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Antibiotic Utilization Pattern in Surgery and Pediatric, Bhagwan Mahaveer Jain Hospital, Bangalore, India 外科和儿科抗生素使用模式,Bhagwan Mahaveer Jain医院,班加罗尔,印度
Pub Date : 2017-07-01 DOI: 10.9790/3013-0707010610
M. Soleimani
Objective: To assess antibiotic utilization pattern in surgery and pediatric and to explore reasons for the nonadherence. Methods: A prospective clinical record review was done on 180 patients admitted in the Medicine, Surgery, and Paediatrics. The antibiotic prescription will be assessed whether it is according to hospital antibiotic policy and in case of violation the reason for it will be noted down. The incidence and cause for the nosocomial infection will be noted down. Apart from these antibiotic categories, cost of antibiotic therapy from medical bills and the cost for the antibiotics will be calculated. Results: In our study population out of 180 patients 110 were male and 70 were female and in paediatric population16% were male and 1 3.5%. In surgery department highest number i.e. 12.5% male and 9.5% females are in the age group 31-40 years. 2% males and 2.5% females were in the age Group of 81-90. Various classes of antibiotics like penicillin’s, macrolides, cephalosporin’s and fluoroquinolones were prescribed. of which13% males, 7% females were prescribed with penicillin’s which were highest among monotherapy. Among combination therapy 14% of males were prescribed and 7 % females with penicillin which were highest. There were various combination drugs prescribed which are specific to the disease out of which ampicillin+gentamicin+metronidazole (5%) and ampicillin+gentamicin+cefotaxime+amikacin (5%). Conclusion: In appropriate use of antibiotics is detected due to lack of culture sensitivity test which has to make mandatory in the hospital before antibiotic prescription. Less cost effective antibiotic treatment should be prescribed. Polypharmacy was seen in a large extent were patients were put on 4-5 antibiotics which has to be avoided by using broad spectrum antibiotics and fixed dose antibiotics suitably. The drug interactions with antibiotics should be also minimized.
目的:了解外科和儿科的抗生素使用情况,并探讨抗生素使用不依从的原因。方法:对内科、外科和儿科收治的180例患者进行前瞻性临床记录回顾。评估抗生素处方是否符合医院抗生素政策,如违反,将记录原因。医院感染的发生率和原因将被记录下来。除了这些抗生素类别外,还将计算医疗账单中的抗生素治疗费用和抗生素的费用。结果:在我们的研究人群中,180例患者中男性110例,女性70例;在儿科人群中,男性占16%,女性占13.5%。在手术部门最多也就是12.5%的男性和9.5%的女性在年龄组31-40年。81-90岁年龄组男性占2%,女性占2.5%。医生开了各种抗生素,如青霉素、大环内酯类药物、头孢菌素和氟喹诺酮类药物。which13%男性,7%的女性都规定与青霉素的单一疗法中最高。在联合治疗中,14%的男性和7%的女性使用青霉素,比例最高。有多种针对该病的联合用药,其中氨苄西林+庆大霉素+甲硝唑(5%)和氨苄西林+庆大霉素+头孢噻肟+阿米卡星(5%)。结论:医院在抗菌药物处方前必须强制进行培养敏感性试验,导致抗菌药物使用不合理。应开成本效益较低的抗生素治疗。在很大程度上,患者使用4-5种抗生素,应适当使用广谱抗生素和固定剂量抗生素,以避免多药。药物与抗生素的相互作用也应尽量减少。
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引用次数: 0
Study on Utilization Pattern of Pulmonary Inhalers in Inpatient, Bhagwan Mahaveer Jain Hospital, Bangalore, India 住院病人肺部吸入器使用模式的研究,巴格万马哈维尔耆那医院,班加罗尔,印度
Pub Date : 2017-07-01 DOI: 10.9790/3013-0707010105
Shivah Karamian
