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A Literature Review of The Epidemiology, Pathogenesis and Treatment of Thyroid Cancer 甲状腺癌的流行病学、发病机制及治疗的文献综述
Pub Date : 2020-12-30 DOI: 10.31703/giidr.2020(v-i).04
Nida Javaid, Sana Asghar, Zainab Yasmeen
Among the endocrine malignancies, thyroid cancer is the most commonly occurring and increasing around the globe. Inspite of prognosis, about 5-10% people become victim of differentiated thyroid cancer. Cancer is basically uncontrolled division of cells. These rapidly developing cells become toxic for the body of patient once they start travelling from place to another because in such situation the early diagnosis even does not benefit while in case of localized cancer, chances of survival increase. In thyroid cancer, patient becomes aggressive abruptly with developing metastasis. In case of gene mutations, every patient got a different mutated gene from other against which several medicines have been under consideration. This review has been put together to overview the disease, its etiology, pathogenesis, and treatment methods.
在内分泌恶性肿瘤中,甲状腺癌是全球最常见且呈上升趋势的恶性肿瘤。无论预后如何,约有5-10%的人成为分化型甲状腺癌的受害者。癌症基本上是细胞不受控制的分裂。这些快速生长的细胞一旦开始从一个地方移动到另一个地方,就会对病人的身体产生毒性,因为在这种情况下,早期诊断甚至没有好处,而在局部癌症的情况下,生存的机会增加了。在甲状腺癌中,患者突然变得具有侵袭性并发生转移。在基因突变的情况下,每个病人都有不同的突变基因,有几种药物正在考虑针对这种突变基因。本文就该病的病因、发病机制和治疗方法作一综述。
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引用次数: 0
A Deep Insight on Rheumatoid Arthritis, Indexes (Disease Activity Score 28 (DAS28), ESR, CRP, Simplified Disease Activity Index (SDAI), Clinical Disease Activity Index (CDAI), Patient Global Health) and Correlation with the Level of Disease Activity 深入了解类风湿关节炎、指标(疾病活动评分28 (DAS28)、ESR、CRP、简化疾病活动指数(SDAI)、临床疾病活动指数(CDAI)、患者整体健康)及其与疾病活动水平的相关性
Pub Date : 2020-12-30 DOI: 10.31703/giidr.2020(v-i).01
Syed Faaez Ul Hassan Naqvi, Gul Shehnaz
Rheumatoid arthritis as one of the autoimmune diseases is more prevalent now than ever before. Being more common in women than men, RA has been focused by researchers to invent a therapeutic agent for effective clinical response. Various Diagnostic biomarkers are being used for early diagnosis of RA depending upon their selectivity and specificity. Certain indexes for RA disease activity evaluation are used for assessment of disease on a continuous scale. Disease activity Score combined with laboratory data result and imaging technologies makes the decision of treatment strategies easier than before. Traditionally, TNFi are the most used agents since a decade and first choice of treatment by clinicians, however, combination therapy with DMARD is used in inadequate responders. Despite all the advancements in treatment of RA and proved remission possibility using latest biological agents, studies are needed to ensure quick clinical outcomes and remission probability in larger fraction of people.
类风湿关节炎作为一种自身免疫性疾病,其发病率比以往任何时候都高。类风湿性关节炎在女性中比男性更常见,研究人员一直关注于发明一种有效的治疗药物以获得有效的临床反应。根据其选择性和特异性,各种诊断性生物标志物被用于RA的早期诊断。采用RA疾病活动性评价的某些指标对疾病进行连续评价。疾病活动度评分结合实验室数据结果和影像学技术使治疗策略的决策比以前更容易。传统上,TNFi是近十年来使用最多的药物,也是临床医生的首选治疗方法,然而,在反应不足的情况下,使用DMARD联合治疗。尽管在治疗类风湿性关节炎方面取得了进步,并使用最新的生物制剂证明了缓解的可能性,但仍需要进行研究,以确保更大比例人群的快速临床结果和缓解可能性。
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引用次数: 0
An Overview on the Ongoing Clinical Trials of COVID-19 Vaccines 新冠肺炎疫苗临床试验进展综述
Pub Date : 2020-12-30 DOI: 10.31703/giidr.2020(v-i).05
Syeda Komal Fatima, Ameena Tur Rasool, Ayesha Sabir, G. Shahnaz
COVID-19 has posed a great threat to mankind, there is a dire need to introduce a vaccine to combat this global pandemic. Several vaccines are underway to complete their phase 3 clinical trials. This article highlights events surrounding the ongoing clinical trials of vaccines effective against COVID-19, and different procedures and formalities the vaccine will have to endure to get EUA. Clinical trials are discussed stepwise along with the clinical endpoint desired at the end of these trials. In line with antimicrobial resistance, vaccine resistance has also emerged in this era and needs focused consideration, and the probability of development of resistance in these vaccines is discussed. This article specifically covers the latest research reporting clinical efficacy, safety profile, and adverse events following the administration of doses to patients and concerns regarding the rushed approval of vaccines. Four vaccines have been discussed in detail; BNT162b2, mRNA-1273, Sputnik V, ChAdOx1.
