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Periodontal status in HIV-positive individuals and its possible correlation with CD4+T cell count hiv阳性个体的牙周状况及其与CD4+T细胞计数的可能相关性
Pub Date : 2012-04-01 DOI: 10.4103/2229-5186.98689
K. Asif, K. Neelima, Shaila V Kothiwale, R. Patil
Background : Infection with human immunodeficiency virus (HIV) results in loss of immunologic functions, especially those coordinated by CD4+ T-helper cells and consequent impairment of immune response. Periodontal disease has been associated with HIV infection, and HIV infection has been considered a modifier of periodontal disease. Aim: The aim of this study was to report the severity of periodontal disease in HIV-positive individuals and its association between clinical periodontal indices and CD4+T-cell count. Materials and Methods: 25 HIV-positive individuals were recruited and medical history was recorded. To evaluate periodontal disease, clinical attachment loss (CAL), oral hygiene index (OHI), and gingival bleeding index (GI) were recorded. Immune suppression was measured by peripheral blood CD4+T cells/mm 3 as analyzed by flow cytometry. Statistical Analysis: Association between CD4+ T levels and clinical parameters were determined using correlation coefficient test. Results: When all subjects were evaluated, a negative correlation was obtained between CD4+ T-cell count and clinical attachment loss ( r = -0.68226). In individuals with CD4+cell counts 3 , a negative correlation was obtained between clinical attachment loss (-0.35467) and GI (-0.35202). In patients with CD4 count Conclusion: Immune suppression in combination with risk factors may increase progression of periodontal disease. Hence, these individuals should practice better oral hygiene and regular follow-up.
背景:感染人类免疫缺陷病毒(HIV)导致免疫功能丧失,特别是CD4+ t辅助细胞协调的免疫功能丧失,从而导致免疫反应受损。牙周病与艾滋病毒感染有关,而艾滋病毒感染被认为是牙周病的调节剂。目的:本研究的目的是报告hiv阳性个体牙周病的严重程度及其临床牙周指数与CD4+ t细胞计数之间的关系。材料与方法:招募hiv阳性个体25例,记录病史。记录临床附着丧失(CAL)、口腔卫生指数(OHI)和牙龈出血指数(GI)来评估牙周病。外周血CD4+T细胞/ mm3检测免疫抑制,流式细胞术分析。统计学分析:采用相关系数检验确定CD4+ T水平与临床参数的相关性。结果:对所有受试者进行评估时,CD4+ t细胞计数与临床依附丧失呈负相关(r = -0.68226)。在CD4+细胞计数3的个体中,临床附着丧失(-0.35467)与GI(-0.35202)呈负相关。结论:免疫抑制与危险因素联合可加速牙周病的进展。因此,这些人应该保持良好的口腔卫生并定期随访。
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引用次数: 1
Studies on inclusion complex as potential systems for enhancement of oral bioavailability of olmesartan medoxomil 包合物作为提高奥美沙坦-美多索米口服生物利用度的潜在体系的研究
Pub Date : 2012-04-01 DOI: 10.4103/2229-5186.98685
Hetal Thakkar, B. V. Patel, M. Parmar, Nirav P Chauhan, Arpita A Patel
Background: Olmesartan medoxomil (OLM), an anti-hypertensive agent administered orally, has absolute bioavailability of only 26% due to the poor aqueous solubility (7.75 μg/ml). Inclusion complexation with cyclodextrins (CD) has been reported to increase the aqueous solubility of various compounds. Aim: The present investigation aimed to enhancing the oral bioavailability of OLM by inclusion complexation with 2-hydroxypropyl-β-cyclodextrin (HP-β-CD). Materials and Methods: The inclusion complexes with HP-β-CD were prepared using two different methods, viz., physical mixture and kneading. The prepared complexes were characterized for various parameters such as drug content, aqueous solubility, dissolution study, in vitro diffusion, intestinal permeability and stability study. The formation of the inclusion complex was confirmed by differential scanning calorimetry, X-ray diffraction, and Fourier transform infrared spectroscopy. Results: The solubility, dissolution, diffusion rate, and intestinal permeability of the prepared complexes were found to be significantly higher than that of the plain drug. Among the two methods used for formation of inclusion complex, KN method gave higher solubility rates and hence is a better method when compared with PM. Conclusion: The approach seems to be promising in improving the oral bioavailability of OLM.
