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Potential of Leaves of Eighteen Cultivars of Ficus carica as Antioxidants and Profiling of Phenolic Compounds as an Active Molecules 18个榕树品种叶片的抗氧化潜力及酚类化合物的活性分析
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2019-04-01 DOI: 10.22034/IJPS.2019.43106
P. Akhtar, Z. Yaakob, Yunus Ahmed, M. Shahinuzzaman, M. Contreras
Ficus carica is a worldwide important crop. Its different parts such as leaves, stem barks, fruit and roots are used in traditional medicine from ancient age to treat the various diseases. In this research, total phenolic content, antioxidant activity, yield of extract and profiling of phenolic compounds of maturated leaves of different cultivars of F. carica were investigated by using two different extraction processes: ultrasound-assisted extraction (UAE) and maceration. The total phenolic content (TPC) was calculated by using Folin-Ciocalteu assay, while DPPH and ABTS assays were used for analysed the antioxidant capacity. Additionally, liquid chromatography (LC) coupled to mass spectrometry (MS) was used to study the individual phenolic compounds present in leaves. Using DPPH assay, the percentages of inhibition and Trolox equivalent antioxidant capacity were found to vary from 66.19 ± 1.01 to 87.06 ± 0.93 % and 53.67 ± 0.81 to 70.25 ± 0.74 mg TE/g DL, respectively, for extracts obtained by maceration. In the case of ultrasonication extraction, these values ranged from 72.84 ± 1.26 to 92.04 ± 1.24 % and 60.73 ± 0.92 to 74.19 ± 0.99 mg TE/g dry leaves (DL). While ABTS assay the latter parameters were found to vary from 96.61 ± 0.22 to 99.33 ± 0.23 % and 56.81 ± 0.12 to 58.32 ± 0.13 mg TE/g DL for maceration, as well as from 97.82 ± 0.23 to 99.79 ± 0.13 % and 57.48 ± 0.13 to 58.57 ± 0.07 mg TE/g DL for ultrasonication extraction. The total phenolic contents varied between 10.70 ± 0.20 to 21.18 ± 0.68 mg GAE/g DL, and 12.94 ± 0.23 to 23.04 ± 0.30 mg GAE/g DL, respectively for the latter extraction processes. The percentages of yields varied from 7.20 ± 0.20% to 13.05 ± 0.23% and 8.25 ± 0.25% to 15.20 ± 0.20 %, respectively, for maceration and ultrasonication extraction. In conclusion, extracts from leaves of F. carica obtained by UAE process showed the highest antioxidant activity, phenolic contents and extraction yields as compared to maceration process. In comparison amongst the leaves, the ‘Violette solise’ cultivar showed the highest antioxidant activity and contain highest phenolic contents. Finally, the extract of this cultivar contained phenolic acids (dihydroxybenzoic acid di-pentoside, caffeic acid, caffeoylmalic acid, coumaroylmalic acid, ferulic acid malate, and psoralic acid glucoside), C-glycosides flavones, rutin and prenylgenistein.
