetes, heart problems, and immune-compromised states, range from mild to severe to life-threatening. Mucormycosis moulds are more likely to affect patients who have hyperglycemia, ketoacidosis, solid organ or bone marrow transplantation, liver cirrhosis, or neutropenia. To eliminate Mucormycosis, four primary variables must be addressed: early diagnosis, eradication of predisposing factors, prompt antifungal treatment with surgical removal of all diseased tissues, and adjuvant therapies. Here, the present review discusses the clinical aetiology, symptoms, diagnosis, and therapy for black fungus. The study leads to the conclusion that the use of immunosuppressant medication to combat Covid-19 also elevates the possibility of being infected with mucormycotic.
由“严重急性呼吸综合征冠状病毒-2”(SARS-CoV-2)引发的全球大流行COVID-19,对印度造成了巨大影响。随着一种名为毛霉病的罕见真菌的出现,第二波COVID-19在初始阶段之后对印度人口产生了重大影响。毛霉菌病也被称为“黑菌”,因为感染的皮肤组织坏死,导致皮肤变黑。它是由粘菌引起的,粘菌是接合菌目和粘菌纲的成员。COVID-19对各种合并症的影响,如糖尿病、心脏病和免疫功能低下状态,从轻微到严重到危及生命。毛霉菌病霉菌更容易影响高血糖、酮症酸中毒、实体器官或骨髓移植、肝硬化或中性粒细胞减少的患者。为了消除毛霉病,必须解决四个主要变量:早期诊断,根除易感因素,及时通过手术切除所有病变组织进行抗真菌治疗,以及辅助治疗。现就黑木耳的临床病因、症状、诊断及治疗作一综述。该研究得出结论,使用免疫抑制药物来对抗Covid-19也会增加感染毛霉菌病的可能性。
{"title":"Mucormycosis: A serious catastrophe involving COVID-19 patients","authors":"Neha Dangi, Himanshu Mehendiratta, Shikha Sharma","doi":"10.2174/2666796704666230801092541","DOIUrl":"https://doi.org/10.2174/2666796704666230801092541","url":null,"abstract":"\u0000\u0000With the global pandemic, COVID-19, spurred on by the \"Severe Acute Respiratory Syndrome Corona Virus-2 (SARS-CoV-2),\" India has been greatly impacted. With a rare fungus known as Mucormycosis, the second wave of COVID-19 significantly impacted the Indian population after the initial phase. Mucormycosis is also known as \"black fungus\" because of the necrosis of infected skin tissue, which causes it to become black. It is caused by Mucoromycetes, members of the Zygomycetes order and the Mucorales class. COVID-19's effects on various comorbid ailments, such as diabetes, heart problems, and immune-compromised states, range from mild to severe to life-threatening. Mucormycosis moulds are more likely to affect patients who have hyperglycemia, ketoacidosis, solid organ or bone marrow transplantation, liver cirrhosis, or neutropenia. To eliminate Mucormycosis, four primary variables must be addressed: early diagnosis, eradication of predisposing factors, prompt antifungal treatment with surgical removal of all diseased tissues, and adjuvant therapies. Here, the present review discusses the clinical aetiology, symptoms, diagnosis, and therapy for black fungus. The study leads to the conclusion that the use of immunosuppressant medication to combat Covid-19 also elevates the possibility of being infected with mucormycotic.\u0000","PeriodicalId":10815,"journal":{"name":"Coronaviruses","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87659883","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
Impact of Prolonged use of COVID-19 Drugs on the Human Neurological System using Insilco Drug-gene Interaction 利用Insilco药物-基因相互作用研究长期使用COVID-19药物对人类神经系统的影响
Pub Date : 2023-07-26 DOI: 10.2174/2666796704666230726122536
P. Srivastava, Wayez Naqvi, Prekshi Garg
Coronavirus disease (COVID-19) was an infectious illness brought on by the SARS-CoV-2 virus. The first known SARS-CoV-2 infection was detected in the Wuhan District of China. The diagnostic and therapeutic management of COVID-19 requires an immediate response, as an alternative, quicker in-silico techniques can be used, which can serve as a filter before wet lab validation.A pharmaceutical drug, also known as a medication or medicine, is a chemical substance that is used to treat, cure, prevent, or diagnose a disease or to promote overall health. When a particular class of drugs is used to treat a diseased gene, it can also affect the various healthy non-diseased genes in the body, resulting in altered gene expression and gene function.The adverse effects of medications prescribed to COVID-19 patients form the basis of this study, which genes were being targeted, and what disorders or traits were caused as a result of this activity.COVID-19 is said to cause inflammation of the brain's tissues; inflammation of brain tissue is also a risk factor for Alzheimer's disease. The SARS-CoV-2 infection activates the inflammasome pathway, which is seen in patients with neurodegenerative diseases such as Alzheimer's and Parkinson's.SARS-CoV-2 can enter the brain via the olfactory system or can be transferred through infected immune cells. The virus could enter the body by infecting endothelial cells of the brain. The presence of ACE2 receptors, SARS-CoV-2 receptors, interleukin (IL)-6, IL-1b, tumour necrosis factor (TNF), and IL-17 disrupts the Blood Brain Barrier, allowing the virus to enter the brain.
