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The protective effect of vitamin A on Concor induced structural changes of the liver and kidney in adult rats 维生素A对康科德诱导成年大鼠肝肾结构变化的保护作用
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-12-01 DOI: 10.2478/cipms-2022-0034
M. Ahmed, Faten Dhanoon Taeel
Abstract Concor is a beta-blocker drug used to treat high blood pressure, acute coronary syndrome, and to control the rapid pulse of the heart such as atrial fibrillation. Some of its adverse effects include hepatitis, increased triglycerides and liver enzymes. Monitoring liver and kidney functions in patients with hepatic or renal impairment who are taking concor is recommended. The current study was undertaken to define whether vitamin A could improve structural changes in the liver and kidneys. The 24 rats were grouped into the following. The first group was control. The second group was given Vitamin A (5000 IU). Group 3: given concor at a daily dose of 0.9 mg/kg B. wt. Group IV: received concor (0.9 mg/kg B. wt.) and Vitamin A (5000 IU) orally. After 4 weeks, the kidney of the treated group 3 exhibited degenerative alterations in the glomeruli, enlargement of Bowman’s space and the epithelium of the proximal kidney tubules showed vacuolar degeneration with necrosis. Liver sections showed degeneration and necrosis of hepatocytes, congestion of the central vein, dilation of sinusoids and inflammatory cell infiltration. Group 4 showed mild degeneration in the glomeruli, expansion of Bowman’s space and mild degeneration of tubular epithelium, and normal architecture of the liver with increased Kupffer cells. From this study, we concluded that concor drug induces structural changes in the liver and kidney and these effects were improved by Vitamin A administration.
Concor是一种β受体阻滞剂,用于治疗高血压、急性冠状动脉综合征和控制心房颤动等心脏快速脉冲。它的一些不良反应包括肝炎、甘油三酯和肝酶增加。建议对服用康科德的肝肾功能受损患者进行肝肾功能监测。目前的研究是为了确定维生素A是否可以改善肝脏和肾脏的结构变化。将24只大鼠分组如下。第一组为对照组。第二组给予维生素A(5000国际单位)。第3组:以0.9 mg/kg B.wt.的日剂量给予康科尔。第IV组:口服康科尔(0.9 mg/kg B.wt%)和维生素a(5000 IU)。4周后,治疗组3的肾脏肾小球出现退行性改变,Bowman间隙增大,近端肾小管上皮出现空泡变性伴坏死。肝切片显示肝细胞变性坏死、中央静脉充血、血窦扩张和炎症细胞浸润。第4组肾小球轻度变性,Bowman间隙扩张,肾小管上皮轻度变性,肝脏结构正常,Kupffer细胞增多。从这项研究中,我们得出结论,康科德药物可诱导肝脏和肾脏的结构变化,而维生素A的给药可改善这些影响。
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引用次数: 0
A comparative review on High-Performance Liquid Chromatography (HPLC), Ultra Performance Liquid Chromatography (UPLC) & High-Performance Thin Layer Chromatography (HPTLC) with current updates 高效液相色谱法(HPLC)、超高效液相色谱法(UPLC)和高效薄层色谱法(HPTLC)的最新进展
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-12-01 DOI: 10.2478/cipms-2022-0039
M. Gupta, Aditya Ghuge, Manasi Parab, Yehya Al-Refaei, Anjali Khandare, N. Dand, Nilkamal Waghmare
Abstract Any chosen analytical method should be subtle, precise, fast and exact to begin the guarantee that the material used in the manufacturing is free of unsolicited impurity, the existence of which may vary the safety and effectiveness of the drug product. The techniques of HPLC and UPLC have established their part in pharmaceutical cleaning validation. High-Performance Liquid Chromatography (HPLC) is the main pharmaceutical and biomedical analysis approach utilized today because it generates highly efficient separations, and in most circumstances, it provides high detection sensitivity. Applying the HPLC method has several advantages compared to other methods, among others, specificity, rapidity, accuracy, precision, and the ease of automation. Due to the aforementioned, most drugs in a multi-component dosage form can be analyzed. Ultra-Performance Liquid Chromatography (UPLC) is a modern-day technique that gives a new track for liquid chromatography. UPLC provides the user with speed of application, resolution and sensitivity. The quantification and separation in UPLC are done under very high pressure (up to 100M Pa). High-Performance Thin Layer Chromatography (HPTLC) has improved and innovative separation efficacy and detection limits. It is a cultured and automated form of Thin Layer Chromatography (TLC) and is based on the use of an optimized silica gel 60 with a significantly smaller particle size than which is used for TLC. The previously stated analytical methods are employed for purity control of chemicals, steroids, pesticides, and water analysis, water-soluble food dyes, vitamins, pesticides in vegetables, fruits, and other foodstuffs. The current updates in the techniques allow us to understand the increased utilization of these methods in the current eras.
