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Suspected Cardiovascular Side Effects of two Covid-19 Vaccines 两种新型冠状病毒疫苗的疑似心血管副作用
Pub Date : 2021-07-30 DOI: 10.31219/osf.io/gh9u2
K. Lehmann
Fatalities or cardiovascular side effects of vaccines were rather uncommon in the past. So far, numerous reports of side effects and deaths associated with Covid-19 vaccination have been accepted behind the background of the pandemic situation and the priority vaccinated elderly population at the beginning of the vaqccination campaign. Cardiac and heart circulatory disturbances resp. cardiovascular side effects associated with the application of Covid-19 vaccines have not been recognized up to now with the exception of thrombotic/embolic side effects and cases of myo-/pericarditis. But the mechanism of action suggests that downregulation of ACE2 by non-neutralised spike proteins may have cardiovascular effects.The objective of this analysis was to determine the total number of reported adverse events and fatalities and to record suspected important cardiovascular adverse events up to the cut-off date in European countries. Therefore, a current review/analysis of spontaneously reported fatalities as well as of adverse events after application of Covid-19 vaccines has been performed. Data were retrieved from the EudraVigilance web reports of the European Medicines Agency (EMA), partly also from the safety reports of the German PEI. Covid-19 vaccine-associated suspected side effects and related deaths are alarming. Surprisingly, numerous cardiovascular reactions were reported, many of which were life-threatening. Cardiac and heart circulatory caused fatalities alone accounted for about 33% of all ComirnatyR vaccine-related deaths. The second most important side effects were vascular thrombotic/embolic side effects, often also associated with serious consequences. Based on their quality and quantity, these side effects seem to be characteristic for spike-producing vaccines and do not appear to be substance-specific. Further investigations are needed to clarify the approximately 3.5 times more frequent cases of sinus vein thrombosis and the some different frequent cases of thrombotic/embolic events after VaxzevriaR. The hypothesis could be confirmed. Because of their importance and their sometimes life-threatening consequences, cardiovascular side effects need to be better communicated.Limitations of the investigation result from the individual reporting and recording procedure, the lack of detailed individual information and the lack of an appropriate comparison population.
在过去,疫苗造成的死亡或心血管副作用相当罕见。到目前为止,在大流行形势和疫苗接种运动开始时优先接种老年人群的背景下,已接受了许多与Covid-19疫苗接种相关的副作用和死亡报告。心脏和心脏循环紊乱。除了血栓性/栓塞性副作用和心肌炎/心包炎病例外,迄今尚未认识到与Covid-19疫苗应用相关的心血管副作用。但作用机制表明,非中和刺突蛋白下调ACE2可能对心血管有影响。本分析的目的是确定欧洲国家报告的不良事件和死亡总数,并记录截止日期前可疑的重要心血管不良事件。因此,目前对应用Covid-19疫苗后自发报告的死亡病例和不良事件进行了回顾/分析。数据来自欧洲药品管理局(EMA)的EudraVigilance网站报告,部分也来自德国PEI的安全报告。Covid-19疫苗相关的疑似副作用和相关死亡令人震惊。令人惊讶的是,报告了许多心血管反应,其中许多是危及生命的。仅由心脏和心脏循环引起的死亡就占所有comirnatr疫苗相关死亡的33%左右。第二个最重要的副作用是血管血栓/栓塞副作用,通常也与严重后果相关。根据它们的质量和数量,这些副作用似乎是产生尖刺的疫苗所特有的,而不是物质特异性的。需要进一步的研究来澄清,在VaxzevriaR后,窦静脉血栓形成的发生率增加了约3.5倍,以及一些不同的血栓/栓塞事件的发生率。这个假设可以被证实。由于它们的重要性和有时危及生命的后果,心血管副作用需要更好地沟通。调查的局限性是由于个人报告和记录程序,缺乏详细的个人信息和缺乏适当的比较人群。
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引用次数: 7
Investigation of Blood Selenium and Zinc in Type2 Diabetes with TCF7L2 (rs7903146 C/T) Genotypes 2型糖尿病TCF7L2 (rs7903146 C/T)基因型血硒、锌的研究
Pub Date : 2018-12-30 DOI: 10.15412/J.JBTW.01070102
