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Studying The Anti Candidal-Activity of Different Herbal Oils Incorporated into Tissue Conditioner: (A Comparative study) 研究加入组织调节剂的不同草本油的抗念珠菌活性:(一项比较研究)
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-12-25 DOI: 10.35516/jjps.v16i4.2086
Ghada Abdulmunim Mohammed
This in vitro study was undertaken with the aim of testing the efficacy of the tissue conditioner mixed with four different commercially available herbal oils (Origanum oil, (Nigella sativa) Black seeds oil, Garlic oil, and Ginger oil) against Candida albicans. Control groups tested with antifungal test discs included fluconazole, flucytosine, and tissue conditioner discs (Acrosoft). The susceptibility test of plant extracts alone was also conducted. The combination groups tested were Acrosoft mixed with ginger oil, Acrosoft mixed with origanum oil, Acrosoft mixed with black seed oil, and Acrosoft with garlic oil. Test discs were completely embedded in the tissue conditioner mixed with plant extracts and gently placed on the agar plates. The plates were incubated at 35 °C for 72 hours. After incubation, inhibiting diameters of various groups were noted. There was complete resistance of Candida albicans to both fluconazole and flucytosine, and there was no inhibition zone observed regarding the susceptibility of ginger oil, origanum oil, black seed oil, and garlic oils. Similarly, there was no inhibition of Candida albicans observed in Acrosoft material. For the combination of tissue conditioner with plant extracts, results showed no inhibition in black seed oil and ginger oil combined with tissue conditioner. In contrast, the combination of garlic oil and origanum oil with tissue conditioner showed a zone of inhibition, and the inhibition diameters ranged from 5-9 mm.
这项体外研究旨在测试组织调节剂与四种不同的市售草药油(牛至油、黑种草油、大蒜油和生姜油)混合后对白色念珠菌的功效。对照组使用氟康唑、氟胞嘧啶和组织调节剂(Acrosoft)等抗真菌测试片进行测试。此外,还进行了单独植物提取物的药敏试验。测试的组合组包括 Acrosoft 与生姜油混合组、Acrosoft 与红花油混合组、Acrosoft 与黑籽油混合组以及 Acrosoft 与大蒜油混合组。将测试盘完全嵌入混有植物提取物的组织调节剂中,然后轻轻放在琼脂平板上。平板在 35 °C 下培养 72 小时。培养结束后,记录各组的抑制直径。白色念珠菌对氟康唑和氟尿嘧啶都有完全的抗药性,而对姜油、折耳草油、黑种草油和大蒜油的敏感性则没有抑制区。同样,在 Acrosoft 材料中也没有观察到对白色念珠菌的抑制作用。对于组织调节剂与植物提取物的组合,结果显示黑籽油和生姜油与组织调节剂的组合没有抑制作用。相反,大蒜油和折衷油与组织调节剂的组合则出现了抑制区,抑制直径在 5-9 毫米之间。
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引用次数: 0
Comparison of Job Satisfaction by Alumni and Student Medical Representatives and The Associated Factors in Iraq 伊拉克校友和学生医疗代表的工作满意度比较及相关因素
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-12-25 DOI: 10.35516/jjps.v16i4.927
Mohammed I.M. Aladul, Ibraheem A. Jamel, Thanoon A. Thanoon, Fatima F. Abd-Alrazzaq, Zainab S. Shaker, Tabarak M. Jassim
Background: Job satisfaction is a multifaceted construct that involves the intricate interplay of an employee's emotional, cognitive, and behavioral characteristics with their job. Objectives: To explore the difference in job satisfaction among alumni and student medical representatives (MRs), as well as to identify the factors that influence the job satisfaction of MRs. Methods: A cross-sectional face-to-face survey was conducted with medical school students and alumni working as MRs in various Iraqi universities. Results: A total of 449 MRs participated in this study. A statistically significant difference was found in job satisfaction items, namely recognition, responsibility, salary, and working conditions between alumni and student MRs, with higher values observed in the alumni MRs group (p-values of 0.008, 0.003, 0.029, and 0.025, respectively). More than half of the participants had low levels of job satisfaction. Conclusions: Alumni and student MRs have similar levels of job satisfaction. The factors that significantly contribute to job satisfaction among alumni MRs include recognition of good performance, increased autonomy and responsibilities, competitive salaries, and improved working conditions within the company. The satisfaction of MRs is significantly influenced by the quality of products and the reputation of the company.
