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Impact of Pharmaceutical Companies??? Promotional Tools on Physicians??? Prescription Pattern 制药公司的影响??医生的宣传工具??处方模式
Pub Date : 2020-01-01 DOI: 10.35248/2376-0354.20.12.276
May Alowi, Yusuf Kani
Purpose: The role of pharmaceutical companies’ promotional tools in the prescribing decision of physicians comprises five commonly-used promotional tools: sales promotions; advertising; public relations; direct marketing; and personal selling. The purpose of this paper was to examine the existing literature on promotional tools and then explore which medical practitioners’ demographic factors influence the relationship between the various promotional tools and physicians’ prescription behaviour. Design/methodology/approach: A survey of the literature was carried out across online databases from 2008 to 2018, and 41 reviewed articles were identified. The influence of promotional tools on physician prescribing decisions was identified in the articles. Findings: There have been numerous studies on the effect of promotional tools on physician prescription decision. They demonstrated that promotional tools strongly influence physicians’ prescribing decision, but a few others found only minor or no relation. To resolve this ambiguity, there is a need to precisely understand how promotional tools affect prescribing decisions of physicians, under different contexts and conditions. Research limitations/implications: The study recommends further studies on the influence of each factor on physician prescribing behaviour and an evaluation of the proposed model and moderating variables. Originality/value: This paper provides a significant step towards recognizing the relationship between promotional tools and prescribing behaviour. This research contributes to the debate on the ways prescribing behaviour can be affected.
目的:制药公司的促销工具在医生处方决策中的作用包括五种常用的促销工具:销售促销;广告;公共关系;直接销售;还有个人销售。本文的目的是检查现有文献的促销工具,然后探讨哪些医生的人口因素影响各种促销工具和医生的处方行为之间的关系。设计/方法/方法:对2008年至2018年在线数据库中的文献进行了调查,并确定了41篇综述文章。促销工具对医生处方决定的影响在文章中被确定。研究结果:关于促销工具对医生处方决策的影响已有大量研究。他们表明,促销工具强烈影响医生的处方决定,但少数其他人发现只有轻微或没有关系。为了解决这种歧义,有必要准确地了解促销工具如何影响医生在不同背景和条件下的处方决策。研究局限性/启示:该研究建议进一步研究每个因素对医生处方行为的影响,并对所提出的模型和调节变量进行评估。原创性/价值:本文为认识促销工具和处方行为之间的关系提供了重要的一步。这项研究有助于讨论如何影响处方行为。
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引用次数: 0
Hepatoprotective Activity of Foeniculum vulgare Against Paracetamol Induced Hepatotoxicity in Rabbit 小茴香对扑热息痛致兔肝毒性的保护作用
Pub Date : 2020-01-01 DOI: 10.35248/2376-0354.20.12.270
Tayyaba Nazir, Lubna Shakir, Zaka-ur-Rahman, K. Najam, A. Choudhary, Nasira Saeed, Haroon-urRasheed, Anam Nazir, S. Aslam, Arshia Batool Khanum
The hepatoprotective effects of a Foeniculum vulgare extract was determined in male rabbits (Oryctolagus cuniculus). The Foeniculum vulgare extract was used in different doses in Paracetamol induced toxicity in rabbits. Foeniculum vulgare seeds were obtained from market and identified by Punjab University. Extract was prepared by maceration method. Foeniculum vulgare seeds 100 gm were weighed after grinding then added in flask. 80% ethanol solution was added four times more than the weight of Foeniculum vulgare powder and then kept for 4 days on shaker and filtered through Whatman filter paper. Solvent extract was evaporated at temperature of 25°C. Extract powder was obtained. Powder extract 250 mg/kg/BW and 500 mg/kg/BW was filled in capsule of 2 & 0 size respectively. 16 rabbits, with an average age of 3-4 months, were taken. They were provided standard diet and water. Animals were kept at light/dark cycle (12/12 h) at a temperature (25 ± 2°C) and relative humidity (60 ± 5%). Animals were kept at Laboratory environment for one week. Study designed animal were divided randomly into 4 group, having 4 animal in each group. Group A served as positive control, given no medicine. Group B was intoxicated with a single dose of Paracetamol (Par-cm) 2 g/kg per oral (P.O.) using carboxymethyl cellulose (CMC) 1% as a vehicle. Group C received Foeniculum vulgare seeds hydroalcoholic extract (250 mg/Kg) P.O. daily for 9 days, followed by a single dose of Paracetamol 2 g/kg P.O. on 9th day using carboxymethyl cellulose 1% as a vehicle. Group D was pretreated with Foeniculum vulgare seeds hydroalcoholic extract (500 mg /Kg) P.O. for 9 days, and then a single dose of Paracetamol 2 g/kg P.O. on 9th day using carboxymethyl cellulose 1% as a vehicle. Animals were slaughtered after 24 hours of the last treatment. Blood and liver sample were collected from all controlled and treated rabbits for Liver Function Tests and Histopathological studies. Serum Liver enzymes AST (Aspartate Aminotransferase), ALT (Alanine Aminotransferase), ALP (Alkaline Phosphatase) and bilirubin were used as indicators to monitor the status of the liver either healthy or damaged. Serum liver enzymes and bilirubin level increased in Group B as compared to Group A. The values of indicators were almost decreased in Group C and Group D. Histopathological studies were used for further confirmation of biochemical analysis. Histopathological study of Group A showed a normal hepatic cell structure. While Group B showed sinusoids congestion and ballooning degeneration. These parameters were found mild and moderate in Group C and Group D. These histopathological findings also supported the biochemical results. Thus the study concluded that the Foeniculum vulgare extract was effective against Paracetamol induced toxicity in rabbits.
