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Harlequin Ichthyosis: A Rare Skin Disorder 小丑鱼鳞病:一种罕见的皮肤病
Pub Date : 2023-11-10 DOI: 10.9734/jamps/2023/v25i11649
Pooja Palandurkar, Doulisa Jain, Pavankumar Wankhade
Harlequin ichthyosis, an exceptionally rare and severe genetic skin disorder, presents a unique intersection of genetics, skin biology, and clinical manifestation. This congenital condition, a severe form of ichthyosis, has captivated the medical community due to its striking clinical features. It arises from genetic mutations in the ABCA12 gene, disrupting skin barrier formation. The clinical presentation is characterized by diamond-shaped scales, facial distortions, and medical challenges, particularly in neonates. Historical accounts have contributed to our evolving understanding, culminating in recent genetic advancements. While no cure exists, treatment involves a combination of medical interventions and supportive care. The psychosocial impact on affected individuals and families is profound. Despite challenges, the future is promising, driven by genomics, precision medicine, novel therapies, and collaborative research. Harlequin ichthyosis represents a remarkable example of progress at the intersection of science and compassion.
丑角鱼鳞病是一种罕见而严重的遗传性皮肤病,是遗传学、皮肤生物学和临床表现的独特交叉。这种先天性条件,鱼鳞病的一种严重形式,已经迷住了医学界由于其显著的临床特征。它源于ABCA12基因的基因突变,破坏了皮肤屏障的形成。临床表现以菱形鳞片、面部扭曲和医疗挑战为特征,特别是在新生儿中。历史记载有助于我们不断发展的理解,在最近的基因进步中达到高潮。虽然无法治愈,但治疗包括医疗干预和支持性护理的结合。对受影响的个人和家庭的心理社会影响是深远的。尽管面临挑战,但在基因组学、精准医学、新疗法和合作研究的推动下,未来是充满希望的。丑角鱼鳞病是科学与同情相结合的一个显著例子。
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引用次数: 0
Effects of Bee Bread on Serum Lipid Profile in Alloxan Induced Diabetic Female Rats 蜜蜂面包对四氧嘧啶诱导的糖尿病雌性大鼠血脂的影响
Pub Date : 2023-11-08 DOI: 10.9734/jamps/2023/v25i10648
M. Bello, Z. U. Umar, A. S. Mainasara, S. A. Akuyam, M. K. Dallatu, T. Oduola, M. H. Yeldu, B. U. Tambuwal, P. A. Okafor, U. Abubakar, Y. Ibrahim, H M. Maiturare, B. A. Hassan
Introduction: Diabetes Mellitus (DM) represents one of the most frequent public health problems with increasing prevalence worldwide. This condition is caused by increased hepatic glucose production, lower insulin secretion, and impaired insulin action. Subsequently, the lipid is used as an alternative resource of cellular energy, resulting in abnormalities of lipid metabolism. Aim: To determine effects of Bee Bread on Serum Lipid Profile in Alloxan Induced Diabetic rats Methodology: A total thirty female Sprague-Dawley rats were grouped in to five. Gp1: Non-DM, Gp2: DM Naïve, Gp3: DM + 200BB, Gp4: DM + 400BB and Gp5: DM + Metformin. Animals were induced with DM following single injection of freshly prepared alloxan in normal saline. Animals were treated for three weeks before they were sacrificed using chloroform sedation. Blood samples were collected for Serum Lipid Profile analysis. Results: When compared, Serum TC, TG, and LDL-C were significantly higher in the DM group compared to Non-DM, BB administered and DM + Metformin groups. Reduction in these lipids was achieved with the administration of Bee Bread. HDL-C was significantly lower in the DM group, compared to other groups. The study revealed improvements in serum HDL-C with the administration of Bee Bread. Conclusion: Bee Bread causes reduction in lipids and improves HDL-C in Diabetic Rats.