背景:工作满意度是一个多层面的概念,涉及员工的情感、认知和行为特征与工作之间错综复杂的相互作用。研究目的探讨校友和学生医药代表(MRs)工作满意度的差异,并找出影响医药代表工作满意度的因素。方法:采用横断面面对面调查的方法:对在伊拉克多所大学担任医疗代表的医学院学生和校友进行了横断面面对面调查。结果:共有 449 名医务人员参与了这项研究。在工作满意度项目(即认可度、责任感、薪资和工作条件)上,校友和在校 MR 之间存在统计学意义上的显著差异,校友 MR 组的满意度值更高(p 值分别为 0.008、0.003、0.029 和 0.025)。超过半数的参与者工作满意度较低。结论:校友和学生 MR 的工作满意度水平相似。对校友校董的工作满意度有重大影响的因素包括:对良好表现的认可、自主权和责任的增加、有竞争力的薪酬以及公司内部工作条件的改善。产品质量和公司声誉对 MR 的满意度有很大影响。
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引用次数: 0
Insight into the Structure-Activity Relationship of Antimicrobial Peptide Brevinin 洞察抗菌肽布雷维宁的结构与活性关系
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-12-25 DOI: 10.35516/jjps.v16i4.1327
Md. Kamrul Hasan Arnab, Moynul Hasan, Md. Monirul Islam
Numerous amphibian species, particularly those of the genus Rana, have been found to produce linear, amphiphilic, and cationic antimicrobial peptides (AMPs). Such AMPs are gaining more attention in pharmaceutical applications due to their principal method of action, which involves penetrating and rupturing the intended cell membranes with relatively low resistance. Brevinin is a large family of AMPs extensively studied during the last few decades, primarily consisting of two groups of peptides: Brevinin-1 and Brevinin-2. These peptides are cationic and establish secondary structures in the biological membrane environment. In this discussion, we explore the effects of structural parameters (net charge, hydrophobicity, amphiphilicity, helicity, peptide length, etc.) of Brevinin on their antimicrobial activity. As a general rule, an increased net charge tends to enhance antimicrobial activity. However, it is important to note that excessive net charges can also elevate hemolytic activity. The amino acid composition significantly influences hydrophobicity and helicity, which, in turn, impact the activity of the peptides. Moreover, these structural parameters are interconnected; modifying one parameter will affect others. Striking an optimal balance in these factors will provide a Brevinin analog with the highest antimicrobial activity and the lowest hemolytic activity.
研究发现,许多两栖动物,尤其是蛙属两栖动物,都能产生线性、两亲性和阳离子抗菌肽(AMPs)。这类 AMPs 的主要作用方式是以相对较低的阻力穿透并破坏目标细胞膜,因此在医药应用中越来越受到关注。布雷维宁是过去几十年中被广泛研究的一大类 AMPs,主要由两组肽组成:布雷维宁-1 和布雷维宁-2。这些肽是阳离子,可在生物膜环境中建立二级结构。在本讨论中,我们将探讨布雷文肽的结构参数(净电荷、疏水性、两亲性、螺旋度、肽段长度等)对其抗菌活性的影响。一般来说,净电荷增加往往会提高抗菌活性。但必须注意的是,过多的净电荷也会提高溶血活性。氨基酸组成对疏水性和螺旋度有很大影响,而疏水性和螺旋度又反过来影响肽的活性。此外,这些结构参数是相互关联的;改变一个参数会影响其他参数。如果能在这些因素之间取得最佳平衡,就能制备出抗菌活性最高、溶血活性最低的布雷维宁类似物。
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引用次数: 0
Native Medicinal Plants (Moringa oleifera Lam, Brucea javanica (L.) Merr., Eclipta prostrata (L.), Callisia fragrans (Lindl.) Woodson, and Zingiber zerumbet (L.) Smith) in An Giang, Vietnam: A Preliminary Investigation for Rhabdomyosarcoma Treatments using in-vitro RD cell cytotoxicity test 越南安江的本地药用植物(Moringa oleifera Lam、Brucea javanica (L.) Merr.、Eclipta prostrata (L.)、Callisia fragrans (Lindl.) Woodson 和 Zingiber zerumbet (L.) Smith):使用体外 RD 细胞毒性测试对横纹肌肉瘤治疗的初步研究
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-12-25 DOI: 10.35516/jjps.v16i4.1365
D. T. Huynh, Minh-Ngoc T. Le, V. D. Tran, Viet-Hung Tran, D. T. Pham
