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Overhydration: A boon or bane 水合过度:是福也是祸
Pub Date : 2023-07-15 DOI: 10.18231/j.ijpp.2023.017
D. Kalra
Water is necessary for human cells to function properly. However, consuming more water than necessary might lead to overhydration, which could have major negative effects on one's health. Water intoxication, also known as dilutional hyponatremia, only occurs when a person consumes more water than their kidneys can ordinarily excrete. If the balance between water (fluid) and electrolytes is not kept, dehydration and overhydration can cause morbidity and mortality. Overhydration is associated with cardiopulmonary problems, hyponatremia, edoema, gastrointestinal dysfunction, and surgical complications. To gain a thorough understanding of the causes of and effects of overhydration on human health, a literature study was conducted.
水是人体细胞正常运作所必需的。然而,摄入过多的水可能会导致水化过度,这可能会对一个人的健康产生重大的负面影响。水中毒,也被称为稀释性低钠血症,只有当一个人摄入的水超过肾脏正常排泄能力时才会发生。如果不能保持水(液体)和电解质之间的平衡,脱水和过度水合会导致发病和死亡。水合过度与心肺问题、低钠血症、水肿、胃肠功能障碍和手术并发症有关。为了深入了解过量饮水对人体健康的原因和影响,我们进行了文献研究。
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引用次数: 0
Formulation and evaluation of conditioning safflower oil shampoo 调理红花油洗发水的配方及评价
Pub Date : 2023-07-15 DOI: 10.18231/j.ijpp.2023.025
S. S. Shaikh, Vishnu Kocharya Padvi, Tejaswini Lalchand Asawe
Frequent use of synthetic hair care products and overuse of grooming results in damaged hair. This leads to growing demand for natural hair care products. Many synthetic harsh chemicals in liquid shampoo leads to dry and damaged hair. An attempt was made to formulate a conditioning shampoo bar with safflower oil. The nutrient rich, weightless oil imparted good conditioning and smoothness to rough hair surface indicated by SEM studies of treated hair with conditioning shampoo bar containing 5% oil. Formulated shampoo bars are found to have various desirable properties like moisturizing, conditioning and nourishing effect on the dry and damaged hair with good grooming, luster, manageability and shine.
频繁使用合成护发产品和过度梳理会导致头发受损。这导致对天然护发产品的需求不断增长。液体洗发水中许多合成的刺激性化学物质会导致头发干燥和受损。尝试用红花油配制一种调理洗发水。通过扫描电镜研究发现,含有5%油的护发棒对头发进行了处理,结果表明,营养丰富、重量轻的油对粗糙的头发表面具有良好的调理和光滑性。配方洗发水棒被发现具有各种理想的特性,如保湿、调理和滋养作用,对干燥和受损的头发有良好的修饰、光泽、可管理和光泽。
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引用次数: 0
Atypical childhood Takayasu arteritis – A case report 非典型儿童高须动脉炎1例报告
Pub Date : 2023-07-15 DOI: 10.18231/j.ijpp.2023.026
Shruti Appaswamy, N. Pandey, R. Ghildiyal
Childhood Takayasu arteritis is one of the most common vasculitis in paediatric age group. It predominantly involves the greater vessels such as aorta and its branches, leading to granulomatous inflammation. The process of inflammation gives rise to the symptoms based on thrombotic or aneurysmal phenomena. This is a case report of a 11-year-old girl diagnosed in an urban tertiary care centre in India with childhood Takayasu arteritis. The said child had first presented with non-specific symptoms such as leg ache, back ache and fever. Over the course of illness, the child developed hypertension and had also suffered from PRES (posterior reversible encephalopathy syndrome). Clinical examination was consistent with Takayasu arteritis, however with predominant medium-sized vessel involvement on imaging. Since this is a relatively atypical presentation, it was mandatory to rule out other causes of medium-vessel arteritis, especially DADA2 (deficiency of ADA2).