Objective: To study on utilization pattern of pulmonary inhalers in inpatient, Bhagwan Mahaveer Jain Hospital, Bangalore, India. Methods: The proper inhalation technique was assed using the questionnaires there were 11 steps for MDI and 12 steps for MDI + spacer each correct technique carried a score of 1 and wrong technic carried 0.The adherence to the inhaler technique was assed using the formula correct dose/incorrect dose*100 and the reasons for non-adherence was also noted. The therapeutic inappropriateness of prescribed inhalers and antiasthmatic drugs is determined with standard guidelines. The cost involved in use of inhalers in therapeutic inappropriateness also considered. Results: In our study population about 10.8% asthmatics and 20% COPD patients were prescribed with budesonide MDI. About 10% asthmatics and 9.1 COPD patients were prescribed with budesonide MDI+spacer. About 4.1% asthmatics and 2.5% coped patients were prescribed with salbutamol MDI. About 17% asthmatics and 10% copd patients were prescribed with mdi ipratropium and 8% asthmatics and 12.5% coped patients were prescribed with ipratropium MDI+spacer. When the knowledge regarding the usage of inhalers was assed using standard questionnaire which had 11 steps for MDI and 12 steps for MDI+spacer each questionnaire had scoring of 0 representing not performing the step, 1 representing following the step the scores were high after pharmacist intervention when compared to before pharmacist intervention Conclusion: The present results highlight the need for pharmacist interventions aimed at improving adherence to inhalers in coped and asthmatic patients.
目的:了解印度班加罗尔巴关马哈维尔耆那医院住院患者肺部吸入器的使用情况。方法:采用问卷调查的方法对正确的吸入技术进行评定,MDI分为11步,MDI +间隔剂分为12步,正确技术分为1分,错误技术分为0分。使用公式正确剂量/不正确剂量*100对吸入器技术的依从性进行评估,并指出不依从性的原因。处方吸入器和平喘药的治疗不适宜性由标准指南确定。还考虑了在治疗不适当情况下使用吸入器所涉及的费用。结果:在我们的研究人群中,约10.8%的哮喘患者和20%的COPD患者使用布地奈德MDI。约10%的哮喘患者和9.1例COPD患者使用布地奈德MDI+间隔剂。约4.1%的哮喘患者和2.5%的哮喘患者使用沙丁胺醇MDI。约17%的哮喘患者和10%的copd患者使用mdi异丙托品,8%的哮喘患者和12.5%的copd患者使用mdi异丙托品+间隔剂。使用标准问卷(MDI有11个步骤,MDI+间隔剂有12个步骤)对吸入器的使用知识进行评估时,每份问卷的得分为0分,表示未执行该步骤,1分表示执行该步骤,药师干预后与干预前相比得分较高。目前的结果强调需要药剂师干预,旨在改善依从吸入器在应对和哮喘患者。
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引用次数: 0
Evaluation of Doses of Radiation Due To Natural Radioactivity in Wheat As Animal Feed In the Surrounding Of the City Of Skopje (Macedonia)
Pub Date : 2017-07-01 DOI: 10.9790/3013-0706012023
A. Aleksandra, Dimitrieska Stojkovik Elizabeta, Crceva Nikolovska Radmila, Hajrulai Musliu-Zehra, D. Biljana, Uzunov Riste, Jankuloski Dean
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引用次数: 4
Composition of the Daily Food Ration in Ivory Coast 科特迪瓦每日食物配给的组成
Pub Date : 2017-06-01 DOI: 10.9790/3013-0701011214
D. A. Sahoré, O. Y. Ako, Joachim Levry Abouattier
Food products such as yam, cassava, plantain, rice and maize are an important part of food in Ivory Coast. These products are high in carbohydrates and their consumption only covers the energy needs of the population. It is therefore important to provide other foods rich in proteins, lipids and minerals in the daily diet to meet the food needs of this population.
