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Barriers to successful drug repurposing, and approaches to overcoming them 成功重新利用药物的障碍和克服这些障碍的方法
Pub Date : 2022-08-17 DOI: 10.14293/s2199-rexpo22002.v1
D. Cavalla
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引用次数: 0
Computational Approaches for Novel Therapeutic and Diagnostic Designing to Mitigate SARS-CoV2 Infection 减轻SARS-CoV2感染的新型治疗和诊断设计的计算方法
Pub Date : 2022-01-01 DOI: 10.1016/c2020-0-04145-9
Arpana Parihar, R. Khan, A. Kumar, A. Kaushik, H. Gohel
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引用次数: 5
Impact of COVID-19 on Oral and Dental Health Delivery and Recommendations for Continuation of Oral and Dental Health Services 2019冠状病毒病对口腔和牙齿卫生服务的影响以及继续提供口腔和牙齿卫生服务的建议
Pub Date : 2021-12-01 DOI: 10.5772/intechopen.98522
F. Özçelik, Dursun Ali Şirin
COVID-19, which has caused a great panic by leaving millions of deaths in its wake worldwide, has affected the provision of oral and dental health services as in many fields. Especially dentists, who offer oral and dental health services by working in the oral region of the patients, are under a high risk of encountering the agent. This high risk has justifiably created a concern for them. Therefore, it has been quite challenging to provide oral and dental health services. In order to alleviate these concerns and to sustain oral and dental health services, many health organizations and institutions, especially the World Health Organization, have published recommendations and principles of practice, and announced financial support. In this section, we will examine the recommendations and practices regarding infection prevention and control measures by getting away from standard routine health service practices in order to be protected from COVID-19 epidemic and what areas they cover on a wide scale. By discussing the effects of these recommendations and practices on the provision of dental health services, we will try to determine the practices that will relieve concerns and are aimed at ensuring the provision of safe health services in terms of both patients’ health and health professionals’ health.
COVID-19在全球造成数百万人死亡,造成巨大恐慌,并影响了许多领域的口腔和牙科卫生服务的提供。特别是牙医,因为他们在病人的口腔区域工作,提供口腔和牙齿保健服务,所以遇到这种病原体的风险很高。这种高风险理所当然地引起了他们的关注。因此,提供口腔和牙齿保健服务非常具有挑战性。为了减轻这些关切并维持口腔和牙齿保健服务,许多卫生组织和机构,特别是世界卫生组织,发表了建议和做法原则,并宣布提供财政支助。在本节中,我们将审查有关预防和控制感染措施的建议和做法,以摆脱标准的常规卫生服务做法,以保护自己免受COVID-19流行病的影响,以及它们广泛涵盖的领域。通过讨论这些建议和做法对提供牙科保健服务的影响,我们将努力确定哪些做法将减轻人们的关切,并确保从患者健康和保健专业人员健康的角度提供安全的保健服务。
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引用次数: 0
Clinical Trials on COVID-19: What is Being Researched in the United States? COVID-19临床试验:美国正在研究什么?
Pub Date : 2021-12-01 DOI: 10.5772/intechopen.98494
Isla Camilla Carvalho Laureano, A. Leite Cavalcanti
The emergence of Coronavirus Disease 2019 (COVID-19) in late 2019 has brought great challenges to public health worldwide and, to date, there is no specific approved therapeutic protocol. Therefore, this chapter will analyze types of intervention for use in patients with COVID-19 developed by American researchers from records made on the Clinical Trials platform. For the search strategy, keywords “COVID-19” in the “Condition or Disease” section and “United States” in the “Country” section were used. No filters were applied. Data were descriptively analyzed. In total, 1,182 studies were obtained, of which 496 met the eligibility criteria. Sample size ranged from 1 to 10,000 participants. Most studies involved the age group of 18–64 years (48.6%). As for design, randomized type (80.5%), parallel (75.6%), open designs (38.7%) and those with therapeutic purpose (88.3%) were more frequent. Most clinical trials used the two-arm trial (67.3%), researched drugs (64.8%), used placebo (55.2%) and were sponsored by pharmaceutical/biotechnology companies (35.4%). Clinical trials developed by American researchers on COVID-19 involve adult and elderly participants, with predominance of randomized, parallel and open design, for therapeutic purposes and mostly evaluated immunosuppressants or combinations of antivirals/immunosuppressants. The drugs and biological products Remdesivir, Baricitinib in combination with Remdesivir, Bamlanivimab and Etesevimab, REGEN-COV and COVID-19 convalescent plasma were also used, authorized for emergency use.
