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Impact of Smoking on mortality of hospitalized patients with COVID-19: a cross sectional study in Iran 吸烟对COVID-19住院患者死亡率的影响:伊朗的一项横断面研究
Pub Date : 2022-03-06 DOI: 10.32598/jqums.25.2.2741.1
S. Hashemipour, M. Gheraati, Milad Badri, Nafiseh Rastgoo, A. Shokri, Sohrab Esmaielzade, Khadijeh Esmaielzade
Objectives: There are inconsistent data about the association of smoking with prognosis in hospitalized patients with COVID-19. This inconsistency is so huge that some investigators hypothesized some protective roles of smoking against COVID-19 disease. This study has been designed to investigate the association of smoking with mortality in hospitalized patients with COVID-19. Methods: This cross sectional study was conducted on 493 adult patients with COVID-19 disease. Other underlying diseases, clinical and laboratory findings and mortality rates were compared between smoking and non-smoking patients using univariate and multivariate analyses. Results: Prevalence of current smoking among hospitalized patients was 6.1%. Clinical complaints and disease severity at admission were similar between smokers and non-smokers. Leukocytes count and blood sugar were higher in smokers compared to non-smokers (p=0.003, p=0.018, respectively). Rate of ICU admission and days of hospitalization were not different between smokers and non-smokers. However, smokers had a significantly higher mortality rate compared to non-smokers (36.7% vs 13.8%, respectively, p=0.001). After adjusting for significantly different variables in univariate analysis, smoking was associated with 3.78 times higher mortality rate (OR=3.78, 95% CI 1.48-9.67, P=0.005). Conclusion: Smoking is an independent predictor of mortality in hospitalized patients with COVID-19.
目的:关于新冠肺炎住院患者吸烟与预后的关系,数据不一致。这种不一致性如此之大,以至于一些研究人员假设了吸烟对新冠肺炎疾病的一些保护作用。这项研究旨在调查新冠肺炎住院患者吸烟与死亡率的关系。方法:对493例成年新冠肺炎患者进行横断面研究。使用单变量和多变量分析比较吸烟和非吸烟患者的其他潜在疾病、临床和实验室结果以及死亡率。结果:住院患者当前吸烟的患病率为6.1%。吸烟者和非吸烟者在入院时的临床主诉和疾病严重程度相似。吸烟者的白细胞计数和血糖高于非吸烟者(分别为p=0.003和p=0.018)。吸烟者和非吸烟者的ICU入院率和住院天数没有差异。然而,吸烟者的死亡率明显高于非吸烟者(分别为36.7%和13.8%,p=0.001)。在单变量分析中对显著不同的变量进行调整后,吸烟与3.78倍的死亡率相关(OR=3.78,95%CI1.48-9.67,P=0.005)。结论:吸烟是新冠肺炎住院患者死亡率的独立预测因素。
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引用次数: 0
A comprehensive study of HSA interaction with TMP using molecular docking and molecular dynamics methods: as an appropriate tool for drug delivery systems 使用分子对接和分子动力学方法全面研究HSA与TMP的相互作用:作为药物递送系统的合适工具
Pub Date : 2022-03-06 DOI: 10.32598/jqums.25.2.2125.1
M. Salehi, Hanifeh Shariatifar, Morteza Ghanbari Johkool, A. Farasat
Background: Human serum albumin (HSA) is one of the most prominent protein in human blood. Trimethoprim (TMP) is an efficient antibiotic drug for treatment of pneumocystis pneumonia (PCP). Patients with HIV/AIDS and cancer are extremely affected by the disease due to immune system deficiency. Objective: The aim of this study is to evaluate the molecular dynamics simulation (MD) of HSA with TMP for drug delivery systems. Materials and methods: In the first step, the 3D structure of HSA and TMP were provided by PDB and PubChem respectively. Then, the molecular docking was done via AutoDock Vina software and the best complex was selected due to the lowest binding energy. Finally, the structural characteristics of the above complex was evaluated. Results: The results showed that TMP binds to the HSA molecule with a binding energy of -7.3 kcal/mol and this binding causes changes in third and second structure of the HSA. Thus, the RMSD and RG results proved the third structural changes and the results obtained from DSSP confirmed the second structural modifications. The TMP-HSA complex formation accompanied with hydrophobic interaction between residues; Tyr150 and Ala291, His288, Leu238, Leu219, Lys199, Lys195, Glu153 and TMP. The TMP molecule had two hydrogen bond with Arg222 residue and three with Ser192. Furthermore, the final PDB file of the MD simulation process showed that the TMP molecule had reaction HSA (IIA chain). Conclusion: Due to the extensive application of TMP in infectious disease and appropriate interaction with HSA, the complex could be used for targeted transport of nanoparticles in the future.
