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A CASE SERIES ON SCRUB TYPHUS 关于恙虫病的一系列病例
Pub Date : 2021-01-31 DOI: 10.7897/2230-8407.1201113
Shamsudeen Moideen, Muhammed Thoyyib Mk, Fathima Zerin Haris, A. Sunny, Neetha Vp
Scrub typhus is a rickettsial disease caused by Orientia tsutsugamushi. It is transmitted to humans via infected chiggers (larva of trombiculid mite). Eschar is a characteristic feature for the diagnosis of scrub typhus and other mite or tick-borne rickettsiosis. Immunofluorescence Antibody (IFA) test is the gold standard for the diagnosis, and doxycycline is the drug of choice for treatment of scrub typhus. We present a case series of scrub typhus in three patients from South India. All three patients presented with high grade fever and IgM scrub typhus was positive status in all cases. Doxycycline 100 mg twice daily for 7 days along with supportive care was effective in all the cases. Serum creatinine levels dropped to normal and renal status of all patients improved well with antimicrobial treatment. Early diagnosis of the infection is necessary as the disease as it can have multiple system involvement and serious complications.
恙虫病是一种由恙虫病东方体引起的立克次体病。它通过感染恙螨(恙螨幼虫)传播给人类。疥疮是诊断恙虫病和其他螨或蜱传立克次体病的特征。免疫荧光抗体(IFA)试验是诊断恙虫病的金标准,强力霉素是治疗恙虫病的首选药物。我们报告了印度南部三例恙虫病的病例系列。3例患者均出现高热,IgM恙虫病均呈阳性。强力霉素100mg,每日两次,连用7天,配合支持治疗对所有病例均有效。经抗菌药物治疗,所有患者血清肌酐水平均降至正常水平,肾脏状况改善良好。早期诊断感染是必要的,因为该病可累及多个系统和严重并发症。
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引用次数: 0
STUDY ON MEDICATION APPROPRIATENESS AMONG GERIATRICS IN TERTIARY CARE TEACHING HOSPITAL 三级护理教学医院老年科用药适宜性研究
Pub Date : 2021-01-31 DOI: 10.7897/2230-8407.1201116
P. Lakshmi, B. RamyaKuber
Introduction: Older patients are considered as special population, the pharmaceutical care with focus of increasing medication appropriateness and reducing medication related problems is needed. Elderly patients have a higher prevalence of chronic and multiple illness and physiological changes associated with aging may masquerade as illness. Aim & Objectives: To assess and evaluate the drug prescribing pattern and inappropriate prescribing by using beers criteria 2015 among Geriatric patients. Materials & Methodology: A prospective observational study was conducted in general medicine out-patient department, SVRRGGH, Tirupati for period of 6months.The patients of general medicine out-patient department with age above 65yrs old were included in the study. The Patients who are not willing to participate in the study, inpatients and terminally ill patients were excluded from the study. Results & Discussion: Among 200 patients, distribution of age majority of the patients is male (71%) followed by females (29%), Most of patients have multiple diseases (64%) followed by Single disease (29%). All potentially inappropriate medicines (PIMS) are classified as category A, B, C. Drugs have to be avoided in geriatric patients (Category A) being the most common category of inappropriate as per Beers criteria updated by American Geriatric Society 2015.Our study reported 174 drugs as PIMs. Conclusion: It is also necessary to improve the geriatric care, as this age group possess risk for many diseases and medication use. In future a multidisciplinary approach, steps to be taken involving physicians, nurses and pharmacists has a team for bringing out rational drug use in geriatric population.
