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4D printing and its potential applications in the healthcare sector 4D 打印及其在医疗保健领域的潜在应用
Pub Date : 2024-05-15 DOI: 10.18231/j.ijpp.2024.001
Suryakanta Swain, Debashsish Ghose
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引用次数: 0
A study on appropriate use and stewardship of proton pump inhibitors 质子泵抑制剂的合理使用和管理研究
Pub Date : 2024-05-15 DOI: 10.18231/j.ijpp.2024.010
Naresh Mondal, Shilpi Maity, Alamki Phawa, Bireswar Roy, E. Satheesh Kumar, Narayana Swamy V.B
Objective: To analyze the prescribing pattern of use of PPI with respect to “FDA-Approved Indications and Doses for PPI Therapy.” Materials and Methods: After obtaining approval from the Institutional Ethics Committee, a cross-sectional study was carried out among 400 inpatients in a tertiary care hospital in Bangalore. The data were collected from the patient case profile and prescriptions and noted in a self-designed data collection form. The statistical analysis of the collected data was performed using SPSS software and Excel. Results: The study, conducted on 400 patients, revealed a male majority (60%) and a female representation of 40%. Proton Pump Inhibitors (PPIs), mainly Pantoprazole (74.70%), were frequently prescribed, notably in General Medicine (220 patients). PPI use was generally appropriate: indication (99%), dose (97%), frequency (92.8%), and duration (91.8%). However, irrational prescriptions were noted: indication (1%), dose (3%), frequency (7.3%), and duration (8.3%). 139 drug interactions were identified, categorized into Major (39.6%), Moderate (46%), and Minor (14.4%). For example, Ondansetron and tramadol exhibited a major interaction. Among PPI combinations, 93.75% could affect CYP2C19 metabolism, and 6.3% had additive/synergistic toxicity potential.
目的分析根据 "FDA 批准的 PPI 治疗适应症和剂量 "使用 PPI 的处方模式。材料与方法:在获得机构伦理委员会批准后,对班加罗尔一家三级医院的 400 名住院患者进行了横断面研究。研究人员从患者病例和处方中收集数据,并在自行设计的数据收集表中进行记录。使用 SPSS 软件和 Excel 对收集到的数据进行了统计分析。研究结果对 400 名患者进行的研究显示,男性占多数(60%),女性占 40%。质子泵抑制剂(PPI),主要是泮托拉唑(74.70%),是常用处方药,尤其是在全科(220 名患者)中。一般来说,PPI 的使用是适当的:适应症(99%)、剂量(97%)、频率(92.8%)和持续时间(91.8%)。但也有不合理的处方:适应症(1%)、剂量(3%)、频率(7.3%)和持续时间(8.3%)。共发现 139 种药物相互作用,分为严重(39.6%)、中度(46%)和轻微(14.4%)。例如,昂丹司琼与曲马多发生了严重相互作用。在 PPI 联合用药中,93.75% 的药物会影响 CYP2C19 的代谢,6.3% 的药物可能具有相加/协同毒性。
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引用次数: 0
Effectiveness of luliconazole vs ketoconazole topical formulation in reversing damaged hair cuticle 氟环唑与酮康唑外用制剂在逆转受损头发角质层方面的效果对比
Pub Date : 2024-05-15 DOI: 10.18231/j.ijpp.2024.009
M. Khalse, Kamlesh Patel, Varsha Pawar
Azole antifungal agents are effective agents for treating scalp ailments such as seborrheic dermatitis. Luliconazole (LZ) is a new azole with unique effects against clinically important dermatomycotic fungi. This study examines the impact of different topical formulation of Luliconazole vs Ketoconazole (KZ) on damaged hair cuticle repair after 5 and 10 washes, using SEM images and sensory Analysis.In this in-vitro study,twelve damaged hair tresses were divided into two groups, and treated with LZ and KZ formulations. Both groups underwent pretreatment with 20% Sodium Laureth sulfate (SLES) and damage induction using 9% HO and 20% ammonium solution, followed by respective LZ (Lupizol ZS, manufactured by Lupin Ltd, India) and KZ therapies. SEM imaging and expert sensory analysis were conducted at baseline, after 5, and 10 washes to evaluate surface characterization like cuticle upliftment, smoothness, and softness.After five washes, LZ-treated hair exhibited smooth, intact cuticles with no upliftment, improving to grade 1 cuticle damage. In contrast, KZ-treated hair continued to show substantial upliftment without damage grade improvement. After ten washes, LZ maintained grade 1 damage and 0 µm upliftment, while KZ-treated strands persisted in showing considerable cuticular distress. Sensory analysis supported these results, with LZ improving hair smoothness and softness by 2.42x and 2.72x respectively, after ten washes, significantly outperforming KZ. Visually, LZ-treated hair appeared smoother and healthier, indicating its greater effectiveness in enhancing hair integrity post-washing.The botanical conditioner-based formulation of LZ is more efficacious in enhancing hair integrity post-washing compared to the Ketoconazole formulation. Well-controlled human studies are required to further establish the clinical effects on human participants.
