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Different subgroups regarding the absence of rescue therapy in intravenous immunoglobulin-resistant Kawasaki disease 关于静脉免疫球蛋白抵抗性川崎病缺乏抢救治疗的不同亚组
Pub Date : 2016-08-01 DOI: 10.9790/3013-068014047
T. Nakada
The objective of this study is the description of clinical outcomes regarding the absence of rescue therapy of intravenous immunoglobulin (IVIG)-resistant Kawasaki disease. I investigated the clinical outcomes of 33 IVIG-resistant patients who received the initial single IVIG therapy with the delayed use of anti- inflammatory drugs (DUA). These patients were divided into two groups: 11 patients who received rescue therapies (rescue group) and 22 patients who did not receive rescue therapy (non-rescue group). One patient of rescue group developed coronary artery lesions (CAL). None of the patients of non-rescue group developed CAL. The prevalence of persistent fever between rescue and non-rescue groups at 3 days and 4 days after initial IVIG therapy was 100% vs. 77% ( P = 0.144 ) and 100% vs. 18% ( P < 0.001 ), respectively. The C-reactive protein value, neutrophil counts, serum albumin levels, and sodium levels were significantly different between two groups at median 3 days after initial IVIG therapy. Two-thirds of the IVIG-resistant patients diagnosed at 24 h after completion of the initial IVIG therapy with DUA did not develop CAL after 30 days of illness without rescue therapies. The rescue therapy at this time may lead to overtreatment.
本研究的目的是描述静脉免疫球蛋白(IVIG)耐药川崎病缺乏抢救治疗的临床结果。我调查了33例最初接受单一IVIG治疗并延迟使用抗炎药物(DUA)的IVIG耐药患者的临床结果。将患者分为两组:接受抢救治疗的患者11例(抢救组)和未接受抢救治疗的患者22例(非抢救组)。抢救组1例出现冠状动脉病变(CAL)。非抢救组患者均未发生CAL。IVIG治疗后第3天和第4天,抢救组和非抢救组患者持续发热的发生率分别为100%∶77% (P = 0.144)和100%∶18% (P < 0.001)。初始IVIG治疗后中位3天,两组患者的c反应蛋白值、中性粒细胞计数、血清白蛋白水平和钠水平均有显著差异。三分之二的IVIG耐药患者在完成初始IVIG DUA治疗24小时后诊断,在没有抢救治疗的情况下,30天后没有发生CAL。此时的抢救治疗可能会导致过度治疗。
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引用次数: 2
Human Body Fluid Ions In colchicine complexes ESI MS, MADLI MS, Spectroscopic, DFT Studies and Fungicidal Activity of colchicine complexes With Sodium, Potassium, Magnesium and calcium carbonates and Sulphates 与钠、钾、镁、碳酸钙和硫酸盐配合物的秋水仙碱人体体液离子的ESI质谱、MADLI质谱、光谱、DFT研究及杀真菌活性
Pub Date : 2016-08-01 DOI: 10.9790/3013-068024055
Joanna Kurek, G. Bartkowiak, W. Jankowski, Patrycja Kwaśniewska-Sip, G. Schroeder, M. Hoffmann, G. Cofta, P. Barczyński
Colchicine is an alkaloid characterised by good water solubility. After administration of colchicine as a medicine for example for the treatment of gout, colchicine probably forms some more or less stable structures with cations and/or anions present in human body fluid. The colchicine complexes with Na + , K + Mg 2+ and Ca 2+
秋水仙碱是一种水溶性好的生物碱。在将秋水仙碱作为治疗痛风的药物使用后,秋水仙碱可能与体液中的阳离子和/或阴离子形成一些或多或少稳定的结构。秋水仙碱与Na +, K + mg2 +和ca2 +络合物
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引用次数: 4
Dipeptidyl Peptidase-4 Inhibitors and Cardiovascular Risk in Patients with Diabetes: Fact or Fiction? 二肽基肽酶-4抑制剂与糖尿病患者心血管风险:事实还是虚构?
