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Impact of antimicrobial resistance on health and economy: A comprehensive review 抗微生物药物耐药性对健康和经济的影响:综述
Pub Date : 2023-06-13 DOI: 10.47262/bl/9.1.20230417
Antibiotics have historically revolutionized medical science; however, the rise of multidrug-resistant pathogenic bacteria puts their worth at risk. The problem of antibiotic resistance has been attributed to both the excessive use of already available drugs and the absence of newer treatments as a result of stringent regulatory requirements and weakened corporate incentives. Resistant infections often need more comprehensive and costly treatments, resulting in longer hospital admissions, higher healthcare costs, and a larger demand for specialized healthcare resources. The expenses are exacerbated by the need for new antimicrobial drug research and development, which is becoming more complex and expensive as a result of resistance mechanisms. Comprehensive efforts are needed to limit the rate of resistance development and include research into new bacteria, resistance mechanisms, and antimicrobial medications. Multidisciplinary approaches are required in the sectors of agriculture, the environment, and healthcare. Probiotics, antibodies, and vaccines are a few examples of progressive complementary therapies that have shown promising outcomes in research and may one day serve as preventive or supplementary treatments. The purpose of this review article is to give an in-depth review of the influence of antibiotic resistance on both the health of individuals and economic stability.
抗生素在历史上彻底改变了医学;然而,耐多药致病菌的增加使它们的价值面临风险。抗生素耐药性问题归因于过度使用现有药物,以及由于严格的监管要求和企业激励减弱而缺乏新的治疗方法。耐药感染通常需要更全面、更昂贵的治疗,从而导致住院时间更长、医疗费用更高以及对专业医疗资源的更大需求。由于耐药机制的原因,新的抗微生物药物研究和开发正变得更加复杂和昂贵,这一需求加剧了费用。需要综合努力来限制耐药性的发展速度,并包括对新细菌、耐药机制和抗微生物药物的研究。农业、环境和医疗保健部门需要多学科方法。益生菌、抗体和疫苗是进步的补充疗法的几个例子,在研究中显示出有希望的结果,可能有一天作为预防或补充治疗。这篇综述文章的目的是对抗生素耐药性对个人健康和经济稳定的影响进行深入的综述。
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引用次数: 0
Global monkeypox disease outbreak: Prevalence and treatment 全球猴痘病暴发:流行和治疗
Pub Date : 2023-06-08 DOI: 10.47262/bl/9.1.20230413
Monkeypox is a zoonotic disease and caused by the monkeypox virus (MPXV). It belongs to the species of the orthopoxvirus family. Data from several sources, including epidemiological studies, case reports, and clinical trials were included in thorough literature analyses. Monkeypox was more common in Central and West Africa. Additionally, the virus has been identified in other regions of the world including North America, Europe, and Asia. A feverish sickness and distinctive skin lesions, resembling smallpox, are the primary symptoms of the disease. Preventing serious consequences and secondary transmission requires early diagnosis and effective care. The main therapeutic strategies used include vaccination, antiviral medication, and supportive care. Despite not being created expressly for monkeypox, the smallpox vaccination has shown some promising results in reducing serious illness. Additionally, antiviral medications such as tecovirimat and cidofovir lower the morbidity and mortality. To create targeted treatments and improve treatment plans, further research is necessary. In order to lessen the impact of monkeypox on the world, improved monitoring systems, public health education, and international cooperation are required. The current study highlights the necessity for ongoing work in disease monitoring, prevention, and therapeutic improvements by providing a thorough assessment of monkeypox viral prevalence and available treatments.
