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Concordance of andquot;Rapidandquot; Serological Tests and IgG and IgM Chemiluminescence for SARS-COV-2 “和”的一致性;SARS-COV-2血清学检测及IgG和IgM化学发光
Pub Date : 2021-01-01 DOI: 10.35248/1948-5964.21.13.226
K. Sáenz-Flor, M. SantafeLorena
Objectives: To evaluate a sample of immunofluorescent and immunochromatographic rapid tests used in Ecuador to show their agreement in relation to Chemiluminescence. Setting: Primary care limitations for a sample of “rapid test” assays used for serological diagnosis of SARS-CoV-2 in Ecuador, South-America. Participants: A diagnostic test evaluation assay was performed to establish the performance of five “rapid” tests for IgG and IgM serology for SARS-CoV-2 using a panel of 30 serum samples from routine patients. Interventions: For the evaluation of clinical performance, the qualitative results of the "rapid" tests were compared against those obtained by chemiluminescence, dichotomized as positives (>10 AU/mL) or negative (<10 UA/mL). Primary and secondary outcome measures: Demonstration of agreement in defining the subjects with the dichotomous criterion (positive or negative for SARS-CoV-2 antibodies), calculating complex repeatability, positive agreements and negative agreements, with their corresponding 95% confidence interval and Cohen's Kappa test. Results: The best agreement is seen in the immunofluorescent assay, for the IgG contrast, with a particularly good kappa index (0.85), without positive disagreements and a negative disagreement of about 15%. In the immunochromatographic methods Kappa index was 0.61 at best, with disagreements in negative findings of ≈35% and in positive cases of up to ≈70%. Conclusions: Given the high demand and supply in the market of "rapid serological tests", its evaluation against panels of serologically positive or negative samples established by Chemiluminescence or Electro chemiluminescence is essential to authorize its extensive use in populations.
目的:评价厄瓜多尔使用的免疫荧光和免疫层析快速检测样品,以显示它们在化学发光方面的一致性。背景:南美洲厄瓜多尔用于SARS-CoV-2血清学诊断的“快速检测”分析样本的初级保健局限性。参与者:使用30例常规患者的血清样本进行诊断试验评估,以确定SARS-CoV-2 IgG和IgM血清学的五种“快速”试验的性能。干预措施:为了评估临床表现,将“快速”测试的定性结果与化学发光测试的定性结果进行比较,并将其分为阳性(>10 UA/mL)或阴性(<10 UA/mL)。主要和次要结局指标:用二分标准(SARS-CoV-2抗体阳性或阴性)定义受试者的一致性证明,计算复杂重复性、阳性一致性和阴性一致性及其相应的95%置信区间和Cohen's Kappa检验。结果:免疫荧光法与IgG对比的一致性最好,kappa指数特别好(0.85),无阳性差异,阴性差异约为15%。在免疫层析方法中,Kappa指数最高为0.61,阴性结果的差异约为35%,阳性结果的差异约为70%。结论:鉴于“快速血清学检测”在市场上的高需求和高供应,对化学发光或电化学发光建立的血清学阳性或阴性样品进行评估是批准其在人群中广泛使用的必要条件。
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引用次数: 0
The Role of Antiviral Drugs in the Case-Management of Respiratory Syncytial Virus, Influenza and COVID-19 抗病毒药物在呼吸道合胞病毒、流感和COVID-19病例管理中的作用
Pub Date : 2021-01-01 DOI: 10.35248/1948-5964.13.S16.002
T. Ibekwe, V. Kwaghe, Habib Zayad Garba, P. Ibekwe
Background: The Respiratory Syncytial, Influenza and the SARS-CoV-2 viruses have a lot in common and are intertwined as leading causes of respiratory infections (flu) and flu-like infections in humans. The morbidity, mortality and disease burden posed by these diseases across the globe is humongous. The epidemiology, pathophysiology, clinical presentations and sequalae of these respiratory illnesses are also very similar and could be safely described as a spectrum of a disease process ‘syncytial respiratory disease’. There is justification in simultaneously studying, investigating and researching on these diseases given their close similarities and thin differences. Methods: This is a review of the literature on Case-Management for RSV, Influenza, COVID-19 and the role of Antiviral drugs. A comprehensive search of MEDLINE (from Jan 2019 to January 2021), EMBASE (from Jan 2019 to January 2021), Publics Ovidius Naso (Ovoid), Database of Abstracts of Reviews of Effects and the Cochrane Central Register of Controlled Trials in Issue 1 of 12, January 2021 of the Cochrane Library was performed. Short-listing of titles and abstracts on the basis of their relevance to the review and subsequent data extraction were undertaken independently by two out of the four authors (TSI and PUI). Differences were resolved by mutual consensus. Results: The Respirtory Syncitial Virus (RSV), Influenza and SARS-CoV2 (COVID-19) virus were all examined in detail. The similarities and differences were x-rayed, including the mechanism of transmission, pathophysiology and pathogenesis of each. The methods of treatment especially susceptibility on antiviral agents were discussed. Conclusion: The similarity indices between RSV, Influenza and SARS-CoV2 are strong. Non-pharmaceutical and pharmaceutical measures are required for holistic cure and total eradication of these diseases. Effective and efficient antiviral agent(s) are needed for active management of these groups of viruses and science is challenged to this effect.