老年患者被认为是特殊人群,需要以增加用药适宜性和减少用药相关问题为重点的药学服务。老年患者有较高的慢性和多种疾病患病率,与衰老相关的生理变化可能伪装成疾病。目的与目的:应用2015年beers标准对老年患者的用药模式和不当用药进行评价。材料与方法:在蒂鲁帕蒂市SVRRGGH普通内科门诊部进行为期6个月的前瞻性观察研究。研究对象为年龄在65岁以上的普通科门诊患者。不愿意参加研究的患者、住院患者和绝症患者被排除在研究之外。结果与讨论:200例患者中,年龄分布以男性居多(71%),其次为女性(29%),多病居多(64%),单病次之(29%)。所有可能不适当的药物(PIMS)被分类为A、B、c类。根据美国老年学会2015年更新的比尔斯标准,老年患者必须避免使用的药物(A类)是最常见的不适当类别。我们的研究报告了174种药物作为pim。结论:老年人群具有多种疾病和用药风险,需要加强老年护理。今后采取多学科方法,采取包括医生、护士和药剂师在内的步骤,组成一个小组,在老年人口中推行合理用药。
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引用次数: 0
BIOSTATISTICS IN CLINICAL RESEARCH: A REVIEW 临床研究中的生物统计学综述
Pub Date : 2021-01-31 DOI: 10.7897/2230-8407.1201109
Aneesha Chatla, B. Neela, C. S. Mujeebuddin, V. Raj
Statistics is the discipline concerning collection, organizing, analyzing, interpretation and presentation of data as the basis for explanation, description and comparison. In clinical trials and in the drug development process, statistics play a key role, from trial design to protocol development. The credibility of a clinical trial can be upheld and cooperation between physicians and statisticians can be strengthened by providing a fundamental understanding of statistical issues. In any phase of clinical research, including trial design, development of procedures, data management and tracking, data processing, and reporting of clinical trials, biostatistics are involved. Statisticians also have roles in formulate hypothesis, develop statistical analysis plan (SAP), choosing the appropriate test, choose an apt sample size, data collection, perform the tests, generating TLGs (tables, listings, and graphs) and reporting the inferences. It is important that the rest of the research team recognizes the statistical approach suggested by the biostatistician, because statisticians can specialize in study designs, therapeutic areas and statistical methods.
统计学是一门收集、组织、分析、解释和呈现数据的学科,是解释、描述和比较的基础。在临床试验和药物开发过程中,从试验设计到方案开发,统计学起着关键作用。通过提供对统计问题的基本理解,可以维护临床试验的可信度,加强医生和统计学家之间的合作。在临床研究的任何阶段,包括试验设计、程序开发、数据管理和跟踪、数据处理和临床试验报告,都涉及到生物统计学。统计学家还在制定假设、制定统计分析计划(SAP)、选择适当的测试、选择合适的样本量、收集数据、执行测试、生成tlg(表、清单和图表)和报告推论等方面发挥作用。重要的是,研究小组的其他成员认识到生物统计学家提出的统计方法,因为统计学家可以专门研究设计,治疗领域和统计方法。
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引用次数: 0
RECENT TRENDS IN TREATMENT AND VALIDITY OF SCREENING MODELS USED IN TYPE 2 DIABETES MELLITUS: A REVIEW 2型糖尿病治疗的最新趋势和筛查模型的有效性:综述
Pub Date : 2021-01-31 DOI: 10.7897/2230-8407.1201110
Ankita Tripathi, K. Bhardwaj, Sapna Chaudhar, Radhika Chaurasia, Ravindra Kumar, Shivakaht Mishra
Type II Diabetes mellitus (NIDDM) is a complex and metabolic disease that affects and presents a serious health problem for more than 100 million people around the world. Genetics and the environment are the variables which affect NIDDM. Reasonable screening models of animals will easily understand the pharmacological screening of different therapeutic agents. NIDDM animal models are acquired either naturally or caused by chemical reagents or by dietary, surgical or combination manipulation. A significant number of new genetically engineered animal models, including knock-out, transgenic, and tissue-specific knockout mice, have been designed for the Diabetes mellitus (D.M.) research in the past year. With regard to their characteristic characteristics and processes by which they arise, this analysis focuses on the animal models of NIDDM. In addition, this analysis explicitly discusses the optimal selection and use of various animal screening models for the treatment of NIDDM in preclinical research.