COVID-19对人类构成了巨大威胁,迫切需要研制一种疫苗来对抗这种全球大流行。有几种疫苗正在进行3期临床试验。本文重点介绍了正在进行的针对COVID-19的有效疫苗临床试验的相关事件,以及疫苗必须经历的不同程序和手续才能获得EUA。逐步讨论临床试验以及在这些试验结束时期望的临床终点。与抗菌素耐药性一致,疫苗耐药性也在这个时代出现,需要重点考虑,并讨论了这些疫苗产生耐药性的可能性。本文特别介绍了最新研究报告的临床疗效、安全性、给药后的不良事件以及对匆忙批准疫苗的担忧。详细讨论了四种疫苗;BNT162b2, mRNA-1273, Sputnik V, ChAdOx1。
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引用次数: 0
A Review on the Advancements in COVID-19 Treatments and Vaccines Development 新冠肺炎治疗及疫苗研究进展综述
Pub Date : 2020-12-30 DOI: 10.31703/giidr.2020(v-i).02
Duaa Aslam Chaudhry, Kainat Waqar
The outbreak of the COVID-19 pandemic that is caused by novel SARS-CoV-2 has taken the life of millions of people around the globe and has put a challenge on the whole world for identifying and developing the best possible therapies for preventing and treating this deadly infection. Clinical study and health policy and clinical interventions are required for advancements in the effective and safe treatment and prevention of COVID-19 disease. Many drugs have been tested in clinical trials for their effectiveness and safety against COVID-19. Among them, some have shown promising effects like remdesivir, the only COVID-19 drug approved by FDA till now, dexamethasone, monoclonal antibodies, etc. Biological agents have also been shown to be effective against the virus, such as tocilizumab, convalescent plasma, and interferon. The most effective medical intervention for COVID-19 is a vaccination which is currently in a development phase at a rapid pace. However, two vaccines have been authorized by the FDA and a number of vaccines are in their final clinical phase. This paper will analyze all the current advancements within the treatment against the COVID-19.
由新型SARS-CoV-2引起的COVID-19大流行的爆发夺走了全球数百万人的生命,并对整个世界提出了挑战,要求确定和开发预防和治疗这种致命感染的最佳疗法。在有效、安全的治疗和预防COVID-19疾病方面取得进展需要临床研究、卫生政策和临床干预措施。许多药物已经在临床试验中测试了它们对COVID-19的有效性和安全性。其中,目前FDA唯一批准的新冠药物瑞德西韦、地塞米松、单克隆抗体等已显示出良好的效果。生物制剂也被证明对病毒有效,如托珠单抗、恢复期血浆和干扰素。针对COVID-19最有效的医疗干预措施是疫苗接种,目前正处于快速发展阶段。然而,FDA已经批准了两种疫苗,许多疫苗正处于最后的临床阶段。本文将分析当前针对COVID-19治疗的所有进展。
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引用次数: 0
A Bird's Eye of the Situation of Poliomyelitis in World: Past, Present and Future Strategies towards Polio Eradication from Pakistan 鸟瞰世界小儿麻痹症的情况:巴基斯坦过去、现在和未来消灭小儿麻痹症的战略
Pub Date : 2020-12-30 DOI: 10.31703/giidr.2020(v-i).03
T. Tariq, Maham Ahsan, M. Rehman, Neelum Wazir, Tanveer Ahmed Khan
Humanity has faced numerous calamities, natural disasters, and even the outbreaks of numerous communicable diseases since the dawn of time, and poliomyelitis is one of these diseases. The first cases of the disease occurred in the 1940s, alerting the health authorities and experts to create a vaccine to improve children's immunity to the virus. Since then, polio workers all across the globe are trying their best to create awareness about the importance of polio vaccination which is especially needed in the tribal areas of Pakistan because the people living there are mostly backward and illiterate who do not vaccinate their children due to safety concerns as well as religious and general misbeliefs about the vaccine. The focus of these campaigns is to make sure that every child in Pakistan and Afghanistan is properly vaccinated to stop the transmission of the virus by the year 2022.