研究了一种普通小骨提取物对雄性家兔(Oryctolagus cuniculus)的肝保护作用。采用不同剂量的小茴香提取物对扑热息痛的家兔毒性进行了研究。小茴香种子来源于市场,经旁遮普大学鉴定。浸渍法制备浸膏。小茴香种子研磨后称重100克,加入烧瓶中。加入4倍于小茴香粉重量的80%乙醇溶液,摇床保存4 d,用Whatman滤纸过滤。溶剂提取物在25℃的温度下蒸发。得到提取粉。粉末提取物250 mg/kg/BW和500 mg/kg/BW分别填充于2粒和0粒的胶囊中。取兔16只,平均年龄3 ~ 4月龄。给他们提供标准的饮食和水。动物在温度(25±2℃)、相对湿度(60±5%)的光照/黑暗循环(12/12 h)下饲养。动物在实验室环境中饲养一周。试验设计动物随机分为4组,每组4只。A组为阳性对照,不给药。B组以1%羧甲基纤维素(CMC)为载体,给予单剂量扑热息痛(Par-cm) 2 g/kg /口服(P.O.)。C组每日给予小茴香种子水酒精提取物(250 mg/Kg) P.O.,连续9 d,第9 d以1%羧甲基纤维素为载体,给予扑热息痛2 g/Kg P.O.单剂量。D组以茴香种子水醇提取物(500 mg /Kg) P.O.预处理9 D,第9 D以1%羧甲基纤维素为载体,再给药2 g/ Kg P.O.。动物在最后一次治疗24小时后被屠宰。所有对照和治疗兔均采集血液和肝脏标本进行肝功能检查和组织病理学研究。以血清肝酶AST(天冬氨酸转氨酶)、ALT(丙氨酸转氨酶)、ALP(碱性磷酸酶)和胆红素作为监测肝脏健康和受损状态的指标。B组血清肝酶和胆红素水平较a组升高,C组和d组各项指标几乎降低,采用组织病理学进一步证实生化分析。A组肝细胞结构正常。B组表现为鼻窦充血、球囊样变性。这些参数在C组和d组分别为轻度和中度,这些组织病理学结果也支持生化结果。由此可见,小茴香提取物对扑热息痛对家兔的毒性有一定的抑制作用。
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引用次数: 9
Metabolic Profiling of Eclipta prostrata L.: Potentials of Untargeted Metabolomics in Traditional Medicine 黄竹的代谢谱分析:非靶向代谢组学在传统医学中的潜力
Pub Date : 2019-01-01 DOI: 10.35248/1920-4159.19.11.269
Jesse M. Thomas, Narayanaganesh Balasubramanian
We have demonstrated the use of untargeted metabolomics- a high-throughput analysis to probe the small molecule landscape of natural products based traditional medicine. The approach provides a global perspective on the quality of such natural medicine and the depth of secondary metabolites present in them. We utilized Eclipta prostrata L. as an example to demonstrate the utility of LC-MS and GC-MS based untargeted metabolomics. The mentioned research utilized three different preparations and successfully demonstrated the small molecule landscape differences in these samples. Preliminary statistical analysis using R-based web programs, indicated the samples grouped well indicating batch-to-batch consistency. Heatmaps generated from LC-MS and GC-MS data indicated the difference in abundance of various small molecules across the samples.
