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“Being There for Each Other”: Hospital Nurses’ Struggle during the COVID-19 Pandemic "守望相助":医院护士在 COVID-19 大流行期间的斗争
Pub Date : 2024-07-06 DOI: 10.3390/covid4070068
H. Admi, L. Inchi, S. Bord, S. Shahrabani
This study aims to explore the experiences of frontline hospital nurses over 18 months of struggle with the COVID-19 pandemic. The qualitative thematic analysis method was applied. Twenty-three nurses from nine tertiary hospitals in Israel were interviewed using semi-structured interviews via the ZOOM platform between August and September 2021. Interviews were video recorded and transcribed verbatim. Trustworthiness was assured by using qualitative criteria and the COREQ checklist. Results: Both negative and positive experiences were reported: threat and uncertainty along with awareness of their important mission; anxiety and helplessness alongside courage and heroism. Personal management strategies emerged: regulating overwhelming emotions and managing work–life balance. Team support emerged as the most meaningful source of nurses’ struggle with the pandemic. A sense of intimacy and solidarity enabled the processing of the shared traumatic experiences. Conclusions: A deeper understanding of nurses’ experiences through the pandemic was gained. Informal peer support has proven effective in struggling with the events. Formal interventions, such as affective–cognitive processing of traumatic events, need to be integrated into practice. Healthcare policymakers should promote better support for caregivers, which will contribute to their well-being and impact the quality of care they provide.
本研究旨在探讨医院一线护士在与 COVID-19 大流行病斗争的 18 个月中的经历。研究采用了定性专题分析方法。2021 年 8 月至 9 月期间,研究人员通过 ZOOM 平台对以色列九家三级医院的 23 名护士进行了半结构化访谈。对访谈进行了录像和逐字转录。采用定性标准和 COREQ 检查表确保访谈的可信度。结果报告中既有消极经历,也有积极经历:既有威胁和不确定性,也有对其重要使命的认识;既有焦虑和无助,也有勇气和英雄主义。出现了个人管理策略:调节难以承受的情绪,管理好工作与生活的平衡。团队支持是护士与大流行病抗争的最有意义的源泉。亲密感和团结感使他们能够处理共同的创伤经历。结论我们对护士在大流行病中的经历有了更深入的了解。事实证明,非正式的同伴支持在与大流行病抗争方面是有效的。正式的干预措施,如对创伤事件的情感-认知处理,需要融入到实践中。医疗保健政策制定者应促进为护理人员提供更好的支持,这将有助于他们的福祉并影响他们提供的护理质量。
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引用次数: 0
Prevalence and Predictors of Long COVID-19 and the Average Time to Diagnosis in the General Population: A Systematic Review, Meta-Analysis and Meta-Regression 普通人群中长 COVID-19 的流行率和预测因素以及平均诊断时间:系统回顾、元分析和元回归
Pub Date : 2024-07-05 DOI: 10.3390/covid4070067
J. Muthuka, J. M. Nzioki, Jack Oluoch Kelly, Everlyn Nyamai Musangi, Lucy Chepkemei Chebungei, Rosemary Nabaweesi, Michael Kibet Kiptoo
Objectives: We aimed to assess the prevalence of long COVID-19 and estimate the average time to its diagnosis and meta-regression for covariates. Methods: We conducted a systematic review, meta-analysis, and meta-regression from 43 studies (367,236 patients) (June 2020–August 2022). With the random-effects model, the pooled prevalence of long COVID-19 was measured. Publication bias was ascertained, and meta-regression analysis was performed on predetermined covariates. The trial was registered with PROSPERO (CRD42022328509). Results: The pooled prevalence of long COVID-19 was 42.5% (95% CI 36% to 49.3%), with 25% and 66% at four and two months, respectively. Mostly, long COVID-19 signs and symptoms occurred at three (54.3%) to six (57%) months (p < 0.0001), further increasing at 12 months (57.9%, p = 0.0148). Hypertension was significantly associated with long COVID-19 at 32% (0.322 (95% CI 0.166, 0.532) (p < 0.001) and hospital re-admission contributed to 17% (Q = 8.70, df = 1, p = 0.0032) (R2 = 0.17). All the covariates explained at least some of the variance in effect size on long COVID-19 at 53% (Q = 38.81, df = 19, p = 0.0047) (R2 analog = 0.53). Conclusion: The prevalence of long COVID-19 was 42.5% when linked with a cardiovascular disorder. Hospital re-admission majorly predicted the incidence of long COVID-19. Clinical and methodological characteristics in a specific study contributed to over 50% of long COVID-19 events, with most signs and symptoms occurring between 3 and 6 months and increasing at 12 months.