人类自古以来就面临着无数灾难、自然灾害,甚至许多传染病的爆发,而脊髓灰质炎就是其中之一。这种疾病的第一例发生在20世纪40年代,提醒卫生当局和专家研制疫苗,以提高儿童对这种病毒的免疫力。从那时起,全球各地的小儿麻痹症工作人员都在尽最大努力提高人们对小儿麻痹症疫苗接种重要性的认识,这在巴基斯坦的部落地区尤其需要,因为那里的人们大多是落后和文盲,由于安全问题以及宗教和对疫苗的普遍误解,他们不给孩子接种疫苗。这些运动的重点是确保巴基斯坦和阿富汗的每一名儿童都适当接种疫苗,以便在2022年之前阻止病毒的传播。
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引用次数: 0
Recent Advances in the Treatment of Tuberculosis Infection 结核感染治疗的最新进展
Pub Date : 2019-12-30 DOI: 10.31703/giidr.2019(iv-i).01
Ravish Faiz, Khansha Chaudary, Rabia Saeed, Gul Shehnaz
Tuberculosis (TB) is a centuries old disease which is quite prevalent throughout the world caused by Mycobacterium tuberculosis. This disease kills more people every year than other infectious diseases despite the existence of an effective treatment. This treatment has been available since 1940, which means its existence spans over more than fifty years now. The development of antimicrobial resistance is one of the challenges facing the struggle to stem the tide of this lethal outbreak. The wider range of this disease is linked to few functional factors which include lack of public awareness, patient monitoring and follow-up. The prevalence of great progress and advancement in medical technology and research calls for greater efforts. This review article considers trends prevailing all around the globe in the ailments from a comprehensive perspective.
结核病是由结核分枝杆菌引起的一种具有数百年历史的疾病,在世界范围内相当普遍。尽管有有效的治疗方法,但这种疾病每年导致的死亡人数超过其他传染病。这种疗法从1940年就开始使用了,这意味着它已经存在了50多年。抗菌素耐药性的发展是遏制这一致命疫情浪潮的斗争所面临的挑战之一。这种疾病的范围更广,与一些功能因素有关,包括缺乏公众意识、患者监测和随访。医学技术和研究的巨大进步和进步要求我们作出更大的努力。这篇综述文章从一个全面的角度考虑了全球范围内疾病的流行趋势。
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引用次数: 0
Leishmaniasis: A Neglected Tropical Disease 利什曼病:一种被忽视的热带疾病
Pub Date : 2019-12-30 DOI: 10.31703/giidr.2019(iv-i).02
Aneeqa Hamida, Doua Ilyas, Mahnoor Zahra, Gul Shehnaz
Leishmaniasis is an emerging tropical disease in the world as declared by WHO. At least 89 countries are affected, risking lives of 350 million people resulting in 70,000 deaths annually. It is spread to human beings and animals by bite of sandflies of genera Phlebotomus and Lutzomyia. The disease is more prevalent in the poverty-stricken populations. In Pakistan, the most affected province is KPK. Despite its global occurrence, it is not a very life-threatening disease except visceral leishmaniasis in which death can occur in immunocompromised patients. The only satisfactory treatment is through intravenous antimonials. Vaccine is not yet available but environmental control of sandfly can help in prevention of leishmaniasis. There is a dire need of improving the existing conventional therapy but the neglection of the disease has led to lack of financial support for the development of a novel drug.
利什曼病是世卫组织宣布的一种世界新发热带病。至少89个国家受到影响,每年有3.5亿人的生命受到威胁,造成7万人死亡。它通过白蛉属和卢氏属白蛉的叮咬传播给人类和动物。这种疾病在贫困人口中更为普遍。在巴基斯坦,受影响最严重的省份是肃贪省。尽管它在全球发生,但它不是一种非常危及生命的疾病,除了内脏利什曼病,免疫功能低下的患者可死于内脏利什曼病。唯一令人满意的治疗方法是静脉注射锑。目前还没有疫苗,但对白蛉的环境控制可以帮助预防利什曼病。迫切需要改进现有的传统治疗方法,但对该疾病的忽视导致缺乏开发新药的资金支持。
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引用次数: 0
Advancements in Diagnosis and Treatment of Influenza virus 流感病毒的诊断和治疗进展
Pub Date : 2018-12-30 DOI: 10.31703/giidr.2018(iii-i).04
Huma Amjad, Fahim Ahmed, I. Ullah, M. Rehman
Flu is caused by influenza A and B virus leading an acute respiratory illness. This review summarizes advance diagnostic techniques for detecting and confirming influenza virus and treatments involve. RADTS are beneficial tools but with the limited sensitivity. Pandemic confirmation H1N1 influenza A infection done by real-time reverse-transcriptase polymerase chain reaction (rRT-PCR) or viral culture. Several approaches are as of now accessible for determination of flu contaminations like serological tests are generally used to identify flu infection in immunizer reactions incorporate hemagglutination restraint test that depends on capacity of HA-explicit antibodies. Rapid molecular assays that produces results in approximately in 15-30minutes by detecting nucleic acids of influenza in upper respiratory tract. For treating influenza antiviral medications are given to patients based on clinical and epidemiological factors. Neuraminidase inhibitor (NI) is the drug of choice. A good way to prevent the disease is to give individuals annual vaccine and another way is to start an early diagnosis and give medications in short time to patients to prevent further spread of disease and reduce complications otherwise.