猴痘是一种人畜共患疾病,由猴痘病毒(MPXV)引起。它属于正痘病毒科的一种。来自多个来源的数据,包括流行病学研究、病例报告和临床试验,被纳入全面的文献分析。猴痘在中非和西非更为常见。此外,该病毒已在世界其他地区被发现,包括北美、欧洲和亚洲。发烧和明显的皮肤损伤,类似天花,是该病的主要症状。预防严重后果和二次传播需要早期诊断和有效护理。使用的主要治疗策略包括疫苗接种、抗病毒药物和支持性护理。尽管天花疫苗不是专门针对猴痘研制的,但在减少严重疾病方面已经显示出一些有希望的结果。此外,抗病毒药物,如替可韦和西多福韦降低发病率和死亡率。为了创造有针对性的治疗方法和改进治疗方案,进一步的研究是必要的。为了减轻猴痘对世界的影响,需要改进监测系统、公共卫生教育和国际合作。目前的研究通过对猴痘病毒流行率和现有治疗方法进行全面评估,强调了在疾病监测、预防和治疗改进方面开展持续工作的必要性。
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引用次数: 0
Computer-aided drug design against schizophrenia by targeting SP4 针对SP4靶向精神分裂症的计算机辅助药物设计
Pub Date : 2023-05-08 DOI: 10.47262/bl/9.1.20230501
Schizophrenia (SZ) is a mental disorder and affects ~1% of the worldwide population. It is considered a chronic and severe condition that impacts the thoughts, emotions, and behavior, of the patient often leading to a distortion of reality. Numerous computational techniques such as threading technique, homology modeling technique, and ab initio technique were applied for 3D structure prediction of the selected SZ protein SP4. The 3D predicted structures of SP4 were further evaluated and validated by utilizing Anolea, ProCheck, and Errat evaluation tools. Interestingly, it was observed that the overall quality factor of the selected structure was 77.542%. The predicted structure of SP4 showed 3.97% residues in the outlier region of Ramachandran plot while 96.03% in the allowed and the favored region of the evaluated plot. The study of molecular docking analyses was done to identify the compounds against SZ by targeting SP4. Moreover, the scrutinized compounds showed the least binding energy of -10.1 Kcal/mol. The highest binding affinity was observed among the binding residues (Leu-199, Ala-275, Gly-262, Leu-198, Thr-333, Ser-334, Leu-339, Ala-206, Leu-208, Gly-281, Ile-207, Val-283, Pro-286, and Ala-287). The scrutinized molecules from the selected library may have the ability to regulate the activity of SZ by targeting SP4. The scrutinized molecules can behave as a potential compound and the 3D predicted structure of SP4 is reliable for structural insights and functional analyses.
精神分裂症(SZ)是一种精神障碍,影响着全球约1%的人口。它被认为是一种慢性和严重的疾病,影响患者的思想、情绪和行为,经常导致对现实的扭曲。利用线程技术、同源建模技术、从头算技术等多种计算技术对选定的SZ蛋白SP4进行了三维结构预测。利用Anolea、ProCheck和Errat评价工具对SP4的三维预测结构进行进一步评价和验证。有趣的是,所选结构的整体质量因子为77.542%。SP4的预测结构在Ramachandran图的离群区残差为3.97%,在评价图的允许区和有利区残差为96.03%。通过分子对接分析,鉴定了以SP4为靶点的抗SZ化合物。此外,化合物的结合能最低,为-10.1 Kcal/mol。结合残基(Leu-199、Ala-275、Gly-262、Leu-198、Thr-333、Ser-334、Leu-339、Ala-206、Leu-208、Gly-281、Ile-207、Val-283、Pro-286和Ala-287)的结合亲和力最高。从选定的文库中筛选的分子可能具有通过靶向SP4调节SZ活性的能力。经过仔细检查的分子可以表现为潜在的化合物,并且SP4的3D预测结构对于结构见解和功能分析是可靠的。
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引用次数: 0
Lumpy skin disease an emerging outbreak in cattle and its impact on human life 牛中出现的肿块性皮肤病暴发及其对人类生活的影响
Pub Date : 2023-05-03 DOI: 10.47262/bl/9.1.20230220
A viral disease known as lumpy skin disease (LSD) that infects cattle has recently become a danger to the global livestock industry. Capripoxvirus, which causes LSD, can contract through insect bites or through direct contact with infected animals. Cattle with the disease develop nodules on their skin, which reduce their ability to produce milk, cause them to lose weight, and eventually kill them. LSD significantly reduces milk production, which may decrease from 10% to 85%. Milk and meat sales have decreased by 60% to 70% in Karachi (Pakistan), as a result of LSD. Calves of all strains and ages are affected, although lactating cows and young cattle are more at risk. The bulk of LSD outbreaks occurs in hot, humid environments when a large percentage of insects that serve as vectors are active. LSD may be transmitted more quickly by wildlife. Nasal secretions, inappetence, fever, lachrymation with salivation, swollen lymph nodules, body weight loss, and sometimes death are all symptoms of LSD. Farmers and the cattle industry have suffered enormous financial losses because of the increase in LSD. Concerns regarding the disease's effects on human health have also been raised due to its zoonotic potential. Although there is no evidence that LSD may be transmitted to others, the risk still exists, especially for those with compromised immune systems. This article discusses the current knowledge of LSD, its clinical manifestations, transmission, and preventive measures. It also draws attention to the effects of LSD breakouts, including financial, social, and medical fallouts, on people's lives. The paper highlights the necessity of continuing research and surveillance to comprehend the illness better and create efficient controls to stop its spread.
