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COVID-19 Hospital Mortality Among Patients with Invasive Mechanical Ventilation: A Comparison Between Public and Private Healthcare Services in San Luis Potosí 2020–2022 COVID-19 有创机械通气患者的住院死亡率:2020-2022 年圣路易斯波托西公立和私立医疗服务的比较
Pub Date : 2024-02-06 DOI: 10.55504/2473-2869.1271
María E Torres-Acosta, Rocío M Cubos-Moncada, Alan Y Martínez-Castellanos
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引用次数: 0
COVID-19 Hospital Mortality Among Patients with Invasive Mechanical Ventilation: A Comparison Between Public and Private Healthcare Services in San Luis Potosí 2020–2022 COVID-19 有创机械通气患者的住院死亡率:2020-2022 年圣路易斯波托西公立和私立医疗服务的比较
Pub Date : 2024-02-06 DOI: 10.55504/2473-2869.1271
María E Torres-Acosta, Rocío M Cubos-Moncada, Alan Y Martínez-Castellanos
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引用次数: 0
Neurotropic Manifestations as a Potential Risk Factor for Schizophrenia Following in utero Exposure to SARS-CoV-2 神经嗜性表现是子宫内暴露于SARS-CoV-2后精神分裂症的潜在危险因素
Pub Date : 2023-07-21 DOI: 10.55504/2473-2869.1268
M. M. A. Talpur, Omar H. Elsayed, R. El-Mallakh
Background: COVID-19 infection is associated with neurologic and psychiatric morbidity that suggests a direct effect of the virus or secondary effect of an inflammatory process. These neuropsychiatric consequences may increase the likelihood of schizophrenia in the offspring of women who become infected with COVID-19 during their pregnancy. Methods: We performed a directed narrative review of the literature focusing on the proposed pathophysiological processes that lead to schizophrenia and known pathological consequences of COVID-19 infection. Results: Schizophrenia in adult offspring has been associated with maternal infections during pregnancy by a wide range of respiratory and neurotropic pathogens. Spikes in the incidence of schizophrenia approximately 20 years after several influenza pandemics have been documented. There are multiple lines of evidence suggesting that a similar pattern may be seen due to the recent COVID-19 pandemic. These include the nonspecific consequences of acute illness and hyperpyrexia, as well as more specific derangements of brain development related to direct effects of the virus or secondary effects of the inflammatory response on the developing brain. There is the potential to prospectively test this hypothesis by following the offspring of women who are known to have developed COVID-19 during their pregnancy. Conclusion: The COVID-19 pandemic
背景:COVID-19感染与神经和精神疾病相关,这表明病毒的直接作用或炎症过程的继发作用。这些神经精神后果可能会增加在怀孕期间感染COVID-19的妇女的后代患精神分裂症的可能性。方法:我们对文献进行了定向叙述性回顾,重点关注导致精神分裂症的病理生理过程和COVID-19感染的已知病理后果。结果:成年后代的精神分裂症与妊娠期间母体感染广泛的呼吸和嗜神经病原体有关。有文献记载,在几次流感大流行大约20年后,精神分裂症发病率出现高峰。有多种证据表明,由于最近的COVID-19大流行,可能会出现类似的模式。这些包括急性疾病和高热的非特异性后果,以及与病毒的直接影响或炎症反应对发育中的大脑的继发影响有关的更具体的大脑发育紊乱。通过跟踪已知在怀孕期间感染COVID-19的妇女的后代,有可能前瞻性地验证这一假设。结论:2019冠状病毒病疫情
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引用次数: 0
The Impact Of The COVID-19 Pandemic On Respiratory Syncytial Virus COVID-19大流行对呼吸道合胞病毒的影响
Pub Date : 2023-06-30 DOI: 10.55504/2473-2869.1267
A. Kahlon, Ravina Ramnani, Kartikeya Rajpal, Yusra Irshad, Sudeep Chapagain, Arushee Bhatnagar, Steven B. Lippmann
See editorial commentary on this article Respiratory syncytial virus (RSV) is one of many etiologies for acute respiratory tract illness among all age groups. Clinical presentation differs depending on age, health status, and whether the infection is primary or secondary. RSV is the most common cause of lower respiratory tract infection in children under the age of one.[1] Adults, especially those who are older and/or have predisposing conditions, also have high susceptibility. Many viruses cause upper respiratory tract illnesses and induce severe manifestations when affecting the lower respiratory tract.[1] The annual rate of RSV hospitalization is just over 4 per 1,000 among children under the age of five years and is highest among those under six months at 20 per 1,000.[2]
参见这篇文章的编辑评论呼吸道合胞病毒(RSV)是所有年龄组急性呼吸道疾病的众多病因之一。临床表现因年龄、健康状况以及感染是原发性还是继发性而异。呼吸道合胞病毒是一岁以下儿童下呼吸道感染的最常见原因。[1] 成年人,尤其是那些年龄较大和/或有易感疾病的人,也有很高的易感性。许多病毒会导致上呼吸道疾病,并在影响下呼吸道时引发严重症状。[1] 五岁以下儿童的呼吸道合胞病毒年住院率略高于千分之四,六个月以下儿童的年住院率最高,为千分之二十。[2]
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引用次数: 1
On the Respiratory Syncytial Virus Vaccine 呼吸道合胞病毒疫苗研究
Pub Date : 2023-06-30 DOI: 10.55504/2473-2869.1270
F. Arnold
See review article by Kahlon et al. With this issue of the Journal is the short review, “The Impact of the COVID-19 Pandemic on Respiratory Syncytial Virus”, and during its submission to publishing process, the U.S. Food & Drug Administration (FDA) approved a respiratory syncytial virus (RSV) vaccine for adults in May— twice. Generally, RSV accounts for 60,000 to 160,000 adults being hospitalized per year, and the virus kills 6,000 to 10,000 adults per year. The highest risk factors are age ≥65 years, heart disease, lung disease, and immunosuppression. From the perspective of viruses, SARS-CoV-2 and COVID-19 dominated the winter respiratory seasons of 2020–21 and 2021– 22. From the perspective of the research scientists, their decades-long work on a vaccine for RSV was interrupted by the COVID-19 pandemic as resources shifted from RSV to SARS-CoV-2. The remaining work accelerated, however, after the pandemic waned in 2022–23. The history of an RSV vaccine is worth mentioning to appreciate the recent progress that has been made, including the release and approval of multiple vaccines.