Pub Date : 2016-08-01 DOI: 10.9790/3013-068020107
Omaima Mahmood, S. Mahmood, Zahraa M. Mohammed
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引用次数: 0
Knowledge of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) and its Management: A Survey among Saudi People in Taif; Kingdom of Saudi Arabia 中东呼吸综合征冠状病毒(MERS-CoV)知识及其管理——对塔伊夫沙特民众的调查沙特阿拉伯王国
Pub Date : 2016-08-01 DOI: 10.9790/3013-068023339
A. Elbur, A. Alharthi, Abdulrahman Aljuaid, N. Almalki
Background: Assessment of the public general knowledge on Middle East Respiratory Syndrome is crucial to the development of health policies for containment of the disease. Objectives: To measure the level of public knowledge on Middle East Respiratory Syndrome and to identify its predicators. Methods: A cross –sectional survey was conducted during June –October 2015, whereby adult (> 18 years old) Saudi people residing in Taif Area were recruited. Convenience method of sampling was adopted. Data was collected by a structured questionnaire. Face-to-face interview method was used to collect the data. Data was processed and analyzed by the Statistical Package for Social Sciences (SPSS version 21). Logistic regression analysis was performed. P values < 0.05 were considered statistically significant. Results: A total of 377 participants was recruited (age range 1885 years). The majority was males and 65% were university graduates. Of all the interviewees 56 % believed that the disease transmission can occurs through infected camel and bats. The fact that the disease has no specific treatment was known by 53.8% and 42.7% of them denied any role for traditional medicines in the prevention or treatment of the disease. Participants had satisfactory knowledge about the disease and its management were 216 (57.3%). Significant predictors of satisfactory knowledge were age more than 40 years [OR= 0.4; 95% CI (0.2-0.7); P = 0.001], university education [OR= 1.6; 95% CI (1.0-2.6); P = 0.042] and being employed in the medical field [OR= 2.8; 95% CI (1.7-4.5); P < 0.001]. Conclusions: Despite the great effort done by the health authorities in the country to educate the people and to raise their awareness about the disease, there are gaps in public knowledge. Future planned educational interventions should focus on younger people and those with educational background below the university level.
背景:评估公众对中东呼吸综合征的一般知识对于制定控制该疾病的卫生政策至关重要。目的:了解公众对中东呼吸综合征的认知水平,并确定其预测因子。方法:在2015年6月至10月期间进行横断面调查,招募居住在塔伊夫地区的成年(> 18岁)沙特人。采用方便抽样方法。数据通过结构化问卷收集。采用面对面访谈法收集数据。数据使用社会科学统计软件包(SPSS version 21)进行处理和分析。进行Logistic回归分析。P值< 0.05认为有统计学意义。结果:共招募了377名参与者(年龄范围1885岁)。大多数是男性,65%是大学毕业生。在所有受访者中,56%的人认为该疾病可通过受感染的骆驼和蝙蝠传播。53.8%的人知道这种疾病没有专门的治疗方法,其中42.7%的人否认传统药物在预防或治疗这种疾病方面有任何作用。有216人(57.3%)对疾病及其处理有满意的认识。满意知识的显著预测因子为年龄大于40岁[OR= 0.4;95% ci (0.2-0.7);P = 0.001],大学学历[OR= 1.6;95% ci (1.0-2.6);P = 0.042]和在医疗领域就业[OR= 2.8;95% ci (1.7-4.5);P < 0.001]。结论:尽管该国卫生当局为教育人民和提高他们对这种疾病的认识作出了巨大努力,但在公众知识方面仍存在差距。未来计划的教育干预应侧重于年轻人和大学以下教育背景的人。
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引用次数: 22
Review of current trends in enhancing bioavailability of poorly water soluble drugs by liposomal interventions 通过脂质体干预提高难水溶性药物生物利用度的当前趋势综述
Pub Date : 2016-08-01 DOI: 10.9790/3013-068013039
S. Majekodunmi
One of the several ways of enhancing the solubility of poorly soluble drugs is liposomes formulations. Research on liposomes formulations has progressed from that of conventional vesicles to new generation liposomes, such as cationic liposomes, temperature sensitive liposomes, and virosomes, by modulating the formulation techniques and lipid composition. Thermosensitive liposomes are also a promising tool for external targeting of drugs to solid tumors when used in combination with local hyperthermia or high intensity focused ultrasound. In vivo results have demonstrated strong evidence that external targeting is superior over passive targeting achieved by highly stable long-circulating drug formulations like PEGylated liposomal doxorubicin. This review is to compare the therapeutic effect of current clinically approved liposomebased drugs with free drugs and summarize the historical development and effects of particular phospholipids and surfactants on the biophysical properties and in vivo efficacy of thermosensitive liposome formulations. Drug delivery guided by magnetic resonance imaging is also discussed. The combination of external targeting with thermosensitive liposomes and magnetic resonance-guided drug delivery will be the unique characteristics of this nanotechnology approach in medicine.