Maryam Bakhtiari Boroujeni, M. Fazilati, H. Salavati, S. Habibollahi, A. Palizban
TCF7L2 (rs7903146) as one of the most significant single nucleotide polymorphism, is one of the associated genes with type 2 diabetes. This case-control study was performed on the whole blood of 87 patients with type 2 diabetes and 45 healthy people. Selenium and zinc concentrations in whole blood were measured using flameless atomic-absorption spectrometry. The genotype of TCF7L2 was achieved by real-time PCR and high-resolution melt (HRM). In order to data analyzing, the t-test and one-way analysis of variance (ANOVA) were used. The difference of zinc levels and also selenium levels in whole blood for both healthy (Zinc: 164.75 μgr dL-1, selenium: 140.71 μgr L-1) and patients (Zinc: 136.77 μgr dL-1, selenium: 111.66 μgr L-1) groups was significant (P-value <0.05). The different levels of zinc and selenium in healthy genotype group (TT, CT, CC) and type 2 diabetic patient genotype (TT, CT, CC) group was also significant (P-value <0.05). The presence of the T allele as a risk factor led to reducing zinc levels in healthy subjects. Significant reduction in zinc in the diabetic CT versus healthy CC and in diabetic TT versus healthy CT can be considered as a result of the T allele risk. Amount of selenium in TT genotype in both control group and diabetic patients was reduced.
TCF7L2 (rs7903146)作为最显著的单核苷酸多态性之一,是2型糖尿病的相关基因之一。本研究对87例2型糖尿病患者和45名健康人的全血进行了病例对照研究。采用无焰原子吸收光谱法测定全血中硒、锌的浓度。采用实时荧光定量PCR和高分辨率熔融(HRM)技术确定TCF7L2基因型。数据分析采用t检验和单因素方差分析(ANOVA)。健康组(锌:164.75 μgr dL-1,硒:140.71 μgr L-1)和患者组(锌:136.77 μgr dL-1,硒:111.66 μgr L-1)全血锌和硒水平差异有统计学意义(p值<0.05)。健康基因型组(TT、CT、CC)和2型糖尿病患者基因型组(TT、CT、CC)锌、硒水平差异也有统计学意义(p值<0.05)。T等位基因的存在是导致健康受试者锌水平降低的一个危险因素。与健康CC相比,糖尿病CT中锌含量显著降低,与健康CT相比,糖尿病TT中锌含量显著降低可被认为是T等位基因风险的结果。TT基因型对照组和糖尿病患者硒含量均降低。
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引用次数: 0
Maternal and Perinatal Outcome, a Case Report of Disseminated Intravascular Coagulation Following Snakebite after Treatment with Polyvalent Anti-snake Bites 多价抗蛇咬伤治疗后发生弥散性血管内凝血1例的母婴结局
Pub Date : 2018-09-16 DOI: 10.15412/J.JBTW.01070105
K. R. Keikhaie, Leili Rezaie Kahkhaie
Snakebite is not common during pregnancy, but the obstetric consequences are severe and associated with the severity of envenomation. Early stages of pregnancy and treatment delay are risk factors for the poor prognosis. A 20-year-old pregnant woman in 16 weeks of the first pregnancy referred to Zabol Amir Hospital on August 13, 2015, with the history of snakebite on the right foot. Intravenous fluid, 2 units of packed cells and 4 units of fresh frozen plasma (FFP) were administered, however, the coagulopathy and hematuria remained. Polyvalent anti-snakebite serum was injected. At first, 3 vials (30 mg) were injected and due to lack of improvement, four extra doses (40 mg) of polyvalent anti-snakebite serum were administered; then, at the 5th day she was discharged with a good general condition. The follow up was performed on a regular basis including periodic examination, PT and PTT check. Snakebite during pregnancy can lead to a dangerous condition for the mother and fetus. However, early treatment with polyvalent anti-snake serum and appropriate management improved the outcome of snakebite in pregnancy
蛇咬伤是不常见的怀孕期间,但产科的后果是严重的,并与严重程度的毒害。妊娠早期和治疗延误是导致预后不良的危险因素。一名首次怀孕16周的20岁孕妇于2015年8月13日转诊至Zabol Amir医院,右脚有蛇咬伤史。静脉输注液体、充装细胞2单位和新鲜冷冻血浆(FFP) 4单位,但凝血功能障碍和血尿仍然存在。注射多价抗蛇咬伤血清。起初,注射3瓶(30 mg),由于缺乏改善,额外注射了4剂(40 mg)多价抗蛇咬伤血清;然后,在第5天,她出院了,一般情况良好。随访定期进行,包括定期检查,PT和PTT检查。怀孕期间被蛇咬伤会对母亲和胎儿造成危险。然而,早期使用多价抗蛇血清治疗和适当的管理可以改善妊娠期蛇咬伤的结局
