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The Impact of Early Goal-Directed Therapy in Conjunction with Glucocorticoids in the Prognosis of Septic Shock 早期目标导向治疗联合糖皮质激素对感染性休克预后的影响
4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-01-01 DOI: 10.36468/pharmaceutical-sciences.spl.704
C. Y. Quan, Xiaoli Wang, Qijun Zhang
Quan et al. : Impact of Early Goal-Directed Therapy in the Prognosis of Septic Shock To assess the efficacy of early goal-directed therapy in conjunction with glucocorticoids on the prognosis of septic shock is the objective of the study. 60 septic shock patients admitted to the hospital from June 2019 to August 2022 were split into control cohort and observation cohort according to the method of random number table, with 40 patients in every cohort. Both cohorts underwent standard therapy, with the observation cohort additionally receiving intravenous hydrocortisone drip and early goal-directed therapy, all of which were continuously treated for 7 d. The baseline data of all patients, such as sex, age, infection site, sequential organ failure assessment score and immune cell level, were recorded in detail, and the C-reactive protein, intensive care unit hospitalization time, and the duration of mechanical ventilation was observed for patients. The therapeutic impact of early goal-directed therapy combined with glucocorticoids on septic shock in the analysis period aims to inform the optimal therapy strategy selection. Following therapy, the cluster of differentiation 4 + , cluster of differentiation 8 + and cluster of differentiation 4 + /cluster of differentiation 8 + ratios in both the therapy and control cohorts increased significantly, exhibiting statistical significance. The therapy cohort demonstrated a notable decrease in C-reactive protein, intensive care unit hospitalization duration and mechanical ventilation time when compared to the control cohort, with the difference being statistically significant. Early goal-directed therapy combined with glucocorticoid can enhance the cellular immune function of patients with septic shock, reduce the systemic inflammatory reaction and improve the prognosis.
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引用次数: 0
Investigation on Potential Targets of Fuyuan Xingnao Decoction in the Treatment of Intracerebral Hemorrhage Based on Network Pharmacology 基于网络药理学的复元醒脑汤治疗脑出血的潜在靶点研究
4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-01-01 DOI: 10.36468/pharmaceutical-sciences.spl.702
Yanqi Luo, Shuangyang Li, Yanjiao Li, Xue Bai, Bangjiang Fang
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引用次数: 0
Meta-Analysis on Clinical Outcomes of Paclitaxel-Coated Balloon Angioplasty in Femoral Popliteal Artery Occlusion 紫杉醇包被球囊血管成形术治疗股腘动脉闭塞的临床结果荟萃分析
4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-01-01 DOI: 10.36468/pharmaceutical-sciences.spl.716
Kaifeng Tang, J. Ye, S. Mao, H. Wang, Yuanyuan Chen
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引用次数: 0
Activities of Daily Living Predict Contrast-Associated Acute Kidney Injury among Population Undergoing Coronary Angiography 在接受冠状动脉造影的人群中,日常生活活动预测对比相关的急性肾损伤
4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-01-01 DOI: 10.36468/pharmaceutical-sciences.spl.706
Q. R. Jiang, Siwei Yang, C. C. Lai, Z. M. A. Alsalman, P. Wang, X. L. Hu, W. B. Zhang, Y. X. Wang
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引用次数: 0
Clinical Efficacy of Medroxyprogesterone Combined with Different Antibiotics in the Treatment of Chronic Endometritis 甲羟孕酮联合不同抗生素治疗慢性子宫内膜炎的临床疗效观察
4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-01-01 DOI: 10.36468/pharmaceutical-sciences.spl.699
Lan Li, Jialin Li, Min Wang
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引用次数: 0
Influence of Pharmacist Counselling on Inhaler Usage Technique on Therapeutic Outcomes in Asthma and Chronic Obstructive Pulmonary Disease Patients 药师对吸入器使用技术的咨询对哮喘和慢性阻塞性肺疾病患者治疗效果的影响
4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-01-01 DOI: 10.36468/pharmaceutical-sciences.1167
B. Manisha, B. Aishwarya, B. Shekar, P. Mahesh, R. Adepu, A. R Sai Pawan