任何选择的分析方法都应该是微妙的、精确的、快速的和准确的,以保证在制造中使用的材料不含未经要求的杂质,这些杂质的存在可能会改变药品的安全性和有效性。HPLC和UPLC技术在药品清洗验证中已经确立了自己的地位。高效液相色谱(HPLC)是目前使用的主要药物和生物医学分析方法,因为它可以产生高效的分离,并且在大多数情况下,它提供了高检测灵敏度。与其他方法相比,高效液相色谱法具有特异性、快速、准确、精密度高、易于自动化等优点。由于上述原因,大多数多组分剂型的药物都可以进行分析。超高效液相色谱(UPLC)是一种现代技术,为液相色谱的研究开辟了一条新的轨道。UPLC为用户提供应用速度,分辨率和灵敏度。UPLC的定量和分离是在非常高的压力(高达100M Pa)下完成的。高效薄层色谱法(HPTLC)改进和创新了分离效率和检出限。它是一种培养和自动化的薄层色谱(TLC)形式,基于使用比用于TLC的粒径小得多的优化硅胶60。上述分析方法可用于化学药品、类固醇、杀虫剂、水分析、水溶性食品染料、维生素、蔬菜、水果和其他食品中的杀虫剂的纯度控制。当前技术的更新使我们能够理解这些方法在当前时代的增加利用。
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引用次数: 0
Peculiarities of the detection and course of the pediatric extrapulmonary tuberculosis taking into account drug resistance 考虑耐药性的小儿肺外结核的检测和病程特点
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-01 DOI: 10.2478/cipms-2022-0023
Z. Piskur, L. Pylypiv, O. Shvets, M. Sakhelashvili, O. Kostyk, Olga Sakhelashvili-Bil
Abstract Pediatric tuberculosis is a health problem of special significance because it is a marker for current transmission of tuberculosis in society. The research aimed at analyzing the peculiarities of detection and course of pediatric extrapulmonary tuberculosis (EPTB) taking into account the profile of drug resistance. A retrospective study of medical charts of children with EPTB (n = 47; 1st group) and pulmonary tuberculosis (PTB) (n = 49; 2nd group) aged 0-15 for 2013-2020 has been conducted. 2 subgroups with EPTB were identified separately: resistant (EPRTB) (n = 23) and sensitive (EPSTB) (n = 24). Results and discussion. The frequency of EPTB was 9.8%. Tuberculosis of peripheral LN (40.5%), CNS (27.7%), bones and joints (23.4%) was significantly more often diagnosed, than other lesions. Almost half of children with EPTB had a miliary distribution. In 44.7% of children with EPTB contact with a patient with tuberculosis was not established. EPRTB was significantly more common among children under 1 and up to 3 years of age than EPSTB. The resistance to combination of HR (73.6%) was found more often than to HRES (10.5%), HRS, H and Z (5.3% each; p<0.01). In 73.9% of children with EPRTB was detected when seeking medical care, in 13.0% the time to diagnosing lasted 6 months. Among children with EPRTB, gradual course was more frequent and in 47.8% intoxication syndrome was dominating. 78.3% of children with EPRTB were not vaccinated. Conclusion. The above indicates the need to intensify preventive measures against tuberculosis among children, especially at risk groups, make monitoring of contacts and their treatment.