背景:口服降压药奥美沙坦美多索米(OLM)由于水溶性较差(7.75 μg/ml),绝对生物利用度仅为26%。与环糊精(CD)的包合络合已被报道可以增加各种化合物的水溶性。目的:通过与2-羟丙基-β-环糊精(HP-β-CD)包合提高OLM的口服生物利用度。材料与方法:采用物理混合和揉制两种方法制备HP-β-CD包合物。对所制备的配合物进行了药物含量、水溶性、溶出度、体外扩散、肠通透性和稳定性等指标的表征。用差示扫描量热法、x射线衍射法和傅里叶变换红外光谱法证实了包合物的形成。结果:所制配合物的溶解度、溶出度、扩散速率和肠通透性均明显高于普通药物。在形成包合物的两种方法中,KN法具有更高的溶解率,因此与PM相比是一种更好的方法。结论:该方法有望提高OLM的口服生物利用度。
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引用次数: 10
Formulation and characterization of calcium chloride guar gum microsphere of theophylline 茶碱氯化钙瓜尔胶微球的制备及表征
Pub Date : 2012-04-01 DOI: 10.4103/2229-5186.98686
S. Verma, D. Jain, S. Shukla
Aim: The aim of the present work was to formulate and characterize an effective colonic drug delivery system for nocturnal asthma based on the time- and pH-dependent system. Materials and Methods: The microsphere of calcium chloride guar gum was prepared by using theophylline. It was prepared by the method of emulsification and coating was done by the method of solvent evaporation with the pH-sensitive eudragit polymers. The prepared microsphere was characterized by particle size, surface morphology, entrapment efficiency, and degree of swelling. Results: The drug release was confirmed by the in vitro drug release in various pH progression medium and dissolution medium. The controlled release of theophylline after a lag time was achieved with developed formulation for colon drug delivery. Conclusion: The pH-dependent solubility behavior of eudragit and gelling properties of guar gum are found to be responsible for delaying the release.
目的:本研究的目的是建立一种基于时间和ph依赖系统的有效的夜间哮喘结肠给药系统。材料与方法:以茶碱为原料制备氯化钙瓜尔胶微球。采用乳化法制备,采用溶剂蒸发法制备对ph敏感的乌龙油聚合物。对制备的微球进行了粒径、表面形貌、包封效率和膨胀度的表征。结果:通过在不同pH递进介质和溶出介质中的体外释药证实了该药物的释放。经开发的结肠给药配方,茶碱在一段滞后时间后可实现控释。结论:瓜尔胶的溶解度和胶凝特性是延缓瓜尔胶释放的主要原因。
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引用次数: 3
Characterization of fungal biofilm-based catheter-related sepsis 基于真菌生物膜的导管相关败血症的特征
Pub Date : 2012-01-01 DOI: 10.4103/2229-5186.94317
M. Singhai, A. Malik, M. Shahid, M. A. Malik, R. Goyal
Background: Fungi most commonly associated with nosocomial septicemia are in the genus Candida . Attachment of yeasts to intravascular surfaces is the crucial step in initiating colonization by yeast cells, forming biofilms and resulting in disseminated infection depending on various factors. Aims: To study the rate and profile of fungal biofilms in catheter-related sepsis (CRS) and antifungal resistance among the clinical isolates of CRS was the aim of this study. Materials & Methods: In all, 135 hospitalized pediatric patients with peripheral intravascular catheters (IVCs) and clinical suspicion of nosocomial septicemia were studied. The yeast isolates causing CRS were identified and characterized, and antifungal susceptibility testing by microplate alamar blue method (minimum inhibitory concentration) was also done. The fungal biofilm formations were visualized by scanning electron microscopy and tube method. Results: 7.4% patients with IVC had CRS, majority being caused by Candida albicans biofilms. In vitro antifungal susceptibility testing of yeast isolates causing CRS demonstrated moderate to high level of resistance to fluconazole (70%). Voriconazole was the most optimum drug to cure such infections. Conclusion: This study illustrates the need for exploration of biofilm-based CRS (fungemia) in hospitalized patients and to design practical guidelines for their management (diagnosis and treatment).