An open label prospective interventional study was conducted on asthma and chronic obstructive pulmonary disease patients to assess the influence of pharmacist provided education on inhaler usage technique and its impact on therapeutic outcomes in patients with Asthma and chronic obstructive pulmonary disease. The study was approved by the institutional ethics committee and conducted in the pulmonology department of Kamineni Institute of Medical Sciences, Narketpalli, Telangana. Written informed consent was obtained from the recruited study patients. A suitably designed data collection form was designed to capture disease and lab details i.e. forced expiratory volume in the 1st second. A newly constructed and validated knowledge, attitude and practices questionnaire was administered to assess the knowledge about the disease and its management. An inhaler checklist was applied to every patient to assess the inhaler usage technique and provided suitable guidance to use the inhaler effectively and assessed the impact of education on the patient's therapeutic outcomes. Among the 20 patients, 11 (55 %) were females and 9 (45 %) were males. The mean age of the study patients was 54±3 y. A significant improvement in knowledge, attitude and practices scores was observed in the post-counselling stage (p<0.001) and inhaler usage technique (p<0.001) among the patient after providing the counselling. Correct education about disease and inhaler usage techniques had shown an improvement in patient ̓s therapeutic outcomes.
本研究对哮喘和慢性阻塞性肺疾病患者进行开放标签前瞻性介入研究,评估药师提供吸入器使用技术教育对哮喘和慢性阻塞性肺疾病患者治疗效果的影响。该研究得到了机构伦理委员会的批准,并在泰伦加纳邦纳克特帕利的卡米尼医学科学研究所肺病科进行。从招募的研究患者处获得书面知情同意。设计了一个适当设计的数据收集表,以捕获疾病和实验室细节,即第一秒的用力呼气量。采用一份新编制并经过验证的知识、态度和行为问卷来评估患者对该病及其管理的了解程度。对每位患者应用吸入器检查表以评估吸入器使用技术,并提供适当的指导以有效使用吸入器,并评估教育对患者治疗结果的影响。20例患者中女性11例(55%),男性9例(45%)。研究患者的平均年龄为54±3岁。咨询后患者在知识、态度和行为方面得分(p<0.001)和吸入器使用技术方面得分(p<0.001)均有显著改善。正确的疾病教育和吸入器使用技术改善了患者的治疗效果。
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引用次数: 0
Harpagide Increases microRNA-140-5p Expression to inhibit Oxidised Low-Density Lipoprotein-Caused Human Umbilical Vascular Endothelial Cell Damage Harpagide增加microRNA-140-5p表达抑制氧化低密度脂蛋白引起的人脐血管内皮细胞损伤
4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-01-01 DOI: 10.36468/pharmaceutical-sciences.1174
He Huang, Lei Zhao, Lijun Huang, Xue Wang, Liping Sun
To investigate the influence of harpagide isolated from Scrophularia ningpoensis Hemsl. on human umbilical vascular endothelial cells damage induced by oxidized low-density lipoprotein and its possible mechanism. Human umbilical vascular endothelial cells were cultured in vitro. Different doses (20, 40, 80 μmol/l) of harpagide were applied to treat human umbilical vascular endothelial cells induced by oxidized low-density lipoprotein, human umbilical vascular endothelial cells overexpressing microRNA-140-5p were induced by oxidized low-density lipoprotein, and 80 μg/ml harpagide was applied to treat oxidized low-density lipoprotein induced human umbilical vascular endothelial cells with microRNA-140-5p downregulation. Enzyme-linked immunosorbent assay kits were used to detect malondialdehyde content as well as superoxide dismutase and glutathione peroxidase activities. Flow cytometry and Western blot were utilized to investigate cell apoptosis. Ribonucleic acid expression was analyzed by real-time quantitative reverse transcription polymerase chain reaction. Different doses of harpagide (20, 40, 80 μmol/l) reduced the malondialdehyde content and the rate of apoptosis in oxidized low-density lipoprotein-stimulated human umbilical vascular endothelial cells (p<0.05), while elevated superoxide dismutase as well as glutathione peroxidase activities (p<0.05). MicroRNA-140- 5p overexpression reduced the malondialdehyde content and apoptosis in oxidized low-density lipoproteinstimulated human umbilical vascular endothelial cells while elevated superoxide dismutase as well as glutathione peroxidase activities (p<0.05). Harpagide promoted microRNA-140-5p expression in human umbilical vascular endothelial cells after oxidized low-density lipoprotein stimulation (p<0.05). MicroRNA- 140-5p knockdown reversed the inhibitory effect of harpagide in human umbilical vascular endothelial cells (p<0.05). Harpagide up-regulates microRNA-140-5p to inhibit the oxidative stress and apoptosis of oxidized low-density lipoprotein-induced human umbilical vascular endothelial cells.
