WHO, World health organization

WHO,世界卫生组织
  • 文章类型: Journal Article
    COVID-19大流行极大地破坏了全球现代人类文明的节奏,但全球范围的封锁从根本上恢复了整个环境的健康。喜马拉雅跨界河流提供了巨大的临时,全年为数百万人提供监管和文化生态系统服务,但近年来,由于多种原因,水质正在恶化。在过去的十年里,由于水的共享和河流的环境流动,印度与孟加拉国的政治关系略有破裂。COVID-19的封锁为执行对比研究提供了很大的空间,锁定和解锁阶段。本研究试图通过WAWQI和钠吸收比等灌溉水质指标调查跨界河流的时空水质,可溶性钠百分比,潜在盐度,考虑18个水质参数(pH,EC,TDS,TSS,Ca²,Mg²,Na²,K,F-,Cl-,NO3-,SO²-,PO43-,DO,T,TUR,COD和BOD)。结果表明,在三个阶段,EC和TDS之间存在强正相关。BOD大幅减少,与预封锁相比,在封锁期间发现了近70%的COD和TUR站,而在40%的站中记录了DO的增加。大多数站点的WQI显示,在封锁期间,水质改善了约80%。此外,在Mathabhanga-Churni河中发现了最糟糕的WQI,其次是Mahananda。在封锁期间,惊人的结果表明,由于农业径流,大多数站点的SAR和MH显着放大。
    The COVID-19 pandemic significantly destructs the rhythm of global modern human civilization but worldwide lockdown radically recovers the health of the total environment. The Himalayan trans-boundary rivers provide huge provisional, regulatory and cultural ecosystem services to millions of people throughout the year but in the recent years the water quality is being deteriorated due to multiple reasons. In the last decade, India-Bangladesh political relationship has been slightly broken down due to water sharing and environmental flow of rivers.The COVID-19 lockdown offered a great scope to execute the comparative study among pre, lockdown and unlock phase. The research attempts to investigate the spatiotemporal water quality of trans-boundary rivers through WAWQI and irrigation water quality indices such as Sodium absorption ratio, Soluble sodium percentage, Potential salinity, Magnesium hazard and Kelly\'s index considering eighteen water quality parameters (pH, EC, TDS, TSS, Ca²⁺, Mg²⁺, Na²⁺, K⁺, F-, Cl-, NO3-, SO₄²-, PO43-, DO, T, TUR, COD and BOD). The result shows the strong positive correlation between EC and TDS during three phases. Significant reduction of BOD, COD and TUR has been noticed almost 70% stations during lockdown compared with prelockdown while augmentation of DO has been recorded around 40% stations. WQI of most of the stations shows around 80% improvement of water quality during lockdown period. Moreover, worst kind of WQI was found in the Mathabhanga-Churni river followed by Mahananda. During lockdown, the striking results show that SAR and MH were significantly amplified in most of the stations due to agricultural run-off.
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  • 文章类型: Case Reports
    自2019年下半年以来,由新型冠状病毒引起的传染性新冠肺炎一直在广泛传播。Where,印度是受影响第二大的国家,死亡率排名第三。在世界古代历史上,药用植物在治疗多种疾病中起着至关重要的作用。在目前的研究中,我们展示了一些新的天然药用植物代谢物作为木瓜蛋白酶样蛋白酶(PLpro)的潜在抑制剂,主要蛋白酶(Mpro)和RNA依赖性RNA聚合酶(RdRp),Covid-19的跨膜蛋白酶丝氨酸2(TMPRSS2)和血管紧张素转换酶2(ACE-2)。植物代谢物已被证明可以抑制SARS-CoV,它也可以积极对抗Covid-19。
    Transmissible Covid-19, caused by novel corona virus since last of 2019 has outspread widely until now. Where, India was the second most affected country and 3rd in mortality rate. In world ancient history, medicinal plants were played a crucial role to cure several diseases. In present study, we show some novel natural medicinal plant metabolites as the potential inhibitors against papain-like protease (PLpro), main protease (Mpro) and RNA-dependent RNA polymerase (RdRp), transmembrane proteinase Serine 2 (TMPRSS2) and angiotensin converting enzyme-2 (ACE-2) of Covid-19. Plant metabolites were having been proven to inhibit SARS-CoVs, which also actively walkable against Covid-19.