无花果是一种世界性的重要作物。它的不同部位,如叶、茎皮、果实和根,自古以来就被传统医学用于治疗各种疾病。本研究采用超声辅助提取(UAE)和浸渍两种不同的提取工艺,研究了不同品种卡肋藻成熟叶片的总酚含量、抗氧化活性、提取率和酚类化合物的特征。总酚含量(TPC)通过Folin-Ciocalteu测定法计算,而DPPH和ABTS测定法用于分析抗氧化能力。此外,还采用液相色谱-质谱联用技术对叶片中的酚类化合物进行了研究。使用DPPH测定法,发现通过浸渍获得的提取物的抑制百分比和Trolox等效抗氧化能力分别在66.19±1.01至87.06±0.93%和53.67±0.81至70.25±0.74 mg TE/g DL之间变化。在超声提取的情况下,这些值的范围为72.84±1.26至92.04±1.24%和60.73±0.92至74.19±0.99 mg TE/g干叶(DL)。而ABTS分析发现,后一个参数在浸渍的96.61±0.22至99.33±0.23%和56.81±0.12至58.32±0.13 mg TE/g DL之间变化,在超声提取的97.82±0.23至99.79±0.13%和57.48±0.13至58.57±0.07 mg TE/gDL之间变化。后一种提取工艺的总酚含量分别在10.70±0.20至21.18±0.68 mg GAE/g DL和12.94±0.23至23.04±0.30 mg GAE/g DL之间。浸渍和超声提取的产率分别为7.20±0.20%至13.05±0.23%和8.25±0.25%至15.20±0.20%。总之,与浸渍工艺相比,UAE工艺获得的卡肋藻叶提取物具有最高的抗氧化活性、酚类含量和提取率。在叶片之间的比较中,“Violette solise”品种表现出最高的抗氧化活性,并含有最高的酚类含量。最后,该品种的提取物含有酚酸(二羟基苯甲酸二戊糖苷、咖啡酸、咖啡酰基苹果酸、香豆酰苹果酸、阿魏酸-苹果酸和补骨脂酸-葡萄糖苷)、C-糖苷黄酮、芦丁和异戊烯基染料木素。
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引用次数: 4
Phytochemical Screening and Biological Evaluations of Garcinia atroviridis 黄藤的植物化学筛选及生物学评价
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2019-04-01 DOI: 10.22034/IJPS.2018.84227.1423
Wen-Nee Tan, M. Khairuddean, K. Khaw, V. Murugaiyah, W. Tong, C. Leong, D. Ibrahim
Garcinia atroviridis (Clusiaceae) has been used as a postpartum medication agent in folkloric medicine. However, its biological potential has not been fully evaluated. The present study was aimed to evaluate the antioxidant efficacies, cholinesterase enzyme inhibitory and antimicrobial activity of the stem bark extracts of G. atroviridis. Successive extraction was done using solvents of varied polarity. The antimicrobial activity was performed using the disc diffusion method by determining the inhibition zone and further evaluated for their minimum inhibition concentration (MIC) and minimum lethal concentration (MLC). Anti-cholinesterase activity was determined by spectrophotometric method while antioxidant activity was evaluated by DPPH radical scavenging. The extracts showed significant inhibitory activity against food borne bacteria. However, only dichloromethane extract exhibited the anti-yeast potential against Candida utilis and none of the extracts tested showed anti-fungi activity. For cholinesterase enzyme inhibitory activity, ethyl acetate extract exhibited the strongest acetylcholinesterase (AChE) inhibitory activity with an IC50 value of 5.46 ± 2.91 μg/mL while water extract showed the lowest IC50 values (29.31 μg/mL) against butyrlcholinesterase (BChE). For antioxidant activity, methanol extract showed moderate activity against DPPH radicals with EC50 value of 71.96 µg/mL. The dichloromethane extract exhibited significant antimicrobial activity while ethyl acetate showed the strongest acetylcholinesterase (AChE) inhibitory activity. The present study showed the significance of this commercial plant as the potential source of bioactive compounds.