背景:与医院败血症最常见的真菌是念珠菌属。酵母菌附着于血管内表面是酵母菌细胞定殖、形成生物膜并导致播散性感染的关键步骤,这取决于各种因素。目的:研究导管相关性脓毒症(CRS)临床分离株真菌生物膜的比例、分布及抗真菌耐药性。材料与方法:对135例使用外周血管内导管(IVCs)并临床怀疑有医院败血症的住院患儿进行研究。对引起CRS的酵母菌分离株进行了鉴定和鉴定,并采用微孔板alamar蓝法(最低抑菌浓度)进行了抗真菌药敏试验。采用扫描电镜和试管法观察真菌生物膜的形成。结果:7.4%的IVC患者发生CRS,以白色念珠菌生物膜为主。体外抗真菌药敏试验表明,引起CRS的酵母菌分离株对氟康唑有中高水平的耐药性(70%)。伏立康唑是治疗此类感染的最佳药物。结论:本研究说明了探索基于生物膜的CRS(真菌血症)在住院患者中的必要性,并为其管理(诊断和治疗)设计实用指南。
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引用次数: 8
LC-MS metabolomic analysis of environmental stressor impacts on the metabolite diversity in Nephthea spp. 环境胁迫对肾草代谢物多样性影响的LC-MS代谢组学分析。
Pub Date : 2012-01-01 DOI: 10.4103/2229-5186.94319
H. Januar, E. Marraskuranto, G. Patantis, E. Chasanah
Context: The soft coral Nephthea spp. is a source of terpenoid class that potentially has pharmaceutical properties. However, metabolite diversity and cytotoxic activity of this species are varied among coral reefs from various sites. Aim: To analyze the water quality in Nephthea spp. environment as a possible factor causing a difference in its metabolite diversity. Settings and Design: Nephthea spp. from seven sites were taken in October 2010 at the Alor District of Marine Protected Area, Indonesia. Materials and Methods: Water quality assessment was analyzed in situ and indexed by Canadian Council of Ministry Environment-Water Quality Index (CCME-WQI) method. Meanwhile, metabolite diversity was analyzed by a LC-MS metabolomic method, using C18 reversed phase and gradient water-acetonitrile system. Statistical Analysis Used: Spearman's rho and regression analysis were applied to correlate the water quality index to ecological index (richness, diversity, and evenness) from LC-MS results. Results: The water quality index had a significant positive correlation and strong linear regression determinant to the total metabolite (R 2 = 0.704), particularly to semipolar metabolite richness (R 2 = 0.809), the area of terpenoid class in the organism. Conclusion: It can be concluded that water quality may serve as a major factor that affects the amount of richness in Nephthea spp. metabolites. When the water quality is lower, as environment stresses increases, it may affect the metabolite richness within direct disrupt of metabolite biosynthesis or indirect ecological means. Terpenoids are known as a soft coral antipredator (coral fishes), the amount of which depends on the water quality.
