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Management of unilateral temporomandibular joint ankylosis by interpositional arthroplasty and bilateral coronoidectomy 通过间置关节成形术和双侧冠状突切除术治疗单侧颞下颌关节强直
IF 0.3 Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_242_22
Prachur Malhotra, Rashmi Venkatesh, Deep Shah, Kavita Badi, Saurabh Chandalia
Ankylosis of the temporomandibular joint (TMJ) is an intracapsular union of the disc-condyle complex to the temporal articular surface that restricts mandibular movement, including the fibrous adhesions or bony fusion between condyle, disc, glenoid fossa, and articular eminence. It is more commonly associated with trauma, local or systemic infection, or systemic diseases. It is a serious and disabling condition that may cause problems in facial growth, mastication, swallowing, digestion, speech, appearance, and poor oral hygiene. The severity of ankylosis is diagnosed by evaluating the degree to which mouth opening is restricted. Conventional X-rays, computed tomography scans, or magnetic resonance imaging tests determine the abnormality in the bony or soft tissue formations in the joint area. The treatment of TMJ ankylosis poses a significant challenge because of the high incidence of recurrence. In this article, we report a case of a 27-year-old adult female who presented with left TMJ ankylosis and was treated with interpositional arthroplasty and bilateral coronoidectomy.
颞下颌关节(TMJ)强直是椎间盘-髁状突复合体与颞关节面的囊内结合,限制了下颌骨的活动,包括髁状突、椎间盘、盂窝和关节突之间的纤维粘连或骨性融合。它通常与创伤、局部或全身感染或全身性疾病有关。它是一种严重的致残性疾病,可能导致面部发育、咀嚼、吞咽、消化、语言、外观和口腔卫生不良等问题。强直的严重程度可通过评估张口受限的程度来诊断。传统的 X 射线、计算机断层扫描或磁共振成像检查可确定关节部位的骨骼或软组织形态是否异常。颞下颌关节强直的复发率很高,因此治疗颞下颌关节强直是一项重大挑战。本文报告了一例 27 岁的成年女性,她患有左侧颞下颌关节强直,并接受了关节间置换术和双侧冠状突切除术。
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引用次数: 0
Exploring the scope of task-based learning in undergraduate medical education 探索任务型学习在医学本科教育中的应用范围
IF 0.3 Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_177_22
Saurabh Ram Bihari Shrivastava, P. Shrivastava
The field of medicine is extremely vast and dynamic and it becomes really challenging for the medical undergraduate students to master all the subject specific competencies within the available timeframe of the course. The current review is done with an aim to assess the utility of task-based learning in undergraduate medical education. An extensive search of all materials related to the topic was carried out in the PubMed search engine and a total of 13 studies similar to current study objectives were selected for the review. Task-based learning refers to a teaching-learning methodology that is being employed in the clinical years in a medical institution. This method has its root originating from problem-based learning and it also advocates integrated teaching by providing students with a multi-specialty clinical exposure, that eventually creates a number of learning opportunities and makes the entire experience enriching. The selected task should be the one that represents a frequent concern of the local community, and should have specific learning objectives for making progress in clinical medicine. In conclusion, task-based learning is a holistic and a transdisciplinary approach to help the medical students to develop clinical competencies. Further, owing to the integration of clinical and basic science subjects in authentic clinical settings, the students learn the art of providing a holistic clinical care, while being motivated and satisfied with the entire learning experience.