见Kahlon等人的评论文章。本期《华尔街日报》的简短评论“新冠肺炎大流行对呼吸道合胞病毒的影响”,在提交出版过程中,美国食品药品监督管理局(FDA)于5月批准了一种成人呼吸道合胞体病毒(RSV)疫苗,两次。一般来说,呼吸道合胞病毒每年导致60000至160000名成年人住院,该病毒每年导致6000至10000名成年人死亡。最高的危险因素是年龄≥65岁、心脏病、肺病和免疫抑制。从病毒的角度来看,SARS-CoV-2和新冠肺炎在2020-21年和2021-22年的冬季呼吸季节占主导地位。从研究科学家的角度来看,随着资源从RSV转移到SARS-CoV-2,新冠肺炎大流行中断了他们长达数十年的RSV疫苗研究工作。然而,在2022–23年疫情减弱后,剩余的工作加速了。值得一提的是呼吸道合胞病毒疫苗的历史,以赞赏最近取得的进展,包括多种疫苗的发布和批准。
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引用次数: 0
Tapped Twice: A Case of a Rapidly Re-accumulating Hepatic Hydrothorax in a Patient with Spontaneous Bacterial Empyema 两次轻拍:一例自发性细菌性脓胸患者迅速再积聚的肝性胸水
Pub Date : 2023-05-24 DOI: 10.55504/2473-2869.1253
Amir Khalil, Suma Alzouhayli, Silvia Novakova, Saad Shams, Ahmad Baiyasi, M. Khalil, M. Uddin, A. Shiari, Kareem Bazzy
Hepatic hydrothorax (HH) is a complication of decompensated liver cirrhosis that only occurs in about 5–6% of cirrhosis patients, defined as a pleural fluid in the setting of known liver disease, with the absence of any other cardiopulmonary etiology. Infected HH is a rare complication, designated as spontaneous bacterial empyema (SBEM), found in only 13–16% of patients with HH. This case follows a patient with SBEM who developed a recurrent pleural effusion minutes after thoracentesis. Our patient is a 56-year-old female with a history of alcoholic cirrhosis with pleuritic pain found to have right-sided pleural effusion with decompensation. She had no ascites. She was initiated on antibiotics due to leukocytosis and underwent thoracentesis, revealing a sterile but exudative pleural effusion with high neutrophil count, confirming the diagnosis of SBEM. Despite initial symptom relief, her respiratory symptoms recurred within mere minutes of thoracentesis. Imaging showed reaccumulated right-sided effusion, and repeat thoracentesis showed a transuda-tive effusion, suggesting HH. While she was in our care, we pursued expert consultation with gastroenterology and thoracic surgery; based on our shared clinical decision making, we agreed that definitive intervention with either indwelling catheter or intrapleural surgical options would cause more harm than good to our patient given her decompensated alcoholic cirrhosis. The patient was discharged with instructions for serial thoracentesis and close follow-up with gas-troenterology to discuss next steps regarding her advanced and uncontrolled cirrhosis. We refer to this case to discuss HH and its rare complication of SBEM, as well as the management options for patients with these conditions.