背景:软珊瑚Nephthea spp.是潜在具有药用特性的萜类化合物的来源。然而,该物种的代谢物多样性和细胞毒活性在不同地点的珊瑚礁中是不同的。目的:分析水环境水质可能是导致其代谢物多样性差异的因素。环境和设计:2010年10月,在印度尼西亚的Alor海洋保护区,从七个地点拍摄了Nephthea。材料与方法:采用加拿大环境部环境-水质指数委员会(CCME-WQI)方法对水质进行现场分析和评价。同时,采用C18反相梯度水-乙腈体系,采用LC-MS代谢组学方法分析代谢物多样性。统计分析方法:采用Spearman’s rho和回归分析,将LC-MS结果中的水质指数与生态指数(丰富度、多样性和均匀度)进行相关性分析。结果:水质指数与总代谢物(r2 = 0.704)呈显著正相关,与半极代谢物丰富度(r2 = 0.809)、萜类面积呈强线性回归决定关系。结论:水质可能是影响肾草代谢物丰富度的主要因素。当水质较低时,随着环境压力的增加,可能通过直接破坏代谢物生物合成或间接生态手段影响代谢物丰富度。萜类化合物被称为软珊瑚的抗捕食者(珊瑚鱼),其数量取决于水质。
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引用次数: 10
Method development and validation: Skills and tricks 方法开发和验证:技巧和技巧
Pub Date : 2012-01-01 DOI: 10.4103/2229-5186.94303
Ashok Kumar, Lalit Kishore, Navpreet Kaur, Anroop B Nair
Because of the introduction of a lot of drugs in the market every year, it becomes necessary to develop newer analytical methods for such drugs. Method development can take a number of forms. At one extreme, it involves adapting an existing method or making minor changes so as to make it suitable for the new application, as for developing a method for the estimation of drugs using a complex analytical technique like HPLC. After the development, there is a need of method validation. Method validation is defined as the process of proving that an analytical technique is acceptable for the intended use and this is an important requirement for analytical purpose. Validation is done according to the guidelines of ICH and FDA. Here, in this review, we have discussed method development and the various parameters used for method validation, namely accuracy, precision, limit of detection, limit of quantification, specificity, robustness, ruggedness, and range.
由于市场上每年都会推出大量的药物,因此有必要为这些药物开发新的分析方法。方法开发可以采取多种形式。在一个极端,它涉及到调整现有的方法或做一些小的改变,以使其适合新的应用,如开发一种方法来估计药物使用复杂的分析技术,如高效液相色谱。开发完成后,需要对方法进行验证。方法验证被定义为证明分析技术可用于预期用途的过程,这是分析目的的重要要求。根据ICH和FDA的指导方针进行验证。在这篇综述中,我们讨论了方法的发展和用于方法验证的各种参数,即准确性、精密度、检测限、定量限、特异性、鲁棒性、坚固性和范围。
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引用次数: 18
Simultaneous estimation of captopril and hydrochlorothiazide in combined dosage forms 卡托普利与氢氯噻嗪联合剂型的同时评价
Pub Date : 2012-01-01 DOI: 10.4103/2229-5186.94312
K. S. Rao, M. Panda, N. K. Keshar, S. Yadav
Aim: This work deals with the simultaneous determination of captopril (CAP) and hydrochlorothiazide (HZ) in two-component solid dosage form, without prior separation, by three different techniques (simultaneous equation, absorbance ratio method, and first-order derivative method). Materials and Methods: This work was carried out on Shimadzu electron UV1800 double-beam UV-Visible spectrophotometer. The absorption spectra of reference and test solutions were carried out in 1 cm matched quartz cell over the range of 200-400 nm. Methanol and distilled water are used as solvent. Results: The first method is the application of simultaneous equation. Where the linearity ranges for both the drugs were 5-35 μg/ml. The second method is the determination of ratio of absorbance at 271 nm, the maximum absorption of HZ and isobestic wavelength 209 nm, the linearity ranges for both the drugs were 10-120 μg/ml The third method is the first-order derivative method, where the CAP shows wavelength at 222 nm and HZ shows at 340 nm, and the linearity ranges for CAP and HZ were 1-30 μg/ml and 1-40 μg/ml, respectively. The proposed procedures were successfully applied for the simultaneous determination of both the drugs in commercial tablet preparation. The validity of the proposed methods was assessed by applying the standard addition technique where the percentage recovery of the added standard was found to be 99.52±0.214 and 99.00±0.165 using the simultaneous equation method, 99.76±0.684 and 99.58±0.279 using the graphical absorbance ratio method, and 99.45±0295 and 99.21±0.678 using first derivative method, for CAP and HZ, respectively. Conclusion: The proposed procedures are rapid, simple, require no preliminary separation steps, and can be used for routine analysis of both drugs in quality control laboratories.
