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Prescribing patterns of antihypertensive drugs in geriatric population in tertiary care hospital 三级医院老年人群降压药的处方模式
Pub Date : 2016-03-30 DOI: 10.7439/IJPR.V6I3.3093
R. Philip, K. A. Drisyamol, M. Mathew, Vennapusa Lakshmi Tanuja Reddy, N. Mahesh, M. Krishnamurthy
Hypertension is one of the major chronic diseases with high mortality and morbidity in the todays world. Present study was to assess the prescribing pattern of antihypertensive medications in geriatric population suffering mainly from hypertension with or without co morbidities like Diabetes Mellitus (DM). A prospective observational study was carried out for a period of six months in an in-patient general medicine department. Elderly patients who have been diagnosed with pure hypertension as per JNC 7 guidelines and hypertension with co- morbid condition like diabetes mellitus and patients receiving or prescribed with antihypertensive drugs were included. A total of 150 prescriptions were analyzed. The present study revealed that there were 93 patients with pure Hypertension and 57 patients with co morbid conditions like Diabetes Mellitus (DM). Among antihypertensive drugs in pure hypertensive cases, 53.76% of cases were prescribed with monotherapy, followed by 46.23% by combination therapy. The commonly prescribed antihypertensive monotherapy is calcium channel blockers. The most commonly prescribed combination therapy in severe cases was angiotensin receptor blockers with diuretics. This prescribing pattern of antihypertensives was as per Joint National Committee-7report on hypertension. In case of geriatric patients suffering from hypertension with Type 2 diabetes mellitus, most commonly prescribed antihypertensive as monotherapy was found to be amlodipine and combination therapy was telmisartan + hydrochlorothiazide.
高血压是当今世界上死亡率和发病率高的主要慢性疾病之一。本研究旨在评估高血压合并或不合并糖尿病(DM)等合并症的老年人群抗高血压药物的处方模式。一项前瞻性观察研究进行了为期六个月的住院普通内科。根据JNC 7指南诊断为纯高血压的老年患者和合并糖尿病等高血压的患者以及接受或处方降压药的患者被纳入研究范围。共对150张处方进行分析。本研究发现单纯高血压患者93例,合并糖尿病(DM)等共57例。在单纯高血压患者中,单药治疗占53.76%,联合治疗占46.23%。常用的抗高血压单一疗法是钙通道阻滞剂。在严重病例中最常用的联合治疗是血管紧张素受体阻滞剂和利尿剂。这种抗高血压药物的处方模式是根据联合国家委员会-7高血压报告。在老年高血压合并2型糖尿病患者中,最常见的降压药单药是氨氯地平,联合用药是替米沙坦+氢氯噻嗪。
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引用次数: 5
Development of colloidal bio-nano drug for anticancer studies 胶体生物纳米抗癌药物的研究进展
Pub Date : 2016-03-30 DOI: 10.7439/IJPR.V6I3.3154
R. Lavanya, S. A. John
The exploitation of bio (plant) materials for the biosynthesis of nanoparticles is considered a green technology as it does not involve any harmful chemicals. The present study reports the raw plant extraction and synthesis of gold (Au) nanoparticles from HAuCl4 using the powder of novel C. guianensis. The secondary metabolites were responsible for the reduction of gold metal to nano-sized Au nanoparticles. The 50% (IC50) value of cytotoxic activity was observed in 50 L concentration of sample and was enough to control the cancerous HeLa cells.
