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Iraqi Journal of Pharmaceutical Sciences ( P-ISSN: 1683 - 3597 , E-ISSN : 2521 - 3512)最新文献

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Descriptive, Prospective Observational Study- Studying Possible Prediction Factors for Disease Severity and Progression among a Sample of COVD 19 Patients in Iraq 描述性、前瞻性观察性研究——研究伊拉克COVD 19患者样本中疾病严重程度和进展的可能预测因素
Duaa M .Habib, Z. Anwer, بيبح دمحم
Abstract Coronavirus has affected many people around the world and caused an increase in the number of hospitalized patients and deaths. The prediction factor may help the physician to classify whether the patient needs more medical attention to decrease mortality and worsening of symptoms. We aimed to study the possible relationship between C reactive protein level and the severity of symptoms and its effect on the prognosis of the disease. And determine patients who require closer respiratory monitoring and more aggressive supportive therapies to avoid poor prognosis. The data was gathered using medical record data, the patient's medical history, and the onset of symptoms, as well as a blood sample to test the C-reactive protein level. The patients were divided into three groups based on the severity of the disease.  A prospective cohort study of 246 patients over the age of 18 years discovered that c-reactive protein levels were significantly higher in more severe cases than in mild cases, and that older patients with high levels of AST, TSB, Urea, Creatinine, and CRP were associated with the need for a high flow of oxygen, an intensive care unit, a longer length of hospitalization, and a have a high mortality rate. The study concluded several predictor factors for the disease (COVID-19) severity, duration of hospitalization, ICU admission and need for oxygen therapy.
冠状病毒已经影响了世界各地的许多人,并导致住院患者和死亡人数增加。预测因素可以帮助医生区分患者是否需要更多的医疗照顾,以降低死亡率和症状恶化。我们旨在研究C反应蛋白水平与症状严重程度的可能关系及其对疾病预后的影响。并确定需要更密切的呼吸监测和更积极的支持治疗的患者,以避免预后不良。收集数据的方法包括医疗记录数据、患者的病史、症状的发作,以及用于检测c反应蛋白水平的血液样本。根据病情的严重程度将患者分为三组。一项针对246名18岁以上患者的前瞻性队列研究发现,重症患者的c反应蛋白水平明显高于轻症患者,AST、TSB、尿素、肌酐和CRP水平较高的老年患者需要大流量氧气、需要重症监护病房、住院时间较长、死亡率较高。该研究总结了疾病(COVID-19)严重程度、住院时间、ICU入院和氧疗需求的几个预测因素。
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引用次数: 0
Aspirin Derivatives Exploration: A Review on Comparison Study with Parent Drug 阿司匹林衍生物开发:与母体药物比较研究综述
Azni Izwati Hamdan, Norsyafikah Asyilla Nordin, Dike Dandari Sukmana
In recent decades, drug modification is no longer unusual in the pharmaceutical world as living things are evolving in response to environmental changes. A non-steroidal anti-inflammatory drug (NSAID) such as aspirin is a common over-the-counter drug that can be purchased without medical prescription. Aspirin can inhibit the synthesis of prostaglandin by blocking the cyclooxygenase (COX) which contributes to its properties such as anti-inflammatory, antipyretic, antiplatelet and etc. It is also being considered as a chemopreventive agent due to its antithrombotic actions through the COX’s inhibition. However, the prolonged use of aspirin can cause heartburn, ulceration, and gastro-toxicity in children and adults. This review article highlights the recent derivatives of aspirin, either to reduce the risk of side effects or to obtain better physicochemical properties. Aspirin derivatives can be synthesized in various pathways and have been reported to give better biological activities such as anticancer, anti-inflammatory, antibacterial, antioxidant, etc., compared to the parent drug. The presence of significant moieties such as nitric oxide (NO), NOSH, thiourea, azo, amide, and chalcone on the modified aspirin play important roles in achieving desired biological activities. The addition of the halogen in the modification has also become a preference among researchers as it also affects the actions due to its ability to hinder bacterial activity. This review is also sharing about the bulkiness effect of certain aspirin modifications that may cause steric hindrance of the compounds and influence their penetration into the enzyme’s active site. Overall, these aspirin modifications are safe to be considered as potential pharmaceutical agents.