背景:人血清白蛋白(HSA)是人体血液中最重要的蛋白质之一。甲氧苄啶(TMP)是治疗肺孢子虫肺炎(PCP)的有效抗生素。艾滋病毒/艾滋病和癌症患者由于免疫系统缺乏而受到疾病的严重影响。目的:本研究旨在评价TMP对HSA给药系统的分子动力学模拟(MD)。材料和方法:第一步,分别由PDB和PubChem提供HSA和TMP的三维结构。然后,通过AutoDock-Vina软件进行分子对接,并由于结合能最低而选择最佳的复合物。最后,对上述复合体的结构特征进行了评价。结果:TMP以-7.3kcal/mol的结合能与HSA分子结合,这种结合引起HSA第三和第二结构的变化。因此,RMSD和RG结果证明了第三次结构变化,从DSSP获得的结果证实了第二次结构修改。TMP-HSA复合物的形成伴随着残基之间的疏水相互作用;Tyr150和Ala291、His288、Leu238、Leu219、Lys199、Lys195、Glu153和TMP。TMP分子具有两个与Arg222残基的氢键和三个与Ser192的氢键。此外,MD模拟过程的最终PDB文件显示TMP分子具有反应HSA(IIA链)。结论:由于TMP在传染病中的广泛应用以及与HSA的适当相互作用,该复合物可用于纳米颗粒的靶向转运。
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引用次数: 0
The roles of sex, Perceived Pain and illness Perceptions on Disease Activity in Rheumatoid Arthritis 类风湿性关节炎患者的性别、疼痛感和疾病感对疾病活动的影响
Pub Date : 2022-03-06 DOI: 10.32598/jqums.25.2.1487.5
M. Seirafi, S. Namjoo, M. Sabet
Background: In the “treating to target” strategy to rheumatoid arthritis (RA) management, “cognitive” beyond “physical” measures allow a more comprehensive assessment. This study reports a predictive analysis of patient properties on Disease Activity, and the degree to which these predictions could be uniquely attributable to Illness perception (IP), pain, and sex differences. Methods: This cross-sectional study was conducted in 108 patients with Rheumatoid Arthritis aged 18 to 65 years old, selected via convenience sampling. Measurements were collected using Disease Activity Score in 28 Joints (DAS28), patient's illness perception (IPQ-R), and numerical rating scale (NRS) for perceived pain. Data were analyzed applying Spearman and Pearson correlation coefficients and multiple stepwise regression (MSR) analyzes. Results: In correlation analysis, sex- Disease Activity association (.40**, P<0.01), Pain-Disease Activity association (.54**, P<0.01) were found. Additionally, we observed stronger and significant associations between IPQ-R subscales and Disease Activity [Identity (r =.53**, P<0.01) Personal control (r = -.40**, P<0.01) and Emotional representation (r =.36**, P<0.01)]. Regression analysis showed sex differences was a not significant predictor and perceived pain and three IPQ-R items (Identity, Personal control and Emotional representation) emerged as the strongest predictors (P<0.001). Conclusion: Disease Activity predicted by pain and three Illness perception items. By identifying the components affecting Disease Activity, the therapist can adjust complementary treatment according to patients' needs.
