COVID-19: The Immune Responses and Clinical Therapy Candidates.

The pandemic of coronavirus disease 2019 (COVID-19), with rising numbers of patients worldwide, presents an urgent need for effective treatments. To date, there are no therapies or vaccines that are proven to be effective against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Several potential candidates or repurposed drugs are under investigation, including drugs that inhibit SARS-CoV-2 replication and block infection. The most promising therapy to date is remdesivir, which is US Food and Drug Administration (FDA) approved for emergency use in adults and children hospitalized with severe suspected or laboratory-confirmed COVID-19. Herein we summarize the general features of SARS-CoV-2's molecular and immune pathogenesis and discuss available pharmacological strategies, based on our present understanding of SARS-CoV and Middle East respiratory syndrome coronavirus (MERS-CoV) infections. Finally, we outline clinical trials currently in progress to investigate the efficacy of potential therapies for COVID-19

Biological aspects of kilka (age, growth, feeding and reproduction) in southern of Caspian Sea

In the changing environmental of the Caspian Sea specifically pelagic zone following the introduction of the comb jelly Mnemiopsis leidyi has been continued ,particularly kilka catch ,biological characteristic and feeding . In this investigation which had been done in commercial catch regions (where discharged theirs catch) in three ports Babolsar ,Amirabad (in Mazandaran) and Anzali (in Guilan), estimated catch and catch per unit effort, the age structure of catch ,length- weight relationship, von Bertalanffy growth parameters, condition factor, sex ratios ,maturity stags ,age at first capture and spawning and feeding .The result shown that catch of kilka in Iranian coastal in 2006 decreased from 22300 ton to 16700 ton in 2008.But CPUE increased from1.7 ton (Vessel ×Night) to 2.5 ton at that time due to dropped effort .The length frequency of kilka is close and the juvenile fish did not see in catch as increased the length mean (P>0.000).The age frequency had the same situation as fish low than 2 years did not see for anchovy and bigeye ,so collapse juvenile stock cause poor recruitment in the species .The parameters of the von Bertalanffy growth curve were For common kilka L_∞= 136.5mm k= 0.249y t0= 1.890y Q= 3.883; For bigeye kilka L_∞= 131.7mm k= 0.346 t0= 1.123y Q= 3.688; And for anchovy kilka L_∞= 148mm k= 0.375 t0= 1.243y Q= 3.814 The exploitation rate of anchovy, bigeye and common kilka were 0.51, 0.58 and 0.6 respectively. The highest of GSI recorded in May and March for common and bigeye and in Jul, Nov for anchovy kilka .Main prey was Acartia tonsa by anchovy and common kilka and Cypris balanus by bigeye kilka. We concluded that the ecological problem causes by Mnemiopsis leidyi as well as overfishing has been collapsed kilka stocks, particularly anchvy.so sustainable fisheries management and conservation biodiversity in the Caspian Sea are real challenges now

COVID-19 crisis: a time for practical assessment of hygienic principles observance

Simultaneously with COVID-19 pandemic, numerous protocols have been developed to prevent the infection. COVID-19 can be more fatal in the bone marrow transplant ward because patients admitted to these wards have a weakened immune system. Assessment of the protocol specified for this wards and practical evaluation of the hygienic principles observance by the medical staff during COVID-19 pandemic can be a step towards saving the lives of the patients. Coinciding with COVID-19 pandemic, 40 patients underwent bone marrow transplantation at Imam Reza Hospital of Kermanshah, Iran from February 2020 to June 2022. A follow-up program was performed to evaluate the possibility of COVID-19 transmission and the rate of hygiene practice by medical staff. The principles of hygienic protocols were scored as a questionnaire in which the observance/non-observance method were applied. Real time-polymerase chain reaction (RT-PCR) based on three genes of the virus was used to diagnose the COVID-19 patients. The results of RT-PCR tests were negative in all patients who were hospitalised during the study. The rate of observance of the hygienic principles by the staff in the studied ward was 100%.The obtained result in the present study was a reflection of the step-by-step implementation of the hygienic protocol specified for bone marrow transplantation ward by the staff. The protocol specified for the bone marrow transplantation ward was highly overlapped with COVID-19 general hygienic guidelines

