Novelty in Biomedicine
Volume:10 Issue: 4, Autumn 2022

Imaging and PCR each have a role in detecting and implementing precautionary measures in isolating individuals with a history of close contact, which helps limit the COVID-19 pandemic. Due to developing countries' difficulties, PCR is limited in Iran. This study seeks to determine the feasibility of early low-dose chest computed tomography (CT) scans substitution with PCR.Materialsand

Asymptomatic participants with a history of close contact with a confirmed case of COVID-19 were enrolled and followed for one week, receiving 2 PCR tests within one week. Initially, a chest CT scan was performed. The second CT scan was performed within one week on two participants. Participants with an initially negative CT scan and participants with a first CT scan compatible with COVID-19 who became symptomatic.

All Participants had an RT-PCR and at least one CT scan. Positive RT-PCR results were reported in 6 and 9 participants initially and within one week, respectively. Chest CT scans favoring COVID-19 infection were initially reported in 4 and 6 participants within one week, respectively. Seventeen participants showed neither symptoms nor positive RT-PCR or chested CT scans favoring COVID-19. Thirteen participants either had positive RT-PCR, a COVID-19 chest CT scan or became symptomatic.

Rapid detection of COVID-19 and subsequent quarantining is crucial in the global fight against this pandemic. Our results showed lower sensitivity for chest CT scans compared to COVID-19 PCR, suggesting that chest CT scans are unsuitable for COVID-19 PCR tests.

Colistin is a common antibiotic used to treat urinary tract infections (UTIs) caused by gram-negative bacteria. In recent years, due to the increasing resistance, consumption of colistin alone could lead to treatment failures. This study aimed to compare the effectiveness of colistin alone with colistin and meropenem to treat patients with urinary tract infections.

In this randomized, open-label, parallel groups controlledtrial, hospitalized patients with urinary tract infections were included. Patients were randomly allocated to the control group (n=35) that received colistin (1 mIU every 12 hours) and the intervention group (n=35) that received colistin (1 mIU every 12 hours) with meropenem (1gr every 8 hours). An infectious diseasespecialist evaluated the therapeutic responses 48-72 hours after admission. Cessation of fever, improvement of symptoms and signs, and negative urine culture within 48 hours wereconsidered successful therapeutic responses.

The mean length of hospitalization was longer in the control group (4.74±0.78 days) compared with the intervention group (4.26±0.56 days) (P=0.004). The prevalence of fever cessation had no significant difference between the two groups at any time (P>0.05). Also, there was no significant difference between the two groups at any time, considering vital signs, irritative urinary symptoms, nausea and vomiting, and flank pain (P>0.05).

The administration of colistin and meropenem to treat UTIs was associated with a shorter length of hospital stay. However, regarding response to treatment, it did not matter if they were treated with colistin alone or with combination therapy (colistin and meropenem).

On 30 January 2020, the WHO declared the outbreak of SARS-CoV-2 as a public health emergency. In the present study, we compared the preventative and therapeutic strategies and the success rates of Iran and Switzerland during the COVID-19 outbreak.Materialsand

This study was conducted using electronic databases such as PubMed, Scopus, and Web of Science. In addition, the official documents of developed countries and WHO from 1st February until 15th May 2020 were studied. Relevant documents were reviewed in detail, and vital data were extracted.

Both countries have restriction policies to reduce the infection rate in the prevention setting. These policies, such as the recommendation to all citizens to stay home unless necessary, army participation, and non-face-to-face counseling, were surveyed by similar techniques in both countries. Some policies were implemented in both countries with different protocols. These policies, including social distancing practices, smart distancing methods, business activities, border closures, border controls, and restrictions, travel restrictions, testing and screening for infection and fever, and decreased working hours, were performed in both countries. In the treatment setting, the therapeutic strategy used in Iran consisted of hydroxychloroquine or chloroquine phosphate and anti-viral drugs. Switzerland followed the guidelines of the European countries. The infection rate, recovery rate, and death rate were 0.139%, 78.73%, and 5.91% in Iran, while these rates were 0.352%, 88.81%, and 6.15% in Switzerland, respectively.

Due to the lack of special treatment for the disease, prevention must be considered the most important factor in policymaking. Importantly, observing social distance is the most effective method among the preventative strategies. The capacity of the health care systems to provide optimal services and facilities is an important factor for patients ‘recovery

The world is facing a new coronavirus that causes a respiratory infection called COVID-19. Therefore, there is an increasing request for antibody tests in recovered individuals since they want to evaluate their immunity against SARS-CoV-2 reinfection.Materialsand

In our study, we had 1000 blood samples from patients admitted to the GhiassiHospital, Tehran, Iran, or were asked to perform serological SARS-COV-2 IgM and IgG tests by their physicians were collected. The antibody levels were assessed via the ELISA assay method using S and N antigens during various waves of the COVID-19 epidemicin Iran.

