Adverse Effects of Covid-19 Vaccine, an Observational Studymainly Focusing on the Cutaneous Reactions in Both Genders

Objective: COVID-19 caused a deleterious impact on the health care system globally.The roll out of vaccines seems to be the only effective way to curtail the spread of disease.The purpose of this study is to assess the dermatological adverse effect of post COVID-19vaccination on a gender basis. Methodology: This was an observational,cross-sectional,questionnaire-based survey conducted in Pakistan.The sample comprises 518 participants. The questionnaire was self-designed. The trial lasted six months, from August 1, 2022, until January 31, 2023. We used a non-probability sampling technique.Dermatological adverse effects like burning pain, redness, rashes, and lymphadenopathy at the injection site were recorded.Fever was also noted. All the participants have received booster shots or double doses of any one of CCOVID-19 vaccines, such as AstraZeneca, Pfizer, Sinovac, Sinopharm,Pakvac, etc. A p-value of less than 0.05 was considered statistically significant.Qualitative data was reported as frequency and percentage, and quantitativedata was reported as standard deviation and mean. Result(s): The study included 518 subjects, of whom 262 were males and 256 were females. The mean age of male is 42.70+/-14.05 years and female is 39.04+/-14.6years with a significant difference observed between them (p=0.004). The most common complaint among dermatological adverse effects after first was pain. 106(40.5%) male and 132(51.6%) female reported painwith a significant difference observed between them (p=0.011) followed by swelling which was reported by 92(35.1%) males and 120(46.9%) females with a significant difference observed between them (p=0.006).Burning was reported in 92(35.1%) male and 148(57.8%) female with a significant difference observed between them(p<0.001). Fever was also quite commonly reported in both male 116(44.3%) and female 178(69.5%) with significantdifference observed between them (p<0.001),Likewise post 2nd dose of vaccination, pain was most commonly noted in 90(34.4%) male and female 124(48.4%) female with significant difference observed between them (p=0.001). Moreover, burning was reported by 80(30.5%) malesand 132(51.6%) females with a significant difference observed between them (p<0.001). rashes were reported by76(29.0%) males and 100(39.1%) females with a significant difference observed between them (p=0.016), lymphadenopathy was also significantly associated with genders, (p<0.001). Conclusion(s): This study concluded that the burning pain,redness,rashes,and lymphadenopathywere the most prevalent side effects in male and female post 1st and 2ndCOVID-19 vaccination.Furthermore fever was also reported in majority of subjects.In addition to this higher percentage of side effects were recorded in females as comparedto males.Copyright © 2023 Lahore Medical And Dental College. All rights reserved.

ID: 215433 The History of Spinal Cord Stimulation to Treat Painful Diabetic Peripheral Neuropathy