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引用次数: 1
A Review of Bio Inspired Computing and its Applications 生物启发计算及其应用综述
Pub Date : 2018-08-01 DOI: 10.15412/J.JBTW.01070104
B. Kumar, D. Bhargava
Bio Inspired computation is the part of Artificial intelligence which was inspired by the biological behaviors of biological systems. Swarm intelligence is the collective behavior of an organized group in day-to-day life. Common examples of swarm intelligence include ant colony, bee colony, etc. and some are non-swarm intelligence like bat algorithm, etc. This study mainly focuses on application areas of various bio inspired computing based swarm and non-swarm intelligence. This review also discusses the newly developed algorithms. Specific application areas of such algorithms have been discussed in this research. This research highlighted the future scope of present algorithms
仿生计算是人工智能的一部分,它的灵感来自于生物系统的生物行为。群体智能是有组织的群体在日常生活中的集体行为。群体智能的常见例子有蚁群、蜂群等,也有一些是非群体智能,如蝙蝠算法等。本文主要研究了基于群体和非群体智能的各种生物启发计算的应用领域。本文还讨论了新开发的算法。本研究讨论了这些算法的具体应用领域。这项研究突出了当前算法的未来范围
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引用次数: 0
Survey of Antioxidant and Cytotoxic Activities of Gracilaria corticata (a Red Seaweed), Against RKO, AGS and HepG2 Human Cancer Cell Lines 红草对RKO、AGS和HepG2人癌细胞抗氧化和细胞毒活性的研究
Pub Date : 2017-11-23 DOI: 10.15412/J.JBTW.01061204
Gholamreza Mazaheri, M. Fazilati, H. Nazem
One of the problems in cancer pharmaceutical treatment is development of drugs that not only have minimum complication, but are also prepared from natural compounds. Marine algae with antibacterial, antiviral, antifungal, antioxidative and anticancer potentials are one of the natural resources in this field. The source of Gracilaria corticata which a red alga is different sea coasts in the world including coasts in countries of India, China, Persian Gulf countries, etc. In this research, antioxidant activity and anticancer potential of aqueous extract from Gracilaria corticata against three kinds of human cancer cell lines, human gastric adenocarcinoma (AGS), human colon cancer (RKO) and human hepatocellular carcinoma (HepG2) were studied. Various concentration of algal extract were employed for cell treatment. In addition, extract cytotoxicity was measured using Methyl thiazolyl tetrazolium (MTT) assay in 540nm. The results showed that 9μg μl-1 of algal extract had the highest effectiveness against HepG2, RKO and AGS with 74%, 69% and 68% cytotoxicity effects respectively. 2,2'-azino-bis-3-ethylbenzthiazoline-6-sulphonic acid (ABTS) antioxidant assay was used to determine the probable antioxidant activity of this algae. Samples were prepared according to kit instruction and treated by different concentration of algal extract. Next, free radical scavenging activity of extracts was compared with measuring of the absorbency of the samples at 405nm using spectrophotometer. Descending order of the cell lines which had affected antioxidant activity of upper concentration of algal extract was as follows: HepG2, RKO and AGS respectively and the most effective concentration of algal extract that had the highest antioxidant efficacy on selected cancer cell lines was 9 μg μl-1. The water crude extract of Gracilaria corticata had significant antioxidant and anticancer effect and it could be a good option for more studies for creating a compound with natural origin as an anticancer agent that can be employed for the development of potential anticancer medicine and new pharmaceutical endeavors.