黄藤是民间医学中常用的产后用药制剂。然而,其生物学潜力尚未得到充分评估。本研究旨在评价阿曲维里茎皮提取物的抗氧化作用、胆碱酯酶抑制作用和抗菌活性。使用不同极性的溶剂进行连续提取。使用圆盘扩散法通过确定抑制区来进行抗微生物活性,并进一步评估其最小抑制浓度(MIC)和最小致死浓度(MLC)。用分光光度法测定胆碱酯酶活性,用DPPH自由基清除法评价抗氧化活性。提取物对食源性细菌具有显著的抑制活性。然而,只有二氯甲烷提取物显示出对产朊假丝酵母的抗酵母潜力,并且没有一种测试的提取物显示出抗真菌活性。对于胆碱酯酶抑制活性,乙酸乙酯提取物对乙酰胆碱酯酶(AChE)的抑制活性最强,IC50值为5.46±2.91μg/mL,而水提取物对丁胆碱酯酶(BChE)表现出最低的IC50值(29.31μg/mL)。就抗氧化活性而言,甲醇提取物对DPPH自由基表现出中等活性,EC50值为71.96µg/mL。二氯甲烷提取物表现出显著的抗菌活性,而乙酸乙酯表现出最强的乙酰胆碱酯酶(AChE)抑制活性。本研究表明了这种商业植物作为生物活性化合物潜在来源的重要性。
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引用次数: 3
Symptom Evaluation in Pediatric Oncology Outpatient Setting; A Cross-Sectional Study 儿科肿瘤门诊的症状评估;横断面研究
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2019-04-01 DOI: 10.22034/IJPS.2018.80927.1402
Mona Kargar, Rozita Motaghedi, Ava Mansouri, Molouk Hajibabaie, K. Heidari, A. Rashidian, S. Ansari, K. Gholami
Detection and management of cancer-related symptoms is a key component in children’s quality of life. We evaluate symptoms and their severity in Iranian pediatric oncology outpatients using Therapy-Related Symptom Checklist for Children (TRSC-C). This was a cross-sectional study conducted in two outpatient pediatric oncology settings. We included all patients aged between 5-17 years. The validated and reliable Persian translated version of TRSC-C was used to study the symptoms. Overall 1425 symptoms were documented from 162 patients (mean age 8.6 ±3.2, acute lymphoblastic leukemia: 76.5%). In 96.3% of patients at least one symptom was present. Twenty (12.34%) patients experienced at least 15 events. Irritable, loss of appetite, cough, pain and hair loss were the top 5 frequent symptoms. The highest mean severity scores were also belonged to irritable, loss of appetite, and hair loss. We found no significant difference between gender, age group or time of the last chemotherapy with mean total severity scores or total number of symptoms (P>0.05). In conclusion, TRSC-C is an appropriate symptom assessment checklist for our settings and it would give us the ability to track symptoms and designate clinical interventions based on the frequent and severe identified symptoms.
癌症相关症状的检测和管理是儿童生活质量的关键组成部分。我们使用儿童治疗相关症状清单(TRSC-C)评估伊朗儿科肿瘤门诊患者的症状及其严重程度。这是一项在两个门诊儿科肿瘤学环境中进行的横断面研究。我们纳入了年龄在5-17岁之间的所有患者。TRSC-C的经验证和可靠的波斯语翻译版本用于研究症状。162名患者共记录了1425种症状(平均年龄8.6±3.2,急性淋巴细胞白血病:76.5%)。96.3%的患者至少有一种症状。20名(12.34%)患者经历了至少15次事件。烦躁、食欲不振、咳嗽、疼痛和脱发是最常见的五大症状。最高的平均严重程度得分也属于易怒、食欲不振和脱发。我们发现,性别、年龄组或最后一次化疗的时间与平均总严重程度得分或症状总数之间没有显著差异(P>0.05)。总之,TRSC-C是我们环境中合适的症状评估清单,它将使我们能够跟踪症状,并根据频繁和严重的已识别症状指定临床干预措施。
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引用次数: 0
Supratherapeutic Dosing of Acetaminophen in Iranian Hospitalized Adult Patients 伊朗住院成年患者对乙酰氨基酚的超剂量治疗
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2019-04-01 DOI: 10.22034/IJPS.2018.85076.1429
A. Moghaddam, F. Sheybani, Atefeh Behboudifar, H. Naderi, N. Morovatdar, B. Dadpour, Nasrin Khosravi, J. Rashid, M. Hoseini
Background: Acetaminophen is the most commonly used analgesic and fever-lowering agent that is prescribed in a high percentage of patients. Due to the high prevalence of the administration of this drug, even a small percentage of errors in prescription can be significant and have important implications. The aim of the present study was to determine the frequency of supratherapeutic dosing of acetaminophen among hospitalized adult patients and its association with clinical outcomes. Methods and Materials: We conducted a retrospective, cross sectional study of all hospitalized adult patients in a teaching hospital affiliated to Mashhad University of Medical Sciences, Mashhad, Iran. Results: During the three-month study period, 4,781 (24.83%) out of 19,252 hospitalized cases received acetaminophen. Of those who received acetaminophen, 264 (5.5%) cases received a supratherapeutic dose at least once. Of 611 incidences of supratherapeutic dosing, 99.1% occurred in surgical wards and surgical intensive care units (ICUs), and 98.8% was associated with receiving parenteral formulations of acetaminophen. Multivariate analysis indicated supratherapeutic dosing of acetaminophen was significantly associated with multiple factors including female gender, older age, and longer length of hospital stays. Conclusion: All things considered, the percentage of hospitalized adult patients who received any dose of acetaminophen at our center was considerably less than other countries. Despite this, the frequency of instances of supratherapeutic dosing of this medication was significant (i.e. 17.6 days per 1,000 patient-days). Considering recent reports concerning the risk of hepatotoxicity associated with the repeated use of supratherapeutic doses of acetaminophen, continuous monitoring of acetaminophen utilization in order to prevent these instances is needed. Furthermore, based on the low percentage of patients who receive acetaminophen at our center, conducting research to study the pattern of prescription of analgesics and antipyretics in our center and its association with clinical outcome is logical.