利用生物(植物)材料生物合成纳米粒子被认为是一种绿色技术,因为它不涉及任何有害化学物质。本研究报道了以新型桂树粉末为原料,从HAuCl4中提取并合成金(Au)纳米颗粒的方法。次级代谢物负责将金金属还原为纳米尺寸的金纳米颗粒。在50 L浓度下观察到50% (IC50)的细胞毒活性,足以控制癌变的HeLa细胞。
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引用次数: 0
Hepatoprotective and Antioxidant potential of Tephrosia Purprea in Paracetamol Induced Hepatotoxicity 紫荆对扑热息痛肝毒性的保护和抗氧化作用
Pub Date : 2016-03-30 DOI: 10.7439/IJPR.V6I3.3061
S. M. Gunjegaonkar, S. Kshirsagar, J. Bayas
The present study was designed to evaluate Hepatoprotective and antioxidant potential of Tephrosia Purprea whole plant aqueous extract in paracetamol intoxicated rats. 75mg/kg and 150mg/kg of aqueous extract were administered orally once a daily for seven days. Animals were challenged with paracetamol on 5 th day of treatment protocol. Elevated serum levels of transaminases, alkaline phosphatase and bilirubin (direct and total) were restored significantly by the extract. Silymarine (reference standard) exhibited significant hepatoprotective activity against paracetamol induced hepatotoxicity. The biochemical parameters were supplemented with histopathological studies. In-vitro free radical scavenging activity was screened and results concluded that possible mechanism of hepatoprotective activity may be due to its free radical scavenging activity.
本研究旨在评价紫荆全植物水提物对扑热息痛中毒大鼠的肝保护和抗氧化作用。水提物75mg/kg和150mg/kg,每日口服1次,连用7天。在治疗方案的第5天给予动物扑热息痛。血清转氨酶、碱性磷酸酶和胆红素(直接和总)水平明显恢复。水飞蓟马(参比标准品)对扑热息痛引起的肝毒性具有显著的肝保护作用。生化指标辅以组织病理学研究。对其体外自由基清除活性进行了筛选,结果表明其保肝作用的机制可能与清除自由基有关。
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引用次数: 2
Over the counter sale of drugs for medical abortion- Knowledge, Attitude, and Practices of pharmacists of Delhi, India 药物流产药物的非处方销售——印度德里药剂师的知识、态度和实践
Pub Date : 2016-03-30 DOI: 10.7439/IJPR.V6I3.2999
A. Mishra, A. Yadav, S. Malik, R. Purwar, Supriti Kumari
Introduction: Despite the well defined law and highly liberal policy Government approved medical facilities are not the leading provider of abortion in Indian Scenario. Whether legally or not Pharmacists are already acting as provider of medical abortion for large number of women in India. Dispense of Medical abortion drugs via pharmacist has the advantages of convenience, relative anonymity, hasty transaction, easy accessibility and saving cost. Aims and Objectives: Objective of present study was to assess the over the counter sale of medical abortion in terms of knowledge, attitude and practices of pharmacists of Delhi, India. Material and Methods: It was a cross sectional interview based study conducted in 110 pharmacies of 6 districts of State of Delhi. Results: A total of 75 pharmacists and 35 pharmacy workers were interviewed. Knowledge and practices of all of them was inadequate in some aspects. 68% knew Medical abortion is legal and 57% thought that over the counter sale of drugs of medical abortion is also legal. Only 40.9% knew the correct regimen of mifepristone + misoprostol combination.Most of them is not aware of any serious side effects and failure rate. Their attitude is indifferent towards the clients but positive towards training in updating knowledge if given option. Conclusion: Their knowledge, attitude and practices while dispensing drugs for medical abortion were inappropriate to qualify them as an independent mid level provider in present scenario. Unregulated OTC sale of abortifacients is responsible for high number of self induced abortion related complications.
