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Coronavirus Disease 19 (COVID-19) Affects the Occurrence of Acute Heart Attacks: Case Report 冠状病毒病19 (COVID-19)影响急性心脏病发作:病例报告
Pub Date : 2021-10-08 DOI: 10.37022/WJCMPR.V3I5.191
I. Made, Bayu Puradipa, Cyndiana Widia, Dewi Sinardja
Background. Global Pandemic of COVID-19 is a viral infection caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) that primary target in respiratory system and spread rapidly around the world through droplets and direct contact. On the other side, COVID-19 affects to damage the myocardial causing acute heart attacks including Unstable Angina (UAP), Non-ST Elevation Myocardial Infraction (NSTEMI) or ST Elevation Myocardial Infarction (STEMI) and still represents a major cause of morbidity and mortality worldwide that affects about 15.5 million in the United States. The common risk factors of ACS are male sex, family history of early myocardial infarction (55 years old), hypertension, diabetes, hyperlipidemia, smoking, sedentary lifestyle, and obesity. However, in this case report the viral infection is the only main cause of ACS Case Description. A male 65 years old came to ER complained shortness of breath with no comobid. The ECG showed sinus rhythm, right bundle branch block, lateral ischemia. The COVID-19 RT-PCR resulted was positive with elevation of cardiac enzymes. Discussion. ACE2 mediated SARS-CoV-2 enters into the lung alveolar epithelial cell and host cell. ACE2 is also spread widely in human heart, and vessels. Infection of endothelial and pericytes could lead to microvascular and microvascular dysfunction. Cytokine storm, increasing interleukin (IL)-6, IL-7, IL-22, and CXCL10 may leading to atherosclerosis plaque instability or rupture and contributing to development of acute coronary events. Conclusion. COVID-19 can lead to NSTEMI. Although cardiac biomarker was high, NSTEMI need further examination including coronary angiography.
背景。COVID-19全球大流行是由严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)引起的病毒性感染,主要以呼吸系统为目标,通过飞沫和直接接触在全球迅速传播。另一方面,COVID-19会损害心肌,导致急性心脏病发作,包括不稳定型心绞痛(UAP)、非ST段抬高型心肌梗死(NSTEMI)或ST段抬高型心肌梗死(STEMI),并且仍然是全球发病率和死亡率的主要原因,在美国影响约1550万人。ACS的常见危险因素为男性、早期心肌梗死家族史(55岁)、高血压、糖尿病、高脂血症、吸烟、久坐生活方式、肥胖。然而,在本病例报告中,病毒感染是ACS的唯一主要原因。一名65岁男性到急诊室就诊,主诉呼吸急促,无合并症。心电图显示窦性心律,右束支阻滞,外侧缺血。COVID-19 RT-PCR结果呈阳性,心肌酶升高。讨论。ACE2介导的SARS-CoV-2进入肺泡上皮细胞和宿主细胞。ACE2也广泛分布于人类心脏和血管中。内皮细胞和周细胞感染可导致微血管和微血管功能障碍。细胞因子风暴,增加白细胞介素(IL)-6、IL-7、IL-22和CXCL10可能导致动脉粥样硬化斑块不稳定或破裂,并有助于急性冠状动脉事件的发展。结论。COVID-19可导致NSTEMI。虽然心脏生物标志物高,但NSTEMI需要进一步检查,包括冠状动脉造影。
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引用次数: 0
Regulatory considerations for emergency use authorizations of medical products U/s 564 of the federal food drug and cosmetic act, usa 美国《联邦食品药品和化妆品法》U/s 564对医疗产品紧急使用授权的监管考虑
Pub Date : 2021-10-08 DOI: 10.37022/WJCMPR.V3I5.192
Chudamani Sunandini Katikala, Ramaiah Maddi
The United States (US) remains the greatest medical device (MD) market on earth $156 billion (40 percent of the overall MD market in 2017). By 2023, it is depended upon to create to $208 billion. As per USFDA, the MD are orchestrated into three classifications. The U.S. Food and Drug Administration's and Center for Devices and Radiological Health (CDRH) supervises MD advertised in the United States. The United States Federal Food, Drug, and Cosmetic Act (abbreviated as FFDCA, FDCA, or FD&C) is a group of laws passed by Congress in 1938 offering power to the U.S. Food and Drug organization (FDA) to administer the safety of food, drugs, cosmetic products and MD’s. An Emergency Use Authorization (EUA) under Section 564 of the FD&C Act considers the unique utilization of medications and other clinical products during particular kinds of crises. This review articles focused the process of EUA of medical products u/s 564 of the Federal Food Drug and Cosmetic Act, USA.