目的:我们旨在评估长COVID-19的患病率,估算其确诊的平均时间,并对相关因素进行元回归。方法我们对 43 项研究(367236 名患者)(2020 年 6 月至 2022 年 8 月)进行了系统回顾、荟萃分析和元回归。通过随机效应模型,我们测算出了长 COVID-19 的总体患病率。确定了发表偏倚,并根据预先确定的协变量进行了元回归分析。该试验已在 PROSPERO 注册(CRD42022328509)。结果长COVID-19的汇总患病率为42.5%(95% CI为36%至49.3%),四个月和两个月时的患病率分别为25%和66%。大多数情况下,长 COVID-19 症状和体征出现在 3 个月(54.3%)至 6 个月(57%)(p < 0.0001),在 12 个月时进一步增加(57.9%,p = 0.0148)。高血压与长 COVID-19 显著相关,占 32% (0.322 (95% CI 0.166, 0.532) (p < 0.001),再次入院占 17% (Q = 8.70, df = 1, p = 0.0032) (R2 = 0.17)。所有协变量对长 COVID-19 的效应大小变异的解释率至少为 53%(Q = 38.81,df = 19,p = 0.0047)(R2 模拟 = 0.53)。结论与心血管疾病相关的长 COVID-19 患病率为 42.5%。再次入院在很大程度上预测了长 COVID-19 的发生率。一项特定研究中的临床和方法学特征导致了50%以上的长COVID-19事件,大多数体征和症状发生在3至6个月之间,并在12个月时有所增加。
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引用次数: 0
Images of Chest Computer Tomography (CT) and Radiation (X-ray) Demonstrating Clinical Manifestations of COVID-19: Review Article 显示 COVID-19 临床表现的胸部计算机断层扫描(CT)和放射线(X 光)图像:评论文章
Pub Date : 2024-07-02 DOI: 10.3390/covid4070066
A. Oglat
Apart from reverse-transcription polymerase chain reaction (RT-PCR) testing, chest radiographs (CXR) and computed tomography (CT) scans were employed as crucial diagnostic methods for detecting the 2019 new coronavirus disease (COVID-19). Our objective is to examine three notable COVID-19 instances from patients across the globe, along with their CXR and CT data. The evaluation of the imaging characteristics of the reported instances was the primary objective of a methodical examination of the literature. We located more than several articles that had been published between 2020 and 2023. After the papers were examined, three major cases were chosen, including a COVID-19 assessment of imaging features (chest X-ray and CT scan). Corona viral diseases (COVID-19) pose a significant risk to healthcare facilities, especially when the patient has additional medical issues. It is challenging to understand the various chest radiography results because of the use of specialized and ambiguous terminology such as “airspace disease”, “pneumonia”, “infiltrates”, “patchy opacities”, and “hazy opacities”. The current investigation considered peer-reviewed case reports with Images features. Study designs, including reporting cases, were considered for imaging feature analysis.