医学领域极为广阔且充满活力,对于医学本科生来说,在现有的课程时间框架内掌握所有特定学科的能力确实具有挑战性。本综述旨在评估任务型学习在医学本科教育中的实用性。我们在 PubMed 搜索引擎上广泛搜索了与该主题相关的所有资料,共选择了 13 项与当前研究目标相似的研究进行综述。任务型学习指的是医疗机构在临床阶段采用的一种教学方法。这种方法源于以问题为基础的学习,它还提倡综合教学,为学生提供多专业的临床接触机会,最终创造出许多学习机会,使整个学习经历变得丰富多彩。所选任务应是当地社区经常关注的问题,并应具有具体的学习目标,以促进临床医学的进步。总之,任务型学习是一种全面和跨学科的方法,有助于医学生培养临床能力。此外,由于在真实的临床环境中整合了临床和基础科学科目,学生可以学习到提供全面临床护理的艺术,同时对整个学习经历充满动力和满足感。
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引用次数: 0
Fetus papyraceus in twin pregnancy: A rare case report 双胎妊娠中的纸莎草胎:罕见病例报告
IF 0.3 Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_262_22
Arpana A. Dharwadkar, V. Viswanathan, Shruti Vimal, B. Iqbal
Fetus papyraceous is the intrauterine fetal demise of one of the twins in early pregnancy which gets retained resulting in compression and resembles parchment paper. We report one such case of twin pregnancy where a 23 years primigravida with 36 weeks amenorrhea was referred to our hospital for delivery. Ultrasonography done during antenatal visits revealed twin pregnancy with one dead fetus. She delivered one healthy baby, placenta, and another pale white membranous tissue with firm areas. Multiple sections from the tissue revealed areas of developing bone, cartilage, ciliated epithelium, and muscular tissue confirming the diagnosis of fetus papyraceus. The basic concern of fetus papyraceus is its effect on the surviving fetus and on the mother. To avoid possible complications, intrauterine diagnosis of fetus papyraceus by serial ultrasound examinations and routine placental examination postdelivery to search for fetus papyraceus should be keenly followed.
纸样胎儿是指双胎中的一胎在孕早期胎死宫内,胎儿滞留在宫腔内,导致胎儿受压,形似羊皮纸。我们报告了一例这样的双胎妊娠,一名 23 岁的初产妇在停经 36 周后被转诊到本医院待产。她在产前检查时做了超声波检查,发现是双胎妊娠,其中一个胎儿已经死亡。她娩出了一个健康的胎儿、胎盘和另一个带有坚实区域的淡白色膜组织。该组织的多个切片显示有正在发育的骨骼、软骨、纤毛上皮和肌肉组织,确诊为纸样胎儿。纸样胎儿的基本问题是其对存活胎儿和母亲的影响。为避免可能出现的并发症,应密切关注宫内超声波检查和产后常规胎盘检查以寻找纸样胎儿。
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引用次数: 0
Cystic neutrophilic granulomatous mastitis: A study from tertiary care center in Kashmir 囊性中性肉芽肿性乳腺炎:克什米尔三级医疗中心的一项研究
IF 0.3 Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_245_22
A. Aiman, Zoya Aisha, Rukhsana Akhtar, Tazeen Jeelani, Syed Yaseen, Mir Yasir
Background: Cystic neutrophilic granulomatous mastitis (CNGM) is a rare subtype of granulomatous mastitis with a distinct histological pattern. The current literature suggests strong association with Corynebacterium species, evidence of corynebacterial infection can be difficult to prove. Clinically, CNGM may be virtually impossible to discern from invasive carcinoma. Materials and Methods: The current study is 1 year prospective study from August 2021 to July 2022. A total of seven cases of cystic neutrophilic granulomatous mastitis were reported. Results: Six out of seven patients were in the fourth decade of life. All of the patients presented with breast swelling and nipple discharge, whereas two patients had multiple discharging sinuses over the breast. Conclusion: Gram-positive bacterial infections have a distinctive pattern of inflammation in breast abscesses that can easily be overlooked. Pathologists should actively search for Gram-positive bacilli in distinctive cystic spaces. The importance of this is that prolonged antibiotic therapy against corynebacteria is often needed even beyond the resolution of symptoms in CNGM.