近几十年来,随着生物对环境变化的反应不断进化,药物修饰在制药领域已不再罕见。非甾体抗炎药(NSAID),如阿司匹林,是一种常见的非处方药,不需要医生处方就可以购买。阿司匹林可通过阻断环氧化酶(COX)抑制前列腺素的合成,从而具有抗炎、解热、抗血小板等作用。它也被认为是一种化学预防剂,因为它的抗血栓作用通过COX的抑制。然而,长期使用阿司匹林可引起儿童和成人的胃灼热、溃疡和胃毒性。这篇综述文章重点介绍了阿司匹林的最新衍生物,要么减少副作用的风险,要么获得更好的物理化学性质。阿司匹林衍生物可以通过多种途径合成,并且与母体药物相比,已报道具有更好的生物活性,如抗癌、抗炎、抗菌、抗氧化等。在改性后的阿司匹林中,一氧化氮(NO)、NOSH、硫脲、偶氮、酰胺和查尔酮等重要成分的存在对达到预期的生物活性起着重要作用。在改性中添加卤素也成为研究人员的首选,因为它也影响了由于其阻碍细菌活性的能力而产生的作用。本综述还分享了某些阿司匹林修饰的体积效应,这些修饰可能导致化合物的空间位阻并影响它们渗透到酶的活性位点。总的来说,这些阿司匹林的修改是安全的,可以被认为是潜在的药物制剂。
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引用次数: 0
Sensitive Cloud Point Extraction Method for the Determination of Isoxsuprine Hydrochloride in Pharmaceutical forms using Spectrophotometry 灵敏云点萃取法分光光度法测定制剂中盐酸异苏嘌呤的含量
H. Hadi, Wasan A. Al-Uzri
      A simple and highly sensitive cloud point extraction process was suggested for preconcentration of micrograms amount of isoxsuprine hydrochloride (ISX) in pure and pharmaceutical samples. After diazotization coupling of ISX with diazotized sulfadimidine in alkaline medium, the azo-dye product quantitatively extracted into the Triton X-114 rich phase, dissolved in ethanol and determined spectrophotometrically at 490 nm. The suggested reaction was studied with and without extraction and simple comparison between the batch and CPE methods was achieved. Analytical variables including concentrations of reagent, Triton X-114 and base, incubated temperature, and time were carefully studied. Under the selected optimum conditions, the linearity ranges of calibration curves were 1-9 and 0.5-8 µg/mL with detection limits of 0.26 and 0.09 µg/mL of ISX for batch and CPE methods respectively. A relative standard deviation (RSD %) best than 1.98 and 2.67 % with the percentage recoveries range 100.14 and 99.63 % were obtained for both methods respectively. The proposed methods were successfully used in routine analysis of ISX in pharmaceutical forms with high accuracy and reproducibility.
提出了一种简便、高灵敏度的浊点萃取法,用于纯品和药用样品中微量盐酸异苏嘌呤(ISX)的富集。ISX与重氮磺胺在碱性介质中重氮偶氮偶联后,将偶氮染料产物定量提取到Triton X-114富相中,溶解于乙醇中,在490 nm处分光光度测定。对建议的反应进行了有萃取和无萃取的研究,并对间歇法和CPE法进行了简单的比较。分析变量包括试剂浓度,Triton X-114和碱,孵育温度和时间仔细研究。在所选择的最佳条件下,批法和CPE法的ISX检出限分别为0.26和0.09µg/mL,校准曲线的线性范围为1 ~ 9和0.5 ~ 8µg/mL。两种方法的相对标准偏差(RSD %)分别为1.98和2.67%,加样回收率分别为100.14%和99.63%。该方法具有较高的准确度和重复性,可成功地用于药物制剂中ISX的常规分析。
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引用次数: 0
Plant-derived Molecules for the Treatment of Tuberculosis: A Review 植物源性分子治疗肺结核的研究进展
M. Yadav, Poonam Sharma
Synthetic anti-TB drugs are being used to treat tuberculosis (TB) as they are effective, however, they are accompanied by many side effects. The disease has remained largely uncured till date. The use of plant extracts or phytochemicals along with the anti-TB drugs is a very attractive strategy to make the treatment more effective as phytochemicals have no side-effects, are much less toxic than synthetic anti-TB drugs, are safe to use and most importantly, do not produce resistant strains as opposed to synthetic anti-TB drugs. Approximately 420,000 plant species have been identified globally and among them only a few have been explored for their therapeutic potential. Traditional medicine in different parts of the world has employed crude extracts of several plant species to cure tuberculosis. Several anti-TB phytochemicals have been found in plants that are identified to have therapeutic qualities.  These phytochemicals are majorly glycosides, flavonoids, triterpenes, phenolic compounds, alkaloids, flavonoids, diterpenoid, lipids, tannins, sterols etc. by nature. They are either antimycobacterial or act synergistically with anti-TB drugs and reduce their adverse effects. Phytochemicals ameliorate the symptoms either by reducing the oxidative stress in the afflicted tissues or by regulating the inflammatory response. Hence, plant derived molecules have great potential to be used for the alternative treatment strategy for TB in future.