目的:研究从宁波县玄参中分离得到的哈巴苷的影响。氧化低密度脂蛋白致人脐血管内皮细胞损伤及其可能机制。体外培养人脐血管内皮细胞。用不同剂量(20、40、80 μmol/l)的哈帕苷处理氧化低密度脂蛋白诱导的人脐带血管内皮细胞,用氧化低密度脂蛋白诱导过表达microRNA-140-5p的人脐带血管内皮细胞,用80 μmol/ ml哈帕苷处理氧化低密度脂蛋白诱导的microRNA-140-5p下调的人脐带血管内皮细胞。采用酶联免疫吸附测定试剂盒检测丙二醛含量、超氧化物歧化酶和谷胱甘肽过氧化物酶活性。流式细胞术和Western blot检测细胞凋亡情况。实时定量逆转录聚合酶链反应分析核糖核酸表达。不同剂量的哈帕苷(20、40、80 μmol/l)降低了氧化低密度脂蛋白刺激的人脐血管内皮细胞丙二醛含量和凋亡率(p<0.05),提高了超氧化物歧化酶和谷胱甘肽过氧化物酶活性(p<0.05)。MicroRNA-140- 5p过表达降低了氧化低密度脂蛋白刺激的人脐血管内皮细胞丙二醛含量和凋亡,升高了超氧化物歧化酶和谷胱甘肽过氧化物酶活性(p<0.05)。Harpagide促进氧化低密度脂蛋白刺激后人脐血管内皮细胞microRNA-140-5p的表达(p<0.05)。MicroRNA- 140-5p敲低逆转了harpagide对人脐血管内皮细胞的抑制作用(p<0.05)。Harpagide上调microRNA-140-5p抑制氧化低密度脂蛋白诱导的人脐血管内皮细胞的氧化应激和凋亡。
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引用次数: 0
Development and Validation of Stability Indicating High Performance Liquid Chromatography Method for Determination of Molnupiravir in Capsule Dosage Form 高效液相色谱法测定莫诺比拉韦胶囊剂型的稳定性及验证
4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-01-01 DOI: 10.36468/pharmaceutical-sciences.1156
R. B. Patel, R. V. Solanki, S. P. Chauhan, D. M. Patel
A simple, rapid and novel reverse phase-high performance liquid chromatography method was developed for quantification of molnupiravir in its capsule dosage form which is recently approved for phase III clinical trials in moderate coronavirus disease patients in India. The chromatographic separation of Molnupiravir was achieved on reverse phase-high performance liquid chromatography using Eclipse Plus C18 (150×4.6 mm, 5 µ) column with buffer (pH 4.5) and methanol (70:30 v/v) as mobile phase. Method was validated in accordance with recommendations of International Council for Harmonisation Q2 (R1) guidelines. The linearity of the method was found to be excellent over the concentration range of 49.80-149.40 µg/ml. The mean of the coefficient of determinations (r2, n=3) was found to be 0.9999. The precision values (percentage relative standard deviation) and overall percentage recovery was found to be acceptable. The proposed method effectively separated the drug from its degradation products. Hence, it can be used as a stability-indicating assay method for the routine analysis of molnupiravir in pharmaceutical formulations.