Cancer, one of the deadliest diseases worldwide, is projected to affect 30.2 million people by 2040. Among the various cancer types, rhabdomyosarcoma (RMS) is a unique tumor primarily impacting the muscular system of children. The current treatment for RMS has limited efficacy and numerous side effects, emphasizing the need for novel therapeutic approaches. This study investigates the potential treatment of the RMS cell line RD using extracts from five folklore-based medicinal plants in An Giang, Vietnam. The plants—Moringa oleifera Lam, Brucea javanica (L.) Merr., Eclipta prostrata (L.), Callisia fragrans (Lindl.) Woodson, and Zingiber zerumbet (L.) Smith—were extracted and fractionated using three solvents: ether, ethanol, and water. These fractions underwent phytochemical screening and cytotoxicity testing on the in-vitro RMS cell line RD. The results indicate that the ether fraction of Eclipta prostrata (L.) and the ether and ethanol fractions of Zingiber zerumbet (L.) Smith exhibit moderate cytotoxic effects on RD cell lines, with IC50 values of 37.08 ± 1.23 µg/mL, 23.15 ± 1.17 µg/mL, and 45.63 ± 2.39 µg/mL, respectively. These findings provide preliminary data for further in-depth research into the anticancer properties of these plants, which are widely grown in the South of Vietnam.
癌症是全球最致命的疾病之一,预计到 2040 年将有 3020 万人罹患癌症。在各种癌症类型中,横纹肌肉瘤(RMS)是一种主要影响儿童肌肉系统的独特肿瘤。目前治疗横纹肌肉瘤的方法疗效有限且副作用大,因此需要新的治疗方法。本研究利用越南安江省五种民间药用植物的提取物,对 RMS 细胞系 RD 的潜在治疗方法进行了调查。这些植物--Moringa oleifera Lam、Brucea javanica (L.)Merr.、Eclipta prostrata (L.)、Callisia fragrans (Lindl.) Woodson 和 Zingiber zerumbet (L.) Smith--使用乙醚、乙醇和水三种溶剂进行提取和分馏。对这些馏分进行了植物化学筛选,并对体外 RMS 细胞系 RD 进行了细胞毒性测试。结果表明,Eclipta prostrata (L.) 的乙醚馏分以及 Zingiber zerumbet (L.) Smith 的乙醚和乙醇馏分对 RD 细胞系具有中等程度的细胞毒性作用,IC50 值分别为 37.08 ± 1.23 µg/mL、23.15 ± 1.17 µg/mL 和 45.63 ± 2.39 µg/mL。这些发现为进一步深入研究这些广泛种植于越南南部的植物的抗癌特性提供了初步数据。
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引用次数: 0
Fabrication of Interpenetrating Polymer Network-Based Hydrogel for Colon-Targeted Release of Nateglinide 制作基于互穿聚合物网络的水凝胶,实现纳格列奈的结肠靶向释放
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-12-25 DOI: 10.35516/jjps.v16i4.775
Daxaben Kothiya, Subhash S. Vaghani
Nateglinide is an anti-diabetic agent that experiences modest first-pass metabolism and poor aqueous solubility. This paper explores the preparation, characterization, and evaluation of interpenetrating polymer network composite hydrogels of chitosan and poly(meth(methacrylic)) acid as a potential carrier for the drug. Interpenetrating polymer network composite hydrogels of chitosan and poly(meth(methacrylic) acid incorporating nateglinide were prepared using N,Nꞌ-methylene bisacrylamide and glutaraldehyde as cross-linkers. The polymerization of chitosan, entrapment of the drug, and its interaction in prepared hydrogels were checked by FTIR spectroscopy, DSC, and powder XRD studies. The hydrogels were evaluated for their swelling behavior and in vitro drug release. The morphology of the hydrogels before and after dissolution was studied using SEM. The hydrogels showed a 93.29 ± 4.65% yield and 91.28 ± 2.22% drug loading. The hydrogels exhibited pH-sensitive swelling behavior. The in vitro release profile confirmed that the drug release depended on the swelling of hydrogels and showed a biphasic release pattern. Chitosan-poly(meth(methacrylic)) acid interpenetrating polymer network hydrogel, with its biodegradable nature and pH-sensitive release of nateglinide, is an attractive option to be further explored for targeted controlled drug delivery formulations for the drug.