我们已经展示了使用非靶向代谢组学-一种高通量分析来探测基于传统药物的天然产物的小分子景观。该方法提供了对这种天然药物的质量和其中存在的次生代谢物深度的全球视角。我们以黄花为例,展示了基于LC-MS和GC-MS的非靶向代谢组学的实用性。上述研究使用了三种不同的制剂,并成功地展示了这些样品中的小分子景观差异。使用基于r的web程序进行初步统计分析,表明样品分组良好,表明批间一致性。LC-MS和GC-MS数据生成的热图显示了样品中各种小分子丰度的差异。
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引用次数: 1
Pharmaceutical forms and Drug-disease Interaction: An Old-new Case of Applying Pharmaceutical Knowledge 药物形态与药物-疾病相互作用:应用药学知识的一个新旧案例
Pub Date : 2019-01-01 DOI: 10.35248/1920-4159.19.11.268
N. Al-Somai
Theophylline is a drug that has been used for asthma disease, for more than 80 years. It has been used for its bronchodilator effects; however, dosing was critical because of it is narrow therapeutic index which may lead to failure in treatment of toxicity. This case illustrates the important of individualization of the theophylline based on the patient medical history. Pharmacist intervention and knowledge in the drug disease interaction, considering the pharmacokinetics data, would be valuable for the success of the treatment.
茶碱是一种用于治疗哮喘的药物,已有80多年的历史。它被用于支气管扩张作用;然而,剂量是至关重要的,因为它是狭窄的治疗指标,可能导致治疗失败的毒性。这个病例说明了基于病人病史的茶碱个体化治疗的重要性。考虑到药代动力学数据,药剂师的干预和药物疾病相互作用的知识对治疗的成功是有价值的。
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引用次数: 0
POTENTIATION OF THE CYTOTOXIC ACTIVITY OF MELOXICAM AGAINST COX-2 NEGATIVE COLON CANCER CELLS BY NANOPARTICULATE ENCAPSULATION 纳米颗粒包封增强美洛昔康对cox-2阴性结肠癌细胞的细胞毒活性
Pub Date : 2019-01-01 DOI: 10.21065/19204159/11.09
Areeg Awadallah
The aim of the current work was to elucidate whether the nanoencapsulation of meloxicam would allow its exertion of anticancer activity on colon cancer cells despite lacking COX-2 expression.
当前研究的目的是阐明美洛昔康的纳米胶囊化是否能够在缺乏COX-2表达的情况下对结肠癌细胞发挥抗癌活性。
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引用次数: 1
A New Colorimetric Identification of Benzodiazepines: Using Cobalt Thiocyanate as Reagent 以硫氰酸钴为试剂比色法鉴别苯二氮卓类药物
Pub Date : 2018-12-18 DOI: 10.21065/1920-4159.1000265
Zahid Mahmood, S. Muhammad, N. Arshad, M. A. Tahir, Qurashi Mz, Muhammad Usman
A highly specific, easy to perform and cost effective color test for benzodiazepines class has been developed. This colour test produced green colour with eight benzodiazepines i.e. nitrazepam, temazepam, diazepam, bromazepam, clonazepam, estazolam, lormetazolam and alprazolam, whereas developed color was absent in other controlled or pharmaceutical substances tested during study. In this color test, one drop of concentrated hydrochloric acid was added to test substrate. Then two drops of cobalt thiocyante reagent were added in subsequently which resulted in an immediate appearance of green color. So this test can be very helpful as a presumptive screening tool for benzodiazepines testing in suspected illicit samples and pharmaceuticals. Moreover, this test can be further employed for diazepam quantitation using ultraviolet spectroscopy at 364 nm wavelength and showed linear detector response. A regression co-efficient value of 0.9996 was achieved using developed method and was effectively useful for diazepam quantitation in pharmaceutical dosage forms.