建立了一种简单、快速、新型的反相高效液相色谱法,用于定量莫努比拉韦胶囊剂型,该胶囊剂型最近被批准用于印度中度冠状病毒病患者的III期临床试验。采用Eclipse Plus C18 (150×4.6 mm, 5µ)色谱柱,以缓冲液(pH 4.5)和甲醇(70:30 v/v)为流动相,反相高效液相色谱法对Molnupiravir进行色谱分离。方法按照国际协调理事会Q2 (R1)指南的建议进行验证。在49.80 ~ 149.40µg/ml浓度范围内线性良好。决定系数(r2, n=3)的平均值为0.9999。精密度值(相对标准偏差百分比)和总体回收率是可以接受的。该方法有效地分离了药物及其降解产物。因此,它可以作为一种稳定性指示分析方法,用于药物制剂中莫那匹拉韦的常规分析。
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引用次数: 0
Kaempferol Promotes Apoptosis and Inhibited Autophagy in A549 Cells via MicroRNA-199/Mammalian Target of Rapamycin Axis 山奈酚通过MicroRNA-199/哺乳动物雷帕霉素轴靶蛋白促进A549细胞凋亡和抑制自噬
IF 0.5 4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-01-01 DOI: 10.36468/pharmaceutical-sciences.1089
Junjie Wang, Bo Han
Wang
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引用次数: 0
Formulation and Optimization of Propranolol Bilayer Tablets: A Potential Approach for Effective Management of Hypertension 心得安双层片的处方与优化:有效治疗高血压的潜在途径
IF 0.5 4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-01-01 DOI: 10.36468/pharmaceutical-sciences.1081
H. Mourya, N. Garud, R. Joshi, W. Akram, N. Singh
The purpose of this investigation is to formulate and evaluate the antihypertensive drug propranolol hydrochloride sustained-release bilayer tablets. In this formulation, one layer provides a loading dose through the immediate release of the drug and the other layer provides a maintenance dose for up to 12 h through controlled release. Different quantities of polymers such as Kyron T-314, Hydroxypropyl methylcellulose-K4M, and ethyl cellulose were used to make bi-layer tablets by direct compression. The compatibility study of pharmaceutical excipients was conducted through Fourier transform infrared spectroscopy studies and no interaction was found. The pre-compression parameter for the angle of repose, bulk density, tapped density and compressibility index was assessed on the produced granules and the findings were good. The tablets were evaluated for the post-compression parameters for thickness, hardness, friability and in vitro release studies. In vitro dissolution study was approved out for 12 h using United States Pharmacopeia dissolution apparatus I using phosphate buffer of pH 1.2 and 6.8 as dissolution medium. Hydroxypropyl methylcellulose-K4M and ethylcellulose were used in combination in all formulations but optimized formulation propranolol hydrochloride tablet 4 showed a higher rate of drug release up to 12 h as compared to the other formulation and optimized formulations propranolol hydrochloride tablet 4 follows the Higuchi model with non-fickian diffusion based on regression coefficient of the kinetics data of cumulative drug release from the dosage form.
本研究的目的是研制降压药盐酸心得安缓释双层片并对其进行评价。在该配方中,一层通过药物的立即释放提供负载剂量,另一层通过控释提供长达12小时的维持剂量。使用不同数量的聚合物,如Kyron T-314、羟丙基甲基纤维素- k4m和乙基纤维素,通过直接压缩制成双层片。通过傅里叶变换红外光谱研究了药用辅料的配伍性,未发现相互作用。对生产的颗粒进行了休止角、容重、攻丝密度、压缩系数等预压缩参数的评价,结果良好。对片的厚度、硬度、脆度和体外释放度进行压缩后评价。采用美国药典溶出仪I,以pH为1.2和6.8的磷酸盐缓冲液为溶出介质,进行12 h的体外溶出研究。各剂型均采用羟丙基甲基纤维素- k4m与乙基纤维素复合,但优化后的盐酸心得洛尔片4在12 h内的释药速率高于其他剂型,且基于剂型累积释药动力学数据的回归系数,优化后的盐酸心得洛尔片4符合非菲克扩散的Higuchi模型。
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引用次数: 0
期刊
Indian Journal of Pharmaceutical Sciences
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