美国仍然是世界上最大的医疗器械(MD)市场,价值1560亿美元(占2017年整个MD市场的40%)。到2023年,这一数字有望达到2080亿美元。根据美国食品药品监督管理局的规定,MD分为三类。美国食品和药物管理局和设备和放射健康中心(CDRH)监督在美国广告的MD。美国联邦食品、药品和化妆品法案(简称FFDCA、FDCA或FD&C)是国会于1938年通过的一组法律,赋予美国食品和药物组织(FDA)管理食品、药品、化妆品和MD安全的权力。根据FD&C法案第564条,紧急使用授权(EUA)考虑在特定类型的危机期间药物和其他临床产品的独特利用。本文综述了美国联邦食品药品化妆品法u/s 564中医疗产品的EUA过程。
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引用次数: 0
Clinical trials tranformation intiative-decentralized clinical trials: a review article 临床试验转型倡议-分散临床试验:综述文章
Pub Date : 2021-10-04 DOI: 10.37022/WJCMPR.V3I5.190
Shirisha Jakkula, Pravalika Pasupuleti, Mujeebuddin C.S, Ravi Gaur, Sujay S. Patil
In clinical research, Decentralized clinical trials (DCTs) can provide opportunities to maximize efficiencies. Unlike the traditional clinical trial model, Decentralized Clinical Trials (DCTs) promote telemedicine, mobile/local healthcare providers (HCPs), mobile/web-based technology, and direct distribution of Investigational Medicinal Products (IMP) to patients, among other things.  Hence, DCTs are in the spotlight as technology, infrastructure, and knowledge providing a backbone in clinical research. Background: Advances in electronic communication, data storage, emerging technologies, and biosensor development provides new opportunities to exchange information, such as the patient is tested from their home locations and are with locations distant from the investigator. Trials that take place at locations distant from the investigator (i.e., spectrum: CCTs → Hybrid Models → DCTs) in any or all study-related procedures and data is collected electronically fall in the category of the decentralized clinical trial. Trials should be designed to integrate the current healthcare system of the study subject, optimize convenience for study subjects and take advantage of existing programs and data sources including The study subjects themselves through the utilization of telecommunication, videoconferences, mobile or internet-based tools for patient reporting, mobile technology tools and biosensors. Local healthcare providers, home-based healthcare services, pharmacies, clinics, regional hospitals, their perceived obstacles have impeded the widespread use of mobile devices in clinical trials. To encourage solutions to these challenges, The Clinical Trial Transformation Initiative (CTTI) has released best practices and practical methods to advance solutions to these issues that clinical trial sponsors can now use. Conclusion: Decentralized clinical trials are not only operationally feasible and show high recruitment rates, have better compliance, lower dropout rates, and are conducted faster. DCT meets the goal of the industry in being low-risk, high returns trials and can offer a reliable, time-based, and cost-effective approach.
在临床研究中,分散临床试验(dct)可以提供最大化效率的机会。与传统的临床试验模式不同,分散式临床试验(dct)促进远程医疗、移动/本地医疗保健提供者(hcp)、移动/基于网络的技术,以及直接向患者分发临床试验产品(IMP)等。因此,dct作为技术、基础设施和知识成为临床研究的支柱而备受关注。背景:电子通信、数据存储、新兴技术和生物传感器发展的进步为信息交换提供了新的机会,例如患者在家中进行测试,而在远离研究者的地方进行测试。在任何或所有与研究相关的程序中,在远离研究者的地方进行的试验(即光谱:cct→混合模型→dct)和以电子方式收集数据的试验属于分散临床试验的范畴。试验的设计应整合研究对象当前的医疗保健系统,优化研究对象的便利性,并通过利用电信、视频会议、基于移动或互联网的患者报告工具、移动技术工具和生物传感器,利用现有的方案和数据源,包括研究对象本身。当地医疗保健提供者、家庭医疗保健服务、药房、诊所、区域医院,他们认为存在的障碍阻碍了在临床试验中广泛使用移动设备。为了鼓励解决这些挑战,临床试验转型倡议(CTTI)发布了最佳实践和实用方法,以推进临床试验发起人现在可以使用的这些问题的解决方案。结论:分散临床试验在操作上可行,招募率高,依从性好,退出率低,开展速度快。DCT满足了低风险、高回报的行业目标,可以提供可靠、基于时间和成本效益的方法。
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引用次数: 0
Phytopharmaceutical profile of Ficus thonningii : An updated Review 榕树植物药物研究进展
Pub Date : 2021-08-31 DOI: 10.37022/wjcmpr.v3i4.188
A. Bala, A. Singh, A. Singh
Ficus thonningii is a plant that is widely utilised in African ethnomedicine to cure a variety of ailments. a rational examination of F. thonningii's nutritional, phytochemical, and pharmacological characteristics in connection to its medicinal uses.Alkaloids, terpenoids, flavonoids, tannins, and active proteins are among the bioactive components found in Ficus thonningii, all of which contribute to its therapeutic qualities.Continue to discover, isolate, and quantify the active components, as well as establish the processes behind its curative powers.