合成抗结核药物被用于治疗结核病,因为它们是有效的,然而,它们伴随着许多副作用。到目前为止,这种疾病基本上没有治愈。与抗结核药物一起使用植物提取物或植物化学物质是一种非常有吸引力的策略,可以使治疗更有效,因为植物化学物质没有副作用,毒性比合成抗结核药物小得多,使用安全,最重要的是,与合成抗结核药物相比,不会产生耐药菌株。全球已经确定了大约42万种植物,其中只有少数植物的治疗潜力得到了探索。世界各地的传统医学都使用几种植物的粗提取物来治疗结核病。在植物中发现了几种抗结核植物化学物质,经鉴定具有治疗作用。这些植物化学物质本质上主要是苷类、类黄酮、三萜、酚类化合物、生物碱、类黄酮、二萜、脂类、单宁、甾醇等。它们要么抗结核,要么与抗结核药物协同作用,减少其不良反应。植物化学物质通过减少患病组织中的氧化应激或调节炎症反应来改善症状。因此,植物衍生分子在未来的结核病替代治疗策略中具有很大的潜力。
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引用次数: 0
In silico, In vitro studies of Anti-Oxidant and Anthelminthic Abilities of Phytoconstituents from Rhynchosia cana (Wild.) DC. 体外抗氧化和驱虫能力的实验研究直流。
Praveena Yempada, Arya Lakshmi Marrisetti, G. Battu
Helminthiasis is a significant economic burden on grazing cattle. Increased resistance to currently available synthetic anthelmintics used to treat helminthiasis, and anthelmintic residues in meat and dairy products pose a significant worldwide health threat. These obstacles require the development of new anthelmintics capable of combating drug resistance while also exhibiting improved safety profiles. Rhynchosia cana (Fabaceae) is a herb that has historically been used as a worm expeller. To evaluate the phytochemical profile and explore the anti-oxidant and anthelmintic effects of different extracts of Rhynchosia cana (R. cana) by In silico and In vitro methods. Using standardised chemical tests as defined in the literature, phytochemical research was carried out. Using 2,2-diphenyl-1-picrylhydrazyl (DPPH) and Hydrogen peroxide (H2O2) radicals scavenging assay, In vitro free radical scavenging behaviour of different extracts was quantitatively estimated, whereas In-vitro anthelmintic activity was measured against Pheretima posthuma (P. posthuma) (Annelida). The molecular docking analysis was then carried out to establish compounds with good efficiency for anti-oxidant activity against the catalase, superoxide dismutase, glutathione-S-transferase, glutathione reductase, glutathione peroxidase and tubulin-colchicine enzyme for anthelmintic activity. Furthermore, ADME/T profiles have been tested by ADMET SAR. The various extracts of R cana potentially inhibited the reactive oxygen species (ROS) and possessed anti-oxidant activity.  In anti-oxidant assays, the IC50 values ranged from 62.08 to 440.08 μg/mL for PERC,  EARC, and MERC.  All the extracts demonstrated anthelmintic behaviour on P. posthuma that was dose-dependent and statistically relevant. On the other side, molecular docking analysis reveals that Gallocatechin has the best fitness score of -7.1 kcal/mol with tubulin-colchicine enzyme; Rhynchosin, Luteolin-3',4'-dimethyl ether, Isoorientin and Orientin has the best fitness scores with different targets related to the oxidation process. In addition, all compounds were in the array of expected properties to fulfil the Lipinski law of five to be accepted as drug-like potential. The observation indicates that the R. cana possesses anti-oxidant and anthelmintic activity In vitro and In silico assays. However, further research was needed to elucidate their primary molecular mechanism of action, safety, toxicity, and bioavailability.