背景:在类风湿性关节炎(RA)管理的“靶向治疗”策略中,“身体”措施之外的“认知”措施允许进行更全面的评估。这项研究报告了对患者疾病活动特性的预测分析,以及这些预测在多大程度上可以唯一归因于疾病感知(IP)、疼痛和性别差异。方法:本研究对108名年龄在18至65岁的类风湿性关节炎患者进行了横断面研究,通过方便抽样的方式进行选择。使用28个关节的疾病活动评分(DAS28)、患者的疾病感知(IPQ-R)和感知疼痛的数字评定量表(NRS)收集测量结果。应用Spearman和Pearson相关系数以及多元逐步回归(MSR)分析数据。结果:在相关分析中,性别-疾病活动相关性(.40**,P<0.01),疼痛-疾病活动性相关性(.54***,P<0.01)。此外,我们观察到IPQ-R分量表与疾病活动之间存在更强且显著的相关性[身份(R=.53**,P<0.01)个人控制(R=-0.40**,P<0.01结论:通过疼痛和三个疾病感知项目预测疾病活动性。通过识别影响疾病活动的成分,治疗师可以根据患者的需求调整补充治疗。
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引用次数: 0
Antioxidant Supplements: A Promising Approach to improving COVID-19 Demonstrations 抗氧化剂补充剂:改善新冠肺炎症状的一种有前景的方法
Pub Date : 2022-03-06 DOI: 10.32598/jqums.25.2.1161.6
Sanaz Keshavarz Shahbaz, Y. Naderi, Samaneh Keshavarz hedayati, E. Aali
Severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) that causes COVID-19 could progress to acute respiratory distress syndrome (ARDS). The immune cells' migration in response to virus lead to cell death by releasing oxidizing free radicals. These oxidizing free radicals mediate NF-κB activation and induce transcription of cytokine-producing genes that eventually a cytokine storm ensues, leading to septic shock. The over-expression of oxidative stress and enhancing ROS and RNS production activates transcription factors like NF-κB, so repeating this cycle intensifies the host inflammatory responses. In this way, antioxidants as compounds that inhibit oxidation by terminating chain reactions are suggested for alleviating the COVID-19 demonstration. In the present review study, the pathogenesis of the virus, the virus immunopathology, the balance between immune responses and oxidative stress are discussed. Also in this review, due to the importance of oxidative stress in the pathogenesis of the disease, some of the most important antioxidant agents whose therapeutic effects have been shown in improving many viral infections, ARDS, and acute lung injury, are recommended to improve the patient’s condition infected with SARS-CoV-2. Besides, the last COVID-19 clinical studies in this field are summarized in this review article. These studies described that melatonin through promoting sleep quality by decreasing vascular permeability, reducing anxiety, and regulating blood pressure; and vitamin C through decreasing the mortality rates and the requirement for mechanical ventilation; and Glutathione through decreasing respiratory distress in the pneumonia of COVID-19 patients; and higher selenium levels could improve the COVID-19 patients' clinical outcomes
导致COVID-19的严重急性呼吸综合征-冠状病毒2 (SARS-CoV-2)可能发展为急性呼吸窘迫综合征(ARDS)。免疫细胞对病毒的迁移反应通过释放氧化自由基导致细胞死亡。这些氧化自由基介导NF-κB活化并诱导细胞因子产生基因的转录,最终引发细胞因子风暴,导致感染性休克。氧化应激的过度表达以及ROS和RNS生成的增强激活了NF-κB等转录因子,因此重复这一循环会加剧宿主的炎症反应。因此,建议使用抗氧化剂作为通过终止链式反应来抑制氧化的化合物来缓解COVID-19示范。本文就该病毒的发病机制、病毒免疫病理、免疫反应与氧化应激的平衡等方面进行了综述。在这篇综述中,由于氧化应激在疾病发病机制中的重要性,一些最重要的抗氧化剂被推荐用于改善SARS-CoV-2感染患者的病情,这些抗氧化剂的治疗效果已被证明可以改善许多病毒感染、ARDS和急性肺损伤。此外,本文还对近年来在该领域的临床研究进行了综述。这些研究描述了褪黑素通过降低血管通透性、减少焦虑和调节血压来提高睡眠质量;和维生素C,通过降低死亡率和机械通气的需求;谷胱甘肽可减轻COVID-19肺炎患者的呼吸窘迫;提高硒水平可改善COVID-19患者的临床预后
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引用次数: 0
Comparing bone mineral density in rheumatoid arthritis and psoriatic arthritis 类风湿关节炎与银屑病关节炎骨密度的比较
Pub Date : 2022-03-06 DOI: 10.32598/jqums.25.2.2773.1
F. Shirani, Amir Masoud Shahbazian, Solmaz Razi
Background: Changes in patients’ bone mineral density (BMD) is one of the problems in patients with rheumatoid arthritis, which can be due to the use of corticosteroid drugs to reduce patients' symptoms or due to the aging process in patients. In this study, we decided to compare BMD in patients with psoriatic arthritis and rheumatoid arthritis. Methods: This study as a cross-sectional descriptive-analytical study was performed to evaluate BMD in patients with psoriatic arthritis (n = 59) and rheumatoid arthritis (n = 41) that referred to Rasoul Akram Hospital in Tehran between 2016 and 2020. All patients were assessed by bone density scan (dual-energy X-ray absorptiometry or DEXA scan) to determine T score at the two spine and femur sites. Results: In the rheumatoid arthritis and psoriatic arthritis groups, the mean spine T score was -1.11±0.18 and -1.38±0.48, respectively, which did not show a significant difference between the two groups (p = 0.556). Similarly, in the two groups with rheumatoid arthritis and psoriatic arthritis, the mean femur T score was -1.36±0.17 and -1.78±0.61, respectively, which did not show a significant difference between the two groups (p = 0.451). Considering the underlying parameters including age, sex and duration of the disease, the lack of differences in the values of spine and femur T scores between the two groups was still evident. Conclusion: The change in BMD was equal in both rheumatoid arthritis and psoriatic arthritis that is not affected by gender, age or duration of disease.
