scholarly journals “COVID 19- Two Waves & More” What Have We Learnt?

Author(s):  
Manuj Kumar Sarkar ◽  
Subhra Dey ◽  
Boudhayan Das Munshi

The first case of SARS-CoV2 admitted on 26th December 2019 in Central Hospital, Wuhan, China. Broncho-alveolar lavage and Polymerase chain reaction of the aspirate showed high abundance of a viral RNA which has 89.1 % nucleotide identity with bat coronavirus previously isolated in China. Soon human to human transmission was observed and the outbreak started spreading. World Health Organisation on 11th March 2020 declared it as pandemic. COVID 19, caused by SARS-CoV-2, a disease we are still struggling to contain. With vaccination drive throughout the world, though the severity in re-infection has come down, but there is still threat by the various variants which are arising from time to time in various countries. The most effective way of preventing the spread of the virus is to keep physical distance from others of at least 1 meter, wearing a well fitted mask, keep hands clean and use hand sanitizer frequently, stay in well ventilated place, avoid crowded place and cough into bent elbow or tissue paper and get vaccinated when once’s turn comes. Therefore, we urge people to follow COVID appropriate behaviour properly. Keywords: COVID 19, SARS-CoV2, COVID appropriate behaviour, Social Distancing

2020 ◽  
Vol 3 (3) ◽  
pp. e29-e34
Author(s):  
Vasileios Bonatsos ◽  
Asif Raza

According to the World Health Organisation there have been 30,055,710 confirmed COVID-19 cases and 933,433 confirmed deaths across 216 countries globally. The availability of the complete SARS-CoV-2 genome relatively early in the epidemic has enabled the development of tests for the diagnosis of COVID-19. There are two broad categories of SARS-CoV-2 diagnostic tests currently in use or development: (1) Real-time reverse transcriptase polymerase chain reaction (RT-PCR) tests and (2) serology tests. RT-PCR is considered the gold standard and preferred method of diagnosis of acute infection. There is, however, a plethora of laboratory-developed and commercial RT-PCR assays with different gene targets. We discuss the value of pre-operative testing for COVID-19 before urological surgery.


Author(s):  
Alok Tiwari

ABSTRACTCOVID-19 epidemic is declared as the public health emergency of international concern by the World Health Organisation in the second week of March 2020. This disease originated from China in December 2019 has already caused havoc around the world, including India. The first case in India was reported on 30th January 2020, with the cases crossing 6000 on the day paper was written. Complete lockdown of the nation for 21 days and immediate isolation of infected cases are the proactive steps taken by the authorities. For a better understanding of the evolution of COVID-19 in the country, Susceptible-Infectious-Quarantined-Recovered (SIQR) model is used in this paper. It is predicted that actual infectious population is ten times the reported positive case (quarantined) in the country. Also, a single case can infect 1.55 more individuals of the population. Epidemic doubling time is estimated to be around 4.1 days. All indicators are compared with Brazil and Italy as well. SIQR model has also predicted that India will see the peak with 22,000 active cases during the last week of April followed by reduction in active cases. It may take complete July for India to get over with COVID-19.


2021 ◽  
Vol 29 (3) ◽  
pp. 299-306
Author(s):  
Simona Roxana Gheorghe ◽  
Cătălin Marian ◽  
Ligia Gabriela Tătăranu ◽  
Anica Dricu ◽  
Cees Vermeer ◽  
...  

Abstract Meningiomas are classified by the World Health Organization (WHO) in three grades, based on morphological features. Independent of this grading, the presence of calcification in meningiomas influences their growth rate. The messenger RNA of matrix Gla protein (MGP), an extra-hepatic protein with different conformations involved in the homeostasis of ectopic calcification has been found in meningiomas and was shown to be regulated in breast cancer by miR-155-5p, a specific micro RNA. Therefore, we investigated the expression of miR-155-5p and its relationship with local MGP conformations in different grade meningiomas. According to the WHO classification, our 41 samples of meningiomas were stratified in groups WHO I and WHO II. Using real time polymerase chain reaction, we observed a higher miR-155-5p expression in group WHO I versus group WHO II [with a fold change (FC) of 3.83, p=0.027)]. Moreover, the expression of miR-155-5p was higher in calcified tumors compared to non-calcified tumors in all samples (FC=3.01, p=0.047) and in group WHO I (FC=3.65, p=0.048). Utilizing immunohistochemistry, we determined the concurrent presence of all MGP conformations in calcified meningiomas. This study was the first to establish higher miR-155-5p expression in grade WHO I and calcified meningiomas, which could improve molecular classification and targeted therapy and also the presence of all MGP conformations in calcified meningiomas, confirming the existence of an anti-calcification mechanism in meningiomas..