山药、木薯、大蕉、大米和玉米等食品是科特迪瓦食品的重要组成部分。这些产品的碳水化合物含量很高,其消费量仅能满足人口的能量需求。因此,在日常饮食中提供其他富含蛋白质、脂质和矿物质的食物来满足这一人群的食物需求是很重要的。
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引用次数: 2
Nutritional and therapeutic importance of Daucus carota- A review 胡萝卜的营养和治疗价值综述
Pub Date : 2017-06-01 DOI: 10.9790/3013-0702017288
A. Al-Snafi
Phytochemical analysis showed that the root of Daucus carota contained alkaloids, carbohydrates, chlorogenic acid, flavonoids, phenols, essential oil, terpenoid and coumarin. The nutritional analysis of carrot juice showed that the juice contained: protein 1.067 ± 0.058%, crude fat 0.367 ± 0.089%, crude fibre 1.167 ± 0.153%, carbohydrates 6.100 ± 0.346%, many vitamins and minerals. The pharmacological studies revealed that the plant possessed cytotoxic, antioxidant, antidiabetic, antimicrobial, smooth muscle relaxant, hypotensive effect and decrease intraocular pressure, gastro-protective, nephro-protective, hepato-protective, cardioprotective antidepressant memory enhancement, anti-inflammatory, reproductive, wound healing and hear induction and many other effects. The current review highlights the chemical constituents, nutritional and pharmacological effects of Daucus carota.
植物化学分析表明,胡萝卜根部含有生物碱、碳水化合物、绿原酸、黄酮类、酚类、精油、萜类和香豆素。胡萝卜汁的营养成分分析表明:蛋白质1.067±0.058%,粗脂肪0.367±0.089%,粗纤维1.167±0.153%,碳水化合物6.100±0.346%,多种维生素和矿物质。药理研究表明,该植物具有细胞毒、抗氧化、抗糖尿病、抗菌、平滑肌松弛、降血压、降低眼压、保护胃、保护肾、保护肝、保护心脏、抗抑郁、增强记忆、抗炎、生殖、伤口愈合和诱导听力等多种作用。本文综述了胡萝卜的化学成分、营养和药理作用。
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引用次数: 61
A need to be fulfilled:Drug Information services 需要满足的需求:药物信息服务
Pub Date : 2017-06-01 DOI: 10.9790/3013-0706011519
C. Ahirwar, A. Mishra, A. Pathak
There are a growing number of drugs and vast literature coming through every day. Clinicians are hard pressed to keep up with all the recent advents due to shortage of time, however, for safe and efficacious use of medicines, unbiased, up to date and objective information about the drugs is essential. Medicines are now considered as active substances. Information obtained from manufacturers is liable to be biased, and in the present day of therapeutic and information explosion, a quick referral to a pharmacopoeia or formularies is hardly sufficient for adequate information on the vast number of drugs and dosage forms available in the market in all the different brand names. The lack of adequate drug information due to limited availability of current literature, and poor documentation and dissemination of the little available information leads to an unbiased and current drug references which were not available in most clinical facilities and to officials and committees developing drug lists and making procurement decisions. The irrational use of drugsare still in evidence as use of expired drugs, irrational combination of drugs, and overuse of antibiotics, Vitamins, herbal remedies, brand prescribing, retail shop prescribing and unethical dispensing. Such irrational practices, combined with lack of patientinformation on proper handling and use of drugs can lead to wastage of medicine as well as other serious consequences like adverse drug reactions and drug interactions. . In view of the above mentioned facts, fully active, unbiased and objective drug information services are the need of the hour and it is the objective of this study to determine the various drug information services available in present day sceneario.