糖尿病(DM)是最常见的公共卫生问题之一,在世界范围内患病率不断上升。这种情况是由肝脏葡萄糖生成增加、胰岛素分泌减少和胰岛素作用受损引起的。随后,脂质被用作细胞能量的替代来源,导致脂质代谢异常。 目的:探讨蜜蜂面包对四氧嘧啶诱导的糖尿病大鼠血脂的影响;方法:选取30只雌性Sprague-Dawley大鼠,每组5只。Gp1: Non-DM, Gp2: DM Naïve, Gp3: DM + 200BB, Gp4: DM + 400BB, Gp5: DM + Metformin。动物在生理盐水中单次注射新鲜制备的四氧嘧啶诱导DM。动物治疗三周后,用氯仿镇静剂处死。采集血样进行血脂分析。 结果:与非糖尿病组、BB组和DM +二甲双胍组相比,DM组血清TC、TG和LDL-C显著升高。这些脂质的减少是通过服用蜜蜂面包来实现的。与其他组相比,糖尿病组的HDL-C明显降低。研究显示,服用蜜蜂面包可改善血清HDL-C。 结论:蜜蜂面包可降低糖尿病大鼠血脂,改善HDL-C。
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 Aim: To determine effects of Bee Bread on Serum Lipid Profile in Alloxan Induced Diabetic rats
 Methodology: A total thirty female Sprague-Dawley rats were grouped in to five. Gp1: Non-DM, Gp2: DM Naïve, Gp3: DM + 200BB, Gp4: DM + 400BB and Gp5: DM + Metformin. Animals were induced with DM following single injection of freshly prepared alloxan in normal saline. Animals were treated for three weeks before they were sacrificed using chloroform sedation. Blood samples were collected for Serum Lipid Profile analysis.
 Results: When compared, Serum TC, TG, and LDL-C were significantly higher in the DM group compared to Non-DM, BB administered and DM + Metformin groups.
 Reduction in these lipids was achieved with the administration of Bee Bread. HDL-C was significantly lower in the DM group, compared to other groups. The study revealed improvements in serum HDL-C with the administration of Bee Bread.
 Conclusion: Bee Bread causes reduction in lipids and improves HDL-C in Diabetic Rats.","PeriodicalId":14903,"journal":{"name":"Journal of Advances in Medical and Pharmaceutical Sciences","volume":"80 S354","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135342532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Health Education on Knowledge, Attitude and Practice of Adverse Drug Reaction Reporting among Community Pharmacists in Anambra State, Nigeria 健康教育对尼日利亚阿南布拉州社区药师药物不良反应报告知识、态度和行为的影响
Pub Date : 2023-11-06 DOI: 10.9734/jamps/2023/v25i10647
Churchhill O. Osagie, Chinomnso C. Nnebue, Chijioke A. Ezenyeaku, Martin N. Okolie, Abuchi E. Nwafia, Ifeoma B. Udigwe, Achunam S. Nwabueze, Chika F. Ubajaka
Background: Poor reportage of adverse drug reaction has been linked o. increase in morbidity, mortality and economic burden of diseases and health related conditions. Objective: To determine the effects of health education on knowledge, attitude and practice of adverse drug reaction (ADR) reporting among community pharmacists practicing in Anambra State. Methods: This interventional study was conducted among Community Pharmacists in Anambra State. Simple random sampling technique was used. Pre-tested, semi-structured self-administered questionnaire was used to collect data on respondents’ socio-demographics, knowledge of, attitude to and practice of ADR reporting Associations between variables were tested using Chi-square and Binary logistic regression at 5% level of significance. Data obtained were analyzed using SPSS version 23. Results: The mean age of the respondents was 46.5±11.2 years. Post intervention result shows that there was an increase in knowledge of ADR reporting in the intervention group from 52% to 95.3%. There was a decrease in knowledge of ADRs reporting in the control group from 47.3% to44.7%. There was a statistically significant difference between the experimental group and the control group on their attitude towards ADR reporting (p<0.05). Only 26.7% of the test group had filled a spontaneous reporting ADR form prior to this study compared to 18% from the control group and is associated with the effect of health education intervention. Conclusions: There was underreporting of ADRs, associated with gaps in the knowledge, attitude and practice among the community pharmacists studied. There is need for focused continuous health education interventions on ADR reporting among them.