导言:尽管有明确的法律和高度宽松的政策,政府批准的医疗机构并不是印度情况下堕胎的主要提供者。无论是否合法,药剂师已经成为印度大量妇女的药物流产提供者。药师调剂人工流产药物具有方便、相对匿名、交易快捷、易获取、节约成本等优点。目的和目的:本研究的目的是评估印度德里市药剂师对非处方销售药物流产的知识、态度和做法。材料和方法:这是一项基于横断面访谈的研究,在德里邦6个地区的110家药店进行。结果:共访谈药师75名、药学工作人员35名。他们在某些方面的认识和实践都是不足的。68%的人知道药物流产是合法的,57%的人认为非处方销售药物流产也是合法的。只有40.9%的患者知道正确的米非司酮+米索前列醇联合用药方案。大多数人都没有意识到任何严重的副作用和失败率。他们对客户的态度是冷漠的,但如果有选择的话,他们对更新知识的培训是积极的。结论:他们在药物流产配药时的知识、态度和做法都不适合作为独立的中级医疗服务提供者。不受管制的人工流产药的OTC销售是导致大量人工流产相关并发症的原因。
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引用次数: 11
Anti neuroinflammatory effect of Vildagliptin in ischaemia-reperfusion induced cerebral infarction in normal and STZ induced type-II diabetic rats 维格列汀对正常和STZ诱导的ii型糖尿病大鼠缺血再灌注性脑梗死的抗神经炎作用
Pub Date : 2016-03-30 DOI: 10.7439/IJPR.V6I3.2978
K. Purnachander, D. Rao, N. Kannappan
Diabetes is one of the major risk factor for cerebral ischemic stroke. Increased base line levels of oxidative stress in diabetes will lead to cerebral ischemic damage. In pathological conditions such as cerebral ischemia/reperfusion injury, free radicals cause oxidative stress and inflammation leading to increased injury of brain. Inflammation is one of the major pathological mechanisms involved in cerebral ischemia and reperfusion injury. Vildagliptin newer anti-diabetic drug of the class DPP-4 inhibitors is reported to have anti-inflammatory properties apart from its antihyperglycemic activity. Therefore the aim of the present study is to evaluate the anti-inflammatory effect of Vildagliptin against cerebral infarction induced ischemia reperfusion injury in normal and STZ induced diabetic Wistar rats. Cerebral infarction was induced by bilateral common carotid artery occlusion followed by 4 hr reperfusion. Percent infarction, inflammatory markers such as MPO, TNF-?, IL-6 and IL-10 were analysed. Treatment with Vildagliptin for a period of four weeks produced significant reduction in percent cerebral infarct volume. Vildagliptin at 10 mg/kg dose, showed significant reduction in markers like MPO, TNF-?, IL-6 and IL-1? in diabetic group when compared to normal group and in contrast significant increase in anti-inflammatory marker like IL-10 levels. Vildagliptin showed significant cerebroprotective effect by antiinflammatory mechanisms.
糖尿病是缺血性脑卒中的主要危险因素之一。糖尿病患者氧化应激基线水平升高会导致脑缺血损伤。在脑缺血再灌注损伤等病理状态下,自由基引起氧化应激和炎症,导致脑损伤加重。炎症是脑缺血再灌注损伤的主要病理机制之一。维格列汀是一类新的抗糖尿病药物DPP-4抑制剂,据报道除了具有抗高血糖活性外,还具有抗炎特性。因此,本研究旨在评价维格列汀对正常和STZ诱导的糖尿病大鼠脑梗死性缺血再灌注损伤的抗炎作用。双侧颈总动脉闭塞后4小时再灌注诱导脑梗死。梗死百分比、炎症标志物如MPO、TNF-?、IL-6和IL-10进行分析。维格列汀治疗4周可显著降低脑梗死体积百分比。10mg /kg剂量的维格列汀显示MPO、TNF-?IL-6和IL-1?与正常组相比,糖尿病组的抗炎标志物如IL-10水平显著增加。维格列汀通过抗炎机制显示出明显的脑保护作用。
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引用次数: 2
Analgesic and anti-inflammatory activity of ?-sitosterol isolated from leaves of Oxalis corniculata 牛膝草叶片中-谷甾醇的镇痛和抗炎活性
Pub Date : 2016-03-30 DOI: 10.7439/IJPR.V6I3.3084
S. Dighe, B. Kuchekar, S. Wankhede
Oxalis corniculata Linn. (Oxalidaceae) is one of the important medicinal plants used traditionally for the treatment of fever, pain and inflammation. To validate folk use of Oxalis corniculata as analgesic and anti-inflammatory remedy. The leaves of Oxalis corniculata was used for successive extraction with increasing polarity solvents. Petroleum ether extract was selected for activity guided fractionation to isolate ?-sitosterol due to its better efficacy than other extracts. Analgesic activity was done by hot plate test and acetic acid-induced writhings, while anti-inflammatory activity by carrageenan-induced paw edema method. All the extracts were screened at the dose of 100 mg/kg, i.p. and isolated ?-sitosterol was screened at the doses of 5, 10 and 20 mg/kg, i.p. Naloxone (1 mg/kg, s.c.) was used to understand the mechanism of nociception. In hot plate test, Petroleum ether extract was found most active with reaction time of 8.4 0.4 sec after 60 min while isolated ?-sitosterol at dose of 20 mg/kg showed 11.1 0.3 sec after 90 min. The number of writings in 30 min was compared with paracetamol. Petroleum ether extract and ?-sitosterol (20 mg/kg) showed 43.14 1.9 and 34.21 1.4 writhings respectively. Isolated ?-sitosterol (20 mg/kg) inhibited rat paw edema to 0.32 0.06 ml after 120 min. Naloxone reversed antinociceptive effects of extracts and isolated ?-sitosterol. It can be concluded that isolated ?-sitosterol is responsible for analgesic and anti-inflammatory activity of Oxalis corniculata leaves and it works through central mechanism.