癌症药物治疗的问题之一是开发不仅并发症最小,而且由天然化合物制备的药物。海藻具有抗菌、抗病毒、抗真菌、抗氧化和抗癌等功能,是该领域的天然资源之一。红藻褐条藻(Gracilaria corticata)的来源是世界上不同的海岸,包括印度、中国、波斯湾等国家的海岸。本实验研究了江蓠水提物对人胃腺癌(AGS)、人结肠癌(RKO)和人肝细胞癌(HepG2)三种人癌细胞系的抗氧化活性和抗癌潜力。采用不同浓度的藻提取物对细胞进行处理。采用甲基噻唑四氮唑(MTT)法测定提取液在540nm的细胞毒性。结果表明,9 μl-1的海藻提取物对HepG2、RKO和AGS的细胞毒作用最高,分别为74%、69%和68%。采用2,2′-氮基-双-3-乙基苯并噻唑啉-6-磺酸(ABTS)抗氧化法测定该藻类的抗氧化活性。根据试剂盒说明书制备样品,并用不同浓度的藻提取物处理。然后,将提取物的自由基清除活性与用分光光度计测量样品在405nm处的吸光度进行比较。高浓度藻提取物对肿瘤细胞系抗氧化活性的影响程度由大到小依次为HepG2、RKO和AGS,对所选肿瘤细胞系抗氧化效果最好的藻提取物浓度为9 μl-1。江蓠水粗提物具有显著的抗氧化和抗癌作用,为开发具有天然来源的抗癌化合物提供了良好的研究前景,可用于开发潜在的抗癌药物和新药。
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引用次数: 2
Comparison of Wishes in Two Groups of Patients with Life-threatening Illnesses 两组危重疾病患者愿望的比较
Pub Date : 2017-11-06 DOI: 10.15412/J.JBTW.01060603
S. Afshar, B. Safaian, M. Shariat, Noora Afshar, F. Haghollahi
The aim of this study was to evaluate the self-reported wishes of cancer and dialysis patients (3-19 years) and examine its possible association with patients' demographics and clinical characteristics. This is a cross- sectional study and included cancer undergoing chemotherapy and renal failure that were dialyzing during a period of 6 months. From a total of 46 patients that participated in this study, the majority of cancer patients are younger (<6 years) than the chronic renal failure patients (52% vs 13 %, p=0.01). The Cancer patients’ wish to buy staves is 4 times more in comparison to the other group. The current study provides valuable information for charity to adequately manage cancer patients’humanitarian aid and the better psychological health.