2型糖尿病(NIDDM)是一种复杂的代谢性疾病,影响并呈现出严重的健康问题,影响全球超过1亿人。遗传和环境是影响NIDDM的变量。合理的动物筛选模型,便于了解不同治疗剂的药理筛选。NIDDM动物模型可以自然获得,也可以由化学试剂或饮食、手术或联合操作引起。在过去的一年中,大量新的基因工程动物模型,包括基因敲除、转基因和组织特异性敲除小鼠,被设计用于糖尿病(dm)研究。关于它们的特征特征和它们产生的过程,本分析侧重于NIDDM的动物模型。此外,本分析明确讨论了临床前研究中治疗NIDDM的各种动物筛选模型的最佳选择和使用。
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引用次数: 1
ANTIMICROBIAL ACTIVITY TEST OF GENUS ALLIUM: A REVIEW 葱属植物抗菌活性试验研究进展
Pub Date : 2020-12-31 DOI: 10.7897/2230-8407.1112102
Fadhilah Arifa, Anzharni Fajrina, Aried Eriadi, Ridho Asra
The genus Allium plants are often used by people as a food flavoring. These plants are also used for medicinal purposes. The genus Allium plants are known to inhibit the growth of microorganisms such as bacteria, fungi, viruses, and parasites by having the Allicin, Ajoene main compounds, and secondary metabolites. This review article describes plants from the genus Allium that have antimicrobial potential. In the writing process, this review article used literature study techniques by finding literature in the form of official books, national journals, and international journals in the last 10 years (2010-2020). The literature search in writing this review article was conducted through online media search with keywords as follows: antimicrobial, Allium, and inhibition zone diameter. The search for the main references in this review article was done through Google Scholar, ScienceDirect, Reserachgate, and other published journals. Some plants of the genus Allium such as Allium ascalonicum, Allium cepa, Allium chinense, Allium porrum, Allium roseum, Allium sativum, Allium staticiforme, Allium subhirsutum, Allium tuberosum, Allium tuncelianum, and Allium wallichii showed antimicrobial activity. The potential antimicrobial activity of each part of the plant depends on the solvent used, the concentration and levels of secondary metabolites contained therein.
葱属植物常被人们用作食品调味品。这些植物也有药用价值。众所周知,葱属植物具有抑制细菌、真菌、病毒和寄生虫等微生物的生长的作用,因为它含有大蒜素、阿琼烯的主要化合物和次级代谢产物。本文综述了具有抗菌潜力的葱属植物。在写作过程中,本文采用文献研究法,以官方书籍、国内期刊和国际期刊的形式查找近10年(2010-2020)的文献。撰写这篇综述文章的文献检索是通过网络媒体检索进行的,关键词为:antimicrobial, Allium, inhibition zone diameter。本文主要参考文献的检索是通过谷歌Scholar、ScienceDirect、researchgate和其他已发表的期刊完成的。部分葱属植物,如ascalonium、Allium cepa、Allium chinense、Allium porrum、Allium roseum、Allium sativum、Allium staticiforme、Allium subhirsutum、Allium tuberosum、Allium tuncelium、Allium wallichii等,均表现出抑菌活性。植物各部分的潜在抗菌活性取决于所使用的溶剂、其中所含次级代谢物的浓度和水平。
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引用次数: 1
EPIDEMIOLOGY OF RESPIRATORY PROBLEMS IN ASSOCIATION WITH VARIOUS RISK FACTORS: A CLINICAL STUDY AT ST. JOSEPH’S GENERAL HOSPITAL 与各种危险因素相关的呼吸系统疾病的流行病学:圣约瑟夫综合医院的临床研究
Pub Date : 2020-12-31 DOI: 10.7897/2230-8407.1112105
V. Chakravarthy, Dasari Rama Krishna Prasad, Reddy Pavan Teja, D. Rispa