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  • 文章类型: Journal Article
    病毒是具有生物活性的寄生虫,仅存在于宿主内部,它们是亚微观水平的。新型冠状病毒病,或COVID-19,通常由SARS-CoV-2病毒引起,与严重急性呼吸道综合症(SARS)相当。由于全球化,随着时间的推移,SARS-CoV-2的自然改变或变化对人类健康产生了重大风险。这些病毒可以在大气中以不同的方式生存和生存,除非它们到达另一个宿主体内。在这个阶段,我们将讨论通过某些环境媒体传播和检测这种致命的SARS-CoV-2病毒的细节,比如大气,水,空气,污水,土壤,温度,相对湿度,和生物气溶胶,为了更好地理解扩散,生存,COVID-19的感染潜力和诊断。
    Viruses are biologically active parasites that only exist inside a host they are submicroscopic level. The novel coronavirus disease, or COVID-19, is generally caused by the SARS-CoV-2 virus and is comparable to severe acute respiratory syndrome (SARS). As a result of globalization, natural alterations or changes in the SARS-CoV-2 have created significant risks to human health over time. These viruses can live and survive in different ways in the atmosphere unless they reach another host body. At this stage, we will discuss the details of the transmission and detection of this deadly SARS-CoV-2 virus via certain environmental media, such as the atmosphere, water, air, sewage water, soil, temperature, relative humidity, and bioaerosol, to better understand the diffusion, survival, infection potential and diagnosis of COVID-19.
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  • 文章类型: Journal Article
    在预防COVID-19的过程中,安全和充足的水量对于实施感染预防和控制措施至关重要。雨水收集可以是可选的水源,以满足或支持降雨充足地区的紧急用水需求。该研究旨在评估家庭和选定机构的雨水收集潜力和储存需求,并确定其是否足以满足迪拉镇预防COVID-19的紧急用水需求,埃塞俄比亚南部。使用埃塞俄比亚气象局提供的17年降雨数据对家庭和选定机构的雨水收集潜力进行了量化。为了解决降雨的可变性,我们使用关于平均值的置信区间以及使用月降雨量的变异系数(COV)的置信区间计算了月可收获雨水潜能的置信区间。还通过考虑最干燥和西部季节和月份来估计存储需求。Dilla镇的年平均降雨量为1464毫米。屋顶面积为40和100平方米的家庭有可能分别收获7.2-39.66立方米和19.11-105.35立方米的雨水。同样,选定机构的雨水收集潜力在34524.5-190374.5、4070.8-14964.8、1140.4-6288.6,4561.7-25154.3,5605.8-14152.8,和402.4-2219.1立方米的大学雨水,职业学校,中学,小学,迪拉大学分别转诊医院和健康中心。这些机构的雨水收集潜力可以解决,24-132.2、222.4-817.8、59.4-327.3、34.6-190.9、94.5-238.5和28.2-155.7%的大学,职业学校,中学,小学,迪拉大学转诊医院,and,卫生中心应急用水需求分别为。雨水可以作为城镇预防和控制COVID-19的替代水源。必须进行进一步的应用研究,以解决雨水的质量和处理,以便于使用。
    Safe and adequate quantity of water is crucial for the implementation of infection prevention and control measures during the prevention of COVID-19. Rainwater harvesting could be an optional water source to fulfill or support the emergency water demand in areas where there is abundant rainfall. The study aimed to assess the rainwater harvesting potential and storage requirements for households and selected institutions and to determine its adequacy to satisfy the emergency water demand for the prevention of COVID-19 in Dilla town, Southern Ethiopia. Rainwater harvesting potential for households and selected institutions were quantified using 17 years\' worth of rainfall data from the Ethiopian Meteorology Agency. To address the rainfall variability, we computed the confidence limits of monthly harvest-able rainwater potential using confidence intervals about the mean as well as confidence intervals using Coefficient of Variation (COV) of monthly rainfall. The storage requirements were also estimated by considering the driest and west seasons and months. The average annual rainfall in Dilla town was 1464 mm. Households with a roof area of 40 and 100 m2 have the potential to harvest 7.2-39.66 m3 and 19.11-105.35 m3 of rainwater respectively. Similarly, the rainwater harvesting potential for the selected institutions was in the range of 34524.5-190374.5, 4070.8-14964.8 , 1140.4-6288.6, 4561.7-25154.3, 5605.8-14152.8 , and 402.4-2219.1 m3 of rainwater for colleges, vocational schools, secondary schools, primary schools, Dilla University Referral Hospital and health centers respectively. These institutional rainwater harvesting potentials can address, 24-132.2, 222.4 -817.8, 59.4-327.3, 34.6-190.9, 94.5-238.5, and 28.2-155.7 % of the colleges, vocational schools, secondary schools, primary schools, Dilla University referral hospital, and, health centers emergency water demand respectively. Rainwater can be an alternative water source for the town in the prevention and control of COVID-19. Further applied researches must be conducted that can address the rainwater quality and treatment for ease of use.