酢浆草;是传统上用于治疗发烧、疼痛和炎症的重要药用植物之一。目的:验证牛膝草在民间的镇痛抗炎作用。以酢浆草叶为原料,用极性渐强的溶剂进行连续提取。选择石油醚萃取物进行活性引导分离-谷甾醇,其萃取效果优于其他萃取物。采用热板法和醋酸扭体法测定镇痛活性,采用角叉菜胶诱导足跖水肿法测定抗炎活性。所有提取物在100mg /kg, i.p.的剂量下进行筛选,分离的谷甾醇在5mg /kg, i.p.的剂量下进行筛选。纳洛酮(1mg /kg, s.c)用于了解伤害感觉的机制。热板实验中,石油醚提取物的活性最强,60 min后反应时间为8.4 0.4秒,而分离的谷甾醇在20 mg/kg剂量下,90 min后反应时间为11.1 0.3秒。30 min内的写数与对乙酰氨基酚进行比较。石油醚提取物和-谷甾醇(20 mg/kg)的扭曲度分别为43.14 1.9和34.21 1.4。分离-谷甾醇(20 mg/kg)在120 min后可抑制大鼠足部水肿至0.32 0.06 ml。纳洛酮可逆转提取液和分离-谷甾醇的抗痛感作用。由此可见,分离的-谷甾醇参与了草叶的镇痛和抗炎作用,并通过中枢机制发挥作用。
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引用次数: 16
Structural elucidation of novel bioactive compound (2-chloro-1-(2-chlorocyclopropyl)-2-(4-nitrophenyl)ethanone) from basidiomycetous fungus Lentinus squarrosulus 担子菌香菇新活性化合物(2-氯-1-(2-氯环丙基)-2-(4-硝基苯基)乙烷)的结构分析
Pub Date : 2016-02-28 DOI: 10.7439/IJPR.V6I2.3012
N. Usha, S. Shashikanth, G. Janardhana
While screening for bioactive compounds from macrofungi of Western Ghats of Karnataka, Lentinus squarrosulus a member of polyporaceae was collected and mycelium of the fungus was obtained on potato dextrose agar medium and cultured in a liquid medium (containing 2% glucose, 1% peptone and 2% yeast extract) for 20 days on a rotary shaker for the production of secondary metabolites. The cell free culture fluid (100ml) was subjected to solvent extraction with dichloromethane (100ml) and the extract was evaluated for antimicrobial activity by agar diffusion method and cytotoxic activity of the extract was also determined by MTT and SRB assay on MCF7 cell line. The results revealed that the dichloromethane extract was inhibitory against Escherichia coli, Enterobacter aerogenes, Staphylococcus aureus and Bacillus subtilus and also fungi such as Aspergillus niger, Fusarium solani and Trichoderma harzianum . The extract showed 13-27% cell inhibition at 63-1000 g/ml concentration by MTT and SRB assays on MCF7 cell line. The structural elucidation of the compound by spectroscopic NMR ( 1 H and C 13 ), IR and mass spectrometric analysis confirmed the presence of 2-chloro-1-(2-chlorocyclopropyl)-2-(4-nitrophenyl)ethanone responsible for antimicrobial and cytotoxic activity.