Introduction: Diabetic peripheral neuropathy (DPN) is the most common neuropathic syndrome seen in patients with diabetes. Roughly 30% of the diabetes patient population1 experience painful DPN symptoms including bilateral stabbing or burning pain in addition to numbness in the feet and lower legs. Traditionally painful DPN symptoms have been treated with conventional medical management (CMM) including glycemic control, general risk factor management, as well as pharmaceutical agents. These treatment approaches are often unsuccessful in the long-term1. Spinal cord stimulation (SCS) has been demonstrated as an effective treatment for painful DPN of the lower extremities with multiple publications dating back to 1996 showing benefits of SCS for pain relief and improved Quality of Life (QoL) in DPN patients (Figure 1)2-18. Method(s): A systematic literature review of the robust body of evidence for SCS in the treatment of painful DPN was conducted. Publications were selected for inclusion by two independent reviewers using defined selection criteria. Additional relevant publications from outside the search dates were included. Result(s): SCS was first documented as an effective treatment for DPN in three single-arm studies published between 1996 and 20122,4,5, one of which was followed-up to thirty-six months18, and another to seven-years3. These studies paved the way for two RCTs published in 20146,7, one of which was followed-up to five-years in two publications8,10, and another7 was followed-up with analyses on QoL9 and an evaluation of the effects of burst SCS17. Two meta-analyses were published in 2020 and 202111,12. A post-hoc analysis of a multi-center single-arm study on high frequency (10kHz) SCS to treat DPN was published in 202013 and followed by an RCT published in 202114 with additional 1-year follow-up15,16. Collectively these studies demonstrate that SCS is an effective therapy for patients with painful DPN by reducing pain and increasing QoL for DPN patients (Figure 1). Conclusion(s): This review of a large body of evidence shows a decades-long history of the effectiveness of SCS for symptom relief in patients suffering from painful DPN. Future research on the effectiveness of new waveforms and novel methods of energy delivery to the spinal cord are needed. The study of outcomes in addition to pain relief is also needed, which may better illustrate the breadth of effects of SCS therapy on the underlying disease factors. Increasing awareness of the current evidence is essential to increasing therapy adoption by expanding payer support and influencing referring health care provider behavior. Disclosure: Eric Grigsby, MD: AE Mann Foundation: Consulting Fee: Self, Bioness Inc.: Consulting Fee: Self, Medallion Therapeutics: Consulting Fee: Self, Medtronic: Consulting Fee: Self, SPR Therapeutics: Consultant: Self, Tenex Health: Consultant: Self, Voyager Therapeutics: Consultant: Self, Xalud: Consulting Fee: Self, AE Mann Foundation: Consulting Fee: Self, Medallion Therapeutics: Consulting Fee: Self, Bioness Inc.: N/A: Self, Medallion Therapeutics: N/A: Self, SPR Therapeutics: N/A: Self, Abbott / St. Jude Medical: N/A: Self, Tenex: N/A: Self, Vertos: N/A: Self, Xalud: N/A: Self, AE Mann Foundation: Consulting Fee: Self, Bioness Inc.: Consulting Fee: Self, Medtronic, Inc.: N/A: Self, Collegium Pharmaceutical, Inc.: Trustee: Self, Flowonix Medical: Served on speakers' bureau: Self, Jazz Pharmaceuticals: Served on speakers' bureau: Self, Jazz Pharmaceuticals: Trustee: Self, Spinal Restoration, Inc.: Trustee: Self, Jazz Pharmaceuticals: N/A: Self, Alfred Mann Foundation: N/A: Self, Boston Scientific: N/A: Self, CNS Therapeutics: N/A: Self, Collegium Pharmaceutical, Inc.: N/A: Self, Flowonix Medical: N/A: Self, Jazz Pharmaceuticals: N/A: Self, Medtronic, Inc.: N/A: Self, Myoscience: N/A: Self, NeurAxon Inc.: N/A: Self, Spinal Restoration, Inc.: N/A: Self, St. Jude Medical, Inc.: N/A: Self, Abbott Laboratories: Consultant: Self, Alfred Mann Foundation: Consulting Fee: Self, Cervel Neurotech, Inc.: Consultant: Self, CNS Therapeutics: Consultant: Self, Covidien: Consultant: Self, Cumberland Pharmaceuticals, Inc.: Consultant: Self, Flowonix Medical: Consultant: Self, Jazz Pharmaceuticals: Consultant: Self, Mainstay Medical: Consultant: Self, Medtronic, Inc.: Consultant: Self, Myoscience: Consultant: Self, NeuroPhage Pharmaceuticals: Consultant: Self, Nevro Corp: Consultant: Self, Palyon: Consultant: Self, Spinal Modulation: Consultant: Self, SPR Therapeutics: Consultant: Self, St. Jude Medical, Inc.: Consultant: Self, Tenex Health, Inc.: Consultant: Self, VertiFlex Inc.: Consultant: Self, Vertos Medical, Inc.: Consultant: Self, Xalud Therapeutics, Inc.: Contracted Research: Self, Medtronic, Inc.: Served on speakers' bureau: Self, Flowonix Medical: Served on advisory board: Self, Medtronic, Inc.: N/A: Self, Jazz Pharmaceuticals: N/A: Self, Medtronic, Inc.: Ownership Interest: Own Stock, Stock Options, Future Stock Options: Self, Nevro Corp: Ownership Interest: Own Stock, Stock Options, Future Stock Options: Self, Rachel Slangen, PhD: None, Lisa Johanek, PhD: Medtronic: Salary/Employee: Self, Maddie LaRue, PHD: Medtronic: Employee:, Cecile de Vos, PhD: None, Melissa Murphy: Medtronic: Consulting Fee:, Relievant: Consulting Fee:Copyright © 2023

The burning building

The change of heart seems to have been in response both to international criticism of its earlier laissez faire approach and to a new modelling study suggesting that the NHS would not cope unless more was done to curb the spread of the virus. There is an urgent need for increased capacity to test frontline healthcare workers, especially a quick serological test to show who has had the infection and is immune and therefore able to safely return to work. Healthcare is already changing as a result of covid-19 in some positive ways: the public is at last learning self-management;hand washing is in;technology is being embraced;phone and video are replacing face to face consultations;there are drive through clinics;people are working across traditional divisions of primary, secondary, and tertiary care and volunteering to be deployed from quieter specialties or retirement into areas of need.