每天都有越来越多的药物和大量文献涌现。由于时间短缺,临床医生很难跟上所有最近的进展,然而,为了安全有效地使用药物,关于药物的公正,最新和客观的信息是必不可少的。药物现在被认为是活性物质。从制造商那里获得的信息很可能有偏差,在治疗和信息爆炸的今天,快速查阅药典或处方很难获得关于市场上所有不同品牌的大量药物和剂型的充分信息。由于现有文献的可得性有限,缺乏足够的药物信息,以及现有信息的不良记录和传播,导致大多数临床设施无法获得公正和最新的药物参考资料,也导致官员和委员会制定药物清单和作出采购决定。不合理用药仍然存在,如使用过期药物、不合理的药物组合、过度使用抗生素、维生素、草药、品牌处方、零售商店处方和不道德的配药。这种不合理的做法,加上缺乏正确处理和使用药物的患者信息,可能导致药物浪费以及药物不良反应和药物相互作用等其他严重后果。鉴于上述事实,充分主动、公正、客观的药物信息服务是时代的需要,本研究的目的是确定当前情况下可用的各种药物信息服务。
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引用次数: 5
Prevalence of Risk Factors for Non-Communicable Diseases in Mazar-e-Sharif city using WHO STEP-Wise Approach 使用世卫组织分步方法研究马扎里沙里夫市非传染性疾病风险因素的流行情况
Pub Date : 2017-06-01 DOI: 10.9790/3013-0701015158
Khwaja Mir Islam SAEED, M. H. Rasooly
Background: Afghanistan is suffering from double burden of diseases including communicable and noncommunicable. The aim of this study was determine the risk factors for NCDs among adult’s population in Mazar-e-Sharif city, Afghanistan. Methods and Materials: A provincial cross-sectional study was conducted from April to May 2015 on the prevalence of NCD risk factors using the WHO STEPS adapted instrument. The study enrolled a random sample of 1249 adults of age group of 25-70 years. Data were collected using a structured questionnaire. Fasting venous blood sample was collected to assess the lipid profile and fasting blood sugar. Anthropometric measurements of the participants were also taken. Data was analyzed using SPSS version 20. Results: Out of all (1231) respondents 664 (53.9%) were females and 567 (46.1%) males with a mean age of 40.5±13.2 years. More than half (59.3%) were illiterates and (83.7%) were married and 72% had income of less than 10000 AFN. 9.9% were smokers and (8.3%) were mouth snuff users. Seventy nine percent of respondents ate fruits and 60% took vegetables 3 days or less per week. Almost 12% practiced vigorous physical activity and 21.8% of subjects reported doing moderate physical activity. Almost half (48.5) of subjects were overweight or obese. 30.9% had high blood pressure and 9.2% percent recorded diabetic. Level of high cholesterol was 33.2%, high triglycerides was 20.4%. Furthermore high level of low density lipoprotein (LDL) was 55% and high level of high density lipoprotein (HDL) was 36.9%. The mean level of triglyceride, total cholesterol, HDL and LDL were 161.7 mg/dL, 179.2mg/dL, 49.4 mg/dL and 113.4 mg/dL were respectively. Conclusions: The findings of study revealed a high burden of risk factors for NCDs in the study population, showing the country is experiencing both communicable and noncommunicable at the same time. It is recommended and emphasized on focusing of interventions to prevent and control the noncommunicable diseases.