背景:囊性嗜中性肉芽肿性乳腺炎(CNGM)是肉芽肿性乳腺炎的一种罕见亚型,具有独特的组织学模式。目前的文献表明,CNGM 与棒状杆菌密切相关,但棒状杆菌感染的证据却很难证明。在临床上,肉芽肿性乳腺炎与浸润性癌几乎无法区分。材料和方法:本研究是一项为期一年的前瞻性研究,研究时间为 2021 年 8 月至 2022 年 7 月。共报告了 7 例囊性嗜中性肉芽肿性乳腺炎病例。研究结果七名患者中有六名处于生命的第四个十年。所有患者均表现为乳房肿胀和乳头溢液,其中两名患者乳房上有多个溢液窦。结论革兰氏阳性细菌感染在乳腺脓肿中有独特的炎症模式,很容易被忽视。病理学家应积极寻找独特囊腔中的革兰氏阳性杆菌。这一点非常重要,因为在 CNGM 的症状缓解后,往往还需要对球菌进行长期抗生素治疗。
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引用次数: 0
A retrospective study on the occurrence and prevalence of ovarian masses in the patients of Rajkot District, Gujarat 关于古吉拉特邦拉杰科特地区患者卵巢肿块发生率和流行率的回顾性研究
IF 0.3 Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_240_22
K. Vyas, Avni Patel, Ashita Vyas, Hardik Gohel
Background and Objective: Ovarian masses are one of the most common clinical conditions among women, which if not treated properly may be developed into malignant. However, not ovarian masses are progressing into malignant, and early diagnosis and treatment generally cure them without much destruction. The rate of occurrence highly depends on the demographic and obstetric profile of women. Since demographic profile varies it becomes essential to carry out detailed studies of a particular region to understand the prevalence of ovarian masses. Here, such a retroprospective study was carried out to determine the prevalence of ovarian masses in the Rajkot district. Methodology: A total of 44 cases with ovarian masses were taken into consideration for the determination of the effect of various parameters and their association with ovarian masses. The patients were analyzed for nonneoplastic, benign, and malignant tumors. Patients were analyzed based on demographic location, obstetric profile, and clinical presentations. Results: Based on the entire study, it was found that women in a middle age group are more prone to ovarian masses as compared to the older age group. Not only this but higher parity is also associated with increased chances of ovarian masses. Among nonneoplastic tumors occurrence of the serious cyst was highest. While in the case of benign tumors, mucinous cystadenoma and teratoma both were found predominant. However, no significant difference was observed in the patients with nonneoplastic and benign tumors. Among 44 cases, only one case with serous papillary adenocarcinoma was found. Conclusion: Based on the results of the study, it was found that women of Rajkot district in the age group 30–50 years are more prone to ovarian masses.
背景和目的:卵巢肿块是妇女最常见的临床症状之一,如果治疗不当,可能会发展为恶性肿瘤。然而,卵巢肿块并不会发展成恶性肿瘤,早期诊断和治疗一般都能治愈,不会造成太大的破坏。发病率在很大程度上取决于妇女的人口和产科情况。由于人口统计学特征各不相同,因此有必要对特定地区进行详细研究,以了解卵巢肿块的发病率。在此,我们开展了一项回顾性研究,以确定拉杰科特地区卵巢肿块的发病率。研究方法:共考虑了 44 例卵巢肿块患者,以确定各种参数的影响及其与卵巢肿块的关系。对患者进行了非肿瘤性、良性和恶性肿瘤分析。根据人口学位置、产科情况和临床表现对患者进行分析。研究结果根据整个研究发现,中年女性比老年女性更容易患卵巢肿块。不仅如此,胎次越多,患卵巢肿块的几率也越大。在非肿瘤中,严重囊肿的发生率最高。而在良性肿瘤中,粘液性囊腺瘤和畸胎瘤占多数。不过,在非肿瘤性和良性肿瘤患者中并没有观察到明显的差异。在 44 例患者中,仅发现一例浆液性乳头状腺癌患者。结论根据研究结果发现,拉杰科特地区 30-50 岁年龄组的妇女更容易患卵巢肿块。
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引用次数: 0