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  • 文章类型: Journal Article
    2019年冠状病毒病(COVID-19),由严重急性呼吸道综合症冠状病毒2型(SARS-CoV-2)引起的感染,已经成为对公众健康的严重威胁。肝移植(LT)受者由于不断与医疗保健服务机构接触,可能会增加SARS-CoV-2感染的风险,以及更高的发病率和死亡率。使用免疫抑制剂和频繁的合并症。在这篇综述的第一部分中,我们讨论了(1)LT接受者中SARS-CoV-2感染的流行病学和危险因素;(2)该特定人群中COVID-19的临床和实验室特征,重点介绍了一般人群在体征和症状方面的差异,以及(3)接受COVID-19住院的LT患者的自然史和预后因素,特别关注免疫抑制的可能作用。此后,我们回顾了COVID-19治疗和预防的潜在治疗选择。具体来说,我们概述了当前免疫抑制剂方案变化的实践,展示了这一战略的潜在好处,并探讨目前批准的药物在LT受体中的安全性和有效性问题。最后一个主题致力于疫苗接种的潜在好处和陷阱。
    Coronavirus disease 2019 (COVID-19), an infection caused by severe acute respiratory syndrome coronavirus-type 2 (SARS-CoV-2), has emerged as a serious threat to public health. Liver transplant (LT) recipients may be at increased risk of acquisition of SARS-CoV-2 infection and higher morbidity and mortality due to constant contact with health-care services, the use of immunosuppressants and frequent comorbidities. In the first part of this review we discuss (1) the epidemiology and risk factors for SARS-CoV-2 infection in LT recipients; (2) the clinical and laboratory features of COVID-19 in this specific population, highlighting differences in presenting signs and symptoms with respect to general populations and (3) the natural history and prognostic factors in LT recipients hospitalized with COVID-19, with particular focus on the possible role of immunosuppression. Thereafter, we review the potential therapeutic options for COVID-19 treatment and prevention. Specifically, we give an overview of current practice in immunosuppressant regimen changes, showing the potential benefits of this strategy, and explore safety and efficacy issues of currently approved drugs in LT recipients. The last topic is dedicated to the potential benefits and pitfalls of vaccination.
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  • 文章类型: Journal Article
    已经批准了几种针对COVID-19的疫苗,其中5种已经在印度尼西亚使用。由于抗体水平的下降3至6个月后的第二剂量的CoronaVac,医护人员接受了第三次加强mRNA疫苗(mRNA-1273)以提高抗体水平.本研究旨在评估医护人员抗S-RBDIgG水平差异的危险因素。
    这项研究是一项回顾性队列研究,对576名以前没有SARS-CoV-2感染的医护人员进行了回顾性队列研究,他们在第二次剂量后6个月接受了2剂CoronaVac和第三剂mRNA-1273。第二次获得血样,6th,12th,第二剂CoronaVac疫苗给药后24周,在第20周使用mRNA-1273加强剂。用Elecsys抗SARS-CoV-2S免疫测定进行IgG抗体的定量测量。我们使用单变量和多变量线性回归分析确定了预测疫苗接种后抗体滴度的基线因素。
    这项研究包括576名32岁的参与者,72.05%女性,45.84%来自高危职业亚组。2日的中位抗体滴度水平,6th,12th,第二剂疫苗给药后第24周为40.99u/mL,42.01u/mL,54.78u/mL,和23,225u/mL。女性和年轻年龄组(20-29岁)的抗体水平最高。
    第三剂疫苗提高了SARS-CoV-2峰值IgG抗体的定量滴度,并消除了按性别划分的抗体滴度差异。
    UNASSIGNED: Several vaccines have been approved against COVID-19, and 5 have been used in Indonesia. Due to the decrease in antibody levels 3 to 6 months after the second dose of CoronaVac, healthcare workers received the third booster of mRNA vaccine (mRNA-1273) to increase the antibody level. This study aimed to evaluate the risk factors of anti-S-RBD IgG levels differences in healthcare workers.
