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جستجوی مقالات مرتبط با کلیدواژه « h1n1 » در نشریات گروه « پزشکی »

  • عاطفه محبی، عباس جمالی*، فاطمه فتوحی، رامین یعقوبی
    سابقه و هدف

    در آنفلوانزای فصلی سال 1394زیرگونه A/H1N1/pdm09 ، با انتشار گسترده 92 درصدی در ایران گزارش شد. مطالعه فیلوژنتیکی بر اساس پروتئین HA ، ویروس ها را در زیر گروه جدید 6B.1 قرار داد. بنابراین با مشاهده این تغییر، اثربخشی واکسن از دیدگاه ایمونولوژیکی مورد بررسی قرار گرفت.

    روش بررسی

    ویروس های مورد بررسی از بین نمونه های توالی یابی شده براساس تنوع و فراوانی جانشینی ها، به روش همردیف سازی با نرم افزار بایوادیت و ترسم درخت فیلوژنتیکی به روش maximum likelihood انتخاب و توسط سلول های MDCK  تکثیر شدند. در ادامه با تزریق دو دوز واکسن آنفلوانزا انسانی به فاصله دو هفته به دو سر خرگوش، سرم آنها در روز (0) قبل از ایمنی زایی، 21 و 30 روز بعد از تزریق جداسازی و پس از تیمار، آنتی بادی تولید شده جهت انجام تست ممانعت از هماگلوتیناسیون (HI) مورد استفاده قرار گرفت. میانگین داده ها در نمودار اکسل مورد بررسی قرار گرفت. 

    یافته ها

    میانگین عیار HI در نمونه کنترل مثبت تیتر 960 و در نمونه های به شماره 831، 836، 807 و 808 به ترتیب تیتر 40، 20، 180و 120 را نشان دادند. نتایج نشان دادند که آنتی بادی حاصل از واکسن، واجد خاصیت خنثی کنندگی بر علیه ویروس های در گردش است، ولی نسبت به سویه مرجع، کاهش چشمگیری (P< 0.001)  داشت. در نمونه کنترل منفی هم هیچ تیتری مشاهده نشد.

    نتیجه گیری

    لزوم بررسی ژنتیکی و ایمونولوژیکی کارایی واکسن برای ویروس های آنفلوانزا سالیانه ضروری است؛ لذا ارائه روش های مناسب و در دسترس آزمایشگاه ها لازم است.

    کلید واژگان: ویروس آنفلوانزا تیپ A زیر گونه H1N1 پاندمی 2009, پروتئین هماگلوتینین, تست HI}
    Atefeh Mohebbi, Abbas Jamali*, Fatemeh Fotouhi, Ramin Yaghobi
    Background

    In 2015-2016 flu season, the subtype A/H1N1/pdm09 was reported with a widespread of 92% in Iran.  A phylogenetic study based on the HA protein located the viruses in the new subgroup 6B.1. Therefore, by observing this change, the effectiveness of the vaccine was investigated from an immunological point of view.

    Materials and methods

    The investigated viruses were selected from among the sequenced samples based on the diversity and abundance of substitutions, by aligning with the Bioedit software and drawing a phylogenetic tree by the maximum likelihood method in the Mega software, and were propagated by MDCK cells. Next, by injecting two doses of human influenza vaccine two weeks apart into the two rabbits, their serum on day (0) before immunization, 21 and 30 days after the injection, isolated and after treatment, the antibody produced was used for Hemagglutination inhibition (HI) test. The data were analyzed in the Excel chart.  

    Results

    The mean HI titer in the positive control sample was 960, and in samples 831, 836, 807 and 808 were 40, 20, 180 and 120, respectively. The results showed that the antibody obtained from the vaccine had neutralizing properties against the circulating viruses, but it was significantly reduced compared to the reference strain (P<0.001). No titer was observed in the negative control sample.

    Conclusion

    The requirement of genetic and immunological evaluation of vaccine efficiency for influenza viruses is necessary every year; so it is essential to provide appropriate methods available to laboratories.

    Keywords: Influenza virus A, H1N1, pdm09, Hemagglutinin protein, HI test}
  • بابک عبدی نیا، آذر دسترنجی *، علی اکبر عابدینی، ایمان مقبل، گلناز مبین
    زمینه

    بیماری آنفلوانزا موجب طیف وسیعی از بیماری های تنفسی با الگوی فصلی و ناخوشی و مرگ و میر چشمگیری در کودکان می شود. آنفلوانزا با میزان انتقال بالا از علل بالقوه ایجاد همه گیری های جهانی است. بنابراین هدف از مطالعه حاضر بررسی فراوانی و پیش آگهی بیماری آنفلوانزا در در کودکان بستری شده در بیمارستان کودکان شهر تبریز است.

    روش کار

    در این مطالعه مقطعی بیمارانی که با شک به بیماری ناشی از ویروس آنفلوانزا در مرکز آموزشی درمانی کودکان تبریز طی 5 سال (1393-1398) بستری شده و PCR نمونه ترشحات حلقی آنها از نظر آنفلوانزا مثبت گزارش شده بود بررسی شدند.

    یافته ها

    از 114 مورد آنفلوانزا که وارد مطالعه شدند، 87 مورد (77 درصد) مبتلا به زیرگروه A/H3N2 (بیشترین فراوانی)، زیرگروه A/H1N1 2 مورد (1/8 درصد)، زیرگروه B 23 مورد (4/20 درصد) و زیرگروه A بدون دسته بندی 1 مورد (0/8 درصد) بودند. بیشترین فراوانی بیماری در فصل زمستان برابر 63 مورد (56/3 درصد) بود.