ABO blood types among Iraqi patients with coronavirus disease 2019 2019 年伊拉克冠状病毒疾病患者的 ABO 血型
IF 0.3 Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_174_22
Falah Obayes Al-Khikani, Z. Alkhafaji
Background: A case–control study was performed to determine ABO blood group distribution in Iraqi hospitalized patients infected with coronavirus disease 2019 (COVID-19) and healthy individuals. The severe acute respiratory coronavirus 2 (SARS-CoV-2) molecularly identified by detecting coronavirus RNA in the nasal swabs. Materials and Methods: 10770 participants were divided into 200 patients with SARS-CoV-2 and 10570 served as the control group. All patients were confirmed by real-time polymerase chain reaction and computed tomography scans from three hospitals in Babylon, Iraq. For the ABO blood type, three blood drops were obtained from each individual by pricking the tip of the index finger. Each drop was put on a slide that contained an antiblood typing serum to detect A, B, and D antigens. Statistical analysis was performed by Chi-square in SPSS version 23. Results: The distribution of the ABO blood group system in the healthy group was 24.30%, 38.80%, 26.02%, and 10.86% for type A, O, B, and AB, respectively, while in the COVID-19 patients, the distribution was 36%, 28%, 26%, and 10% for type A, O, B, and AB, respectively. Blood group type A was significantly high in the patient group (36%) compared to healthy participants, whereas the type O blood group was significantly low in patients (28%) compared to control participants. Conclusion: People with blood group A are at high risk to infect with COVID-19 (P < 0001) and the Odds ratio (OR) is 1.7. While blood group O is considered a protective factor against COVID-19 (P = 0.002) and the OD ratio is 0.6. Blood type A was most prevalent in nonsurvivor COVID-19 patients than survivors (P < 0.0001).
背景:为了确定伊拉克 2019 年冠状病毒病(COVID-19)住院感染者和健康人的 ABO 血型分布情况,我们进行了一项病例对照研究。通过检测鼻拭子中的冠状病毒 RNA,对严重急性呼吸道冠状病毒 2(SARS-CoV-2)进行了分子鉴定。材料与方法:10770 名参与者分为 200 名 SARS-CoV-2 患者和 10570 名对照组。所有患者均经伊拉克巴比伦三家医院的实时聚合酶链反应和计算机断层扫描确认。在检测 ABO 血型时,每个人都要刺破食指指尖取三滴血。每滴血都滴在含有抗血型血清的载玻片上,以检测 A、B 和 D 抗原。统计分析采用 SPSS 23 版的卡方法。结果健康人群中 ABO 血型系统的分布情况为:A 型、O 型、B 型和 AB 型分别占 24.30%、38.80%、26.02% 和 10.86%,而 COVID-19 患者中 A 型、O 型、B 型和 AB 型的分布情况分别为 36%、28%、26% 和 10%。与健康参试者相比,患者组中的 A 型血比例明显偏高(36%),而与对照组参试者相比,患者组中的 O 型血比例明显偏低(28%)。结论是A 型血的人感染 COVID-19 的风险很高(P < 0001),风险比(OR)为 1.7。而 O 型血被认为是 COVID-19 的保护因素(P = 0.002),OD 比为 0.6。与存活者相比,未存活的 COVID-19 患者中 A 型血最为常见(P < 0.0001)。
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引用次数: 0
Comparing the effectiveness of ayurvedic, homeopathic, and conventional dentifrice on gingiva: A double-blind randomized controlled trial 比较阿育吠陀、顺势疗法和传统牙膏对牙龈的功效:双盲随机对照试验
IF 0.3 Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_265_22
Shivashankar Kengadaran, Anusha Divvi, Joseph John