唑类抗真菌剂是治疗头皮疾病(如脂溢性皮炎)的有效药物。卢利康唑(Luliconazole,LZ)是一种新型唑类药物,对临床上重要的皮霉菌有独特疗效。在这项体外研究中,12 根受损发丝被分为两组,分别使用 LZ 和 KZ 制剂进行治疗。两组均使用 20% 的月桂醇聚醚硫酸钠(SLES)进行预处理,并使用 9% 的 HO 和 20% 的铵溶液进行损伤诱导,然后分别使用 LZ(Lupizol ZS,由印度 Lupin 有限公司生产)和 KZ 治疗。在基线、5 次和 10 次水洗后,分别进行了扫描电子显微镜成像和专家感官分析,以评估头发的表面特征,如角质层隆起、光滑度和柔软度。与此相反,KZ 处理过的头发继续表现出明显的提升,但损伤等级没有改善。经过十次水洗后,LZ 保持了 1 级损伤和 0 µm 的上浮,而 KZ 处理过的发丝则继续表现出相当严重的角质层损伤。感官分析证实了这些结果,经过十次洗涤后,LZ 可将头发的顺滑度和柔软度分别提高 2.42 倍和 2.72 倍,明显优于 KZ。与酮康唑配方相比,LZ 植物护发素配方在提高洗发后头发的完整性方面更有效。要进一步确定对人体参与者的临床效果,还需要进行对照良好的人体研究。
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引用次数: 0
Papillary thyroid cancer and its gene polymorphism; A molecular mechanistic perspective 甲状腺乳头状癌及其基因多态性;分子机理视角
Pub Date : 2024-05-15 DOI: 10.18231/j.ijpp.2024.002
Abid Ali Sheikh, M. Makhdoomi, Abid Hussain Rather, T. A. Lone, Nisar Ahmad Syed
Thyroid cancer stands as the predominant malignancy within the endocrine system, comprising about 1% of newly identified cancer instances. Papillary Thyroid Cancer (PTC) is the predominant form of thyroid cancer, representing 80% or more of thyroid malignancies. Thyroid carcinoma harbours assorted genetic alterations which are highly prevalent, several of these characteristics are unique to this form of cancer. The conventional oncogenic genetic modifications frequently observed in thyroid carcinoma encompass RAS mutations RET/PTC rearrangements and PAX8-peroxisome proliferator-activated receptor g (PPARg) fusion oncogene. The lately discovered activating mutation in BRAF (the gene for the B-type RAF kinase, BRAF) the most widespread genetic modification in thyroid cancer (30-83%). RKIP (RAF kinase inhibitory protein) had formerly been delineated as a phospholipid binding protein. Mammalian RKIP/PEBP differs from other identified proteins and its role is still being clarified. RKIP over-expression can inhibit MEK interaction with RAF-1 and B-RAF. It plays a role in thyroid cancer progression and lymph node metastasis. So, elucidating mutational profile and protein expression of above cell signalling molecules will be very useful in determining a proper therapeutic target for anti-cancer molecules. Given that tumors often possess numerous genetic and cell signalling abnormalities, thus inhibiting a single signalling pathway is often therapeutically inefficacious, more success could be foreseen with agents directed against multiple cellular pathways.By determining the genetic profile and protein expression of mentioned MAP Kinase pathway molecules new targets can be identified for chemotherapic drugs and novel strategies will be charted out to make modifications in the map kinase pathway with the aim to stop the occurrence and distant metastasis of thyroid cancer.