目的:采用联立方程法、吸光度法和一阶导数法同时测定两组分固体剂型卡托普利(CAP)和氢氯噻嗪(HZ)的含量。材料与方法:本工作在岛津电子UV1800双光束紫外可见分光光度计上进行。在1 cm匹配的石英池中,在200-400 nm范围内对参比溶液和被试溶液进行吸收光谱分析。甲醇和蒸馏水作为溶剂。结果:第一种方法是应用联立方程。两种药物的线性范围为5 ~ 35 μg/ml。第二种方法是在271 nm处测定吸光度,HZ和等适吸收波长均为209 nm,两种药物的线性范围为10 ~ 120 μg/ml;第三种方法是一阶导数法,其中CAP在222 nm处,HZ在340 nm处,CAP和HZ的线性范围分别为1 ~ 30 μg/ml和1 ~ 40 μg/ml。该方法成功地应用于两种药物在市售片剂制剂中的同时测定。采用标准添加法对方法的有效性进行了评价,加标后的标准品回收率分别为:联立方程法99.52±0.214和99.00±0.165,图形吸光度法99.76±0.684和99.58±0.279,一阶导数法99.45±0295和99.21±0.678。结论:所建立的方法快速、简便,不需要初步分离步骤,可用于两种药物在质控实验室的常规分析。
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引用次数: 4
Desmoplastic small-round-cell tumor presenting as a Sister Joseph nodule 结缔组织增生小圆细胞肿瘤,表现为约瑟夫姐妹结节
Pub Date : 2012-01-01 DOI: 10.4103/2229-5186.94306
A. Rekha, Shalinee Rao, J. Thanka, S. Rajendiran, A. Ravi
We document a rare presentation of desmoplastic small-round-cell tumor (DSRCT) in a 25-year-old male. He presented with a nodular swelling in the umbilical region that was clinically suggestive of Sister Joseph nodule. Imaging studies showed multiple nodules over the peritoneum and the gastrointestinal endoscopies showed no lesions. An excision biopsy of the umbilical lesion showed small round cells with dense desmoplasia and immunohistotyping confirmed the diagnosis of DSRCT. Desmoplastic small-round-cell tumor is notable for its poor prognosis.
我们报告一位罕见的25岁男性结缔组织增生小圆细胞肿瘤(DSRCT)。他表现为脐部结节性肿胀,临床提示为约瑟夫修女结节。影像学检查显示腹膜上有多发结节,胃肠道内窥镜检查未见病变。脐病变的切除活检显示小的圆形细胞伴致密的结缔组织增生和免疫组织分型证实了DSRCT的诊断。结缔组织增生小圆细胞瘤是一种预后不良的肿瘤。
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引用次数: 0
Bio-inspired nanomaterials and their applications as antimicrobial agents 仿生纳米材料及其作为抗菌剂的应用
Pub Date : 2012-01-01 DOI: 10.4103/2229-5186.94314
S. Zinjarde
In the recent decades, the interdisciplinary field of nanotechnology has expanded extensively. A variety of nanoparticles (NPs) have been used for a number of specialized applications. In this era facing a major problem of microorganisms developing antibiotic resistance, NPs are a lucrative option. Most physical and chemical processes of NP synthesis are associated with drawbacks and bio-inspired NPs have now become popular. This review summarizes the recent developments on the biosynthesis, characterization, and applications of NPs with particular reference to their use as antimicrobial agents. Reviewed here is the synthesis of gold and silver NPs (AgNPs) by a variety of biological forms and biomolecules as well as their effectiveness toward different fungal and bacterial pathogens. The use of gold NPs (bio-inspired by plants, fungi, and bacteria) and AgNPs, synthesized by carbohydrates (of plant, animal, and microbial origin), plant parts (bark, callus, leaves, peels, and tubers), fungi, and bacteria have been highlighted. In addition, the use of zinc oxide NPs (although not bio-inspired) as novel antimicrobial agents have also been discussed.
