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First human death due to monkeypox virus in Pakistan: a public health concern for resource-limited non-endemic countries 巴基斯坦首例猴痘病毒导致的人类死亡:资源有限的非流行国家的公共卫生问题
Pub Date : 2024-01-01 DOI: 10.1097/gh9.0000000000000407
P. Satapathy, Sarvesh Rustagi, Ahmad Neyazi, M. Neyazi, A. Gaidhane, M. Khatib, Q. Zahiruddin
As the global threat of COVID-19 escalates, countries like Pakistan are still reeling from outbreaks of monkeypox virus (mpox). The first reported death due to mpox has raised concerns among locals. Mpox, which is related to smallpox, transmits through contact and respiratory droplets. Diagnosis relies on laboratory tests, and although no specific vaccine for mpox exists, the smallpox vaccine provides some protection. Pakistan’s response strategy emphasizes surveillance, increasing public awareness, and enhancing healthcare readiness, highlighting the need for a coordinated approach to control and prevent further outbreaks.
随着 COVID-19 的全球威胁不断升级,巴基斯坦等国仍在遭受猴痘病毒(mpox)爆发的困扰。首例因猴痘死亡的报告引发了当地人的担忧。猴痘与天花有关,通过接触和呼吸飞沫传播。虽然目前还没有专门针对天花的疫苗,但天花疫苗可提供一定的保护。巴基斯坦的应对战略强调监测、提高公众意识和加强医疗保健准备,突出了采取协调方法控制和防止进一步爆发的必要性。
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引用次数: 0
Addressing the emerging concern of tick-borne meat allergy in the U.S.: a call to action 应对美国新出现的蜱媒肉类过敏问题:行动呼吁
Pub Date : 2024-01-01 DOI: 10.1097/gh9.0000000000000371
Aliza Ahmed, Fatima Jawaid, Laiba Ayub, Kanza Farhan, Muhammad Burhan Tariq, F. A. Ahmed
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引用次数: 0
Risk for Crimean-Congo hemorrhagic fever in Pakistan 巴基斯坦的克里米亚-刚果出血热风险
Pub Date : 2024-01-01 DOI: 10.1097/gh9.0000000000000393
Juvairia Yousuf, Sayed Jawad Hussaini, Hania-Tul Mirha, Z. Rahmat, Abdullah Malikzai
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引用次数: 0
Evaluating the therapeutic efficacy of SKYCLARYS: a promising FDA-approved drug for Friedreich ataxia treatment 评估 SKYCLARYS 的疗效:一种经 FDA 批准用于治疗弗里德里希共济失调的前景看好的药物
Pub Date : 2024-01-01 DOI: 10.1097/gh9.0000000000000394
Usaid Ahmed, Laiba Afaq, Aqeel Muhammad, Rumaisa Riaz, Aymar Akilimali
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引用次数: 0
Castration resistant prostate cancer: recent advances in novel therapeutic treatments 阉割抵抗性前列腺癌:新型疗法的最新进展
Pub Date : 2024-01-01 DOI: 10.1097/GH9.0000000000000400
Hareer Fatima, Hussain Sohail Rangwala, Faiza Riaz, Laiba Ali, S. R. Abbas, Shajee-Ul -Haque
Prostate cancer is a prevalent and deadly malignancy that poses challenges in diagnosis and treatment. It is the second most common cancer in men worldwide and the fifth leading cause of cancer-related deaths. This abstract provides an overview of current treatments and recent advances in the field of prostate cancer treatment, with a focus on metastatic castration-resistant prostate cancer (mCRPC). Current treatments for mCRPC include chemotherapy, endocrine therapy, and bone-targeting therapy. Chemotherapy drugs such as docetaxel and cabazitaxel are commonly used, but their efficacy is limited. Endocrine therapy, particularly androgen-receptor signaling inhibitors like abiraterone acetate, has shown significant clinical benefits. Bone-targeting therapies such as bisphosphonates and denosumab provide symptomatic relief for bone metastases. Recent advances in novel treatments have shown promise in improving outcomes for patients with mCRPC. Trials investigating the PARP inhibitor rucaparib have demonstrated longer progression-free survival, particularly in patients with BRCA mutations. The combination of talazoparib and enzalutamide has also shown improved progression-free survival and delayed the need for chemotherapy. Another promising treatment is darolutamide, which has been shown to reduce the risk of metastasis or death and extend metastasis-free survival. Immunotherapy, particularly sipuleucel-T and PROSTVAC, has shown potential in reducing mortality risk and increasing overall survival (OS) in mCRPC patients. The combination of sipuleucel-T with abiraterone acetate or enzalutamide has been found to be effective and safe. The introduction of lutetium Lu 177 vipivotide tetraxetan, a PSMA-targeted therapy, has shown improved OS in PSMA-positive mCRPC patients. Radium-223, a radioactive drug targeting bone metastasis, has also demonstrated improved OS and delayed skeletal-related events. These recent advances in prostate cancer treatment offer hope for improved outcomes for patients with mCRPC. Further research and clinical trials are needed to validate these findings and explore additional treatment options.