儿童结核病是一个具有特殊意义的健康问题,因为它是当前结核病在社会传播的标志。本研究旨在分析小儿肺外结核(EPTB)的检测和病程特点,并考虑耐药情况。儿童EPTB病历的回顾性研究(n = 47;第一组)和肺结核(PTB) (n = 49;第二组:0-15岁,2013-2020年。分别鉴定出2个EPTB亚组:耐药(EPRTB) (n = 23)和敏感(EPSTB) (n = 24)。结果和讨论。EPTB发病率为9.8%。外周LN(40.5%)、中枢神经系统(27.7%)、骨骼和关节(23.4%)结核的诊出率明显高于其他病变。几乎一半的EPTB儿童具有军事性分布。44.7%的EPTB患儿没有与结核病患者有过接触。EPRTB在1岁以下和3岁以下儿童中比EPSTB更为常见。对HR联合耐药(73.6%)的发生率高于HRES(10.5%)、HRS、H、Z (5.3%);p < 0.01)。73.9%的EPRTB患儿在就医时被发现,13.0%的患儿诊断时间长达6个月。在EPRTB患儿中,渐进性病程更为常见,47.8%的患儿以中毒综合征为主。78.3%的EPRTB儿童未接种疫苗。结论。上述情况表明,需要加强儿童,特别是危险群体的结核病预防措施,监测接触者及其治疗。
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引用次数: 1
Atrial fibrillation ablation: the position of computed tomography in pre-procedural imaging 心房颤动消融:计算机断层扫描在术前成像中的地位
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-01 DOI: 10.2478/cipms-2022-0022
Milena Stachyra, A. Głowniak, E. Czekajska-Chehab
Abstract Atrial fibrillation (AF) is the most common supraventricular arrhythmia. Despite significant advances in its treatment, it still remains one of the leading causes of cardiovascular morbidity and mortality. In the last two decades, pulmonary vein isolation (PVI) was developed as the most effective treatment option. The reported effectiveness of a single ablation procedure ranges from 40% to 69% with single, and up to 88% with repeated procedures, with acceptable safety profile. The PubMed database was searched, using terms including ‘atrial fibrillation ablation’, ‘pulmonary vein isolation’, ‘computed tomography’, ‘pulmonary vein anatomy’ and ‘ovality index’. Papers were reviewed for relevance and scientific merit. Different imaging techniques are used for pre-procedural assessment of left atrial (LA) anatomy, of which computed tomography (CT) is the most common. It allows assessing pulmonary vein (PV) anatomy, the LA wall thickness in different regions and the left atrial appendage (LAA) anatomy, together with excluding the presence of intracardiac thrombi. Pre-procedural PVs imaging is important regardless of the selected ablation technique, however, cryoballoon (CB) ablation seems to be particularly anatomy-dependent. Additionally, CT also permits assessment of several PVs characteristics (geometry, dimensions, angulations, the ostium area, orientation and ovality index (OI), which are essential for the patients’ qualification and designing the strategy of AF ablation. In this paper, we have reviewed the role of CT imaging in patients undergoing ablation procedure due to recurrent/symptomatic atrial fibrillation. Moreover, we discussed the relevant literature.