背景:阿富汗正遭受包括传染性和非传染性疾病在内的双重疾病负担。本研究的目的是确定阿富汗马扎里沙里夫市成人非传染性疾病的危险因素。方法与材料:于2015年4月至5月,采用世界卫生组织STEPS适用工具对非传染性疾病危险因素的流行情况进行了省级横断面研究。该研究随机招募了1249名年龄在25-70岁之间的成年人。使用结构化问卷收集数据。采集空腹静脉血,评估血脂和空腹血糖。还对参与者进行了人体测量。数据分析采用SPSS version 20。结果:1231例被调查者中,女性664例(53.9%),男性567例(46.1%),平均年龄40.5±13.2岁。超过一半(59.3%)的人不识字,83.7%的人已婚,72%的人收入低于10000 AFN。9.9%为吸烟者,8.3%为吸鼻烟者。79%的受访者吃水果,60%的人每周吃三天或更少的蔬菜。近12%的人进行剧烈体育活动,21.8%的受试者报告进行适度体育活动。几乎一半(48.5)的研究对象超重或肥胖。30.9%的人有高血压,9.2%的人有糖尿病。高胆固醇占33.2%,高甘油三酯占20.4%。低密度脂蛋白(LDL)高水平为55%,高密度脂蛋白(HDL)高水平为36.9%。甘油三酯、总胆固醇、HDL和LDL的平均水平分别为161.7 mg/dL、179.2mg/dL、49.4 mg/dL和113.4 mg/dL。结论:研究结果揭示了研究人群中非传染性疾病风险因素的高负担,表明该国同时经历了传染性和非传染性疾病。建议并强调将预防和控制非传染性疾病的干预措施作为重点。
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引用次数: 2
The pharmacology and medical importance of Dolichos lablab (Lablab purpureus)- A review 紫唇草(lablab purpureus)的药理和医学意义综述
Pub Date : 2017-06-01 DOI: 10.9790/3013-0702012230
A. Al-Snafi
The phytochemical analysis of Dolichos lablab showed that it contained sugar, alcohols, phenols, steroids, essential oils, alkaloids, tannins, flavonoids, saponins, coumarins, terpenoids, pigments, glycosides, anthnanoids, wide range of minerals and many other metabolites. The preliminary pharmacological studies revealed that Dolichos lablab possessed antidiabetic, antiinflammatory, analgesic, antioxidant, cytotoxic, hypolipidemic, antimicrobial, insecticidal, hepatoprotective, antilithiatic, antispasmodic effects and also used for the treatment of iron deficiency anemia. The current review discussed the chemical constituents and pharmacological activities of Dolichos lablab.
经植物化学分析,其含有糖、醇类、酚类、甾体、精油、生物碱、单宁、黄酮类、皂苷类、香豆素类、萜类、色素类、糖苷类、类anthnanoids、多种矿物质及多种代谢物。初步药理研究表明,黄芩具有抗糖尿病、抗炎、镇痛、抗氧化、细胞毒、降血脂、抗菌、杀虫、保肝、抗结石、抗痉挛等作用,还可用于治疗缺铁性贫血。本文对其化学成分和药理活性进行了综述。
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引用次数: 75
Development and validation of a simple, fast, isocratic stability indicating RP-HPLC-UV method for the determination of chlorhexidine and its impurity para-chloroaniline in bulk and finished product 建立一种简单、快速、等密度稳定指示RP-HPLC-UV测定原料药和成品中氯己定及其杂质对氯苯胺的方法并进行验证
Pub Date : 2017-06-01 DOI: 10.9790/3013-0706010108
TarigG. Mohammed, Mubashira Aziz
A simple, isocraticRP HPLC-UV method was developed for the simultaneous determination of chlorhexidine (CHD) and p-Chloroaniline (pCA) inchlorhexidine mouth rinses. An excellent separation obtainedbyC18 column (200mm × 4.6 mm, 3μm). Mobile phasewas acetate buffer:methanol in a 45:55 ratio,flowrate was 1.0 ml/min. Both ingredient and an impuritywere detected at 254 nm,injection volume was 20μl and the analysis temperature was room temperature.Resolution4.7,retention times was3.1min and 5.7 min for pCAand CHD respectively. The proposed method was testedforsystem suitability, linearity, range, precision, accuracy, specificity, robustness, detection and quantification limits. The linearity range was40-160μg/ml forCHD and0.3-1.2 μg/ml forpCA.The correlation coefficient of the regression line was 1.000 for both components. Method robustness was tested under nine different conditions using sampleswith a known content. For CHD, the mean of the nine assays was 99.95% andthe RSD was 0.16%. ForpCA, the mean of the nine assays was 99.98% and the RSD was 0.24%. The results show that this is a simple method that can be applied to the analysis of Chlorhexidineproductswith satisfactory degrees of accuracy and precision. Due to the selected optimized conditions, this method can be used with the minimum requirements of an isocratic HPLC system.