2019年底出现的2019冠状病毒病(COVID-19)给全球公共卫生带来了巨大挑战,迄今为止,还没有特定的批准治疗方案。因此,本章将分析美国研究人员根据临床试验平台的记录开发的用于COVID-19患者的干预措施类型。对于搜索策略,在“病症或疾病”部分使用关键词“COVID-19”,在“国家”部分使用关键词“美国”。没有使用过滤器。对数据进行描述性分析。总共获得了1182项研究,其中496项符合资格标准。样本量从1人到10000人不等。大多数研究涉及18-64岁年龄组(48.6%)。在设计方面,随机型(80.5%)、平行型(75.6%)、开放式(38.7%)和治疗型(88.3%)更为常见。大多数临床试验采用双组试验(67.3%),研究药物(64.8%),使用安慰剂(55.2%),由制药/生物技术公司赞助(35.4%)。美国研究人员开展的新冠肺炎临床试验涉及成人和老年人,以治疗为目的,以随机、平行和开放设计为主,主要评估免疫抑制剂或抗病毒药物/免疫抑制剂联合使用。药物和生物制品Remdesivir、Baricitinib联合Remdesivir、Bamlanivimab和Etesevimab、REGEN-COV和COVID-19恢复期血浆也被批准用于紧急使用。
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引用次数: 0
A Report of the Survey on Shelter Management under COVID-19 in Japanese Local Governments 新冠肺炎疫情下日本地方政府避难所管理调查报告
Pub Date : 2021-12-01 DOI: 10.5772/intechopen.98493
Arisa Yasui, M. Numada
Japan is a disaster-prone country and natural disasters could happen under COVID-19. Shelter management is especially important because many people evacuate there and there’s high risk of spreading infection. In order to establish feasible countermeasures in shelters, we conducted a survey about the current situation of preparation and experience of shelter management in Japanese local governments under COVID-19. From the answer of 346 municipalities, we found that some municipalities took measures against COVID-19 such as adding new shelters and conducting the training, and these proactive measures were very useful. However, due to the addition of infectious disease control work, it became clear that it would take time and difficulty at reception, and that it would be even more difficult to identify evacuees with the recommended distributed evacuation. These results can be useful in proceeding consideration of better shelter management under COVID-19.
日本是一个多灾多难的国家,在新冠肺炎疫情期间可能会发生自然灾害。避难所管理尤其重要,因为很多人都疏散到那里,感染传播的风险很高。为了制定可行的避难所对策,我们对新冠肺炎疫情下日本地方政府避难所管理的准备现状和经验进行了调查。从346个城市的回答中,我们发现一些城市采取了新建庇护所、开展培训等应对措施,这些积极措施非常有用。然而,由于传染病控制工作的增加,接待工作显然需要时间和困难,而且按照建议的分散疏散来识别撤离人员将更加困难。这些结果可用于进一步考虑在COVID-19下更好地管理住房。
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引用次数: 0
A Clinical Update on Employing Tocilizumab to Fight COVID-19 托珠单抗抗COVID-19的临床进展
Pub Date : 2021-12-01 DOI: 10.5772/intechopen.99785
N. Dhara, Sumana Saha, Saptarshi Chatterjee
SARS-CoV-2 infection or COVID-19, currently regarded as ‘terror’ worldwide, has spread uncontrollably as a serious menace. Till date, limited effective medicines or treatments are available. The mortality and morbidity rates have increased considerably, which have been aggravated by acute respiratory distress syndrome (ARDS) and new and old cardiovascular injuries. To control COVID-19, many drugs have been taken into consideration, like ACE2 blockers, anti-inflammatory drugs, antibodies against IL-1 and anti-IL-6, Remdesivir, Dexamethasone, Hydroxychloroquine and vaccines. In this chapter, preference is given to Tocilizumab with the latest status of clinical research update available. Despite several clinical research attempts, some have yielded promising results, others are inconclusive.