蠕虫病是放牧牛的重大经济负担。对目前用于治疗寄生虫病的合成驱虫药的耐药性增强,以及肉类和乳制品中的驱虫药残留对全球健康构成重大威胁。这些障碍要求开发新的驱虫药,既能抵抗耐药性,又能表现出更好的安全性。鸢尾草(豆科)是一种草本植物,历史上一直被用作驱虫剂。采用体外实验和室内实验的方法,对不同提取部位的植物化学性质进行评价,探讨其抗氧化和驱虫作用。利用文献中定义的标准化化学试验,进行了植物化学研究。采用2,2-二苯基-1-苦味酰肼(DPPH)和过氧化氢(H2O2)自由基清除实验,定量评估了不同提取物的体外自由基清除能力,并测定了其对环节动物(phetima posthuma, P. posthuma)的体外驱虫活性。对过氧化氢酶、超氧化物歧化酶、谷胱甘肽- s -转移酶、谷胱甘肽还原酶、谷胱甘肽过氧化物酶和微管蛋白-秋水仙碱酶的驱虫活性进行了分子对接分析,建立了具有良好抗氧化活性的化合物。此外,ADMET SAR测试了其ADME/T谱,结果表明,各种提取物都可能抑制活性氧(ROS),并具有抗氧化活性。在抗氧化实验中,PERC、EARC和MERC的IC50值为62.08 ~ 440.08 μg/mL。所有提取物均表现出驱虫作用,且呈剂量依赖性和统计学相关性。另一方面,分子对接分析表明,没食子儿茶素与微管蛋白-秋水仙碱酶的适应度得分最高,为-7.1 kcal/mol;灯笼草素、木犀草素-3′、4′-二甲醚、异荭草素和荭草素在与氧化过程相关的不同靶标上的适应度得分最好。此外,所有化合物都符合利平斯基定律的五项预期性质,被认为具有药物潜力。实验结果表明,蓖麻具有抗氧化和驱虫活性。然而,它们的主要分子作用机制、安全性、毒性和生物利用度还有待进一步研究。
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引用次数: 0
The Formulation and Evaluation of High-Fat Pellet on Lipid Profiles and Body Mass Index of Male Wistar Rats 高脂颗粒配方及对雄性Wistar大鼠脂质及体质指数的影响
R. Rosnah, N. Taslim, A. Aman, Irfan Idris, S. As'ad, Agussalim Buchari, Burhananuddin Bahar, A. Aminuddin, Elly Wahyudin, G. Nugraha
This study aimed to explore the manufacture of high-fat pellets for obesity induction diets in male Wistar rats and determined its effect on lipid profiles and body mass index. It was an experimental laboratory method with a post-test randomized control group. Formulation of high-fat pellets (HFD) and physico-chemical characteristics of pellets were conducted in September 2019. This study used about 28 male Wistar white rats, two months old, and 150-200 g body weight. Rats were acclimatized for seven days, then divided into four groups: 7 rats were given a standard feed of Confeed PARS CP594 (P0), and three groups (P1, P2, P3) were given high-fat feed (HFD FII) 30 g/head/day. The result showed that the mean fat content of Formula II pellets (HFD FII) was higher (25.44% ± 0.16) than Formula I pellet (HFD FI) (22.55% ± 0.16) and standard feed (3%). The mean of body weight and BMI of obesity induction rat groups (P1, P2, P3) were significantly higher than the standard rat group (P0) (p <0.05). The results of the post-hoc LSD test between groups P1, P2, and P3 showed no difference in mean body weight and BMI (p> 0.05). Feed consumption in the rat fed with HFD FII pellets was higher than the standard group (P0). It means that rats preferred the HFD FII pellets. The lipid profile of the obesity induction group showed higher total cholesterol, triglycerides, and LDL, while the HDL levels were significantly lower than the standard feed group (P0). LSD post-hoc test results between P1, P2, and P3 showed no difference in the mean lipid profile (p> 0.05).  Giving HFD FII pellets, a source of fat from butter, full cream milk powder, and eggs of purebred chickens for eight weeks could make male Wistar rats obese and dyslipidemia
本研究旨在探索制造用于雄性Wistar大鼠肥胖诱导饮食的高脂肪颗粒,并确定其对脂质谱和体重指数的影响。采用试验性实验室方法,并设试验后随机对照组。2019年9月进行了高脂微球(HFD)的配方及微球的理化特性研究。这项研究使用了28只雄性Wistar大鼠,两个月大,体重150-200克。驯化7 d后,将大鼠分为4组:7只大鼠饲喂标准饲料Confeed PARS CP594 (P0), 3组(P1、P2、P3)饲喂高脂饲料(HFD FII) 30 g/头/天。结果表明,配方II颗粒(HFD FI)的平均脂肪含量(25.44%±0.16)高于配方I颗粒(22.55%±0.16)和标准饲料(3%)。肥胖诱导组(P1、P2、P3)体重和BMI均值均显著高于标准组(P0) (p 0.05)。饲喂HFD - FII颗粒的大鼠食量高于标准组(P0)。这意味着大鼠更喜欢HFD FII颗粒。肥胖诱导组的血脂显示总胆固醇、甘油三酯和低密度脂蛋白水平较高,而HDL水平显著低于标准饲料组(P0)。P1、P2和P3之间的LSD事后检验结果显示,平均脂质谱没有差异(p < 0.05)。连续8周给予HFD FII颗粒(一种来自黄油、全脂奶粉和纯种鸡蛋的脂肪来源)可使雄性Wistar大鼠肥胖和血脂异常