背景:患者骨密度(BMD)的变化是类风湿性关节炎患者的问题之一,这可能是由于使用皮质类固醇药物来减轻患者的症状,也可能是由于患者的衰老过程。在这项研究中,我们决定比较银屑病关节炎和类风湿性关节炎患者的骨密度。方法:本研究是一项横断面描述性分析研究,旨在评估2016年至2020年间转诊至德黑兰Rasoul Akram医院的银屑病关节炎(n=59)和类风湿性关节炎(n=41)患者的骨密度。所有患者均通过骨密度扫描(双能X射线吸收仪或DEXA扫描)进行评估,以确定脊柱和股骨两个部位的T评分。结果:类风湿性关节炎和银屑病关节炎组的平均脊柱T评分分别为-1.11±0.18和-1.38±0.48,两组之间没有显著差异(p=0.556)。同样,类风湿性关节病和银屑病关节病两组的平均股骨T评分分别是-1.36±0.17和-1.78±0.61,考虑到包括年龄、性别和疾病持续时间在内的潜在参数,两组之间的脊柱和股骨T评分值仍明显缺乏差异。结论:类风湿性关节炎和银屑病的骨密度变化相同,不受性别、年龄或病程的影响。
{"title":"Comparing bone mineral density in rheumatoid arthritis and psoriatic arthritis","authors":"F. Shirani, Amir Masoud Shahbazian, Solmaz Razi","doi":"10.32598/jqums.25.2.2773.1","DOIUrl":"https://doi.org/10.32598/jqums.25.2.2773.1","url":null,"abstract":"Background: Changes in patients’ bone mineral density (BMD) is one of the problems in patients with rheumatoid arthritis, which can be due to the use of corticosteroid drugs to reduce patients' symptoms or due to the aging process in patients. In this study, we decided to compare BMD in patients with psoriatic arthritis and rheumatoid arthritis. Methods: This study as a cross-sectional descriptive-analytical study was performed to evaluate BMD in patients with psoriatic arthritis (n = 59) and rheumatoid arthritis (n = 41) that referred to Rasoul Akram Hospital in Tehran between 2016 and 2020. All patients were assessed by bone density scan (dual-energy X-ray absorptiometry or DEXA scan) to determine T score at the two spine and femur sites. Results: In the rheumatoid arthritis and psoriatic arthritis groups, the mean spine T score was -1.11±0.18 and -1.38±0.48, respectively, which did not show a significant difference between the two groups (p = 0.556). Similarly, in the two groups with rheumatoid arthritis and psoriatic arthritis, the mean femur T score was -1.36±0.17 and -1.78±0.61, respectively, which did not show a significant difference between the two groups (p = 0.451). Considering the underlying parameters including age, sex and duration of the disease, the lack of differences in the values of spine and femur T scores between the two groups was still evident. Conclusion: The change in BMD was equal in both rheumatoid arthritis and psoriatic arthritis that is not affected by gender, age or duration of disease.","PeriodicalId":22748,"journal":{"name":"The Journal of Qazvin University of Medical Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46632661","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
The effects of oral silver nanoparticles and propolis on level of lipid peroxidation in male Wistar rats 口服纳米银和蜂胶对雄性Wistar大鼠脂质过氧化水平的影响
Pub Date : 2022-03-06 DOI: 10.32598/jqums.25.2.1249.4
H. Piri, Zahra Mohammadi, E. Aali, S. H. Hadi Hosseini, Y. Naderi, N. Gheibi
Objective: Oxidative stress is a leading factor in the development of silver nanoparticle-induced toxicity. This study evaluated the effects of oral prescription of different doses of silver nanoparticles and propolis on lipid peroxidation in male Wistar rats. Materials and Methods: The male wistar rats were randomly divided into four groups. Control group and three different treatment groups with oral prescription of 30 ppm, 60 ppm, and 60 ppm of silver nanoparticles with 200 mg/kg of propolis. The Serum level of malondialdehyde (MDA) was measured by TBARS assay using Thiobarbituric acid (TBA). Results: The Serum level of MDA as a marker of lipid peroxidation in the control group was 1.92 mM/ml, and in other groups that received silver nanoparticles (30 ppm,60 ppm, 60 ppm with 200 mg/kg propolis) were respectively 2.82, 3.83 and 2.62 mM/ml. MDA level also increased at the doses of 30 ppm and 60 ppm compared to the control group and decreased when propolis was prescribed with silver nanoparticles in the third group; however, its value did not reach the level of the control group. Minimal levels of serum lipid peroxidation were observed when silver and propolis nanoparticles were administered to male rats. Conclusion: The mixture of silver nanoparticles and propolis reduces the toxic effects of silver nanoparticles; not only it preserves but also increases the efficiency of this compound in medical applications.