前列腺癌是一种常见的致命恶性肿瘤,给诊断和治疗带来了挑战。它是全球第二大男性常见癌症,也是癌症相关死亡的第五大原因。本摘要概述了前列腺癌治疗领域的当前治疗方法和最新进展,重点关注转移性抗性前列腺癌(mCRPC)。目前治疗mCRPC的方法包括化疗、内分泌治疗和骨靶向治疗。多西他赛和卡巴他赛等化疗药物是常用药物,但其疗效有限。内分泌治疗,尤其是雄激素受体信号转导抑制剂,如醋酸阿比特龙,已显示出显著的临床疗效。双膦酸盐和地诺单抗等骨靶向疗法可缓解骨转移的症状。新型疗法的最新进展显示,有望改善 mCRPC 患者的治疗效果。研究 PARP 抑制剂 rucaparib 的试验表明,无进展生存期更长,尤其是在 BRCA 基因突变的患者中。talazoparib和enzalutamide的联合治疗也改善了无进展生存期,并推迟了化疗需求。另一种很有前景的治疗方法是达罗他胺(darolutamide),它已被证明可以降低转移或死亡风险,延长无转移生存期。免疫疗法,尤其是sipuleucel-T和PROSTVAC,在降低mCRPC患者的死亡风险和提高总生存期(OS)方面已显示出潜力。研究发现,sipuleucel-T与醋酸阿比特龙或恩杂鲁胺联合使用既有效又安全。镥Lu 177 vipivotide tetraxetan是一种PSMA靶向疗法,它的引入改善了PSMA阳性mCRPC患者的OS。镭-223是一种针对骨转移的放射性药物,它也改善了患者的生存期并延缓了骨骼相关事件的发生。前列腺癌治疗领域的这些最新进展为改善 mCRPC 患者的预后带来了希望。要验证这些发现并探索更多的治疗方案,还需要进一步的研究和临床试验。
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引用次数: 0
Pakistan fears a shortage of life-saving drugs in the wake of the ‘worst economic crisis’ 巴基斯坦担心在 "最严重的经济危机 "之后会出现救命药物短缺的情况
Pub Date : 2024-01-01 DOI: 10.1097/GH9.0000000000000396
M. Muzzamil, Farwa Fatima, Sidra Irfan, N. Tahira, Abdullah Malikzai
Objective: In this study, we examine the issue in the context of Pakistan’s current economic situation, which is leading to a scarcity of essential goods like the raw materials used to create pharmaceuticals that save lives. Finding the problem’s root causes, consequences, and potential countermeasures. Methods: It is crucial to shed light on the efforts and challenges surrounding this topic to build and implement solutions based on research and accurately reflect the health industry’s current situation in light of Pakistan’s economic crisis. This brief summary follows standard procedures used in research papers, and we conducted extensive literature searches using PubMed, Google Scholar, Journals Online, and the Internet Library. Results: ‘Drug scarcity in Pakistan’ yielded anticipated results. Pakistan’s population is growing rapidly, and so is its demand for and consumption of commodities. The economic collapse damaged foreign money and letters of credit, restricting the raw supplies of pharmaceutical materials from standing at port. These holdups are hindering the pharmaceutical industry from meeting patient demand for key drugs, which has a negative impact on the healthcare system as a whole. Conclusion: The pharmaceutical business was already struggling to keep up with demand before the current economic crisis. To avert life-threatening medicine shortages, policymakers must improve the supply chain, incentivize manufacturers to use effective quality control measures, and boost production. Medical personnel must be well-informed and trained to lessen health risks on the front lines.