本研究的目的是评估癌症和透析患者(3-19岁)自我报告的愿望,并检查其与患者人口统计学和临床特征的可能关联。这是一项横断面研究,包括接受化疗和肾衰竭的癌症患者,透析期为6个月。在参与本研究的46例患者中,大多数癌症患者比慢性肾衰竭患者年轻(<6岁)(52% vs 13%, p=0.01)。癌症患者购买手杖的意愿是其他组的4倍。本研究为慈善机构妥善管理癌症患者的人道主义援助和改善患者的心理健康提供了有价值的信息。
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引用次数: 0
Two Protocols of Letrozole Treatment in Polycystic Ovary Syndrome: Randomized Clinical Trial 来曲唑治疗多囊卵巢综合征的两种方案:随机临床试验
Pub Date : 2017-10-15 DOI: 10.15412/J.JBTW.01061103
Tahereh Behrouzi-Lak, M. Hajshafiha, R. Derogar, F. Haghollahi
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引用次数: 0
Overview of Pestalotiopsis vismiae UTMC 5019 as a Potential Agent for the Biological Control of Hordeum spontaneum (Wild Barley) 拟盘多opsis vismiae UTMC 5019作为潜在的野生大麦Hordeum spontanum生物防治剂的研究概况
Pub Date : 2017-10-11 DOI: 10.15412/J.JBTW.01061203
H. Radi, J. Hamedi
Hordeum spontaneum, which is one of the most important and troublesome annual weeds in crop fields around the world, causes extensive losses every year. The purpose of this study was to screen phytopathogenic fungi for biological control of this weed. For this purpose, firstly, 150 fungi were isolated from different soils in Iran. Thirty fungal strains were selected by consideration of their herbicidal activities against mature wild barley leaves. Common wheat was used as a negative control in all experiments. Finally, 6 strains showed necrosis lesions on wild barley leaves without any effects on wheat (control). The best result was achieved by Hcr99 isolate. Based on microscopic and Internal transcribed spacer-PCR (ITS-PCR) analysis, Hcr99 displayed 100% phylogenetically similarity to Pestalotiopsis vismiae (P. vismiae). 1×107 conidia/ml of P. vismiae showed the most suppression effect on weed seeds germination and rhizoid extension. Inoculum concentration of 1×106 and 1×107 conidia/ml provided significant results of weed controlling in greenhouse experiments. Host range study indicated that P. vismiae could induce disease symptoms in 4 weed plant species out of a total of 24 species belonging to 9 families.
自发草(Hordeum spontanum)是世界范围内最重要和最麻烦的年度杂草之一,每年都造成广泛的损失。本研究的目的是筛选植物致病真菌,以生物防治这种杂草。为此,首先从伊朗不同土壤中分离出150种真菌。根据对野生大麦成熟叶片的除草活性,筛选出30株真菌菌株。所有试验均以普通小麦为阴性对照。6株菌株对野生大麦叶片有坏死损伤,对对照小麦无影响。以Hcr99分离物效果最好。基于显微镜和ITS-PCR分析,Hcr99与拟盘多毛孢(P. vismiae)系统发育相似性为100%。1×107分生孢子/ml对杂草种子萌发和根茎延伸的抑制作用最大。接种浓度为1×106和1×107分生孢子/ml时,温室除草效果显著。寄主范围研究表明,在9科24种杂草植物中,vismiae可诱导4种杂草植物发病。
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引用次数: 2
Empathic Communication and Essential Instruction for Medical Students 医学生移情沟通与基本教学
Pub Date : 2017-10-06 DOI: 10.15412/J.JBTW.01060601
A. Cyrus, B. Salehi, M. Naziri, Bahman Sadeghi Sedeh, Rana Vosoulie
Patient-physician communication is an essential part of clinical practice that if it works well, it creates a therapeutic effect for patients. We aimed to evaluate and investigate if gender, age, grade, marriage and specialized field affected empathy scores among trainees, interns and resident physicians. A cross-sectional survey was performed among a total of 215 medical students in practical stage and resident physicians in Iran/Arak University of Medical Sciences responded to the Jefferson Scale of Physician Empathy (JSPE) questionnaire over 6 months in 2016. In addition, the participants were anonymously monitored to assess actual empathy levels. 215 participants completed the JSPE questionnaire (mean age 27 ± 5.2 years, 94 43.7%] males). Analysis showed that students had lower mean empathy score (mean= 98.08) than other countries. Results confirmed that there is an association between empathy and gender and marriage (p<0.05).Females and married students showed higher levels of empathy than other participants. The empathy of participants in an observation condition was much lower than what they had stated. In our survey, medical students had significantly low empathy level; therefore cultural education and professionalism training is needed. Although treatment is more important than empathy, empathy has a therapeutic effect for patients.