目的:氧化应激是银纳米粒子毒性发展的主要因素。本研究评价了口服不同剂量的纳米银和蜂胶对雄性Wistar大鼠脂质过氧化的影响。材料与方法:雄性wistar大鼠随机分为四组。对照组和三个不同的治疗组,口服30ppm、60ppm和60ppm的银纳米颗粒和200mg/kg的蜂胶。采用硫代巴比妥酸(TBA)TBARS法测定血清丙二醛(MDA)水平。结果:作为脂质过氧化标志物的MDA在对照组中的血清水平为1.92 mM/ml,而在接受银纳米颗粒(30 ppm、60 ppm和200 mg/kg蜂胶)的其他组中分别为2.82、3.83和2.62 mM/ml。与对照组相比,在30ppm和60ppm的剂量下MDA水平也增加,并且在第三组中当蜂胶与银纳米颗粒一起使用时MDA水平降低;但其数值没有达到对照组的水平。当银和蜂胶纳米颗粒被给予雄性大鼠时,观察到血清脂质过氧化的最低水平。结论:蜂胶与银纳米粒子的复配可降低银纳米粒子的毒性作用;它不仅保存而且提高了该化合物在医学应用中的效率。
{"title":"The effects of oral silver nanoparticles and propolis on level of lipid peroxidation in male Wistar rats","authors":"H. Piri, Zahra Mohammadi, E. Aali, S. H. Hadi Hosseini, Y. Naderi, N. Gheibi","doi":"10.32598/jqums.25.2.1249.4","DOIUrl":"https://doi.org/10.32598/jqums.25.2.1249.4","url":null,"abstract":"Objective: Oxidative stress is a leading factor in the development of silver nanoparticle-induced toxicity. This study evaluated the effects of oral prescription of different doses of silver nanoparticles and propolis on lipid peroxidation in male Wistar rats. Materials and Methods: The male wistar rats were randomly divided into four groups. Control group and three different treatment groups with oral prescription of 30 ppm, 60 ppm, and 60 ppm of silver nanoparticles with 200 mg/kg of propolis. The Serum level of malondialdehyde (MDA) was measured by TBARS assay using Thiobarbituric acid (TBA). Results: The Serum level of MDA as a marker of lipid peroxidation in the control group was 1.92 mM/ml, and in other groups that received silver nanoparticles (30 ppm,60 ppm, 60 ppm with 200 mg/kg propolis) were respectively 2.82, 3.83 and 2.62 mM/ml. MDA level also increased at the doses of 30 ppm and 60 ppm compared to the control group and decreased when propolis was prescribed with silver nanoparticles in the third group; however, its value did not reach the level of the control group. Minimal levels of serum lipid peroxidation were observed when silver and propolis nanoparticles were administered to male rats. Conclusion: The mixture of silver nanoparticles and propolis reduces the toxic effects of silver nanoparticles; not only it preserves but also increases the efficiency of this compound in medical applications.","PeriodicalId":22748,"journal":{"name":"The Journal of Qazvin University of Medical Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49063280","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
Wound healing using Semelil: A structured review with focus on diabetic foot ulcers Semelil用于伤口愈合:一项针对糖尿病足溃疡的结构化综述
Pub Date : 2022-03-06 DOI: 10.32598/jqums.25.2.667.9
Saeideh Makarem, Seyed Saeed Farzam, A. Allami
Diabetic Foot Ulcer (DFU) is a common complication of diabetes mellitus. Among the various non-invasive treatment modalities used for the improvement of DFUs healing, topical herbal therapies a regaining an increasing body of interest. Semelil has been introduced for diabetic foot ulcers management and has been formulated by Iranian scientists in recent years. In this report, the authors review the literature and discuss wound healing with focus on DFUs with Semelil. This review shows no complications with the application of Semelil and consensus on positive effects of the medication was found. In summary, our review showed that Semelil may be a valuable non-invasive treatment for the wound healing in DFUs patients and reduce the wound size during 4 week’s period without major adverse side effects.