背景:呼吸道合胞病毒、流感病毒和SARS-CoV-2病毒有很多共同之处,它们是人类呼吸道感染(流感)和流感样感染的主要原因。这些疾病在全球造成的发病率、死亡率和疾病负担是巨大的。这些呼吸系统疾病的流行病学、病理生理学、临床表现和后遗症也非常相似,可以安全地描述为疾病过程的频谱“合胞性呼吸系统疾病”。鉴于这些疾病的相似之处和细微的差异,同时研究、调查和研究这些疾病是有道理的。方法:对RSV、流感、COVID-19病例管理及抗病毒药物作用的文献进行综述。综合检索MEDLINE(2019年1月至2021年1月)、EMBASE(2019年1月至2021年1月)、Publics Ovidius Naso (Ovoid)、Database of Reviews of Effects Abstracts and Cochrane Central Register of Controlled Trials (Cochrane中央对照试验注册库),检索日期为Cochrane图书馆2021年1月12期第1期。四名作者中的两名(TSI和PUI)独立进行了与综述相关的标题和摘要的简短列表和随后的数据提取。分歧通过相互协商一致解决了。结果:对呼吸道合胞病毒(RSV)、流感病毒和SARS-CoV2 (COVID-19)病毒进行了详细检测。对其异同点进行x线观察,包括传播机制、病理生理及病机。讨论了治疗方法,特别是对抗病毒药物的敏感性。结论:RSV病毒、流感病毒和SARS-CoV2病毒具有较强的相似性。为了全面治疗和彻底根除这些疾病,需要采取非药物和药物措施。需要有效和高效的抗病毒药物来主动管理这些病毒群,科学在这方面受到挑战。
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引用次数: 0
Pediatric Teleconsultation in the Context of the COVID-19 Pandemic COVID-19大流行背景下的儿科远程会诊
Pub Date : 2021-01-01 DOI: 10.35248/1948-5964.21.S18.003
F. Bennaoui, S. Moussaoui, N. Slitine, F. Maoulainine
Three billion individuals worldwide are currently confined to fight the COVID-19 pandemic. In this context, since physical examinations are less present. Teleconsultation is the delivery of health care services using the phone, information or communication technology. In the current pandemic scenario, teleconsultation can supplement health-care delivery in the absence of in-person visit. Our study aimed to assess the efficiency and security of teleconsultation with only a smartphone to manage the flow of pediatric emergencies in Morocco. This prospective observational cohort study was conducted on the first 500 patients, who received a teleconsultation by contacting pediatricians by smartphone, using audio, videos or photos, during two months April and May 2020, the patients were calling from all Morocco. The average of age was 2 years and 4 months with extremes ranging from 4 days to 15 years. Gender: male-60.7% and female-39.3%. The communication type was written message-100%; Photos-15%; Voice mail-8%. Our attitude was give as Prescription-69%; Tips-43%; Specialist advice-15%; Emergencies-6%; Diet- 5%; Balance-5%; Consultation-4%; Radiological assessment-3%; Family treatment-1%. This study is the first to assess the utility of emergency pediatric teleconsultation with a simple smartphone application to manage emergency in a population with suddenly restrained access to pediatricians. This approach permitted us to preserve social distancing.