近几十年来,纳米技术的跨学科领域得到了广泛的扩展。各种纳米颗粒(NPs)已被用于许多专门的应用。在这个面临微生物产生抗生素耐药性的主要问题的时代,NPs是一个有利可图的选择。大多数NP合成的物理和化学过程都有缺陷,仿生NP现在已经变得流行起来。本文综述了NPs的生物合成、表征和应用方面的最新进展,特别是其作为抗菌药物的应用。本文综述了各种生物形态和生物分子合成金、银NPs (AgNPs)及其对不同真菌和细菌病原体的有效性。金NPs(受到植物、真菌和细菌的启发)和AgNPs(由碳水化合物(植物、动物和微生物来源)、植物部分(树皮、愈伤组织、叶子、果皮和块茎)、真菌和细菌合成)的使用得到了强调。此外,氧化锌NPs(虽然不是生物启发)作为新型抗菌剂的使用也进行了讨论。
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引用次数: 60
Multifunctional role of green blood therapy to cure for many diseases 绿色血液治疗多种疾病的多功能作用
Pub Date : 2012-01-01 DOI: 10.4103/2229-5186.94305
V. Singhal, A. Singhal, K. Padmavathi, Riya Sil, Seth G. L. Bihani
Juice of wheat (Triticum aestivum L., Poaceae) grass is termed as green blood. Wheatgrass is a variety of grass that is used like a herbal medicine for its therapeutic and nutritional properties. The aim of this study is to concise the health benefits of green blood therapy. As wheatgrass juice (WGJ) bears a close resemblance to the “hemoglobin” in our blood, the juice is called as “green blood” and the therapy using it is called as “green blood therapy”. The WGJ is a complete food and contains carbohydrates, proteins, all essential minerals, and vitamins. Wheatgrass therapy is recommended for patients suffering from chronic diseases such as asthma, atherosclerosis, Parkinson’s disease, joint pains, TB, constipation, hypertension, diabetes, bronchitis, insomnia, eczema, sterility, hemorrhage, obesity, and flatulence. It is also useful in the treatment of cancer. The WGJ is immediately absorbed into the bloodstream and gives energy. On an empty stomach, it is assimilated into blood in about 20 min. The energy lasts throughout the day. It is practically a fountain of youth and found to have numerous health benefits. This review is concluded that the WGJ has higher degree of curative index and this can be last alternative therapy when the all therapy will fail.
小麦(Triticum aestivum L.,禾科)草的汁液被称为绿血。小麦草是一种草,因其治疗和营养特性而被用作草药。本研究的目的是简要说明绿血疗法对健康的益处。由于小麦草汁(WGJ)与我们血液中的“血红蛋白”非常相似,因此这种果汁被称为“绿色血液”,用它来治疗被称为“绿色血液疗法”。WGJ是一种完整的食物,含有碳水化合物、蛋白质、所有必需矿物质和维生素。小麦草疗法被推荐用于患有慢性疾病的患者,如哮喘、动脉粥样硬化、帕金森病、关节痛、结核病、便秘、高血压、糖尿病、支气管炎、失眠、湿疹、不育症、出血、肥胖和胀气。它在治疗癌症方面也很有用。WGJ立即被血液吸收并提供能量。空腹时,它在大约20分钟内被血液吸收,能量持续一整天。它实际上是青春之泉,对健康有很多好处。综上所述,WGJ具有较高的治愈指数,可作为所有治疗无效时的最后替代治疗方法。
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引用次数: 8
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Chronicles of Young Scientists
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