甲状腺癌是内分泌系统中最主要的恶性肿瘤,约占新发现癌症病例的 1%。甲状腺乳头状癌(PTC)是甲状腺癌的主要形式,占甲状腺恶性肿瘤的80%或更多。甲状腺癌蕴藏着各种基因改变,这些改变非常普遍,其中一些特征是这种癌症所独有的。甲状腺癌中常见的传统致癌基因改变包括RAS突变、RET/PTC重排和PAX8-过氧化物酶体增殖激活受体g(PPARg)融合癌基因。最近发现的BRAF(B型RAF激酶基因,BRAF)激活突变是甲状腺癌中最常见的基因修饰(30-83%)。RKIP(RAF 激酶抑制蛋白)以前被认为是一种磷脂结合蛋白。哺乳动物的RKIP/PEBP与其他已发现的蛋白不同,其作用仍在研究中。RKIP 过度表达可抑制 MEK 与 RAF-1 和 B-RAF 的相互作用。它在甲状腺癌的进展和淋巴结转移中发挥作用。因此,阐明上述细胞信号分子的突变特征和蛋白表达,对于确定抗癌分子的适当治疗靶点非常有用。通过确定上述MAP激酶通路分子的遗传特征和蛋白表达,可以确定化疗药物的新靶点,并制定新的策略来改变MAP激酶通路,从而阻止甲状腺癌的发生和远处转移。
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引用次数: 0
A small review on recent advances in transdermal drug delivery system 透皮给药系统最新进展综述
Pub Date : 2024-05-15 DOI: 10.18231/j.ijpp.2024.003
Prakash Raj K, Rajakarthikeyan U, Saranraj L, Sivakumar L, R. Yuvhraj, Buvaneshvaran K
Transdermal drug delivery devices (TDDS), often known as "patches," are dosage forms designed to transfer a therapeutically effective amount of medicine over a patient's skin. Transdermal distribution establishes one of the most important channels for a revolutionary medication delivery method. Transdermal drug delivery has various advantages over traditional delivery methods, such as oral and injection; however, its efficacy is restricted. Transdermal administration traditionally entails pushing a patch containing a medicinal substance onto the skin, which is both convenient and painless, as well as therapeutic first-pass metabolism. It can deliver medications through the skin portal to systemic circulation at a predefined rate while maintaining therapeutically efficacious concentrations for an extended period of time. Around 74% of medications are taken orally, and one has been discovered to be less effective than expected.In this present review article, it covers a brief outline of various recent approaches in their development for transdermal patches.