提高难溶性药物溶解度的几种方法之一是脂质体制剂。脂质体的剂型研究已从传统的囊泡剂型发展到阳离子型脂质体、温敏型脂质体、病毒体等新一代脂质体。当与局部热疗或高强度聚焦超声联合使用时,热敏脂质体也是一种很有前景的药物外部靶向实体肿瘤的工具。体内实验结果有力地证明,外部靶向优于高度稳定的长循环药物制剂(如聚乙二醇化脂质体阿霉素)的被动靶向。本文对目前临床批准的基于脂质体的药物与游离药物的治疗效果进行了比较,并对某些磷脂和表面活性剂对热敏性脂质体制剂的生物物理性质和体内疗效的历史发展和影响进行了综述。还讨论了磁共振成像引导给药的方法。体外靶向与热敏脂质体和磁共振引导给药的结合将是这种纳米技术在医学上的独特特点。
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引用次数: 1
Analgesic and Anti-Inflammatory activities of Rothmannia Longiflora Salisb In Mice And Rats 罗思莲对小鼠和大鼠的镇痛和抗炎作用
Pub Date : 2016-08-01 DOI: 10.9790/3013-068010107
D. Mallam, A. AnukaJ., U. ZeziAbdulkadir, G. MagajiM., A. ChindoBen, B. SaniMohammed
In this study, the analgesic and anti-inflammatory activities of the methanolic leaf extract of Rothmannialongiflora were investigated. The methanolic leaf extract of the plant at the doses of 250, 500, and 1000mg/kg orally was evaluated for analgesic activity using acetic acid-induced writhing test, hot plate test and formalin test. The anti-inflammatory potential of the extract was evaluated using carrageenan-induced paw oedema test in rats. The methanolic leaf extract exhibited significant dose dependent analgesic and antiinflammatory effects comparable to piroxicam (20mg/kg body weight orally), which is a standard analgesic and anti-inflammatory drug. The preliminary phytochemical screening of the methanolic leaf extract of Rothmannialongiflora revealed the presence of flavonoids, tannins, saponins, glycosides, steroids/terpanoids, and carbohydrates. The oral median lethal dose (LD50) of the extract in mice and rats were found to be greater than 5000mg/kg, suggesting that the methanolic leaf extract of Rothmannialongiflora is non-toxic. The present findings suggest that the methanolic leaf extract of the plant possesses analgesic and anti-inflammatory activities, and supports the ethno medical claims of the use of the plant in the management of pain and inflammatory conditions.