    نتیجه گیری

    فراوانی آنفلوانزا در کودکان شهر تبریز در طول 5 سال، 8/95 درصد بوده که در جنس مذکر بالاتر است. همچنین بیشترین فراوانی ابتلا به آنفلوانزا در مطالعه حاضر در گروه سنی 1 تا 5 سال مشاهده شد. میزان مرگ و میر آنفلوانزا در کودکان طی 5 سال گذشته 7/9 درصد بود.

    پیامدهای عملی

    کودکان زیر 5 سال بیشتر در معرض ابتلا به آنفلوانزا به ویژه (نوع A زیرگروه H3N2) قرار داشته و میزان بستری و مرگ ومیر بالاتری دارند که با واکسن قابل پیشگیری است.

    کلید واژگان: آنفلوآنزا, پیش آگهی, کودکان, H1N1, H3N2}
    Babak Abdinia, Azar Dastranji *, Ali Akbar Abedini, Iman Moghbel, Golnaz Mobayen
    Background

    Influenza causes various seasonal respiratory diseases, resulting in significant morbidity and mortality in children. Influenza is a highly contagious disease causing global pandemics. This study aimed to investigate the frequency and outcome of influenza in children admitted to the Tabriz Children's Hospital.

    Methods

    This cross-sectional study included suspected influenza patients admitted to the Tabriz Children's Medical Center between 2014 and 2019 diagnosed with positive influenza through RT-PCR of pharyngeal secretions samples.

    Results

    We evaluated 114 cases of influenza with a median age of 48 months (range: 2-156 months) and 53.5% were boys. A total of 87 cases (77%) were infected with subtype A/H3N2, which was the most frequent, followed by 2 cases (1.8%) of subtype A/H1N1, 23 cases (20.4%) of subtype B 23, and one case (0.8%) of uncategorized A subtype. The disease was common in winter with 63 cases (56.3%).

    Conclusion

    The frequency of influenza in children during five years was 8.95%, which is higher in males. Also, the highest frequency of influenza in the present study was observed in the age group of 1 to 5 years. The mortality rate of influenza in children during the last five years was equal to 7.9%.

    Practical Implications

    Children under 5 years of age are more susceptible to influenza (especially type A subtype H3N2) and higher hospitalization rate and mortality, which can be prevented with a vaccine.

    Keywords: Influenza, Outcome, Children, H1N1, H3N2}
  • Hossein Faramarzi, Razieh Sadat Mousavi Roknabadi*, Abdolrasoul Hemmati, Ali Faramarzi, Hamid Bakhtiari
    Background

    Influenza is one of the most important viral diseases with high mortality and morbidity that can have a great impact on public health and economy.

    Objective

    To investigate the clinical and epidemiological features of influenza virus A/H1N1, A/H3N2, and B infection in Fars province, southern Iran, in 2015-2019.

    Methods

    In this retrospective cross-sectional study, we assessed the archived data of Syndromic Surveillance System of Iran’s Health Ministry, allowed access by Communicable Diseases’ Unit of Health chancellor of Shiraz University of Medical Sciences, from December 22, 2015 to September 22, 2019. The participants included all patients whose data were recorded as influenza-like illness (ILI) and severe acute respiratory infections/illness (SARI). Influenza viral infection was confirmed by reverse-transcriptase polymerase chain reaction (RT-PCR).

    Results

    Totally, 1269 patients suspected of influenza were sampled. The mean ± SD of age was 29.40 ± 26.91 years. Fever was the most common symptom (68.6%). The highest incidence was in winter (55.9%). Of 928/1269 laboratory’s results which were recorded in the registry, 204 (16.08%) samples were positive and 724 (57.05%) were negative. Among 204 positive results, 191 (15.05%) were influenza type A, and 8 (0.63%) influenza type B. Among patients with definite influenza type A, 34 (2.68%) had H1N1/p subtype, 58 (4.57%) H3N2, and one (0.08%) had other subtypes; however, subtypes were not identified in 7.72% of patients. Six (3.0%) patients with confirmed influenza expired.

    Conclusion

    The incidence of influenza, especially type A, in Fars province, southern Iran is considerable and requires more attention for prevention in health policy programs.

    Keywords: Influenza, Influenza A, H3N2, H1N1, Influenza B}
  • Parviz Saleh, Sepehr Taghizadeh, Reza Piri, Sahar Mohammadi, Mohammad Naghavi Behzad *, MohammadMirza Aghazadeh Attari *
    Background

    Influenza viruses are classified into three types of A, B, and C, with H1N1 being a member of the influenza A subtype. The majority of people infected with influenza, namely H1N1, exhibit self-limited, uncomplicated, and acute febrile respiratory symptoms, or are asymptomatic. However, severe disease and complications due to infection, including hospitalization and death may occur. One of the most prominent features of influenza infections are radiologic findings in chest X-rays, computed tomographic scan, and angiographies.

    Methods

    In a descriptive-analytical study, all patients who were diagnosed with H1N1 at the Sina Educational-Medical Center of Tabriz University of Medical Sciences (Tabriz, Iran) from September 2015 to September 2016 were analyzed based on age, clinical presentation, and radiological findings.

    Results

    A total of 53 cases, 30 females (57%) and 23 males (43%), were included in the study. The mean age was 48.45 ± 1.7. The most common clinical presentation was myalgia (92.5%). Chest X-ray (CXR) was done in all patients, 35 cases (66%) were found with bilateral abnormality, 11 cases (20.8%) without abnormality, and seven cases (13.2%) with unilateral abnormality. Chest computerized tomography (CT) scan was also done on all patients, 33 cases (62.2%) were found with bilateral abnormality, 17 cases (32%) without abnormality, and three cases (5.6%) with unilateral abnormality. CT angiography was done in eight patients; none of the patients showed any signs of pulmonary embolism. It was observed that CXR and CT-scan were both precise in studying radiological findings in H1N1.