糖尿病足溃疡(DFU)是糖尿病的常见并发症。在用于改善DFUs愈合的各种非侵入性治疗方式中,局部草药治疗正在重新获得越来越多的关注。Semelil已被引进用于糖尿病足溃疡的治疗,近年来由伊朗科学家配制。在这篇报告中,作者回顾了文献,并讨论了伤口愈合的重点是dfu与Semelil。这篇综述显示,Semelil的应用没有并发症,并且对药物的积极作用达成了共识。综上所述,我们的综述表明,Semelil可能是一种有价值的非侵入性治疗DFUs患者伤口愈合,并在4周内减少伤口大小,无重大不良反应。
{"title":"Wound healing using Semelil: A structured review with focus on diabetic foot ulcers","authors":"Saeideh Makarem, Seyed Saeed Farzam, A. Allami","doi":"10.32598/jqums.25.2.667.9","DOIUrl":"https://doi.org/10.32598/jqums.25.2.667.9","url":null,"abstract":"Diabetic Foot Ulcer (DFU) is a common complication of diabetes mellitus. Among the various non-invasive treatment modalities used for the improvement of DFUs healing, topical herbal therapies a regaining an increasing body of interest. Semelil has been introduced for diabetic foot ulcers management and has been formulated by Iranian scientists in recent years. In this report, the authors review the literature and discuss wound healing with focus on DFUs with Semelil. This review shows no complications with the application of Semelil and consensus on positive effects of the medication was found. In summary, our review showed that Semelil may be a valuable non-invasive treatment for the wound healing in DFUs patients and reduce the wound size during 4 week’s period without major adverse side effects.","PeriodicalId":22748,"journal":{"name":"The Journal of Qazvin University of Medical Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44188847","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
High frequency of nephropathy among the Iranian children and adolescents with type 1 diabetes 伊朗1型糖尿病儿童和青少年肾病发病率高
Pub Date : 2022-03-06 DOI: 10.32598/jqums.25.2.1077.3
B. Arad, Victoria Chegini, Nadia Talati, A. Homaei, F. Saffari
Background: Type 1 diabetes (T1D) is one of the most common chronic diseases in children, and nephropathy is a serious microvascular complication of T1D, which is associated with high mortality and morbidity. This study aimed to investigate the prevalence of diabetic nephropathy and comorbidities in children with T1D. Methods: This cross-sectional study was conducted on 208 children (aged 1–18 years old) with T1D referred to the Qazvin endocrinology clinic during 2017–2019. Anthropometric, demographic, laboratory, comorbidities data were collected. Results: The mean age at diagnosis of diabetes was 7.59 years, and the mean HbA1c level of the study subjects was 8.68 ± 1.42. Out of 208 diabetic patients, 64 (30.7%) had diabetic nephropathy, of which 53 (25.5%) had microalbuminuria, and 11 (5.3%) had macroalbuminuria. Among the studied diabetic patients, 30 (14.45%) had hypothyroidism, 12 patients (5.8%) had celiac disease, and 14 patients (6.7%) had anemia. Retinopathy was not found in any of the patients. Moreover, variables such as the duration of diabetes, puberty status, mean HbA1c levels, and age were significantly associated with diabetic nephropathy (p <0.05). Conclusion: In present study, 30.7% patients had diabetic nephropathy, of which 25.5% and 5.3% had microalbuminuria and macroalbuminuria, respectively. In addition, there was a significant relationship between puberty status and nephropathy (p <0.001). Also, mean HbA1c levels were significantly higher in patients with macroalbuminuria, which may corroborate the role of metabolic control of diabetes in the development of albuminuria.
背景:1型糖尿病(T1D)是儿童最常见的慢性疾病之一,肾病是T1D的一种严重的微血管并发症,具有较高的死亡率和发病率。本研究旨在调查T1D儿童糖尿病肾病和合并症的患病率。方法:这项横断面研究对2017年至2019年期间转诊至Qazvin内分泌诊所的208名T1D儿童(1岁至18岁)进行。收集了人体测量、人口统计学、实验室和合并症的数据。结果:诊断为糖尿病的平均年龄为7.59岁,研究对象的平均HbA1c水平为8.68±1.42。在208名糖尿病患者中,64名(30.7%)患有糖尿病肾病,其中53名(25.5%)患有微量白蛋白尿,11名(5.3%)患有大量白蛋白尿。在研究的糖尿病患者中,30名(14.45%)患有甲状腺功能减退症,12名(5.8%)患有乳糜泻,14名(6.7%)患有贫血。所有患者均未发现视网膜病变。此外,糖尿病持续时间、青春期状态、平均HbA1c水平和年龄等变量与糖尿病肾病显著相关(p<0.05)。结论:本研究中,30.7%的患者患有糖尿病肾病,其中微量白蛋白尿和大量白蛋白尿分别占25.5%和5.3%。此外,青春期状态与肾病之间存在显著关系(p<0.001)。此外,大量蛋白尿患者的平均HbA1c水平显著较高,这可能证实糖尿病代谢控制在蛋白尿发展中的作用。