Background: Dental diseases are a major public health problem worldwide. The World Health Organization reports a prevalence of over 60%–90% of dental caries and gingiva diseases among school children worldwide. Fluoridated dentifrices were considered to be the gold standard for the prevention of dental diseases. However, the side effects encountered with these dentifrices have led to the search for novel and safe alternatives. Aim: This study aims to compare the effectiveness of Ayurvedic, Homeopathic, and Conventional dentifrice on the gingiva. Setting and Design: Double-blinded, parallel-group, randomized clinical trial. Materials and Methods: The study was conducted among healthy adults. Subjects were randomly allocated to three groups (n = 54). Group I-Herbal dentifrice, Group II-Homeopathic dentifrice and Group III-Fluoride dentifrice. Plaque and gingival indices were recorded at baseline, 14th day, and 28th day of follow-up. Statistical Analysis Used: Paired t-test and One-way ANOVA. Results: The mean plaque and gingiva index scores were significantly reduced by all treatment groups at the 28th day follow-up. The mean gingival index scores were reduced among all three groups. However, Group I showed the highest reduction (Group I [0.46 ± 0.09] followed by Group II [0.50 ± 0.10] and Group III [0.50 ± 0.14]) at the 14th day and (Group I [0.45 ± 0.09] followed by Group II [0.49 ± 0.06] and Group III [0.44 ± 0.9]) at the 28th day, respectively. The reduction was found to be statistically significant. Conclusion: All three groups exhibited antiplaque activity by bringing about a significant reduction in mean plaque and gingival index at 14th day and 28th day. Among all the dentifrices, Group I (Herbal dentifrice) showed better results compared to other groups.
背景:牙科疾病是世界范围内的一个主要公共卫生问题。世界卫生组织报告称,全球学龄儿童的龋齿和牙龈疾病发病率超过 60%-90%。含氟牙膏被认为是预防牙科疾病的黄金标准。然而,这些牙膏所产生的副作用促使人们开始寻找新颖、安全的替代品。目的:本研究旨在比较阿育吠陀、顺势疗法和传统牙膏对牙龈的功效。设置与设计:双盲、平行组、随机临床试验。材料与方法:研究对象为健康成年人。受试者被随机分配到三组(n = 54)。第一组-中药牙膏,第二组-顺势疗法牙膏,第三组-含氟牙膏。分别在基线、随访第 14 天和第 28 天记录牙菌斑和牙龈指数。统计分析配对 t 检验和单因素方差分析。结果在第 28 天的随访中,所有治疗组的牙菌斑和牙龈指数平均值都明显降低。三个治疗组的平均牙龈指数得分均有所降低。然而,在第 14 天和第 28 天,Ⅰ组的降低幅度最大(Ⅰ组 [0.46 ± 0.09],其次是Ⅱ组 [0.50 ± 0.10]和Ⅲ组 [0.50±0.14])(Ⅰ组 [0.45 ± 0.09],其次是Ⅱ组 [0.49 ± 0.06]和Ⅲ组 [0.44±0.9])。结果表明,血糖下降具有显著的统计学意义。结论所有三个组都具有抗牙菌斑活性,在第 14 天和第 28 天时,平均牙菌斑和牙龈指数都有显著下降。在所有牙膏中,第 I 组(草本牙膏)的效果优于其他组。
{"title":"Comparing the effectiveness of ayurvedic, homeopathic, and conventional dentifrice on gingiva: A double-blind randomized controlled trial","authors":"Shivashankar Kengadaran, Anusha Divvi, Joseph John","doi":"10.4103/jss.jss_265_22","DOIUrl":"https://doi.org/10.4103/jss.jss_265_22","url":null,"abstract":"Background: Dental diseases are a major public health problem worldwide. The World Health Organization reports a prevalence of over 60%–90% of dental caries and gingiva diseases among school children worldwide. Fluoridated dentifrices were considered to be the gold standard for the prevention of dental