    Conclusions

    The majority of patients had revealed bilateral abnormality in radiographic findings, and unilateral involvement was less common; in addition, involvement in the superior lobes of the lungs were more common than the basal lobes. CXR and CT scans had no significant difference in diagnosing the disease.

    Keywords: H1N1, Radiological Findings, Chest X-Ray}
  • Syed Rahaman*

    The recent outbreak of COVID-19 is considered to be one of the biggest disasters faced in the history which has already killed 211568 and effected 3065739 people across the world (As on 28th April 2020). Thus, there is an alarming need to discuss novel treatment strategies for treatment of such viral outbreaks. Viral diseases affect millions of people around the world, with a major effect on human health and socio-economic development. The human immunodeficiency virus (HIV) affects more than 40 million people alone. This analysis examines the different nanocarriers (e.g. liposomes, solid lipid nanoparticles, polymeric nanoparticles, etc.) based on methods implemented in the literature and in the clinic to address the numerous challenges faced by the antiviral therapy. This review includes recent strategy devised using Nanomedicine to treat H1N1 Influenza virus.  In this review we also tried to discuss few viruses which help in cancer therapy including recent developments in treatment of COVID-19 using Nanotechnology.

    Keywords: COVID-19, H1N1, Nanomedicine, HIV, SARS}
  • محمدرضا حق شناس*، پدرام موسی نژاد، محسن اعرابی، مهدی ربیعی رودسری، سهیل رسولی
    سابقه و هدف

    ویروس آنفلوآنزا عامل عفونت حاد تنفسی است که هر ساله منجر به همه گیری با شدت متفاوت در جامعه می شود. ویروس آنفلوآنزای تایپ A ساب تایپ (A/H1N1) بیماری شدیدتری نسبت به سایر ساب تایپ های آنفلوآنزای نوع A ایجاد می کند. این مطالعه با هدف تعیین فراوانی ویروس آنفلوآنزای A/H1N1 در بیماران مراجعه کننده به مراکز بهداشتی و درمانی استان مازندران انجام شده است.

    مواد و روش ها

    در این مطالعه توصیفی- مقطعی، نمونه گیری از 3037 بیمار طی سال های 1396-1392 انجام شد. که در آن با استفاده از کیت تجاری Viral RNA/DNA Kits PureLinkTM ، استخراجRNA صورت گرفت و توسط کیت های مخصوص SuperScript III Platinum, Quantitative Real Time PCR System از شرکت Invitrogen و پرایمرها و پروب اختصاصی و تست Real Time PCR ، تشخیص ویروس آنفلوآنزای A/H1N1 انجام گرفت.

    یافته ها

    از مجموع 3037 نمونه های بیمار، 1/60 درصد زن و 9/39 درصد مرد که از این تعداد 442 نمونه ها (55/14درصد) از نظر ویروس آنفلوآنزای A/H1N1 مثبت بوده است. بیش ترین نمونه بیماران با گروه سنی 40-31 سال با 18/31درصد بود ولی بیش ترین نمونه ها از نظر وجود ویروس آنفلوآنزای A/H1N1 مربوط به گروه سنی 70-61 سال با 18/51درصد بوده است. از مجموع 442 نمونه مثبت افراد مبتلا به آنفلوآنزای A/H1N1، 23 نفر (5/88 درصد) فوت شده اند.

    استنتاج

    ویروس آنفلوآنزای تایپ A، که امکان تغییرات ژنتیکی در ساختمان ژنتیکی آن وجود دارد و هر ساله می تواند باعث ایجاد اپیدمی و پاندمی در جامعه گردد در نتیجه برای مقابله با آن می توان از داروها و واکسن های مناسب استفاده نمود.

    کلید واژگان: تایپ های ویروس آنفلوآنزا, ویروس آنفلوآنزای تایپ A, H1N1, عفونت حاد تنفسی, سرماخوردگی, RT-PCR}
    MohammadReza Haghshenas*, Pedram Mousanejad, Mohsen Aarabi, Mehdi Rabie, Sohail Rasouli
    Background and purpose

    Influenza viruses annually spread around the world in seasonal epidemics. The A/H1N1 virus causes more severe conditions compared to other types of Influenza A. This study is an epidemiological survey of influenza A/H1N1 virus in patients attending health care centers in north of Iran during 2013-2017.

    Materials and methods

    Sampling was done in 3037 patients. Influenza-RNA was extracted from the samples using Viral RNA/DNA Kit PureLinkTM. Identification of influenza A/H1N1 virus
    was done using special primers and probes (Invitrogen), and Quantitative Real Time PCR System (SuperScript III Platinum).

    Results

    The samples were obtained from both males (39.9%) and females (60.1%). Patients aged 31-40 years of old included the majority of samples. Influenza A/H1N1 positive samples were seen more in patients aged 61-70 (18.51%) (14.55%). Out of the 442 confirmed cases of influenza A/H1N1, 23 (5.88%) deaths were reported.

    Conclusion

    Influenza A virus is constantly evolving by mutation or by reassortment. It evolves rapidly, and new strains quickly replace the older ones, therefore, new vaccines should be developed for immunization against new strains of influenza.