摘要心房颤动(AF)是最常见的室上性心律失常。尽管其治疗取得了重大进展,但它仍然是心血管发病率和死亡率的主要原因之一。在过去的二十年里,肺静脉隔离(PVI)被认为是最有效的治疗选择。据报道,单次消融的有效性范围为40%至69%,重复消融的有效率高达88%,具有可接受的安全性。检索PubMed数据库,使用术语包括“心房颤动消融”、“肺静脉隔离”、“计算机断层扫描”、“肺部静脉解剖”和“椭圆度指数”。对论文的相关性和科学价值进行了审查。不同的成像技术用于左心房(LA)解剖结构的术前评估,其中计算机断层扫描(CT)是最常见的。它可以评估肺静脉(PV)解剖结构、不同区域的左心房壁厚度和左心耳(LAA)解剖结构,同时排除心内血栓的存在。无论选择何种消融技术,术前PVs成像都很重要,然而,冷冻球囊(CB)消融似乎特别依赖于解剖结构。此外,CT还允许评估几个PVs特征(几何形状、尺寸、角度、窦口面积、方向和椭圆度指数(OI)),这对患者的资格和设计AF消融策略至关重要。在这篇论文中,我们回顾了CT成像在因复发/症状性心房颤动而接受消融手术的患者中的作用。此外,我们还讨论了相关文献。
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引用次数: 0
Testing sand and soil from selected playgrounds in Lublin for eggs of nematodes of the genus: Ascaris, Toxocara, Trichuris 在卢布林选定的操场上测试沙子和土壤中是否有蛔虫、弓形虫、鞭虫属线虫的卵
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-01 DOI: 10.2478/cipms-2022-0025
Wiktoria Chodun-Wroblewska, B. Nieradko-Iwanicka, J. Iwanicki
Abstract Children need to play outdoors. It is a natural tendency for young children to put everything in their mouths. Hygienic condition of playgrounds is important for maintaining their health. Companion animals (dogs and cats) as well as wild animals can transmit parasites that cause zoonoses in humans. Such infections often affects children playing in sandpits and playgrounds. Sand samples taken from specific locations (sandboxes, playgrounds) can be tested for the presence of parasite eggs specific to humans and animals (Ascaris, Toxocara, Trichuris). They cause ascariasis, toxocarosis, trichurosis. Invasive eggs of the parasites due to the very thick, multi-layered egg shells are very resistant to the influence of climatic factors and to chemicals present in the environment. The only way to get rid of parasite eggs from locations where they endanger human health is to remove the top layer of sand or soil or completely replace the sand. However, this is a laborious and costly procedure. The aim of the project was to examine samples from selected playgrounds in Lublin (Polnad) in terms of the presence of Ascaris, Toxocara, and Trichuris eggs. Thirty five samples of sand and soil obtained from 7 playgrounds in Lublin were obtained in May 2022 and tested for the presence of Ascaris, Toxocara, and Trichuris eggs with flotation method. In none of the examined samples the parasite eggs were found. The tested playgrounds in Lublin are hygienic and safe from eggs of Ascaris, Toxocara, and Trichuris.
孩子们需要在户外玩耍。小孩子把什么东西都放进嘴里是很自然的倾向。操场的卫生条件对保持他们的健康很重要。伴侣动物(狗和猫)以及野生动物可以传播引起人类人畜共患病的寄生虫。这种感染通常发生在在沙坑和操场上玩耍的儿童身上。从特定地点(沙箱、操场)采集的沙样可用于检测人类和动物特有的寄生虫卵(蛔虫、弓形虫、毛虫)的存在。它们会引起蛔虫病、弓形虫病和滴虫病。寄生虫卵由于蛋壳非常厚,多层,对气候因素和环境中存在的化学物质的影响具有很强的抵抗力。从危害人类健康的地方清除寄生虫卵的唯一方法是去除最上层的沙子或土壤,或者完全替换沙子。然而,这是一个费力和昂贵的过程。该项目的目的是检查卢布林(波尔纳德)选定游乐场的样本,以确定蛔虫、弓形虫和滴虫卵的存在情况。2022年5月,从卢布林的7个游乐场采集了35个沙子和土壤样本,并用浮选法检测了蛔虫、弓形虫和毛线虫卵的存在。在所有被检查的样本中都没有发现寄生虫卵。卢布林接受测试的操场卫生,没有蛔虫、弓形虫和滴虫卵。
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引用次数: 0
Role of predictable biomarkers in early detection of cardiovascular events in Chronic Kidney Disease III and IV 可预测的生物标志物在慢性肾脏病III和IV期心血管事件早期检测中的作用
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-01 DOI: 10.2478/cipms-2022-0019
B. Durgaprasad, R. Malla, Bhamidipaty Durgananda Lahari, P. Vijayalakshmi, Indira Guntoory, Kolli Viswa Kalyan
Abstract This comes about because of a lack of predicted biomarkers in the risk analysis of CVD events in chronic kidney disease (CKD) patients. The present study aimed to determine the clinical utility of independent, predictable biomarkers such as serum creatinine, estimated Glomerular Filtration Rate (eGFR), high sensitive C-Reactive protein (hsCRP), fibrinogen and lipid profile as early predictors of CVD in CKD at stage III/IV. Methods. This is a case-control study that includes a sample size of 100 patients of cases and 100 patients of controls who were recruited from November 2020 to April 2021, from the Nephrology department of the Visakhapatnam tertiary care teaching hospital, and present with chronic kidney disease – stage III/IV. The subjects’ general conditions (age, gender, height, weight, systolic blood pressure, diastolic blood pressure, and smoking history); underlying diseases (coronary heart disease and diabetes mellitus) were recorded. Fasting venous blood samples were collected under aseptic conditions from the study group after taking informed consent. The measurement of serum creatinine was performed by modification of kinetic Jaffe reaction. The Cockcroft-Gault equation was used to calculate eGFR in both cases and controls. CRP testing was done with a Cobas C311 analyzer, using immunoturbidimetric assay. The Fibroquant kit from Tulip was employed to measure fibrinogen levels in blood samples, and enzymatic methods were applied for lipid profile analysis. Results. In this study, higher mean values of hsCRP (34.28 mg/dl), increased serum creatinine levels (2.876 mg/dl), reduced eGFR (28.37 mls/min), high levels of serum fibrinogen (291.6 mg/dl), and cholesterol (214.5 mg/dl), HDL (28.34 mg/dl), TG (162.1 mg/dl), VLDL (32.41 mg/dl) and LDL (153.77 mg/dl) were found to be independent predictors of assessment of CV events in patients with CKD stages III and IV as determined by Chi-square test. Conclusion. A prompt and accurate assessment of cardiovascular risk in CKD patients would enable more aggressive and focused treatment of the individuals who are most in need of preventive interventions to decrease incident rates.
摘要这是因为在慢性肾脏病(CKD)患者CVD事件的风险分析中缺乏预测的生物标志物。本研究旨在确定独立、可预测的生物标志物(如血清肌酐、估计肾小球滤过率(eGFR)、高敏C反应蛋白(hsCRP)、纤维蛋白原和脂质谱)作为CKD III/I期CVD的早期预测指标的临床效用。方法。这是一项病例对照研究,包括2020年11月至2021年4月从维萨卡帕特南三级护理教学医院肾病科招募的100名病例患者和100名对照患者,他们患有慢性肾脏病III/I期。受试者的一般情况(年龄、性别、身高、体重、收缩压、舒张压和吸烟史);记录潜在疾病(冠心病和糖尿病)。在获得知情同意后,在无菌条件下从研究组采集禁食静脉血样。血清肌酸酐的测定是通过改变动力学Jaffe反应来进行的。Cockcroft-Gault方程用于计算病例和对照组的eGFR。CRP检测采用Cobas C311分析仪,采用免疫比浊法。使用郁金香的Fibroquant试剂盒测量血液样本中的纤维蛋白原水平,并应用酶法进行脂质图谱分析。后果在这项研究中,hsCRP的平均值较高(34.28 mg/dl),血清肌酐水平升高(2.876 mg/dl)、eGFR降低(28.37 ml/min)、血清纤维蛋白原高水平(291.6 mg/dl)和胆固醇(214.5 mg/dl),通过卡方检验,发现极低密度脂蛋白(32.41 mg/dl)和低密度脂素(153.77 mg/dl)是评估CKD III期和IV期患者心血管事件的独立预测因素。结论对CKD患者的心血管风险进行及时准确的评估,将使最需要预防性干预的个体能够得到更积极、更有针对性的治疗,以降低发病率。
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引用次数: 0
Optimized Rapid Disintegrating Tablets produced through Central Composite Design 中心复合设计法生产快速崩解片的优化
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-01 DOI: 10.2478/cipms-2022-0028
H. Ahad, Haranath Chinthaginjala, G. Reddy, Aravind Kumar Ganthala, Tharun Teja Siddhartha
Abstract The work is aimed at producing fast disintegrating diclofenac potassium tablets to relieve pain and tenderness by applying a quality-by-design approach. Diclofenac potassium (DP) is of BCS class II and has issues of minimal oral bioavailability. This can be overcome by complexing DP with β-cyclodextrin (β-CD) and sodium starch glycolate (SSG). The attempt was to optimize DP tablets by applying central composite design (CCD). Nine different DP tablet formulations were created and assessed for physicochemical constraints, disintegration time and drug dissolution at the end of 30 min. The separate and mutual consequences of β-CD and SSG on the disintegration time of DP tablets are highly significant (P<0.01). The DP tablets made with β-CD in 150 mg disintegrated rapidly within 39±2 sec, and gave very rapid drug dissolution (96.35±2.36%) at the end of 30 min. These DP tablets (F-8) contain β-CD (150 mg) and SSG at 32.07 mg. The intermittent levels of β-CD and higher levels of SSG gave good dissolution of DP tablets. The polynomial equation linking the response, i.e. disintegration time in sec (Y1) and the levels of β-CD (A) and SSG (B) based on the pragmatic results, is Y1=45-3.14277A- 2.46599B-1.25AB+1.75A2-0.5B2. In contrast, the DP release at the end of 30 min was expressed as Y2 = 88.57 + 4.09333A + 3.27837B + 1.2525AB - 2A2 + 0.8875B2. The study concludes that SSG decreases the disintegration time with its concentration and β-CD concentration ingresses the drug release from the formulation.
