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Human immune response to SARS-CoV-2 infection 人类对SARS-CoV-2感染的免疫反应
Pub Date : 2020-06-18 DOI: 10.29238/teknolabjournal.v9i1.223
Lia Yosaneri Wina Nurtias, Dora Dayu Rahma Turista, Eka Puspitasari
COVID-19 is an acute respiratory infection caused by a new type of Coronavirus, SARS-CoV-2, which first appeared in Wuhan, China in December 2019. COVID-19 then became a pandemic in various countries in early 2020. In this article it contains review that discusses the immune response in humans due to SARS-CoV-2 infection, using the narrative literature review method, a total of 36 articles (6 from Elsevier, 24 from PMC, and 6 from Springer). It is known that the pathogenesis of COVID-19 and the manufacture of drugs and vaccines are still under investigation, but in infected patients, innate immune responses in the form of alveolar macrophages, dendritic cells, airway epithelial cells, congenital lymphocytes, and neutrophils work together in the fight against infection. Next comes the adaptive immune response in the form of antibodies (immunoglobulins) which help in fighting infections due to SARS-CoV-2. These immune responses include increasing levels of cytokines, coagulation parameters, C-reactive protein, neutrophils, and decreasing total lymphocytes. It is also known that COVID-19 patients with severe disease often experience higher total antibody, IgM responses, and IgG responses than COVID-19 patients without congenital disease. IgG antibodies are present in the serum, so the serum in COVID-19 patients who have recovered can be used for therapy in COVID-19 patients who have not healed, as long as the drug and vaccine are under investigation.
COVID-19是由新型冠状病毒SARS-CoV-2引起的急性呼吸道感染,该病毒于2019年12月首次出现在中国武汉。2020年初,COVID-19在多个国家成为大流行。本文采用叙述性文献综述法,综述了SARS-CoV-2感染后人类的免疫反应,共36篇(6篇来自Elsevier, 24篇来自PMC, 6篇来自施普林格)。众所周知,COVID-19的发病机制以及药物和疫苗的生产仍在调查中,但在感染患者中,肺泡巨噬细胞、树突状细胞、气道上皮细胞、先天性淋巴细胞和中性粒细胞等先天免疫反应共同对抗感染。接下来是抗体(免疫球蛋白)形式的适应性免疫反应,它有助于对抗由SARS-CoV-2引起的感染。这些免疫反应包括细胞因子、凝血参数、c反应蛋白、中性粒细胞水平升高和总淋巴细胞减少。我们还知道,重症COVID-19患者的总抗体、IgM反应和IgG反应往往高于无先天性疾病的COVID-19患者。血清中存在IgG抗体,因此,只要对药物和疫苗进行调查,恢复的COVID-19患者的血清就可以用于治疗未治愈的COVID-19患者。
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引用次数: 1
Herd immunity and COVID-19 in Indonesia 印度尼西亚的群体免疫和COVID-19
Pub Date : 2020-06-18 DOI: 10.29238/teknolabjournal.v9i1.219
I. Faizal, Nur Ariska Nugrahani
Herd immunity or herd effect is a phenomenon that occurs in groups of people who are resistant to disease. The purpose of conducting this research is to predict the number of cumulative cases of COVID-19 in Indonesia. Covid-19 cases in Indonesia on April 6, 2020, were 2235 cases spread in 34 Provinces. As many as 2491 cases in Indonesia, there were 192 patients recovered (including those treated, so they have natural antibodies in the end) while the total who died was 209 people. It is assumed that around 13% of the total cases have natural antibodies. This is also the case with SARS-CoV-2 and may explain why some individuals (perhaps those most recently able to recover from seasonal coronavirus infections) have asymptomatic infections. Finally, the theoretical concept of increasing herd immunity in pandemic and epidemic cases in Indonesia which aims to control COVID-19 still needs to be reviewed because it is seen from the mortality data that CFR COVID-19 is predicted to be around 8.39% of the population in Indonesia where the risk of death still available. The best alternative is to do a healthy lifestyle, social distancing, and waiting for the vaccine to be found.