透皮给药装置(TDDS)通常被称为 "贴片",是一种设计用于在患者皮肤上传输有效治疗量药物的剂型。透皮给药为革命性的给药方法建立了最重要的渠道之一。与口服和注射等传统给药方法相比,透皮给药具有各种优势,但其疗效受到限制。透皮给药的传统方法是将含有药物的贴片推入皮肤,既方便又无痛苦,还能进行治疗性的首过代谢。它能以预定的速度将药物通过皮肤入口输送到全身循环,同时在较长的时间内保持治疗有效浓度。约 74% 的药物是口服的,其中一种药物的疗效不如预期。本综述文章简要概述了透皮贴剂的各种最新开发方法。
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引用次数: 0
Cost-effective analysis of enalapril, amlodipine, and enalapril plus amlodipine combination in newly diagnosed patients of hypertension: A pharmacoeconomic comparison of the antihypertensive efficacy of drugs 对新诊断的高血压患者服用依那普利、氨氯地平和依那普利加氨氯地平复方制剂的成本效益分析:药物降压疗效的药物经济学比较
Pub Date : 2024-05-15 DOI: 10.18231/j.ijpp.2024.008
K. Katariya, Tushar Gosai, Akshay Hasmukhbhai Parmar
Hypertension (HTN) is a chronic condition with severe complications, so early detection and effective management are essential to prevent cardiovascular events and reduce the associated economic burden. This study aims to compare the cost-effectiveness of enalapril, amlodipine, and their combination in terms of blood pressure reduction, considering overall efficacy and economic implications. A prospective, observational cost-effectiveness analysis was conducted in 150 newly diagnosed hypertensive patients who were prescribed either enalapril (5 mg), amlodipine (5 mg), or enalapril plus amlodipine (2.5 mg each). The primary outcome was the difference in systolic and diastolic blood pressure between baseline and follow-up, as well as the evaluation of overall efficacy and cost. Based on the data, statistical analysis was carried out using ANOVA and post hoc Tukey tests for drug efficacy, and cost-effectiveness was compared using MS Excel. After 30 days, all treatments significantly reduced systolic and diastolic blood pressure (p = 0.0001). The combination therapy with a lower dose showed superior efficacy in blood pressure reduction and was most cost-effective, requiring less expense for a 1 mmHg reduction in blood pressure compared to individual drugs with a higher dose. Quality of life assessment favored low-dose combination therapy, with fewer reported adverse effects. The combinationof amlodipine and enalapril at a lower dose demonstrated superior cost-effectiveness, efficacy in blood pressure reduction, and a favorable impact on patients' quality of life compared to individual drugs at a higher dose. This suggests that combination therapy may be a preferred option in the management of hypertension, emphasizing the importance of considering both clinical and economic factors in treatment decisions.
高血压(HTN)是一种具有严重并发症的慢性疾病,因此早期发现和有效管理对于预防心血管事件和减少相关经济负担至关重要。本研究旨在比较依那普利、氨氯地平及其联合用药在降低血压方面的成本效益,同时考虑总体疗效和经济影响。研究对 150 名新确诊的高血压患者进行了前瞻性、观察性成本效益分析,这些患者分别接受了依那普利(5 毫克)、氨氯地平(5 毫克)或依那普利加氨氯地平(各 2.5 毫克)治疗。主要结果是基线与随访期间收缩压和舒张压的差异,以及总体疗效和成本评估。根据数据,使用方差分析和事后 Tukey 检验对药物疗效进行了统计分析,并使用 MS Excel 对成本效益进行了比较。30 天后,所有治疗方法都能显著降低收缩压和舒张压(p = 0.0001)。与剂量较大的单个药物相比,剂量较小的联合疗法在降低血压方面疗效更佳,而且成本效益最高,血压降低 1 mmHg 所需的费用更少。生活质量评估结果表明,低剂量联合疗法更受青睐,不良反应报告也更少。与单独使用高剂量药物相比,低剂量的氨氯地平和依那普利联合疗法在成本效益、降压疗效和对患者生活质量的影响方面都更胜一筹。这表明,联合疗法可能是治疗高血压的首选方案,强调了在治疗决策中同时考虑临床和经济因素的重要性。
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引用次数: 0
The impact of monoclonal antibodies in preventing antimicrobial resistance (AMR) 单克隆抗体对预防抗菌药耐药性(AMR)的影响
Pub Date : 2024-05-15 DOI: 10.18231/j.ijpp.2024.005
R. Chakraverty, Jyotirmoy Bondyopadhyay, Tatini Debnath
Monoclonal antibodies (mAbs) have transformed modern medicine through precision targeting and therapeutic efficacy. This summary summarises the development, applications, and comparative characteristics of mAbs in the context of antiviral medicines and antibiotic treatment durations. Monoclonal antibodies are designed to target specific antigens with great affinity and specificity, making them important for diagnostics and treatments. Anti-virulence mAbs, a type of mAb, target pathogen virulence factors rather than pathogens themselves, providing a promising technique for combating infectious diseases while limiting resistance development. When comparing the duration of antibiotic medication versus mAb treatment, mAbs frequently provide a shorter and more tailored therapeutic regimen. This can lead to better patient outcomes, less resistance, and a lower risk of side effects associated with long-term antibiotic usage. Antigen selection, hybridoma creation, antibody synthesis, purification, and characterization are all steps in the mAb development process, with advances like recombinant DNA technology improving efficiency and scalability.