{"title":"High frequency of nephropathy among the Iranian children and adolescents with type 1 diabetes","authors":"B. Arad, Victoria Chegini, Nadia Talati, A. Homaei, F. Saffari","doi":"10.32598/jqums.25.2.1077.3","DOIUrl":"https://doi.org/10.32598/jqums.25.2.1077.3","url":null,"abstract":"Background: Type 1 diabetes (T1D) is one of the most common chronic diseases in children, and nephropathy is a serious microvascular complication of T1D, which is associated with high mortality and morbidity. This study aimed to investigate the prevalence of diabetic nephropathy and comorbidities in children with T1D. Methods: This cross-sectional study was conducted on 208 children (aged 1–18 years old) with T1D referred to the Qazvin endocrinology clinic during 2017–2019. Anthropometric, demographic, laboratory, comorbidities data were collected. Results: The mean age at diagnosis of diabetes was 7.59 years, and the mean HbA1c level of the study subjects was 8.68 ± 1.42. Out of 208 diabetic patients, 64 (30.7%) had diabetic nephropathy, of which 53 (25.5%) had microalbuminuria, and 11 (5.3%) had macroalbuminuria. Among the studied diabetic patients, 30 (14.45%) had hypothyroidism, 12 patients (5.8%) had celiac disease, and 14 patients (6.7%) had anemia. Retinopathy was not found in any of the patients. Moreover, variables such as the duration of diabetes, puberty status, mean HbA1c levels, and age were significantly associated with diabetic nephropathy (p <0.05). Conclusion: In present study, 30.7% patients had diabetic nephropathy, of which 25.5% and 5.3% had microalbuminuria and macroalbuminuria, respectively. In addition, there was a significant relationship between puberty status and nephropathy (p <0.001). Also, mean HbA1c levels were significantly higher in patients with macroalbuminuria, which may corroborate the role of metabolic control of diabetes in the development of albuminuria.","PeriodicalId":22748,"journal":{"name":"The Journal of Qazvin University of Medical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42521156","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
Identification of Anti-HIV/Migraine Drugs as Potential Inhibitors of SARS-Cov2 Main Protease Using in Silico Assessments 用于Silico评估的抗HIV/偏头痛药物作为严重急性呼吸系统综合征冠状病毒2型主要蛋白酶的潜在抑制剂的鉴定
Pub Date : 2021-09-01 DOI: 10.32598/jqums.25.3.1
Hanifeh Shariatifar, Amir Hooshmand, N. Gheibi, A. Farasat
Background: The acute respiratory syndrome named “COVID-19” is caused by a novel coronavirus called Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Lack of specific antiviral drugs or proper vaccination has led to the development of new therapeutic methods against this virus. Objective The Mpro 3Clpro is the main protease of the SARS-CoV-2 which plays an important role in replication and transcription of the virus. Therefore, targeting this enzyme is a valuable approach for drug development. Methods: In the present study, the structural properties of 69 anti-migraine and 212 anti-HIV drugs were first obtained from Drug Bank database. To select the appropriate drugs for the enzyme inhibition, the AutoDock Vina software was used. The molecular dynamics (MD) simulation method was applied for better recognition of the structural changes. Results: We identified Rimegepant (PubChem ID: 51049968), Dihydroergotamine (PubChem ID: 10531) and Ergotamine (PubChem ID: 8223) as potential inhibitors of Mpro 3Clpro. These complexes were equilibrated after 70 ns. Conclusion: Among these compounds, the anti-migraine drug “Rimegepant” showed the highest affinity for binding to the Mpro 3Clpro (-60.8 kJ/mol). This study provides enough evidence for further accomplishment of the identified compounds in the development of effective therapeutics methods against COVID-19.