群体免疫或群体效应是发生在对疾病具有抵抗力的人群中的一种现象。开展这项研究的目的是预测印度尼西亚COVID-19累计病例数。截至2020年4月6日,印度尼西亚的新冠肺炎病例为2235例,分布在34个省。印度尼西亚有2491例病例,其中192例患者康复(包括接受治疗的患者,因此他们最终有天然抗体),而死亡人数为209人。据推测,总病例中约有13%具有天然抗体。SARS-CoV-2也是如此,这可能解释了为什么有些人(也许是最近才从季节性冠状病毒感染中恢复过来的人)会出现无症状感染。最后,印度尼西亚为控制COVID-19而在大流行和流行病例中增加群体免疫力的理论概念仍然需要审查,因为从死亡率数据中可以看出,预计CFR COVID-19在印度尼西亚人口中占8.39%左右,死亡风险仍然存在。最好的选择是保持健康的生活方式,保持社交距离,等待疫苗的发现。
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引用次数: 6
Perspective of molecular immune response of SARS-COV-2 infection 严重急性呼吸系统综合征冠状病毒2型感染的分子免疫反应研究进展
Pub Date : 2020-06-18 DOI: 10.29238/teknolabjournal.v9i1.218
M. Rohmah, Arif Rahman Nurdianto
COVID-19 is a type of Pneumonia caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). When COVID-19 arise in Wuhan China and rapidly spread throughout to the World, we need to learn how pathogenesis and immune responses occur in the bodies in more detail. COVID-19 is the third Severe Respiratory Disease outbreak caused by the Coronavirus in the past two decades after Severe Acute Respiratory Syndrome (SARS) in the 2002 and Middle East Respiratory Syndrome (MERS) in 2012. The Articles from PUBMED and Research Gate were searched for studies on the immune response of COVID-19 infection by SARS-CoV-2. SARS-CoV-2 increases the number of neutrophils, suppresses IFN, increases the activity of Th1/Th17, B cells, CD8+ and CD4+, and causes cytokine storms especially pro-inflammatory cytokines which can increase respiration disorders and multi-organ damage. This review tries to explain about pathogenesis and immune responses of COVID-19 to provide a reference in designing the appropriate immune intervention for treatment and therapeutic such as drug or vaccine based on the recent research progress SARS-CoV-2 and previous studies about SARS CoV and MERS CoV.
COVID-19是一种由严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)引起的肺炎。当COVID-19在中国武汉出现并迅速传播到世界各地时,我们需要更详细地了解体内的发病机制和免疫反应。COVID-19是继2002年的严重急性呼吸系统综合征(SARS)和2012年的中东呼吸综合征(MERS)之后,过去20年来由冠状病毒引起的第三次严重呼吸系统疾病暴发。检索PUBMED和Research Gate的文章,寻找SARS-CoV-2感染COVID-19的免疫应答研究。SARS-CoV-2增加中性粒细胞的数量,抑制IFN,增加Th1/Th17、B细胞、CD8+和CD4+的活性,并引起细胞因子风暴,特别是促炎细胞因子,可增加呼吸障碍和多器官损伤。本文结合SARS-CoV-2的最新研究进展以及SARS和MERS冠状病毒的相关研究,对COVID-19的发病机制和免疫应答进行阐述,为设计合适的药物或疫苗等免疫干预措施提供参考。
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引用次数: 7
Investigation of revers-transcriptase polymerase chain reaction values of patients with COVID-19 findings in lung computed tomography results 新冠肺炎患者肺部计算机断层扫描结果逆转录聚合酶链反应值的研究
Pub Date : 2020-06-11 DOI: 10.29238/teknolabjournal.v9i1.220
O. Osman, Gunes Bolatli, F. Tas
It turned out that the cause of pneumonia cases that occurred in China was due to SARS-CoV-2. The aim is to compare chest computer tomography and Revers-Transcriptase Polymerase Chain Reaction methods used in the diagnosis of COVID-19 disease with each other and to evaluate this disease with risk factors. The study was carried out on 66 patients. Epidemiological history, clinical symptoms, chest CT and RT-PCR results of the cases were examined. RT-PCR results of 1, 4, and 7 days were evaluated for each case with positive chest CT results. Thirty-seven of them were found to be positive on day 1, 5 of them were found to be positive on day 4, and 2 of them were found to be positive on day seven from 52 patients whose RT-PCR results were examined. In the remaining 8 cases, no positive findings were found. The most common findings are; cough (78.8%), fever (55.8%), and shortness of breath (28.8%). It was observed that 51.9% of the cases had chronic disease history and 50% of the patients using cigarettes had bilateral lung involvement in their CT results. Seven cases received intensive care support, 3 cases were intubated. Two of the intubated cases were exitus (3,8%). The positive results of RT-PCR were found to be negative in most of the cases which have positive chest CT; suggests that chest CT is more reliable in making a diagnosis.  Therefore, evaluating chest CT results with RT-PCR can be an appropriate alternative approach in the diagnosis and treatment of disease. However, in order to be fully diagnosed, the patient's history, chronic diseases, age, symptoms, imaging, blood, and test findings must all be considered as a whole.