背景:对乙酰氨基酚是最常用的镇痛和退烧剂,在高比例的患者中使用。由于这种药物的使用率很高,即使是处方中的一小部分错误也可能具有重大意义。本研究的目的是确定住院成年患者超治疗剂量对乙酰氨基酚的频率及其与临床结果的关系。方法和材料:我们对伊朗马什哈德医学科学大学附属教学医院的所有住院成年患者进行了回顾性横断面研究。结果:在为期三个月的研究期间,19252例住院病例中有4781例(24.83%)接受了对乙酰氨基酚治疗。在接受对乙酰氨基酚治疗的患者中,264例(5.5%)至少接受了一次超治疗剂量。在611例超治疗剂量的发生率中,99.1%发生在外科病房和外科重症监护室(ICU),98.8%与接受对乙酰氨基酚的胃肠外制剂有关。多因素分析表明,对乙酰氨基酚的超治疗剂量与多种因素显著相关,包括女性、年龄较大和住院时间较长。结论:综合考虑,在我们中心接受任何剂量对乙酰氨基酚治疗的住院成年患者的百分比明显低于其他国家。尽管如此,这种药物超治疗给药的频率是显著的(即每1000个患者日17.6天)。考虑到最近关于反复使用超治疗剂量对乙酰氨基酚导致肝毒性风险的报告,需要持续监测对乙酰氨基苯酚的使用情况,以预防这些情况的发生。此外,基于在我们中心接受对乙酰氨基酚治疗的患者比例较低,在我们中心进行研究以研究镇痛药和退烧药的处方模式及其与临床结果的关系是合乎逻辑的。
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引用次数: 0
Enhanced Solubility of Anti-HER2 scFv Using Bacterial Pelb Leader Sequence 利用细菌Pelb前导序列增强抗HER2单链抗体的溶解性
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2019-03-01 DOI: 10.22034/IJPS.2018.91824.1472
Farzaneh Farshdari, M. Ahmadzadeh, H. Jahandar, E. Mohit
Single chain Fragment variable (scFv) is an antibody fragment consisting variable regions of heavy and light chains. scFvs enhance their penetrability into tissues while maintaining specific affinity and having low immunogenicity. Insoluble inclusion bodies are formed when scFvs are expressed in reducing bacterial cytoplasm. One strategy for obtaining functionally active scFv is to translocate the scFv into the oxidized environment of the periplasm where the possibility for disulfide bond formation is increased. This can be achieved by cloning the gene in a vector containing N-terminal pelB leader peptide that export foreign proteins to the periplasmic space. The aim of this study is to evaluate the influence of periplasmic localization using pelB leader peptide on the solubility of anti HER2-scFv. Herein, anti HER2-scFv gene was cloned between NcoI and XhoI sites of pET22-b (+) containing pelB leader peptide and in same sites of pET28-b (+) (without pelB). The expression in BL21 (DE3) was induced using IPTG and was analyzed using SDS-PAGE and Western blot experiment. Then, the solubility of anti HER2-scFvin BL21 (DE3) containing both pET22- and pET28-(anti HER2-scFv) was determined. The results of the present study demonstrated that anti HER2-scFv was expressed by both pET22-b (+) and pET28-b (+) vectors in BL21 (DE3). The proper expression of anti-HER2 scFv was confirmed by appearance of a  28 kDa band in Western blot analysis. The most anti HER2-scFv expression from BL21 containing pET28-(anti HER2-scFv) was achieved when it was induced by 0.25 mM IPTG at 37 C, 24 h post-induction. The ratio of soluble/insoluble anti HER2-scFv was significantly higher in BL21 containing pET22-(anti HER2-scFv) than in that containing pET28-(anti HER2-scFv). Totally, fusion of pelB signal sequence to anti HER2-scFv resulted in solubility enhancement. Therefore, production of functional anti HER2-scFv with proper disulfide bond can be achieved by directing the recombinant protein to periplasmic space using pelB signal peptide in pET22 (+) vector.