小儿高须动脉炎是儿科最常见的血管炎之一。它主要累及主动脉及其分支等大血管,导致肉芽肿性炎症。炎症的过程引起基于血栓或动脉瘤现象的症状。这是一例报告,一名11岁女孩在印度城市三级保健中心被诊断患有儿童期高须动脉炎。该名儿童最初出现非特异性症状,如腿痛、背痛和发烧。在发病过程中,患儿发展为高血压,并伴有后可逆性脑病综合征(PRES)。临床检查与高须动脉炎一致,但影像学上以中等血管为主。由于这是一种相对不典型的表现,必须排除其他中血管动脉炎的原因,特别是DADA2 (ADA2缺乏)。
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引用次数: 0
A systematic review on malaria 关于疟疾的系统综述
Pub Date : 2023-07-15 DOI: 10.18231/j.ijpp.2023.014
Rutuja R. Sumbe, Ganesh D. Barkade
Millions of people die from the parasitic disease malaria each year. This illness is difficult to diagnose in a clinical environment and arises when the red blood cells in the blood are harmed. Malaria is caused by Plasmodium parasites, which are the main global cause of mortality and morbidity. Both in their hosts, the vertebrates, and their carriers, the mosquitoes, these parasites have a complicated life cycle.
每年有数百万人死于寄生虫病疟疾。这种疾病在临床环境中很难诊断,当血液中的红细胞受到损害时就会出现。疟疾是由疟原虫引起的,疟原虫是全球死亡和发病的主要原因。无论是在它们的宿主——脊椎动物体内,还是在它们的载体——蚊子体内,这些寄生虫都有一个复杂的生命周期。
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引用次数: 0
Exploring the therapeutic potential of phytoconstituents in treatment of polycystic ovarian syndrome: An study 探索植物成分治疗多囊卵巢综合征的治疗潜力:一项研究
Pub Date : 2023-07-15 DOI: 10.18231/j.ijpp.2023.020
B. Premkumar, Chandrasekar Leela Priyanka, C. Nalini, Mahalakshmi.
Polycystic ovary syndrome (PCOS) is a prevalent condition among women of reproductive age, characterised by hyperinsulinemia, hyperandrogenism, menstrual irregularities, and long-term metabolic disturbances. At present, the conventional approach to managing PCOS involves implementing lifestyle changes, administering pharmacological interventions, and performing surgical procedures. Nevertheless, these therapies do not exhibit promising outcomes for the comprehensive eradication of it. Consequently, natural sources have been regarded as a highly esteemed means of medication and aid in enhancing and regulating PCOS conditions. The current study was designed to conduct a screening of various phytoconstituents with a focus on their potential interaction with androgenic targets (1E3G & 2PIV), estrogenic receptors (1U3S), and insulin receptors (3EKK). An assessment was conducted on a compilation of phytoconstituents documented in PCOS with the aim of forecasting drug-like characteristics through an methodology. Thirteen phytoconstituents were selected for the study, namely apigenin, berberine, erdosteine, colchicine, diacerin, mogroside V, naringenin, quercetin, resveratrol, rhamnocitrin, silibinin, tanshinone IIA, and troxerutin. The phytoconstituents were subjected to molecular docking studies using AutoDock Vina to investigate their binding interactions with proposed targets. Additionally, in silico prediction of the toxicity of these phytoconstituents was conducted. The phytoconstituents that were chosen exhibited favourable pharmacokinetic characteristics for oral bioavailability and drug-likeness, as determined by Lipinski's rule of five. As per the docking results, it was observed that four compounds, namely Apigenin, Tanshinone IIA, Naringenin, and Berberine, exhibited significant binding interactions with the allosteric site residues of the targets. The identified phytoconstituents that underwent screening exhibit potential as prospective candidates for subsequent development. However, it is imperative to validate the findings through in vitro and in vivo investigations.