背景:药物不良反应报告不足与疾病和健康相关病症的发病率、死亡率和经济负担增加有关。 目的:了解健康教育对阿南布拉州执业社区药师药品不良反应(ADR)报告知识、态度和行为的影响。方法:对阿南布拉州社区药师进行介入研究。采用简单随机抽样技术。采用预测的半结构化自填问卷收集调查对象的社会人口统计学、不良反应报告的知识、态度和实践等方面的数据。变量之间的关联采用卡方和二元logistic回归进行检验,显著性水平为5%。获得的数据使用SPSS version 23进行分析。 结果:调查对象平均年龄为46.5±11.2岁。干预后结果显示,干预组对不良反应报告的知晓率由52%提高到95.3%。对照组对不良反应报告的知晓率从47.3%降至44.7%。实验组与对照组对不良反应报告的态度差异有统计学意义(p < 0.05)。在这项研究之前,实验组中只有26.7%的人填写了自发报告不良反应表格,而对照组中这一比例为18%,这与健康教育干预的效果有关。 结论:所研究的社区药师存在不良反应的少报现象,这与他们的知识、态度和实践存在差距有关。有必要重点开展持续的健康教育干预措施,促进他们报告不良反应。
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引用次数: 0
Incidence of Uveitis in Local Population of Lahore 拉合尔当地人群葡萄膜炎的发病率
Pub Date : 2023-11-04 DOI: 10.9734/jamps/2023/v25i10646
Hussain Ahmad Khaqan, Laraib Hassan, Aamna Jabran, Hafiz Ateeq Ur Rehman, Muhammad Ali Haider, Hasnain Muhammad Bukhsh, Ahmad Fauzan, Muhammad Usman Zia
Uveitis tends to afflict younger age groups than other eye disorders like cataract and glaucoma, which typically affect the elderly. The frequency and prevalence of infectious ocular inflammation may vary greatly depending on the etiological agent and geographical location. This study found that the most frequent causes of infectious uveitis, which can account for up to 20% of all cases of uveitis in the developed world, are toxoplasmosis and herpetic infection. We found out that uveitis was more prevalent in the female population and that too in the younger age group having anterior uveitis more common.
与白内障和青光眼等眼部疾病相比,葡萄膜炎更容易发生在年轻人身上,而后者通常发生在老年人身上。感染性眼部炎症的发生频率和流行程度可能因病因和地理位置的不同而有很大差异。这项研究发现,感染性葡萄膜炎最常见的原因是弓形虫病和疱疹感染,在发达国家,感染性葡萄膜炎可占所有葡萄膜炎病例的20%。我们发现葡萄膜炎在女性人群中更为普遍在年轻人群中,前葡萄膜炎也更为常见。
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引用次数: 0
Pharmaco-Invasive Therapy is a Critical Option in Nigerian Stemi Treatment: A Review 药物侵入治疗是尼日利亚Stemi治疗的关键选择:综述
Pub Date : 2023-10-20 DOI: 10.9734/jamps/2023/v25i10645
Emmanuel Auchi Edafe, Johnbull Jumbo
Primary percutaneous coronary intervention (PCI) is the recommended reperfusion approach in patients with ST-segment elevation myocardial infarction (STEMI), When conducted in a timely and by skilled operators. This technique, however, has proven to have limitations in areas without PCI facilities and with long wait times between the initial medical contact and balloon because to logistical issues and a lack of skilled operators. In STEMI patients, pre-treatment with a fibrinolytic prior to PCI has the potential to give early pharmacologic reperfusion before definitive PCI. According to current evidence, assisted PCI has no advantage over main PCI. The role for pharmaco-invasive reperfusion, defined as pharmacological re-perfusion followed by rapid transfer for routine delayed coronary angiography and PCI may still be considered in centers without on-site PCI capability. Patients presenting with STEMI in Nigeria have a lot of challenges which include delay in decision making, cost of revascularization, religious believes, ignorance and availability of cardiac catheterization and the skillful personnel for the operation. To meet with the demand and challenges of Myocardial infarction in Nigeria, we need the mode of treatment that is beneficial, cost effective and lifesaving. Hence, pharmaco-invasive is the way for Nigeria and other low-income countries of sub-Saharan Africa.