目前,全世界有30亿人被限制在抗击COVID-19大流行的过程中。在这种情况下,由于体检较少。远程咨询是利用电话、信息或通信技术提供卫生保健服务。在目前大流行的情况下,远程会诊可以在没有亲自就诊的情况下补充保健服务。我们的研究旨在评估摩洛哥仅使用智能手机进行远程咨询以管理儿科急诊流量的效率和安全性。这项前瞻性观察队列研究是在前500名患者中进行的,这些患者在2020年4月和5月的两个月内通过智能手机联系儿科医生,使用音频、视频或照片进行远程咨询,患者来自摩洛哥各地。平均年龄为2岁零4个月,极值为4天至15岁。性别:男性60.7%,女性39.3%。通信类型为书面消息-100%;照片- 15%;语音邮件- 8%。我们的态度是处方-69%;技巧- 43%;专家建议——15%;紧急情况- 6%;饮食- 5%;平衡- 5%;咨询- 4%;放射学评估- 3%;家庭治疗- 1%。这项研究是第一个评估急诊儿科远程会诊的效用与一个简单的智能手机应用程序来管理急诊人群突然限制访问儿科医生。这种方法使我们能够保持社交距离。
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引用次数: 0
BNT162b2 Vaccine: possible codons misreading, errors in protein synthesis and alternative splicing's anomalies BNT162b2疫苗:可能的密码子误读,蛋白质合成错误和选择性剪接异常
Pub Date : 2020-12-31 DOI: 10.35248/1948-5964.21.13.210
Kira Smith
BNT162b2 vaccine against Covid-19 is composed ofan RNA having 4284 nucleotides, divided into 6sections, which bring the information to createa factory of S Spike proteins, the ones usedby Sars-CoV-2 (Covid-19) to infect the host. Afterthat, these proteins are directed outside the cell,triggering the immunereaction and antibody production. The problem is the heavy alteration of themRNA: Uracil is replaced to fool the immune systemwith Ψ (Pseudouridine); the letters of allcodon triplets are replaced by a C or a G,to extremely increase the speed of proteinsynthesis; replacement of some aminoacids with Proline; addition of a sequence(3’-UTR) with unknown alteration. These impairments could cause strong doubts about thepresence of codon usage errors. Aneventual mistranslation has consequences onthe pathophysiology of a variety of diseases.Inaddition, mRNA injected is a pre-mRNA, whichcan lead to the multiple mature mRNAs; theseare alternative splicing anomalies,direct source of serious long-term harm on the humanhealth. In essence, what will be created may not beidentical with protein S Spike: just an error intranslational decoding, codons misreading, productionof different amino acids, then proteins, to causeserious long-term damage to human health, despitethe DNA is not modified, being instead in the cellnucleus and not in the cytoplasm, where the modified mRNAarrives. However, in this case, the correlation between speed ofsynthesis and protein expression with synthesiserrors, as well as the mechanism that could affectthe translation of the sequence remain obscure,many trials have not yet been performed.
针对Covid-19的BNT162b2疫苗由具有4284个核苷酸的RNA组成,分为6个部分,这些RNA将信息用于创建S刺突蛋白工厂,S刺突蛋白是Sars-CoV-2 (Covid-19)用来感染宿主的蛋白质。之后,这些蛋白质被引导到细胞外,引发免疫反应和抗体的产生。问题是mrna的严重改变:用Ψ(伪尿嘧啶)代替尿嘧啶来欺骗免疫系统;全密码子三联体的字母被替换为C或G,极大地提高了蛋白质合成的速度;用脯氨酸代替一些氨基酸;添加一个未知改变的序列(3 ' -UTR)。这些损伤可能引起对密码子使用错误存在的强烈怀疑。最终的误译会对多种疾病的病理生理产生影响。此外,注射的mRNA是一个pre-mRNA,它可以导致多个成熟mRNA;这些另类剪接异常,直接来源严重长期危害人类健康。从本质上讲,将产生的东西可能与蛋白质S Spike不同:只是翻译解码中的一个错误,密码子误读,不同氨基酸的产生,然后是蛋白质,对人类健康造成严重的长期损害,尽管DNA没有被修饰,而是在细胞核中,而不是在细胞质中,修饰的mrna到达细胞质。然而,在这种情况下,合成速度和蛋白质表达与合成错误之间的关系,以及可能影响序列翻译的机制仍然不清楚,许多试验尚未进行。
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引用次数: 1
COVID-19 and Lockdown in India: Evaluation using Analysis of Covariance COVID-19和印度的封锁:使用协方差分析进行评估
Pub Date : 2020-12-30 DOI: 10.21203/rs.3.rs-136260/v1
A. Tak, B. Das, Saurabh Gahlot
Background: The lockdown in India has entered into its ninth month to curb the Coronavirus disease-19 (COVID-19) pandemic. The objective of the present study is to evaluate impact of different phases of lockdown on evolution of new cases of infection and deaths due to COVID-19.Methods: In this retrospective longitudinal study, the Indian data on new cases of infection and deaths due to COVID-19 were retrieved from John Hopkins University dashboard. The cases from 25 March to 31 October 2020 were analyzed using analysis of covariance for four phases of lockdown and five phases of unlockdown.Results: The coefficients of regression for new cases did not differ significantly for initial four phases of lockdown and unlock-1, while from unlock-2 the coefficients showed significant decrease till unlock-5. While death cases showed no significant differences between coefficients of regression for initial four phases of lockdown and unlock, but coefficient of unlock-5 was significantly lower than unlock-4. Conclusion: The trends of coefficients of regression of new cases and deaths reveals positive effects of lockdown in flattening the epidemic curve. Though the pandemic is on downslope, till the availability of vaccines, non-pharmaceutical measures such as social distancing, wearing of masks need to be implemented.