Herpes Zoster Co-Infection with COVID-19: A Case Series

Clinical presentation of COVID-19 infection can be variable in the current pandemic even in patients presenting to the clinic with a mild history of upper respiratory complaints. Various cutaneous manifestations have been noticed in COVID-19 patients with herpes zoster (HZ) being one among them. HZ is an infection that results when varicella zoster virus reactivates from its latent state in the posterior dorsal root ganglion. Here, we aim to expand our knowledge by reporting three cases of associated zoster infection in COVID-19 patients admitted to our intensive care unit in view of respiratory complaints. All the three patients admitted, had revealed lymphocytopenia at the time of HZ diagnosis, and were managed conservatively throughout the course. In all the cases, acyclovir/valacyclovir led to the resolution of lesions in 10 days. No postherpetic sequelae were observed. We here suggest that the clinical presentation of HZ at the time of the current pandemic should be considered as an alarming sign for a latent subclinical SARS CoV-2 infection and thorough follow-up of such patients be adopted.Copyright © 2021 Bali Journal of Anesthesiology. All rights reserved.

The Prevalence of Side Effects of Sinopharm COVID-19 Vaccine: An Experience From Pakistan.

Introduction Vaccination for coronavirus disease 2019 (COVID-19) helps develop protective immunity against COVID-19 without experiencing potentially severe illness. Many vaccines are used worldwide, but there is little data on the efficacy and side effects of the Sinopharm vaccine. Therefore, this study aimed to investigate the reported adverse effects of the Sinopharm vaccine among participants. Methods This prospective cross-sectional study was conducted in multiple hospitals in Karachi, Pakistan. The study was eight months, from April 1, 2022, to November 30, 2022. A total of 600 participants who gave informed consent and had received their first and second doses of the Sinopharm vaccine were included in the study. As hypertension and diabetes mellitus (DM) are common prevalent conditions in our population, the duration of DM and hypertension were documented as means and standard deviations apart from age, height, and weight. Side effects of the Sinopharm vaccine were reported as frequencies and percentages. Results The study findings showed that out of 600 participants, 376 (62.7%) were males and 224 (37.3%) were females; their mean age was 42.79±14.44 years. Among them, 130 (21.7%) had hypertension, and 138 (23.0%) had DM. All participants received the Sinopharm vaccine. Fever was the most frequently reported adverse effect following the first dose of the Sinopharm vaccine in 308 (51.3% of participants), followed by burning at the injection site in 244 (40.7% of participants) and pain at the injection site in 228 (38.0% of participants). Following the second dose of the Sinopharm vaccine, fever was the most frequently reported side effect in 254 (42.3%) participants, followed by pain at the injection site in 236 (39.5%) participants and burning at the site of injection in 210 (35.0%) participants. Moreover, joint pain in 194 (32.3%), shortness of breath in 170 (28.3%), swelling of glands in 168 (28.0%), chest pain in 164 (27.3%), and muscle pain were reported by 140 (23.3%) participants. The level of satisfaction showed that the majority of the participants, 334 (55.7%), were satisfied, 132 (22.0%) were very satisfied with their vaccination, and only 12 (2.0%) were dissatisfied. Conclusion This study concluded that fever was the most frequent side effect after both doses of the Sinopharm vaccine. Pain and burning at the injection site and joint pain were among the other common side effects reported by most participants. The Sinopharm COVID-19 vaccine had mild, predictable, and non-life-threatening side effects after the first and second doses.

The Common Systemic and Local Adverse Effects of the Sinovac COVID-19 Vaccine: An Observational Study From Pakistan.

Background Vaccination acts by boosting the capacity of a person's immune system to identify and effectively resist infection-causing bacteria and viruses, as it stimulates the immune system to respond to the vaccine's antigens. The immunological response may include local and systemic symptoms, including pain at the injection site and fever, respectively. The Sinovac vaccine is an inactivated virus vaccine made in China and is one of the most widely used vaccines in many countries; however, the side effects of the Sinovac vaccine have not been well-studied in our population. Therefore, this study assessed the prevalence of side effects experienced by participants after receiving the Sinovac vaccine. Methodology This multicenter, cross-sectional study was conducted using a non-probability sampling method. The duration of the study was six months from May 1, 2022, to October 31, 2022. A total of 800 participants who were completely vaccinated with the Sinovac vaccine were included in the study. For categorical data, frequencies and percentages were documented, while for continuous data, such as age, height, weight, and the duration of comorbidities, means and standard deviations were evaluated. Results The study findings showed that out of 800 participants, 534 (66.8%) were males and 266 (33.3%) were females, with a mean age of 41.20 ± 13.70 years. Among them, 162 (20.3%) had hypertension, and 104 (13.0%) had diabetes. Following the first dose of the Sinovac vaccine, fever was the most commonly reported side effect in 350 (43.8%) participants. Additionally, pain at the injection site in 238 (29.8%) participants, followed by swelling at the injection site in 228 (28.5%) recipients, were among other common side effects. Following the second dose of the Sinovac vaccine, fever was the most commonly reported side effect in 262 (32.8%) participants. Conclusions This study concluded that fever was the most frequent systemic side effect, whereas pain and swelling at the injection site were the most frequent local side effects following the administration of the first and second doses of the Sinovac vaccine. Both dosages of Sinovac were well-tolerated, and the majority of the adverse effects were minor and self-limiting.