    Keywords: Influenza viruses, influenza A, H1N1, acute respiratory infection, common cold, RT-PCR}
  • شکرالله حسین زاده، عباس علامی*
    در برخی بزرگسالان متعاقب عفونت آنفلوآنزا عوارضی رخ می دهد که معمولا به صورت عفونت های دستگاه تنفسی است. آنفلوآنزا در سیستم عصبی مرکزی می تواند باعث مننژیت آسپتیک و سندرم آنسفالیت/ آنسفالوپاتی شود که میتواند منجر به مرگ و یا عوارض ماندگار مغزی گردد. هدف مطالعه معرفی مورد آنسفالیت/ آنسفالوپاتی ناشی از ویروس آنفلوآنزا H1N1 در مردی 35 ساله است که با کاهش سطح هوشیاری و تب بستری شد. بیمار تحت درمان تجربی مننژیت، آسیکلویر و اسلتامیویر قرار گرفت. روز سوم درمان، هوشیار شد. در معاینه بیمار اختلال تعادل مشاهده و نمونه RT-PCR از نظر H1N1 مثبت شد. در نمونه مایع مغزی نخاعی ده عدد لنفوسیت دیده شد و رنگ آمیزی گرم و کشت آن منفی بود. در MRI مغزی بیمار در تصاویر T2-wighted، چند ضایعه پرشدت (hyperintense) در ماده سفید قشری گزارش گردید. همچنین در EEG بیمار چند مورد غیر طبیعی گزارش گردید. درمان با اسلتامیویر ادامه یافت و بیمار با حال عمومی خوب مرخص گردید. آنفلوآنزا می تواند از علل کاهش سطح هوشیاری به خصوص در ایام اپیدمی باشد.
    کلید واژگان: آنسفالیت- آنسفالوپاتی, آنفلوآنزا, H1N1, اپیدمی, اسلتامیویر}
    Shokrollah Hosseinzadeh, Abbas Allami *
    In some adults, infections result from influenza, which usually occurs as respiratory infections. In the central nervous system, influenza can cause aseptic meningitis and encephalitis/encephalopathy syndrome that may cause death or persistent brain complications. This report presents a case of encephalitis/encephalopathy caused by H1N1 virus in a 35-year-old man who was hospitalized with reduced consciousness and fever. The patient underwent empirical treatment of meningitis, acyclovir and oseltamivir. In the third day, the patient became alert at the hospital. The RT-PCR was positive for H1N1. In the cerebrospinal fluid sample, ten lymphocytes were seen, but protein and sugar were reported normal, and gram stain and culture were negative. Multiple punctate hyperintensities noted in subcortical white matter (in T2-weighted images of brain MRI) and EEG abnormality reported. Treatment with oseltamivir continued and patient was discharged with good general condition. Decreased level of consciousness can be due to influenza, especially during the epidemic.
    Keywords: Encephalitis-Encephalopathy, Influenza, H1N1, Epidemic, Oseltamivir}
  • Vidula Purohit *, Abhay Kudale, Neisha Sundaram, Saju Joseph, Christian Schaetti, Mitchell G. Weiss
    Background Prior experience and the persisting threat of influenza pandemic indicate the need for global and local preparedness and public health response capacity. The pandemic of 2009 highlighted the importance of such planning and the value of prior efforts at all levels. Our review of the public health response to this pandemic in Pune, India, considers the challenges of integrating global and national strategies in local programmes and lessons learned for influenza pandemic preparedness.
    Methods Global, national and local pandemic preparedness and response plans have been reviewed. In-depth interviews were undertaken with district health policy-makers and administrators who coordinated the pandemic response in Pune.
    Results In the absence of a comprehensive district-level pandemic preparedness plan, the response had to be improvised. Media reporting of the influenza pandemic and inaccurate information that was reported at times contributed to anxiety in the general public and to widespread fear and panic. Additional challenges included inadequate public health services and reluctance of private healthcare providers to treat people with flu-like symptoms. Policy-makers developed a response strategy that they referred to as the Pune plan, which relied on powers sanctioned by the Epidemic Act of 1897 and resources made available by the union health ministry, state health department and a government diagnostic laboratory in Pune.
    Conclusion The World Health Organization’s (WHO’s) global strategy for pandemic control focuses on national planning, but state-level and local experience in a large nation like India shows how national planning may be adapted and implemented. The priority of local experience and requirements does not negate the need for higher level planning. It does, however, indicate the importance of local adaptability as an essential feature of the planning process. Experience and the implicit Pune plan that emerged are relevant for pandemic preparedness and other public health emergencies.
    Keywords: Influenza, H1N1, Pandemic Preparedness Plans, Local-Level Pandemic Response, India}
  • وحیده جاویدخجسته، علی مجتهدی، سیمین حسینی، فرحناز جوکار
    : آنفلوانزاA/H1 N1 یک بیماری حاد تنفسی است که هرچند سال یک بار به علت جهش ویروسی، ساختار جدیدی به خود می گیرد و بیماری آن شدیدتر از دیگر تایپ های پیشین افراد را گرفتار می کند. می گیرد و همین امر باعث می شود که ویروسی با ساختار آنتی ژنی سطحی متفاوتی نسبت به تایپ های پیشین ایجاد گردد. هدف از این مطالعه بررسی فراوانی ویروس آنفلوانزایA/H1 N1 نمونه های ارسالی از بیماران با علائم آنفلوانزا است که به مراکز آموزشی و درمانی شهرستان های استان گیلان مراجعه کرده اند.
    در این مطالعه توصیفی- مقطعی، نمونه های ارسالی ترشحات دستگاه تنفسی فوقانی بیماران با علائم آنفلوانزا از شهرستان های استان گیلان در سال 1 3 9 4 ، در مرکز تحقیقات بیماری های گوارش و کبد دانشگاه علوم پزشکی گیلان به روشReal Time – PCR بررسی شده اند. داده ها توسط متد (2 χ) chi-square یا Fishers Exact Test تجزیه و تحلیل شده اند.
    از کل 1 0 8 بیمار مراجعه کننده با علائم آنفلوانزا، 5 8 نفر (5 3 /7 درصد) زن بودند. این بیماران در گروه سنی 7 8 -1 سال قرار داشتند. نتایج به دست آمده نشان داد که از کل نمونه های ارسالی به این مرکز تنها 4 نفر (3 /7 درصد؛ 1 زن و 3 مرد) به آنفلوانزای A/H1 N1 مبتلا بودند که از این میان، 1 مرد که با علائم پنومونی بستری شده بود، جان خود را از دست داد.
    کلید واژگان: ویروس آنفلوانزای ساب تایپA, H1N1, بیماری حاد تنفسی, Real, Time Polymerase Chain Reaction, شیوع}
    Vahideh Javid Khojasteh Dr *, Ali Mojtahedi Dr, Simin Hosseini, Farahnaz Joukar
    Background And Aims
    Influenza A/H1N1, the cause of an acute respiratory illness, undergoes genetic changes every few years, resulting in a new subtype with new surface antigenic structure. The aim of this study was to investigate the prevalence of influenza A/H1N1 virus among specimens collected from patients with influenza symptoms who were admitted to educational and training hospitals in Guilan province, Iran.
    Materials And Methods