The aim of the study was to identify the epidemiology of respiratory problems and to assess their association with various risk factors in patients of St. Joseph’s general hospital, Guntur, Andhra Pradesh. The study was conducted over a period of 8 months (July-2019 to February-2020) in 71 patients (both males and females) and the data was analyzed using EXCEL 2007 and SPSS version 6.0. The study was conducted throughout 3 seasons (Monsoon, autumn, winter) during which people are more prone to respiratory problems. Demographic information like the name, age, gender, address, and previous medical history was included. The risk factors like time of admission (month), location, age, gender, past medical history & other co-morbidities and social history were considered. The diagnosed pulmonary problems include Asthma, Bronchitis (acute, chronic & viral), COPD, Interstitial Lung Disease, LRTI, Lung Cancer, Pneumonia, Respiratory Failure, Tuberculosis, Tonsillitis and Shortness of Breath due to either Plural Effusion or Pulmonary Oedema. This study depicts the epidemiology of respiratory problems as Non-Guntur district (14.084%), Guntur urban (59.154%), Guntur rural (26.760%). This study shows the results as; patient with social history of tobacco and/or alcohol (10%), patients without any social history (90%), without any past medical history or other co-morbidities (51%), with some past medical history (49%), males (54.93%), females (45.07), July to October (50.7%), November to February (49.3%). And 61-to-70-year patients are at the top (23.94%) and 11 to 20 year patients are at the bottom (1.40%) of the distribution.
该研究的目的是确定呼吸问题的流行病学,并评估其与安得拉邦贡图尔圣约瑟夫综合医院患者各种风险因素的关系。研究对71例患者(包括男性和女性)进行了为期8个月的研究(2019年7月至2020年2月),使用EXCEL 2007和SPSS 6.0版本对数据进行了分析。这项研究是在三个季节(季风、秋季、冬季)进行的,在这三个季节里,人们更容易患呼吸道疾病。包括姓名、年龄、性别、地址和既往病史等人口统计信息。考虑入院时间(月)、地点、年龄、性别、既往病史及其他合并症、社会史等危险因素。被诊断出的肺部问题包括哮喘、支气管炎(急性、慢性和病毒性)、慢性阻塞性肺病、间质性肺病、下呼吸道感染、肺癌、肺炎、呼吸衰竭、结核病、扁桃体炎和由多发性积液或肺水肿引起的呼吸短促。本研究描述了非贡图尔地区(14.084%)、贡图尔城市(59.154%)、贡图尔农村(26.760%)呼吸道疾病的流行病学情况。本研究结果为;有烟酒社会史(10%)、无烟酒社会史(90%)、无既往病史或其他合并症(51%)、有既往病史(49%),男性(54.93%)、女性(45.07),7 - 10月(50.7%)、11 - 2月(49.3%)。61 ~ 70岁的患者分布最高(23.94%),11 ~ 20岁的患者分布最低(1.40%)。
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引用次数: 0
DEVELOPMENT OF ANALYTICAL METHOD AND ITS VALIDATION FOR SILDENAFIL CITRATE BY UV-SPECTROPHOTOMETRY 枸橼酸西地那非紫外分光光度分析方法的建立及验证
Pub Date : 2020-12-31 DOI: 10.7897/2230-8407.1112106
D. Tomar, Peeyush Kaushik, Ashish Mishra, Lalan Kumar Sah
bulk drugs and the drug formulations and its validation. Method: The ideal conditions were established for the investigation or analysis of the drug. Results: The λmax of 293.2nmwas found for the Sildenafil citrate. Within, 8 to 60μg/ml concentration range the method complied with Beer's Law and show exceptional sensitivity with linearity. Moreover, 1.012 and 3.036 were observed limit of detection and quantification, respectively. When the absorbance versus concentration graph was plotted on the calibration curves a linear relationship was observed with the coefficient correlation of 0.99. The observed regression coefficient (Y) of the calibration curves was found to be 0.0131x- 0.0191. The method was precise and accurate with the experiential value of 2.0325± 0.044. The stability of the test solution was up to 48 hours. Conclusion: The proposed analytical method is simple, economical and experimentally less time-consuming. Therefore, it will be appropriate for Sildenafil citrate analysis of pharmaceutical formulations in bulk.