一种被称为肿块性皮肤病(LSD)的病毒性疾病感染了牛,最近已经成为全球畜牧业的危险。导致致幻剂致幻剂的Capripoxvirus可以通过昆虫叮咬或直接接触受感染的动物而感染。患有这种疾病的牛在皮肤上长出结节,这会降低它们产奶的能力,导致它们体重减轻,最终导致它们死亡。LSD显著降低产奶量,可降低10% ~ 85%。在卡拉奇(巴基斯坦),由于LSD的作用,牛奶和肉类的销量下降了60%到70%。所有品种和年龄的小牛都受到影响,尽管哺乳期母牛和小牛的风险更大。大部分致幻剂暴发发生在炎热潮湿的环境中,当时作为病媒的大部分昆虫都很活跃。LSD可能通过野生动物传播得更快。鼻分泌物,食欲不振,发烧,流泪伴流涎,淋巴结节肿大,体重减轻,有时死亡都是LSD的症状。由于LSD的增加,农民和养牛业遭受了巨大的经济损失。由于该病有人畜共患的可能,人们也对其对人类健康的影响表示关注。虽然没有证据表明LSD可能会传染给他人,但风险仍然存在,特别是对那些免疫系统受损的人。本文讨论了LSD的最新知识、临床表现、传播和预防措施。它还引起了人们对LSD爆发的影响的关注,包括对人们生活的经济、社会和医疗影响。这篇论文强调了继续进行研究和监测的必要性,以便更好地了解这种疾病,并制定有效的控制措施来阻止其传播。
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引用次数: 1
COVID-19 consequences to pregnant women COVID-19对孕妇的影响
Pub Date : 2023-04-09 DOI: 10.47262/bl/9.1.20230211
The outbreak of novel coronavirus disease (COVID-19) was observed in Wuhan, China, and had been exposed for the first time in 31st of December 2019. There is a rapid increase in the progression of this disease. This virus is similar in genetics to SARS-COV however different in structure. The clinical illustrations of COVID-19 include lower and upper respiratory tract infection and acute respiratory syndrome with life-threatening pneumonia. This virus causes disease in newborn babies to elders including all age groups. Respiratory infection occurs in pregnant women while most commonly affected by COVID-19. The coronavirus pandemic significantly increased worry, stress, and anxiety, which negatively affects the pregnant women emotionally. Worrying about their own and their unborn child's health, decreased expectations for prenatal care, being unable to get trustworthy information, and having less daily routines and social connections are all issues that negatively affected the pregnant women. The COVID-19 virus alters the immune response at the point where the mother and fetus meet, having an impact on both the mother and the newborn. It is critical to check suspected pregnant women during delivery due to the lack of accurate knowledge of influence on pregnancy by COVID-19. In confirmed cases, both the mother as well as the baby child should be closely monitored. This review highlights the fear, stress, anxiety, and Obstetrical issues in pregnant women during SARS and COVID-19 outbreak.