无花果是一种在非洲民族医学中被广泛用于治疗各种疾病的植物。从药用角度合理地考察了黄芩的营养、植物化学和药理特性。生物碱、萜类、黄酮类、单宁和活性蛋白是榕树中发现的生物活性成分,所有这些都有助于其治疗品质。继续发现、分离和量化其有效成分,并确定其疗效背后的过程。
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引用次数: 1
Electro-spun nano fiber of carboxymethyl cellulose – curcumin and its applications 羧甲基纤维素-姜黄素电纺丝纳米纤维及其应用
Pub Date : 2021-08-24 DOI: 10.37022/wjcmpr.v3i4.184
L S Afinisha Deepam, M. Krishnan, S AswathySudhakar, S PaulrajL
Cellulose is a prominent scaffolding polysaccharide found in plants as micro fibrils which form the structurally strong framework in the cell walls. It has wide variety of uses such as attacking agent, emulsifier, stabilizer etc. Its use can be further enhanced by converting cellulose into cellulose derivatives. One of the most important cellulose derivatives is carboxy methyl cellulose (CMC). In the present study, cellulose is converted to CMC thereby preparing CMC – curcumin nanofiber by using electro spinning method. The functional groups identification was done by using UV Visible spectroscopy and FT-IR. Surface structure was analyzed by using Scanning Electron Microscopy. The antifungal activity was studied against Aspergillus niger and Candida albicans. . The antibacterial activities also studied for the samples against E.coli, Klebsiella pneumonia, Streptococcus mutans and Staphylococcus aureus.
纤维素是一种突出的支架多糖,在植物中以微原纤维的形式存在,形成细胞壁结构坚固的框架。它具有多种用途,如攻击剂、乳化剂、稳定剂等。通过将纤维素转化为纤维素衍生物,可以进一步增强其用途。羧甲基纤维素是一种重要的纤维素衍生物。本研究采用电纺丝法将纤维素转化为CMC,制备CMC -姜黄素纳米纤维。利用紫外可见光谱和傅里叶红外光谱对其官能团进行了鉴定。用扫描电镜对其表面结构进行了分析。研究了其对黑曲霉和白色念珠菌的抑菌活性。并研究了样品对大肠杆菌、肺炎克雷伯菌、变形链球菌和金黄色葡萄球菌的抑菌活性。
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引用次数: 0
G6Pd deficiency with severe hemolytic anemia: a case report G6Pd缺乏伴严重溶血性贫血1例
Pub Date : 2021-07-31 DOI: 10.37022/wjcmpr.v3i4.179
Zahoor Hussain Daraz, Berkheez Shabir, Rehana Afshan, Pamelle Yadav, Mohamed Rashwan Meselhy shady
A 3-year-old boy presented to our atoll hospital in H.A Alif Dhidhoo, with severe pallor, jaundice, easy fatigability and recurrent episodes of passage of dark-colored urine for past 3 days. He was born mature at 39 weeks of gestation with no past significant medical history. Recent history revealed the consumption of 2 cans of fava beans and application of some medicinal herbs. On admission, physical examination revealed fever of 101 degree Fahrenheit, severe pallor, jaundice, cervical lymphadenopathy and mild hepatomegaly. Laboratory investigation results showed a hemoglobin level of 5.4 g/dl with a hemolytic blood picture and serum Bilirubin of 6mg/dl. The patient's G6PD level was measured which showed marked deficiency. Other causes of hemolytic anemia were excluded. Patient required urgent packed RBC transfusion and antibiotics for infection. He responded well to the treatment and was discharged in a stable condition. Parents were appropriately advised on the condition and the importance of avoiding certain foods and medication. Folic acid was prescribed for maintaining normal hemoglobin concentration. This is a first case report in North Maldives of G6PD presenting with severe hemolytic anemia requiring blood transfusion.