据调查,在中国发生的肺炎病例的病因是SARS-CoV-2。目的是比较胸部计算机断层扫描和逆转录聚合酶链反应方法在COVID-19疾病诊断中的应用,并对该疾病的危险因素进行评价。这项研究对66名患者进行了研究。对病例的流行病学史、临床症状、胸部CT及RT-PCR结果进行分析。对每例胸部CT结果呈阳性的病例进行1、4、7天的RT-PCR结果评估。对52例患者进行RT-PCR检测,其中37例在第1天检测出阳性,5例在第4天检测出阳性,2例在第7天检测出阳性。其余8例未见阳性结果。最常见的发现是;咳嗽(78.8%)、发烧(55.8%)、呼吸短促(28.8%)。51.9%的病例有慢性病史,50%的吸烟患者CT表现为双侧肺受累。重症监护支持7例,插管3例。2例插管病例为出口(3.8%)。多数胸部CT阳性病例RT-PCR阳性结果均为阴性;表明胸部CT在诊断中更为可靠。因此,用RT-PCR评价胸部CT结果可以作为疾病诊断和治疗的一种合适的替代方法。然而,为了得到充分的诊断,患者的病史、慢性疾病、年龄、症状、影像学、血液和检查结果必须作为一个整体加以考虑。
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引用次数: 4
Immunobioinformatics analysis and phylogenetic tree construction of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Indonesia: spike glycoprotein gene 印度尼西亚严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)免疫生物信息学分析及系统发育树构建:刺突糖蛋白基因
Pub Date : 2020-06-11 DOI: 10.29238/teknolabjournal.v9i1.221
A. Ansori, V. D. Kharisma, Y. Antonius, Martia Rani Tacharina, F. Rantam
The outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes coronavirus disease 2019 (COVID-19), has spread worldwide and as a result, the World Health Organization (WHO) declared it a pandemic. At present, there are no approved vaccines against SARS-CoV-2. Therefore, the aim of this study was to predict epitope-based vaccines using bioinformatics approaches and phylogenetic tree construction of SARS-CoV-2 against the backdrop of the COVID-19 pandemic. In this study, we employed 27 isolates of SARS-CoV-2 spike glycoprotein genes retrieved from GenBank® (National Center for Biotechnology Information, USA) and the GISAID EpiCoV™ Database (Germany). We analyzed the candidate epitopes using the Immune Epitope Database and Analysis Resource. Furthermore, we performed a protective antigen prediction with VaxiJen 2.0. Data for B-cell epitope prediction, protective antigen prediction, and the underlying phylogenetic tree of SARS-CoV-2 were obtained in this research. Therefore, these data could be used to design an epitope-based vaccine against SARS-CoV-2. However, the advanced study is recommended for confirmation (in vitro and in vivo).