本文研究了罗思曼叶甲醇提取物的镇痛和抗炎活性。采用醋酸扭体法、热板法和福尔马林法对250、500和1000mg/kg剂量的乙醇叶提取物进行镇痛作用评价。采用角叉菜胶诱导大鼠足跖水肿试验,评价其抗炎作用。乙醇叶提取物具有明显的剂量依赖性镇痛和抗炎作用,与吡罗西康(口服20mg/kg体重)相当,吡罗西康是一种标准的镇痛和抗炎药。对罗氏叶甲醇提取物进行了初步的植物化学筛选,发现其含有黄酮类化合物、单宁、皂苷、苷类化合物、甾体/萜类化合物和碳水化合物。小鼠和大鼠口服致死中位剂量(LD50)均大于5000mg/kg,说明罗特曼叶甲醇提取物无毒。目前的研究结果表明,该植物的甲醇叶提取物具有镇痛和抗炎活性,并支持使用该植物管理疼痛和炎症条件的民族医学主张。
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引用次数: 1
Antimicrobial Sensitivity Pattern in Surgical PatientsAdmitted to Intensive Care Unit, Northwest Region, Kingdom of Saudi Arabia 沙特阿拉伯王国西北地区重症监护病房外科患者抗菌药物敏感性分析
Pub Date : 2016-08-01 DOI: 10.9790/3013-068025660
I. Albalawi
Antimicrobial resistance is challenging for the health care professionals especially in intensive care unit. Most of the hospitals in developing countries yet to understand this phenomenon in order to succeed in antimicrobial therapy among the critically ill patients. The present study aimed to investigate the commonly available bacteria in ICU and antimicrobial sensitivity pattern of those bacteria in King Khalid Hospital, Tabuk, Kingdom of Saudi Arabia. The study has recruited 85 surgical patients admitted to intensive care unit (ICU) and bacterial isolation was carried out from their blood samples. Over all, gram negative bacteria is most common isolated in the study site (54%). However, 42% staphylococcus was isolated from the blood culture of the study population. Gram negative bacteria divided into two categories as enterobacteriaceae species and non- enterobacteriaceaespecies. Staphylococcus species is the most common isolated bacteria found to have higher sensitive to ceftriaxone, aztreonam, amoxicillin-clavulanic acid, colisitin, amikacin, cefepime, nitrofurantoin;however, high resistance was evident tocarbapenemantimicrobials (meropenem, ertapenem, imipenem) and fluroquinolones.Acinetobacter second common isolated bacteria only sensitive to colistin and sulphamethoxazole + trimethoprim antimicrobials. Antimicrobials sensitivity pattern highly differs between enterobacteriaceae and non-enterobacteriaceae bacteria's. Hence, the careful selection of antimicrobials is recommended in order to succeed in antimicrobial therapy.
抗菌素耐药性对卫生保健专业人员,特别是在重症监护病房具有挑战性。发展中国家的大多数医院尚未了解这一现象,以便成功地对危重病人进行抗菌治疗。本研究旨在调查沙特阿拉伯王国塔布克哈立德国王医院ICU常见细菌及其抗菌药物敏感性。该研究招募了85名入住重症监护病房(ICU)的外科患者,并从他们的血液样本中进行了细菌分离。总体而言,革兰氏阴性菌在研究地点最常见(54%)。然而,从研究人群的血培养中分离出42%的葡萄球菌。革兰氏阴性菌分为肠杆菌科和非肠杆菌科两大类。葡萄球菌是最常见的分离细菌,对头孢曲松、氨曲南、阿莫西林-克拉维酸、粘菌素、阿米卡星、头孢吡肟、硝基呋喃妥因具有较高的敏感性;但对碳青霉烯类抗菌剂(美罗培南、厄他培南、亚胺培南)和氟喹诺酮类药物具有明显的高耐药性。不动杆菌是第二常见的分离细菌,仅对粘菌素和磺胺甲恶唑+甲氧苄啶抗菌剂敏感。肠杆菌科细菌和非肠杆菌科细菌对抗菌素的敏感性差异很大。因此,建议慎重选择抗菌素,以便成功进行抗菌素治疗。
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引用次数: 0
Evaluation of patient’s knowledge and perceptions regarding generic medicines – pilot study in Saragossa (Spain) 评估患者对仿制药的知识和认知——萨拉戈萨(西班牙)试点研究
Pub Date : 2016-08-01 DOI: 10.9790/3013-068022232
M. Gimeno, I. Gil, M. Gómez, L. Lomba