单克隆抗体(mAbs)通过精准靶向和疗效改变了现代医学。本摘要从抗病毒药物和抗生素疗程的角度总结了 mAbs 的发展、应用和比较特性。单克隆抗体是针对特定抗原设计的,具有很强的亲和力和特异性,因此在诊断和治疗中非常重要。抗病毒 mAb 是 mAb 的一种,以病原体毒力因子而非病原体本身为靶标,为抗击传染病并限制抗药性的产生提供了一种前景广阔的技术。如果比较抗生素药物治疗和 mAb 治疗的持续时间,mAb 往往能提供更短、更有针对性的治疗方案。这能为患者带来更好的治疗效果,减少抗药性,并降低长期使用抗生素产生副作用的风险。抗原选择、杂交瘤创建、抗体合成、纯化和表征是 mAb 开发过程中的所有步骤,重组 DNA 技术等进步提高了效率和可扩展性。
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引用次数: 0
Assessing prescribing practices in a rural hospital: A cross-sectional study using WHO prescribing indicators 评估一家农村医院的处方实践:使用世界卫生组织处方指标的横断面研究
Pub Date : 2024-05-15 DOI: 10.18231/j.ijpp.2024.007
Jijo P. Abraham, Reena R. Giri, Kavita M. Jaiswal
This cross-sectional study aims to assess the prescribing practices of physicians at a rural hospital in Western India, focusing on adherence to WHO prescribing indicators. The main research question addressed the extent of alignment with optimal prescribing standards. 1: Evaluate prescribing patterns in a rural hospital using WHO indicators. 2: Assess alignment with WHO standards and identify areas for improvement. 3: Understand demographic influences on prescribing. 4: Provide insights for optimizing rural healthcare delivery.A prospective, descriptive, cross-sectional approach was employed in the outpatient department of the rural hospital. A total of 604 prescriptions were sampled over two months, and data were collected using a random sampling method. The study followed ethical standards, and prescriptions were analyzed for demographic characteristics, prescribing patterns, and adherence to WHO indicators. The average number of drugs per prescription was 3.5, indicating a tendency towards polypharmacy. While 86% of drugs were prescribed generically, the study revealed areas of suboptimal adherence to WHO prescribing indicators, including antibiotic prescriptions (29%) and injectable use (50%). The analysis also highlighted disparities in prescribing patterns based on gender and age. The study provides valuable insights into prescribing practices in a rural healthcare setting, emphasizing the need for interventions to streamline prescriptions and enhance adherence to global standards. The identified areas for improvement include addressing polypharmacy, promoting generic prescribing, and optimizing antibiotic and injectable use.
这项横断面研究旨在评估印度西部一家乡村医院医生的处方实践,重点关注是否符合世界卫生组织的处方指标。主要研究问题涉及与最佳处方标准的一致程度。1:使用世界卫生组织的指标评估一家农村医院的处方模式。2:评估与世界卫生组织标准的一致性,并确定需要改进的领域。3:了解人口对处方的影响。4:为优化农村医疗服务提供见解。在农村医院门诊部采用了前瞻性、描述性、横断面方法。在两个月的时间里,共抽取了 604 份处方,并采用随机抽样的方法收集数据。研究遵循了伦理标准,并对处方的人口统计学特征、处方模式以及是否符合世界卫生组织的指标进行了分析。每张处方的平均药物数量为 3.5 种,表明存在多药倾向。虽然有 86% 的处方药为非专利药,但研究显示,在一些领域对世界卫生组织处方指标的遵守情况并不理想,其中包括抗生素处方(29%)和注射剂使用(50%)。分析还强调了基于性别和年龄的处方模式差异。这项研究为了解农村医疗环境中的处方做法提供了宝贵的见解,强调了采取干预措施简化处方和加强遵守全球标准的必要性。已确定的需要改进的领域包括解决多重用药问题、推广非专利处方以及优化抗生素和注射剂的使用。
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引用次数: 0
Serendipity in psychotropic drugs: Unearthing the origins 精神药物的偶然性:发掘起源
Pub Date : 2024-05-15 DOI: 10.18231/j.ijpp.2024.004
Mehreen Imran, Semira
This is a dive into the history of several groundbreaking psychiatric drugs and their discoveries. The article begins by exploring the curious origin of the word “serendipity” following Horace Walpole’s encounter with a fairytale. This captivating emergence of “serendipity” is followed by an account of lithium discovered in 1817. About a century and a half later, lithium would receive FDA approval, becoming a cornerstone in the treatment of mania.The narrative meanders to other drugs that have a similar thread of serendipity woven into their beginnings— chlordiazepoxide, meprobamate, chlorpromazine, finally halting at iproniazid, an anti-tubercular agent that unexpectedly revealed its mood-enhancing potential and paved the way for the development of monoamine oxidase inhibitors as antidepressants.The authors navigate through the intricacies of chance and discovery that have influenced the trajectory of psychiatric drug development, leading to unexpected breakthroughs that have forever left their mark on the undeniably vast landscape that is mental health.