多囊卵巢综合征(PCOS)是育龄妇女的一种常见病,其特征是高胰岛素血症、高雄激素症、月经不规则和长期代谢紊乱。目前,治疗多囊卵巢综合征的传统方法包括改变生活方式、实施药物干预和实施外科手术。然而,这些疗法并没有显示出全面根除它的有希望的结果。因此,天然来源被认为是一种高度尊重的药物治疗手段,有助于改善和调节多囊卵巢综合征的病情。目前的研究旨在筛选各种植物成分,重点关注它们与雄激素靶点(1E3G和2PIV)、雌激素受体(1U3S)和胰岛素受体(3EKK)的潜在相互作用。对PCOS中记录的植物成分汇编进行了评估,目的是通过一种方法预测药物样特征。选取了芹菜素、小檗碱、秋水仙碱、秋水仙碱、二肾上腺素、莫葛苷V、柚皮素、槲皮素、白藜芦醇、鼠李柠檬素、水飞蓟宾、丹参酮IIA、troxerutin等13种植物成分进行研究。使用AutoDock Vina对植物成分进行分子对接研究,以研究它们与拟议靶点的结合相互作用。此外,对这些植物成分的毒性进行了计算机预测。所选择的植物成分在口服生物利用度和药物相似性方面表现出良好的药代动力学特征,由利平斯基的五法则确定。对接结果显示,Apigenin、Tanshinone IIA、Naringenin和Berberine四种化合物与靶标的变构位点残基表现出明显的结合作用。经过筛选鉴定的植物成分显示出作为后续开发的潜在候选物的潜力。然而,必须通过体外和体内研究来验证这些发现。
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引用次数: 0
Antioxidant, Antimicrobial and Antidiabetic activities of Insulin plant rhizome extracts - A comparative study 胰岛素植物根茎提取物抗氧化、抗菌和抗糖尿病活性的比较研究
Pub Date : 2023-07-15 DOI: 10.18231/j.ijpp.2023.024
G. Sivakumar, R. Sathish Kumar, P. Aruna, Laksmana Perumal
retained the name as Insulin plant through traditional practice, further phytochemical and pharmacological evaluation of leaves of the plant has proven record on wider therapeutic potential such as antioxidant, antimicrobial and antidiabetic activity. Our interest of current research is to explore the rhizome by multiple extraction and to screen and find out the specific therapeutic potential of the specific extracts through relevant phytochemical and pharmacological evaluation. DPPH, Disc Diffusion and DNS methods were chosen to evaluate antioxidant and antibacterial and antidiabetic activity on various rhizome extracts (ethyl acetate, methanol, ethanol and aqueous). The anti-oxidant effect is significantly high and almost same for all rhizome extracts. ethyl acetate, ethanol, methanol has moderate antibacterial activity against gram positive ( and) and gram negative organism ( and ) by disc diffusion method as compare to the standard drug (Ceftrioxone sodium). However, aqueous extract lacs antibacterial activity. The α-amylase inhibition activity by DNS method result infers, high antidiabetic activity for ethyl acetate and ethanolic rhizome extracts whereas mild activity for methanolic and aqueous rhizome extracts. Thereby e thonolicrhizome extract might be a good choice for antioxidant, antibacterial and antidiabetic therapeutic segments among the rhizome extracts.
通过传统实践保留了胰岛素植物的名称,进一步的植物化学和药理学评价证明了该植物叶片具有更广泛的治疗潜力,如抗氧化、抗菌和抗糖尿病活性。我们目前的研究兴趣是通过多种提取方法探索根茎,并通过相关的植物化学和药理评价筛选和发现特定提取物的特定治疗潜力。采用DPPH法、Disc Diffusion法和DNS法对不同根茎提取物(乙酸乙酯、甲醇、乙醇和水)的抗氧化、抑菌和抗糖尿病活性进行了评价。所有根茎提取物的抗氧化作用都非常高,且几乎相同。与标准药物(头孢曲酮钠)相比,乙酸乙酯、乙醇、甲醇对革兰氏阳性菌(和)和革兰氏阴性菌(和)的抑菌活性中等。然而,水提取物缺乏抗菌活性。用DNS法测定其α-淀粉酶抑制活性,结果表明乙酸乙酯和乙醇提取物具有较高的抗糖尿病活性,而甲醇和水提取物具有较低的抗糖尿病活性。因此,在抗氧化、抗菌和抗糖尿病等治疗作用方面,通心根茎提取物可能是较好的选择。
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引用次数: 0
Formulation and evaluation of herbal hand wash using neem and aloevera extract 用楝树和芦荟提取物的草药洗手液的配方和评价
Pub Date : 2023-07-15 DOI: 10.18231/j.ijpp.2023.019
Komal Tikariya, Arpit Gawshinde, A. Dabeer, Sonu Mishra, U. Atneriya, Dharmendra Solanki
The herbal cosmetics are natural and free from all the harmful synthetic chemicals which generally may turn out to be lethal to the skin, the natural ingredient used assures no side effect one can applied them any time. So, herbal cosmetic are more referable as compared to synthetics one.The purpose of the present work is to formulate and evaluated herbal hand wash using natural ingredients to promote the personal hygiene. The formulated hand wash was evaluated for different parameters like pH, colors, foaming efficiency, viscosity and stability. The herbal hand wash formulated using neem extract for antibacterial property, aloevera juice for soothing property, glycerine for moisturization, sodium lauryl sulphate as a surfactant, carbopol 934 as a jellying agent, rose oil for fragrance and distilled water, the hand wash is prepared and evaluated then the result was documented. 5 People were asked for acceptability of fragrance and their opinion was taken. The fragrance was found to be good as compared to reference hand wash.: The hand wash was found to be light green aromatic and homogeneous with rosy fragrance. pH was 6.0 which is similar to the skin pH. The hand wash was found to be stable in all evaluation parameters with good cleaning property.
