Safety and efficacy of Favipiravir in moderate to severe SARS-CoV-2 pneumonia

Background: We examined the safety and efficacy of a treatment protocol containing Favipiravir for the treatment of SARS-CoV-2. Methods: We did a multicenter randomized open-labeled clinical trial on moderate to severe cases infections of SARS-CoV-2. Patients with typical ground glass appearance on chest computerized tomography scan (CT scan) and oxygen saturation (SpO2) of less than 93 were enrolled. They were randomly allocated into Favipiravir (1.6 gr loading, 1.8 gr daily) and Lopinavir/Ritonavir (800/200 mg daily) treatment regimens in addition to standard care. In-hospital mortality, ICU admission, intubation, time to clinical recovery, changes in daily SpO2 after 5 min discontinuation of supplemental oxygen, and length of hospital stay were quantified and compared in the two groups. Results: 380 patients were randomly allocated into Favipiravir (1 9 3) and Lopinavir/Ritonavir (1 8 7) groups in 13 centers. The number of deaths, intubations, and ICU admissions were not significantly different (26, 27, 31 and 21, 17, 25 respectively). Mean hospital stay was also not different (7.9 days SD = 6 in the Favipiravir and 8.1 SD = 6.5 days in Lopinavir/Ritonavir groups) (p = 0.61). Time to clinical recovery in the Favipiravir group was similar to Lopinavir/Ritonavir group (HR = 0.94, 95% CI 0.75 � 1.17) and likewise the changes in the daily SpO2 after discontinuation of supplemental oxygen (p = 0.46) Conclusion: Adding Favipiravir to the treatment protocol did not reduce the number of ICU admissions or intubations or In-hospital mortality compared to Lopinavir/Ritonavir regimen. It also did not shorten time to clinical recovery and length of hospital stay. © 2021 Elsevier B.V

The Origin of Mysticism and Sufism in Hadith

Islamic mysticism or Sufism is one of the most outstanding appearances of Islamic culture that has had a fundamental and undeniable role in the history of Islam. A careful study of the history and development of the movements of Islamic culture shows that this movement, like most other ones, has been originated from, developed, and cultivated in an Islamic environment, though it has undoubtedly been affected by Hellenistic, Christian, Iranian, and other cultures in its historical process. The purpose of this article is to show the origin of Islamic mysticism and Sufism in Hadith through citing examples of some hadiths of the holy Prophet (s) and Imam ʿAlī (a) that clearly represent some mystical beliefs, methods, principles, and practices. It will be proved that in the early sources of Islam, especially in hadith sources, there have been abundant grounds for the emergence of Islamic mysticism and Sufism, without any need for other cultures. Proving this point, we reject the view that Islamic mysticism has originated from foreign cultures

The Effect of Organic and Bio Fertilizers on Maize (Zea mays), and HydroMax Adjuvants Application on Optimizing of Nicosulfuron Herbicide Efficacy

In order to study the effect of adjuvant on nicosulfuron herbicide efficacy improvement in maize weed control under organic fertilizers application, field study was conducted during 2013- 2014 at research field of Ferdowsi University of Mashhad, Iran. Experiment was arranged in completely randomized design with factorial arrangement of treatments with 16 treatments and three replications. Factors in this experiment were application of organic fertilizers (cow manure and vermicompost) and bio fertilizer mycorrhiza, and a plot without fertilizer as control, nicosulfuron dose at 40, and 80 g a.i ha-1 (Cruz®,4% SC) with and without the adjuvant of HydroMax™. Common purslane (Portulaca oleracea), black nightshade (Solanum nigrum L.), and redroot pigweed (Amaranthus retroflexus L) were the dominant weeds in the experimental fields. Black nightshade and common purslane had the highest relative density 20 and 45 days after spraying (DAS). Results showed that application of hydromax adjuvant increased herbicide efficiency, significantly. However dry weight of common purslane, black nightshade and redroot pigweed decreased 84, 71, 86 and 71, 79, 100 %, when nicosulfuron applied at reduced dose (40 g a.i. ha-1) with adjuvant 20 and 45 DAS, respectively. On the other hand, seed yield and dry weight of maize increased 49 and 60 % respectively, when nicosulfuron applied at 40 g a.i. ha-1 with Hydromax pulse cow manure.&nbsp

The Effect of Vitamin C on Pathological Parameters and Survival Duration of Critically Ill Coronavirus Disease 2019 Patients: A Randomized Clinical Trial

Introduction: Vitamin C has been reported to have beneficial effects on patients with coronavirus disease 2019 (COVID-19). This study aimed to investigate the effect of vitamin C supplementation on pathological parameters and survival duration of critically ill patients with COVID-19. Methods: This clinical trial was conducted on 120 hospitalized critically ill patients infected with COVID-19. The intervention group (n = 31) received one capsule of 500 mg of vitamin C daily for 14 days. The control group (n = 69) received the same nutrition except for vitamin C supplements. Measurement of pathological and biochemical parameters was performed at baseline and after 2 weeks of the intervention. Results: Following 2 weeks of vitamin C supplementation, the level of serum K was significantly lower in the patients compared with the control group (3.93 vs. 4.21 mEq/L, p < 0.01). Vitamin C supplementation resulted in a higher mean survival duration compared with that of the control group (8 vs. 4 days, p < 0.01). There was a linear association between the number of days of vitamin C intake and survival duration (B = 1.66, p < 0.001). The vitamin C supplementation had no effect on blood glucose, mean arterial pressure, arterial blood gas (ABG) parameters, Glasgow Coma Scale (GCS), kidney function, cell blood count (CBC), hemoglobin (Hb), platelet (Plt), partial thromboplastin time (PTT), albumin, hematocrit (Hct), and other serum electrolytes including sodium (Na), calcium, and phosphorus (P). Conclusion: The present study demonstrated the potential of vitamin C supplementation in enhancing the survival duration of critically ill patients with COVID-19. Clinical Trial Registration: https://www.irct.ir/trial/55074, identifier IRCT20151226025699N