原料药、制剂及其验证。方法:为该药物的调查或分析建立了理想的条件。结果:枸橼酸西地那非的λmax为293.2nm。在8 ~ 60μg/ml浓度范围内,该方法符合比尔定律,具有良好的线性敏感性。检出限为1.012,定量限为3.036。在标定曲线上绘制吸光度-浓度曲线,两者呈线性关系,相关系数为0.99。校正曲线的回归系数(Y)为0.0131x- 0.0191。方法精密度高,准确度为2.0325±0.044。测试溶液的稳定性可达48小时。结论:该方法简便、经济、实验时间短。因此,它将适用于散装药物制剂的柠檬酸西地那非分析。
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引用次数: 0
A REVIEW ON CYTOTOXIC ACTIVITY OF (GARCINIA COWA ROXB.): POTENTIAL AS AN ANTICANCER 藤黄的细胞毒活性及其抗癌潜力的研究进展
Pub Date : 2020-12-31 DOI: 10.7897/2230-8407.1112100
Nur Syakila, Aried Eriadi, D. Bakhtra, Ridho Asra
Cancer is a disease of abnormal body tissue cells that turn malignant. From the data, it can be seen that new cases and the death rate from cancer continues to increase every year so that efforts are made in the search for new anticancer agents for the prevention and treatment of cancer. There are many natural ingredients that can be used for its benefits, one of which is the Asam Kandis plant (Garcinia cowa Roxb.) This plant is rich in phytochemicals. It can be an important source of natural cytotoxic compounds and has potential as an anticancer. The analysis showed that the extract or compound from the roots, bark, twigs, leaves, and fruit rind of Asam Kandis (Garcinia cowa Roxb.) has good cytotoxic activity and is active against cancer cell lines so that it can help in the development of cancer therapy.
癌症是一种异常的身体组织细胞变为恶性的疾病。从数据中可以看出,癌症的新病例和死亡率每年都在不断增加,因此人们努力寻找新的抗癌药物来预防和治疗癌症。有许多天然成分可用于其益处,其中之一是阿萨姆坎迪斯植物(Garcinia cowa Roxb)。这种植物富含植物化学物质。它是天然细胞毒性化合物的重要来源,具有抗癌的潜力。分析结果表明,从藤黄(Garcinia cowa Roxb.)的根、树皮、树枝、叶子、果皮中提取的提取物或化合物具有良好的细胞毒活性,对癌细胞具有活性,因此有助于癌症治疗的开发。
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引用次数: 0
STRATEGIES FOR MANAGEMENT OF ALZHEIMER’S DISEASE: A REVIEW 阿尔茨海默病的治疗策略综述
Pub Date : 2020-12-31 DOI: 10.7897/2230-8407.1112101
I. Sharma, Ankita Kumar
Alzheimer’s is the most widely recognized reason for dementia discovered by Alois Alzheimer’s in 1906. Severity of Alzheimer’s disease is increments with age and mostly after 65 years. It is a progressive neurodegenerative disease that damage memory and intellectual capacities. It affects 34 million people worldwide and as time goes, the pervasiveness of Alzheimer’s disease continues to increase and as indicated by WHO it can reaches to 95 million by 2050. Manifestation of Alzheimer’s incorporates cognitive decline that changes day by day way of life, trouble in finishing everyday errands, disarray with time or spot, misguide thinking. Most preferred drugs used for Alzheimer’s are cholinesterase inhibitors like Donepezil, rivastigmine, Galantamine, Tacrine, NMDA receptor antagonist like memantine. The purpose of this review article is to provide a brief introduction, potential causes, symptoms and mechanism of action of Alzheimer’s disease. This review article likewise accentuation on utilization of therapeutic plants and isolated compounds for preventing and reducing the symptoms of Alzheimer’s disease.