    This descriptive cross-sectional study was performed on upper respiratory tract discharges of patients with influenza symptoms in the counties of Guilan province, using Real-Time PCR technique in Gastrointestinal and Liver Diseases Research Center of Gilan University of Medical Sciences in 2015. The Fishers Exact Test or chi-square χ)2( was used for data analysis.
    Results
    From 108 patients with influenza symptoms, 58 (53/7%) were female. The age range of patients was between 1-78 years old. The results showed that only 4 (3/7%) patients were positive for A/H1N1virus (3 male and 1 female). This included a male who was admitted with pneumonia and expired later.
    Conclusions
    Influenza virus A/H1N1 is a mutant virus, the genetic evolution in which is constantly occurring and new subtypes can, therefore, re-infect the community. It is thus imperative that vaccination is done to prevent against novel strains of influenza.
    Keywords: Influenza virus subtype A, H1N1, Acute upper respiratory disease, Real time PCR, Prevalence}
  • Payam Momeni, Shabnam Abedin Dargoosh, Ali Akbar Sedehzadeh, Ghazal Bagheri, Mojgan Mohammadi, Leila Poosashkan, Afsaneh Sigaroodi, Makan Sadr, Seyed Alireza Nadji
    Background
    Neuraminidase (NA) is one of the surface proteins of influenza A virus, which plays an important role in immunization against influenza infection and is recognized as an important therapeutic target. Genetic and antigenic changes and substitutions can influence the efficacy of vaccine and change viral sensitivity to NA inhibitors (NAIs). In this study, we performed phylogenetic and molecular analyses of NA changes in influenza A(H1N1)pdm09 virus, compared them with the corresponding vaccine strain, and examined drug resistance mutations in isolates from patients.
    Materials And Methods
    The complete sequence of NA genes from 34 pandemic H1N1 isolates (identified in 2009-2010, 2010-2011, and 2013) was determined and analyzed both genetically and antigenically. The phylogenetic tree was plotted relative to the corresponding vaccine strain, using MEGA6 software package, based on the maximum likelihood method and JTT matrix (bootstrap value of 1000).
    Results
    The phylogenetic analysis of pandemic isolates showed 31 amino acid substitutions in NA genes, compared to the vaccine strain . Some of these substitutions (N248D, V241I, N369K, N44S, and N200S) were important in terms of phylogenetic relationship, while the rest (D103N, V106I, R130T, N200S, G201E, and G414R) influenced the antigenic indices of B-cell epitopes. The catalytic sites, framework sites, and N-glycosylation remained unchanged in the studied samples. Meanwhile, H275Y substitution, related to oseltamivir resistance, was detected in 3 isolates. The average nucleotide identity of NAs with the corresponding vaccine strain was 99.415%, 98.607%, and 98.075% in 2009-2010, 2010-2011, and 2012-2013, respectively.
    Conclusion
    In this study, we provided basic information on the genetic and antigenic changes of NA genes in influenza A(H1N1)pdm09 virus from patients in 3 different seasons in Tehran, Iran. Considering the viral NAI resistance and changes in NA gene sequences of the isolates in comparison with the vaccine strain, further studies should be performed to monitor genetic changes in Iran. Moreover, the efficacy of vaccines should be examined.
    Keywords: Influenza A, H1N1, Neuraminidase gene, Epitope, Vaccine, Drug resistance mutation, Iran}
  • Maedeh Bahreinian, Farida Behzadian, Fatemeh Fotouhi
    Background
    Influenza viruses are a significant cause of morbidity and mortality. The influenza virus pandemics, 1918, 1977, and especially the most recent one, A/H1N1/2009, made evident the need for generating recombinant Influenza H1N1 antigens which are essential to develop both basic and applied research programs. Among influenza virus proteins, haemagglutinin (HA) is a major surface antigen of influenza virus, thus it is highly topical in influenza research and vaccine engineering programs. Alternatively, expression of fragments of the HA (HA1 and HA2) proteins in prokaryotic systems can potentially be the most efficacious strategy for manufacture of large quantities of influenza vaccine in a short period of time.
    Materials And Methods
    The gene encoding the HA1 protein of the influenza A/Puerto Rico/8/34 was amplified by PCR, then cloned into pTZ57R/T cloning vector. The fidelity of the HA1 open reading frame was confirmed by bidirectional sequencing, then sub-cloned into pET28a prokaryotic expression plasmid, and proteins containing HA1 N-terminally fused to His-Tag were produced in Escherichia coli BL21 through IPTG inducing. The accuracy of the expression was confirmed by running time coursed fraction samples taken before and after the IPTG induction in SDS-PAGE, Western blot analysis were also used for confirmation of the recombinant protein.
    Results and
    Conclusion
    The HA1 protein produced here could be considered and evaluated as a protective antigen, which its immunogenicity potential needs to be assessed in animal models along with proper control groups. Moreover, it could be subjected for polyclonal antibody preparation, which, in turn, may be used as an essential material in western blot analyses, as well as in other immunological applications, such as ELISA, immunocytochemistry, immunohistochemistry, and other immunological and serological studies.
    Keywords: Influenza A, H1N1, Hemagglutinin, Prokaryotic Expression}
  • Robinder S. Sidhu, Abhinav Sharma, Ian D. Paterson, Kevin R. Bainey*
    Introduction
    The cardiac manifestations of influenza A are broad, ranging from self-limited pericarditis to fatal cardiomyopathy. The 2009 H1N1 influenza A (H1N1) strain is a rare cause of pericarditis, and its role in developing a pericardial effusion leading to tamponade has infrequently been reported..
    Case Presentation
    We describe a case of a young female with no prior cardiovascular history who presents with a pericardial effusion and shock secondary to cardiac tamponade from pericarditis due to H1N1 influenza A..
    Conclusions
    This case highlights the potential severity of H1N1 infections and the utility of considering cardiac tamponade in patients presenting with influenza symptoms and circulatory collapse..
    Keywords: H1N1, Influenza, Cardiac Tamponade, Myopericarditis}
  • Gholamreza Sharifirad, Parastoo Yarmohammadi, MohammadAli Morowati Sharifabad, Zohreh Rahaei
    Introduction