diseases. However, the side effects encountered with these dentifrices have led to the search for novel and safe alternatives. Aim: This study aims to compare the effectiveness of Ayurvedic, Homeopathic, and Conventional dentifrice on the gingiva. Setting and Design: Double-blinded, parallel-group, randomized clinical trial. Materials and Methods: The study was conducted among healthy adults. Subjects were randomly allocated to three groups (n = 54). Group I-Herbal dentifrice, Group II-Homeopathic dentifrice and Group III-Fluoride dentifrice. Plaque and gingival indices were recorded at baseline, 14th day, and 28th day of follow-up. Statistical Analysis Used: Paired t-test and One-way ANOVA. Results: The mean plaque and gingiva index scores were significantly reduced by all treatment groups at the 28th day follow-up. The mean gingival index scores were reduced among all three groups. However, Group I showed the highest reduction (Group I [0.46 ± 0.09] followed by Group II [0.50 ± 0.10] and Group III [0.50 ± 0.14]) at the 14th day and (Group I [0.45 ± 0.09] followed by Group II [0.49 ± 0.06] and Group III [0.44 ± 0.9]) at the 28th day, respectively. The reduction was found to be statistically significant. Conclusion: All three groups exhibited antiplaque activity by bringing about a significant reduction in mean plaque and gingival index at 14th day and 28th day. Among all the dentifrices, Group I (Herbal dentifrice) showed better results compared to other groups.","PeriodicalId":55681,"journal":{"name":"Journal of the Scientific Society","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344869","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
Complex ovarian cysts in infants: A series of nine cases 婴儿复杂性卵巢囊肿:九例系列病例
IF 0.3 Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_247_22
Partha Chakraborty, P. Halder, Ananya Mandal, Sunil Yadav, Sarannya Ghosh, Anusua Saha
Female infants frequently develop ovarian cysts (OCs), which vary in onset, development, and prognosis. When the placenta tissue secretes excessive human chorionic gonadotrophin for a variety of reasons, the fetus develops an OC. Because estrogen levels fall after childbirth, the majority of OCs may also naturally involute. Hence, treating infants with OCs may involve close observation. However, even in previously asymptomatic OCs, torsion, intracystic bleeding, or ovarian necrosis could manifest suddenly in the neonatal or infantile period. Here, we report nine such cases of OCs and share our experiences with diagnosis and treatment.
女婴经常会出现卵巢囊肿(OCs),其发病、发展和预后各不相同。当胎盘组织因各种原因分泌过多的人绒毛膜促性腺激素时,胎儿就会出现卵巢囊肿。由于分娩后雌激素水平下降,大多数 OC 也会自然消退。因此,治疗患有 OC 的婴儿可能需要密切观察。然而,即使是之前无症状的卵巢癌,也可能在新生儿期或婴儿期突然出现扭转、囊内出血或卵巢坏死。在此,我们报告了九例此类卵巢癌病例,并分享了我们的诊断和治疗经验。
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引用次数: 0
Mortality rate due to traffic accident and incidence rate of COVID-19: Any relationship? 交通事故死亡率与 COVID-19 的发病率:两者之间有关系吗?