在世界范围内被视为“恐怖”的新型冠状病毒感染症(SARS-CoV-2)已成为无法控制的严重威胁。迄今为止,有效的药物或治疗方法有限。急性呼吸窘迫综合征(acute respiratory distress syndrome, ARDS)和新旧心血管损伤加重了患者的死亡率和发病率。为了控制COVID-19,已经考虑了许多药物,如ACE2阻滞剂、抗炎药、针对IL-1和抗il -6的抗体、Remdesivir、地塞米松、羟氯喹和疫苗。在本章中,根据最新的临床研究进展,优先考虑Tocilizumab。尽管有几次临床研究尝试,有些已经取得了有希望的结果,有些则没有定论。
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引用次数: 0
Management of Healthcare Waste in Healthcare Emergencies 医疗紧急情况中医疗废物的管理
Pub Date : 2021-09-20 DOI: 10.5772/intechopen.99884
Julius Manjengwa
Proper management of waste in healthcare emergencies is key to preventing spread of infections within an emergency. The risks of poor waste management are varied with the risks of spreading infectious diseases being the most important to consider. Chemical pollution should also be considered as water sources can easily be polluted. Careful thought and planning including a risk assessment should be carried out and the results should be publicized to create a common understanding of the problem at hand. This will also inform the methods to be used for the management of waste. Training of healthcare workers is key to creating common understanding of the problem at hand. The different types of waste to be generated should be well understood and methods to manage it should be well thought out before implementation. The decision on the different methods used to manage waste should be informed by the risk assessment and the available resources. However effectiveness to deal with the waste produced should be considered above all factors. Proper healthcare waste management is imperative to preventing further infections that might not be part of the original healthcare emergency. Planning to manage waste is a process that requires information before implementation.
在医疗紧急情况中妥善管理废物是在紧急情况下防止感染传播的关键。废物管理不善的风险是多种多样的,传染病传播的风险是最需要考虑的。化学污染也应该考虑,因为水源很容易被污染。应该进行仔细的思考和计划,包括风险评估,并应公布结果,以建立对手头问题的共同理解。这也将为废物管理的方法提供信息。对卫生保健工作者的培训是对当前问题达成共识的关键。应充分了解产生的不同种类的废物,并在实施前仔细考虑管理废物的方法。关于管理废物的不同方法的决定应以风险评估和现有资源为依据。然而,处理产生的废物的有效性应被考虑在所有因素之上。适当的医疗废物管理对于预防可能不属于原始医疗紧急情况的进一步感染至关重要。计划管理废物是一个过程,在实施之前需要信息。
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引用次数: 0
Building Interdisciplinary Teams in Emergency Care to Respond to National Emergencies: Addressing the Opioid Epidemic 在紧急护理中建立跨学科团队以应对国家紧急情况:应对阿片类药物流行
Pub Date : 2021-07-29 DOI: 10.5772/intechopen.99206
E. Guerrero, J. Frimpong, Angelique Hearn, V. Serret, W. K. Deen, Howard Padwa, R. Trotzky-Sirr, M. Menchine, Daniel L. Howard
This study responds to the gap in knowledge in translating team members’ interdisciplinary knowledge to address wicked problems. We use qualitative methodology to understand the team-building process and response to the opioid epidemic in emergency care. We collected data through direct observation of nine health system science researchers and thought leaders as they performed in team-building activities and semi-structured interviews. The cultural exchange framework informed our selection and assessment of team-building activities, and the science of team science (SciTS) framework informed our understanding of promoting interdisciplinary collaborations. We identified six themes representing three areas: (1) Knowledge Building and Strategy Development (need for interdisciplinary understanding of substance abuse and mental health in the emergency department (ED); interdisciplinary approaches to fight the opioid epidemic in the ED); (2) Team Demographics and Collaboration (prescribing and collaboration; the role of interdisciplinary team composition and effectiveness in the ED); and (3) Identity and Relationship Building (role of professional identity in contributing to interdisciplinary research; building effective organizational relationships in the ED). Members’ personal and professional connections are fundamental for developing nuanced interdisciplinary strategies to respond to the opioid epidemic in the ED. We discuss implications for strategies that promote team building and improve treatment practices.