肝性胸水(HH)是失代偿性肝硬化的一种并发症,仅发生在约5-6%的肝硬化患者中,定义为已知肝病背景下的胸腔积液,没有任何其他心肺病因。感染HH是一种罕见的并发症,被称为自发性细菌性脓胸(SBEM),仅在13-16%的HH患者中发现。本病例跟随一位患有SBEM的患者,他在胸腔穿刺几分钟后出现复发性胸腔积液。我们的病人是一名56岁的女性,有酒精性肝硬化病史并胸膜炎疼痛,发现右侧胸膜积液伴代偿丧失。她没有腹水。由于白细胞增多,她开始使用抗生素,并进行了胸腔穿刺,发现无菌但渗出的胸腔积液,中性粒细胞计数高,证实了SBEM的诊断。尽管最初症状缓解,但她的呼吸系统症状在胸腔穿刺后几分钟内复发。影像学显示右侧积液,重复胸腔穿刺显示渗出,提示HH。当她在我们的护理下,我们寻求胃肠病学和胸外科的专家咨询;基于我们共同的临床决策,我们一致认为,考虑到失代偿性酒精性肝硬化,采用留置导尿管或胸膜内手术的最终干预措施对患者弊大于利。患者出院时接受了一系列的胸腔穿刺,并进行了密切的气门病学随访,以讨论晚期和不受控制的肝硬化的下一步措施。我们参考这个病例来讨论HH及其罕见的SBEM并发症,以及对这些情况的患者的管理选择。
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引用次数: 0
Identification of Molecular Markers Associated with COPD in non-smokers and smokers: A Bioinformatics Analysis 非吸烟者和吸烟者COPD相关分子标志物的鉴定:生物信息学分析
Pub Date : 2023-05-01 DOI: 10.55504/2473-2869.1261
Agede O Ayodele, Isa M. Wasagu, A. Fawibe, A. Salami
Background: Even though the proportional burden of chronic obstructive pulmonary disease (COPD) among never-smokers is significant in both developing and developed nations, accounting for around 30% of all COPD in the community, there is little awareness of the prevalence of COPD in this population. Understanding the molecular processes that underlie COPD in nonsmokers is essential. Methods: A dataset (GSE146560) was acquired from the Gene Expression Omnibus (GEO). The limma and clusterProfiler software tools were used to identify differentially expressed genes (DEGs) and conduct a functional enrichment analysis respectively. Results: In all, 10,583 DEGs were found, of which 1,065 were up-regulated and 9,518 were down-regulated. Kyoto Ency-clopedia of Genes and Genomes (KEGG) pathways such as neuroactive ligand-receptor interaction, taste transduction, maturity onset diabetes of the young, Hippo signaling pathway, insulin secretion, dilated cardiomyopathy, morphine addiction
背景:尽管在发展中国家和发达国家,不吸烟者中慢性阻塞性肺疾病(COPD)的比例负担都很显著,约占社区所有COPD的30%,但人们对这一人群中COPD的患病率知之甚少。了解非吸烟者慢性阻塞性肺病的分子过程至关重要。方法:从Gene Expression Omnibus (GEO)获取数据集GSE146560。使用limma和clusterProfiler软件工具分别鉴定差异表达基因(deg)并进行功能富集分析。结果:共发现10583个deg,其中上调1065个,下调9518个。京都基因与基因组百科全书(KEGG)通路,如神经活性配体-受体相互作用、味觉转导、青少年成熟型糖尿病、河马信号通路、胰岛素分泌、扩张型心肌病、吗啡成瘾
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引用次数: 0
COVID-19 Coagulopathies: Highlights of 2020–2021 Reported Data COVID-19凝血疾病:2020-2021年报告数据亮点
Pub Date : 2023-04-24 DOI: 10.55504/2473-2869.1246
Shreya Anil Kumar, Anushka Pradhan, A. Elsebaie, Karina Fainchtein, A. Noureldin, Yousra Tera, S. Kazi, M. Othman
{"title":"COVID-19 Coagulopathies: Highlights of 2020–2021 Reported Data","authors":"Shreya Anil Kumar, Anushka Pradhan, A. Elsebaie, Karina Fainchtein, A. Noureldin, Yousra Tera, S. Kazi, M. Othman","doi":"10.55504/2473-2869.1246","DOIUrl":"https://doi.org/10.55504/2473-2869.1246","url":null,"abstract":"","PeriodicalId":91979,"journal":{"name":"The University of Louisville journal of respiratory infections","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41462460","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
Performance of a SARS-CoV-2 RT-PCR Assay with Non-Traditional Specimen Types 非传统样本类型的严重急性呼吸系统综合征冠状病毒2型RT-PCR检测的性能
Pub Date : 2023-02-15 DOI: 10.55504/2473-2869.1260
Subathra Marimuthu, H. Aliesky, H. Ness, Daniya Sheikh, Sathya Rashmit, Dawn Balcom, L. Wolf
{"title":"Performance of a SARS-CoV-2 RT-PCR Assay with Non-Traditional Specimen Types","authors":"Subathra Marimuthu, H. Aliesky, H. Ness, Daniya Sheikh, Sathya Rashmit, Dawn Balcom, L. Wolf","doi":"10.55504/2473-2869.1260","DOIUrl":"https://doi.org/10.55504/2473-2869.1260","url":null,"abstract":"","PeriodicalId":91979,"journal":{"name":"The University of Louisville journal of respiratory infections","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46434054","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
What? Now a Respiratory Syncytial Virus Epidemic 怎么啦?现在是呼吸道合胞病毒流行病
Pub Date : 2023-02-14 DOI: 10.55504/2473-2869.1262
A. Allam, Steven B. Lippmann
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引用次数: 0
期刊
The University of Louisville journal of respiratory infections
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