背景:“COVID-19”是由一种名为“严重急性呼吸综合征冠状病毒2”(SARS-CoV-2)的新型冠状病毒引起的急性呼吸综合征。缺乏特定的抗病毒药物或适当的疫苗接种导致了针对这种病毒的新治疗方法的发展。目的mpro3clpro是SARS-CoV-2的主要蛋白酶,在病毒复制和转录过程中起重要作用。因此,靶向这种酶是一种有价值的药物开发方法。方法:本研究首次从药物库数据库中获得69种抗偏头痛药物和212种抗hiv药物的结构性质。使用AutoDock Vina软件选择合适的酶抑制药物。为了更好地识别结构变化,采用分子动力学(MD)模拟方法。结果:我们确定Rimegepant (PubChem ID: 51049968)、双氢麦角胺(PubChem ID: 10531)和麦角胺(PubChem ID: 8223)是Mpro 3Clpro的潜在抑制剂。这些配合物在70 ns后达到平衡。结论:抗偏头痛药物Rimegepant与Mpro 3Clpro结合的亲和力最高(-60.8 kJ/mol)。该研究为进一步完成鉴定的化合物在开发有效的COVID-19治疗方法方面提供了足够的证据。
{"title":"Identification of Anti-HIV/Migraine Drugs as Potential Inhibitors of SARS-Cov2 Main Protease Using in Silico Assessments","authors":"Hanifeh Shariatifar, Amir Hooshmand, N. Gheibi, A. Farasat","doi":"10.32598/jqums.25.3.1","DOIUrl":"https://doi.org/10.32598/jqums.25.3.1","url":null,"abstract":"Background: The acute respiratory syndrome named “COVID-19” is caused by a novel coronavirus called Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Lack of specific antiviral drugs or proper vaccination has led to the development of new therapeutic methods against this virus. Objective The Mpro 3Clpro is the main protease of the SARS-CoV-2 which plays an important role in replication and transcription of the virus. Therefore, targeting this enzyme is a valuable approach for drug development. Methods: In the present study, the structural properties of 69 anti-migraine and 212 anti-HIV drugs were first obtained from Drug Bank database. To select the appropriate drugs for the enzyme inhibition, the AutoDock Vina software was used. The molecular dynamics (MD) simulation method was applied for better recognition of the structural changes. Results: We identified Rimegepant (PubChem ID: 51049968), Dihydroergotamine (PubChem ID: 10531) and Ergotamine (PubChem ID: 8223) as potential inhibitors of Mpro 3Clpro. These complexes were equilibrated after 70 ns. Conclusion: Among these compounds, the anti-migraine drug “Rimegepant” showed the highest affinity for binding to the Mpro 3Clpro (-60.8 kJ/mol). This study provides enough evidence for further accomplishment of the identified compounds in the development of effective therapeutics methods against COVID-19.","PeriodicalId":22748,"journal":{"name":"The Journal of Qazvin University of Medical Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43814920","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
Quantitative Structure-Activity Relationships and Molecular Docking Simulation of Allicin Compounds as Inhibitors of COVID-19 Protease Enzyme 大蒜素类新冠肺炎蛋白酶抑制剂的定量构效关系及分子对接模拟
Pub Date : 2021-09-01 DOI: 10.32598/jqums.25.3.7
H. Piri, E. Hajialilo, Sayyed Nima Hashemi Ghermezi, Mohammad Taghi Goodarzi, Saeede Salemi-Bazargani, A. Eghdami
Background: Coronavirus (CoV) is a group of viruses that cause disease in humans and animals. These viruses contain crown-shaped spike glycoproteins on their surface. Objective: We conducted a quantitative structure-activity relationship (QSAR) study on a series of 36 compounds of allicin to assess their antiviral activities against the main protease of COVID-19. Methods: In the present descriptive-analytic study, the information on the structure of compounds, the COVID-19 protease enzyme, and the Allicin derivatives was obtained from the databases such as the Research Collaboratory for Structural Bioinformatics’ Protein Data Bank (PDB) and PubChem. The QSAR method, analysis of correlations and multiple linear regressions were carried out. Six molecular descriptors such as constitutional and molecular topology descriptors were selected for the model. Finally, molecular docking was performed in iGEMDOCK 2.1 software. Results: The obtained multi-parametric model reported a correlation coefficient of about 0.89, indicating that the model was able to satisfactory predict the antiviral activity of allicin compounds. Conclusion: The findings obtained can be valuable in designing, synthesizing, and developing novel antiviral agents with allicin-based scaffold.
背景:冠状病毒(CoV)是一组导致人类和动物疾病的病毒。这些病毒表面含有冠状刺突糖蛋白。目的:对36个大蒜素化合物进行定量构效关系(QSAR)研究,评价其对新冠肺炎主要蛋白酶的抗病毒活性。方法:在本描述分析研究中,从结构生物信息学研究合作组织的蛋白质数据库(PDB)和PubChem等数据库中获得化合物、新冠肺炎蛋白酶和大蒜素衍生物的结构信息。采用定量构效关系分析方法,进行相关性分析和多元线性回归。为该模型选择了六个分子描述符,如组成描述符和分子拓扑描述符。最后,在iGEMDOCK 2.1软件中进行了分子对接。结果:得到的多参数模型的相关系数约为0.89,表明该模型能够令人满意地预测大蒜素化合物的抗病毒活性。结论:研究结果对大蒜素支架抗病毒药物的设计、合成和开发具有一定的指导意义。
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The Journal of Qazvin University of Medical Sciences
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