    UNASSIGNED: This study is a retrospective cohort study of 576 healthcare workers without previous SARS-CoV-2 infection who received 2 doses of CoronaVac and the third dose of mRNA-1273 6 months after the second dose. Blood samples were obtained 2nd, 6th, 12th, and 24th weeks after the second dose of CoronaVac vaccine administration, with mRNA-1273 booster on week 20. Quantitative measurements of IgG antibodies were performed with Elecsys Anti-SARS-CoV-2 S immunoassay. We identify the baseline factors predicting post-vaccination antibody titers using univariate and multivariate linear regression analysis.
    UNASSIGNED: This study comprised 576 participants aged 32 years old, 72.05% female, and 45.84% from high-risk occupation subgroups. The median antibodies titer level on the 2nd, 6th, 12th, and 24th weeks after the second vaccine dose administration were 40.99 u/mL, 42.01 u/mL, 54.78 u/mL, and 23,225 u/mL. Antibody levels trended highest in female and younger age group (20-29 years old).
    UNASSIGNED: The third dose of vaccine increased the quantitative SARS-CoV-2 spike IgG antibody titers and eliminated differences in antibodies titer by gender.
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  • 文章类型: Journal Article
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  • 文章类型: Meta-Analysis
    长者营养不良的情况仍未被发现,治疗不足,资源不足,导致体重进一步下降,感染增加,和延迟从疾病中恢复,以及增加住院和住院时间。埃塞俄比亚的调查结果报告支离破碎,前后不一致。因此,本荟萃分析的主要目的是评估埃塞俄比亚老年人营养不足的汇总患病率及其与饮食多样性的关系.在线数据库(Medline,PubMed,Scopus,和科学直接),Google,谷歌学者,和其他灰色文献被用来搜索文章,直到出版之日。遵循系统评价和荟萃分析指南的首选报告项目。使用随机效应模型来估计合并的患病率;而使用Stata14.0版软件进行亚组分析和荟萃回归以确定可能的异质性来源。在522项研究中,14符合我们的标准并被纳入研究。共有7218名老年人(60岁以上)被纳入研究。埃塞俄比亚老年人营养不良的合并比例为20·6%(95%CI17·3,23·8)。饮食多样性得分低的老年人与老年人营养不良密切相关。因此,为老年人推广适当的干预策略以改善饮食多样性和营养状况至关重要.
    Undernutrition in elders remains under-detected, under-treated, and under-resourced and leads to further weight loss, increased infections, and delay in recovery from illness as well as increased hospital admissions and length of stay. The reports of the findings were fragmented and inconsistent in Ethiopia. Therefore, the main objective of this meta-analysis was to estimate the pooled prevalence of undernutrition and its association with dietary diversity among older persons in Ethiopia. Online databases (Medline, PubMed, Scopus, and Science Direct), Google, Google Scholar, and other grey literature were used to search articles until the date of publication. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline was followed. The random effect model was used to estimate the pooled prevalence; whereas subgroup analysis and meta-regression were performed to identify the probable source of heterogeneity using Stata version 14.0 software. Out of 522 studies accessed, 14 met our criteria and were included in the study. A total of 7218 older people (aged above 60 years old) were included in the study. The pooled proportion of undernutrition among older persons in Ethiopia was 20⋅6 % (95 % CI 17⋅3, 23⋅8). Elders who consumed low dietary diversity scores were strongly associated with undernutrition among older persons. Therefore, promoting appropriate intervention strategies for elders to improve dietary diversity practices and nutritional status is crucial.
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  • 文章类型: Journal Article
    胸部计算机断层扫描已广泛应用于COVID患者的评估。因此,出现了Ct值与胸部CT扫描或患者临床表现之间是否存在任何相关性的问题。我们想检验RT-PCR中的低Ct值(≤30)是否与高死亡率相关的假设。CT扫描结果,或伴有免疫抑制和肺部疾病等合并症。
    回顾了在贝鲁特美国大学医学中心诊断的371项COVID专利的影像学记录和RT-PCRCt值。
    我们发现胸部CT扫描的敏感性与RT-PCR相比,黄金标准,结果为74%(95%CI69-79%)。特异性,另一方面为33%(95%CI16-55%)。CT的阳性预测值为94%(95%CI91-97%),阴性预测值为8%(95%CI4-16%)。RT-PCR的低Ct值与较高的死亡率无关(p值=0.416).低Ct值与可疑CT扫描结果(COVID-19典型且不确定)之间没有显著正相关,p值为0.078。低Ct值与免疫抑制之间也没有显着关联(p值=0.511),或肺部疾病(p值=0.06)。CT扫描发现是否怀疑COVID-19感染,未显示与任何类型的呼吸道症状显着相关。肺部疾病史之间没有发现关联,COVID-19的免疫抑制和可疑CT扫描结果。
    只要这种流行病存在,核酸检测一直是并且仍然是世界范围内和我们社区COVID-19诊断的金标准,因为它具有优于CT扫描的诊断准确性和更高的灵敏度(94%对74%)。
    UNASSIGNED: Chest Computerized Tomography has been widely used in COVID patients\' assessment. Hence the question arises as to whether there is any correlation between the Ct value and findings on Chest CT scan or clinical presentation of the patient. We wanted to test the hypothesis of whether low Ct values (≤30) in RT-PCR were associated with a high mortality rate, CT scan findings, or with comorbidities such as immunosuppression and lung disease.