初级经皮冠状动脉介入治疗(PCI)是st段抬高型心肌梗死(STEMI)患者推荐的再灌注方法,如果及时并由熟练的操作人员进行。然而,由于后勤问题和缺乏熟练的操作人员,该技术已被证明在没有PCI设施的地区存在局限性,并且在最初的医疗接触和气球之间等待时间较长。在STEMI患者中,在PCI前进行纤溶治疗有可能在最终PCI前进行早期药理学再灌注。根据目前的证据,辅助PCI没有优于主PCI的优势。药物侵入性再灌注的作用,定义为药物再灌注后常规延迟冠状动脉造影和PCI快速转移,在没有现场PCI能力的中心仍然可以考虑。 尼日利亚STEMI患者面临许多挑战,包括决策延迟、血运重建术费用、宗教信仰、心导管置入术的无知和可得性以及熟练的手术人员。为了满足尼日利亚心肌梗死的需求和挑战,我们需要一种有益、具有成本效益和挽救生命的治疗模式。因此,药物侵入是尼日利亚和其他撒哈拉以南非洲低收入国家的出路。
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引用次数: 0
From Pain Relief to Cancer Defense: The Promise of NSAIDs 从缓解疼痛到癌症防御:非甾体抗炎药的前景
Pub Date : 2023-10-12 DOI: 10.9734/jamps/2023/v25i9643
None Senthilnathan V., None Priyadharshini V., None Jenifer Selin Asha J.
NSAIDs (Non-Steroidal Anti-inflammatory Drugs) are commonly used to treat various types of pain and inflammation. In recent decades, extensive scientific research has been conducted to examine the use of NSAIDs in the treatment and prevention of cancer. Chronic inflammation has been linked to various cancer types, suggesting that prolonged inflammation can promote genetic mutations and accelerate their accumulation within cells. The COX pathway, short for Cyclooxygenase pathway, is a critical biochemical pathway in the human body involved in the production of important signaling molecules called prostaglandins. Key factors like COX enzymes and cytokines are important in the development and progression of inflammation-induced cancer. Angiogenesis occurs during inflammation, and it plays a major role in cancer development and metastasis. NSAIDs inhibit this process, which may also contribute to their anticancer effects. This review highlights the potential of NSAIDs, particularly aspirin, ibuprofen, and celecoxib, to influence various aspects of tumor behavior. Although promising, further rigorous studies are needed to establish their clinical efficacy and safety in diverse cancer scenarios. The use of NSAIDs as adjunctive therapies along with conventional treatments presents a promising avenue for enhancing cancer management strategies.
NSAIDs(非甾体抗炎药)通常用于治疗各种类型的疼痛和炎症。近几十年来,人们进行了广泛的科学研究,以检验非甾体抗炎药在治疗和预防癌症中的应用。慢性炎症与多种癌症类型有关,这表明长期炎症可以促进基因突变并加速它们在细胞内的积累。COX途径是环氧合酶途径的简称,是人体重要的生化途径,参与产生前列腺素这一重要信号分子。COX酶和细胞因子等关键因子在炎症性癌症的发生和发展中起着重要作用。血管生成发生在炎症过程中,它在癌症的发展和转移中起着重要作用。非甾体抗炎药抑制这一过程,这也可能有助于它们的抗癌作用。这篇综述强调了非甾体抗炎药的潜力,特别是阿司匹林、布洛芬和塞来昔布,可以影响肿瘤行为的各个方面。尽管前景看好,但需要进一步严格的研究来确定其在不同癌症情况下的临床疗效和安全性。使用非甾体抗炎药作为辅助治疗与传统治疗提出了一个有希望的途径,以加强癌症管理策略。
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引用次数: 0
Use of Simple Skull Radiographs in Orbital Correlations in Nigeria 使用简单的颅骨x线片在尼日利亚的眼眶相关性
Pub Date : 2023-10-12 DOI: 10.9734/jamps/2023/v25i10644
Abubakar Bello, Usman Jibrin Danjuma
Introduction: Anthropometric measurements have been carried out in many studies to segregate people into races, ethnicity and various biological traits in the past. Such studies include cephalometry being deployed because of its significance in forensic and clinical evaluations of individuals. The objective of this study is to determine the correlation between the shape types of the orbit with different age groups and their prevalence using simple skull X-rays. Materials and Methods: Plain X-rays of the skull with posteroanterior exposures were obtained for a retrospective period of 5-year period from 2004 to 2009. The selected radiographs were those based on clear recognition of their orbital margins assessed by 2 experienced Radiologist who determined the shapes of the orbits as being oval, circular or quadrangular. Out of total of five hundred (500) plain X-rays of the skull obtained, only 255 satisfied the inclusion criteria. The data was analyzed statistically using INSTAT software to compare the mean values in relation to age distribution of the subjects with the Student’s T-Test. Chi-Square (with Yates correction) was used for the comparison of proportions. Results: In the first 30 years of postnatal life, the oval shape orbit had been found to be more predominant with values of 22(64.7%), 17(30.9%), and 27(38.0%) respectively. As from the age of 30 to 70 years, the circular type had values of 16(34.0%), 8(33.3%), and 8(61.5%) respectively in each of the decades. Between the age of 60 to 70 years, the oval and circular types had equal prevalences. Conclusions: In addition to the known oval and quadrangular (triangular) types of orbital shape, this study revealed a 3rd type of orbit which we described as circular in shaped. The oval type of orbit is found to be more common from birth to age of 30 years but from but from 40 to 70 years the circular type predominates.