除了反转录聚合酶链反应(RT-PCR)检测外,胸片(CXR)和计算机断层扫描(CT)也是检测 2019 年新型冠状病毒病(COVID-19)的重要诊断方法。我们的目标是研究全球患者中三个值得注意的 COVID-19 病例及其 CXR 和 CT 数据。评估报告病例的影像学特征是我们对文献进行系统研究的主要目的。我们找到了 2020 年至 2023 年间发表的多篇文章。在对这些论文进行研究后,我们选择了三个主要病例,其中包括对成像特征(胸部X光和CT扫描)的COVID-19评估。电晕病毒病(COVID-19)给医疗机构带来了巨大风险,尤其是当患者还有其他医疗问题时。由于使用了 "气室疾病"、"肺炎"、"浸润"、"斑片状不透明性 "和 "混浊不透明性 "等专业且含糊不清的术语,要理解各种胸部 X 射线检查结果具有挑战性。本次调查考虑了具有图像特征的同行评审病例报告。在进行影像特征分析时,考虑了包括报告病例在内的研究设计。
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引用次数: 0
Comparing the Change in R0 for the COVID-19 Pandemic in Eight Countries Using an SIR Model for Specific Periods 使用 SIR 模型比较八个国家特定时期 COVID-19 大流行的 R0 变化情况
Pub Date : 2024-07-01 DOI: 10.3390/covid4070065
Tak Ching Leung
The reproduction number, R0, is an important parameter in epidemic models. It is interpreted as the average number of new cases resulted from each infected individual during the course of infection. In this paper, the R0 estimates since the outbreak of COVID-19 till 10 August 2020 for eight countries were computed using the package R{eSIR}. The computed values were examined and compared with the daily R0 estimates obtained by a static SIR model by aligning the days of infection, assuming a fixed number of days for the infected person to become confirmed/recover/die. The results showed that running R{eSIR} to obtain R0 estimates provided an easy mean of exploring epidemic data. Care must be taken in the interpretation of R0 as a measure of severity of the spread of an epidemic. Other factors, such as imported cases, need to be considered.
繁殖数 R0 是流行病模型中的一个重要参数。它被解释为在感染过程中每个受感染个体产生的新病例的平均数量。本文使用 R{eSIR} 软件包计算了八个国家自 COVID-19 爆发至 2020 年 8 月 10 日的 R0 估计值。在假定感染者确诊/康复/死亡的天数固定的情况下,通过调整感染天数,将计算值与静态 SIR 模型获得的每日 R0 估计值进行了检验和比较。结果表明,运行 R{eSIR} 获得 R0 估计值是探索流行病数据的一种简便方法。在解释 R0 作为流行病传播严重程度的衡量标准时必须谨慎。还需要考虑其他因素,如输入病例。
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引用次数: 0
Deepening Divides or Inciting Change? Ongoing Impacts of COVID-19 on Teaching and Teacher Education in the United States 加深分歧还是推动变革?COVID-19 对美国教学和师范教育的持续影响
Pub Date : 2024-06-08 DOI: 10.3390/covid4060051
Noah Borrero
Through the lenses of teaching and teacher education, this article explores the evolving impacts of the COVID-19 pandemic on education. Challenges associated with COVID-19 in schooling, learning, teaching, and teacher education are highlighted to showcase ongoing systemic inadequacies and emerging opportunities for change. Cultural assets are presented as a theoretical framework for bridging gaps between individualistic and collective approaches to learning. Specific classroom projects that foster cultural assets are connected with a larger educational movement for Ethnic Studies in public education in the United States to provide examples of ways that education can evolve in more equitable ways into the future.
本文通过教学和师范教育的视角,探讨了 COVID-19 大流行病对教育的不断演变的影响。文章强调了 COVID-19 在学校教育、学习、教学和师范教育方面带来的挑战,以展示当前系统性的不足和新出现的变革机遇。文化资产作为一个理论框架被提出来,用于弥合个人主义和集体主义学习方法之间的差距。将促进文化资产的具体课堂项目与美国公共教育中更广泛的种族研究教育运动联系起来,为教育在未来以更公平的方式发展提供范例。
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引用次数: 0
Psychological Determinants of COVID-19 Vaccination Uptake among Pregnant Women in Kenya: A Comprehensive Model Integrating Health Belief Model Constructs, Anticipated Regret, and Trust in Health Authorities 肯尼亚孕妇接种 COVID-19 疫苗的心理决定因素:整合健康信念模型结构、预期后悔和对卫生机构信任的综合模型
Pub Date : 2024-06-05 DOI: 10.3390/covid4060050
S. Ayieko, Christine Markham, Kimberly Baker, Sarah E. Messiah
Pregnant women, considered at risk of COVID-19 complications because of the immunosuppressive and physiological changes in pregnancy, were initially hesitant to receive COVID-19 vaccination. This study assessed the association between COVID-19 vaccination uptake, psychological determinants (health belief model (HBM) constructs, anticipated regret, trust in health authorities), and provider recommendation among pregnant women in Kenya. Using data from a cross-sectional study, we conducted correlations, binary and multivariable logistic regressions, and moderation analysis to explore relationships between COVID-19 vaccination and psychological variables. Of the 115 pregnant women, 64% reported receiving provider recommendations for COVID-19 vaccination. There were weak positive correlations between the variables. Participants with high anticipated regret scores were more likely to receive COVID-19 vaccination compared to their peers (AOR = 4.27; 95% CI, 1.23–14.85), while provider recommendation increased the odds of COVID-19 vaccination (OR = 3.70; 95% CI, 1.53–8.92). None of the HBM constructs were significantly associated with COVID-19 vaccination. The findings related to psychological variables require the reconceptualization of theory-informed interventions to streamline healthcare provision. The critical role of healthcare providers in COVID-19 vaccination recommendations suggests a need to empower health practitioners with effective communication skills to improve maternal health outcomes.