THE CONTAGION NUMBER: HOW FAST CAN A DISEASE SPREAD?

The overall purpose of this paper is to define a new metric on the spreadability of a disease. Herein, we define a variant of the well-known graph-theoretic burning number (BN) metric that we coin the contagion number (CN). We aver that the CN is a better metric to model disease spread than the BN as the CN concentrates on first time infections. This is important because the Centers for Disease Control and Prevention report that COVID-19 reinfections are rare. This paper delineates a novel methodology to solve for the CN of any tree, in polynomial time, which addresses how fast a disease could spread (i.e., a worst-cast analysis). We then employ Monte Carlo simulation to determine the average contagion number (ACN) (i.e., a most-likely analysis) of how fast a disease would spread. The latter is analyzed on scale-free graphs, which are specifically designed to model human social networks (sociograms). We test our method on some randomly generated scale-free graphs and our findings indicate the CN to be a robust, tractable (the BN is NP-hard even for a tree), and effective disease spread metric for decision makers. The contributions herein advance disease spread understanding and reveal the importance of the underlying network structure. Understanding disease spreadability informs public policy and the associated managerial allocation decisions. © 2023 by the authors.

Snapshots of wintertime urban aerosol characteristics: Local sources emphasized in ultrafine particle number and lung deposited surface area.

Urban air fine particles are a major health-relating problem. However, it is not well understood how the health-relevant features of fine particles should be monitored. Limitations of PM2.5 (mass concentration of sub 2.5 µm particles), which is commonly used in the health effect estimations, have been recognized and, e.g., World Health Organization (WHO) has released good practice statements for particle number (PN) and black carbon (BC) concentrations (2021). In this study, a characterization of urban wintertime aerosol was done in three environments: a detached housing area with residential wood combustion, traffic-influenced streets in a city centre and near an airport. The particle characteristics varied significantly between the locations, resulting different average particle sizes causing lung deposited surface area (LDSA). Near the airport, departing planes had a major contribution on PN, and most particles were smaller than 10 nm, similarly as in the city centre. The high hourly mean PN (>20 000 1/cm3) stated in the WHO's good practices was clearly exceeded near the airport and in the city centre, even though traffic rates were reduced due to a SARS-CoV-2-related partial lockdown. In the residential area, wood combustion increased both BC and PM2.5, but also PN of sub 10 and 23 nm particles. The high concentrations of sub 10 nm particles in all the locations show the importance of the chosen lower size limit of PN measurement, e.g., WHO states that the lower limit should be 10 nm or smaller. Furthermore, due to ultrafine particle emissions, LDSA per unit PM2.5 was 1.4 and 2.4 times higher near the airport than in the city centre and the residential area, respectively, indicating that health effects of PM2.5 depend on urban environment as well as conditions, and emphasizing the importance of PN monitoring in terms of health effects related to local pollution sources.

Tracking changes in atmospheric particulate matter at a semi-urban site in Central France over the past decade.

Nearly 10-year (2013-2022) data on atmospheric particulate matters (PMs) were collected to investigate the air quality in a suburban site of Orléans city (France). The PM10 concentration decreased slightly between 2013 and 2022. PMs concentrations showed a monthly variation with higher concentration in cold periods. PM10 presented a clear bimodal diurnal variation peaking at morning rush hour and midnight, whereas the fine PMs such as PM2.5 and PM1.0 only had significant peaks during nighttime. Further, PM10 had more pronounced week-end effect than other fine PMs. COVID-19 lockdown impact on PMs levels was further investigated, showing that the lockdown during cold season could result in an increase of PMs concentrations because of the enhanced household heating. We concluded that PM10 could originate from biomass burning and fossil fuel related activities, air parcels from the western Europe through Paris were also important source of PM10 in the investigated area. Fine PMs, such as PM2.5 and PM1.0, originated mainly from biomass burning in addition to secondary formation at the local scale. This study provides a long-term PMs measurement database to explore the sources and characterization of PMs in central France, which could support future regulation and formulation of air quality standards.

