Pakistan Journal of Medical Sciences,
Год журнала:
2024,
Номер
40(5)
Опубликована: Март 18, 2024
Objective:
We
assessed
the
effectiveness
of
oral
Hydroxychloroquine
(HC),
Azithromycin
(AZ)
and
Oseltamivir
(OS),
alone
or
combined,
among
patients
hospitalized
with
mildly
symptomatic
coronavirus
infectious
disease
(COVID-19).
Methods:
Following
approval
National
Bioethics
Committee
prospective
registration
(clinicaltrials.gov
NCT04338698),
a
multicenter
randomized
clinical
trial
adaptive
design
was
conducted
at
10
multispecialty
hospitals
in
Pakistan.
Patients
were
into
seven
treatment
groups.
Starting
April
15,
2020,
consenting,
eligible,
otherwise
healthy
adult
those
co-morbidities
under
control,
recruited
if
they
presented
COVID-19
(scored
3
on
7-point
ordinal
scale
anchored
between
1
=
not
hospitalized,
able
to
undertake
normal
activities,
7
death)
confirmed
by
quantitative
Real-Time
Polymerase
Chain
Reaction
(qRT-PCR).
Two
primary
outcomes
day
seven:
Turning
qRT-PCR
negative;
improvement
two
points
from
baseline.
Outcome
rates
compared
using
chi-square
test.
Multiple
imputations
applied
handle
missing
data.
An
interim
data
analysis
carried
out
July
19,
following
which
study
continued
without
group
changes.
Data
Safety
Monitoring
Board
advised
stop
recruitment
due
its
futility
January
18,
2021.
Results:
Of
471
randomized,
total
426
(90.4%)
completed
follow-up
for
outcomes.
Based
imputed
analyses
Total
negative
cases
137/471
(29%,
95%
CI
25.0
-
33.4).
By
seven,
111/471
(23.5%,
19.8
27.6)
showed
improvement.
No
serious
non-serious
adverse
event
reported.
Conclusions:
Among
mild
COVID-19,
there
no
statistically
significant
difference
antimalarial,
antiviral,
antibiotic
treatments.
Clinicaltrials.gov
ID:
NCT04338698.
doi:
https://doi.org/10.12669/pjms.40.5.8757
How
cite
this:
Azhar
S,
Akram
J,
Latif
W,
Ibanez
NC,
Mumtaz
Rafi
A,
et
al.
Effectiveness
early
pharmaceutical
interventions
patients:
A
trial.
Pak
J
Med
Sci.
2024;40(5):---------.
This
is
an
Open
Access
article
distributed
terms
Creative
Commons
Attribution
License
(http://creativecommons.org/licenses/by/3.0),
permits
unrestricted
use,
distribution,
reproduction
any
medium,
provided
original
work
properly
cited.
Biomedicine & Pharmacotherapy,
Год журнала:
2023,
Номер
167, С. 115597 - 115597
Опубликована: Сен. 30, 2023
The
field
of
nanotechnology
has
revolutionised
global
attempts
to
prevent,
treat,
and
eradicate
infectious
diseases
in
the
foreseen
future.
Nanovaccines
have
proven
be
a
valuable
pawn
this
novel
technology.
are
made
up
nanoparticles
that
associated
with
or
prepared
components
can
stimulate
host's
immune
system.
In
addition
their
delivery
capabilities,
nanocarriers
been
demonstrated
possess
intrinsic
adjuvant
properties,
working
as
cell
stimulators.
Thus,
nanovaccines
potential
promote
rapid
well
long-lasting
humoral
cellular
immunity.
several
possible
benefits,
including
site-specific
antigen
delivery,
increased
bioavailability,
diminished
adverse
effect
profile.
To
avail
these
nanoparticle-based
vaccines
being
developed,
virus-like
particles,
liposomes,
polymeric
nanoparticles,
nanogels,
lipid
emulsion
vaccines,
exomes,
inorganic
nanoparticles.
Inspired
by
distinctive
researchers
on
development
for
variety
applications,
such
cancer
immunotherapy
diseases.
Although
few
challenges
still
need
overcome,
modulation
nanoparticle
pharmacokinetics
avoid
elimination
from
bloodstream
reticuloendothelial
system,
future
prospects
technology
also
assuring,
multiple
options
personalised
needle-free
formulations,
combination
promising
candidates.
The Lancet Global Health,
Год журнала:
2023,
Номер
11(10), С. e1658 - e1666
Опубликована: Авг. 28, 2023
Pandemic
preparedness
and
response
have
relied
primarily
on
market
dynamics
to
drive
development
availability
of
new
health
products.