Objective The aim is to review the actual knowledge and perception of generic medicines in Spain to see if more training and information for the patients is necessary. Method Self-administered questionnaires were used to survey the patient’s knowledge and perceptions of generic medicines. The questionnaires were built with an expert panel. The pilot was conducted in Saragossa province (Spain). Results Patients with a low educational level and those older than 51 years had a worse attitude to generics regarding their equivalence, quality and efficacy. Also showed the general non-acceptance of the substitution policy switching from branded to generic medicines. Conclusions More educational actions and campaigns directed to patients were shown to be necessary in order to improve the knowledge of generic drugs, specially focused on groups with negative perceptions. Practice implications Educational activities, direct and individual about security and efficacy of generic medicines increase its acceptance and appreciation. Health professionals (doctors, pharmacists and nurses) are the ones in the best position to develop this educational work. There is a need of a bigger effort in the country on generics information, especially in the group of older than 50 years old and in the lower education group.
目的回顾西班牙仿制药的实际知识和认知,以确定是否有必要为患者提供更多的培训和信息。方法采用自填问卷法调查患者对仿制药的知识和认知情况。调查问卷是由专家小组编制的。试验是在萨拉戈萨省(西班牙)进行的。结果受教育程度低、年龄大于51岁的患者对仿制药的等效性、质量和疗效的态度较差。还表明,普遍不接受从品牌药转向非专利药的替代政策。结论有必要开展更多针对患者的教育行动和宣传活动,以提高对仿制药的认识,特别是针对有负面看法的群体。实践意义:关于仿制药安全性和有效性的直接和个人教育活动增加了对仿制药的接受和赞赏。卫生专业人员(医生、药剂师和护士)是开展这项教育工作的最佳人选。该国需要在普通信息方面作出更大的努力,特别是在50岁以上的群体和受教育程度较低的群体中。
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引用次数: 2
Enhancement of Dissolution rate of Naproxen by Solid Dispersions with cyclodextrin Complex’s 环糊精配合物固体分散体提高萘普生溶出率
Pub Date : 2016-08-01 DOI: 10.9790/3013-068010825
Dr.Rohini Pilli, Sdvskiran Kadali, M. Nagabhushanam
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引用次数: 1
Nutritional value and pharmacological importance of citrus species grown in Iraq 伊拉克柑橘品种的营养价值和药理重要性
Pub Date : 2016-08-01 DOI: 10.9790/3013-0680176108
A. Al-Snafi
Citrus fruits contained many phytochemicals including essential oils, alkaloids, flavonoids, coumarins, psoralens, carotenoids with a wide range of nutritional components including vitamins, minerals and trace elements. The previous pharmacological studies revealed that citrus fruits possessed antimicrobial, anthelmintic, insect repellent, antioxidant, anticancer, cardiovascular, central nervous, anti-inflammatory, analgesic, antidiabetic, reproductive, gastrointestinal, immunological, respiratory and many other pharmacological effects. This review was designed to highlight the chemical constituents, nutritional value and pharmacological activities of citrus fruits.
柑橘类水果含有许多植物化学物质,包括精油、生物碱、类黄酮、香豆素、补骨脂素、类胡萝卜素,以及多种营养成分,包括维生素、矿物质和微量元素。药理研究表明,柑橘类水果具有抗菌、驱虫药、驱虫、抗氧化、抗癌、心血管、中枢神经、抗炎、镇痛、降糖、生殖、胃肠、免疫、呼吸等多种药理作用。本文对柑橘类水果的化学成分、营养价值和药理活性进行了综述。
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引用次数: 90
期刊
IOSR Journal of Pharmacy
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