草药化妆品是天然的,不含所有有害的合成化学物质,这些化学物质通常会对皮肤造成致命伤害,所使用的天然成分确保了没有副作用,人们可以随时使用它们。因此,与合成化妆品相比,草药化妆品更具参考价值。本研究的目的是研制和评价天然成分的草药洗手液,以促进个人卫生。对配方洗手液的pH值、颜色、发泡效率、粘度和稳定性等参数进行了评价。采用楝树提取物抗菌、芦荟汁舒缓、甘油保湿、十二烷基硫酸钠表面活性剂、卡波醇934胶凝剂、玫瑰精油和蒸馏水配制草药洗手液,并对其进行了评价。人们被问及香水的可接受性,他们的意见被采纳了。与参考洗手液相比,发现香味很好。手洗液呈淡绿色,芳香均匀,有玫瑰色香味。pH值为6.0,与皮肤pH值相近。手洗液在所有评价参数中均稳定,具有良好的清洁性能。
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引用次数: 0
Levobupivacaine versus ropivacaine in patients undergoing lower abdominal surgeries 左布比卡因与罗哌卡因在接受下腹部手术患者中的作用
Pub Date : 2023-07-15 DOI: 10.18231/j.ijpp.2023.023
Yatish Byndoor, Tamilisetti Vidya Sagar
Regional anesthesia, like Peripheral nerve block, is commonly used for peripheral surgeries to reduce severe intraoperative and postoperative pain relief. .Some studies with levobupivacaine have shown that duration of analgesia of levobupivacaine are longer compared to that of an equivalent dose of bupivacaine or ropivacaine.This study is done to compare efficacy and safety of levobupivacaine with ropivacaine. In this study we tried to compare efficacy and clinical characteristics of isobaric forms of intrathecal levobupivacaine 0.5% and ropivacaine 0.75% in lower abdominal surgeries.This prospective, observational and open labeled, comparative study done for a period of one year in a tertiary care health centre, in South India, prior approval from Institutional ethics committee was taken. 60 patients were included and each of 60 patients was randomized (sealed, numbered and opaque envelopes) to one of two groups of 30 patients. Each of the patients enrolled in the study received one of two solutions: levobupivacaine or Ropivacaine, patient was turned supine immediately after injection, time of which was defined as ‘zero’. Thereafter, investigator, assessed upper and lower limits of sensory block (analgesia to pinprick), degree of motor block and recorded heart rate and arterial pressure. The patients were then transferred into the operating theatre and assessments were continued at 30 min intervals thereafter until complete motor and sensory blocks regression. Data were analysed using a standard computer-based statistics package.Mean time of onset of sensory blockade for levobupivacaine was 3.85±0.5 min and in Ropivacaine was 3.90 ± 0.6 min. Mean time of onset of motor blockade in levobupivacaine group was 3.65 ± 0.72 min and in Ropivacaine group was 3.82 ± 0.88 min, mean duration of motor blockade in Levobupivacaine group was 201.15±22.06 min and in Ropivacaine group was 204 ± 21.20 min. Mean time for regression for levobupivacaine was 98.27±10.18 min and for ropivacaine was 96.33 ±8.21min. There is no significant difference, Mean time for first request of analgesic for Levobupivacaine was 262.22 ±36.60 and for Ropivacaine was 261.20 ± 32.71 min. There is no statistically significant difference; there was no statistically significant difference in the incidence of adverse events in both the groups. So both the drugs are considered to be safe in spinal anesthesia.In conclusion, Ropivacaine and Levobupivacaine has similar onset of sensory and motor blockade with comparable hemodynamic parameters and time for rescue analgesic administration was comparable between two groups and incidence of post- operative complications is not significant with both drugs.