Building
calls
for
transformation,
we
propose
a
value
proposition
that
instead
prioritises
equity
from
the
research
(R&D)
stage
strengthens
capacity
control
outbreaks
when
where
they
occur.
Key
elements
include
regional
R&D
hubs
free
adapt
well
established
technology
platforms,
independent
clinical
trials
networks
working
with
researchers,
regulators,
authorities
better
study
questions
comparative
benefit
real-world
efficacy.
Realising
these
changes
requires
shift
in
emphasis:
pandemic
outbreak
control,
one-size-fits-all
economies
scale
manufacture
local
need,
de
novo
product
last-mile
innovation
through
adaptation
existing
technologies,
proprietary,
competitive
open
science
financing
common
good
supports
collective
management
sharing
know-how.
Current Opinion in Chemical Engineering,
Год журнала:
2024,
Номер
44, С. 101025 - 101025
Опубликована: Май 11, 2024
Because
of
increasing
demand
and
strict
regulations,
pharmaceutical
manufacturers
encounter
significant
hurdles
in
achieving
high
productivity
while
ensuring
normal
process
states.
Variability
raw
materials
operational
disturbances
can
lead
to
deviations
from
operating
conditions
that
result
decreased
productivity.
The
implementation
smart
fault
detection
diagnosis
(FDD)
techniques
is
crucial
for
attaining
acceptable
safety.
In
this
review,
we
identify
the
major
challenges
FDD
processes,
discuss
future
opportunities
new
perspectives.
Cancer
vaccines
offer
an
exciting
option
for
active
immunotherapy,
providing
a
potentially
safe
and
effective
treatment
that
also
prevents
or
minimizes
toxic
side
effects
in
vaccinated
patients.
Clinical
results
from
previous
phase
III
clinical
trials
have
suggested
the
efficacy
of
cancer
largely
depends
on
their
potential
to
trigger
robust
immunological
responses.
A
preexisting
immune
response
cancer-specific
peptides
is
crucial
achieving
meaningful
outcome
during
vaccinations.
However,
various
factors
may
hinder
effectiveness
therapeutic
vaccines.
By
overcoming
these
challenges,
become
cornerstone
immunotherapy.
This
review
aims
share
our
insights
major
challenges
are
encountered
when
optimizing
vaccines,
particularly
focusing
important
aspects
regulating
efficacy,
such
as
vaccine
composition,
adjuvant
be
used
HLA-restricting
element
tumor
targeted
by
particular
vaccine.
Additionally,
we
discuss
several
obstacles
which
hindered
successful
development
standard
care,
design,
choice
antigen(s)
included
formulation.
The
identification
patients
most
likely
respond
vaccinations
developing
responses
desirable
crucial,
and,
therefore,
predictive
biomarkers
strictly
required.
Finally,
present
views
future
prospects
lead
enhancement
anticancer
ensuring
pivotal
role
Analytical Chemistry,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 14, 2025
Raman
spectroscopy
is
an
analytical
method
capable
of
detecting
various
microorganisms
and
small
particles.
Here,
we
used
25-1000
nm
polystyrene
particles
in
aqueous
suspensions,
which
are
comparable
size
to
viral
aggregates,
determine
the
limit
detection
(LOD)
a
confocal
microscope.
We
collected
spectra
using
785
wavelength
laser
with
power
300
mW
10
s
exposure
time
5×
objective
lens.
detected
most
prominent
peak
at
1001
cm-1,
corresponding
ring
breathing
mode.
established
minimum
maximum
LOD
(LODmin
LODmax)
Kernel
partial
least-squares
model.
The
smallest
50
was
identified
as
1.80
×
1012-8.31
1012
particle/mL,
for
largest
1000
nm,
5.11
108-2.53
109
particle/mL.
demonstrated
that
nondestructive
under
these
conditions
by
comparing
particle
before
after
collecting
dynamic
light
scattering.
Due
their
similarity
this
systematic
characterization
provides
detailed
information
on
spectral
signatures
suspensions.
These
findings
establish
foundation
suspensions
highlight
its
potential
tool
real-time
monitoring
vaccine
manufacturing.
Pediatric Research,
Год журнала:
2023,
Номер
95(2), С. 480 - 487
Опубликована: Ноя. 8, 2023
Abstract
The
twenty-first
century
has
been
marked
by
a
surge
in
viral
epidemics
and
pandemics,
highlighting
the
global
health
challenge
posed
emerging
re-emerging
pediatric
diseases.