本研究旨在回应团队成员跨领域知识翻译中存在的知识鸿沟。我们使用定性方法来了解团队建设过程和应对阿片类药物流行病在紧急护理。我们通过直接观察9名卫生系统科学研究人员和思想领袖在团队建设活动和半结构化访谈中的表现来收集数据。文化交流框架指导我们选择和评估团队建设活动,团队科学(SciTS)框架指导我们对促进跨学科合作的理解。我们确定了代表三个领域的六个主题:(1)知识建设和战略发展(需要对急诊科药物滥用和心理健康的跨学科理解);在急诊科采取跨学科方法抗击阿片类药物流行);(2)团队人口统计和协作(处方和协作;跨学科团队的组成和效能在教育署的角色);(3)认同与关系构建(专业认同在跨学科研究中的作用);在教育局建立有效的组织关系)。成员的个人和专业联系是制定微妙的跨学科策略以应对急诊科阿片类药物流行的基础。我们讨论了促进团队建设和改善治疗实践的策略的含义。
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引用次数: 0
Science-Based Technological Transfer as a Key Tool in Public Health 以科学为基础的技术转让是公共卫生的关键工具
Pub Date : 2021-06-19 DOI: 10.5772/intechopen.98704
Alonso Ureta Dumont, Jovanka Trebotich Zúñiga
Only a small portion of all the projects that are funded with public grants reaches the market, due to a gap known as “Death Valley” between the public and private source of resources. Know Hub Chile (KH) is a non-profit organization founded to transform scientific research results into goods and services available to the market and for the benefit of society. When the Covid-19 emergency reached Chile, the organization launched the “KH Bridge” a program of proof-of-concept and selected three technologies able to support hospitals in solving their needs. The first one was a smart shift planning platform of medical staff for reducing the virus spreading probability; the second solution aimed to assess the use of masks, and counting capacity and physical distance of patients by using video camera analytic technology in real-time; and the third project selected was an innovative design of personal protection equipment made with copper nanoparticles. All these solutions were piloted and validated into public hospitals for three months with a USD 25.000 budget. The KH Bridge experience has shown that the pandemic scenario has been an opportunity to validate university technologies in real environments and in shorter time frames, contributing to public health operations.
由于公共资源和私人资源之间存在所谓的“死亡谷”鸿沟,所有由公共拨款资助的项目中只有一小部分能够进入市场。智利知识中心(KH)是一个非营利组织,旨在将科学研究成果转化为可供市场使用的商品和服务,造福社会。当Covid-19紧急情况到达智利时,该组织启动了“KH桥”项目,这是一个概念验证项目,并选择了三种能够支持医院解决其需求的技术。一是降低病毒传播概率的医护人员智能班次规划平台;二是利用摄像机实时分析技术,实时评估口罩使用情况、计数能力和患者物理距离;第三个入选项目是用纳米铜制成的个人防护装备的创新设计。所有这些解决方案都在公立医院进行了为期三个月的试点和验证,预算为2.5万美元。KH桥项目的经验表明,大流行情景是一个机会,可以在实际环境和较短的时间框架内验证大学技术,从而促进公共卫生行动。
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引用次数: 0
Global Impact of COVID-19 Pandemic on Public Health Supply Chains COVID-19大流行对公共卫生供应链的全球影响
Pub Date : 2021-04-22 DOI: 10.5772/INTECHOPEN.97454
U. Okafor, Modinat Aderonke Olalaye, Hillary Chukwuemeka Asobara, Ebuka Fidelis Umeodinka
Health commodity supply chains are vital to a well-functioning health system and advancing national and regional health security goals. This study describes impacts of the COVID-19 pandemic on these chains, learnings from it and the challenges faced by countries. It also provides futuristic strategic recommendations for the building of the supply chain to manage the impacts and guide pandemic responsiveness. We used the PRISMA guideline for systematic review to collate relevant information from both published and unpublished literature. Out of 622 screened records, 38 were included in the review. Major impacts were innovation, collaboration, increased technology, research and development, increased prices and shortage of health products, depletion of supply chain personnel. Challenges were lack of visibility, coordination, resilience and strategy for pandemics, potential substandard medicines epidemic, travel restrictions and inadequate scientific knowledge. The studies recommended increased local production and resilience of supply chains. The pandemic disrupted national and international supply chain systems of medical devices, essential medicines and pharmaceutical products due to border closures, transportation and international trade restrictions. It however exposed hidden potentials in Sub-Saharan Africa. There is need to develop supply chain strategy for emergencies, increase local production and talent pool for supply chain management particularly in Africa.
卫生商品供应链对于一个运转良好的卫生系统和推进国家和区域卫生安全目标至关重要。本研究描述了2019冠状病毒病大流行对这些链条的影响、从中吸取的教训以及各国面临的挑战。它还为建立供应链提供了未来的战略建议,以管理影响并指导应对大流行。我们使用PRISMA指南进行系统评价,从已发表和未发表的文献中整理相关信息。在622个被筛选的记录中,有38个被纳入了审查。主要影响是创新、协作、技术和研发的增加、卫生产品的价格上涨和短缺、供应链人员的枯竭。挑战包括缺乏对流行病的可见性、协调、复原力和战略、潜在的不合格药品流行病、旅行限制和科学知识不足。这些研究建议增加本地生产和供应链的弹性。由于边境关闭、运输和国际贸易限制,大流行扰乱了医疗器械、基本药物和医药产品的国家和国际供应链系统。然而,它暴露了撒哈拉以南非洲的潜在潜力。有必要为紧急情况制定供应链战略,增加当地生产和供应链管理的人才库,特别是在非洲。
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引用次数: 7
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走近科学
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