单链可变片段(scFv)是一种由重链和轻链可变区组成的抗体片段。scFv增强了其对组织的穿透性,同时保持特异性亲和力并具有低免疫原性。当scFv在还原性细菌细胞质中表达时,形成不溶性包涵体。获得功能活性scFv的一种策略是将scFv转移到周质的氧化环境中,在氧化环境中二硫键形成的可能性增加。这可以通过在含有N末端pelB前导肽的载体中克隆基因来实现,该肽将外源蛋白输出到周质空间。本研究的目的是评估使用pelB前导肽的周质定位对抗HER2-scFv溶解度的影响。在此,在含有pelB前导肽的pET22-b(+)的NcoI和XhoI位点之间以及在pET28-b(+(不含pelB)的相同位点中克隆抗HER2-scFv基因。用IPTG诱导BL21(DE3)的表达,并用SDS-PAGE和蛋白质印迹实验进行分析。然后,测定同时含有pET22-和pET28-的抗HER2-scFvin BL21(DE3)(抗HER2-scFv)的溶解度。本研究的结果表明,抗HER2-scFv在BL21(DE3)中由pET22-b(+)和pET28-b(+。抗HER2-scFv的正确表达通过 在蛋白质印迹分析中显示28kDa条带。当用0.25mM IPTG在37C、 诱导后24小时。在含有pET22-(抗HER2-scFv)的BL21中,可溶性/不溶性抗HER2-scFv的比率显著高于含有pET28-(抗HER2-scFv)的BL。总之,pelB信号序列与抗HER2-scFv的融合导致溶解性增强。因此,通过使用pET22(+)载体中的pelB信号肽将重组蛋白引导到周质空间,可以实现具有适当二硫键的功能性抗HER2-scFv的产生。
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引用次数: 3
Evaluation of the Anti-tuberculosis and Cytotoxic Potential of the Seaweed Padina australis 南扁藻抗结核及细胞毒潜能的评价
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2019-01-01 DOI: 10.22034/IJPS.2018.90477.1463
G. Vaseghi, N. Zakeri, F. Mazloumfard, A. Yegdaneh, N. Dana
Background: Marine seaweeds synthesize different types of compounds with various biological activities, including anti-tuberculosis and anticancer effects. Objective: The aim of this study was to evaluate anti tuberculosis of Padina australis and cytotoxicity of different fractions of this seaweed. Methods: Padina australis was collected from coasts of Persian Gulf, identified and extracted by maceration with methanol-ethyl acetate. The extract was evaporated and partitioned by Kupchan method to yield Hexane, dichloromethane, Butanol and water partitions. The anti-tuberculosis activity of the crude extract and cytotoxicity of fractions were investigated using GFPMA and MTT methods. Results: The cell survivals of HeLa cell were decreased by increasing the concentration of extracts. The IC50 value of hexane, dichloromethane, butanol and water partitions were 2.0, 20. , 19.7 and 182.7 μg/ml respectively. The crude extract was not active against tuberculosis. Conclusion: This study reveals that different partitions of Padina australis have cytotoxic activity against cancer cell lines.