阿尔茨海默氏症是1906年由阿洛伊斯·阿尔茨海默氏症发现的最被广泛认可的痴呆症原因。阿尔茨海默病的严重程度随着年龄的增长而增加,尤其是在65岁以后。它是一种进行性神经退行性疾病,会损害记忆和智力。它影响着全世界3400万人,随着时间的推移,阿尔茨海默病的普遍性继续增加,据世卫组织指出,到2050年可能达到9500万人。阿尔茨海默氏症的表现包括认知能力下降,改变日常生活方式,难以完成日常事务,时间或地点混乱,思维错误。阿尔茨海默氏症的首选药物是胆碱酯酶抑制剂,如多奈哌齐,利瓦斯汀,加兰他明,他克林,NMDA受体拮抗剂,如美金刚。本文就阿尔茨海默病的发病原因、症状及作用机制作一综述。本文还着重介绍了治疗植物和分离化合物在预防和减轻阿尔茨海默病症状方面的应用。
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引用次数: 2
SCREENING OF BIOACTIVE COMPONENTS BY GC-MS ANALYSIS AND THE STUDY ON IN VITRO ANTICANCER EFFICACY OF MICROPORUS AFFINIS (BLUME & T. NEES) KUNT. 气相色谱-质谱联用法筛选affinis microporus (blume & t. nees) kunt的活性成分及体外抗癌作用研究。
Pub Date : 2020-12-31 DOI: 10.7897/2230-8407.1112104
S. Aneesh, J. E. Thoppil
Natural compounds with biological activity are normally present in plants, mushrooms and their natural sources. Applied mycology is one of the most stimulating and rapidly evolving areas of the biological sciences. Hence the present study focussed on exploring Microporus affinis (Blume & T. Nees) Kunt., the least explored and edible bracket fungus. Chemical characterization by GC-MS analysis resulted in the presence of 47 bioactive compounds. 9, 12- Octadecadienoic acid (Z,Z)- methyl ester, Ergosterol, Monolinolein, Thiacremonone, Stellasterol, n- Hexadecanoic acid, Ribitol, Maltol etc., were the leading compounds. Because of the presence of various bioactive compounds which have been already reported to possess antitumor, antioxidant and anticancer activities, M. affinis extract has been tested for in vitro anticancer efficacy on DLD1 cell lines (cultured in DMEM medium) using MTT assay. It resulted in the decrease of percentage of viability as the increase in concentration of the extract. Apoptosis was determined by using Acridine orange and Ethidium bromide staining. Thus, the taxa, M. affinis can be recommended for further anticancer assays for validation.
具有生物活性的天然化合物通常存在于植物、蘑菇及其天然来源中。应用真菌学是生物科学中最令人兴奋和发展最快的领域之一。因此,本研究的重点是探索Microporus affinis (Blume & T. Nees) Kunt。是探索最少的可食用支架菌。经GC-MS分析,共鉴定出47种生物活性化合物。9,12 -十八二烯酸(Z,Z)-甲酯、麦角甾醇、单油酸、硫胺酮、星甾醇、正十六烷酸、利比醇、麦芽醇等为先导化合物。由于存在多种生物活性化合物,已报道具有抗肿瘤,抗氧化和抗癌活性,因此使用MTT法对DLD1细胞株(在DMEM培养基中培养)进行了体外抗癌效果测试。结果表明,随着提取物浓度的增加,活性百分率降低。用吖啶橙和溴化乙啶染色法检测细胞凋亡。因此,类群M. affinis可以推荐用于进一步的抗癌试验以进行验证。
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引用次数: 0
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International Research Journal Of Pharmacy
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