医患沟通是临床实践的重要组成部分,如果它运作良好,它为患者创造了治疗效果。我们的目的是评估和调查性别、年龄、年级、婚姻和专业领域是否影响实习生、实习生和住院医师的共情得分。本文于2016年对伊朗/阿拉克医科大学215名实习阶段医学生和住院医师进行了为期6个月的杰弗逊医师共情量表(JSPE)问卷调查。此外,参与者还接受匿名监控,以评估他们的实际同理心水平。215名参与者完成了JSPE问卷调查(平均年龄27±5.2岁,男性94.43.7%)。分析显示,中国学生的共情平均分(98.08)低于其他国家学生。结果证实了共情与性别、婚姻存在相关性(p<0.05)。女性和已婚学生比其他参与者表现出更高的同理心。在观察条件下,参与者的同理心比他们所说的要低得多。在我们的调查中,医学生的共情水平显著较低;因此,需要进行文化教育和职业素养培训。虽然治疗比移情更重要,但移情对患者有治疗作用。
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引用次数: 1
Lactobacillus plantarum A7, a Potential Probiotic Strain from Infant fecal Flora 植物乳杆菌A7:一种潜在的婴儿粪便益生菌
Pub Date : 2017-09-20 DOI: 10.15412/J.JBTW.01061102
G. Madani, M. Mirlohi, Sabiheh Soleimanain-Zad, Parham Hosseini, M. Babashahi
Lactobacillus plantarum A7 was previously considered in some in vivo studies as a beneficial microorganism. This study deals with characterization of this strain based on general in vitro tests and its clear identification through molecular technique. A subtractive screening process was carried out on 26 lactobacillus strains. Based on tolerance to acid and bile and antibacterial activity against some pathogens, L. plantarum A7 ranked as one of the designated strains and further examined by some tests for probiotic properties like cell surface hydrophobicity, exopolysaccharide (EPS) production and adhesion to glass slides. In addition, antibiotic resistance and hemolytic activity were assessed for safety aspects. Molecular identification of this strain was performed by polymerase chain reaction (PCR), using primers 16 and 23-10c for genus level and planF and pREV for species. L. A7 revealed tolerance to acidic and bile containing environment against tested pathogen. Regarding the cell surface properties, this strain was compatible to commercial probiotic strains posing 53.6a±4 and 72.07% ± 8.79 cell surface hydrophobicity towards toluene and adhesion to glass slid, respectively. This strain meets natural lactobacilli resistance to Vancomycin and lacks transferable resistant to Erythromycin and Cloramphenicol. In order to sequencing the PCR product, it was deposited in the GenBank database as L. plantarum KC355240. The results of this study could be considered as an accomplishing information to what was documented before on this strain with regard to its probiotic potential and it could be recommended to researchers, national and international organizations with high margin of safety.
植物乳杆菌A7以前在一些体内研究中被认为是一种有益微生物。本研究在常规体外试验的基础上对该菌株进行了鉴定,并通过分子技术对其进行了明确的鉴定。对26株乳酸菌进行了减法筛选。基于对酸和胆汁的耐受性和对某些病原体的抗菌活性,L. plantarum A7被列为指定菌株之一,并进一步进行了一些益生菌特性的测试,如细胞表面疏水性,胞外多糖(EPS)的产生和对玻片的粘附性。此外,对抗生素耐药性和溶血活性进行了安全性评估。采用聚合酶链反应(PCR)对该菌株进行分子鉴定,属级鉴定采用引物16和23-10c,种级鉴定采用引物planF和pREV。L. A7对酸性环境和含胆汁环境表现出耐受性。在细胞表面性能方面,该菌株与商业益生菌相匹配,对甲苯的表面疏水性为53.6±4,对玻璃滑块的粘附性为72.07%±8.79。该菌株满足天然乳酸菌对万古霉素的耐药,缺乏对红霉素和氯霉素的可转移耐药。为了对PCR产物进行测序,将其存储在GenBank数据库中,编号为L. plantarum KC355240。本研究的结果可以被认为是对之前关于该菌株的益生菌潜力的文献的一个有益的信息,并且可以推荐给研究人员,具有高安全边际的国家和国际组织。
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引用次数: 2
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Journal of Biology and Today`s World
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