导致2019冠状病毒病(新冠肺炎)的严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的爆发已在全球范围内传播,因此,世界卫生组织(世界卫生组织)宣布其为大流行。目前,还没有批准的针对严重急性呼吸系统综合征冠状病毒2型的疫苗。因此,本研究的目的是在新冠肺炎大流行的背景下,使用生物信息学方法和SARS-CoV-2的系统发育树构建来预测基于表位的疫苗。在这项研究中,我们使用了从GenBank®(美国国家生物技术信息中心)和GISAID EpiCoV中检索到的27个严重急性呼吸系统综合征冠状病毒2型刺突糖蛋白基因分离株™ 数据库(德国)。我们使用免疫表位数据库和分析资源分析候选表位。此外,我们用VaxiJen 2.0进行了保护性抗原预测。本研究获得了严重急性呼吸系统综合征冠状病毒2型B细胞表位预测、保护性抗原预测和潜在系统发育树的数据。因此,这些数据可用于设计针对严重急性呼吸系统综合征冠状病毒2型的基于表位的疫苗。然而,建议对高级研究进行确认(体外和体内)。
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引用次数: 12
Modulation of severe acute respiratory syndrome coronavirus (SARS-CoV-2) in receptor, innate immunity and drug antiviral candidate 严重急性呼吸综合征冠状病毒(SARS-CoV-2)受体、先天免疫和抗病毒候选药物的调节
Pub Date : 2020-06-11 DOI: 10.29238/teknolabjournal.v9i1.214
I. L. Tarigan, Kartika Arum
The Coronavirus disease-19 (COVID-19) is a contagious acute respiratory infectious disease caused by SARS-CoV-2 as a global pandemic in 2020.  This disease most spreads and causes some severe cases, even death in the world. The primary purpose of this review discusses the recent article that was published regarding COVID-19 genomic modulation, the mechanism of innate immunity, and the screening of anti-viral drug candidates, for treating COVID-19 patients. This review used the latest paper regarding COVID-19 with 63 journals with high impact factors such as Nature, The Lancet, Cells, International Journal of Biological Sciences, Mol Biol Methods. Journal of Microbiology, Immunology, and Infection, Nat. Rev. Microbiol, and other international journals indexed by Scopus, Elsevier, and Springer through in vivo and in vitro studies. The genomic of SARS-CoV-2 consist high similarly to coronaviruses family, albeit possessing a different pathway even has higher affinity, due to changing some nitrogen bases are supposed to have a significant effect on its pneumonia. Herein, we report review article an update on the recent literature of the COVID-19 modulation genome, mechanism of innate immunity, and medical literature. Moreover, we report anti-viral drugs that have been developed from synthetic drugs and medicinal compounds from plants. Several studies have been re-analyzed using in vitro, in vivo, and modelling using bioinformatics tools.
冠状病毒病-19(新冠肺炎)是一种传染性急性呼吸道传染病,由2020年全球大流行的SARS-CoV-2引起。这种疾病在世界上传播最多,并导致一些严重病例,甚至死亡。这篇综述的主要目的是讨论最近发表的关于新冠肺炎基因组调节、先天免疫机制和抗病毒候选药物筛选的文章,以治疗新冠肺炎患者。这篇综述使用了关于新冠肺炎的最新论文,共有63篇具有高影响因素的期刊,如《自然》、《柳叶刀》、《细胞》、《国际生物科学杂志》、《分子生物学方法》。《微生物学、免疫学和感染杂志》,Nat.Rev.Microbiol,以及Scopus、Elsevier和Springer通过体内和体外研究编制的其他国际期刊。严重急性呼吸系统综合征冠状病毒2型的基因组组成与冠状病毒家族相似,尽管具有不同的途径,甚至具有更高的亲和力,因为一些氮碱基的改变被认为对其肺炎有显著影响。在此,我们报道了一篇综述文章,更新了新冠肺炎调节基因组、先天免疫机制和医学文献的最新文献。此外,我们报道了由合成药物和植物药用化合物开发的抗病毒药物。一些研究已经使用体外、体内和生物信息学工具建模进行了重新分析。
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引用次数: 2
The potency of green grass jelly extract (Premna oblongifolia Merr) as antihyperlipidemia towards aorta histopathology representation of rat (Rattus norvegicus) induced with high fatty diet (HFD) 青草浆提取物对高脂饲料诱导褐家鼠主动脉组织病理学表征的降血脂作用
Pub Date : 2020-06-11 DOI: 10.29238/teknolabjournal.v9i1.174
Eka Nora Vitaloka Aprilia Putri Winthoko, A. Roosdiana, D. A. Pratama, J. Nugraha, Marijam Purwanta, M. Rifa'i, Achmad Nur Rendy
Green grass jelly (Premna oblongifolia merr) is a plant containing fiber and chlorophyll which can lower cholesterol and triglyceride levels. This study have aims to investigate the potency of green grass jelly extract (Premna oblongifolia Merr) to prevent hyperlipidemia. The animal mode used for this study is male Rattus norvegicus, Wistar strain, the age of 8 weeks, and weight of 200 g which is divided into 5 groups of treatment namely group Kn (negative control), Kp (positive control), Kp1, Kp2, and Kp3 induced with HFD and green grass jelly extract at a dose of 5.27 g/ kg BW/ daily, 8.43 g/ kg BW/ daily, 9.37 g/ kg BW/ daily. The data of infiltrating fatty cells and macrophage on aorta histopathology was analyzed by description. This research showed that the treatment of green grass jelly extract (Premna oblongifolia Merr) to animals of hyperlipidemia model reduced infiltration fatty cells and macrophage. The conclusion of this study was the green grass jelly extract was able to prevent an increase of fatty cells and macrophage infiltration of rat (Rattus noervegicus) induced with HFD on dose 9.37 g/ kg/ BW/ daily.