由于妊娠期的免疫抑制和生理变化,孕妇被认为有发生 COVID-19 并发症的风险,因此她们最初对接种 COVID-19 疫苗犹豫不决。本研究评估了肯尼亚孕妇中 COVID-19 疫苗接种率、心理决定因素(健康信念模型(HBM)构建、预期后悔、对卫生机构的信任)和提供者推荐之间的关联。利用一项横断面研究的数据,我们进行了相关性、二元和多变量逻辑回归以及调节分析,以探讨 COVID-19 疫苗接种与心理变量之间的关系。在 115 名孕妇中,64% 的人表示接受了医疗服务提供者关于接种 COVID-19 疫苗的建议。这些变量之间存在微弱的正相关。与同龄人相比,预期遗憾得分高的参与者更有可能接种 COVID-19 疫苗(AOR = 4.27;95% CI,1.23-14.85),而医疗服务提供者的建议会增加接种 COVID-19 疫苗的几率(OR = 3.70;95% CI,1.53-8.92)。没有一个 HBM 构建与 COVID-19 疫苗接种有显著相关性。与心理变量相关的研究结果要求我们重新认识以理论为依据的干预措施,以简化医疗保健服务的提供。医疗保健提供者在 COVID-19 疫苗接种建议中的关键作用表明,有必要赋予医疗保健从业人员有效的沟通技巧,以改善孕产妇的健康状况。
{"title":"Psychological Determinants of COVID-19 Vaccination Uptake among Pregnant Women in Kenya: A Comprehensive Model Integrating Health Belief Model Constructs, Anticipated Regret, and Trust in Health Authorities","authors":"S. Ayieko, Christine Markham, Kimberly Baker, Sarah E. Messiah","doi":"10.3390/covid4060050","DOIUrl":"https://doi.org/10.3390/covid4060050","url":null,"abstract":"Pregnant women, considered at risk of COVID-19 complications because of the immunosuppressive and physiological changes in pregnancy, were initially hesitant to receive COVID-19 vaccination. This study assessed the association between COVID-19 vaccination uptake, psychological determinants (health belief model (HBM) constructs, anticipated regret, trust in health authorities), and provider recommendation among pregnant women in Kenya. Using data from a cross-sectional study, we conducted correlations, binary and multivariable logistic regressions, and moderation analysis to explore relationships between COVID-19 vaccination and psychological variables. Of the 115 pregnant women, 64% reported receiving provider recommendations for COVID-19 vaccination. There were weak positive correlations between the variables. Participants with high anticipated regret scores were more likely to receive COVID-19 vaccination compared to their peers (AOR = 4.27; 95% CI, 1.23–14.85), while provider recommendation increased the odds of COVID-19 vaccination (OR = 3.70; 95% CI, 1.53–8.92). None of the HBM constructs were significantly associated with COVID-19 vaccination. The findings related to psychological variables require the reconceptualization of theory-informed interventions to streamline healthcare provision. The critical role of healthcare providers in COVID-19 vaccination recommendations suggests a need to empower health practitioners with effective communication skills to improve maternal health outcomes.","PeriodicalId":72714,"journal":{"name":"COVID","volume":"59 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141382985","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
Staff Resiliency in Long-Term Care during the COVID-19 Pandemic: A Qualitative Study COVID-19 大流行期间长期护理机构员工的应变能力:定性研究
Pub Date : 2024-06-03 DOI: 10.3390/covid4060049
Behrouz Danesh, Shannon Freeman, Piper J. Jackson, T. Klassen-Ross, Alexandria Freeman-Idemilih, D. Banner
