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The COVID-19 Pandemic and the Need for an Integrated and Equitable Approach: An International Expert Consensus Paper

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机构: [1]Sorbonne Université, INSERM, UMR_S 938, Research Group Cancer, Biology and Therapeutics, Centre de recherche Saint-Antoine (CRSA), Institut Universitaire de Cancérologie, Paris, France [2]ThrombosisCenter, Tenon-Saint Antoine,HôpitauxUniversitaires del’Est Parisien, Assistance Publique Hôpitaux de Paris (APHP), France [3]Research Center on Vascular Disease & Angiology Unit, Department of Biomedical Science, L Sacco Hospital, University of Milan, Milan, Italy [4]Centre d’Immunologie et des Maladies Infectieuses UPMC UMRS CR7, Inserm U1135, CNRS ERL 8255, Paris, France [5]Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, United States [6]Department of Obstetrics and Gynecology, I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia [7]Departmentof ClinicalResearch,Collegeof Pharmacy&Health Sciences, Campbell University, Buies Creek, North Carolina, United States [8]Department of Microbiology, University of Karachi, Karachi, Pakistan [9]Department for Physical Chemistry, Heidelberg University, Heidelberg, Germany [10]DOASENSE GmbH, Heidelberg, Germany [11]Immunohematology and Transfusion Medicine Department, ASST Papa Giovanni XXIII Hospital, Bergamo, Italy [12]School of Medicine, University of Milan Bicocca, Monza, Italy [13]Department of Pathology and Laboratory Medicine, Cardiovascular Research Institute, Health Sciences Division, Loyola University Chicago, Maywood, Illinois, United States [14]Department of Pharmacology and Neuroscience, Cardiovascular Research Institute, Health Sciences Division, Loyola University Chicago, Maywood, Illinois, United States [15]Cyprus Department of Interventional Cardiology, American Heart Institute of Cyprus, Nicosia, Cyprus [16]Clinic of Hematology, Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia [17]Vascular Center, Nuova Villa Claudia, Rome, Italy [18]Department of Internal Medicine, Hospital Universitario Germans Trias i Pujol de Badalona, Universidad Católica de Murcia, Murcia, Spain [19]Thrombosis and Hemostasis Unit, Department ofHematology and Bone Marrow Transplantation, Rambam Health Care Campus, Haifa, Israel [20]Bruce Rappaport Faculty of Medicine, The Technion-Israel Institute of Technology, Haifa, Israel [21]Department of Fundamental and Applied Neurobiology, V. P. Serbsky FederalMedical Research Centre of Psychiatry andNarcology,Ministry of Health of the Russian Federation, Moscow, Russia [22]Department of Vascular Surgery, St. James’s Hospital/Trinity College Dublin, Dublin, Ireland [23]Department of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece [24]Division of Hematology and Thromboembolism, Department of Medicine, McMaster University, Hamilton, Ontario, Canada [25]Division of Thoracic Surgery, St. Joseph’s Healthcare Hamilton, Firestone Institute for Respiratory Health, Hamilton, Ontario, Canada [26]Department of Surgery, Ministry of Health, Saudi Arabia [27]Department of Angiology, St. Imre University Teaching Hospital, Budapest, Hungary [28]Immunology Department, Avicenna (Bu-Ali) Research Institute, Mashhad University of Medical Sciences, Iran [29]Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, United Kingdom [30]Department of Vascular Surgery, XuanWu Hospital, Capital Medical University and Institute of Vascular Surgery, Capital Medical University, Beijing, China [31]Medical Oncology Department, CLIP(2) Galilée, Hôpital Tenon, Hôpitaux Universitaires de l’Est Parisien, Assistance Publique Hôpitaux de Paris (APHP), France [32]Australia Department of Haematology, Monash Health, Clayton, Victoria, Australia [33]Division of Blood and Vascular Biology, Department of Life Sciences, School of Life Sciences, Central University of Tamil Nadu, Thiruvarur, India [34]Department of Hematology, Okmeydani Training and Research Hospital, Istanbul, Turkey [35]Institut du Cancer UCAD, Centre International de Cancérologie de Dakar, Dakar, Senegal [36]5th Surgical Department, Group of Vascular Surgery, Hippokrateio General University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece [37]Department of Surgery, Stony Brook Southampton Hospital, Southampton, New York, United States [38]Université Virtuelle du Sénégal, Dakar, Senegal [39]Innovative Therapies in Haemostasis, Hôpital Louis Mourier, APHP, Colombes, Université de Paris, INSERM, F-75006 Paris, France [40]University Clinic of Hematology, Skopje, Republic of North Macedonia [41]Medical Clinic No. 1, University of Medicine and Pharmacy, Cluj- Napoca, Romania [42]Service Anesthésie, Réanimation et Médecine Périopératoire, Hôpital Tenon, Hôpitaux Universitaires de l’Est Parisien, Assistance Publique Hôpitaux de Paris, Faculté de médecine, Sorbonne Université, Paris, France [43]Department of Vascular Medicine, Flor Ferenc Teaching Hospital, Kistarcsa, Hungary [44]UOSD Angiology, San Camillo-Forlanini Hospital, National Health Institute ISS, AO San Camillo Forlanini, Rome, Italy [45]Hemostasis & Thrombosis Research Laboratories, Loyola University Medical Center, Maywood, Illinois, United States [46]Brazilian Clinical Research Institute, São Paulo, Brazil Science Valley Research Institute, São Paulo, Brazil [47]Department of Internal Medicine, King Hussein Cancer Center, Amman, Jordan [48]Laboratoire de Biologie, Centre de Maternité et de Néonatologie, Hôpital Fattouma Bourguiba, Monastir, Tunisia [49]Division of Angiology, Department of Internal Medicine 2, Medical University of Vienna, Vienna, Austria [50]Cardiovascular Research Institute, Health Sciences Divisions, Loyola University Chicago, Maywood, Illinois, United States [51]Nobelpharma Co. Ltd., Chuo-ku, Tokyo, Japan [52]Service de Pathologie Vasculaire, Hôpital ERASME, Université Libre de Bruxelles, Brussels, Belgium [53]Vascular Medicine, Northshore Cardiovascular Institute, Skokie, Illinois, United States [54]Division of Hematology-Oncology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon [55]Klinik für Angiologie, Zentrum für Innere Medizin II, Ernst von Bergmann Klinikum, Potsdam, Germany [56]Center of Respiratory Medicine, Department of Pulmonary and Critical Care Medicine, China–Japan Friendship Hospital, Peking University Health Science Center, Capital Medical University, Beijing, China [57]Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, Beijing, China [58]Clinical Hematology - Internal Medicine, Ibn Sina hospital, Mohammed V University, Rabat, Morocco
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关键词: COVID-19 SARS-CoV-2 pandemic thrombosis health care systems