冠状病毒病(COVID-19)是由SARS-CoV-2病毒引起的传染病。第一例已知的SARS-CoV-2感染是在中国武汉地区发现的。COVID-19的诊断和治疗管理需要立即作出反应,作为替代方案,可以使用更快的计算机技术,在湿实验室验证之前作为过滤器。药物,也被称为药物或药物,是一种化学物质,用于治疗、治愈、预防或诊断疾病或促进整体健康。当某一类药物用于治疗某一患病基因时,它也可以影响体内各种健康的非患病基因,导致基因表达和基因功能的改变。为COVID-19患者开的药物的不良反应构成了这项研究的基础,哪些基因被靶向,以及这种活动导致了哪些疾病或特征。据说COVID-19会导致大脑组织炎症;脑组织炎症也是阿尔茨海默病的一个危险因素。SARS-CoV-2感染激活了炎性小体途径,这在阿尔茨海默氏症和帕金森病等神经退行性疾病患者中可见。SARS-CoV-2可以通过嗅觉系统进入大脑,也可以通过受感染的免疫细胞转移。这种病毒可以通过感染大脑的内皮细胞进入人体。ACE2受体、SARS-CoV-2受体、白细胞介素(IL)-6、IL-1b、肿瘤坏死因子(TNF)和IL-17的存在会破坏血脑屏障,使病毒进入大脑。
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引用次数: 0
Assessment Of Traces Of Sars-Cov-2 Rna In A Laboratory Setting Using In Vitro-Diagnostic Rt-Qpcr 在实验室环境中使用体外诊断Rt-Qpcr评估Sars-Cov-2 Rna的痕迹
Pub Date : 2023-07-24 DOI: 10.2174/2666796704666230724162816
Arbind Kumar, S. Kumar, S Kumar, L. Pal, Sahdev Choudhary
The global incidence of SARS-CoV-2 infection is now very low. Despite the vaccination drive worldwide, the emergence of new omicron variants and their infection have been reported in a few countries. It is now required to identify potential risks associated with the COVID-19 disease aftermath’s 3rd disease wave. During pandemic stages, the healthcare system bears a significant burden in identifying early risk and providing early management to reduce infection.In this investigation, an attempt has been made to assess the laboratory risk of SARS-CoV-2 contamination. The samples were collected from the various blocks of the testing centre, including the surface, floor, diagnostic instruments, solutions, and tap water, and then RNA was isolated and in-vitro diagnostic RT-qPCR was performed. A total of 316 samples were collected and analysed for the presence of SARS-CoV-2 RNA. Our findings confirmed that only four samples (1.77%) had ORF-1ab and E gene signals, which indicated the presence of SARS-CoV-2 RNA. The CT values for the E gene were 34.52 [IQR: 32.37-36.36] and 35.02 [IQR:34.25-35.76] for the ORF1-ab gene, respectively.All four were taken from the surfaces, indicating that other parts were contamination-free. Very few positive contaminations demonstrated that laboratory sterilising processes are fully functional and effective.This study eventually provided more information about the presence of SARS-CoV-2 RNA traces in the environment aftermath of 3rd disease wave of COVID-19, including diagnostic laboratories.