在过去的许多研究中都进行了人体测量,以将人们划分为种族,民族和各种生物特征。此类研究包括正在部署的头测术,因为它在个人的法医和临床评估中具有重要意义。本研究的目的是利用简单的颅骨x光片确定不同年龄组眼眶形状类型及其患病率之间的相关性。材料与方法:回顾性研究2004 - 2009年5年间颅骨后前位x线平片。所选的x光片是由2名经验丰富的放射科医生评估的基于对眶缘清晰识别的x光片,他们确定眶缘的形状为椭圆形,圆形或四边形。在总共获得的500张颅骨x光平片中,只有255张符合纳入标准。 使用INSTAT软件对数据进行统计分析,比较受试者年龄分布的平均值与学生t检验。比例的比较采用卡方(带有Yates校正)。 结果:在出生后前30年,以卵圆形眼眶为主,分别为22(64.7%)、17(30.9%)和27(38.0%)。在30 ~ 70岁年龄段,各年圆型分别为16(34.0%)、8(33.3%)和8(61.5%)。在60至70岁之间,椭圆型和圆形型的患病率相等。 结论:除了已知的椭圆形和四边形(三角形)类型的轨道形状外,本研究还揭示了第三种类型的轨道,我们将其描述为圆形。从出生到30岁,椭圆型轨道更为常见,但从40岁到70岁,圆形轨道占主导地位。
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引用次数: 0
Nutritional Knowledge and Dietary Habits among Diabetic Patients at the Bono Regional Hospital, Sunyani, Ghana 加纳苏亚尼波诺地区医院糖尿病患者的营养知识和饮食习惯
Pub Date : 2023-10-09 DOI: 10.9734/jamps/2023/v25i9640
Ali Sabior Dawuda, Amidu Abdul-Aziz
Background: The rising mortality rate of diabetes mellitus and the upsurge in diabetes complications is very alarming. This has been attributed to the poor knowledge patients living with diabetes have on diabetes and its management, especially the nutritional management. Objective: This study sought to explore the knowledge on knowledge on diabetes and nutrition among patients living with diabetes mellitus who attended clinic at the Bono Regional Hospital. Methods: A cross-sectional descriptive quantitative research design was used for this study. Simple random sampling was used to recruit 150 participants for the study. The participants were interviewed using a semi-structured questionnaire. Respondents were recruited from the clinic until the desired sample size was obtained. A pre-tested interviewer-administered questionnaire was used to collect data. Dietary habits were assessed using food frequency questionnaire and BMI was assessed following standard procedure and compared with the World Health Organization (WHO) standards. Data was analyzed using IBM SPSS (Version 20). Chi-square test was used to determine the association between variables. The level of significance was set at p-value less than 5%. Results: The study revealed that the participants have adequate knowledge on DM and Nutrition. Majority of Participants in had high knowledge on diabetes and nutrition, 77.3%. This was associated with adequate education by their health care providers and with strong beliefs in modern medicines as well as diet therapy, which influenced attitudes and practices on Diabetes. Overall, good dietary practice among the participants was 57.3%. Age and level of education were found to be significantly associated with knowledge of diabetes and nutrition whiles gender, religion, occupation, ethnicity, marital status were not significantly associated with knowledge level of diabetes and nutrition. Conclusion and Recommendation: Dietary counselling will be necessary to improve the dietary pattern and nutritional status of the diabetic patients.