摘要:
Background One year after the declaration of the coronavirus disease 2019 (COVID-19) pandemic by the World Health Organization (WHO) and despite the implementation of mandatory physical barriers and social distancing, humanity remains challenged by a long-lasting and devastating public health crisis. Management Non-pharmacological interventions (NPIs) are efficient mitigation strategies. The success of these NPIs is dependent on the approval and commitment of the population. The launch of a mass vaccination program in many countries in late December 2020 with mRNA vaccines, adenovirus-based vaccines, and inactivated virus vaccines has generated hope for the end of the pandemic. Current Issues The continuous appearance of new pathogenic viral strains and the ability of vaccines to prevent infection and transmission raise important concerns as we try to achieve community immunity against severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) and its variants. The need of a second and even third generation of vaccines has already been acknowledged by the WHO and governments. Perspectives There is a critical and urgent need for a balanced and integrated strategy for the management of the COVID-19 outbreaks organized on three axes: (1) P revention of the SARS-CoV-2 infection, (2) Detection and early diagnosis of patients at risk of disease worsening, and (3) Anticipation of medical care (PDA). Conclusion The "PDA strategy" integrated into state policy for the support and expansion of health systems and introduction of digital organizations (i.e., telemedicine, e-Health, artificial intelligence, and machine-learning technology) is of major importance for the preservation of citizens' health and life world-wide.

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出版当年[2020]版:
大类 | 2 区 医学
小类 | 2 区 外周血管病 3 区 血液学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 血液学 2 区 外周血管病
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出版当年[2019]版:
Q1 HEMATOLOGY Q1 PERIPHERAL VASCULAR DISEASE
最新[2023]版:
Q1 HEMATOLOGY Q1 PERIPHERAL VASCULAR DISEASE

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

第一作者:
第一作者机构: [1]Sorbonne Université, INSERM, UMR_S 938, Research Group Cancer, Biology and Therapeutics, Centre de recherche Saint-Antoine (CRSA), Institut Universitaire de Cancérologie, Paris, France [2]ThrombosisCenter, Tenon-Saint Antoine,HôpitauxUniversitaires del’Est Parisien, Assistance Publique Hôpitaux de Paris (APHP), France [*1]Cancer Biology and Therapeutics, INSERM U938, Kourilsky Research Building 8th floor, Centre de Recherche Saint Antoine, Hôpital Saint- Antoine, 184 rue du Faubourg Saint-Antoine, 75571 Paris, Cedex 12, France
通讯作者:
通讯机构: [1]Sorbonne Université, INSERM, UMR_S 938, Research Group Cancer, Biology and Therapeutics, Centre de recherche Saint-Antoine (CRSA), Institut Universitaire de Cancérologie, Paris, France [2]ThrombosisCenter, Tenon-Saint Antoine,HôpitauxUniversitaires del’Est Parisien, Assistance Publique Hôpitaux de Paris (APHP), France [*1]Cancer Biology and Therapeutics, INSERM U938, Kourilsky Research Building 8th floor, Centre de Recherche Saint Antoine, Hôpital Saint- Antoine, 184 rue du Faubourg Saint-Antoine, 75571 Paris, Cedex 12, France
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