开发了一种高特异性,易于执行且成本有效的苯二氮卓类药物颜色试验。该颜色试验用八种苯二氮卓类药物即硝西泮、替马西泮、地西泮、溴西泮、氯硝西泮、艾司唑仑、氯美唑仑和阿普唑仑产生绿色,而在研究中测试的其他受控或药用物质中没有产生颜色。在本显色试验中,在试验底物中加入一滴浓盐酸。随后加入两滴硫氰酸钴试剂,立即出现绿色。因此,这项测试可以作为一种假定的筛查工具,对疑似非法样本和药物的苯二氮卓类药物测试非常有帮助。此外,该方法可进一步用于364nm波长紫外光谱的地西泮定量,且检测器响应呈线性。该方法的回归系数为0.9996,可用于药物剂型地西泮的定量分析。
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引用次数: 1
PHARMACY HEALTH SYSTEM IN CANADA: AN ADOPTABLE MODEL FOR ADVANCED CLINICAL AND PHARMACEUTICAL CARE 加拿大药房卫生系统:先进临床和药学服务的可采用模式
Pub Date : 2018-10-15 DOI: 10.21065/19204159/10.06
Taha Nazir, Nida Taha
The philosophy of patient care is a wide and complicated topic of literature. That is elaborated by different health institution to harmonize their local clinical activities. Undoubtedly, that is working successfully to satisfy patients, fulfill the requirement of clinicians and cover maximum mutual benefits within officially allocated budget. However, patient care has different comprehension in different demographic and socio-political setting. But, in general, the meaning, understanding and composition of clinical and pharmaceutical patient care may be same all over world. The pharmacists, clinicians and administration adopt, exercise and emphasize on certain parts depending upon the type of challenges, kind of patients and available health care facilities. Thus, the health care is an emerging field that always remained under consideration. The local and international experts like to work, contribute and improve it to enhance the public health. Even some time judiciary, parliament and local intelligentsia focus and emphasize to address some particular health related problems. So, we may need to elaborate the comprehension to satisfy the literature and logical need of health and medicine including identification of problems, designing treatment protocol and handling the complication of therapy. That may potentially improve the overall outcomes and maximize the patient’s benefit. After twenty five years the definition of pharmaceutical care is still unsatisfactory. The confusion remained about what this term comprises and how to distinguish it from other terms. The board of the Pharmaceutical Care Network Europe (PCNE) felt essential to rephrase pharmaceutical care and to answer the question: "What is Pharmaceutical Care ". The patient care is not perfectly incorporated into the health care system in most part of the world. However, pharmacy practice has shown positive attitudes toward patient care provision. Thus, an advanced working should focus to improve the understanding the concept of patient care and overcome barriers.
病人护理的哲学是一个广泛而复杂的文学主题。这是由不同的卫生机构制定的,以协调其当地的临床活动。毫无疑问,这是成功地满足了患者,满足了临床医生的要求,并在官方分配的预算范围内实现了最大的互利。然而,在不同的人口和社会政治背景下,患者护理有不同的理解。但是,总的来说,世界各地的临床和药学患者护理的意义、理解和组成可能是相同的。药剂师,临床医生和管理人员根据挑战的类型,病人的类型和可用的医疗设施来采用,练习和强调某些部分。因此,卫生保健是一个新兴领域,始终处于考虑之中。本地及国际专家乐于工作、贡献及改善公众健康。甚至有时司法部门、议会和地方知识分子也注重并强调解决一些与健康有关的特殊问题。因此,我们可能需要细化理解,以满足文献和健康和医学的逻辑需要,包括识别问题,设计治疗方案和处理治疗并发症。这可能会潜在地改善整体结果并使患者获益最大化。25年后,对药学服务的定义仍然不尽人意。关于这个术语是由什么组成的,以及如何将它与其他术语区分开来,人们仍然感到困惑。欧洲医药保健网络(PCNE)董事会认为有必要重新表述医药保健,并回答这个问题:“什么是医药保健”。在世界大部分地区,病人护理并没有完全纳入卫生保健系统。然而,药房实践已经显示出积极的态度,对病人的护理提供。因此,今后的工作重点是提高对患者护理概念的理解,克服障碍。
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引用次数: 0
A Comparative Study of Dissolution Profile and Its Validation for Levonorgestrel and Ethinylestradiol Combined Oral Doses Form Tablet 左炔诺孕酮与炔雌醇复合口服剂型片溶出度的比较研究及验证
Pub Date : 2018-05-28 DOI: 10.35248/1920-4159.18.10.261
Didarul Islam, T. Mohiuddin, Asheful Latif, Md. Mynul Hassan, M. Hasan, Papia Haque
Dissolution is one of the most important characteristics of a drug directly effect on the drug absorption and bioavailability. The dissolution of Levonorgestrel and Ethinylestradiol from oral dosage forms at different dissolution media: Acetate, HCl, Water and Phosphate have been studied by using an RP-HPLC method. Dissolution of Levonorgestrel after 60 min in acetate, HCl, water and phosphate were 98, 95, 97 and 98% respectively. For Ethinylestradiol dissolution after 60 min at indicated media were 91, 82, 92 and 93% respectively. From that point HCl media has been rejected. Difference (f1) and similarity (f2) factor of test sample has been calculated comparing with Microgynon 30 mg Tablet (reference dose) and dissimilarity was found in water and phosphate media and can reject both of them. Only acetate media has been found the best option among four dissolution media for simultaneous determination of Levonorgestrel and Ethinylestradiol COCs. By using acetate buffer a complete analytical dissolution method has been validated accurding to FDA, ICH and USP category 1 requirement. It was found that this method was permeated all validation parameter. This acetate buffer has successfully been used for determination of both active from Levonorgestrel/Ethinylestradiol tablet that was manufactured by five different companies.