PM2.5 carbonaceous components and mineral dust at a COALESCE network site - Bhopal, India: Assessing the impacts of COVID-19 lockdowns on site-specific optical properties.

Thermal elemental carbon (EC), optical black carbon (BC), organic carbon (OC), mineral dust (MD), and 7-wavelength optical attenuation of 24-hour ambient PM2.5 samples were measured/estimated at a regionally representative site (Bhopal, central India) during a business-as-usual year (2019) and the COVID-19 lockdowns year (2020). This dataset was used to estimate the influence of emissions source reductions on the optical properties of light-absorbing aerosols. During the lockdown period, the concentration of EC, OC, BC880 nm, and PM2.5 increased by 70 % ± 25 %, 74 % ± 20 %, 91 % ± 6 %, and 34 % ± 24 %, respectively, while MD concentration decreased by 32 % ± 30 %, compared to the same time period in 2019. Also, during the lockdown period, the estimated absorption coefficient (babs) and mass absorption cross-section (MAC) values of Brown Carbon (BrC) at 405 nm were higher (42 % ± 20 % and 16 % ± 7 %, respectively), while these quantities for MD, i.e., babs-MD and MACMD values were lower (19 % ± 9 % and 16 % ± 10 %), compared to the corresponding period during 2019. Also, babs-BC-808 (115 % ± 6 %) and MACBC-808 (69 % ± 45 %) values increased during the lockdown period compared with the corresponding period during 2019. It is hypothesized that although anthropogenic emissions (chiefly industrial and vehicular) reduced drastically during the lockdown period compared to the business-as-usual period, an increase in the values of optical properties (babs and MAC) and concentrations of BC and BrC, were likely due to the increased local and regional biomass burning emissions during this period. This hypothesis is supported by the CBPF (Conditional Bivariate Probability Function) and PSCF (Potential Source Contribution Function) analyses for BC and BrC.

Effects of COVID‐19 lockdown measures on nitrogen dioxide and black carbon concentrations close to a major Italian motorway

During the first half of 2020, the Italian government imposed several restrictions to limit the spread of the COVID‐19 pandemic: at the beginning of March, a heavy lockdown regime was introduced leading to a drastic reduction of traffic and, consequently, traffic‐related emissions. The aim of this study is to evaluate the effects of these restrictions on pollutant concentrations close to a stretch of the Italian A22 motorway lying in the Alpine Adige valley. In particular, the analysis focuses on measured concentrations of nitrogen dioxide (NO2) and black carbon (BC). Results show that, close to the motorway, NO2 concentrations dropped by around 45% during the lockdown period with respect to the same time period of the previous 3 years. The equivalent analysis for BC shows that the component related to biomass burning, mostly due to domestic heating, was not particularly affected by the restrictions, while the BC component related to fossil fuels, directly connected to traffic, plummeted by almost 60% with respect to the previous years. Since atmospheric concentrations of pollutants depend both on emissions and meteorological conditions, which can mask the variations in the emission regime, a random forest algorithm is also applied to the measured concentrations, in order to better evaluate the effects of the restrictions on emissions. This procedure allows for obtaining business‐as‐usual and meteorologically normalized time series of both NO2 and BC concentrations. The results derived from the random forest algorithm clearly confirm the drop in NO2 emissions at the beginning of the lockdown period, followed by a slow and partial recovery in the following months. They also confirm that, during the lockdown, emissions of the BC component due to biomass burning were not significantly affected, while those of the BC component related to fossil fuels underwent an abrupt drop.

Side Effects of the Sinopharm/BBIBP COVID-19 Vaccine among Iranian Healthcare Workers: A Gender Assessment