背景:为遏制冠状病毒病-19 (COVID-19)大流行,印度的封锁已进入第九个月。本研究的目的是评估封锁不同阶段对COVID-19新发感染病例和死亡病例演变的影响。方法:在这项回顾性纵向研究中,从约翰霍普金斯大学的仪表板中检索了印度关于COVID-19新发感染和死亡病例的数据。对2020年3月25日至10月31日期间的病例进行了协方差分析,分为四个封锁阶段和五个解除封锁阶段。结果:新发病例的回归系数在封锁初始4个阶段与解锁1阶段无显著差异,而从解锁2阶段到解锁5阶段,回归系数显著降低。闭锁后4个阶段的回归系数与开锁前4个阶段的回归系数差异不显著,但开锁后5个阶段的回归系数显著低于开锁后4个阶段。结论:新发病例和死亡回归系数的变化趋势显示封锁对疫情曲线趋平的积极作用。虽然大流行呈下降趋势,但在疫苗可用之前,需要实施社交距离、戴口罩等非药物措施。
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引用次数: 2
Delay of Detection Of COVID-19 Patients In Bangladesh; An Application To Cox Proportional Hazard Model 孟加拉国COVID-19患者发现延迟Cox比例风险模型的应用
Pub Date : 2020-12-08 DOI: 10.21203/rs.3.rs-117305/v1
Sujan Rudra, Shuva Das, Md. Ehsanul Hoque, A. Kalam, Mohammad Arifur Rahman
Objective: To delineate the survival rate of the patients with coronavirus disease 2019 (COVID-19) who did the diagnostic tests lately after the development of symptoms. The aim is to determine the socio-demographic risk factors associated with the delay of the detection of COVID-19 patients. Methods: For this cross-sectional study, 300 patients were selected who were diagnosed as COVID-19 patients in the Molecular Biology Laboratory of Chittagong Medical College, Chattogram, Bangladesh. Data were collected from May to July 2020. Clinical characteristics were obtained from over phone interviews and laboratory diagnosis by Real-time Reverse Transcriptase Polymerase Chain Reaction (rRT-PCR). Cox proportional hazard model is applied to estimate risk factors affecting the delay of detection of COVID-19 patients.Result: Female mortality rate was 44.9% higher compared to males, graduates died 32% more than undergraduates, unmarried peoples’ death rate were 56% more than married and those who were in traveling irregularly and in contact with symptomatic patients, were 86% more died than non-travelers.Conclusion: Early diagnosis of COVID-19 can save a huge amount of lives and special attention should be emphasized on the significant explanatory variable.
目的:了解新冠肺炎(COVID-19)患者出现症状后近期进行诊断检查的生存率。目的是确定与延迟发现COVID-19患者相关的社会人口风险因素。方法:本横断面研究选择孟加拉国吉大港医学院分子生物学实验室诊断为COVID-19患者300例。数据收集于2020年5月至7月。通过电话访谈和实时逆转录聚合酶链式反应(rRT-PCR)的实验室诊断获得临床特征。应用Cox比例风险模型估计影响COVID-19患者检测延迟的危险因素。结果:女性死亡率比男性高44.9%,大学毕业生死亡率比本科生高32%,未婚者死亡率比已婚者高56%,不定期旅行和有症状患者接触者死亡率比非旅行者高86%。结论:COVID-19的早期诊断可以挽救大量生命,应特别重视显著的解释变量。
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引用次数: 4
A review on the SARS-CoV-2 mediated global pandemic: proximal origin, pathogenicity and therapeutic approaches SARS-CoV-2介导的全球大流行:近端起源、致病性和治疗方法综述
Pub Date : 2020-10-29 DOI: 10.31219/osf.io/fpqsw
S. Chatterjee, B. Dhara, Dattatreya Mukherjee, Debraj Mukhopadhyay, A. Mitra
The world is amidst a public health crisis as the pandemic has shook us to the core. The COVID-19 caused by the novel SARS-CoV-2 is of zoonotic origin and this tries to explain what could have been the possible proximal origins for the disease in humans. Our review aims at addressing the question like what structural or genomic vicissitude enabled the viral outbreak across genera and so efficiently infect the human populace across the globe. We also try to discuss the prospect of drug repurposing and scope for vaccine development considering the rapid genome modification of the virus. Another finding lies into the action of pre-existing drugs when they are applied in combination and probably that shades some light on the therapeutic approaches. Several investigation have been performed but we are still in search of a novel antiviral drug. With that vision, our focus shifted on the evaluation of existing drugs with positive response against the novel corona virus. We also try discussing certain trends including increased immunity to the disease in the population from a particular geographical area.