摘要:本研究旨在采用质量设计方法生产快速崩解的双氯芬酸钾片,以减轻疼痛和压痛。双氯芬酸钾(DP)是BCS II类药物,具有极小的口服生物利用度问题。这可以通过DP与β-环糊精(β-CD)和乙醇酸淀粉钠(SSG)络合来克服。尝试采用中心复合设计(CCD)对DP片剂进行优化。制备了9种不同处方的DP片,并对其进行了理化约束、崩解时间和药物溶出度(30min)的评价。β-CD和SSG对DP片崩解时间的分别影响和相互影响均极显著(P<0.01)。以150 mg β-CD配制的DP片在39±2秒内快速崩解,30 min溶出度为96.35±2.36%。该DP片(F-8)含β-CD (150 mg)和SSG (32.07 mg)。β-CD的间歇性水平和SSG的较高水平给予DP片良好的溶出度。根据实际结果,将反应即崩解时间(秒)与β-CD (A)和SSG (B)水平联系起来的多项式方程为Y1=45-3.14277A- 2.46599B-1.25AB+1.75A2-0.5B2。30min时DP释放量为Y2 = 88.57 + 4.09333A + 3.27837B + 1.2525AB - 2A2 + 0.8875B2。研究表明,SSG随其浓度的增加而缩短崩解时间,β-CD浓度随药物释放量的增加而增加。
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引用次数: 0
Pharmacotherapy prescribing pattern and outcome for hospitalized patients with severe and critical COVID-19 重症和危重症新冠肺炎住院患者的药物治疗处方模式和结果
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-01 DOI: 10.2478/cipms-2022-0020
H. Assad
Abstract There are many treatment modalities for COVID-19 – with varied outcome. Therefore, authors designed this study to assess prescribing patterns and the clinical outcome for hospitalized patients with severe and critical COVID-19 so as to determine the most effective approach. Authors conducted a retrospective observational study on 346 adult patients with either severe or critical COVID-19, who were admitted to public hospitals in Al-Najaf city, Iraq from June to September 2020. Patients’ information, medications and outcomes were collected from their medical records in the registered office of the hospital. A total of 346 patients were enrolled, with a majority of patients being adults above 35 years old and male (70.2%). Most patients (81%) received corticosteroid as dexamethasone, and about 45% of all patients were given convalescent plasma therapy, while a few patients were prescribed antiviral favipiravir (23%) and lopinavir/ritonavir (19%). As supportive care medications, anticoagulant such as enoxaparin was administered to most of the patients (93%) and more than half of all patients received the broad-spectrum antibiotic, meropenem. The majority of the patients recovered and were discharged alive (66%), however, the in- hospital mortality rate was 26%. Interestingly, patients treated with enoxaparin alone or in combination with hydroxychloroquine were associated with better outcome. The prescribing pattern of COVID-19 specific medications and supportive care is aligned with guideline recommendations and associated with a beneficial therapeutic outcome.