Background: Since the outbreak of COVID-19, vaccination has been considered as an important measure against it. Side effects have always been an inseparable component of vaccination, which in this study, Sinopharm vaccine, its side effects and the differences of their manifestation amongst men and women have been investigated. Objective(s): This study aimed to compare the side effects of the Sinopharm vaccine among men and women working in some medical centers in Tehran, Iran. Method(s): This cross-sectional descriptive-analytical study on 890 healthcare workers of 7 medical centers in Tehran within 2 months, from late June to late August 2021. The samples were selected by the complete enumeration method, and the required data were collected using a questionnaire. Only those who received the Sinopharm vaccine at least 10 days before the study were included. Result(s): Of 890 participants, 22.96% and 77.30% were women and men, respectively, and 65.8% of women and 78.1% of men were in the age range of 20-29 years. It was revealed that 74.75% of women and 26.16% of men had at least one side effect. The incidence of at least one side effect was significantly higher in women than in men (P<0.001). It was also found that 12 side effects were significantly higher in women than in men. Most men and women had side effects within the first 24 h after vaccination. There was no significant difference in taking therapeutic measures to reduce or minimize the post-vaccination complications between men and women;however, 9.4% of men and 27.2% of women reported a decline in their ability to perform daily activities as they were unable to do their everyday tasks the day after vaccination which was significantly different between the two groups (P<0.001). Conclusion(s): The results showed that the occurrence rate of side effects after receiving the Sinopharm vaccine was significantly higher in women than in men. Moreover, women were significantly less able to perform daily routines than men.Copyright © 2022, Author(s).

A rare case of central post-stroke pain in a patient with migraine and lacunar infarcts in the medulla oblongata

Studies about headaches associated with acute ischemic stroke in patients suffering from migraine were limited, and therefore we present a clinical case of central post-stroke pain (CPSP) in a 47-year-old woman with migraine and lacunar infarcts in the medulla oblongata and also possible mechanisms of CPSP in patients with migraine. Magnetic resonance imaging of the brain revealed lacunar infarction in the medulla oblongata on the right (vertebral artery basin) and a single focus of gliosis in the parietal lobe on the right. Magnetic resonance angiography of cerebral vessels showed the fetal type of structure of both posterior cerebral arteries. This clinical case is a complex clinical situation of a combination of secondary headaches (post-stroke) in a patient with a primary headache (migraine), which was successfully treated by the combined administration of first-line drugs for the treatment of neuropathic pain in a patient with lacunar infarcts in the medulla oblongata. The treatment of CPSP is a difficult task due to the insufficiently unexplored mechanisms of development, the most effective approaches are those aimed at reducing the increased excitability of neurons.Copyright © 2023, Indian Association of Biomedical Scientists. All rights reserved.

Relationship between Lightning, Lightning Fire and Human Activities

Lightning is the main source of natural fire, and lightning fire and other types of forest fires together constitute the global forest fire system. It is generally believed that lightning fire, as a natural fire source, has nothing to do with human beings and is different from man-made fire sources, but in fact, human activities have inextricable links with the occurrence of lightning fire. Since 2019, due to the severe impact of COVID-19 lockdowns, non-essential activities and mobility have decreased, which has led to a significant decrease in pollutant concentrations and lightning. In this paper, we linked the lightning fire with modernization process of human beings, the expansion of habitation, the change of underlying surface, the development of prediction technology and firefighting technology, and the laws and regulations of the country, to explore the impact of human activities on the occurrences of lightning and the forest lightning fire. Lightning is the fire source of the three elements in lightning fire occurrence, the lightning that can cause lightning fire is mainly cloud-to-ground lightning. The human activities in recent decades have profoundly affected the content of aerosols in environment. Aerosols are the main factors affecting lightning, and the large amount of pollution aerosols emitted from urban areas, soot aerosols emitted from biomass combustion and urban heat island effect have all increased the probability of lightning occurrence. The average annual ground lightning density of different land cover types is obviously different, and the construction land has the highest average annual ground lightning density. Intense lightning in forest areas has a higher density and slope. Most of the forests are located in high altitude areas, which is consistent with previous studies showing high lightning frequency in high altitude areas. The lightning in forests is intenser, steeper and more destructive, so forest areas are prone to lightning strikes. Lightning has the characteristic of selective discharge, that is, it will discharge into some special areas, which are also known as lightning selection areas, such as the place groundwater is exposed to the ground, where different conductive soils are connected, and where there are underground metal mines, such as copper and iron mines, and underground lake and water reservoir areas. Lightning strikes are caused by changes in soil conductivity caused by human activities such as mining waste rock sites, reservoir construction on mountain tops, and power transmission lines in mountainous areas. At the same time, due to the abundant trees in the mountainous area, it is also important to avoid the resulting lightning fire. With the development of lightning monitoring technology, a lightning location monitoring system has been established in some areas of China. Especially in 2021, the National Forestry and Grassland Administration launched the "Enlisting and Leading" emergency science and technology project of forest lightning fire prevention and control, and the project team has constructed a lightning fire sensing system in the Daxing'anling region with three-dimensional lightning full-wave detection network as the main body, covering the forest area of the Daxing'anling forest region, which can accurately locate the location of cloud-to-ground lightning in real time, improve the monitoring and warning ability of lightning fires, and improve the efficiency of lightning fire discovery. National laws and regulations indirectly affect lightning fires by affecting forest cover and climate change. This paper is expected to provide reference for the occurrence, prevention and control of forest lightning fire in the future, and provide a basis for the formulation of corresponding policies.