The COVID-19 pandemic has had a major impact on long-term care facilities (LTCFs). While much attention has been paid to the impact of the pandemic on residents, less attention has been given to the experiences of staff and factors impacting their resilience in facing challenges working in LTCF. This research describes the factors contributing to the resiliency of LTCF staff during the COVID-19 pandemic in northern British Columbia (BC). Transcripts from 53 participants who completed one-hour semi-structured interviews were included and thematic analysis was conducted. All participants had experience working in a LTCF facility in northern BC during the pandemic. The LTCF staff described resilience as the ability to adapt to changing circumstances and protocols, while also maintaining a positive attitude and uplifting spirits during times of adversity. The analysis revealed five key themes influencing staff resilience: (1) availability and provision of resources for staff, (2) leadership and management within LTCFs, (3) social support available to staff, (4) impact of residents’ morale on staff resilience, and (5) personal attributes and characteristics of the staff. Understanding and addressing the five themes can guide the development of targeted strategies and interventions aimed at enhancing staff resilience and well-being during challenging circumstances. By recognizing and addressing the specific needs of LTCF staff, it is possible to improve the overall quality of care provided in LTCF and promote the well-being of both residents and staff. The findings shed light on the interplay of these themes and their profound influence on LTCF staff. Identifying staff’s needs and factors that contribute to their resilience may lower staff turnover, leading to a stronger and more resilient healthcare system, capable of safeguarding vulnerable populations, particularly during times of crisis such as the COVID-19 pandemic.
COVID-19 大流行对长期护理机构(LTCF)产生了重大影响。虽然大流行病对住户的影响受到了广泛关注,但对员工的经历以及影响他们面对在 LTCF 工作的挑战时的应变能力的因素却关注较少。本研究描述了在不列颠哥伦比亚省(BC 省)北部发生 COVID-19 大流行期间促进 LTCF 工作人员复原力的因素。53 名参与者完成了一小时的半结构化访谈,研究人员对访谈记录进行了主题分析。所有参与者都曾在大流行期间在不列颠哥伦比亚省北部的一家 LTCF 机构工作过。LTCF 工作人员将抗逆力描述为适应不断变化的环境和协议的能力,同时在逆境中保持积极的态度和振奋的精神。分析揭示了影响员工抗逆力的五个关键主题:(1)员工资源的可用性和供应;(2)LTCF 内部的领导和管理;(3)员工可获得的社会支持;(4)居民士气对员工抗逆力的影响;以及(5)员工的个人属性和特征。了解并解决这五个主题,可以指导制定有针对性的策略和干预措施,以提高员工在充满挑战的环境中的抗逆力和幸福感。通过认识和解决长者照护中心员工的特殊需求,可以提高长者照护中心的整体照护质量,促进住客和员工的福祉。研究结果揭示了这些主题的相互作用及其对 LTCF 员工的深远影响。确定员工的需求以及有助于提高其抗逆力的因素,可以降低员工流失率,从而建立一个更强大、更有抗逆力的医疗保健系统,能够保护弱势群体,尤其是在 COVID-19 大流行等危机时期。
{"title":"Staff Resiliency in Long-Term Care during the COVID-19 Pandemic: A Qualitative Study","authors":"Behrouz Danesh, Shannon Freeman, Piper J. Jackson, T. Klassen-Ross, Alexandria Freeman-Idemilih, D. Banner","doi":"10.3390/covid4060049","DOIUrl":"https://doi.org/10.3390/covid4060049","url":null,"abstract":"The COVID-19 pandemic has had a major impact on long-term care facilities (LTCFs). While much attention has been paid to the impact of the pandemic on residents, less attention has been given to the experiences of staff and factors impacting their resilience in facing challenges working in LTCF. This research describes the factors contributing to the resiliency of LTCF staff during the COVID-19 pandemic in northern British Columbia (BC). Transcripts from 53 participants who completed one-hour semi-structured interviews were included and thematic analysis was conducted. All participants had experience working in a LTCF facility in northern BC during the pandemic. The LTCF staff described resilience as the ability to adapt to changing circumstances and protocols, while also maintaining a positive attitude and uplifting spirits during times of adversity. The analysis revealed five key themes influencing staff resilience: (1) availability and provision