背景:海藻可合成具有多种生物活性的化合物,包括抗结核和抗癌作用。目的:研究南扇扇海苔不同部位的抗结核作用及细胞毒性。方法:采自波斯湾沿岸地区的南蹄草,采用甲醇-乙酸乙酯浸渍法进行鉴定和提取。提取液经Kupchan法蒸发、分离得到己烷、二氯甲烷、丁醇和水隔板。采用GFPMA法和MTT法对粗提物的抗结核活性和各组分的细胞毒性进行了研究。结果:随着提取物浓度的增加,HeLa细胞的存活率降低。己烷、二氯甲烷、丁醇和水的IC50值分别为2.0、20。分别为19.7、182.7 μg/ml。粗提取物对肺结核没有活性。结论:本研究揭示了南蹄草不同部位对癌细胞具有细胞毒活性。
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引用次数: 1
Expression of Lanosterol 14-Demethylase (ERG11) Gene of Three-Drug Combinations in Candida albicans 三药联合在白色念珠菌中羊毛甾醇14-去甲基酶(ERG11)基因的表达
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2019-01-01 DOI: 10.22034/IJPS.2018.89640.1456
F. Alizadeh, A. Khodavandi, Sahar Ahmadsomalia
Patients with impaired immunity are at particular risk of infections with Candida albicans. Antifungal drugs such as azoles commonly used for candidiasis treatment, but drug resistance is one of the most common problems for public health. The aim of this study was to evaluate the expression of lanosterol 14-demethylase (ERG11) gene for three-drug combinations in C. albicans. Disk diffusion and broth microdilution susceptibility tests were employed to evaluate the synergic effects of amphotericin B, fluconazole, voriconazole, ketoconazole and itraconazole. Quantification of ERG11 gene expression was carried out in C. albicans treated with three-drug combinations of fluconazole/ ketoconazole/ voriconazole and fluconazole/ ketoconazole/ itraconazole. Three-drug combinations revealed synergistic and partial synergistic effect for all tested isolates (FIC index range of 0.27-0.77). The expression levels of ERG11 were down-regulated by three-drug combination of fluconazole/ ketoconazole/ voriconazole treatment. Fluconazole synergizes with ketoconazole and voriconazole in three-drug combination against C. albicans by targeting of the ERG11 gene.
免疫力受损的患者感染白色念珠菌的风险特别高。抗真菌药物如唑类通常用于治疗念珠菌病,但耐药性是公共卫生最常见的问题之一。本研究的目的是评估三种药物联合在白色念珠菌中的羊毛甾醇14-去甲基化酶(ERG11)基因的表达。采用纸片扩散试验和肉汤微稀释药敏试验评价两性霉素B与氟康唑、伏立康唑、酮康唑和伊曲康唑的协同作用。采用氟康唑/酮康唑/伏立康唑和氟康唑/酮康唑/伊曲康唑三药联合治疗白色念珠菌,定量检测ERG11基因表达。三药联合对所有分离株均有增效和部分增效作用(FIC指数范围为0.27 ~ 0.77)。氟康唑/酮康唑/伏立康唑三药联用可下调ERG11的表达水平。氟康唑与酮康唑、伏立康唑协同作用,靶向ERG11基因治疗白色念珠菌。
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引用次数: 0
Intravenous Immunoglobulin Utilization in a Pediatric Tertiary Care Teaching Hospital in Iran 静脉注射免疫球蛋白在伊朗儿科三级护理教学医院的应用
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2019-01-01 DOI: 10.22034/IJPS.2018.87895.1443
Mona Kargar, Mohammad-Hadi Nikahd, Shahideh Amini, K. Heidari, K. Gholami
Intravenous immunoglobulin (IVIG) is an expensive medicine which is widely used for unlabeled indications. We conducted this drug utilization review (DUR) to evaluate the appropriateness of IVIG utilization in Tehran, Iran. This cross sectional study was conducted in a referral pediatric tertiary care hospital in Tehran. During a three month period in 2015, medical records of inpatients with IVIG order were evaluated. Appropriate indications for IVIG were determined based on the evidenced based guidelines and literature. Medical records of patients were reviewed and demographic data as well as the diagnosis, previous treatments, IVIG indication, dose, duration and the adverse drug reactions (ADR) were documented. Additionally, cost of therapy was calculated. During the study, 115 patients received IVIG. In 51 cases (44.4%), a total of 1338 gram IVIG was administered inappropriately. We found that in 32 cases (27.8%), intractable epilepsy was the inappropriate indication. The most frequent prescribers of IVIG were clinical specialists of pediatric neurology, pediatric asthma and immunology followed by pediatric hematology. In terms of safety, we found that 64 (55.6%) patients experienced at least one ADR. The most prevalent ADRs were hypotension (27.8%), fever (26.9%) and chills (18.3%). Total cost of IVIG during the study period was 6,075,500,000 Rials (approximately 215,872 $). Irrational use of IVIG is still a considerable issue that costs a considerable amount. Due to the high cost of therapy, multifaceted interventions is necessary to be implemented to improve the prescribing practice.