IF 0.3 Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_280_22
P. Sookaromdee, Rujittika Mungmunpuntipantip, V. Wiwanitkit
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引用次数: 0
In silico method potential therapeutic use of Janus Kinase inhibitors as severe acute respiratory syndrome coronavirus 2 main protease inhibitors 将 Janus 激酶抑制剂作为严重急性呼吸系统综合征冠状病毒 2 主要蛋白酶抑制剂的潜在治疗用途的硅学方法
IF 0.3 Pub Date : 2023-09-01 DOI: 10.4103/jss.jss_156_22
Shankar Gharge, Sushmita I. Hiremath, Akshata Menasinakai, Mahesh Palled
Background: Coronavirus disease 2019 (COVID-19), it is an infectious respiratory disease caused by SARS corona virus 2 (SARS CoV-2). There are several reports of using JAK (Janus kinase)-inhibitors in persons with COVID-19 and the use of these decreased the use of invasive mechanical ventilation and increased survival. There are several ongoing and randomized controlled trials evaluating the therapeutic potential of Janus Kinase inhibitors (JAK i) in severe COVID-19. The structure, metabolic pathways and pathophysiology of COVID-19 associated diseases is important to identify possible drug targets. Hence in 2020, successful crystallized structure of the main protease (Mpro) from COVID-19 has been structured and repositioned in the Protein Data Bank (PDB), which is a potential target for the inhibition of CoV replication. Aims and Objectives: As there are no computational studies have been reported on computer based screening on Janus Kinase inhibitors to investigate its drug likeness properties and ADME profile along with some toxicity investigations. Hence an attempt has been made to study drug likeness properties and ADME profile of selected Janus Kinase inhibitors using computer applications and servers. Materials and Methods: The admetSAR and SwissADME servers are used for describing the molecular properties, which is important for a drug pharmacokinetics in the human body and molecular docking study to predict hypothetical binding affinity of protein is mainly done by PyRx 0.8 and visualizied by Biovia Discovery Studio 2021. Results: We have selected few Janus Kinase inhibitors (JAK i) as ligands such as Baricitinib, Upadacitinib, Oclacitinib, Tofacitinib, Ruxolitinib, Fedratinib, Peficitinib and Filgotinib and binding energy score of all inhibitors found to be -6.8, -6.8, -6.7, -5.7, -6.8, -7.7, -6.7 and -7.8 kcal/mol, respectively. Conclusion: The docking analysis in the present study showed the inhibition potential of several compounds, ranked by affinity Filgotinib > Fedratinib >Ruxolitinib, Upadacitinib, Baricitinib > Oclacitinib, Peficitinib > Tofacitinib which were the most recommended Janus Kinase inhibitor (JAKI) found as potential inhibitors of COVID-19 M pro, which should be explored in future research.
背景:冠状病毒病 2019(COVID-19)是由 SARS 冠状病毒 2(SARS CoV-2)引起的一种传染性呼吸道疾病。有多篇报道称,在COVID-19患者中使用JAK(Janus激酶)抑制剂可减少有创机械通气的使用并提高存活率。有几项正在进行的随机对照试验正在评估Janus激酶抑制剂(JAK i)对重症COVID-19的治疗潜力。COVID-19相关疾病的结构、代谢途径和病理生理学对于确定可能的药物靶点非常重要。因此,在2020年,COVID-19的主要蛋白酶(Mpro)的结晶结构被成功构建并重新定位在蛋白质数据库(PDB)中,这是抑制CoV复制的一个潜在靶点。目的和目标:目前还没有关于基于计算机筛选 Janus 激酶抑制剂的计算研究报告,以研究其药物相似特性和 ADME 特征以及一些毒性调查。因此,我们尝试使用计算机应用程序和服务器来研究选定的 Janus 激酶抑制剂的药物相似性和 ADME 特征。材料与方法:admetSAR和SwissADME服务器用于描述分子特性,这对药物在人体内的药代动力学非常重要;分子对接研究主要通过PyRx 0.8来预测蛋白质的假设结合亲和力,并通过Biovia Discovery Studio 2021进行可视化。结果:我们选择了一些 Janus 激酶抑制剂(JAK i)作为配体,如 Baricitinib、Upadacitinib、Oclacitinib、Tofacitinib、Ruxolitinib、Fedratinib、Peficitinib 和 Filgotinib,发现所有抑制剂的结合能得分分别为 -6.8、-6.8、-6.7、-5.7、-6.8、-7.7、-6.7 和 -7.8 kcal/mol。结论本研究的对接分析表明了几种化合物的抑制潜力,按亲和力排序,Filgotinib > Fedratinib > Ruxolitinib、Upadacitinib、Baricitinib > Oclacitinib、Peficitinib > Tofacitinib是最值得推荐的Janus激酶抑制剂(JAKI),它们是COVID-19 M pro的潜在抑制剂,应在今后的研究中加以探索。
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引用次数: 0
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