世界正处于一场公共卫生危机之中,大流行使我们震惊不已。由新型SARS-CoV-2引起的COVID-19是人畜共患起源,这试图解释人类疾病可能的近端起源。我们的回顾旨在解决诸如结构或基因组变化使病毒跨属爆发并有效感染全球人口的问题。考虑到病毒的快速基因组修饰,我们还试图讨论药物再利用的前景和疫苗开发的范围。另一个发现是对已有药物联合使用时的作用的研究,这可能会给治疗方法带来一些启示。已经进行了几项研究,但我们仍在寻找一种新的抗病毒药物。有了这一愿景,我们的重点转移到评估对新型冠状病毒有积极反应的现有药物上。我们还试图讨论某些趋势,包括来自特定地理区域的人口对该疾病的免疫力增强。
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引用次数: 0
Editorial Note for Antivirals: New Drug Delivery Systems 抗病毒药物:新的给药系统
Pub Date : 2020-01-01 DOI: 10.35248/1948-5964.20.S7.E002
Ramya Derai
{"title":"Editorial Note for Antivirals: New Drug Delivery Systems","authors":"Ramya Derai","doi":"10.35248/1948-5964.20.S7.E002","DOIUrl":"https://doi.org/10.35248/1948-5964.20.S7.E002","url":null,"abstract":"","PeriodicalId":15020,"journal":{"name":"Journal of Antivirals & Antiretrovirals","volume":"10 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78472493","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
Covid-19 and Nutrients Covid-19和营养素
Pub Date : 2020-01-01 DOI: 10.35248/1948-5964.20.12.205
M. Phadke, U. Bodhankar, Y. Patil, P. Menon
Covid-19 (Corona virus disease of 2019) is creating havoc in the world. It has resulted in overburdening of health systems, has detrimental effects on income, food systems, social systems and world economies. Covid-19 infection and the subsequent lockdown in many countries including India are likely to produce collateral damage to jobs, housing, and migration and of course nutrition. As per global statistics this year, one in nine persons is hungry and one billion people world over doing not have enough food to eat. Estimates show that 135 million people have been hungry before the pandemic and by the end of 2020; the figure is likely to be 265 million. As of now, when no effective vaccine or drug is available to combat the disease; the world is left to fight this disease with two weapons. The first is social distancing of two meters, repeated hand washing for twenty seconds with soap and water and face cover with face shield. The second weapon is our healthy immune system. Good health adds life to years and years to life. Immunity depends on various factors, one of which is nutrition. Nutrition is the backbone of good health.
Covid-19(2019年冠状病毒病)正在世界上造成严重破坏。它导致卫生系统负担过重,对收入、粮食系统、社会系统和世界经济产生不利影响。包括印度在内的许多国家的Covid-19感染和随后的封锁可能会对就业、住房、移民,当然还有营养造成附带损害。根据今年的全球统计数据,九分之一的人处于饥饿状态,全世界有10亿人没有足够的食物吃。估计显示,在大流行之前和到2020年底,有1.35亿人处于饥饿状态;这个数字可能是2.65亿。到目前为止,还没有有效的疫苗或药物来对抗这种疾病;世界只能用两种武器来对付这种疾病。一是保持两米的社交距离,用肥皂和水反复洗手20秒,用面罩遮住脸。第二个武器是我们健康的免疫系统。健康使人延年益寿。免疫力取决于多种因素,其中之一就是营养。营养是身体健康的支柱。
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引用次数: 0
Drugomics of Human Immuno Deficiency Virus 人类免疫缺陷病毒的药物组学
Pub Date : 2020-01-01 DOI: 10.35248/1948-5964.20.S10.E001
D. Kaul
{"title":"Drugomics of Human Immuno Deficiency Virus","authors":"D. Kaul","doi":"10.35248/1948-5964.20.S10.E001","DOIUrl":"https://doi.org/10.35248/1948-5964.20.S10.E001","url":null,"abstract":"","PeriodicalId":15020,"journal":{"name":"Journal of Antivirals & Antiretrovirals","volume":"62 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90336737","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
期刊
Journal of Antivirals & Antiretrovirals
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