The highest IgG level (2.77) compared to the average (with 95% confidence) is observed in patients infected in the third wave, which is confirmed by the ANOVA test. The mean IgM concentration in the second wave was equal to 0.77 and morethan the IgM level in the third wave and the beginning of the fourth wave, which was confirmed by the ANOVA test.

Detection of SARS-COV-2 IgG, IgM has significant potential for evaluating the severity and prognosis of COVID-19. In addition, all seroepidemiology data in each community can help Health Commissions for controlling this pandemic. These data also can be used for epidemiological modeling and assessing the prevalence of COVID-19 immunity in society.

Emergence reactions are common after general anesthesia with tracheal intubation and can be associated with severe hemodynamic consequences. Inflating the cuff with local anesthetic instead of air has been reported to prevent these problems. However, no definitive results have been obtained for the effectiveness of this method. This study tried to come to a more reasonable conclusion by conducting more studies, and we used a variety of local anesthetics.Materialsand

This study was performed on 350 patients over 18 years undergoing general anesthesia using an endotracheal tube. Patients were divided into five groups based on endotracheal tube cuff inflation with lidocaine, ropivacaine, bupivacaine, isotonic saline, and air. After removing the endotracheal tube, patients were evaluated for cough, sore throat, and hoarseness.

Cough, sore throat, and hoarseness were observed in 43.7%, 27.4%, and 4.6% of cases, respectively. At all measured times, all reactions in all local anesthetic groups were weaker than in the air and salinegroups. The difference between the local anesthetic groups was not significant.

Using local anesthetics to inflate the endotracheal cuff reduces the incidence of emergence reactions from general anesthesia.

Colorectal cancer (CRC) ranks third incancer prevalence. Lactobacilluscasei, a probiotic bacterium, can optimize the microbiota population of the gastrointestinal tract and prevent the growth of harmful bacteria that induce carcinogenesis. In this study, we investigated the effect of L.caseiacidic proteins on apoptosis in the SW480 cell line to identify a drug protein for treating CRC.Materialsand

We assayed the effect of the isolated acid-resistant proteins of the Chaperonin bacterium, a metal-dependent Hydrolase, and Lysozyme on the SW480 colorectal cancer cell line apoptosis pathway gene expression with a Real-Time RT-PCR.

All three proteins induced apoptosis in the cells treated separately with each of the proteins. The results showed that the up-regulation of BAX and P53 gene expression and the apoptosis pathway were significantly induced. Also, BCL2 expression was down-regulated, and significant anti-apoptotic was observed atp<0.0001. Moreover, the cells treated with these three proteins down-regulated the expression of MAP2K1 and provoked the opposite apoptosis pathway.

Our results found that these proteins would be a good choice for potential CRC treatment

Radiation-induced dermatitis (RID) is a common side effect of radiotherapy. The present work attempts to examine the effect of using henna-violet based topical preparation to prevent and decrease the severity of RID in patients with breast cancer.Materialsand

The study was carried out as a prospective, double-blind clinical study on 43 breast cancer patients aged 18-75 years. The subjects had undergone breast-conserving surgery, and radiotherapy was scheduled for them. The participants were categorized randomly into two groups;patients who received the henna-violet based topical preparation and patients who received a placebo twice a day for six weeks. The level of the RID score was measured every week based on the toxicity criteria of the radiation therapy oncology group (RTOG).

The henna-violet based topical preparation decreased the severity of RID and delayed the development of grade 2 RID for two weeks. In addition, the initiation of grade 3 RID was deferred for one week. There was a significant decrease in grade2 RID (20% vs. 56.52%) as well as grade 3 RID (10% vs. 26.09%) in the patients who received the henna-violet based topical preparation at the end of the 6thweek (P=0.004).

This cream, which contained henna and violet, had no severe adverse effects, could prevent RID and decreased the grade of dermatitis in breast cancer patients compared to the placebo.

Seasonal influenza and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) could cause considerable morbidity and mortality. The present study investigates the effectiveness of educational interventions to prevent these diseases.Materialsand

We searched PubMed/Medline, Embase, and Cochrane Controlled Register of Trials (CENTRAL) for relevant clinical studies up to March 25, 2022. The following terms were used: “influenza”, “flu”, “respiratory infection”, “prevent”, "severe acute respiratory syndrome", COVID-19 “intervention”, “education”, “school-based”, and “inform”.

Out of 1296 studies retrieved from databases, 13 types of clinical trials met the inclusion criteria and were included in the study. E-learning and the educational module were the most common interventions for influenza and COVID-19, respectively. The measured outcomes were health promotion strategies and preventive behaviors among participants. All except one article showed a significant association between educational interventions and outcomes.

The included studies in the current systematic review indicated the efficacy of health promotion educational interventions in improving knowledge and preventive behaviors regarding COVID-19 and Influenza.