绿草果冻(Premna oblongifolia merr)是一种含有纤维和叶绿素的植物,可以降低胆固醇和甘油三酯水平。本研究旨在探讨青草浆提取物对高脂血症的预防作用。实验动物模型为8周龄、体重200 g的雄性褐家鼠Wistar品系,分为5组处理,分别为Kn组(阴性对照)、Kp组(阳性对照)、Kp1组、Kp2组和Kp3组,HFD和绿草浆提取物的诱导剂量分别为5.27 g/ kg BW/ d、8.43 g/ kg BW/ d、9.37 g/ kg BW/ d。描述分析主动脉组织病理学中浸润性脂肪细胞和巨噬细胞的数据。本研究表明,青草胶提取物对高脂血症模型动物的作用可减少脂肪细胞和巨噬细胞的浸润。本研究的结论是,绿草浆提取物在9.37 g/ kg/ BW/ d剂量下,对HFD诱导的大鼠(Rattus noervegicus)脂肪细胞和巨噬细胞浸润的增加具有抑制作用。
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引用次数: 0
Second allogeneic stem cell transplantation in acute leukemia patients: single-centre experience 急性白血病患者异基因干细胞移植:单中心经验
Pub Date : 2020-06-11 DOI: 10.29238/teknolabjournal.v9i1.208
M. Bakırtaş, T. Yiğenoğlu, S. Başcı, Bahar Uncu Ulu, Nurgül Özcan, D. İskender, M. Dal, M. Kızıl Çakar, F. Altuntaş
Acute leukaemia patients who relapse after the first allogeneic stem cell transplantation (Allo-SCT) have a poor prognosis. Participating in clinical trials is the best option for these patients. If patients cannot participate in clinical trials, as the treatment options are limited, the second allo-SCT constitutes the potential curative treatment option. The data of acute leukaemia patients who underwent second allo-SCT because of relapsed/refractory disease after the first allo-SCT at our centre between December 2009 and February 2019 were analyzed retrospectively. Three hundred nineteen acute leukaemia patients were performed allo-SCT at our centre. 20 of these 319 acute leukaemia patients relapsed after first allo-SCT and underwent second allo-SCT. 10 AML patients and 10 ALL patients were included in the study. After second allo-SCT overall survival (OS) was 26.1±10.8 weeks, and progression-free survival (PFS) was 19.9±8.6 weeks. If the patients cannot participate in clinical trials, second allo-SCT should be considered for patients with late (≥12 months) relapses after the first allo-SCT. If possible, haploidentical donors should be selected for second allo-SCT and patients should be in complete remission before the transplant.
急性白血病患者首次同种异体干细胞移植(Allo-SCT)后复发预后较差。参与临床试验是这些患者的最佳选择。如果患者不能参加临床试验,由于治疗方案有限,第二次同种异体细胞移植是潜在的治愈治疗方案。回顾性分析本中心2009年12月至2019年2月间因第一次同种异体细胞移植后复发/难治性疾病而接受第二次同种异体细胞移植的急性白血病患者的资料。本中心对319例急性白血病患者进行了同种异体细胞移植。在这319例急性白血病患者中,有20例在第一次同种异体细胞移植后复发,并接受了第二次同种异体细胞移植。10例AML患者和10例ALL患者纳入研究。第二次同种细胞移植后的总生存期(OS)为26.1±10.8周,无进展生存期(PFS)为19.9±8.6周。如果患者不能参加临床试验,对于第一次alloc - sct后复发较晚(≥12个月)的患者应考虑第二次alloc - sct。如果可能的话,应该选择单倍体相同的供体进行第二次同种异体sct,并且患者在移植前应该完全缓解。
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引用次数: 0
The potential of traditional balinese spices against the growth of Salmonella sp in vitro 传统巴厘香料对沙门氏菌体外生长的抑制作用
Pub Date : 2020-06-11 DOI: 10.29238/teknolabjournal.v9i1.200
I. N. Jirna, I. Sudarmanto, S. B. Kurniawan, Gusti Ayu Made Ratih, Burhannuddin Rasyid
Prevention by utilizing medicinal plants can be used as an alternative treatment. This study aims to identify active antimicrobial substances and test the antimicrobial potential of traditional Balinese spices, namely Basa Selem, Basa Gede, Basa Wangen, Basa Bawang Jahe, and Basa Rajang against Salmonella sp bacteria in vitro. The True-experimental method with Posttest only-control design was used in this study, by intervening in the treatment group as well as the presence of positive and negative controls. The maceration method with 96% EtOH solvent was used to extract active substances and identify the levels of antimicrobial active substances. The TLC Spectrophotodensitometer instrument and the diffusion method (discs) were used to test antimicrobial potential. Data analysis was performed using the one-way ANOVA test. All five samples showed flavonoids, alkaloids, tannins, and phenols in qualitative tests. Based on quantitative test results of five samples, the highest compound content obtained in Basa Wangen (6.66 mg/ml of tannins), Basa Gede  (3.74 mg/ml of flavonoids), Basa Bawang Jahe (2.49 mg/ml of tannins), Basa Selem (2.87 mg/ml of tannin), and Basa Rajang (6.96 mg/ml of flavonoids). There are differences in the antimicrobial potential of various types of traditional Balinese spices against the growth of Salmonella sp in vitro (sig = 0.037). The traditional Balinese spices have the antimicrobial potential of the intermediate category with a range of inhibition (16-20 mm) based on the NCCLS standard.