建立了同时测定氯己定漱口液中氯己定(CHD)和对氯苯胺(pCA)含量的方法。c18色谱柱(200mm × 4.6 mm, 3μm)分离效果良好。流动相为醋酸缓冲液:甲醇,比例为45:55,流速为1.0 ml/min。在254 nm下,进样量为20μl,室温下检测,分辨率4.7,保留时间分别为3.1min和5.7 min。对该方法进行了系统适用性、线性度、范围、精密度、准确度、特异性、鲁棒性、检测限和定量限的检验。chd的线性范围为40 ~ 160μg/ml, pca的线性范围为0.3 ~ 1.2 μg/ml。两组分的回归线相关系数均为1.000。方法采用已知含量的样品,在9种不同条件下进行稳健性检验。对于冠心病,9项检测的平均值为99.95%,RSD为0.16%。对于pca, 9项检测的平均值为99.98%,RSD为0.24%。结果表明,该方法简便,可用于氯己泰产品的分析,准确度和精密度令人满意。所选条件优化后,该方法可在等密度高效液相色谱系统的最低要求下使用。
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引用次数: 5
The effect of thermal, chlorine and ozone treatments on survival of Escherichia coli and Salmonella spp. in açai berries 热、氯和臭氧处理对猕猴桃中大肠杆菌和沙门氏菌存活的影响
Pub Date : 2017-06-01 DOI: 10.9790/3013-0701010411
V. Bezerra, E. Walter, O. Freitas-Silva, I. Gomes, L. F. Damasceno, I. Alcantara, L. Cabral
Açai berries (Euterpe oleracea Mart.) have a high natural microbial load that can compromise the quality of their products. In this study, test microorganisms were inoculated on raw açai berries in drip trials, with five strains of Salmonella spp. and E. coli, separately. Açai berries sanitizing processes were: i) chlorination with 200 mg.L -1 for a period of 15 min; ii) blanching at 80 °C for 10 s (regional legislation); iii) blanching at 90 °C for 10 s; iv) aqueous ozonation at 4 mg.L -1 for 5 min; and v) washing with distilled water for 15 min as control treatment. Thermal treatment at 90 °C 10 s achieved the highest efficiency in reducing counts of E.coli (3.0 ± 0.8 log CFU.mL -1 ). In Salmonella spp., all sanitizing treatments were similar and better than simple washing with water. Thus, blanching of açai berries at 90 °C 10 s, with immediate cooling with chlorinated water (50 mg.L -1 ), is an alternative process for sanitization for açai berries, considering the application of good manufacturing practices.
杏树莓(Euterpe oleracea Mart.)具有很高的天然微生物负荷,这可能会损害其产品的质量。在本研究中,试验微生物分别接种5株沙门氏菌和大肠杆菌,进行滴灌试验。阿帕拉塞莓的消毒过程是:i)用200毫克氯消毒。L -1持续15分钟;ii)在80°C下烫10 s(地区法规);iii) 90℃烫烫10 s;Iv)水溶液臭氧化,浓度为4mg。L -1作用5分钟;v)对照处理,用蒸馏水洗涤15分钟。90°C 10 s的热处理对大肠杆菌计数的降低效率最高(3.0±0.8 log CFU)。mL -1)。在沙门氏菌中,所有的消毒方法都是相似的,并且比简单的用水清洗要好。因此,在90°C下焯水10秒,用氯化水(50毫克)立即冷却。L -1),考虑到良好生产规范的应用,是一种可选的莓果消毒工艺。
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引用次数: 3
期刊
IOSR Journal of Pharmacy
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