纳格列奈是一种抗糖尿病药物,具有适度的首过代谢和较差的水溶性。本文探讨了壳聚糖和聚甲基丙烯酸互穿聚合物网络复合水凝胶作为该药物潜在载体的制备、表征和评估。以 N,Nꞌ-亚甲基双丙烯酰胺和戊二醛为交联剂,制备了含有纳格列奈的壳聚糖和聚甲基丙烯酸互穿聚合物网络复合水凝胶。通过傅立叶变换红外光谱、DSC 和粉末 XRD 研究检测了壳聚糖的聚合、药物的包埋及其在制备的水凝胶中的相互作用。对水凝胶的溶胀行为和体外药物释放进行了评估。使用扫描电镜研究了水凝胶溶解前后的形态。水凝胶的产率为 93.29 ± 4.65%,药物负载率为 91.28 ± 2.22%。水凝胶表现出对 pH 值敏感的溶胀行为。体外释放曲线证实,药物释放取决于水凝胶的溶胀,并呈现双相释放模式。壳聚糖-聚甲基丙烯酸互穿聚合物网络水凝胶具有生物可降解性和对 pH 值敏感的纳格列奈释放特性,是一种有吸引力的选择,值得进一步探索用于该药物的靶向控制给药配方。
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引用次数: 0
Quality by Design Approaches in Pharmaceutical Development and Solid Dosage Forms Production: A Narrative Overview 制药开发和固体制剂生产中的设计质量方法:叙述性概述
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-12-25 DOI: 10.35516/jjps.v16i4.908
Salevendula Sreelekha, Vinod Kumar, N. Mahammed, T. Reshma, U. Sree, Shakir Basha, M. Bhuvaneswari
Quality by Design (QbD) is an essential approach to pharmaceutical development and manufacturing that has garnered significant attention in recent years. Quality in services, products, and procedures equates to customer satisfaction. Consequently, it facilitates a transition in the pharmaceutical sector and the Food and Drug Administration (FDA) toward a more scientific, risk-based, comprehensive, and proactive drug development strategy. The pharmaceutical industry is actively seeking new solutions to ensure product quality and efficiency. This paper provides a comprehensive overview of QbD principles and their application in the pharmaceutical industry. The benefits of implementing QbD principles are discussed, encompassing increased efficiency, reduced costs, and improved product quality, safety, and efficacy. As the pharmaceutical industry continues to evolve, QbD will remain a crucial aspect of drug development and manufacturing. This article aims to provide pharmaceutical professionals with a comprehensive understanding of the QbD approach.
质量源于设计(QbD)是近年来备受关注的药品研发和生产的重要方法。服务、产品和程序的质量等同于客户满意度。因此,它促进了制药行业和食品药品管理局(FDA)向更科学、更基于风险、更全面和更积极主动的药物开发战略转型。制药行业正在积极寻求新的解决方案,以确保产品质量和效率。本文全面概述了 QbD 原则及其在制药行业的应用。本文讨论了实施 QbD 原则的好处,包括提高效率、降低成本、改善产品质量、安全性和有效性。随着制药业的不断发展,QbD 仍将是药物开发和生产的一个重要方面。本文旨在让制药专业人士全面了解 QbD 方法。
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引用次数: 0
Distribution of Vitamin D Status in a Group from Syrian Society 叙利亚社会一个群体的维生素 D 状态分布情况
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-12-25 DOI: 10.35516/jjps.v16i4.786
Talleh Almelli
Objective: The aim of this work is to study the serum levels of 25-hydroxyvitamin D3 in a sample of healthy Syrians in the city of Homs. Method: A cross-sectional study, including 690 ostensibly healthy participants, was conducted at the National Hospital of Homs. Serum levels of 25-hydroxyvitamin D3 were measured using chemiluminescent immunoassay. Results: The overall prevalence of vitamin D inadequacy (insufficiency, deficiency, and severe deficiency) in the study samples was 76.5%. Additionally, 49% of the samples had vitamin D deficiency, with 18.5% suffering from severe deficiency. Furthermore, levels of 25-hydroxyvitamin D3 in females were lower than in males (11.3±2.3 ng/ml versus 39.6±11.28 ng/ml, respectively, p < 0.0001). Veiled women had serum levels of vitamin D lower than non-veiled women, 11.3±2.5 ng/ml versus 25.5±3.2 ng/ml, respectively, p < 0.0001. Female gender and clothing style were identified as independent risk factors for vitamin D deficiency. Conclusion: The prevalence of vitamin D deficiency was very common in the study population, despite the sunny weather in Homs city most of the year. Further studies with larger groups, including other Syrian governorates, are needed to elucidate lifestyle and sociocultural behavior risk factors for vitamin D deficiency.