静脉注射免疫球蛋白(IVIG)是一种昂贵的药物,广泛用于未标记的适应症。我们进行了这项药物利用回顾(DUR),以评估伊朗德黑兰IVIG使用的适宜性。这项横断面研究是在德黑兰的一家转诊儿科三级保健医院进行的。在2015年3个月期间,对IVIG订单住院患者的医疗记录进行评估。根据循证指南和文献确定IVIG的适当适应症。审查患者的医疗记录,并记录人口统计数据以及诊断、既往治疗、IVIG指征、剂量、持续时间和药物不良反应(ADR)。此外,还计算了治疗费用。在研究期间,115名患者接受了IVIG。51例(44.4%)患者IVIG使用不当共计1338克。我们发现32例(27.8%)顽固性癫痫是不合适的适应症。最常见的IVIG处方者是儿科神经病学、儿科哮喘和免疫学的临床专家,其次是儿科血液学。在安全性方面,我们发现64例(55.6%)患者至少出现一次不良反应。最常见的不良反应是低血压(27.8%)、发热(26.9%)和寒战(18.3%)。研究期间IVIG的总费用为6,075,500,000里亚尔(约215,872美元)。IVIG的不合理使用仍然是一个相当大的问题,造成了相当大的损失。由于治疗费用高,有必要实施多方面的干预措施,以改善处方实践。
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引用次数: 1
Relation between Parental Education and Children’s Healthful Lifestyle 父母教育与儿童健康生活方式的关系
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2019-01-01 DOI: 10.22034/IJPS.2019.38702
F. Zeinali, F. Peiravian, N. Yousefi
As parents’ socioeconomic condition considerably affects their children’s health, in the present paper, parents’ education and its relation with their lifestyle, including breast feeding, nutrition, supplement intake, smoking, and personal hygiene, are studied. Parents’ behavior is an important factor in affecting children’s health status. A cross-sectional descriptive analysis was conducted using a self-administrated anonymous questionnaire. A total of 600 anonymous questionnaires were distributed among the children’s parents in primary schools in Tehran, Iran, of which 62% were returned. Responses showed that 89.2% of mothers had breastfeeding and 69% of children had suitable nutrition. Additionally, the study result indicated a significant correlation between parents’ education and children’s personal hygiene. There was a significant relation between parents’ education and parents’ smoking as well. Furthermore, there was a significant relation between mothers’ education and supplement intake in their children. Therefore, parents’ education and health literacy are the main factors in children’s health that should be addressed by policymakers.
