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A Retrospective Case Series Study on Drug Adherence Patterns and Associated Complications in PLHIV on HAART in a Tertiary Care Teaching Hospital 某三级护理教学医院HAART治疗中PLHIV患者药物依从模式及相关并发症的回顾性病例系列研究
Pub Date : 2022-10-09 DOI: 10.5530/ijopp.15.4.53
Z. Khan, Jibin Mathai, Mudkappa Keshannavar, M. Shalavadi
Background: HIV/AIDS is reduced from a formerly lethal disease to a manageable chronic condition post advent of ART, the art era has promised new life standards and improving QOL of PLHIV, anyhow there are issues regarding adherence patterns where both patterns of adherence come with certain complications. Objectives: To retrospectively analyze for ADRs that are due to Antiretrovirals. To study the most prevalent reasons behind admission to hospital in PLHIV. To study mean age and inter-age prevalence of OIs and Drug-induced manifestations in PLHIV. To provide a database aiding in framing policies for the betterment of PLHIV. To synthesize results that can improve the QOL of PLHIV. Materials and Methods: We searched for all case files from 2018 to 2020 to screen for reasons why PLHIVs were admitted to a tertiary care teaching hospital and then looked into Google Scholar, Pubmed, etc. with keywords such as HIV, PLHIV, Complications of HAART, and many such to study the underlying reasons for the outcome seeking intervention. We also analyzed prescription patterns in the meanwhile to arrive at conclusions about various complications and modalities of treatment for the same. Results and Conclusion: Anemia is seen to be very prevalent amongst PLHIV accounting for about 54% of the population, Hepatotoxicity, Lipodystrophy, and an array of metabolic disorders can be linked to Drugs, and outcomes which were rare and difficult to manage were usually due to the nonadherent pattern. Although new incidences of Cranial lesions are being reported research in this direction is quasistatic post 90’s. The most common drugs that cause ADRs belong to the class of NNRTIs followed by protease inhibitors. Although new novel drugs are available, their prescription is almost not seen. And more awareness is needed in this regard.
背景:ART出现后,HIV/AIDS从以前的致命疾病降低到可控制的慢性疾病,艺术时代承诺了新的生活标准和改善PLHIV的生活质量,然而存在关于依从模式的问题,其中两种依从模式都伴随着一定的并发症。目的:回顾性分析由抗逆转录病毒药物引起的不良反应。目的:探讨艾滋病患者住院的主要原因。目的研究PLHIV患者oi的平均年龄和年龄间患病率及药物性表现。提供一个数据库,协助制定改善艾滋病毒感染者的政策。综合提高PLHIV患者生活质量的结果。材料与方法:检索2018 - 2020年所有病例档案,筛选PLHIV进入三级护理教学医院的原因,然后以HIV、PLHIV、HAART并发症等关键词检索Google Scholar、Pubmed等,研究结果寻求干预的潜在原因。同时,我们还分析了处方模式,得出了各种并发症和治疗方式的结论。结果和结论:贫血在PLHIV人群中非常普遍,约占总人口的54%,肝毒性、脂肪营养不良和一系列代谢紊乱可能与药物有关,而罕见和难以控制的结果通常是由于非粘附模式。尽管颅损伤的新发病率正在被报道,但在这方面的研究是准静态的90后。引起不良反应的最常见药物是nnrti类药物,其次是蛋白酶抑制剂。虽然有新的新药,但它们的处方几乎看不到。在这方面需要更多的认识。
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引用次数: 0
PCOD and PCOS: Are they same or Different??? PCOD和PCOS:它们是相同还是不同?
Pub Date : 2022-10-09 DOI: 10.5530/ijopp.15.4.46
B. V. Rao
When we hear the terms "PCOD" and "PCOS," the first thing we probably think of is "irregular periods," isn't it? Regarding these diseases, there is still a lot of ignorance. The two abbreviations are frequently used interchangeably, despite the fact that they refer to two quite different conditions, and there is a lot of misinformation and myths surrounding these surprisingly common health problems.