研究目的这项工作旨在研究霍姆斯市健康叙利亚人血清中 25- 羟维生素 D3 的水平。方法:横断面研究:霍姆斯国立医院开展了一项横断面研究,其中包括 690 名表面上健康的参与者。采用化学发光免疫测定法测定了血清中 25- 羟维生素 D3 的水平。结果显示研究样本中维生素 D 不足(不足、缺乏和严重缺乏)的总体患病率为 76.5%。此外,49%的样本存在维生素 D 缺乏症,其中 18.5%为严重缺乏症。此外,女性的 25- 羟维生素 D3 水平低于男性(分别为 11.3±2.3 纳克/毫升和 39.6±11.28 纳克/毫升,P < 0.0001)。蒙面女性的血清维生素 D 水平低于未蒙面女性,分别为 11.3±2.5 ng/ml 对 25.5±3.2 ng/ml,p < 0.0001。女性性别和服装款式被确定为维生素 D 缺乏的独立风险因素。结论尽管霍姆斯市全年大部分时间阳光明媚,但研究人群中维生素 D 缺乏症的发病率非常普遍。需要对包括叙利亚其他省份在内的更大群体进行进一步研究,以阐明导致维生素 D 缺乏症的生活方式和社会文化行为风险因素。
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引用次数: 0
Knowledge, Willingness to Pay and Beliefs for Seasonal Influenza Vaccination, A Cross-Sectional Study from Jordan 季节性流感疫苗接种的知识、支付意愿和信念,约旦的一项横断面研究
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-12-25 DOI: 10.35516/jjps.v16i4.607
Ghaith M Al-Taani, S. Muflih, Rawan H. Alsharedeh, Zaid Altaany
Background: Seasonal influenza is a viral illness associated with significant morbidity and mortality. Objectives: This study aimed to assess preferences for utilizing the seasonal influenza vaccine. Methods: Based on a review of the literature and discussions among the research team, a 37-item survey was created, pretested, and completed by the lay public in Irbid city. The survey assessed knowledge, willingness-to-pay, and beliefs regarding the seasonal influenza vaccine. Participants' willingness-to-pay for the influenza vaccine was determined using contingent valuation with a payment card. Logistic regression analysis was employed to determine predictors associated with willingness-to-pay. Results: A total of 347 responses constituted the study sample. Respondents rated their knowledge about the influenza vaccine as good or excellent (62.5% of the total received responses). Approximately one-half (45.3%) of the respondents were willing to pay 5 JD for the influenza vaccine. It was found that standard of living, living location (city vs. village), and occupation (i.e., employment status) were independent predictors associated with higher willingness-to-pay for the influenza vaccine. Conclusion: The participants were willing to pay a price close to the market price, thus affording the vaccine. Such data can help healthcare decision-makers develop promotive policies to improve vaccine uptake.