与周围神经阻滞一样,区域麻醉通常用于周围手术,以减轻术中和术后严重的疼痛缓解。一些关于左布比卡因的研究表明,与同等剂量的布比卡因或罗哌卡因相比,左布比卡因的镇痛持续时间更长。本研究比较左布比卡因与罗哌卡因的疗效和安全性。在这项研究中,我们试图比较0.5%左布比卡因和0.75%罗哌卡因等比重鞘内注射在下腹手术中的疗效和临床特征。这项前瞻性、观察性和开放标签的比较研究在印度南部的一家三级保健中心进行了为期一年的研究,事先获得了机构伦理委员会的批准。纳入60例患者,每60例患者随机分为两组,每组30例患者。每位入组患者均接受左布比卡因或罗哌卡因两种溶液中的一种,注射后患者立即仰卧,时间定义为“零”。随后,研究者评估感觉阻滞上下限(镇痛至针刺)、运动阻滞程度,记录心率和动脉压。然后将患者转移到手术室,每隔30分钟进行一次评估,直到运动和感觉障碍完全消退。使用标准的基于计算机的统计软件包分析数据。同时发病的感官levobupivacaine封锁为3.85±0.5分钟,Ropivacaine为3.90±0.6分钟。同时出现汽车封锁levobupivacaine组为3.65±0.72分钟Ropivacaine组为3.82±0.88分钟,平均持续时间电动机封锁levobupivacaine组为201.15±22.06分钟在Ropivacaine组是204±21.20分钟,平均时间为回归levobupivacaine Ropivacaine为98.27±10.18分钟,为96.33±8.21分钟。左布比卡因和罗哌卡因首次请求镇痛的平均时间分别为262.22±36.60 min和261.20±32.71 min,差异无统计学意义;两组不良事件发生率无统计学差异。所以这两种药物在脊髓麻醉中都是安全的。综上所述,罗哌卡因和左布比卡因具有相似的感觉和运动阻断发作,血流动力学参数相似,两组间的救援镇痛时间相似,两种药物的术后并发症发生率无显著性差异。
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引用次数: 0
Modern applications of artificial intelligence to health care: An editorial review 人工智能在医疗保健中的现代应用:编辑评论
Pub Date : 2023-03-15 DOI: 10.18231/j.ijpp.2023.001
S. Swain, B. R. Jena
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引用次数: 0
Addressing anesthesia medication errors for improved quality care 解决麻醉用药错误,提高护理质量
Pub Date : 2023-03-15 DOI: 10.18231/j.ijpp.2023.006
A. Shetti, Shrey Goel, Shramana M. Banerjee, A. Nagaraj, Safdhar Hasmi Raveendran, Aarati Thakur
Medication errors in anesthesia can have serious consequences for patients, including morbidity and mortality. These errors can occur at any stage of the medication administration process, from prescribing and preparation to administration and monitoring. Learning from medication errors is essential to improving patient safety in anesthesia. To address medication errors in anesthesia, various strategies have been developed, including the use of checklists, protocols, and simulation training. The implementation of technology, such as barcode scanning and automated dispensing systems, has also been effective in reducing medication errors. Learning from medication errors involves identifying the root causes of the error, analyzing the factors that contributed to the error, and implementing strategies to prevent similar errors from occurring in the future. A culture of safety that encourages reporting and analysis of errors is crucial for learning from medication errors. Improving patient safety in anesthesia requires a collaborative effort among healthcare professionals, including anesthesiologists, nurses, and pharmacists, as well as a commitment to continuous improvement through learning from errors.
麻醉用药错误可对患者造成严重后果,包括发病和死亡。这些错误可能发生在药物管理过程的任何阶段,从处方和准备到给药和监测。从用药错误中吸取教训对提高麻醉患者安全至关重要。为了解决麻醉中的用药错误,已经制定了各种策略,包括使用检查清单,协议和模拟培训。条形码扫描和自动配药系统等技术的实施也有效地减少了用药错误。从用药错误中学习包括确定错误的根本原因,分析导致错误的因素,并实施防止今后发生类似错误的策略。鼓励报告和分析错误的安全文化对于从药物错误中吸取教训至关重要。提高麻醉患者的安全性需要包括麻醉医师、护士和药剂师在内的医疗保健专业人员的合作努力,以及通过从错误中学习来持续改进的承诺。
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引用次数: 0
期刊
Indian Journal of Pharmacy and Pharmacology
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