    UNASSIGNED: The radiographic records and RT-PCR Ct values of 371 COVID patents diagnosed at the American University of Beirut Medical Center were reviewed.
    UNASSIGNED: We found out that the sensitivity of chest CT scan compared to RT-PCR, the gold standard, turned out to be 74% (95% CI 69-79%). Specificity, on the other hand was 33% (95% CI 16-55%). The positive predictive value of CT was 94% (95% CI 91-97%) and the negative predictive value was 8% (95% CI 4-16%). low Ct values in RT-PCR were not associated with a higher mortality rate (p-value = 0.416). There was no significant positive association between low Ct value and suspicious CT scan findings (typical and indeterminate for COVID-19), with a p-value of 0.078. There was also no significant association between low Ct value and immunosuppression (p-value = 0.511), or lung disease (p-value =0.06). CT scan findings whether suspicious or not for COVID-19 infection, were not shown to be significantly associated with respiratory symptoms of any kind.No association was found between a history of lung disease, immunosuppression and suspicious CT scan findings for COVID-19.
    UNASSIGNED: As long as this pandemic exists, nucleic acid testing was and remains the gold standard of COVID-19 diagnosis worldwide and in our community as it has a superior diagnostic accuracy to CT scan and higher sensitivity (94% vs 74%).
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  • 文章类型: Journal Article
    生命的头两年是确保儿童最佳成长和发展的关键机会之窗。在埃塞俄比亚,最低可接受饮食的幅度从7到74·6%不等。证据揭示了最低可接受饮食患病率的差异和无关数据。因此,本研究旨在评估拉利贝拉镇政府6-23个月儿童的最低可接受饮食及其相关因素,埃塞俄比亚东北部。在Lalibela镇政府进行了一项基于社区的横断面研究,2022年5月1日至30日,埃塞俄比亚东北部有387名6-23个月儿童的母亲/照顾者。数据由Epidata版本3.1输入,并由SPSS版本25.0进行分析。拟合多元二元逻辑回归模型以确定与最低可接受饮食相关的因素。使用调整后的比值比评估关联度,置信区间为95%,P值为0·05。研究区域中最低可接受饮食的幅度为16·7%(95%置信区间:12·8-20·6%)。孩子的性别,在产前护理中获得婴幼儿喂养咨询,婴儿喂养实践相关知识和儿童疾病是被发现是最低可接受饮食的独立预测因素的变量.卫生机构应从怀孕期间的产前检查开始,加强婴儿喂养咨询,因为建议的最低可接受饮食至关重要。
    The first 2 years of life are a critical window of opportunity for ensuring optimal child growth and development. In Ethiopia, the magnitude of the minimum acceptable diet ranges from 7 to 74⋅6 %. The evidence revealed the variation and unrelated data on the prevalence of minimum acceptable diet. Therefore, the present study aimed to assess the minimum acceptable diet and its associated factors among children aged 6-23 months in Lalibela town administration, northeast Ethiopia. A community-based cross-sectional study was conducted in Lalibela town administration, northeast Ethiopia among 387 mothers/caregivers with children aged 6-23 months from May 1 to 30, 2022. The data were entered by Epidata version 3.1 and analysed by SPSS version 25.0. A multivariable binary logistic regression model was fitted to identify factors associated with minimum acceptable diet. The degrees of association were assessed using an adjusted odds ratio with a 95 % confidence interval and P-value of 0⋅05. The magnitude of minimum acceptable diet in the study area was 16⋅7 % (95 % confidence interval: 12⋅8-20⋅6 %). Sex of child, getting infant and young child feeding counselling at antenatal care, infant feeding practice-related knowledge and childhood illness are the variables that were found to be an independent predictor of minimum acceptable diet. Health facilities should strengthen infant feeding counselling starting from antenatal care visits during pregnancy for the recommended minimum acceptable diet is crucial.
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