目的:在本研究中,我们将结合巴基斯坦当前的经济形势来研究这一问题,巴基斯坦当前的经济形势正导致用于生产救命药品的原材料等必需品的匮乏。找出问题的根源、后果和潜在对策。方法:关键是要阐明围绕这一主题所做的努力和面临的挑战,以便在研究的基础上制定和实施解决方案,并根据巴基斯坦的经济危机准确反映卫生行业的现状。本摘要遵循研究论文的标准程序,我们使用 PubMed、谷歌学术、期刊在线和互联网图书馆进行了广泛的文献检索。结果:巴基斯坦的药物匮乏 "产生了预期结果。巴基斯坦人口增长迅速,对商品的需求和消费也在增长。经济崩溃破坏了外国资金和信用证,限制了药品原料在港口的滞留。这些滞留阻碍了制药业满足患者对关键药物的需求,对整个医疗保健系统造成了负面影响。结论:在当前的经济危机之前,制药业就已经在努力满足需求。为避免出现危及生命的药品短缺,政策制定者必须改善供应链,激励制造商采用有效的质量控制措施,并提高产量。医务人员必须充分了解情况并接受培训,以降低前线的健康风险。
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引用次数: 0
Population growth and the rise in Human Immunodeficiency Virus (HIV) cases in Tanzania 坦桑尼亚的人口增长与人体免疫缺陷病毒(HIV)病例的增加
Pub Date : 2024-01-01 DOI: 10.1097/gh9.0000000000000404
I. K. Paul, S. B. Sospeter, Majani M Edward, Deusdendith B. Bulimbe, Julieth Benjamin, Goodluck Nchasi
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引用次数: 0
Vitamin B12 deficiency linked to metformin usage in Pakistan 在巴基斯坦,维生素 B12 缺乏症与二甲双胍的使用有关
Pub Date : 2024-01-01 DOI: 10.1097/gh9.0000000000000402
Arbaz Zaman, Muhammad Usman, S. A. Rauf, H. H. Shah, Tirth Dave
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引用次数: 0
Dabrafenib and trametinib as a promising treatment option for pediatric population with low-grade gliomas that have BRAF V600E mutation; a breakthrough in the field of neuro-oncology 达拉非尼(Dabrafenib)和曲美替尼(Trametinib)是治疗具有BRAF V600E突变的低级别胶质瘤患儿的理想选择;这是神经肿瘤学领域的一项突破
Pub Date : 2024-01-01 DOI: 10.1097/GH9.0000000000000395
Z. Mughal, T. K. Fadlalla Ahmad, Abdul Haseeb, Muhammad Ashir Shafique, Ola Elhadi Abbas Ahmdon, Abdulhadi Mohamed Ahmed Mahgoub
Two-thirds of all pediatric malignant central nervous tumors, including high-grade (glioblastoma, anaplastic astrocytoma) and low-grade (ganglioglioma, pilocytic astrocytoma) carcinomas, are gliomas. Low-grade glioma (LGG) exhibits genetic alterations caused by the BRAF kinase mutation, such as replacing glutamic acid (E) in place of valine (V) at the 600 positions, known as the V600E point mutation. Pediatric low-grade gliomas (PLGGs) also comprise around one-third of juvenile brain tumors and are the most frequent central nervous system tumors. Patients were randomized 2:1 to dabrafenib plus trametinib (D+T) or carboplatin plus vincristine (C+V). Where possible, complete surgical removal is the mainstay of treatment for progressing or symptomatic PLGG. Radiation therapy has historically been used to treat PLGG in both up-front and salvage scenarios. To delay or avoid the necessity for radiation therapy in young children with advancing or incompletely resected PLGG, chemotherapy was created in 1980. On 16 March 2023, the Food and Drug Administration approved the use of trametinib (Mekinist, Novartis) with dabrafenib (Tafinlar, Novartis) in pediatric patients suffering from LGG who require systemic therapy and are at least one year old. Nevertheless, early-stage clinical trials have produced encouraging results that may revolutionize the treatment of LGG in the near future.
三分之二的小儿恶性中枢神经肿瘤,包括高级别(胶质母细胞瘤、无细胞星形细胞瘤)和低级别(神经节胶质细胞瘤、柔毛细胞星形细胞瘤)癌,都是胶质瘤。低级别胶质瘤(LGG)表现出由 BRAF 激酶突变引起的基因改变,如在 600 位用谷氨酸(E)代替缬氨酸(V),即 V600E 点突变。小儿低级别胶质瘤(PLGGs)也约占青少年脑肿瘤的三分之一,是最常见的中枢神经系统肿瘤。患者按2:1的比例随机接受达拉非尼加曲美替尼(D+T)或卡铂加长春新碱(C+V)治疗。在可能的情况下,完全手术切除是治疗进展期或有症状的PLGG的主要方法。放射治疗历来被用于治疗PLGG的前期和挽救性治疗。为了延缓或避免PLGG进展期或未完全切除的幼儿接受放射治疗,化疗于1980年应运而生。2023 年 3 月 16 日,美国食品和药物管理局批准将曲美替尼(Mekinist,诺华公司)与达拉菲尼(Tafinlar,诺华公司)用于需要全身治疗且年龄至少一岁的 LGG 儿童患者。尽管如此,早期临床试验已经取得了令人鼓舞的成果,在不久的将来可能会彻底改变 LGG 的治疗方法。
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引用次数: 0
Supporting health systems in Uganda: a call for action 支持乌干达的卫生系统:行动呼吁
Pub Date : 2023-12-15 DOI: 10.1097/gh9.0000000000000376
Nathan Mugenyi, M. O. Oduoye, Aymar Akilimali
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引用次数: 0
期刊
International Journal of Surgery: Global Health
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