Knowledge management tools that assist in systematic review and exploration of scientific knowledge generally are of obvious potential importance in evidence based medicine in general, but also to the design of therapeutics based on the protein subsequences and fold motifs of virus proteins as considered here. Rapid access to bundles (clusters) of related elements of knowledge gathered from diverse sources on the Internet and from growing knowledge repositories seem particularly helpful when exploring less obvious therapeutic targets in viruses (for which knowledge new to the researcher is important), and when using the following concept. Subsequences of amino acid residue sequences of proteins that are conserved across strains and species are (a) more likely to be important targets and (b) less likely to exhibit escape mutations that would make them resistant to vaccines and therapeutic agents. However, the terms "conserved" and even "highly conserved" used by authors are matters of degree, depending on how distant from SARS-CoV-2 they wished to go in comparing other sequences. The binding site to the human ACE2 protein as virus receptor and human antibody CR3022 binding site on the spike glycoprotein are rather variable by the criteria used in the present and preceding studies. To look for more strongly conserved targets, open reading frames of SARS-CoV-2 were examined for extremely highly conserved regions, meaning recognizable across many viruses and organisms. Most prominent is a motif found in SARS-CoV-2 non-structural protein 3 (Nsp3). It relates to a fold called type called the macro domain and has remarkably wide distribution across organisms including humans with significant homologies involving three especially conserved subsequences (a) VVVNAANVYLKHGGGVAGALNK, (b) LHVVGPNVNKG, and (c) PLLSAGIFG. Careful study of the variations of these and of the more variable sequences between and around them might provide a finer "scalpel" to ensure inhibition of a vital function of the virus without impairing the functions of related host macro domains.
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http://dx.doi.org/10.1016/j.compbiomed.2020.103963 | DOI Listing |
Front Pediatr
February 2025
Department of Pediatric, Pediatric Critical Care Unit, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Background: Artificial Intelligence (AI) has the potential to revolutionize Pediatric Intensive Care Units (PICUs) by enhancing diagnostic accuracy, improving patient outcomes, and streamlining routine tasks. However, integrating AI into PICU environments poses significant ethical and data privacy challenges, necessitating effective governance and robust regulatory frameworks to ensure safe and ethical implementation. This study aimed to explore valuable insights into healthcare professionals' current perceptions and readiness to adopt AI in pediatric critical care, highlighting the opportunities and challenges ahead.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
January 2025
Department of ENT and HNS, Bangalore Medical College and Research Institute, Bangalore, Karnataka India.
Unlabelled: The retropharyngeal space is a distinct space along the midline that extends from the skull base to the upper mediastinum. Retropharyngeal space lesions can produce significant morbidity, given their proximity to the aero-digestive tract, skull base and its ability to extend into upper mediastinum. Difficulty in assessing the retropharyngeal space by direct inspection or physical examination may cause delay in diagnosis and early intervention thus knowledge about these lesions and their effective management is essential.
View Article and Find Full Text PDFFront Cardiovasc Med
February 2025
Department of Nursing, Harbin Medical University, Daqing, Heilongjiang, China.
Background: Coronary heart disease seriously jeopardizes human health and has become a principal public health problem of global concern. While percutaneous coronary intervention (PCI) repairs narrowed arteries and extends patients' lives, cardiac rehabilitation offers additional benefits post-PCI. Numerous previous studies have shown that cardiac rehabilitation can inhibit the progression of atherosclerotic plaques in patients after coronary intervention, effectively controlling patients' clinical symptoms and improving their quality of life.
View Article and Find Full Text PDFIntroduction: The purpose of this study is to evaluate diabetes-related nutrition knowledge and dietary beliefs among Type 2 Diabetes Mellitus (T2DM) patients in the Vidarbha region, Maharashtra, utilizing a mixed method approach. The study aims to assess the existing gaps in nutritional education and dietary practices among T2DM patients, with a specific focus on understanding gender-based differences in knowledge levels.
Methods: A convergent parallel mixed method approach was employed at tertiary care hospital in Vidarbha region, over 18 months.
Front Sports Act Living
February 2025
Department of Physical and Rehabilitation Medicine, Ospital ng Makati, Makati, Philippines.
Introduction: In the Philippines, studies on athletes are hard to come by when compared to those done internationally, even more so on newer Olympic sports such as Sports climbing. Furthermore, there is a lack of internationally published research on professional health-seeking behavior for the physical conditions of Filipino athletes. Thus, the objective of the study was to investigate the characteristics of sports climbers in Metro Manila that were associated with better health-seeking behavior.
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