SARS-CoV-2感染的全球发病率目前非常低。尽管在世界范围内开展了疫苗接种运动,但在一些国家报告了新的组粒变异的出现及其感染。现在需要确定与COVID-19疾病第三波疫情后果相关的潜在风险。在大流行阶段,卫生保健系统在确定早期风险和提供早期管理以减少感染方面承担着重大负担。在本次调查中,试图评估SARS-CoV-2污染的实验室风险。从检测中心的各个区域(包括表面、地板、诊断仪器、溶液和自来水)收集样本,然后分离RNA并进行体外诊断RT-qPCR。共收集了316份样本并分析了SARS-CoV-2 RNA的存在。我们的研究结果证实,只有4份样本(1.77%)存在ORF-1ab和E基因信号,这表明存在SARS-CoV-2 RNA。ORF1-ab基因的CT值分别为34.52 [IQR: 32.37 ~ 36.36]和35.02 [IQR:34.25 ~ 35.76]。所有四个都是从表面取下的,表明其他部分没有污染。很少有阳性污染表明实验室灭菌过程是完全有效的。这项研究最终提供了更多关于第三波COVID-19疾病后环境中SARS-CoV-2 RNA痕迹存在的信息,包括诊断实验室。
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引用次数: 0
Explaining why Africa had much lower COVID-19 fatalities per million than Europe and North America 解释了为什么非洲的COVID-19百万人死亡率远低于欧洲和北美
Pub Date : 2023-07-07 DOI: 10.2174/2666796704666230707154746
A. Boretti
This letter aims to explain the observed difference between COVID-19 fatalities in Europe or America, and Africa. At present (January 23, 2023) the cumulative number of COVID-19 fatalities per million people has been 3,080 in South America, 2,709 in Europe, and 2,608 in North America. In particular, the United States and the United Kingdom had 3,265 and 3,203 respectively. With much fewer opportunities to practice social distancing, or hygiene, and much more limited access to health care, Africa only had 180 fatalities per million. The much better performances of Africa have been ascribed to the positive effects of reduced hygiene, increased biome diversity, lack of masking mandates and restrictions, better access to antivirals, a younger population, and lower vaccination rates, which all may have contributed to the much better performances of Africa compared to Europe and North America against COVID-19.
这封信的目的是解释在欧洲或美洲和非洲观察到的COVID-19死亡人数之间的差异。目前(2023年1月23日),南美洲每百万人中COVID-19死亡人数累计为3080人,欧洲为2709人,北美为2608人。特别是,美国和英国分别为3265人和3203人。由于保持社会距离或保持卫生的机会少得多,获得医疗保健的机会也有限得多,非洲每百万人中只有180人死亡。非洲的表现好得多是由于卫生条件改善、生物群落多样性增加、没有掩蔽性规定和限制、更好地获得抗病毒药物、人口年轻化和疫苗接种率较低等积极影响,所有这些因素都可能导致非洲在应对COVID-19方面的表现远远好于欧洲和北美。
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引用次数: 0
A Case Report on Covid-19 Causing New Onset of Diabetes Even with No History 1例无病史的新型冠状病毒引起糖尿病新发病例报告
Pub Date : 2023-06-23 DOI: 10.2174/2666796704666230623150612
Amit Sharma, Manisha Vohra, Mohammad Amir, Ian Osoro
This case report presents a case of a 51-year-old male patient who was found to be diabetic after recovering from COVID-19.The patient was admitted to the COVID care center after testing positive for COVID-19 on November 2020. After spending one week in intensive care and ten days in the isolation ward of the COVID care center, he continued to feel multiple side effects. After fifteen days, he began showing signs of recovery and had no fever or other symptoms of COVID-19. The third SARS-Cov-2 RNA by RT-PCR sample test was also found to be negative. He was shifted to a non-COVID hospital when he became stable. For COVID-19, he was treated with supplementary oxygen therapy by keeping his oxygen level at 5L/min with titrating flow rate SpO2 of more than 90%. The hydroxychloroquine 400 mg orally BD for two days, followed by 200 mg orally BD for four days with a combination of azithromycin 500mg orally OD for five days, was prescribed to him to treat COVID-19.According to the report "New-onset diabetes in COVID-19," published in the New England Journal of Medicine, there is a bidirectional relationship between COVID-19 and diabetes.