背景:季节性流感是一种病毒性疾病,发病率和死亡率都很高。研究目的本研究旨在评估使用季节性流感疫苗的偏好。方法:根据文献综述和研究人员的问卷调查:在查阅文献和研究小组讨论的基础上,我们制作了一份包含 37 个项目的调查问卷,并对其进行了预先测试,由伊尔比德市的非专业公众填写。调查评估了人们对季节性流感疫苗的了解程度、支付意愿和信念。参与者对流感疫苗的支付意愿是通过使用支付卡进行或然估价来确定的。采用逻辑回归分析确定与支付意愿相关的预测因素。结果:研究样本中共有 347 份回复。受访者对流感疫苗知识的评价为 "良好 "或 "优秀"(占受访者总数的 62.5%)。约有二分之一(45.3%)的受访者愿意支付 5 日元购买流感疫苗。调查发现,生活水平、居住地点(城市与乡村)和职业(即就业状况)是与较高的流感疫苗支付意愿相关的独立预测因素。结论参与者愿意支付接近市场价的价格,因此能够负担得起疫苗费用。这些数据可以帮助医疗决策者制定促进政策,提高疫苗接种率。
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引用次数: 0
Exploration of Anthelmintic, Blood Coagulant, Diuretic and Laxative Activities of Different Solvent Fractions of Flagellaria Indica Leaves 鞭毛叶不同溶剂组分的驱虫剂、凝血剂、利尿剂和通便剂活性研究
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-23 DOI: 10.35516/jjps.v16i3.976
Utpal Kumar Karmakar, Animesh Paul, Pritam Kundu, Progga Paramita Paul
Flagellaria indica (Family: Flagellariaceae) is a common climbing plant found primarily in tropical regions of many countries. The plant has various traditional uses, although most of them lack scientific published reports. The crude ethanolic extract of F. indica leaves was fractionated based on polarity using water, ethyl acetate, and n-hexane. Biological screening was conducted on the anthelmintic, blood coagulation, diuretic, and laxative activities of the water, ethyl acetate, and n-hexane fractions of F. indica leaves. In the anthelmintic test, the n-hexane fraction showed a moderate effect with paralysis times of 16.79 and 13.62 minutes and death times of 27.34 and 21.81 minutes, respectively, at doses of 25 and 50 mg/mL.In the blood coagulant test, only the water fraction showed a notable effect. The clotting times were 4.33, 6.02, 7.68, and 8.32 minutes, respectively, at doses of 200, 100, 50, and 25 mg/mL. Diuretic activity was performed to determine the increase in the volume of excreted urine, and electrolyte analysis of urine was performed to determine pH, density, conductance, and Na+, Cl-, K+ levels, as well as natriuretic, kaliuretic, saluretic, and CAI indexes. The ethyl acetate fraction showed better diuretic activity than the n-hexane fraction, while the water fraction did not reveal a notable diuretic effect. The Na+, Cl-, K+, natriuretic, and saluretic indexes were found satisfactory in the ethyl acetate fraction, and the CAI index was better in the n-hexane fraction. In the laxative test, the n-hexane fraction showed the best laxative properties, with an increase in stool weight of 38% and 54% at doses of 250 and 500 mg/kg, respectively. These results suggest that different fractions of F. indica leaves contain distinct phytochemicals that may be responsible for these biological effects. The isolation of bioactive compounds could help justify its traditional uses in modern medicine.