当我们听到“PCOD”和“PCOS”这两个词时,我们首先想到的可能是“月经不规律”,不是吗?对于这些疾病,人们仍然知之甚少。这两个缩写经常互换使用,尽管它们指的是两种完全不同的情况,而且围绕这两种令人惊讶的常见健康问题有很多错误信息和神话。
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引用次数: 0
Diclofenac Induced Rapidly Progressive Renal Failure in Elderly Patient – A Case Report 双氯芬酸诱发老年患者快速进行性肾功能衰竭1例报告
Pub Date : 2022-10-09 DOI: 10.5530/ijopp.15.4.56
C. C., Srirangam Anusha, K. H B
(RPRF) Rapidly progressive renal failure is categorized by a rapid loss of kidney functions over days to weeks. Acute kidney injury is a sudden episode of kidney failure or kidney damage that happens within a few hours to days. Non-Steroidal Anti-Inflammatory Drugs and/or acetaminophen are commonly used in mild to moderate pain management. NSAID and/or acetaminophen have been reported to cause reversible acute renal failure. A 68-year-old male patient brought with the chief complaints on admission of vomiting, breathlessness since 4 days, pain in the abdomen since 5 days, burning sensation in chest, burning micturition, haematuria since 2 weeks. He was a known case of wind-swept deformity and receiving combination of Tablet Diclofenac sodium 50 mg/Acetaminophen 500 mg once a day in the past 8 years for knee pain. He was diagnosed with Rapidly Progressive Renal Failure-Acute Kidney Injury, Contrast induced Nephropathy, Bladder Outlet Obstruction. The laboratory investigations show abnormality in the serum creatinine, blood urea, haematological parameters indicate normocytic normochromic anaemia with neutrophilic leucocytosis. In the assessment of this case it was found that Diclofenac/Acetaminophen has induced Rapidly Progressive Renal Failure. After withdrawal of Diclofenac/Acetaminophen all the values returned within the normal range and his oedema was also subsiding, showing clinical improvement with
(RPRF)快速进行性肾衰竭是指在数天至数周内肾功能迅速丧失。急性肾损伤是在几小时到几天内突然发生的肾功能衰竭或肾损害。非甾体抗炎药和/或对乙酰氨基酚通常用于轻度至中度疼痛管理。据报道,非甾体抗炎药和/或对乙酰氨基酚可引起可逆性急性肾功能衰竭。患者男,68岁,入院时主诉呕吐,呼吸困难4天,腹部疼痛5天,胸部烧灼感,排尿灼热,血尿2周。他是已知的风吹畸形病例,在过去的8年里,他接受双氯芬酸钠片50 mg/对乙酰氨基酚500 mg的联合治疗,每天1次。他被诊断为快速进展性肾衰竭-急性肾损伤,造影剂肾病,膀胱出口梗阻。实验室检查显示血清肌酐、尿素、血液学参数异常,提示伴中性粒细胞性白细胞增多症的正性贫血。在本病例的评估中发现双氯芬酸/对乙酰氨基酚诱发了快速进行性肾功能衰竭。双氯芬酸/对乙酰氨基酚停药后,各项指标均恢复到正常范围,水肿也逐渐减轻,临床好转
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引用次数: 0
A Retrospective Study to Determine the Side Effects and Complications Associated with the Usage of Loop Diuretics in ADHF or Left Ventricular Heart Failure Patients 一项回顾性研究确定ADHF或左心室心力衰竭患者使用利尿剂的副作用和并发症
Pub Date : 2022-10-09 DOI: 10.5530/ijopp.15.4.48
Goutham Retheesh, B. Joseph, Kavya Surendran, J. Vilapurathu
Since the incidence of adverse events associated with the use of class of diuretics, named loop diuretics are increasing per subject, this study was found to be significant. The aim or hypothesis of the study was to monitor the associated complications like Arrhythmia, hyponatremia or Renal dysfunction and to study about the side effect profile of loop diuretics used in the treatment of ADHF/LVF patients; both adverse events and adverse drug effects. The study is a Single-Centered, Retrospective Observational Study and was designed in the Cardiology and Nephrology Departments of a tertiary care hospital. Data were collected from the medical records. Then those were analysed in detail as well as statistically for obtaining and intervening the results. Hypokalemia, Hyponatremia, Renal dysfunction, Cardiorenal dysregulation etc. were the major complications. About the adverse event, Arrhythmia occurred in 97 patients (38.04%), 115 patients (45.10%) resulted in Hyponatremia and acute Kidney Injury has occurred in 43(16.86%) of patients. Regarding adverse drug reactions as a result of diuretic use can be classified as allergic rashes, abdominal discomfort, edema, vomiting, diarrhoea, constipation, muscle spasm, restlessness. The most common adverse event observed was allergic rashes 24 (58.54%) followed by abdominal discomfort 5 (12.20%). The study reveals that states that non-potassium sparing diuretics have an increased risk of adverse event associated death in HF patients whereas, potassium supplementation improved the outcomes.