新型冠状病毒病(COVID-19)在中国武汉暴发,并于2019年12月31日首次暴露。这种疾病的发展速度很快。这种病毒在遗传上与sars冠状病毒相似,但在结构上不同。COVID-19的临床表现包括下呼吸道和上呼吸道感染以及急性呼吸综合征伴危及生命的肺炎。这种病毒在新生儿和老年人中引起疾病,包括所有年龄组。呼吸道感染发生在孕妇中,最常受到COVID-19的影响。新冠肺炎疫情显著增加了孕妇的担忧、压力和焦虑,对孕妇的情绪产生了负面影响。担心自己和未出生的孩子的健康,对产前护理的期望降低,无法获得可靠的信息,日常生活和社会联系减少,这些都是对孕妇产生负面影响的问题。COVID-19病毒改变了母亲和胎儿接触时的免疫反应,对母亲和新生儿都有影响。由于缺乏对COVID-19对妊娠影响的准确认识,在分娩期间对疑似孕妇进行检查至关重要。在确诊病例中,应密切监测母亲和婴儿。本综述强调了SARS和COVID-19爆发期间孕妇的恐惧、压力、焦虑和产科问题。
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引用次数: 0
Comparative analysis of nutritional, antioxidant, and antibacterial properties of Moringa oleifera extract 辣木提取物营养、抗氧化和抗菌性能的比较分析
Pub Date : 2023-03-30 DOI: 10.47262/bl/9.1.20230115
People are increasingly more concerned with their lifestyle and health due to the significant shift in socioeconomic level in the modern era. People are aware of the negative consequences of manufactured items. Natural compounds derived from plants with fewer adverse effects are getting more attention. Moringa oleifera is an example of a tree with significant nutritional and therapeutic advantages. In the present study, mineral and macronutrient content and antioxidant capacity were evaluated at two stages of maturity (mature and tender leaves). The chemical analysis revealed that the protein concentration was higher, and the lipid concentration was lower. Regarding mineral content, calcium (Ca) and iron (Fe) have exhibited a higher degree of bioaccessibility, with potassium (K), sulfur (S), Ca, and Fe constituting the most prevalent elements. Using an established in vitro model, the antioxidant activities of Moringa oleifera leaf extracts were evaluated to comprehend the mechanism of pharmacological action. At 900 μg/ml, the aqueous extract of Moringa oleifera showed significant antibacterial activity. Based on the results of this study, Moringa oleifera leaf extracts exhibit considerable antioxidant activity and substantial protection against bacterial infection due to the presence of phenolic and flavonoids. Based on in vitro experiments, we aimed to determine if Moringa oleifera may be used as a potential antibacterial in therapeutic applications in light of the rising incidence of antibiotic resistance.
由于现代社会经济水平的显著变化,人们越来越关注自己的生活方式和健康。人们意识到制造产品的负面影响。从植物中提取的副作用较小的天然化合物正受到越来越多的关注。辣木(Moringa oleifera)是一种具有显著营养和治疗优势的树木。在本研究中,对成熟期(成熟叶和嫩叶)两个阶段的矿物质和常量营养素含量及抗氧化能力进行了评价。化学分析表明,蛋白质浓度较高,脂质浓度较低。在矿物含量方面,钙(Ca)和铁(Fe)表现出较高的生物可及性,其中钾(K)、硫(S)、钙和铁是最常见的元素。通过建立体外抗氧化模型,对辣木叶提取物的抗氧化活性进行评价,了解其药理作用机制。辣木水提物在900 μg/ml浓度下具有显著的抗菌活性。根据本研究结果,辣木叶提取物由于其酚类和类黄酮的存在,表现出相当大的抗氧化活性和对细菌感染的实质性保护。在体外实验的基础上,我们旨在确定辣木是否可以作为一种潜在的抗菌药物在治疗应用中,鉴于抗生素耐药性的发病率上升。
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引用次数: 1
In silico structure prediction and molecular docking analyses to reveal potential binding domain of Hepatitis B virus genotype A2 乙型肝炎病毒A2基因型潜在结合域的硅结构预测和分子对接分析
Pub Date : 2023-03-27 DOI: 10.47262/bl/9.1.20230219
Hepatitis B Virus (HBV) infects the hepatocytes to cause serious liver diseases. HBeAg regulates the response of immune system to the intracellular capsid act as T-cell tolerogen. The immune response regulation may predispose to chronicity during perinatal infections to prevent the severe liver injuries. Various in silico approaches including comparative modeling, threading approach and ab initio approach were employed for the prediction of 3D structures of the selected protein followed by the validation of the predicted structures through Errat, Procheck and Anolea. The predicted 3D structure of HBeAg revealed overall quality factor of 95.9184%. Interestingly, it was observed that only 1.97% residues were present in outlier region while 98.03% in favored and allowed region. Molecular docking analyses were performed and the attempt was for the identification of novel ligands for HBeAg. The reported compound may regulate the activity and act as regulator of HBeAg. Interestingly, least binding energy of -7.1 Kcal/mol was observed in the reported compound and high binding affinity to predict the binding residues (Asp-51, Phe-53, Val-56, Arg-57, Met-95, Ala-98, Asn-103, Arg-111, Asp-112, Val-115, Val-118 and Asn-119). The function determination of the selected target protein is due to the identification of effective binding sites in protein structures. The reported compound may act as potent molecule and the predicted structure is reliable for the functional studies and structural insights.