of resources for staff, (2) leadership and management within LTCFs, (3) social support available to staff, (4) impact of residents’ morale on staff resilience, and (5) personal attributes and characteristics of the staff. Understanding and addressing the five themes can guide the development of targeted strategies and interventions aimed at enhancing staff resilience and well-being during challenging circumstances. By recognizing and addressing the specific needs of LTCF staff, it is possible to improve the overall quality of care provided in LTCF and promote the well-being of both residents and staff. The findings shed light on the interplay of these themes and their profound influence on LTCF staff. Identifying staff’s needs and factors that contribute to their resilience may lower staff turnover, leading to a stronger and more resilient healthcare system, capable of safeguarding vulnerable populations, particularly during times of crisis such as the COVID-19 pandemic.","PeriodicalId":72714,"journal":{"name":"COVID","volume":"92 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141272273","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
Computational Discovery of Novel Imidazole Derivatives as Inhibitors of SARS-CoV-2 Main Protease: An Integrated Approach Combining Molecular Dynamics and Binding Affinity Analysis 计算发现作为 SARS-CoV-2 主要蛋白酶抑制剂的新型咪唑衍生物:分子动力学与结合亲和力分析相结合的综合方法
Pub Date : 2024-05-23 DOI: 10.3390/covid4060046
B. A. Babalola, A. Adegboyega
One of the most pressing challenges associated with SARS treatment is the emergence of new variants that may be transmissible, causing more severe disease or being resistant to the current standard of treatment. This study aimed to identify potential drug candidates from novel imidazole derivatives against SARS-CoV-2 main protease (Mpro), a crucial drug target for treating viral infection, using a computational approach that integrated molecular docking and dynamics simulation. In this study, we utilized AutoDock Vina within the PyRx workspace for molecular docking analysis to explore the inhibitory effects of the compounds on the Mpro, a drug target for SARS-CoV-2. The ADMET properties of these compounds, including absorption, distribution, metabolism, excretion, and toxicity, were evaluated using the SwissADME and ADMETLab servers. Each of the 18 compounds that were tested demonstrated strong binding affinities towards Mpro, with imidazolyl–methanone C10 showing the most significant binding affinity. Moreover, pyridyl–imidazole C5, thiophenyl–imidazole C1, and quinoline–imidazole C14 displayed binding affinities of −8.3, −8.2, and −7.7 Kcal/mol, respectively. These compounds interacted with specific amino acid residues (HIS A:41—CYS A:145) within the Mpro protein. To assess the stability of the ligand with the best binding affinity, molecular dynamics (MD) simulations were conducted using Schrodinger software, which revealed its stability over the simulation period. The study provides valuable insights into the potential of imidazole derivatives as SARS-CoV-2 Mpro inhibitors. All compounds including C10 display promising characteristics and hold potential as drug candidates for SARS-CoV-2. However, further optimization and experimental validation of these compounds are necessary to advance their development as effective therapeutics against viral infections.