    Influenza A/H1N1 pandemic has recently threatened the health of world’s population more than ever. Non-pharmaceutical measures are important to prevent the spread of influenza A/ H1N1 and to prevent a pandemic. Effective influenza pandemic management requires understanding of the factors influencing preventive behavioral. This study reports on predictors of students’ preventive behaviors for pandemic influenza A/H1N1 using variables based on the protection motivation theory (PMT).

    Materials and Methods

    In a cross-sectional study, multiple-stage randomized sampling was used to select 300 female students in Isfahan who completed a questionnaire in December 2009. Data were collected using a self-report questionnaire based on PMT. The statistical analysis of the data included bivariate correlations, Mann-Whitney, Kruskal-Wallis, and linear regression.

    Results

    The mean age of participants was 15.62 (SE = 1.1) years old. Majority of participants were aware regarding pandemic influenza A/H1N1 (87.3%, 262 out of 300). Results showed that, protection motivation was highly significant relationship with preventive behavior and predicted 34% of its variance. We found all of the variables with the exception of perceived susceptibility, perceived severity, and response cost were related with protection motivation and explained 22% of its variance.

    Conclusion

    Promotion of students’ self-efficacy, and intention to protect themselves from a health threat should be priorities of any programs aimed at promoting preventive behaviors among students. It is also concluded that the protection motivation theory may be used in developing countries, like Iran, as a framework for prevention interventions in an attempt to improve the preventive behaviors of students.