在筛选印度Karnataka邦西高特(Western Ghats)大型真菌生物活性物质的过程中,收集了polyporaceae植物Lentinus squarrosulus,在马铃薯葡萄糖琼脂培养基上获得菌丝体,并在含2%葡萄糖、1%蛋白胨和2%酵母提取物的液体培养基上进行了20天的旋转摇床培养,以产生次生代谢产物。将无细胞培养液(100ml)用二氯甲烷(100ml)溶剂萃取,琼脂扩散法评价提取物的抑菌活性,MTT法和SRB法测定提取物对MCF7细胞株的细胞毒活性。结果表明,二氯甲烷提取物对大肠杆菌、产气肠杆菌、金黄色葡萄球菌、亚tilus芽孢杆菌以及黑曲霉、茄枯菌、哈茨木霉等真菌均有抑制作用。MTT和SRB对MCF7细胞株的抑制作用为13-27%,浓度为63-1000 g/ml。通过核磁共振(1h和c13)、红外光谱和质谱分析对化合物进行了结构解析,证实了化合物中存在具有抗菌和细胞毒性的2-氯-1-(2-氯环丙基)-2-(4-硝基苯基)乙酮。
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引用次数: 1
An ethnobotanical study of medicinal plants used by the Masaai people of Losho, Kenya 肯尼亚Losho马赛族人使用的药用植物的民族植物学研究
Pub Date : 2016-02-28 DOI: 10.7439/IJPR.V6I2.2959
D. Chalo, B. Camilla, P. Mutiso
Objective: An ethnobotanical survey on the medicinal plant species in Losho, Narok County, Kenya was conducted in order to document traditional medicinal knowledge and application of medicinal plants. Materials and Methods: This study was undertaken between 2012. Information was gathered from traditional practitioners who lived and practised in Losho, Narok County, Kenya using semi-structured questionnaires and personal interviews during field trips. Ethnobotanical data was arranged alphabetically by family name followed by botanical name, vernacular name, part used, folk use, and recipe. Correct identification was made with the help of taxonomist and voucher specimens deposited at the University of Nairobi Herbarium. Results: Twenty six (26) herbalists between the ages 20-69 years (10 men and 16 women) were purposively selected and interviewed. The present investigation reported medicinal information for 33 species, belonging to 21 plant families. The most represented plant family was Asteraceae followed by Oleaceae and Rhamnaceae. 36 % of the species were used to manage stomach ache and stomach related ailments while 30% of the plant species were used to treat malaria. Conclusion: This survey showed that although people in study area have access to modern medical facility Losho Dispensary but a lot of them still continue to depend on medicinal plants for the treatment of healthcare problems. The present paper represents significant ethnobotanical information on medical plants which provides baseline data for future pharmacological and phytochemical studies.
目的:对肯尼亚纳罗克县Losho地区的药用植物种类进行民族植物学调查,以记录传统医学知识和药用植物的应用。材料与方法:本研究于2012年开展。通过半结构化问卷调查和实地考察期间的个人访谈,从肯尼亚纳罗克县Losho生活和行医的传统从业者那里收集了信息。民族植物学资料按姓氏字母顺序排列,其次是植物名、乡土名、部分使用、民间使用和配方。在分类学家和存放在内罗毕大学植物标本室的代金券标本的帮助下进行了正确的鉴定。结果:有目的地选取20 ~ 69岁的中药师26人(男10人,女16人)进行访谈。本调查报告药用资料33种,隶属于21科植物。最具代表性的植物科是菊科,其次是油科和鼠李科。36%的植物用于治疗胃痛和胃相关疾病,30%的植物用于治疗疟疾。结论:本调查显示,虽然研究地区的人们有机会获得现代化的医疗设施,但许多人仍然继续依靠药用植物来治疗保健问题。本文介绍了药用植物的重要民族植物学信息,为今后的药理学和植物化学研究提供了基础数据。
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引用次数: 10
Development and in vitro- in vivo evaluation of Nitazoxanide sustained release tablets 硝唑昔尼缓释片的研制及体外评价
Pub Date : 2016-02-28 DOI: 10.7439/IJPR.V6I2.3017
Lakshminarayana Reddy Golamaru, K. Rajnarayana, K. Jayaveera
Objective: The objective of the present investigation was to develop a sustained release (SR) tablet formulation of Nitazoxanide.Methods: Nitazoxanide Tablets were prepared by employing wet granulation methods and hydrophilic polymers used as drug release retardants. The dissolution data also evaluated for the drug release mechanism and kinetics. The optimized formulation was subjected for in vivo studies in rabbits.Results: Based on data obtained from the in vitro drug release studies 5%w/w of Methocel K100M was selected as a release retardant. The drug release followed first order kinetics and fickian diffusion.Conclusion: Present investigation indicates that the developed formulation was able to sustain the drug release.