流感是由甲型流感和乙型流感病毒引起的急性呼吸道疾病。本文综述了流感病毒检测和确认的最新诊断技术及其治疗方法。RADTS是一种有益的工具,但灵敏度有限。通过实时逆转录聚合酶链反应(rRT-PCR)或病毒培养方法确认H1N1甲型流感大流行感染。到目前为止,有几种方法可用于确定流感污染,如血清学测试,通常用于确定流感感染的免疫反应,包括血凝抑制测试,这取决于ha显式抗体的能力。快速分子测定法通过检测上呼吸道流感的核酸,大约在15-30分钟内产生结果。在治疗流感时,根据临床和流行病学因素给予患者抗病毒药物。神经氨酸酶抑制剂(NI)是首选药物。预防这种疾病的一个好方法是每年给个人接种疫苗,另一种方法是开始早期诊断,并在短时间内给病人服用药物,以防止疾病进一步传播,减少并发症。
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引用次数: 0
A Study on Different Conventional Techniques to Withdraw Blood from Experimental Animals 实验动物不同常规采血方法的研究
Pub Date : 2018-12-30 DOI: 10.31703/giidr.2018(iii-i).01
Nida Rashid, A. Ahmed, Hafsa Shahid, Syeda Komal Fatima, M. Rehman
Blood collection from experimental animals is a common yet crucial procedure that requires immense care and professional experience to ensure propriety and successful trials in the experimental procedure. This article overviews different methods for blood collection, terminal and non-terminal, in different experimental animals, mainly rat, guinea pig, and rabbit. Different sites for the collection of blood have been discussed, along with the pros and cons of administering via these sites. Lastly, it is discussed that the site of selection depends on the sample volume required and the purpose of the experimental procedure; these factors are also discussed in detail in this review article.
从实验动物身上采集血液是一项常见但至关重要的程序,需要非常小心和专业经验,以确保实验程序的适当性和成功。本文综述了不同实验动物的终末和非终末采血方法,主要有大鼠、豚鼠和家兔。讨论了采集血液的不同地点,以及通过这些地点给药的利弊。最后,讨论了选择的地点取决于所需的样本量和实验程序的目的;这些因素也在本文中进行了详细的讨论。
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引用次数: 0
Prostate Cancer: Review based on Pathogenesis and Advancements in Treatment Strategies of Prostate Cancer 前列腺癌:基于前列腺癌发病机制和治疗策略进展的综述
Pub Date : 2018-12-30 DOI: 10.31703/giidr.2018(iii-i).03
G. Shahnaz, Iqra Rehman, Muhammad Shahzeb Ashraf
The frequency of prostate cancer varies worldwide. Western people are more prone to this disease. Genetic changes and inflammation are the two most common causes of pathogenesis of prostate carcinoma. Genes taking part in progression of prostate cancer including GSTP1, RNASEL, PTEN/MXi1, AR gene pathway including PI3/AKT also leads to prostate cancer. Besides genes, inflammation, elevated VEGF, diet, environmental changes, and alteration in the androgen receptor are predisposing aspect for prostate cancer. The development of science and technology had led to astonishing modifications in treatment strategies. It is a slow-growing tumor and confined to the prostate only. The key objective of treatment is to reduce the level of testosterone. Different approaches are employed for treatment including hormonal therapy, cryosurgery, anti-tumor medication, and receptor-based treatment in which androgen receptors are major targets. The latest treatment of prostate cancer includes nanoparticle targeted delivery of antiandrogens.
前列腺癌的发病率在世界范围内各不相同。西方人更容易得这种病。遗传改变和炎症是前列腺癌发病的两个最常见的原因。参与前列腺癌进展的基因包括GSTP1、RNASEL、PTEN/MXi1, AR基因通路包括PI3/AKT也可导致前列腺癌。除基因外,炎症、VEGF升高、饮食、环境变化和雄激素受体的改变也是前列腺癌的易感因素。科学技术的发展使治疗策略发生了惊人的变化。它是一种生长缓慢的肿瘤,仅局限于前列腺。治疗的主要目的是降低睾丸激素水平。不同的治疗方法包括激素治疗、冷冻手术、抗肿瘤药物和以雄激素受体为主要靶点的基于受体的治疗。前列腺癌的最新治疗方法包括纳米粒子靶向递送抗雄激素。
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引用次数: 0
期刊
Global Immunological & Infectious Diseases Review
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