    Keywords: Influenza A, H1N1, preventive behaviors, protection motivation theory}
  • Jamshid Ayatollahi, Motahare Golestan, Mohammad Reza Sharifi, Elham Esform, Seyed Hossein Shahcheraghi
    Background
    Human influenza is an acute and self-limited disease that is caused by viruses including types A, B, C. These viruses are related to RNA viruses and belonging to the family of Orthomyxoviridae. They are divided into other sub-species based on surface antigens, including hemagglutinin (H) and neuraminidase (N). The new virus of the group that was isolated from swine was called as influenza A (H1N1) virus..
    Objectives
    The purpose of this study is an investigation on the frequency distribution of cases affected by influenza A (H1N1) based on demographic characteristics during 2008–2009 in Yazd Province..Patients and
    Methods
    This is a descriptive cross-sectional study that was done with the information related to patients that were available at the Health Center of Yazd Province. Of 1442 patients suspected to influenza, during 2008 – 2009 years, 253 throat samples were positive with RT-PCR (reverse transcriptase-polymerase chain reaction) method and were confirmed for viruses..
    Results
    111 female and 142 male were available from a total of 253 confirmed H1N1 cases. The minimum and maximum ages were 1.5 and 90 years, respectively. The most common symptoms were fever and cough. 144 cases had record of hospitalization, 100 cases were undergone outpatient treatment and nine cases have not recorded the treatment status. The most frequent underlying manifestation was hypertension..
    Conclusions
    According to this study, due to higher hypertension frequency in patients, hypertension should be considered in other diseases in Iran for preventing influenza..
    Keywords: Influenza A, H1N1, Underlying Disease}
  • Ram.S. Kaulgud, Vasantha Kamath, Vijayalaxmi Patil, Sagar Desai
    More and more cases of H1N1 influenza are being detected in India and so also the variety of complications this virus can cause. Here, we report a case of symmetric peripheral gangrene following H1N1 infection.
    Keywords: H1N1, symmetric peripheral gangrene, vessel obstruction}
  • محمدرضا حق شناس، عطیه عسگری، فرهنگ بابامحمودی، محمدصادق رضایی، احمد تبریزی، شهربانو نان دوست
    سابقه و هدف
    بیماری آنفلوانزا یک عفونت حاد تنفسی است که سالیانه 5 تا 15 درصد از جمعیت را آلوده می کند. ویروس آنفلوانزا نوع A دارای ساب تایپ های متعددی است که نوع A/H1N1 آن اولین بار در سال 2009 گزارش شده و ایجاد بیماری شدیدتری نسبت به سایر تایپ ها می کند. لذا این مطالعه با هدف تعیین فراوانی ویروس آنفلوانزای A/H1N1 در نمونه های بیماران مراجعه کننده به مراکز درمانی در شهرهای مختلف استان مازندران طی سال های 1390-1388 انجام شده است.
    مواد و روش ها
    این مطالعه، یک مطالعه توصیفی- مقطعی بوده و جامعه مورد مطالعه شامل بیماران با علایم آنفلوانزا مراجعه کننده به مراکز درمانی استان مازندران طی سال های 1390-1388 بوده که با استفاده از تست Real Time PCR مورد بررسی قرار گرفتند.
    یافته ها
    از مجموع 1363 بیمار با علایم آنفلوانزا، 572 نفر (97/41 درصد) مرد و 791 نفر (03/58 درصد) زن بوده اند که بیشترین بیماران در گروه سنی 30-21 سال (25 درصد) قرار داشتند. کل نمونه هایی دارای علایم آنفلوانزا، 205 مورد (04/15 درصد) آنفلوانزای A/H1N1 داشتند که 94 نفر (85/45 درصد) از بیماران مرد و 111 نفر (15/54 درصد) از بیماران زن بوده اند که 5 نفر (44/2 درصد) جان خودشان را از دست دادند.
    استنتاج
    ویروس های آنفلوانزای نوع A ویروسی ناپایداری هستند که هر ساله تایپ های جدیدی از این نوع پدید می آید که خصوصیات متفاوتی را دارا می باشند در نتیجه برای ایجاد ایمنی بر علیه تایپ های جدید بایستی از واکسن های جدید و همچنین از داروهای مناسب استفاده نمود.
    کلید واژگان: ویروس آنفلوانزا, عفونت حاد تنفسی, آنفلوانزا A, H1N1}
    Mohammad Reza Haghshenas, Atiyeh Asgari, Farhang Babamahmoodi, Mohammad Sadegh Rezai, Ahmad Tabrizee, Shahrbanoo Nandoost
    Background and
    Purpose
    Influenza is a respiratory infection that annually affects 5-15% of the global population. Influenza A/H1N1 is the most virulent human pathogens that results in a more severe disease and was first reported in 2009. The aim of this study was to investigate the epidemiology of influenza A/H1N1 in patients referring to several hospitals in North of Iran during 2009-2011.
    Materials And Methods
    This descriptive cross-sectional study was done on patients with symptoms of influenza using Real-Time PCR analysis.
    Results
    The patients included 572 (41.97%) male and 791 (58.03%) female. The prevalence of influenza A/H1N1 was seen more in patients aged 21-30 (25%) years. In this study, 205 patients (15.4%) were diagnosed with influenza A/H1N1 including 94 (54.85%) male and 111 (54.15%) female. Influenza A/H1N1-associated death was seen in five patients (2.44%).
    Conclusion
    Influenza A viruses are constantly evolving by mutation or by reassortment. The influenza virus evolves rapidly, and new strains quickly replace the older once, therefore, new vaccines should be developed for immunization against new strains of influenza.
    Keywords: Influenza A, severe disease, influenza A, H1N1, swine flu}
  • Ali Akbar Haghdoost, Mohammad Reza Baneshi, Farzaneh Zolala, Sirous Farvahari, Hossein Safizadeh
    Introduction
    Iran, similar to other countries, had faced H1N1 flu outbreak in 2009. In order to assess its transmission dynamic, we estimated its force of infection (β) and basic reproductive number (R0).
    Methods
    Within a middle size primary school in Iran, we actively followed students and detected flu‑like syndrome among students and their families in the first three months of academic year; October through December 2009. We estimated the probability of disease transmission within families (β) fitting random effects Poisson regression model. Moreover, R0 within the school was computed based on the number of detected cases.
    Results
    In 452 students, 204 influenza‑like syndromes were detected. The estimated β within families was 0.10; increasing one infectious member within each family was associated with 30% increase in this number. The estimated R0 for the first month was 1.21 (95% C.I.: 0.99, 1.47); corresponding numbers for the first two and first three months were 1.28 (95% C.I.: 1.05, 1.54) and 1.32 (95% C.I.: 1.11, 1.59), respectively.
    Conclusion
    It seems that the dynamic transmission of H1N1 virus was more or less comparable with that in other seasonal species. Our findings showed that the virus mainly circulated among students within schools. In addition, it seems that the transmission rate within families was relatively high.