由于父母的社会经济状况对孩子的健康影响很大,因此本文研究了父母的教育及其与生活方式的关系,包括母乳喂养、营养、补充剂摄入、吸烟和个人卫生。父母行为是影响儿童健康状况的重要因素。采用自我管理的匿名问卷进行横断面描述性分析。向伊朗德黑兰小学的儿童家长发放了600份匿名问卷,其中62%的问卷被收回。调查结果显示,89.2%的母亲母乳喂养,69%的儿童有适当的营养。此外,研究结果显示父母的教育程度与儿童的个人卫生有显著的相关。父母受教育程度与吸烟之间也存在显著的相关关系。此外,母亲的受教育程度与其子女的补充剂摄入量之间存在显著关系。因此,父母的教育和健康素养是影响儿童健康的主要因素,是决策者应该解决的问题。
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引用次数: 0
WHO Indicators and its Compliance by General Practitioners of Lahore, Pakistan 巴基斯坦拉合尔全科医生的世卫组织指标及其遵守情况
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2019-01-01 DOI: 10.22034/IJPS.2019.38704
Mohammad Farooq, I. Khan, Dolat Khan, Anam Ahsan, Atif Hussain, Irum Mansoor, R. Parveen
Abstract Background: Prescribing pattern is also important factor to identify the problems related to prescribing and best tool to improve the quality of prescription and patient care. Methods: The aim of current study was to evaluate the quality of prescription and prescribing practices as per WHO drug core indicators in Lahore, Pakistan. A descriptive and cross- sectional study was carried out to access the prescribing pattern in Lahore, Pakistan. A sample of 300 prescriptions were collected from well –known Pharmacies and hospitals located in Lahore, Pakistan. A Structured data collection form was designed. The standard world health organization (WHO) drugs core prescribing indicators were used to determine the prescribing pattern of physicians. Data was analyzed using IBM SPSS V21.0. Results: The name of patients was mentioned 93% of total prescriptions. While age and sex mentioned on prescriptions were 67% and 53% respectively. Only 22% prescriptions were containing patient weight description.32% of total prescriptions were mentioned prescriber address. 16% of total prescriptions were containing patient address. While 60% of total prescriptions were mentioned specliazation of prescribers. The total numbers of drugs prescribed on all encounter was 1122. The average number of drugs prescribed per encounter was 3.74(optimal value 1.6-1.8). The total number of drugs prescribed under generic name was 0% (optimal value 100%). Antibiotics were 42.5% of total drug prescribed (optimal value 20-26.8). Injections were 19.25% of prescriptions (optimal value less 10%). Prescription writing is a tough task. Conclusion: The result of current study show a poor compliance rate of legal requirement required for prescription writing. Most of prescribers were deviated from standard guidelines. There is dare need to improve the knowledge about prescription writing and prescribing practices. Continuous education is required to ensure the rational prescribing at Lahore, Pakistan in future.
背景:处方模式是发现处方相关问题的重要因素,也是提高处方质量和患者护理的最佳工具。方法:采用世界卫生组织药物核心指标对巴基斯坦拉合尔地区的处方质量和处方操作进行评价。对巴基斯坦拉合尔的处方模式进行了描述性和横断面研究。从巴基斯坦拉合尔的知名药房和医院收集了300份处方样本。设计了一个结构化的数据采集表格。采用世界卫生组织(WHO)标准药物核心处方指标确定医生的处方模式。数据分析采用IBM SPSS V21.0。结果:处方中提及患者姓名的比例为93%。处方上提及年龄和性别的比例分别为67%和53%。只有22%的处方包含患者体重描述。32%的处方中提到了处方者地址。16%的处方包含患者地址。而总处方的60%被提及处方专业化。所有就诊的处方药物总数为1122种。每次就诊平均处方药物数为3.74种(最优值为1.6 ~ 1.8种)。以通用名开具处方的药品总数为0%(最优值为100%)。抗生素占总处方药物的42.5%(最优值20- 26.8%)。注射剂占处方的19.25%(最优值小于10%)。写处方是一项艰巨的任务。结论:目前的研究结果表明,处方书写法律要求的符合率较低。大多数处方者偏离了标准指南。在处方书写和处方实践方面的知识还有待提高。为了确保巴基斯坦拉合尔未来的合理处方,需要继续教育。
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引用次数: 2
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Iranian Journal of Pharmaceutical Sciences
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