Background and aims The world is currently facing multifaceted problems due to the emergence of the COVID-19 (coronavirus) pandemic. Blockchain technology (BT) plays a vital role in creating a platform for adequately managing the COVID-19 pandemic. Methods The latest information on the blockchain and its application in solving challenging problems due to the COVID-19 pandemic are collected and discussed from the available literature searched through PubMed, Scopus, and Google scholar. Results In this paper, we propose a blockchain-based platform to combat this pandemic. Furthermore, we have identified and discussed nine significant applications of blockchain in solving the problem arising from the COVID-19 pandemic. Conclusions The severity of COVID-19 was so tremendous that the World Health Organization (WHO) had to declare it as a pandemic within a month of its full-scale expansion. The greatest challenge most governments are suffering from is the lack of a precise mechanism to detect the newly infected cases and predict coronavirus infection risk. So, we need a technologyempowered solution to fight during this COVID-19 crisis. The various features of blockchain technology, such as decentralization, transparency, and immutability, can help control this pandemic by early detection of outbreaks, fast-tracking drug delivery, and protecting user privacy during treatment. Keywords Blockchain technology (BT). COVID-19. Coronavirus. Healthcare Highlights • Blockchain technology (BT) provides a better platform for effective management of the COVID-19 pandemic. • Blockchain technology helps create decentralization, transparency, immutability, and early detection of infected cases. • Blockchain technology is useful for disease control, patient traceability, and improved management of the healthcare system.
BMI appears to be important in predicting ADA efficacy (LOR) in CD. IFX appears to overcome this reduction of efficacy in obese patients. A prospective study evaluating the effect of weight on anti-TNF drug response and serum drug levels is warranted.
Objectives: Takotsubo cardiomyopathy (TC) is characterized by left-ventricle apical ballooning with elevated cardiac biomarkers and electrocardiographic changes similar to an acute coronary syndrome. We studied the prevalence, in-hospital mortality, and predictors of mortality in TC. Methods: All patients ≥18 years of age diagnosed with TC were identified in the Nationwide Inpatient Sample (NIS) 2009-2010 database using the 9th revision of the International Classification of Diseases (ICD) 429.83. Demographics, conventional risk factors (diabetes, hypertension, hyperlipidemia, and tobacco abuse), acute critical illnesses like sepsis, acute cerebrovascular disease (cerebrovascular accident; CVA), acute respiratory insufficiency, and acute renal failure, and chronic conditions (anxiety, depression, and malignancy) were studied. Results: The prevalence of TC was 0.02% (n = 7,510). The total in-hospital mortality rate was 2.4%, with a higher mortality in men (4.8%) than in women (2.1%). Sepsis (9 vs. 4.2%; p < 0.01) was more prevalent in men with an increased prevalence of other critical illness, although this was not statistically significant. Age (OR 1.05; 95% CI 1.01-1.09), malignancy (OR 3.38; 95% CI 1.35-8.41), acute renal failure (OR 5.4; 95% CI 2.2-13.7), acute CVA (OR 9.4; 95% CI 2.96-29.8), and acute respiratory failure (OR 11.1; 95% CI 3.9-31.1) predicted mortality in fully adjusted models. Conclusion: A higher mortality was seen in men, likely related to the increased prevalence of acute critical illnesses, ventricular arrhythmia, and sudden cardiac arrest. Acute CVA and respiratory failure were the strongest predictors of mortality.
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