与 SARS 治疗相关的最紧迫挑战之一是新变种的出现,它们可能具有传播性,导致更严重的疾病,或对目前的治疗标准产生抗药性。本研究旨在利用分子对接和动力学模拟相结合的计算方法,从新型咪唑衍生物中发现抗 SARS-CoV-2 主蛋白酶(Mpro)的潜在候选药物,Mpro 是治疗病毒感染的关键药物靶点。在这项研究中,我们利用 PyRx 工作区中的 AutoDock Vina 进行了分子对接分析,以探索这些化合物对 SARS-CoV-2 药物靶标 Mpro 的抑制作用。使用 SwissADME 和 ADMETLab 服务器评估了这些化合物的 ADMET 特性,包括吸收、分布、代谢、排泄和毒性。接受测试的 18 种化合物均与 Mpro 具有很强的结合亲和力,其中咪唑基甲酮 C10 的结合亲和力最强。此外,吡啶基咪唑 C5、噻吩基咪唑 C1 和喹啉基咪唑 C14 的结合亲和力分别为 -8.3、-8.2 和 -7.7 Kcal/mol。这些化合物与 Mpro 蛋白中的特定氨基酸残基(HIS A:41-CYS A:145)相互作用。为了评估具有最佳结合亲和力的配体的稳定性,研究人员使用 Schrodinger 软件进行了分子动力学(MD)模拟,结果显示该配体在模拟期间具有稳定性。这项研究为了解咪唑衍生物作为 SARS-CoV-2 Mpro 抑制剂的潜力提供了宝贵的见解。包括 C10 在内的所有化合物都显示出良好的特性,具有作为 SARS-CoV-2 候选药物的潜力。然而,这些化合物还需要进一步的优化和实验验证,以推动其发展成为抗病毒感染的有效疗法。
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引用次数: 0
How Political Ideology and Media Shaped Vaccination Intention in the Early Stages of the COVID-19 Pandemic in the United States 政治意识形态和媒体如何影响美国 COVID-19 大流行初期的疫苗接种意向
Pub Date : 2024-05-20 DOI: 10.3390/covid4050045
Dilshani Sarathchandra, Jennifer Johnson-Leung
As a pharmaceutical intervention, vaccines remain a major public health strategy for mitigating the effects of COVID-19. Yet, vaccine intake has been affected by various cognitive and cultural factors. We examine how a selected set of factors (i.e., knowledge, concern, media, peer influence, and demographics) shaped COVID-19 vaccination intention in the early phase of the pandemic (Fall 2020). Using a survey conducted in three US states (Idaho, Texas, and Vermont) just prior to the rollout of the first vaccines against COVID-19, we find that COVID-19 concern was the primary driver of vaccination intention. Concern was shaped mainly by two factors: political ideology and media sources. Yet, ideology and media were much more important in affecting concern for those who leaned politically conservative, as opposed to those who leaned liberal or remained moderate. The results from our structural equation models affirm that the information politically conservative respondents were receiving reinforced the effects of their ideology, leading to a greater reduction in their concern. We discuss the potential implications of these findings for future pandemic preparedness.
作为一种药物干预措施,疫苗仍然是减轻 COVID-19 影响的主要公共卫生策略。然而,疫苗摄入量受到各种认知和文化因素的影响。我们研究了在大流行的早期阶段(2020 年秋季),一组选定的因素(即知识、关注、媒体、同伴影响和人口统计学)是如何影响 COVID-19 疫苗接种意向的。通过在美国三个州(爱达荷州、德克萨斯州和佛蒙特州)进行的一项调查,我们发现,就在第一批 COVID-19 疫苗推出之前,COVID-19 关注是疫苗接种意向的主要驱动因素。关注度主要受两个因素的影响:政治意识形态和媒体来源。然而,意识形态和媒体对政治倾向保守者的关注度的影响要比倾向自由或温和者大得多。结构方程模型的结果证实,政治保守派受访者接收到的信息强化了他们意识形态的影响,从而导致他们的担忧程度进一步降低。我们将讨论这些发现对未来大流行病防备工作的潜在影响。
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引用次数: 0
Mortality of Laryngeal Cancer before and during the COVID-19 Pandemic COVID-19 大流行之前和期间的喉癌死亡率
Pub Date : 2024-05-17 DOI: 10.3390/covid4050044
R. Nocini, G. Lippi, C. Mattiuzzi
(1) Background: The interplay between coronavirus disease 2019 (COVID-19) and laryngeal cancer represents a substantial challenge for both patients and healthcare. To garner information on recent mortality data for laryngeal cancer, including during the COVID-19 pandemic, we analyzed real-world data from the US Centers for Disease Control and Prevention (CDC). (2) Methods: We searched the CDC WONDER online database 2018–2022 using the ICD-10 code for laryngeal cancer (C32; malignant neoplasm of the larynx). We also performed a sub-analysis between genders and across ten-year age groups. The data were analyzed with one-way analysis of variance (ANOVA) and Tukey’s post hoc test. (3) Results: The trend of age-adjusted mortality ×100,000 did not change significantly between the years 2018 and 2022 (p = 0.553). Males had higher age-adjusted mortality rates (M/F ratios between 4.6 and 5.0), but no significant variation was found in both genders (males: p = 0.676; females: p = 0.596). Although the mortality rate remained unchanged in people aged 35–84 years, the variation reached statistical significance in those aged 85 or older (p = 0.004), displaying a significant increase in 2021 compared to 2018 (p = 0.006) and 2019 (p = 0.039). (4) Conclusions: The impact of the COVID-19 pandemic on mortality for laryngeal cancer seems to be relatively modest in the general US population. Nevertheless, closer attention must be paid to older people, for whom the unfavorable consequences of misdiagnosis or mistreatment of this and other types of cancers can be exacerbated.