本文深入探讨了几种开创性精神药物及其发现的历史。文章首先探讨了 "serendipity"(偶然性)一词的奇妙起源,即霍勒斯-沃波尔(Horace Walpole)与一个童话故事的邂逅。随后介绍了 1817 年发现的锂。作者蜿蜒叙述了与偶然性相似的其他药物--氯氮卓、甲丙氨酯、氯丙嗪--的起源,最后停在异丙嗪--一种抗结核药物上,这种药物意外地显示出其增强情绪的潜力,并为单胺氧化酶抑制剂作为抗抑郁药物的发展铺平了道路。作者通过错综复杂的机缘和发现影响了精神科药物的开发轨迹,从而带来了意想不到的突破,在精神健康这一无可否认的广阔领域永远留下了自己的印记。
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引用次数: 0
Investigation of effect of ellagic acid on premature ovarian insufficiency 鞣花酸对卵巢早衰的影响研究
Pub Date : 2024-05-15 DOI: 10.18231/j.ijpp.2024.006
V. V. Sarode, Sadhna P. Gautam
One common medical condition affecting the reproductive system in older women is premature ovarian failure (POF). POF can result from radiation therapy, chemotherapy, immune system problems, infection, inflammation, and genetic mutation.The current study examined the effect of Ellagic acid on Premature Ovarian Insufficiency.The study utilized, 8-12 months old 150 ± 20 gm, 42 female wistar rats. For the induction of Premature Ovarian Insufficiency, Tripterygium Glycoside (TG) was administered at a dosage of 50 mg/ml dissolved in water for injection once daily. Clomiphene Citrate, 1 mg/kg was administered orally once daily for 21 days. Ellagic acid was given orally once daily at concentration of 10 mg/kg, 20 mg/kg, 30 mg/kg. The statistic of the data was determined by using ANOVA test.The results showed that effect of Ellagic acid on premature ovarian insufficiency as evidenced by decreased levels of cholesterol, triglycerides, follicle stimulating hormone and Luteinizing hormone and increased levels of estrogen.According to the current study, female wistar rats with Tripterygium Glycoside induced Premature Ovarian Insufficiency can benefit from treatment with an Ellagic acid.
影响老年妇女生殖系统的一种常见疾病是卵巢早衰(POF)。卵巢早衰可由放疗、化疗、免疫系统问题、感染、炎症和基因突变引起。本研究探讨了鞣花酸对卵巢早衰的影响。为诱导卵巢早衰,将三叶草苷(TG)以 50 毫克/毫升的剂量溶于水中注射,每天一次。枸橼酸氯米芬,1 毫克/千克,每日一次,口服 21 天。鞣花酸的口服浓度分别为 10 毫克/千克、20 毫克/千克和 30 毫克/千克,每天一次。结果表明,鞣花酸对卵巢早衰的影响表现在胆固醇、甘油三酯、促卵泡激素和促黄体生成素水平的降低,以及雌激素水平的升高。
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引用次数: 0
期刊
Indian Journal of Pharmacy and Pharmacology
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