Author(s):  
Cristina Bragança ◽  
Inês Gonçalves ◽  
Luísa Guerreiro ◽  
Maria Janeiro

AbstractTuberculosis is an infectious disease caused by Mycobacterium tuberculosis. According to data from the World Health Organization, this disease remains one of the leading causes of death worldwide. Although it most commonly affects the lungs, tuberculosis can compromise any organ. The present study reports a rare case of vulvar tuberculosis in a postmenopausal woman with a history of asymptomatic pulmonary and pleural tuberculosis, with no prior documented contact with the bacillus. Diagnosis was based on vulvar lesion biopsies, with histological findings suggestive of infection and isolation of M. tuberculosis by microbiological culture and polymerase chain reaction (PCR) essays. The lesions reverted to normal after tuberculostatic therapy.


2021 ◽  
Vol 55 (1) ◽  
pp. 72-83 ◽  
Author(s):  
Tamiris Cristhina Resende ◽  
Marco Antonio Catussi Paschoalotto ◽  
Stephen Peckham ◽  
Claudia Souza Passador ◽  
João Luiz Passador

Abstract This paper aims to analyse the coordination and cooperation in Primary Health Care (PHC) measures adopted by the British government against the spread of the COVID-19. PHC is clearly part of the solution founded by governments across the world to fight against the spread of the virus. Data analysis was performed based on coordination, cooperation, and PHC literature crossed with documentary analysis of the situation reports released by the World Health Organisation and documents, guides, speeches and action plans on the official UK government website. The measures adopted by the United Kingdom were analysed in four periods, which helps to explain the courses of action during the pandemic: pre-first case (January 22- January 31, 2020), developing prevention measures (February 1 -February 29, 2020), first Action Plan (March 1- March 23, 2020) and lockdown (March 24-May 6, 2020). Despite the lack of consensus in essential matters such as Brexit, the nations in the United Kingdom are working together with a high level of cooperation and coordination in decision-making during the COVID-19 pandemic.


2021 ◽  
pp. 35-39
Author(s):  
Hanna Sahhar ◽  
Karly Derwitz ◽  
Erica Rubin

Since the declaration of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic in March 2020 by the World Health Organization (WHO), there has been an emergence of a new syndrome termed multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19. MIS-C is defined by the presence of fever, systemic inflammation and multiorgan dysfunction in association with SARS-CoV-2 infection or COVID-19 exposure. Knowledge of this syndrome’s presentation and pathophysiology is constantly evolving as more cases are reported in the literature. This case identifies a 3-month-old patient who tested negative for SARS-CoV-2 antigen, reverse transcriptase polymerase chain reaction (RT-PCR) and antibodies but qualified for MIS-C diagnosis. To the best of our knowledge and through extensive research at the time of diagnosing and reporting this condition to the healthcare authorities, we report the youngest pediatric patient with MIS-C diagnosis. We document this case to contribute to further understanding the variable manifestations of MIS-C and the importance of early diagnosis and treatment with intravenous immunoglobulin (IVIG).


2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Johanes Nyoman D. Widiswara Mawan

Abstract: Malaria is caused by protozoa of the genus Plasmodium remains a health problem in the world, especially in tropical countries and subtropical. Incidence of malaria from the World Health Organization (WHO) shows that in 2010 as many as 219 million cases of clinical malaria episodes show and 660,000 of them died. Therefore we need a means of early diagnosis has a sensitivity and specificity are good. This study compared the sensitivity and specificity of detection of Plasmodium spp using Immunochromatographic Assay method commonly known as rapid inspection test and Polymerase Chain Reaction (PCR). This study is a diagnostic test with a sample of 30 people who were taken with random sampling method in malaria patients who come to Budi Mulia Hospital since September 2013 - November 2013. The sample is a blood specimen taken at the brachial vein previously given informed consent in patients with the triad of symptoms of malaria in the area of ​​Bitung, Manado. From the blood samples examined by PCR. The results of the rapid tests and PCR in the detection of Plasmodium spp diagnostic test is then performed to determine the level of sensitivity and specificity. Result: The level of sensitivity of rapid tests in general by 89,2%, specificity of 100%, a positive predictive value of 100% and a negative predictive value of 40%. Conclusions: The sensitivity is moderate but has high specificity. Keywords:   Immunochromatographic Assay, Polymerase Chain Reaction (PCR), rapid tests, sensitivity, specificity  Abstrak: Malaria yang disebabkan oleh protozoa dari genus Plasmodium masih menjadi masalah kesehatan di dunia terutama di negara- negara tropis dan subtropis. Kejadian malaria dari World Health Organization (WHO) menunjukan bahwa pada 2010 sebanyak 219 juta kasus menunjukan episode klinik malaria dan 660.000 diantaranya meninggal dunia. Oleh karena itu diperlukan suatu alat diagnosa dini yang memiliki sensitivitas dan spesifisitas yang yang baik. Penelitian ini membandingkan tingkat sensitivitas dan spesifisitas deteksi Plasmodium spp dengan menggunakan metode Immunochromatographic Assay yang biasa dikenal dengan pemeriksaan rapid tes dan Polymerase Chain Reaction (PCR). Penelitian ini merupakan penelitian uji diagnostik dengan sampel sejumlah 30 orang yang diambil secara random sampling pada pasien malaria yang datang ke RSU Budi Mulia sejak bulan September 2013 - November 2013. Sampel adalah spesimen darah yang diambil pada vena brachialis yang sebelumnya telah diberikan inform consent pada pasien dengan gejala trias malaria di daerah Bitung, Manado. Dari sampel darah tersebut dilakukan pemeriksaan dengan PCR. Hasil dari rapid tes dengan metode Immunochromatographic dan PCR dalam mendeteksi Plasmodium spp selanjutnya dilakukan uji diagnostik untuk mengetahui tingkat sensitivitas dan spesifisitasnya. Hasil : Tingkat sensitivitas rapid tes secara umum sebesar 89,2%, spesifisitas sebesar 100%, nilai duga positif sebesar 100% dan nilai duga negatif sebesar 40%. Simpulan: Nilai sensitivitas yang sedang tetapi  memiliki  nilai spesifisitas  yang tinggi. Kata Kunci : Immunochromatographic Assay, Polymerase Chain Reaction (PCR), rapid tes, sensitivitas, spesifisitas