(1) 背景:2019年冠状病毒病(COVID-19)与喉癌之间的相互作用对患者和医疗保健都是一个巨大的挑战。为了收集包括 COVID-19 大流行期间在内的喉癌近期死亡率数据信息,我们分析了美国疾病控制和预防中心(CDC)提供的真实世界数据。(2)方法:我们使用喉癌的 ICD-10 编码(C32;喉部恶性肿瘤)搜索了 2018-2022 年美国疾病预防控制中心 WONDER 在线数据库。我们还进行了性别间和十年年龄组间的子分析。数据采用单因素方差分析(ANOVA)和Tukey事后检验进行分析。(3)结果:2018年和2022年之间,年龄调整后死亡率×100,000的趋势没有显著变化(p = 0.553)。男性的年龄调整后死亡率较高(男女比例在 4.6 和 5.0 之间),但在两性中均未发现显著差异(男性:p = 0.676;女性:p = 0.596)。虽然 35-84 岁人群的死亡率保持不变,但 85 岁及以上人群的死亡率变化达到了统计学意义(p = 0.004),与 2018 年(p = 0.006)和 2019 年(p = 0.039)相比,2021 年的死亡率出现了显著增长。(4) 结论:在美国普通人群中,COVID-19 大流行对喉癌死亡率的影响似乎相对较小。不过,必须更加密切关注老年人,因为误诊或误治这种癌症和其他类型的癌症可能会加重对老年人的不利影响。
{"title":"Mortality of Laryngeal Cancer before and during the COVID-19 Pandemic","authors":"R. Nocini, G. Lippi, C. Mattiuzzi","doi":"10.3390/covid4050044","DOIUrl":"https://doi.org/10.3390/covid4050044","url":null,"abstract":"(1) Background: The interplay between coronavirus disease 2019 (COVID-19) and laryngeal cancer represents a substantial challenge for both patients and healthcare. To garner information on recent mortality data for laryngeal cancer, including during the COVID-19 pandemic, we analyzed real-world data from the US Centers for Disease Control and Prevention (CDC). (2) Methods: We searched the CDC WONDER online database 2018–2022 using the ICD-10 code for laryngeal cancer (C32; malignant neoplasm of the larynx). We also performed a sub-analysis between genders and across ten-year age groups. The data were analyzed with one-way analysis of variance (ANOVA) and Tukey’s post hoc test. (3) Results: The trend of age-adjusted mortality ×100,000 did not change significantly between the years 2018 and 2022 (p = 0.553). Males had higher age-adjusted mortality rates (M/F ratios between 4.6 and 5.0), but no significant variation was found in both genders (males: p = 0.676; females: p = 0.596). Although the mortality rate remained unchanged in people aged 35–84 years, the variation reached statistical significance in those aged 85 or older (p = 0.004), displaying a significant increase in 2021 compared to 2018 (p = 0.006) and 2019 (p = 0.039). (4) Conclusions: The impact of the COVID-19 pandemic on mortality for laryngeal cancer seems to be relatively modest in the general US population. Nevertheless, closer attention must be paid to older people, for whom the unfavorable consequences of misdiagnosis or mistreatment of this and other types of cancers can be exacerbated.","PeriodicalId":72714,"journal":{"name":"COVID","volume":"2 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140964168","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
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