    Keywords: Basic reproductive number, force of infection, H1N1, influenza, R0}
  • Takashi Yoshinobu, Katsumi Abe, Hisashi Shimizu, Masayuki Yokoyama, Masaru Osawa, Yuki Hiraishi
    Objective
    To explore CT findings in pediatric novel influenza A (H1N1)-associated pneumonia
    Methods
    We examined the CT findings in a series of six children with influenza H1N1-associated pneumonia.
    Findings
    In this series of cases, the predominant CT patterns were consolidations surrounded by ground glass opacities (GGOs) as well as isolated GGOs in all patients. Atelectasis was present in the right upper lobe (n=2) in three cases and pneumomediastinum in two.
    Conclusion
    In this series of cases, there may be no imaging differences between pediatric and reported adult influenza H1N1 cases and other viral pneumonia cases even with CT. Pneumomediastinum and atelectasis, especially in the right upper lobe, may frequently present in influenza H1N1-associated pneumonia as well as in other pediatric respiratory diseases.
    Keywords: Influenza A, H1N1, Pneumonia, Children, CT scan}
  • مهتاب نوری فرد، علیرضا خوشدل، سیدجواد حسینی شکوه
    سابقه و هدف
    پس از گزارش مواردی مشکوک در مکزیک در 17 آوریل 2009 دو مورد ثابت شده از ویروس آنفلوانزای نوع A با منشاء خوکی در آمریکا به تایید رسید که نوترکیب سه گانه جدیدی از نوع H1N1‎ بود. این ویروس از خوک به انسان منتقل شده بود که سرعت انتقال سریعی از انسان به انسان داشت و در زمان اندکی در همه جای دنیا پراکنده شد و در عرض 3 ماه فاز ششم جهانگیری آن توسط سازمان بهداشت جهانی اعلام شد.
    موارد و
    روش ها
    این مقاله یک مطالعه مروری میباشد که پس از جستجو در بانکهای Scopus، Medline و Embase وسایتهای CDC و WHO تهیه شده و اطلاعات تا لحظه چاپ به روز شده است.
    یافته ها
    عامل بیماری ویروس آنفلوانزای نوع ‎(H1N1)A‎ معروف به ویروس آنفلوانزای با منشاء خوکی ‎(S-OIV)‎ از نوترکیبی سه ویروس آنفلوانزای فصلی پرندگان و خوکی بوجود آمده است.علایم بیماری شبیه آنفلوانزای فصلی است. بهترین راه کنترل بیماری رعایت اصول پیشگیری واکسیناسیون و درمان مناسب است. خوشبختانه در حال حاضر بیماری در جهان وضعیت کنترل شدهای دارد. انتقال بیماری به صورت شخص به شخص و از طریق ترشحات آلوده به ویروس است. همه گیری به سرعت روی میدهد و شامل موج های متوالی از بیماری است. علایم بالینی در انسان از فرمهای بدون علامت تا پنومونی های شدید که منجر به بستری وخامت حال بیمار و مرگ میگردد متغیر بوده و به طور کلی مشابه آنفلوانزای فصلی میباشد ولی ویژگی های اپیدمیولوژیک آن متفاوت است. تشخیص قطعی بیمار با RT-PCR یا کشت سلولی از نمونه تهیه شده با استفاده از سواب ناز و فارنکس، بینی و حلق یا شستشوی بینی یا تراشه انجام میگردد.پیشگیری شامل رعایت موارد بهداشتی مهمترین اصل کنترل پاندمی است.در حال حاضر دو نوع واکسن علیه این ویروس نوپدید وجود دارد که شامل flu-shot (ویروس غیرفعال شده که به صورت تزریق عضلانی در بازو تجویز میشود) و اسپری نازال (که ویروس زنده ضعیف شده است) میباشد. درمان دارویی شامل مهارکننده های نورآمینیداز (Oseltamivir و Zanamivir) میباشد و برای افراد بستری و پرخطر ترجیحا در 48 ساعت اول توصیه میشود. پروفیلاکسی دارویی در مواردی خاص توصیه شده است.
    بحث و نتیجه گیری
    چرخش همزمان ویروس آنلفوانزای نوع A نوپدید، ویروس آنفلوانزای نوع A فصلی و ویروس آنفلوانزای پرندگان که هم اکنون در جهان در حال وقوع است خطر تغییرها و بازترکیبی های ژنی جدید را زیاد میکند و جامعه را در معرض خطر جدی قرار میدهد. در مقابل انواع بازترکیب جدید پادتنهای مناسب در افراد جامعه وجود ندارد و احتمال شیوع سریع بیماری جدید دیگری هم زیاد است. بنابراین ادامه هوشیاری مردم و آمادگی سامانه های بهداشت و درمان به ویژه در اماکن تجمع، خوابگاه ها، مدارس، دانشگاه ها و پادگانها ضروری است. همچنین تجهیز و ارتقاء سامانه های ثبت و کنترل بیماری ها در کشور و به خصوص در نیروهای مسلح باید در اولویت قرار گیرد.
    کلید واژگان: آنفلوانزای نوع A نوپدید, H1N1‎, آنفلوانزای خوکی, پاندمی}
    Md M. Noorifard Ar Khoshdel Sj Hosseini Shokouh
    Background
    After the report of suspicious cases in Mexico City in 17 April 2009, two cases of swine origin influenza A were confirmed in U.S.A which was a novel triple re-assortment of H1N1. This virus was transmitted from pigs to humans and has a high rate of transmission between humans and can distribute in a short time. The phase 6th of pandemic was reported by WHO in 3 months.
    Materials And Methods
    This article is a review study from searching in Scopus, Medline and Embase data banks and CDC and WHO web sites and its information were updated before publication.
    Results
    The Swine-origin Influenza A (H1N1) is a triple reassortment of season, birds and swine flu virus. The disease manifestation is like conventional seasonal flu. The best way to control the disease is vaccination and appropriate treatment. Disease manifestations in humans vary from unremarkable disease to sever pneumonia resulting in hospitalization and maybe death. Manifestations are generally like season flu but with different epidemiologic features. The definite diagnosis is RT-PCR or cell culture from the nose, pharynx, nasal, pharyngeal and nasal or tracheal wash samples. Prevention methods including observing hygiene are the most important way of pandemic control. Nowadays, two kinds of novel virus vaccine are available that include flu shots (inactivated virus with intra muscular injection in deltoide) and nasal spray (live attenuated virus). The best treatment is neuraminidase inhibitors (Oseltamivir and Zanamivir) which are recommended to hospitalized, high risk patients preferably in the first 48 hours. Chemo prophylaxis is recommended in special cases.
    Conclusion
    The occurrence of novel influenza A, conventional season flu and birds flu in the world, increase the rate of reassortment and puts the society at a high risk. There is no appropriate antibody against novel reassorted viruses in the society so probability of rapid progression of a new disease is high. As a result, health sector preparedness and people education especially in public places, dormitories, schools, universities and garrisons is very important.
    Keywords: Novel Influenza A, H1N1, Swine, Origin Influenza, Pandemic}
نکته
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  • کلیدواژه مورد نظر شما تنها در فیلد کلیدواژگان مقالات جستجو شده‌است. به منظور حذف نتایج غیر مرتبط، جستجو تنها در مقالات مجلاتی انجام شده که با مجله ماخذ هم موضوع هستند.
  • در صورتی که می‌خواهید جستجو را در همه موضوعات و با شرایط دیگر تکرار کنید به صفحه جستجوی پیشرفته مجلات مراجعه کنید.
درخواست پشتیبانی - گزارش اشکال