由于与使用利尿剂相关的不良事件的发生率,称为循环利尿剂,每个受试者都在增加,因此该研究被发现是重要的。本研究的目的或假设是监测心律失常、低钠血症、肾功能不全等相关并发症,研究循环利尿剂治疗ADHF/LVF患者的毒副作用;包括不良事件和药物不良反应。该研究是一项单中心、回顾性观察性研究,设计于一家三级保健医院的心脏科和肾脏病科。数据是从医疗记录中收集的。然后对其进行了详细的分析和统计,以获得和干预结果。低钾血症、低钠血症、肾功能不全、心肾功能失调等为主要并发症。不良事件发生心律失常97例(38.04%),低钠血症115例(45.10%),急性肾损伤43例(16.86%)。关于使用利尿剂引起的药物不良反应可分为过敏性皮疹、腹部不适、水肿、呕吐、腹泻、便秘、肌肉痉挛、躁动。最常见的不良反应是过敏性皮疹24例(58.54%),其次是腹部不适5例(12.20%)。研究表明,非保留钾利尿剂增加了心衰患者不良事件相关死亡的风险,而补充钾可改善预后。
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引用次数: 0
Dengue Shock Syndrome - A Case Report 登革休克综合征1例报告
Pub Date : 2022-10-09 DOI: 10.5530/ijopp.15.4.57
Sharmila Nirojini P, D. V, Dahlia Dixcy S, Bharathi J, A. A, Anjana Ag
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引用次数: 0
Diffuse Systemic Sclerosis with Interstitial Lung Disease and Severe Pulmonary Arterial Hypertension: A Case Report 弥漫性系统性硬化症合并间质性肺疾病和严重肺动脉高压1例报告
Pub Date : 2022-10-09 DOI: 10.5530/ijopp.15.4.62
Syed Z. Inamdar, S. Londhe, Ravina Mehta, Sumanyu Katageri, Siddanagouda M Biradar, Shashidhar Devaramani, S. Badiger
Systemic sclerosis is a rare connective tissue disease categorized by extensive lung fibrosis, vascular and immunologic abnormalities. Autoimmune antibodies like anticentromere, anti-Scl-70 (anti-topoisomerase I), and anti-RNA polymerase II are commonly involved in progressive disease. Clinical presentations consist of Raynaud’s phenomenon, digital ulcers; pericardial effusion, and telangiectasia and are mostly associated with pulmonary complications like interstitial lung disease and pulmonary arterial hypertension. Disease-specific therapy is unavailable instead; symptomatic management is only the line of treatment. We report here a case of diffuse systemic sclerosis with interstitial lung disease and pulmonary arterial hypertension.
系统性硬化症是一种罕见的结缔组织疾病,主要表现为广泛的肺纤维化、血管和免疫异常。自身免疫抗体如抗着丝粒、抗scl -70(抗拓扑异构酶I)和抗rna聚合酶II通常与进行性疾病有关。临床表现包括雷诺现象、指部溃疡;心包积液、毛细血管扩张,多与肺间质性疾病、肺动脉高压等肺并发症有关。没有针对特定疾病的治疗方法;对症治疗只是治疗的底线。我们在此报告一例弥漫性系统性硬化症合并间质性肺疾病及肺动脉高压。
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引用次数: 0
Assessment of Knowledge, Attitude and Practice towards Dispensing of Antibiotics and Over the Counter Drugs among Community Pharmacists in Guntur, Andhra Pradesh 安得拉邦贡图尔社区药师对抗生素和非处方药配药的知识、态度和行为评估
Pub Date : 2022-10-09 DOI: 10.5530/ijopp.15.4.49
R. Pelluri, Monikasurya Thummapudi, Harika Paritala, Thota Sai Kiran Kumar, Raziya Sulthana, Chinta Indu Radha, Madhuri Chandu, Sai Susmitha Rebba, Amrut Kara, Geethika Rayapati, Prudhvi Sai Velavarthipati, Sruthi Doddapaneni, S. Puttagunta
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引用次数: 0
Case Report Study of Integrated Treatment with T-AYU-HM Premium in a Child of Sickle Cell Disease: A 7 Year Follow up Study T-AYU-HM综合治疗儿童镰状细胞病的病例报告研究:7年随访研究
Pub Date : 2022-10-09 DOI: 10.5530/ijopp.15.4.59
Atul Desai, K. Desai, Hemshree Desai, R. Desai, Chirag V Desai, Pinky Purohit, Nikita Champaneri, A. Patel, Pragna Mahida
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引用次数: 0
Ethics of Pharmacy Practice: Ethical Principles Knowledge and Perceived Ethical Practices of Community and Hospital Pharmacists in Nigeria 药学实践伦理:尼日利亚社区和医院药剂师的伦理原则、知识和感知伦理实践
Pub Date : 2022-10-09 DOI: 10.5530/ijopp.15.4.55
R. Okoro, E. W. Hedima, Siyaka Abdullateef, C. Aguiyi-Ikeanyi, Steward Mudenda
{"title":"Ethics of Pharmacy Practice: Ethical Principles Knowledge and Perceived Ethical Practices of Community and Hospital Pharmacists in Nigeria","authors":"R. Okoro, E. W. Hedima, Siyaka Abdullateef, C. Aguiyi-Ikeanyi, Steward Mudenda","doi":"10.5530/ijopp.15.4.55","DOIUrl":"https://doi.org/10.5530/ijopp.15.4.55","url":null,"abstract":"","PeriodicalId":13495,"journal":{"name":"Indian Journal of Pharmacy Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88119816","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}
引用次数: 0
Correlation between Non-communicable Diseases and Curcumin Use 非传染性疾病与姜黄素使用的相关性
Pub Date : 2022-10-09 DOI: 10.5530/ijopp.15.4.50
Viswa S, Roshny A, Naveen Kumar B, L. Babu, A. S., S. N.
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引用次数: 0
期刊
Indian Journal of Pharmacy Practice
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