一名3岁男孩在我们位于H.A Alif Dhidhoo的环礁医院就诊,过去3天出现严重苍白、黄疸、易疲劳和反复出现深色尿。他在怀孕39周时出生成熟,过去没有明显的病史。最近的历史显示,食用了2罐蚕豆和使用了一些草药。入院时,体格检查显示发烧101华氏度,严重苍白,黄疸,颈部淋巴结病变和轻度肝肿大。实验室检查结果显示血红蛋白水平为5.4 g/dl,伴有溶血图像,血清胆红素为6mg/dl。测定患者G6PD水平,显示明显不足。排除其他原因的溶血性贫血。病人需要紧急输血和抗生素治疗感染。他对治疗反应良好,出院时情况稳定。家长们得到了适当的建议,了解了这种情况以及避免某些食物和药物的重要性。叶酸用于维持正常血红蛋白浓度。这是马尔代夫北部报告的首例G6PD病例,表现为需要输血的严重溶血性贫血。
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引用次数: 0
Recurrent pleural effusion in patient with liver cirrhosis – a case report 肝硬化患者复发性胸腔积液1例
Pub Date : 2021-01-01 DOI: 10.37022/wjcmpr.v3i4.186
D. Paramita, Putu Indri Widiani, Wayan Sunaka
Liver cirrhosis is caused by necrosis of liver cells leading to fibrosis and nodule formation. Structural abnormalities of the liver causing impaired hepatocyte function and portal hypertension. Hepatic hydrothorax is a less common pulmonary complication of portal hypertension. We present a 47 years old man with liver cirrhosis and recurrent massive pleural effusion. Diagnosis can be challenging because it can be associated with pulmonary or systemic disorders. Pleural fluid analysis is necessary to differentiate transudate or exudate as the cause of pleural effusion. Thoracentesis is done to reduce the complaints experienced by the patient.
肝硬化是由肝细胞坏死导致纤维化和结节形成引起的。肝脏结构异常导致肝细胞功能受损和门静脉高压症。肝性胸水是门脉高压较不常见的肺部并发症。我们报告一个47岁的男性肝硬化和复发性大量胸腔积液。诊断可能具有挑战性,因为它可能与肺部或全身疾病有关。胸水分析是必要的,以区分渗出或渗出作为胸腔积液的原因。胸腔穿刺是为了减少病人的抱怨。
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引用次数: 0
The prevalence of characteristic corneal ulcer patients in sanglah general hospital, in indonesia 印度尼西亚sanglah总医院特征性角膜溃疡患者的患病率
Pub Date : 2021-01-01 DOI: 10.37022/wjcmpr.v3i4.182
S. Wiranata, I. W. Eka Sutyawan, I. P. Budhiastra
Purpose: The purpose of the study was to perceive epidemiology, predisposing and varied risk factors, age, gender, profession, ulcus location, lateralization, visus category, medication. It also determines the relationship between each factor with infection and non-infection in Sanglah General Hospital, Bali. Methods: This is a cross-sectional study with method was used with 44 patients conferred in the Ophthalmology Department. The purposive sampling technique was also used in this study by considering exclusion and inclusion criteria. Then, the data were analyzed and assessed for medication and surgery for treatment between January 2017 and October 2018 using SPSS 25 version. Results: The mean age at diagnosis was 49.16±2.58 years, where samples of corneal ulcer infection made up 56.8%, and most of the cases occurred within the age group 30 - 60 years. Meanwhile, the infection mostly occurred in males, at a proportion of 77.3%, and based on the profession, 43.2% of the corneal ulcer were farmers. The most predisposing factor for infectious corneal ulcers was trauma, at 36.4%, as 39 patients had a central ulcus, where 47.7% were infectious, and 36.4% were non-infectious. However, not all the study variables were statistically significant (p > 0.05) with the patient's corneal. Conclusion: The findings of this study showed that corneal ulcer is common and mostly affects male. Furthermore, the epidemiological trends from developing countries with a predominance of infectious corneal ulcers were additional or less common. Therefore, more analysis with larger and specific sample sizes is required to be developed for resultant analytical research