印度鞭毛属(鞭毛科)是一种常见的攀援植物,主要生长在许多国家的热带地区。这种植物有各种各样的传统用途,尽管其中大多数缺乏科学发表的报告。以水、乙酸乙酯和正己烷为溶剂,对红花叶粗醇提物进行极性分馏。对印度梧桐叶水、乙酸乙酯和正己烷组分的驱虫药、凝血、利尿和通便活性进行了生物筛选。在驱虫试验中,正己烷组分在25和50 mg/mL剂量下表现出中等作用,麻痹时间分别为16.79和13.62分钟,死亡时间分别为27.34和21.81分钟。在凝血剂试验中,只有水组分有显著效果。200、100、50、25 mg/mL组的凝血时间分别为4.33、6.02、7.68、8.32 min。采用利尿活性测定排泄尿量的增加,采用尿液电解质分析测定pH、密度、电导、Na+、Cl-、K+水平以及利钠、钾利尿、钠利尿和CAI指标。乙酸乙酯部分的利尿作用优于正己烷部分,而水部分的利尿作用不显著。乙酸乙酯馏分的Na+、Cl-、K+、利钠和利钠指标令人满意,正己烷馏分的CAI指标较好。在通便试验中,正己烷部分表现出最好的通便性能,在250和500 mg/kg剂量下,大便重量分别增加38%和54%。这些结果表明,籼稻叶片的不同组分含有不同的植物化学物质,可能负责这些生物效应。生物活性化合物的分离可能有助于证明其在现代医学中的传统用途。
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引用次数: 0
Intraoperative Insulin Infusion Regimen versus Insulin Bolus Regimen for Glucose Management during CABG Surgery: A Randomized Clinical Trial 术中胰岛素输注方案与胰岛素丸方案对冠脉搭桥手术期间血糖管理:一项随机临床试验
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-23 DOI: 10.35516/jjps.v16i3.708
Rami Alqassieh, Mohanad Odeh, Feras Jirjees
Background and Aim: The stress induced by surgery disrupts the delicate balance between hepatic glucose production and glucose utilization in the body. Despite the significance of intraoperative glycaemic control for diabetic patients, limited attention has been given to this aspect. Two methods for administering insulin to manage glucose levels during surgery exist. This study aimed to compare intraoperative glucose levels in diabetic patients undergoing Coronary Artery Bypass Graft (CABG) surgery using either insulin infusion or the bolus method. Method: This was a Randomized Clinical Trial (RCT). Seventy diabetic patients aged 40 or older scheduled for CABG surgery were enrolled in the trial. They were randomly assigned, using block randomization, to receive intraoperative insulin via either infusion or the bolus method. The primary outcome measure was intraoperative glucose levels. Subsequent insulin unit requirements and intraoperative potassium levels were secondary outcomes. Data was monitored throughout the CABG procedure and recorded at six different checkpoints. Results: Male patients constituted the majority in both groups, with no significant differences in the preoperative characteristics of patients, including HbA1c levels and comorbidities. The infusion regimen demonstrated a statistically significant reduction in glucose levels (-19.12 mg/dL, 95% CI: -27.68 to -10.55, P<0.001, Cohen's d=1.06) compared to the bolus regimen. The total insulin units administered in the infusion group were 480 units, as opposed to 600 units in the bolus group (P=0.001, Cohen's d=0.85). Importantly, no cases of hypoglycemia or hyperkalemia were reported among the patients. Conclusion: Intraoperative glucose control using insulin was effective for CABG patients with diabetes. However, the infusion regimen exhibited statistically superior results compared to the bolus regimen. Clinical Trials Registry and Registration Number: The trial received approval from the Ethics Committee on 2/1/2019/2020 and was registered on Clinicaltrials.gov under ID: NCT04824586.
背景与目的:手术引起的应激会破坏肝脏葡萄糖生成和体内葡萄糖利用之间的微妙平衡。尽管术中血糖控制对糖尿病患者具有重要意义,但这方面的关注有限。有两种方法可以在手术中使用胰岛素来控制血糖水平。本研究旨在比较接受冠状动脉旁路移植术(CABG)的糖尿病患者使用胰岛素输注和大剂量方法的术中血糖水平。方法:采用随机临床试验(RCT)。70名40岁及以上的糖尿病患者参加了CABG手术。他们被随机分配,采用块随机法,通过输注或丸法接受术中胰岛素。主要结局指标为术中血糖水平。随后的胰岛素单位需求和术中钾水平是次要结果。在整个CABG过程中监测数据,并在六个不同的检查点记录数据。结果:两组患者均以男性为主,患者术前HbA1c水平及合并症等特征无显著差异。与注射方案相比,输注方案显示具有统计学意义的血糖水平降低(-19.12 mg/dL, 95% CI: -27.68至-10.55,P<0.001, Cohen’s d=1.06)。输注组总胰岛素单位为480单位,而大剂量组为600单位(P=0.001, Cohen’s d=0.85)。重要的是,患者中没有低血糖或高钾血症的病例报告。结论:术中胰岛素控制血糖对合并糖尿病的CABG患者有效。然而,与大剂量方案相比,输液方案在统计学上表现出优越的结果。临床试验注册和注册号:该试验于2019年2月1日获得伦理委员会批准,并在Clinicaltrials.gov上注册,ID: NCT04824586。
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Jordan Journal of Pharmaceutical Sciences
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