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引用次数: 1
Flow Injection Spectrophotometric Technique for Determining of Genistein in Pure and Supplements Formulations Through Diazotization Coupling Reaction 流动注射分光光度法测定纯制剂和补充制剂中染料木素的重氮化偶联反应
Farqid F.Mohammed, Sadeem Subhi Abed Subhi Abed
Genistein (GEN) is The major isoflavone found in soybeans, has a number of cardiovascular health benefits, Postmenopausal syndrome and osteoporosis. A direct flow injection analysis method for estimation of (GEN) in pure and supplements formulation . This system is based on diazotization coupling reactions between procaine penciline (PR) and genistein in basic medium, they formed yellow dyes have maximum absorption at 416 nm. Calibration curve were constructed over different GEN concentrations, linearity for GEN was 10-100 µg.mL-1 and detection limits of 1.51 ?g/mL. In the FIA technique, all analytical factors were analyzed and optimized. The established method was successfully used to determine GEN in the formulations of its supplement
染料木素(GEN)是大豆中发现的主要异黄酮,对心血管健康、绝经后综合症和骨质疏松症有许多好处。用直接流动注射法测定纯制剂和补充制剂中(GEN)的含量。该体系基于普鲁卡因(PR)与染料木素在碱性介质中重氮偶联反应,形成在416 nm处最大吸收的黄色染料。在不同的GEN浓度下建立校准曲线,GEN的线性范围为10 ~ 100µg。mL-1,检出限为1.51 g/mL。在FIA技术中,对所有分析因素进行了分析和优化。建立的方法成功地测定了其制剂中GEN的含量
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引用次数: 0
Effect of Curcumin at Various Doses on the Pharmacokinetic Profile of Tacrolimus in Healthy Rabbits 不同剂量姜黄素对他克莫司在健康家兔体内药动学的影响
I. Abushammala, Belal Mohammed Mqat, Abdallah Mohammed Hamdan
The purpose of present study is to evaluate the effect of co-administration of curcumin (CUR) at various doses on the pharmacokinetic (PK) profile of tacrolimus (TAC), a CYP 3A4 substrate in healthy male rabbits. Healthy male rabbits (n=18) were employed in an in vivo, parallel-randomized study. Three groups of rabbits were selected and separated: The rabbits in the first group (control group) received 1 mg/kg TAC orally. Blood samples (1.5-2 mL) were drawn from rabbits' ear marginal veins at the following time frames:  15.0, 30.0, 45.0, 60.0, 90.0, 120.0, 150.0, 180.0 and 300 minutes after TAC administration post dosing and analyzed by using a TAC chemiluminescent enzyme immunoassay (CLIA) detection kit. In the second and third groups (test groups), rabbits received TAC (1mg/kg) at identical conditions as in the control group with volumes equivalent to (30 and 90 mg/kg/day) of prepared CUR suspension in normal saline for seven continuous days. Blood samples from the control group were obtained on the eighth day. Non-compartmental analysis was used to derive different PK parameters of TAC for the three groups. When CUR was co-administered at both concentrations, insignificant statistically small changes between the control and testing groups were found. Our results revealed that the differences for the three groups in PK parameters as Cmax, tmax, ke, AUC0-6 and AUC0-? were statistically insignificant (P>0.05). In conclusion, it has been found that CUR at the experimented doses does not affect the PK of TAC. Further confirmation of our findings is requiered before these results can be applied in patient care.  