摘要新冠肺炎有多种治疗方式,结果各不相同。因此,作者设计了这项研究,以评估重症和危重症新冠肺炎住院患者的处方模式和临床结果,从而确定最有效的方法。作者对2020年6月至9月入住伊拉克Al-Najaf市公立医院的346名成年新冠肺炎重症或危重患者进行了回顾性观察性研究。患者的信息、药物和结果是从医院注册办公室的医疗记录中收集的。共有346名患者入选,其中大多数患者为35岁以上的成年人和男性(70.2%)。大多数患者(81%)接受了地塞米松类皮质类固醇治疗,约45%的患者接受了恢复期血浆治疗,少数患者接受了抗病毒药物法匹拉韦(23%)和洛匹那韦/利托那韦(19%)。作为支持性护理药物,大多数患者(93%)服用了依诺肝素等抗凝剂,超过一半的患者服用了广谱抗生素美罗培南。大多数患者康复出院(66%),但住院死亡率为26%。有趣的是,单独使用依诺肝素或联合使用羟氯喹的患者预后更好。新冠肺炎特定药物和支持性护理的处方模式与指南建议一致,并与有益的治疗结果相关。
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引用次数: 0
The drug safety information in domestic medical literature 国内医学文献中的药品安全信息
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-01 DOI: 10.2478/cipms-2022-0021
Bartlomiej Ochyra, Maciej Szewczyk, A. Przybyłkowski
Abstract Medical literature is an important source of drug safety information relevant for signal detection, safety profile analysis and risk-benefit assessment. The main goal of our study was to assess the utility of domestic medical literature as a source of drug safety information. All safety information identified for active substances published between 1.01.2018-31.12.2019 in domestic medical journals published in Poland were analyzed. Four thousand seven hundred eighty-nine drug safety information was reported for 500 active substances. Two thousand and forty-four submissions dealing with drug safety (48.28%) were identified in the 10 journals from the list of analyzed journals (3 of these were identified in the 2019 JCR and 5 of these were indexed in the main scientific databases and 9 of these had an affiliation to scientific society). There was a correlation between journal impact factor and scientific database indexation with the number of published individual literature reports and type of safety information. Journals publishing in Polish constituted source for about 40% of all safety information published in the examined period. Journals indexed in Medline were the source of about 37% of all safety information while 42% was published in Embase. Local medical literature is a source of valuable safety information but the list of journals for monitoring should be carefully selected with particular attention to journals with impact factor.
摘要医学文献是与信号检测、安全性分析和风险效益评估相关的药物安全信息的重要来源。我们研究的主要目的是评估国内医学文献作为药物安全信息来源的效用。分析了2019年1月18日至12月31日期间在波兰出版的国内医学期刊上发表的所有活性物质的安全性信息。四千七百八十九个药物安全信息报告了500种活性物质。在分析期刊列表中的10种期刊中,共有2444份涉及药物安全的投稿(48.28%)(其中3份在2019年JCR中确定,5份在主要科学数据库中索引,其中9份与科学协会有关联)。期刊影响因素和科学数据库索引与已发表的个人文献报告数量和安全信息类型之间存在相关性。在审查期间,以波兰语出版的期刊约占所有安全信息的40%。Medline索引的期刊是所有安全信息的来源,约37%的安全信息发表在Embase上。当地医学文献是有价值的安全信息来源,但应仔细选择监测期刊清单,特别注意有影响因素的期刊。
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引用次数: 0
Testing sand from selected playgrounds in Romania, Hungary, Slovakia and Poland for eggs of nematodes at the time of massive migration of people from Ukraine to these countries – a pilot study 在罗马尼亚、匈牙利、斯洛伐克和波兰选定操场的沙子中检测从乌克兰大规模移民到这些国家时的线虫卵——一项试验性研究
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-01 DOI: 10.2478/cipms-2022-0024
Wiktoria Chodun-Wroblewska, Małgorzata Witkowska-Zimny, B. Nieradko-Iwanicka
Abstract Nematodes are invertebrates that inhabit the water and soil environment. Numerous nematodes are parasites of plants, animals and humans, especially children. Among the parasitic diseases of the gastrointestinal tract, diseases caused by nematodes are very common: eneterobiasis, ascariasis, and toxocarosis. From February 2022, we observe an intensive migration of people from Ukraine to the European Union countries: mainly to Poland (4.5 million) and to a lesser extent to Slovakia, Hungary and Romania. They are mostly women with children. In places where they find shelter, they try to provide children with the best possible conditions for their development. Hence the authors’ interest in hygienic conditions in the playgrounds of the European Union countries bordering Ukraine. The aim of the study was to examine samples from selected playgrounds in Romania, Hungary, Slovakia and Poland for eggs of nematodes Ascaris lumbricoides, Toxocara sp., and Trichuris trichiura. Twenty samples of sand and soil obtained from 4 playgrounds in Craiova (Romania), Miskolc (Hungary), Košice (Slovakia) and Lublin (Poland). In order to detect the presence of Toxocara canis/cati, Ascaris lumbricoides and Trichiuris trichiura eggs, a modified flotation method was used. No eggs of parasites were found in the examined sand samples. The pilot study suggests that refugees can safely play in the playgrounds in Romania, Hungary, Slovakia and Poland.