目的:研制硝唑昔尼特缓释片的处方。方法:采用湿法制粒,以亲水性聚合物为缓释剂制备硝唑昔尼特片。溶出度数据还评价了药物释放机制和动力学。并对优化后的配方进行了家兔体内实验。结果:根据体外药物释放研究数据,选择5%w/w的Methocel K100M作为缓释剂。药物释放遵循一级动力学和动力学扩散。结论:该制剂具有缓释作用。
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引用次数: 1
Adverse Drug Reactions to First Line Anti-Tubercular Drugs - A Pharmacovigilance Study 一线抗结核药物的不良反应——一项药物警戒研究
Pub Date : 2016-02-28 DOI: 10.7439/IJPR.V6I2.2899
Umeshchandra C Honnaddi, Madhushalini U. Honnaddi, Tharangini, Tahera Hossain, R. Somani
Introduction: Tuberculosis is one of the major health problems in India and developing countries. It is the second leading infectious cause of morbidity and mortality in the world. Objective: The present study was undertaken to study the Adverse Drug Reactions (ADRs) to first line Anti-tubercular drugs (ATTs) prescribed to tuberculosis patients admitted to Medicine Department, BTGH, attached to M.R. Medical College, Gulbarga. Materials and Methods: A Prospective Observational study was carried among tuberculosis patients on Directly Observed Short Course Chemotherapy (DOTS), admitted to Medicine Department, BTGH, attached to M.R. Medical College; Gulbarga.120 Patients were included during the study period of 9 months from 1 st October 2014 to 30 th June 2015. The data was collected in a Proforma which included questionnaire. Results: A total of 120 tuberculosis patients on DOTS were enrolled for the study. Out of 107 patients, 63 patients (58.87%) developed ADRs. Out of 63 patients, 32 patients (51%) developed Gastro-intestinal problems, 14 patients developed CNS problems (22%), 11 patients (18%) developed Hepatitis, 4 patients (6%) developed Fever and 2 patients (3%) developed Pancreatitis. The most serious ADR was Hepatitis. Conclusion: Results of the study reveals that about 58.87% of patients developed ADRs during the study period. These ADRs will lead to stoppage of drugs, development of Drug resistance and Therapeutic Failure. If a proper Pharmacovigilance system is implemented in the hospital, most of the patients may report their ADRs and thereby we can improve the patient adherence and treatment outcome.
简介:结核病是印度和发展中国家的主要健康问题之一。它是世界上发病率和死亡率的第二大传染病。目的:了解古尔巴嘎市M.R.医学院附属BTGH内科收治的结核病患者对一线抗结核药物的不良反应情况。材料与方法:采用前瞻性观察性研究,选取M.R.医学院附属BTGH内科住院接受直接短程化疗(DOTS)的结核病患者;2014年10月1日至2015年6月30日共纳入120例患者,研究时间为9个月。数据以形式形式收集,其中包括问卷调查。结果:本研究共纳入120例接受DOTS治疗的结核病患者。107例患者中,63例(58.87%)发生不良反应。63例患者中,32例(51%)出现胃肠道问题,14例(22%)出现中枢神经系统问题,11例(18%)出现肝炎,4例(6%)出现发烧,2例(3%)出现胰腺炎。最严重的不良反应是肝炎。结论:研究结果显示,58.87%的患者在研究期间发生了不良反应。这些不良反应将导致停药、耐药和治疗失败。如果在医院实施适当的药物警戒系统,大多数患者可能会报告他们的不良反应,从而提高患者的依从性和治疗效果。
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引用次数: 6
期刊
International Journal of Pharmacological Research
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