本研究旨在评价不同剂量姜黄素(curcumin, CUR)在健康雄性家兔体内对cyp3a4底物他克莫司(TAC)药代动力学(PK)谱的影响。健康雄性家兔(n=18)在体内进行平行随机研究。将家兔分为三组:第一组(对照组)口服TAC 1 mg/kg;分别于给药后15.0、30.0、45.0、60.0、90.0、120.0、150.0、180.0和300 min从家兔耳缘静脉抽取1.5 ~ 2 mL血液,采用TAC化学发光酶免疫分析法(CLIA)检测试剂盒进行分析。在第二组和第三组(试验组)中,兔在与对照组相同的条件下接受TAC (1mg/kg),体积相当于(30和90mg /kg/天)制备的CUR混悬液在生理盐水中连续7天。对照组于第8天采血。采用非区室分析得到三组TAC的不同PK参数。当两种浓度的CUR同时使用时,对照组和试验组之间的变化在统计学上不显著。结果表明,三组间PK参数Cmax、tmax、ke、AUC0-6和AUC0-?差异均无统计学意义(P>0.05)。综上所述,已发现在实验剂量下的CUR不影响TAC的PK。在这些结果应用于患者护理之前,需要进一步确认我们的发现。
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引用次数: 0
Correlation between Seminal Fructosamine and Glycosylation Gap and Some Sex Hormones in the Young Infertile Male in Mosul City 摩苏尔市年轻不育男性精液果糖胺、糖基化间隙及某些性激素的相关性
Muhammad Abdulgafoor Ahmed AlKataan, Mumaan J.
Infertility represents a growing health problem in Mosul city and worldwide. Infertility defined as a failure to induce pregnancy after unprotected sexual intercourse for more than 12 months. Infertility in male is a multifactorial complex pathology that leads to different types of problems. This work try to explore the correlation between glycosylation gap and seminal fructosamine and another parameter in the young male patient in Mosul city. The study included 50 subjects with age range 19-29 year with BMI 18-26. The infertility group include 25 patients newly diagnosed with infertility before starting any treatment; have no infection and no structural abnormality. The control group included 25 healthy subjects. HbA1c, fructosamine, Serum and seminal Testosterone, estradiol and Testosterone/ estradiol. Plasma trace element as K, Mg and Zn also measured. There was a significant elevation in the glycosylation profile in the infertile male in compare to control (p<0.05). There was a significant elevation in glycosylation gap in the infertile group (p<0.01). Testosterone and Testosterone/ Estradiol ratio significantly reduced in the infertile group in comparison to control group (p< 0.0004 and 0.0002 respectively). Serum and Seminal plasma Testosterone/ Estradiol ratio showed no significant changes between the two groups (p>0.05). In conclusion, there was a significant positive correlation seminal plasma fructosamine and glycosylation gap in infertile male group.