背景:糖尿病死亡率的上升和糖尿病并发症的激增令人担忧。这是由于糖尿病患者对糖尿病及其管理,特别是营养管理的认识不足所致。 目的:探讨博诺地区医院门诊糖尿病患者对糖尿病和营养知识的了解情况。方法:采用横断面描述性定量研究设计。该研究采用简单随机抽样的方法招募了150名参与者。参与者接受了半结构化问卷调查。受访者从诊所招募,直到所需的样本量获得。使用预先测试的访谈者管理的问卷来收集数据。采用食物频率问卷评估饮食习惯,按照标准程序评估BMI,并与世界卫生组织(WHO)标准进行比较。数据分析使用IBM SPSS (Version 20)。采用卡方检验确定变量间的相关性。显著性水平设为p值小于5%。 结果:研究显示,参与者对糖尿病和营养有足够的了解。调查对象对糖尿病和营养知识知晓率较高,占77.3%。这与卫生保健提供者提供的充分教育以及对现代药物和饮食疗法的坚定信念有关,这些信念影响了对糖尿病的态度和做法。总体而言,参与者中良好饮食习惯的比例为57.3%。年龄和受教育程度与糖尿病和营养知识水平显著相关,性别、宗教、职业、种族、婚姻状况与糖尿病和营养知识水平无显著相关。 结论与建议:饮食咨询是改善糖尿病患者饮食结构和营养状况的必要手段。
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引用次数: 0
Spray-dried, Biodegradable, Linezolid-loaded Microspheres for Use in the Treatment of Lung Diseases 喷雾干燥,可生物降解,利奈唑胺负载微球用于治疗肺部疾病
Pub Date : 2023-10-09 DOI: 10.9734/jamps/2023/v25i9642
Mazen Gharsan Al-Gharsan
Introduction: Researchers worldwide are currently seeking innovative treatment options to combat the alarming increase in bacterial resistance to antimicrobial drugs. Staphylococcus aureus, a frequently encountered and potentially life-threatening bacterium, has become particularly problematic. Linezolid is one of the few medicines on the market that can treat bacteria resistant to other antibiotics. This is the first antibacterial oxazolidinone that has shown to be therapeutically efficacious. Linezolid is a new Oxazolidinone medicine. It kills a broad spectrum of bacteria, including Staphylococcus aureus. Objectives: To reduce non-target organ adverse effects associated with frequent and chronic Linezolid usage, we developed biodegradable, lung-targeted microspheres with sustained release profile. Methods: In this work, a Buchi B-90 nanospray drier was used to prepare a Linezolid-loaded carbopol microsphere (CLSMO)-based formulation. The spray-drying process was optimized using a face-centered central composite design (CCD). Results: The average particle size was 7.516 µm, and the surface of the microspheres was shriveled, according to scanning electron microscope imaging. Drug content and yield were determined to be 73% 3.1% and 72% ± 2.4%., respectively, and drug release (99.1%) peaked for up to 12 hours in vitro. FTIR spectral analysis results suggest that there are no significant physical and chemical interactions between the functional groups of Linezolid and carbopol 934P polymer which ultimately form a stable blend. Linezolid, Carbopol, and CLSMO all had XRD patterns that showed the linezolid would be molecularly dispersed in the polymer. The DSC findings revealed the drug's amorphous nature, which explains the absence of characteristic peaks, indicating a lack of well-defined crystalline structure. Conclusion: The optimized formulation shows significant potential for use as a drug-delivery system in in-vivo applications, particularly in targeted drug delivery to the lungs.