本病例报告报告了一例51岁男性患者,在新冠肺炎康复后被发现患有糖尿病。该患者于2020年11月被检测为新冠病毒阳性,并被送入新冠肺炎护理中心。在重症监护室呆了一周,在新冠肺炎护理中心的隔离病房呆了十天之后,他继续感受到多种副作用。15天后,他开始出现康复迹象,没有发烧或其他COVID-19症状。RT-PCR检测的第三种SARS-Cov-2 RNA也呈阴性。病情稳定后,他被转移到非新冠医院。对新冠肺炎患者进行补氧治疗,维持血氧水平5L/min,滴定流量SpO2≥90%。治疗方法:羟氯喹400 mg口服BD 2天,口服BD 200 mg,连用4天,联合阿奇霉素500mg口服OD 5天。据《新英格兰医学杂志》发表的《新冠肺炎新发糖尿病》报道,新冠肺炎与糖尿病之间存在双向关系。
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引用次数: 0
A systematic review of covid-19 impact on cardiovascular diseases covid-19对心血管疾病影响的系统综述
Pub Date : 2023-06-08 DOI: 10.2174/2666796704666230608121558
Badruddeen, Mohd Zafar Khan, M. Khushtar, J. Akhtar, Mohammad Irfan Khan, Mohammad Ahmad, Ishana Chand
The world is confronted with the threat of a pandemic driven by a novel coronavirus, namely Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). The disease was spread in December 2019 in Wuhan (China). The virus has spread to 216 nations, regions, and territories around the world. There were around 510306 confirmed cases and 333401 deaths by May 2020. Patients with cardiovascular diseases and other co-morbidities were at a high risk of SARS-CoV2 infection that ultimately resulted in the death of the patient.This review highlights the impact of COVID-19 on cardiovascular diseases and other co-morbidities.This review was completed using different sources of search sites like Google Scholar, PubMed, ScienceDirect, Scopus, etc.The diseases associated with the cardiovascular system include myocarditis, heart failure, cardiac injury, and microangiopathy. The mechanisms that cause cardiovascular problems in COVID-19 are myocardial injury pathways, systemic inflammation, altered myocardial demand and supply ratios, plaque rupture, coronary thrombosis, adverse effects of various therapies, and electrolyte imbalances. Several studies provide an important clinical and molecular clue to cardiac involvement during COVID-19. The high cytokine concentrations may contribute to myocardial lesions and a poor disease prognosis. In an earlier study, autopsy reports of COVID-19 found the SARS-CoV-2 genome in myocardial tissues. This also demonstrates that cytokine-induced organ dysfunction contributes to the disease process.This review concludes that the impact of coronavirus on the cardiac system has shown a harmful effect, and patients with co-morbidities are likely to be more affected by COVID-19 infection.
世界正面临由一种新型冠状病毒,即严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)引发的大流行威胁。该疾病于2019年12月在中国武汉传播。该病毒已蔓延到全球216个国家、地区和领土。截至2020年5月,约有510306例确诊病例和333401例死亡病例。患有心血管疾病和其他合并症的患者感染SARS-CoV2的风险很高,最终导致患者死亡。本综述强调了COVID-19对心血管疾病和其他合并症的影响。本综述通过Google Scholar、PubMed、ScienceDirect、Scopus等不同来源的搜索网站完成。与心血管系统相关的疾病包括心肌炎、心力衰竭、心脏损伤和微血管病变。导致COVID-19患者心血管问题的机制包括心肌损伤途径、全身性炎症、心肌供需比改变、斑块破裂、冠状动脉血栓形成、各种治疗的不良反应和电解质失衡。多项研究为COVID-19期间心脏受累提供了重要的临床和分子线索。高浓度的细胞因子可能导致心肌损害和不良的疾病预后。在早期的一项研究中,COVID-19的尸检报告在心肌组织中发现了SARS-CoV-2基因组。这也表明细胞因子诱导的器官功能障碍有助于疾病的进程。本综述认为,冠状病毒对心脏系统的影响已经显示出有害影响,合并并发症的患者可能更容易受到COVID-19感染的影响。
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