Rising surface ozone due to anthropogenic activities and its impact on COVID-19 related deaths in Delhi, India.

The rapidity and global spread of the COVID-19 pandemic have left several vital questions in the research community requiring coordinated investigation and unique perspectives to explore the relationship between the spread of disease and air quality. Previous studies have focused mainly on the relation of particulate matter concentration with COVID-19-related mortalities. In contrast, surficial ozone has not been given much attention as surface ozone is a primary air pollutant and directly impacts the respiratory system of humans. Hence, we analyzed the relationship between surface ozone pollution and COVID-19-related mortalities. In this study, we have analyzed the variability of various atmospheric pollutants (particulate matter (PM2.5 and PM10), Nitrogen dioxide (NO2), Carbon monoxide (CO), and Ozone) in the National Capital Region (NCR) of India during 2020-2021 using station data and investigated the relationship of the air-quality parameters with the COVID-19 related deaths. In northern parts of India, the concentration of particulate matter (PM2.5 and PM10), Nitrogen dioxide (NO2), Carbon monoxide (CO), and Ozone remain high during the pre- and post-monsoon seasons due to dust loading and crop residue burning (after winter wheat in April & summer rice in November). The westerly wind brings the polluted airmass from western and northwestern parts to Delhi and National Capital Region during April-June and October-November, and meteorological conditions help raise the concentration of these pollutants. Due to long solar hours and high CO concentrations, the ozone concentration is higher from April to June and September. While comparing major air quality parameters with COVID-19-related deaths, we found a good relationship between surface ozone and COVID-19 mortality in Delhi. We also observed a time lag relationship between ozone concentration and mortality in Delhi, so the exposure to Ozone in a large population of Delhi may have augmented the rise of COVID-19-related deaths. The analysis suggested that ozone has a significant relationship with COVID-19 related mortality in Delhi in comparison to other parameters.

Oro-Facial manifestations of COVID-19 infection in a sample of Iraqi people

Public health officials are gravely concerned about the harm that viral illnesses continue to pose to humanity, various viral outbreaks, including the Middle East Respiratory Syndrome Corona-Virus (MERS-CoV), H1N1 influenza, the severe acute respiratory syndrome coronavirus (SARS-CoV-2) and SARS CoV-2 or COVID-19 that struck the globe in December 2019. A wide range of COVID-19 oral symptoms, such as ulceration, blisters, enanthems, hemorrhagic sores and cheilitis. Aim(s): to investigate the prevalence of oral symptoms amongst COVID-19 patients due to the disease's aggressive nature and diverse symptomatology and to assess the impact of oral health conditions on COVID-19 disease severity in a sample of Iraqi people. Material(s) and Method(s): a cross-sectional study was conducted on (200) patients in total, (81) male and (119) female, who were identified as SARS-COV2 patients. Result(s): COVID confirmed patients were involved in the present study with mean age (36.69+/-17.22) years & age range of (16-78) years. at least one of the oral manifestations was present in 72.5% of the patients, while about 27.5% did not experience any oro-facial symptoms. The oral symptom with the highest prevalence was dry mouth 50% followed by gustatory dysfunction 37% then burning mouth sensation 22.5% after that the oral pain 17%;myofacial pain 15.5 %;stomatitis\mucositis 14.5%;the prevalence of aphthous lesions, fissural cheilitis and tongue depapillation were at the same percentage which was 9.5%;then candidiasis 7.5%;the least prevalent oral symptoms was gingival bleeding at percentage of 2.5%. Conclusion(s): COVID-19 has a noticeable effect on oral cavity, there was a correlations between some general and orofacial manifestations of COVID-19.Copyright © 2023, Codon Publications. All rights reserved.

Marked rebound of agricultural fire emissions in Asia after the outbreak of COVID-19

East and South Asia are major hotspots of crop straw burning worldwide, with profound impacts on air quality and climate change. The Northeast China Plain (NECP) and Punjab, India, are two of the most fertile areas for crop production, which have large-scale agricultural fires during post-harvest seasons. Leveraging established fire-emission databases and satellite-retrieved agricultural fire spots, we show that, while the years 2018 and 2019 recorded low agricultural fire emissions in both the NECP and Punjab, probably due to the implementation of crop straw sustainable management, fire emissions markedly rebounded in 2020, reaching about 190% and 150% of 2019 levels, respectively. The COVID-19 lockdown measures somewhat disrupted eco-friendly crop straw management through restrictions on labor and transportation availability, such that farmers may have had to burn off crop wastes to clear up the land. We further demonstrate that the increased fire emissions in the NECP resulted in serious particulate matter pollution during the fire season in spring 2020, as opposed to considerable decreases in particles from fossil fuel emissions caused by the COVID-19 lockdown. This study suggests the unintended impacts of the COVID-19 pandemic on the agricultural sector and human health.