This
review
article
explores
complex
dynamics
contributing
to
this
challenge,
including
climate
change,
globalization,
socio-economic
interconnectedness,
geopolitical
tensions,
vaccine
hesitancy,
misinformation,
disparities
access
healthcare
resources.
Understanding
interactions
between
environment,
socioeconomics,
is
crucial
for
effectively
addressing
current
future
outbreaks.
scoping
focuses
on
infectious
diseases,
with
an
emphasis
vulnerability.
It
highlights
urgent
need
prevention,
preparedness,
response
efforts,
particularly
resource-limited
communities
disproportionately
affected
change
spillover
events.
Adopting
One
Health/Planetary
Health
approach,
which
integrates
human,
animal,
ecosystem
health,
can
enhance
equity
resilience
communities.
Impact
We
provide
of
threats
populations
provides
update
context
COVID-19
pandemic
aims
sensitize
clinicians,
epidemiologists,
public
practitioners,
policy
stakeholders/decision-makers
role
these
diseases
have
persistent
morbidity
mortality
Human Vaccines & Immunotherapeutics,
Год журнала:
2024,
Номер
20(1)
Опубликована: Апрель 2, 2024
Cancer
is
a
global
health
challenge,
with
changing
demographics
and
lifestyle
factors
producing
an
increasing
burden
worldwide.
Screening
advancements
are
enabling
earlier
diagnoses,
but
current
cancer
immunotherapies
only
induce
remission
in
small
proportion
of
patients
come
at
high
cost.
vaccines
may
offer
solution
to
these
challenges,
they
have
been
mired
by
poor
results
past
decades.
Greater
understanding
tumor
biology,
coupled
the
success
vaccine
technologies
during
COVID-19
pandemic,
has
reinvigorated
development.
With
first
signs
efficacy
being
reported,
be
beginning
fulfill
their
potential.
Solid
tumors,
however,
present
different
hurdles
than
infectious
diseases.
Combining
insights
from
previous
clinical
development
contemporary
knowledge
immunology,
we
ask:
who
'right'
patients,
what
targets,
which
modalities
maximize
chances
success?
Bulletin of the World Health Organization,
Год журнала:
2024,
Номер
102(5), С. 344 - 351
Опубликована: Май 1, 2024
The
World
Health
Organization
(WHO)
set
up
the
messenger
ribonucleic
acid
(mRNA)
technology
transfer
programme
in
June
2021
with
a
development
hub
South
Africa
and
15
partner
vaccine
producers
middle-income
countries.The
goal
was
to
support
sustainable
of
access
life-saving
vaccines
for
people
these
countries
as
means
enhance
epidemic
preparedness
global
public
health.This
initiative
aims
build
resilience
strengthen
local
research,
manufacturing
capacity
different
regions
world,
especially
those
areas
that
could
not
coronavirus
disease
2019
(COVID-19)
timely
way.This
paper
outlines
current
market
summarizes
findings
case
study
on
mRNA
conducted
from
November
2022
May
2023.The
guided
by
vision
WHO
Council
Economics
All
an
economy
health
using
its
four
work
streams
value,
finance,
innovation
capacity.Based
study,
we
offer
mission-oriented
policy
framework
pilot
transformative
change
towards
ecosystem
common
good.Parts
this
have
already
been
incorporated
into
governance
programme,
while
other
aspects,
good
approach,
still
need
be
applied
achieve
goals
programme.
Frontiers in Immunology,
Год журнала:
2023,
Номер
14
Опубликована: Авг. 29, 2023
Normally,
the
host
immunological
response
to
viral
infection
is
coordinated
restore
homeostasis
and
protect
individual
from
possible
tissue
damage.
The
two
major
approaches
are
adopted
by
deal
with
pathogen:
resistance
or
tolerance.
nature
of
responses
often
differs
between
species
individuals
same
species.
Resistance
includes
innate
adaptive
immune
control
virus
replication.
Disease
tolerance
relies
on
allowing
coexistence
infections
in
minimal
no
clinical
signs,
while
maintaining
sufficient
replication
for
transmission.
Here,
we
compared
virome
bats,
rodents
migratory
birds
molecular
mechanisms
underlying
symptomatic
asymptomatic
disease
progression.
We
also
explore
influence
physiology
environmental
influences
RNA
expression
how
it
impacts
whole
brain
transcriptome
seemingly
healthy
semipalmated
sandpiper
(
Calidris
pusilla
)
spotted
Actitis
macularius
).
Three
time
points
throughout
year
were
selected
understand
importance
longitudinal
surveys
characterization
virome.
finally
revisited
evidence
that
upstream
downstream
regulation
inflammatory
is,
respectively,
associated
infections.