The study of physico-chemical characteristics, heavy metals and plankton of water in the warm water fish ponds using organic (cow dung) and chemical fertilizer

Currently, different kinds of chemical fertilizer such as urea, nitrate, sulphate and ammonium phosphate–potash are using in fish ponds of carp (Hypophthalmychthysmolitrix, Hypophthalmychthysnobilis). Chemical fertilizers, especially phosphate fertilizers can cause environmental pollution. Therefore, the use of alternative one, particularly organic fertilizer (manure) can reduce environmental issues. This study is conducted to effects of liquid cow manure on abundance, biomass and community structure of phytoplankton, zooplankton, physico-chemical chractrestics and heavy metal of water in the warm water fish ponds. For this purpose, the effects of three different types' fertilizers have been searched on fish ponds water. The ponds number 1 and 3 treated by chemical fertilizer and liquid cow manure respectively. Both of the two fertilizers (liquid cow manure and chemical fertilizer) were used in the pond number 2. Results showed that acidity of liquied cow manure was low (pH=7-8), however the total hardness and alkalinity were high. Meanwhile, percent of nitrogen were more than percent of calsium and phosphorus liquid cow manure. The concentrations of Pb, Fe and Zn elements were higer than critical level but some of them such as Cd, Cr, and Hg were lower than detection limit. As a conclusion, biomass of phytoplankton, zooplankton and physico-chemical parameters in fertilized pond treated by liquid cow manure were more convinence than pond treated by chemical fertilizers

Translation and validation study of the Persian version of the Arthritis Impact Measurement Scales 2 (AIMS2) in patients with osteoarthritis of the knee

Background: The Arthritis Impact Measurement Scales 2 (AIMS2) has not been translated and validated for Persian-speaking patients with osteoarthritis of the knee. This was to provide a validated instrument to measure functional disability and health-related quality of life in patients with osteoarthritis of the knee in Iran. The aim of this study was to culturally adapt and validate the AIMS2 for Persian-speaking patients with osteoarthritis of the knee in Iran. Methods: A consecutive sample of patients with knee osteoarthritis were asked to complete the AIMS2, the Short Form Health Survey (SF-36) and four visual analog scales for pain, joint stiffness, patient's and physician's global assessment. Internal consistency and convergent validity were applied to examine psychometric properties of the AIMS2. In addition, 30 randomly selected patients were asked to complete the questionnaire two days later for the second time for test-retest reliability. Finally factor structure of the Persian AIMS2 was performed using the principal component factor analysis. Results: In all 230 patients were entered into the study. The mean (SD) age of the participants was 56.9 (8.7) years and the mean (SD) duration of disease was 7.2 (3.5) years. Cronbach's alpha coefficient and intraclass correlation coefficient (ICC) for the Persian AIMS2 scales ranged from 0.74 to 0.92 and 0.85 to 0.96, respectively. The correlation between most of the Persian AIMS2 scales and the physical and mental summary scores of the SF-36 and the visual analogue scales for pain, joint stiffness, patient's and physician's global assessment were statistically significant indicating a good convergent validity (p < 0.05). The results obtained from factor analysis indicated three latent factors that jointly accounted for 67.5% of the total variance. Conclusion: The results showed that the Persian AIMS2 had reasonably good internal consistency, test-retest reliability, and convergent validity in patients with osteoarthritis of the knee. It is simple and easy to use and now can be applied in the future studies in Iran. However, its sensitivity to change needs still to be studied.We wish to express our gratitude to physicians who co-operated in the selection of the patients and patients who gave their time to complete the questionnaires. This research was supported by Sport Medicine Research Center (SMRC), Tehran University of Medical Sciences; grant No 85-01-53-3579

Mapping development and health effects of cooking with solid fuels in low-income and middle-income countries, 2000–18: a geospatial modelling study