利用药用植物进行预防可以作为一种替代治疗方法。本研究旨在鉴定活性抗菌物质,并测试传统巴厘香料Basa Selem、Basa Gede、Basa Wangen、Basa Bawang Jahe和Basa Rajang对沙门氏菌的体外抗菌潜力。在本研究中,通过干预治疗组以及阳性和阴性对照的存在,使用了仅测试后对照设计的True实验方法。采用96%EtOH溶剂浸渍法提取活性物质并鉴定抗菌活性物质的含量。采用薄层色谱分光光度计和扩散法(圆盘法)检测抗菌潜力。数据分析采用单因素方差分析检验。在定性测试中,所有五个样品都显示出黄酮类化合物、生物碱、单宁和酚类化合物。根据五个样品的定量测试结果,获得的化合物含量最高的是Basa Wangen(单宁6.66 mg/ml)、Basa Gede(类黄酮3.74 mg/ml),Basa Bawang Jahe(单宁2.49 mg/ml)和Basa Selem(单宁2.87 mg/ml)以及Basa Rajang(类黄酮6.96 mg/ml。不同类型的传统巴厘香料对沙门氏菌sp体外生长的抗菌潜力存在差异(sig=0.037)。传统巴厘香料具有中等类别的抗菌潜力,基于NCCLS标准,其抑制范围为16-20mm。
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引用次数: 0
Indirect exposure to novel coronavirus (SARS-CoV-2): an overview of current knowledge 间接接触新型冠状病毒(SARS-CoV-2):当前知识概述
Pub Date : 2020-04-25 DOI: 10.20944/preprints202004.0460.v1
C. Enyoh, A. W. Verla, Qingyue Wang, D. Yadav, A. Chowdhury, B. Isiuku, T. Chowdhury, F. Ibe, E. N. Verla, T. Maduka
This review chronicles the indirect transmission method which seems to be overlooked by most people and makes attempts to document the various transmission ways with a hope that such information may strengthen the knowledge base of researchers towards methods of eradicating the pandemic. Current knowledge of transmission and exposure of SARS-CoV-2 has been explained. Various researchers have put forward different ways of exposure and transmission.  Literature does not reveal whether the indirect transmission route is the dominant one. However, total lockdown could be a veritable means to reduce both direct and indirect transmission routes. In many countries where the indirect transmission has been reduced, the scourge of the virus is less. The work creates awareness on the need to watch out for those routes of transmissions that may not be popular and suggested vital knowledge gaps that need to fill.  
这篇综述记录了大多数人似乎忽视的间接传播方法,并试图记录各种传播方式,希望这些信息可以加强研究人员对根除疫情方法的知识基础。已经解释了目前对严重急性呼吸系统综合征冠状病毒2型传播和暴露的了解。各种研究人员提出了不同的接触和传播方式。文献没有揭示间接传播途径是否占主导地位。然而,全面封锁可能是减少直接和间接传播途径的真正手段。在许多间接传播减少的国家,病毒的祸害较小。这项工作让人们意识到需要注意那些可能不受欢迎的传播途径,并提出了需要填补的重要知识空白。
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引用次数: 13
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