乙型肝炎病毒(HBV)感染肝细胞,引起严重的肝脏疾病。HBeAg作为t细胞耐受原调节免疫系统对胞内衣壳的反应。围产期感染时的免疫反应调节可使其易于发生慢性感染,从而预防严重的肝损伤。采用比较建模、线程法和从头算法等多种计算机方法预测所选蛋白质的三维结构,并通过Errat、Procheck和Anolea对预测结构进行验证。预测的HBeAg三维结构总体质量因子为95.9184%。有趣的是,在离群区残留率仅为1.97%,而在有利区和允许区残留率为98.03%。进行了分子对接分析,并试图鉴定HBeAg的新配体。所报道的化合物可能调节HBeAg的活性并起调节作用。有趣的是,在所报道的化合物中观察到最低结合能为-7.1 Kcal/mol,并且具有高结合亲和力,可以预测结合残基(Asp-51, phe53, Val-56, Arg-57, Met-95, Ala-98, Asn-103, Arg-111, Asp-112, Val-115, Val-118和Asn-119)。所选择的靶蛋白的功能确定是由于在蛋白质结构中识别有效的结合位点。所报道的化合物可能作为有效分子,预测的结构对功能研究和结构见解是可靠的。
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引用次数: 0
Causes, prevalence, and identification of multi-drug resistant (MDR) tuberculosis in patients with different age groups 不同年龄组患者耐多药结核病的病因、流行和鉴定
Pub Date : 2023-03-07 DOI: 10.47262/bl/9.1.20230103
Sabeera Siddiq, Muhammad Imran Sarwer, Khawar, Ali Shahzad, Khawar Ali, Shahzad
Tuberculosis (TB) is a granulomatous infectious illness caused by gram-positive, acid-fast bacilli belonging to the Mycobacterium genus. Mycobacterium tuberculosis (MTB) causes tuberculosis in humans, which primarily affects the lungs and causes pulmonary tuberculosis. Extra pulmonary tuberculosis can damage the colon, meninges, bones, joints, lymph nodes, skin, and other body parts. The present study was conducted to find the causes, prevalence, and identification of multi-drug resistant tuberculosis in patients with different age groups. One hundred sputum samples were collected from patients with different age groups. Identification and confirmation of multidrug resistance tuberculosis were performed by smear microscopy, real-time PCR assay, and bacterium culture, and Out of 100 samples 86 were positive for tuberculosis and 14 were negative. Out of these 86 samples, 52 were males and 34 were females. The age group with the highest percentage of tuberculosis was 40-60 years. There were 47 smokers and 39 non-smokers. Out of 100 samples, only 19 had good living standards, 40 with average hygienic conditions, and 41 with poor hygiene. Through real-time assay it was concluded that 48 samples were Isoniazid resistant and 53 were Rifampicin resistant. According to our findings, poor quality of life, poor housing, overcrowding, population explosion, under nutrition, smoking, alcohol misuse, lack of education, large families, and lack of information about the cause and transmission of tuberculosis are some of the social causes. These elements are interconnected and play a role in tuberculosis occurrence and transmission.