Background: More than 3 billion people do not have access to clean energy and primarily use solid fuels to cook. Use of solid fuels generates household air pollution, which was associated with more than 2 million deaths in 2019. Although local patterns in cooking vary systematically, subnational trends in use of solid fuels have yet to be comprehensively analysed. We estimated the prevalence of solid-fuel use with high spatial resolution to explore subnational inequalities, assess local progress, and assess the effects on health in low-income and middle-income countries (LMICs) without universal access to clean fuels. Methods: We did a geospatial modelling study to map the prevalence of solid-fuel use for cooking at a 5 km × 5 km resolution in 98 LMICs based on 2·1 million household observations of the primary cooking fuel used from 663 population-based household surveys over the years 2000 to 2018. We use observed temporal patterns to forecast household air pollution in 2030 and to assess the probability of attaining the Sustainable Development Goal (SDG) target indicator for clean cooking. We aligned our estimates of household air pollution to geospatial estimates of ambient air pollution to establish the risk transition occurring in LMICs. Finally, we quantified the effect of residual primary solid-fuel use for cooking on child health by doing a counterfactual risk assessment to estimate the proportion of deaths from lower respiratory tract infections in children younger than 5 years that could be associated with household air pollution. Findings: Although primary reliance on solid-fuel use for cooking has declined globally, it remains widespread. 593 million people live in districts where the prevalence of solid-fuel use for cooking exceeds 95%. 66% of people in LMICs live in districts that are not on track to meet the SDG target for universal access to clean energy by 2030. Household air pollution continues to be a major contributor to particulate exposure in LMICs, and rising ambient air pollution is undermining potential gains from reductions in the prevalence of solid-fuel use for cooking in many countries. We estimated that, in 2018, 205 000 (95% uncertainty interval 147 000–257 000) children younger than 5 years died from lower respiratory tract infections that could be attributed to household air pollution. Interpretation: Efforts to accelerate the adoption of clean cooking fuels need to be substantially increased and recalibrated to account for subnational inequalities, because there are substantial opportunities to improve air quality and avert child mortality associated with household air pollution. Funding: Bill &amp; Melinda Gates Foundation

Limnologic study Sabalan run off Dam for aquaculture fish cold water

Limnological study of Sabalan run off Damfor aquaculture cold water fish was conducted in sixtimesat four stations from July to December 2009. Average minimum and maximum parameters measured in different stations were included water temperature, dissolved Oxygen, total hardness, electrical conductivity, pH, BOD5, COD, TDS, NH4, NO2, NO3, PO4, TN, TP, SiO2, respectively (10/3±9/5-14±8/7°C), (9±1/2-11/4±2/1 mg/liter), (367±19/8-381±17/8mg/liter), (0/95±0/07-1/05±0/07 mz/cm), (8/3±0/1-8/4±0/1), (3/3±1/14-3/88 ± 0/71mg/ liter), (15/5 ± 3/1-16/3 ± 3 mg/liter), (0/48 ± 0/04-0/54 ± 0/06mg/ liter), (0/08 ± 0/02-0/13 ± 0/07 mg/liter), (0/004 ± 0/003- 0/05 ± 0/1 mg/ liter), (0/6 ± 0/2-0/64 ± 0/29 mg/ liter), (0/19 ± 0/07-0/22 ± 0/07 mg/ liter), (10/48 ± 0/6-10/98 ± 0/54mg/liter), (0/39 ± 0/11-0/44 ± 0/18 mg/liter), and(9/9 ±0/6-11/1 ± 1/4 mg/liter). Average minimum and maximum of water heavy metalswas included of Cd, Pb, Zn, Fe, Cuand Ni respectively was measured as ND(No Deliver), ND, ND- 0/242, ND- 1/075, ND- 0/018 and ND-0/014inmg/ liter. Also among the 16 organochlorinecom pounds measured the highest amount of was belonged totoxin Hexachlorine Benzene (1/5 mg/ liter). The results of the analysis of water quality parameters showed that parameters except ofCOD, TDS, PO4, TP, Zn, Fe and water temperature, other parameters do not haveany restrictions foraquaculturecold water fish in therunoffDam. Based on data results it was noticed that there was temperature restriction up to November at downstream and station 2 showed less temperature fluctuation and more suitable condition compared to other stations. BOD5 value was within the allowable range for growing trout, in which station 2 somewhat with lower volatility of value had the most suitable BOD5 condition. In the present study, the amount of TDS in the study area was somewhat higher than the limitation and since TDS values increased with distance from the dam, therefore station 2 had somewhat better conditions for fish farming. In addition the amount of EC in the study area, indicating the inappropriateness of it for various activities in the fisheries. Although none of the stations in terms of the amount of phosphorus didn't show favorable conditions for rainbow trout fish propagation, it appears between the researches stations, station 2 had the most favorable terms. The results of this study (regardless of the unseen), it seems that in August and September; Zn had overestimated value for cold fish propagation. Recent study showed that among heavy metals, Fe in water, sediments and fish was over limitation value. Also, Fe value was measured of 1.08 at station 4, which showed over normal value for cold fish propagation. Therefore, station 2 at downstream seemed to have suitable cold fish propagation due to lower Fe value. On the based on the recent study, planktonic biological index did not endorse water quality for fish propagation. In this study, aquatic plant such as Potamogeton pectinatus and Pheragmitie saustralis was found at water of higher and somehow polluted organic matter. Probably, based on the results it was noticed that downstream water of dam was polluted to organic matter. At the recent study, resisted maroinvertebrates to organic matter (Chironomidae) was consisted noticeable frequency compared to other sensitive invertebrates to organic matter (EPT).Statistically, it can be expressed that probably organic pollution resulted to increase of resistance invertebrates and decreased of sensitive groups. In recent study, EPT/CHIR index was measured 0.6 in station 2 and 1.74 in station 4. This ration was less to many other mountain rivers. As ETP sensitive invertebrates has higher sensitive to other groups with the regards of environmental condition and pollution, unpredicted increase of Chironomidae compare to sensitive groups resulted of EPT/CHIR value which showed environmental stress. In this study, HFBI index was measured as 7.49 at station 2 and 7 in station 4. Based on HFBI index, station 2 was classified as a high organic pollution and station 4 with noticeable organic pollution. At the recent study, station 2 was catch more fish to station4. For instance, Squaliuscephalus and Alburnoides pinctatus were catch in station 2 and were not found in station 4. As a whole, Biological indicators whichwas included Plankton Bioindicator, EPT / CHIR. ,Hilsenh off Biological Indicator, diversity and distribution ofaquatic plants and fish, showed water situation in run off Damrich inorganic matter. Finally, the study area was approved for fish farm about 50 tons and needs management arrangements with the increased production rate