溶出度是药物最重要的特征之一,直接影响药物的吸收和生物利用度。采用反相高效液相色谱法研究了口服剂型中左炔诺孕酮和炔雌醇在醋酸盐、盐酸、水和磷酸盐等不同溶出介质中的溶出度。左炔诺孕酮在醋酸盐、盐酸、水和磷酸盐中的溶出度分别为98、95、97和98%。炔雌醇在指定介质中60 min溶出度分别为91%、82%、92%和93%。从那时起,HCl介质就被拒绝了。计算了样品与microgyynon 30mg片(参考剂量)的差异因子(f1)和相似因子(f2),发现在水和磷酸盐介质中存在差异,可以将两者排斥。同时测定左炔诺孕酮和炔雌醇COCs的四种溶出介质中,只有醋酸盐为最佳溶出介质。通过使用醋酸缓冲液,根据FDA, ICH和USP 1类要求验证了完整的分析溶出方法。结果表明,该方法对所有验证参数都有效。该醋酸缓冲液已成功用于5家公司生产的左炔诺孕酮/炔雌醇片剂中两种活性成分的测定。
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引用次数: 0
CALIBRATING HYDROGELS FOR DELIVERY OF BIOLOGICS 校准用于输送生物制剂的水凝胶
Pub Date : 2018-05-22 DOI: 10.21065/19204159.10.1
K. Pathak
In the past decade, depot systems for tissue engineering, cell therapy, biomedical research, and therapeutic proteins, have been extensively investigated. Hydrogels offer an interesting platform for sustained delivery of biologicals as these can be readily formulated with limited impact on their integrity and stability. Their high-water content and porous structures make them especially suitable for loading with therapeutic proteins However, relatively rapid release of the hydrophilic compounds (period of hours to days) and limited drug loading capacity (<10%) present major challenges. Cleavable cross-linker or hydrogels that respond to an external trigger such as ultrasound have been suggested as suitable alternatives. However, scale-up and cost-effective manufacturing using safe and established excipients remains a challenge and hydrogels for biologicals are at present scarcely developed beyond the clinical evaluation phases. While some commercial products are available the future of hydrogels for biologicals depends on the medical needs, the general benefit/risk balance, and overall costs.
在过去的十年中,组织工程、细胞治疗、生物医学研究和治疗性蛋白质的仓库系统得到了广泛的研究。水凝胶为生物制剂的持续递送提供了一个有趣的平台,因为这些生物制剂可以很容易地配制,对其完整性和稳定性的影响有限。它们的高含水量和多孔结构使它们特别适合装载治疗性蛋白质。然而,亲水性化合物的相对快速释放(数小时至数天)和有限的药物装载能力(<10%)是主要的挑战。可切割的交联剂或水凝胶响应外部触发,如超声已被建议为合适的替代品。然而,使用安全和成熟的赋形剂进行大规模和具有成本效益的生产仍然是一个挑战,生物制剂的水凝胶目前几乎没有开发出临床评估阶段。虽然有一些商业产品,但水凝胶用于生物制品的未来取决于医疗需求、总体收益/风险平衡和总体成本。
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引用次数: 1
Role of WHO: Government and Pharmacist in Promoting Rational Drug Use 世卫组织:政府和药剂师在促进合理用药中的作用
Pub Date : 2018-01-01 DOI: 10.4172/1920-4159.1000256
M. Sabir
Prescriptions have an essential influence of medicinal services conveyance. Notwithstanding, they are costly products and record for a critical extent of general wellbeing use in many nations. Nonsensical utilization of meds is a noteworthy test confronting numerous wellbeing frameworks over the world. Such malpractices create an improper use of the medicines that lead towards the misuse of the drugs. The rational use of medicine is important in such a way that it helps in achieving the optimize health goals. This article also includes the role of pharmacist, WHO and government in order to promote the rational prescribing and help save the society from the drawbacks of the irrational use of medicines.
处方对医疗服务的提供有着重要的影响。尽管如此,它们是昂贵的产品,并且在许多国家的一般健康使用中具有关键程度的记录。药物的荒谬使用是世界上许多健康框架面临的一个值得注意的测试。这种不当做法造成药物使用不当,导致药物滥用。合理用药很重要,因为它有助于实现最佳的健康目标。本文还探讨了药师、世界卫生组织和政府的作用,以促进合理处方,帮助社会摆脱不合理用药的弊端。
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引用次数: 2
期刊
Journal of Applied Pharmacy
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