摘要线虫是栖息在水和土壤环境中的无脊椎动物。许多线虫是植物、动物和人类的寄生虫,尤其是儿童。在胃肠道寄生虫病中,线虫引起的疾病非常常见:线虫病、蛔虫病和毒蕈病。从2022年2月起,我们观察到乌克兰向欧盟国家的人口密集迁移:主要是向波兰(450万),在较小程度上向斯洛伐克、匈牙利和罗马尼亚迁移。他们大多是带着孩子的妇女。在他们找到庇护所的地方,他们试图为儿童的发展提供尽可能好的条件。因此,提交人对与乌克兰接壤的欧盟国家游乐场的卫生条件感兴趣。该研究的目的是检查罗马尼亚、匈牙利、斯洛伐克和波兰选定游乐场的样本中是否有蛔虫、弓形虫和鞭虫的卵。从Craiova(罗马尼亚)、Miskolc(匈牙利)、Košice(斯洛伐克)和Lublin(波兰)的4个游乐场获得的20个沙子和土壤样本。采用改进的浮选法检测犬弓线虫、蛔虫和鞭虫卵的存在。在检查的沙子样本中没有发现寄生虫卵。试点研究表明,难民可以在罗马尼亚、匈牙利、斯洛伐克和波兰的操场上安全玩耍。
{"title":"Testing sand from selected playgrounds in Romania, Hungary, Slovakia and Poland for eggs of nematodes at the time of massive migration of people from Ukraine to these countries – a pilot study","authors":"Wiktoria Chodun-Wroblewska, Małgorzata Witkowska-Zimny, B. Nieradko-Iwanicka","doi":"10.2478/cipms-2022-0024","DOIUrl":"https://doi.org/10.2478/cipms-2022-0024","url":null,"abstract":"Abstract Nematodes are invertebrates that inhabit the water and soil environment. Numerous nematodes are parasites of plants, animals and humans, especially children. Among the parasitic diseases of the gastrointestinal tract, diseases caused by nematodes are very common: eneterobiasis, ascariasis, and toxocarosis. From February 2022, we observe an intensive migration of people from Ukraine to the European Union countries: mainly to Poland (4.5 million) and to a lesser extent to Slovakia, Hungary and Romania. They are mostly women with children. In places where they find shelter, they try to provide children with the best possible conditions for their development. Hence the authors’ interest in hygienic conditions in the playgrounds of the European Union countries bordering Ukraine. The aim of the study was to examine samples from selected playgrounds in Romania, Hungary, Slovakia and Poland for eggs of nematodes Ascaris lumbricoides, Toxocara sp., and Trichuris trichiura. Twenty samples of sand and soil obtained from 4 playgrounds in Craiova (Romania), Miskolc (Hungary), Košice (Slovakia) and Lublin (Poland). In order to detect the presence of Toxocara canis/cati, Ascaris lumbricoides and Trichiuris trichiura eggs, a modified flotation method was used. No eggs of parasites were found in the examined sand samples. The pilot study suggests that refugees can safely play in the playgrounds in Romania, Hungary, Slovakia and Poland.","PeriodicalId":11071,"journal":{"name":"Current Issues in Pharmacy and Medical Sciences","volume":"35 1","pages":"129 - 132"},"PeriodicalIF":0.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46018703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Current Issues in Pharmacy and Medical Sciences
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