不孕症是摩苏尔市和全世界日益严重的健康问题。不孕症的定义是在无保护的性交超过12个月后未能受孕。男性不育症是一个多因素的复杂病理,导致不同类型的问题。这项工作试图探讨糖基化间隙和种子果糖胺和另一个参数在摩苏尔市的年轻男性患者之间的关系。该研究包括50名年龄在19-29岁之间,BMI在18-26岁之间的受试者。不孕症组包括25名在开始任何治疗前新诊断为不孕症的患者;无感染,无结构异常。对照组为25名健康受试者。糖化血红蛋白,果糖胺,血清和精液睾酮,雌二醇和睾酮/雌二醇。测定了血浆中微量元素K、Mg、Zn的含量。与对照组相比,不育雄性的糖基化谱显著升高(p0.05)。综上所述,不育男性组精浆果糖胺与糖基化间隙呈显著正相关。
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引用次数: 0
Evaluation of the Detrimental Effects of some Antiepileptic Drugs on the Height and Weight of Children with Epilepsy 几种抗癫痫药物对癫痫患儿身高、体重影响的评价
Muhammad Abdulgafoor Ahmed AlKataan, Abdullah Shakir Mahmood, Aseel S. Al Mallakhdeer
Growth is a multifactorial process influenced by genetic, nutritional, hormonal, psychosocial and other factors including the general health of a child. Epilepsy defined as a chronic condition characterized by recurrent clinical events or epileptic seizures, which occur in the absence of a metabolic or toxic disease the drugs that use in the treatment of this condition can affect patients growth due to their mechanisms of action. This study aimed to evaluate the effect of some antiepileptic drugs on growth (height and weight) in children with epilepsy. This work involved 51 newly diagnosed children with a different form of epilepsy (Generalized, absent and partial). Patients divided into three groups according to the treatment (group one patients on Carbamazepine monotherapy with dose mean 13.3 ± 4.8 mg/Kg, group two patients on Valproic acid monotherapy with a dose of 14.4± 3.3 mg/kg and the last group involve patient on combined therapy Carbamazepine 10.8±5.8 plus 19.7± 8.8 of Valproic acid. Patients age range from 5-11 years, with an Initial BMI range of 12-20. The results of this work showed that Carbamazepine monotherapy caused no significant affected on both BMI values after 6 and 12 months of treatment (p>0.05). Valproic acid monotherapy significantly elevated BMI after 6 and 12 months of treatment (p>0.01). Combined therapy showed no significate effect on BMI. The patient’s centile height significantly elevated after 6 and 12 months of Valproic acid (p<0.01) compared to the normal growth according to the growth chart. While both Carbamazepine and combined therapy showed no significant change in comparison to the normal growth according to the growth chart (p>0.05). In conclusion, children with epilepsy who use antiepileptic drugs need restricted monitor policy for their growth, especially those on Valproic acid.
生长是一个多因素过程,受遗传、营养、荷尔蒙、社会心理和其他因素的影响,包括儿童的一般健康状况。癫痫被定义为一种慢性疾病,其特征是在没有代谢性或毒性疾病的情况下发生反复的临床事件或癫痫发作,用于治疗这种疾病的药物可因其作用机制而影响患者的生长。本研究旨在评价一些抗癫痫药物对癫痫患儿生长(身高和体重)的影响。这项工作涉及51名新诊断患有不同形式癫痫的儿童(全身性、缺席性和部分性)。根据治疗情况将患者分为三组(第一组患者单药卡马西平平均剂量13.3±4.8 mg/Kg,第二组患者单药丙戊酸平均剂量14.4±3.3 mg/Kg,最后一组患者联合卡马西平10.8±5.8加丙戊酸19.7±8.8)。患者年龄在5-11岁之间,初始BMI范围为12-20。本研究结果显示,卡马西平单药治疗对治疗6个月和12个月的BMI值均无显著影响(p>0.05)。丙戊酸单药组治疗6个月和12个月后BMI明显升高(p>0.01)。联合治疗对BMI无显著影响。丙戊酸治疗6个月和12个月后患者百分位高度显著升高(p0.05)。综上所述,使用抗癫痫药物的癫痫患儿需要严格的生长监测政策,特别是使用丙戊酸的癫痫患儿。
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引用次数: 0
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Iraqi Journal of Pharmaceutical Sciences ( P-ISSN: 1683 - 3597 , E-ISSN : 2521 - 3512)
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