结核病(TB)是一种肉芽肿性传染病,由属于分枝杆菌属的革兰氏阳性抗酸杆菌引起。结核分枝杆菌(MTB)引起人类结核病,主要影响肺部并引起肺结核。肺外结核可损害结肠、脑膜、骨骼、关节、淋巴结、皮肤和其他身体部位。本研究旨在了解不同年龄组患者耐多药结核病的病因、流行情况和鉴定情况。从不同年龄组的患者中收集了100份痰样本。通过涂片镜检、实时PCR检测和细菌培养等方法对多药耐药结核进行鉴定和确认,100份样本中结核阳性86份,阴性14份。在这86个样本中,52个是男性,34个是女性。结核病发病率最高的年龄组为40-60岁。有47名吸烟者和39名不吸烟者。在100个样本中,只有19个生活水平良好,40个卫生条件一般,41个卫生条件较差。实时检测结果显示异烟肼耐药48份,利福平耐药53份。根据我们的研究结果,生活质量差、住房条件差、过度拥挤、人口爆炸、营养不良、吸烟、酗酒、缺乏教育、大家庭以及缺乏有关结核病病因和传播的信息是一些社会原因。这些因素相互关联,并在结核病的发生和传播中发挥作用。
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引用次数: 0
In silico structural insight and functional evaluation to predict novel non-coding RNAs of Enterobacter cloacae complex 预测阴沟肠杆菌复合体新型非编码rna的计算机结构洞察和功能评估
Pub Date : 2022-09-05 DOI: 10.47262/bl/8.2.20220627
The non-coding RNA (ncRNA) produces functional RNA molecules instead of encoding proteins, however, the ncRNAs contain information to perform the function. Most genetic information is encoded by proteins while most of the genetic information of mammals and other complex organisms is transcribed into ncRNAs. The current study was designed to predict the ncRNAs in the genome of the Enterobacter cloacae complex by employing in silico approaches. Various putative ncRNAs were predicted in four different species of Enterobacter cloacae complex. Extensive in silico analyses were performed and specific promoters were predicted for all the selected ncRNAs. The predicted promoter regions were validated for further analyses. The selected ncRNA was utilized for secondary structure prediction. All the predicted secondary structures were validated through various evaluation tools and secondary structures were observed suitable. All the selected ncRNAs were observed stable and characterized based on hairpin loops, least MFE value and promoter regions. In conclusion, the predicted ncRNAs have the ability to perform stable functions.
非编码RNA (ncRNA)产生功能性RNA分子,而不是编码蛋白质,然而,ncRNA包含执行功能的信息。大多数遗传信息是由蛋白质编码的,而哺乳动物和其他复杂生物的大多数遗传信息是转录成ncrna的。目前的研究旨在通过采用计算机方法预测阴沟肠杆菌复合体基因组中的ncrna。在四种不同种类的阴沟肠杆菌复合体中预测了各种假定的ncrna。进行了广泛的计算机分析,并预测了所有选定的ncrna的特定启动子。预测的启动子区域为进一步分析进行了验证。选择的ncRNA用于二级结构预测。通过各种评价工具对预测的二级结构进行了验证,二级结构符合预期。所有选择的ncrna都是稳定的,并根据发夹环、最小MFE值和启动子区域进行了表征。总之,预测的ncrna具有执行稳定功能的能力。
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引用次数: 0
Monkeypox virus preparation in Pakistan-Next viral zoonotic disease outbreak after COVID-19? 巴基斯坦的猴痘病毒准备-继COVID-19之后的下一个病毒性人畜共患疾病暴发?
Pub Date : 2022-07-04 DOI: 10.47262/bl/8.2.20220610
Monkeypox is a viral disease that often affects central and western African rainforests. But the illness has recently arisen in the World in imported African wild rats. Monkeypox exhibits symptoms that are remarkably similar to other types of smallpox, including flu-like symptoms, malaise, headache, back pain, fever, and the distinctive rash. Considering this therapeutic range, performing a differential diagnosis to exclude smallpox is critical. Monkeypox has no recognized treatment, but the smallpox vaccination can prevent the infection. Reducing contact with sick patients or animals and avoiding respiratory exposure to infected patients is vital for proper protection. ‎
猴痘是一种病毒性疾病,经常影响中非和西非雨林。但这种疾病最近在世界范围内出现在进口的非洲野生老鼠身上。猴痘表现出与其他类型天花非常相似的症状,包括流感样症状、不适、头痛、背痛、发烧和特有的皮疹。考虑到这种治疗范围,进行鉴别诊断以排除天花是至关重要的。猴痘没有公认的治疗方法,但接种天花疫苗可以预防感染。减少与病人或动物的接触以及避免呼吸道接触受感染的病人对适当的保护至关重要。‎
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引用次数: 7
期刊
Biomedical Letters
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