2020 ◽  
Vol 23 (7) ◽  
pp. 498-502 ◽  
Author(s):  
Huda Fatima Rajani ◽  
Fatima Ahmed Alshaikh ◽  
Amir Anushiravani

A recent outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has affected more than 1100000 (April 5, 2020) individuals worldwide and is spreading rapidly. The virus is reported to be derived from bats and the infection was first reported in China. Similar to the severe acute respiratory syndrome and the Middle East respiratory syndrome coronaviruses, it is responsible for respiratory tract infection. Real time polymerase chain reaction and radiography are the two main diagnostic methods. Guidelines from the Center for Disease Control and Prevention and the World Health Organization (WHO) should be followed for diagnostic and precautionary measures. Treatment of the infection is still not available; however, antivirals are under clinical trials.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 328-332
Author(s):  
Milind Abhimanyu Nisargandha ◽  
Shweta DadaraoParwe

Coronavirus disease 2019 (COVID -19) is the newly found virus in Indian population spreading all over the world through the seafood market of Wuhan, Hubei, China. Due to the spreading of coronavirus in Indian Government facing difficulty after the lockdown of one month in two phases, the number of patients is increased day by day. This is a very challenging task for the Indian Government, people are not strictly following the guidelines of the World Health Organisation. In India reported 26585 confirmed cases and 833 deaths due to COVID -19 in 31 states and union territories when the first case was found on 30th January 2020. The Government decided immediately to lockdown and closed all international borders, as per the WHO guidelines for a pandemic. The future directions to choose for people can fight with such type of pandemic. The present reviewemphasis is strictlyon the WHO guideline's to prohibit spreading coronavirus in India. There is some gap of awareness in people which enhance spreading coronavirus even during the lockdown. This finding has cause to concern about the spread of coronavirus in thisscenarioduring the lockdown, what farther primary prevention to be taken to avoid such transmission. The lockdown is already having a beneficial impact of flattening the epidemic curve for spreading this transmission and During Lockdown period in each state. Each state having sufficient time for finding COVID -19 Patient, people come in contact with the patient keeps them institutional isolation and declared that area infection hotspot at the district level.


2019 ◽  
Vol 4 (3) ◽  
pp. 102-107
Author(s):  
Mozhgan Bahadoripour ◽  
Mohammad hassan Jahandar

Introduction: Escherichia coli O157:H7, as a pathogenic agent, can be transmitted through the foods including meat, meat products, dairy products, vegetables and water. The World Health Organization has recommended that all countries in the world, especially developing countries, should consider the investigation of E. coli O157:H7 as a research priority. The aim of this study was to determine the frequency of E. coli O157:H7 in meat of cow, sheep, goat, and camel in Kerman province of Iran using culture and polymerase chain reaction (PCR) methods. Methods: In this study, 280 meat samples consisting of sheep (90 specimens), cow (80 specimens), goat (60 specimens) and camel (50 specimens) meats were randomly separated from carcasses from April to July 2018. After the sampling, microbial culture was performed on the samples. Then, suspected E. coli O157:H7 colonies were evaluated by PCR assay. Results: Out of the 280 samples, 73 samples (26%) were contaminated with E. coli. based on bacteriological tests, and 28 samples were identified as suspected E. coli O157:H7 serotype based on the lack of sorbitol fermentation. Subsequently, sorbitol-negative samples were tested by PCR procedure using specific primers. The results revealed that out of 28 cases, 21 cases (7.5%) were E. coli O157:H7. Conclusion: As can be deduced from the observations of this study, to detect the E. coli O157, PCR as an accurate, fast, and reliable procedure can be used along with the culture method.


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