导言:世界各地的研究人员目前正在寻求创新的治疗方案,以应对细菌对抗菌药物耐药性的惊人增长。金黄色葡萄球菌是一种经常遇到并可能危及生命的细菌,它已经变得特别成问题。利奈唑胺是市场上为数不多的可以治疗对其他抗生素有耐药性的细菌的药物之一。这是第一个抗菌恶唑烷酮已被证明是有效的治疗。利奈唑胺是一种新型恶唑烷酮类药物。它能杀死多种细菌,包括金黄色葡萄球菌。目的:为了减少与频繁和慢性使用利奈唑胺相关的非靶器官不良反应,我们开发了具有缓释特性的可生物降解肺靶向微球。方法:利用Buchi B-90纳米喷雾干燥机制备利奈唑胺卡波醇微球制剂。采用面心中心复合设计(CCD)优化喷雾干燥工艺。 结果:扫描电镜成像显示,微球平均粒径为7.516µm,微球表面出现皱缩现象。测定药物含量为73% 3.1%,得率为72%±2.4%。在体外12小时内药物释放达到峰值(99.1%)。红外光谱分析结果表明,利奈唑胺与卡波波尔934P聚合物的官能团之间没有明显的物理和化学相互作用,最终形成稳定的共混物。利奈唑胺、卡波波和CLSMO的XRD谱图表明,利奈唑胺在聚合物中呈分子分散。DSC结果揭示了药物的无定形性质,这解释了缺乏特征峰,表明缺乏明确的晶体结构。 结论:优化后的配方在体内应用中显示出巨大的潜力,特别是在靶向给药到肺部的应用中。
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引用次数: 0
Antimicrobial Resistance Profile of Salmonella enterica Serovar typhi Isolated from Human Clinical Samples in Ebonyi State, Nigeria 尼日利亚埃邦伊州人类临床样本分离的伤寒血清型肠沙门氏菌耐药性分析
Pub Date : 2023-10-05 DOI: 10.9734/jamps/2023/v25i9639
Uchenna Ogbu Nwosu, Francis Amadi Ibiam, Christiana Onyemaechi Amadi-Ibiam, Ugonna Cassandra Aniokete, Chidinma Stacy Iroha, Ikemesit Udeme Peter, Ifeanyichukwu Romanus Iroha
The emergence of resistance to the frequent use of empirical treatment of uncomplicated enteric fever caused by Salmonella enterica serovar Typhi is on the increase. This study was designed to determine the antimicrobial Resistance profile of Salmonella enterica serovar Typhi isolated from human clinical samples in Ebonyi State. A non-duplicated stool culture of Salmonella enterica serovar Typhi of patients diagnosed with typhoid fever at General Hospital Onicha Igboeze were collected from the hospital ward namely: A & E (n = 4), MS (n = 3), FS (n = 3), PD (n = 7), LW (n = 4), ORT (n = 1), LAB (n = 17), THE (n = 9), GOPD (n = 4), MM (n = 3). Antimicrobial studies of Salmonella enterica serovar Typhi were determined using the Kirby–Bauer disk diffusion method. The proportion of resistance ranges from 33 %-100% against colistin, cefepime, nalidixic acid, cefoxitin, amikacin, cefuroxime, and piperacillin-tazobactam but isolates were only susceptible to meropenem 100%. The use of antimicrobial agents for the treatment of Salmonella enterica serovar typhi infection should be guided with antimicrobial susceptibility testing, Nonetheless, the diversity of the Salmonella isolates as a result of the dissemination of these resistant genes is a call for concern and emphasizes a need for an extensive investigation for the presence of these genes in Ebonyi State as well as the implementation of strict antimicrobial policies in a bid to restrict the spread of these resistance genes and prevent the emergence of new resistant strains.
频繁采用经验性治疗由伤寒沙门氏菌引起的无并发症肠热病的出现耐药性呈上升趋势。本研究旨在确定从埃邦伊州人类临床样本中分离的伤寒沙门氏菌血清型的抗微生物药物耐药性谱。对奥尼卡伊勃泽总医院诊断为伤寒的病人进行非重复肠沙门氏菌血清型伤寒菌粪便培养,分别为:A &E (n = 4), MS (n = 3), FS (n = 3), PD (n = 7), LW (n = 4), ORT (n = 1), LAB (n = 17), THE (n = 9), GOPD (n = 4), MM (n = 3)。采用Kirby-Bauer纸片扩散法对伤寒沙门氏菌血清型进行抗菌研究。对粘菌素、头孢吡肟、萘啶酸、头孢西丁、阿米卡星、头孢呋辛和哌拉西林-他唑巴坦的耐药率为33% ~ 100%,但对美罗培南的耐药率仅为100%。在使用抗菌剂治疗肠沙门氏菌血清型伤寒感染时,应进行药敏试验。由于这些耐药基因的传播,沙门氏菌分离物的多样性值得关注,并强调需要对埃邦伊州存在这些基因进行广泛调查,并实施严格的抗微生物政策,以限制这些耐药基因的传播并防止出现新的耐药菌株。
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Journal of Advances in Medical and Pharmaceutical Sciences
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