Anemia prevalence in women of reproductive age in low- and middle-income countries between 2000 and 2018

Anemia is a globally widespread condition in women and is associated with reduced economic productivity and increased mortality worldwide. Here we map annual 2000–2018 geospatial estimates of anemia prevalence in women of reproductive age (15–49 years) across 82 low- and middle-income countries (LMICs), stratify anemia by severity and aggregate results to policy-relevant administrative and national levels. Additionally, we provide subnational disparity analyses to provide a comprehensive overview of anemia prevalence inequalities within these countries and predict progress toward the World Health Organization’s Global Nutrition Target (WHO GNT) to reduce anemia by half by 2030. Our results demonstrate widespread moderate improvements in overall anemia prevalence but identify only three LMICs with a high probability of achieving the WHO GNT by 2030 at a national scale, and no LMIC is expected to achieve the target in all their subnational administrative units. Our maps show where large within-country disparities occur, as well as areas likely to fall short of the WHO GNT, offering precision public health tools so that adequate resource allocation and subsequent interventions can be targeted to the most vulnerable populations

Designing and establishment of ISO/IEC 17025 in 3aboratories of Caspian Sea ecological research center

The project was carried out between March of 2007 and November of 2009.Five laboratories of research center (Clinical pathology, Plankton, Molecular genetics, Pollutants, Analysis Instrument were selected for accreditation. The main stages for establishment of the system consisted of: 1-Conducting a gap analysis to compare the present state of the laboratories with ISO/IEC 17025 Training 2 General requirements for the competence of testing and calibration laboratories Validation of methods Estimation of uncertainty Internal audits 3- Performing of technical and management requirements 4-Submit of quality manual to Iran Accreditation System (IAS) in order to accredit In January of 2010 the laboratories were accredited by Iran Accreditation System (IAS). The main results were including: 1-Increase the accuracy of measurement 2-Improvement of the Repeatability and Reproducibility of the test methods 3-Traceability and standardization of test methods 4- Calibration of measurement instruments 6- Updating of test methods 7-Standardization of physical condition of the laboratories 8- Getting the certification from Iran Accreditation System (IAS)