目的:研究的目的是了解流行病学,易感因素和各种危险因素,年龄,性别,职业,瘘口位置,侧边,视觉类别,药物。它还确定了巴厘岛Sanglah总医院各因素与感染和非感染之间的关系。方法:采用横断面研究方法对44例在眼科就诊的患者进行研究。本研究还采用了目的抽样技术,考虑了排除标准和纳入标准。然后,使用SPSS 25版本对2017年1月至2018年10月期间的药物和手术治疗数据进行分析和评估。结果:平均诊断年龄为49.16±2.58岁,其中角膜溃疡感染病例占56.8%,主要发生在30 ~ 60岁年龄组。同时,感染以男性为主,占77.3%,按职业分,农民占43.2%。感染性角膜溃疡的最易诱发因素是创伤,占36.4%,其中39例患者有中央溃疡,其中47.7%为传染性,36.4%为非传染性。然而,并非所有的研究变量都与患者的角膜有统计学意义(p > 0.05)。结论:本研究结果表明,角膜溃疡是一种常见病,且以男性为主。此外,以感染性角膜溃疡为主的发展中国家的流行病学趋势更为普遍或较不常见。因此,更多的分析与更大的和特定的样本量是需要开发的结果分析研究
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引用次数: 0
The promising oncostatic effects of melatonin against ovarian cancer 褪黑素对卵巢癌的抑瘤作用
Pub Date : 2021-01-01 DOI: 10.37022/wjcmpr.v3i4.185
N. K. Das, S. Samanta
Melatonin is a pineal hormone, secreted at the subjective night. It is involved in the regulation of many physiological functions, including the sleep-wake cycle, gonadal activity, free radical scavenging, immunomodulation, neuro-protection, and cancer progression. Melatonin acts through cell surface receptors (MT1 and MT2) as well as nuclear receptors. Circadian dysfunction can alter the secretion of melatonin. Inappropriate melatonin level promotes the initiation of many pathologies including cancer. Ovarian cancer is a common form of gynecological disease. Several studies indicate the profound link between impaired melatonin secretion and the progression of ovarian cancer. Melatonin exerts oncostatic effects in multiple ways; it acts as a potent antioxidant, induces apoptosis, and regulates metabolism, and chronic inflammatory response in ovarian cancer cells. Moreover, melatonin improves the efficacy of the current treatment regimen of ovarian cancer and can be used as an adjuvant.
褪黑素是一种松果体激素,在主观夜晚分泌。它参与许多生理功能的调节,包括睡眠-觉醒周期、性腺活动、自由基清除、免疫调节、神经保护和癌症进展。褪黑素通过细胞表面受体(MT1和MT2)以及核受体起作用。昼夜节律紊乱会改变褪黑激素的分泌。不适当的褪黑素水平会促进包括癌症在内的许多病理的发生。卵巢癌是一种常见的妇科疾病。几项研究表明褪黑激素分泌受损与卵巢癌的进展之间存在着深刻的联系。褪黑素通过多种方式发挥抗静电作用;它作为一种有效的抗氧化剂,诱导细胞凋亡,调节卵巢癌细胞的代谢和慢性炎症反应。此外,褪黑素可以提高目前卵巢癌治疗方案的疗效,并可作为辅助治疗。
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引用次数: 0
Memory Potential Herb: A Review 记忆潜能药草:综述
Pub Date : 2021-01-01 DOI: 10.37022/wjcmpr.v3i4.180
Chandrika Sharma, A. Singh, A. Singh
Memory is an important aspect of cognition. For its health-promoting qualities, Ayurveda is gaining popularity and attention in many areas of the globe. Dementia is a condition in which a person's mental and cognitive abilities gradually deteriorate. Dementia has been related to a number of risk factors and circumstances, including inadequate cerebral blood flow, toxin exposure, mitochondrial malfunction, and oxidative damage, and it often coexists with other neurodegenerative diseases, such as Dementia and memory loss. As a consequence, the present research focuses on the many herbal ayurvedic medicinal plants and their connection to memory functions.
记忆是认知的一个重要方面。由于其促进健康的品质,阿育吠陀在全球许多地区越来越受欢迎和关注。痴呆症是一种人的精神和认知能力逐渐恶化的疾病。痴呆症与许多危险因素和情况有关,包括脑血流量不足、毒素暴露、线粒体功能障碍和氧化损伤,并且经常与其他神经退行性疾病共存,如痴呆症和记忆力丧失。因此,目前的研究集中在许多草药阿育吠陀药用植物及其与记忆功能的联系上。
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引用次数: 0
期刊
World Journal of Current Medical and Pharmaceutical Research
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