Home Remedies, Dietary and Lifestyle Changes during Covid-19 Pandemic

December 2019 has become one of the most surprising days in the whole world in light of the flare-up of a most infectious sickness brought about by novel Covid or Severe Acute Respiratory Syndrome Corona virus 2 (SARS-CoV-2). This study is conducted to assess the benefits of the use of home remedies to prevent the cause of Covid-19 and evaluate the assessment of dietary changes and physical activity in the prevention of Covid-19. A questionnaire-based online survey is conducted using Google forms consisting of multiple-choice questions about home remedies, lifestyle and dietary changes made by the people during this pandemic. These home remedies included using different types of herbal preparations, steam inhalation, physical exercise and OTC medications for prophylaxis. Questions likewise included about being infected by Coronavirus-19(during first wave or second) and their recovery period, additionally collected their viewpoint for changes made, for example how much they are useful in the prevention of the attack and whenever encountered any undesirable impacts. Total responses were 210, among which 121(57.6%) responses were from females and 89(42.4%) from males. 65 people tested Covid positive (42 during the first wave and 23 during the second wave). 118(56.2%) of people think these changes are very beneficial. (Rated 4 and 5 out of 5 points). From our survey, we concluded that different herbal preparations of their composition, which they thought are helpful, and steam inhalations have been used. Rating regarding the use and effectiveness was also found to be average. Further studies are needed to prove and provide clear evidence about adverse and side effects associated with the use of herbal products.Copyright © 2022 Society of Pharmaceutical Sciences and Research. All rights reserved.

Guillain-Barre syndrome associated with SARS-CoV-2 infection: A case series from 4 Colombian cities during the pandemic

SARS-CoV-2 infection has been associated with multiple neurological manifestations. One such manifestation, which has been described since the early stages of the COVID-19 pandemic and is relevant for current neurological practice, is Guillain-Barre syndrome (GBS). The literature describes neurotoxic mechanisms of the virus itself and the possible pathways by which it may affect the peripheral nerves in experimental studies;however, we still lack information on the mechanisms causing the immune response that gives rise to GBS in the context of SARS-CoV-2 infection. Colombia is one of the Latin American countries worst affected by the pandemic, with the third-highest number of cases in the region;thus, it is essential to recognise GBS, as this potential postinfectious complication may severely compromise the patient's functional status in the absence of timely diagnosis and treatment. We present a series of 12 cases of GBS associated with SARS-CoV-2 infection from hospitals in 4 different Colombian cities and describe the clinical presentation, laboratory and electrophysiological study findings, and treatment.Copyright © 2022 Sociedad Espanola de Neurologia

Awareness Among Dentists Regarding Oral Manifestations Of Post Covid 19 Disease: An Observational Crossectional Study In Central India

Background: It is very important to increase awareness and understanding of oral manifestations of post COVID-19 disease among dentists which can happen by continuing education and training for dentists to recognize and manage oral manifestations of post COVID-19 disease. Aims & objectives: The aim of this is to aware dentists regarding oral manifestation of covid 19 disease. The objectives of study were to assess the level of awareness, understanding and factors influencing awareness among dentists regarding oral manifestations of post COVID-19 disease. Evaluate the of oral manifestations of post COVID-19 among dentists in central India. Methodology: A cross-sectional, questionnaire-based study was carried out among COVID-19 recovered patients. A sample of 100 subjects, diagnosed as mild and moderate cases of COVID-19 disease were selected based on inclusion and exclusion criteria. A well-structured questionnaire composed of total 21 Closed ended questions was send to sunjects. Result(s): The study comprised an almost equal number of male (54%) and female (48%) participants and among them, 47% belong to the health professional group. A total of 56% of subjects were aged above 35 years and 47% below 35 years. Xerostomia, frequent aphthous ulcers, swallowing difficulty, and burning mouth were the most frequently encountered symptoms in study subjects during the disease and post recovery. Conclusion(s): In the present study, dentists were found to have good knowledge toward novel corona virus disease with optimum preparedness level for dental practice modification. Dental fraternity is further advised to follow the standard guidelines overcoming this pandemic.Copyright © 2022 Authors. All rights reserved.