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Cytotoxicity and antioxidant potential of dichloromethane and ethyl acetate extracts of Morinda morindoïdes leaves 巴戟天叶片二氯甲烷和乙酸乙酯提取物的细胞毒性和抗氧化潜力
Pub Date : 2024-06-15 DOI: 10.22270/jddt.v14i6.6571
Aya Honorine Tanoh, K. E. Kporou, A. Brion, C. Seguin, Antoine Kitchler, Benoit Frisch, Sylvie Fournel
The incidence of cancer and related mortality are on the rise worldwide, and this requires the search for new plant-based medicines. In this study, the antioxidant potential and cytotoxic activity against HCT-116 cell line were evaluated. Dichloromethane and ethyl acetate extracts of M. morindoïdes were prepared by maceration and evaluated for some biological properties. Cytotoxicity was assessed according to MTS method on the cancer line HCT-116 (colorectal carcinoma) using doxorubicin as reference. Antioxidant potential was carried out by DPPH and ABTS tests. Tri-phytochemistry was carried out from coloring and precipitation tests. On HCT-116 cell line, extracts demonstrated dose-response activity. The lowest IC50 value was obtained with the acetate extract with an IC50= 16.38 ± 0.2 µg/mL. IC50 values for antioxidant activities were evaluated at 39.70 ± 1.7 µg/mL and at 57.65 ± 4.3µg/mL by DPPH and ABTS test respectilly. Finally, phytochemical screening showed presence of polyphenols, flavonoids and quinone. M. morindoides ethyl acetate extract showed the best cytotoxicity and antioxidant activities. Therefore, it should be an interesting source for discovery of new compounds for colorectal cancer treatment. Keywords: cytotoxicity, cancer cells, antioxidant, Morinda morindoides.
癌症发病率和相关死亡率在全球呈上升趋势,因此需要寻找新的植物药物。本研究评估了 M. morindoïdes 的抗氧化潜力和对 HCT-116 细胞系的细胞毒性活性。通过浸渍法制备了莫林多德的二氯甲烷和乙酸乙酯提取物,并对其一些生物特性进行了评估。以多柔比星为参照物,根据 MTS 法评估了 HCT-116(结直肠癌)癌细胞株的细胞毒性。抗氧化潜力通过 DPPH 和 ABTS 试验进行评估。通过着色和沉淀测试进行三相化学分析。在 HCT-116 细胞系上,提取物表现出剂量反应活性。醋酸盐提取物的 IC50 值最低,为 16.38 ± 0.2 µg/mL。通过 DPPH 和 ABTS 测试,抗氧化活性的 IC50 值分别为 39.70 ± 1.7 µg/mL 和 57.65 ± 4.3µg/mL。最后,植物化学筛选显示了多酚、类黄酮和醌的存在。M. morindoides乙酸乙酯提取物显示出最佳的细胞毒性和抗氧化活性。因此,它应该是发现治疗结直肠癌的新化合物的一个有趣来源。关键词:细胞毒性、癌细胞、抗氧化剂、巴戟天。
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引用次数: 0
Identification of Bacteria from Public Toilets of Modern Market (Goico) in Musanze Town, Rwanda 卢旺达穆桑泽镇现代市场(Goico)公共厕所的细菌鉴定
Pub Date : 2024-06-15 DOI: 10.22270/jddt.v14i6.6659
Mukandayishimiye Julienne, Izere Cedrick, Ishimwe Alain Prudence, Mukashema Hyacinthe, Nzabanterura Innocent, Uwihanganye Jean Chrysostome, Habanabakize Jean Baptiste, Korineza Dary Lorraine
Background: Bacteria are present on all surfaces, to which they were carried by many direct and indirect methods of transmission. A toilet is simply a receptacle into which both solid and liquid waste of human origin, in the form of urine and excreta are discharged. In public toilets, complete strangers mix and use the same sanitary facilities, with all the related risks of bodily fluid exchange, contamination and organism transmission. Unhygienic use of the toilet’s facilities may cause urine and fecal residues after use to serve as a major reservoir or source of human pathogen, which may in turn bring about disease outbreak. Aim: This study aimed at Identification of Bacteria from Public Toilets of Modern Market (Goico) In Musanze Town, Rwanda Method: This cross-sectional study was conducted to identify bacteria from GOICO market toilets. About 40 samples; 20 from male and 20 from female toilets were collected and transported to INES-clinical microbiology laboratory for microbiological analysis. Laboratory techniques including culture, gram stain, biochemical tests and antibiogram were performed. Results: The most predominant bacteria isolated was S. aureus (31.43%), followed by S. typhi  (20%), Streptococcus(15.71%), E. coli(12.86%), P. aeuriginosa(10%), P. mirabilis(7.14%), C. freundi(1.43%), S. epidermidis (1.43%). It was noted that female toilets were more contaminated (51.43%) than male toilets (48.57%). All gram positive and gram-negative bacteria were sensitive to Gentamicin. Almost all bacteria except P. mirabilis were sensitive to Norfloxacin, gram negative showed a resistance to Vancomycin and Novobiocin. Conclusion: These results should alert public toilets users that extreme caution must be executed while using these toilets, as they may be a source of pathogenic bacteria. The best way to keep a toilet and its seat free of bacteria is to clean it with bleach. Otherwise, keep the bacteria at bay by washing your hands, and if you just don't trust that toilet seat, wipe it down with a disinfectant or antibacterial wipe before you sit. Keywords: Bacteria, Public toilets, E. coli, S. typhi, Urinary tract
背景:细菌存在于所有物体表面,并通过许多直接或间接的传播方式携带到物体表面。厕所只是一个容器,以尿液和排泄物的形式将人类产生的固体和液体废物排入其中。在公共厕所里,完全陌生的人混杂在一起,使用同样的卫生设施,存在体液交换、污染和病原体传播的所有相关风险。不卫生地使用厕所设施可能导致使用后的尿液和粪便残留物成为人类病原体的主要储存库或来源,进而可能导致疾病爆发。目的:本研究旨在鉴定卢旺达穆桑泽镇现代市场(Goico)公共厕所中的细菌:本横断面研究旨在鉴定 Goico 市场厕所中的细菌。收集了约 40 份样本,其中 20 份来自男厕,20 份来自女厕,并将样本送至 INES 临床微生物实验室进行微生物分析。实验室采用的技术包括培养、革兰氏染色、生化测试和抗生素图谱。结果:分离出的最主要细菌是金黄色葡萄球菌(31.43%),其次是伤寒杆菌(20%)、链球菌(15.71%)、大肠杆菌(12.86%)、动脉杆菌(10%)、奇异变形杆菌(7.14%)、绿脓杆菌(1.43%)和表皮葡萄球菌(1.43%)。结果表明,女厕(51.43%)比男厕(48.57%)受到的污染更严重。所有革兰氏阳性和革兰氏阴性细菌都对庆大霉素敏感。除奇异变形杆菌外,几乎所有细菌都对诺氟沙星敏感,而革兰氏阴性菌则对万古霉素和新生物菌素有抗药性。结论这些结果应提醒公共厕所使用者,在使用这些厕所时必须格外小心,因为它们可能是致病菌的来源。保持马桶和马桶座无细菌的最佳方法是用漂白剂清洁。如果你不放心马桶盖,可以在坐下前用消毒剂或抗菌擦拭布擦拭马桶盖。关键词细菌 公共厕所 大肠杆菌 伤寒杆菌 泌尿道
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引用次数: 0
Phytochemical Analysis, Antioxidant and Anti Hyperlipidemic Activity of Nyctanthes arbor-tristis in Male Wistar Rats 雄性 Wistar 大鼠对 Nyctanthes arbor-tristis 的植物化学分析、抗氧化和抗高血脂活性研究
Pub Date : 2024-06-15 DOI: 10.22270/jddt.v14i6.6570
Tanya Jain, Arpit Shrivastava, P. Jain, Sunil Jain, Harshita Jain
The current study's objective was to assess the antihyperlipidemic, in vitro antioxidant, and qualitative and quantitative phytochemical analysis of Nyctanthes arbor-tristis flowers hydroalcoholic extract at 200 and 400 mg/kg in rats that were made hyperlipidemic by a high-fat diet. The Folins Ciocalteau reagent and the aluminium chloride method were used for the quantitative measurement of flavonoids and phenolics, respectively. Through phytochemical investigation, alkaloids, carbohydrates, glycosides, tannins, phenolic compounds, triterpenoids, and steroids were found in the hydroalcoholic extracts of N. arbor-tristis flowers.  The hydroalcoholic extract flowers had a total phenolic content of 126.000 mg/gm, which was followed by flavonoids at 103.104 mg/gm. Hydroalcoholic extracts of flowers showed concentration-dependent antioxidant activity in vitro against DPPH and superoxide radical scavenging test technique. In this investigation, rats were given a high-fat diet as part of an experimental induction procedure. By lowering LDL and VLDL cholesterol levels and raising HDL levels, the HANAT therapy and the medication atorvastatin dramatically reduce body weight. grew When hydroalcoholic flower extracts were given orally to animals that had been forced to become hyperlipidaemic due to a high cholesterol diet, the levels of HDL cholesterol, triglycerides, low density lipoproteins, and very low-density lipoproteins were all much lower. The p value (p<0.001) indicated that the results were significant. The triton-induced study results indicate that animals treated with HANAT at dose levels of 200 mg/kg and 400 mg/kg had considerably lower blood lipid parameters (p<0.01) than the control group; however, the 400 mg/kg of HANAT group animals showed significantly higher serum lipid parameters (p<0.001) than the control group. Additionally, a higher HDL level was noted at this time. Keywords: Nyctanthes arbor-tristis, Physicochemical analysis, Antioxidant activity, DPPH. Antihyperlipidemic activity
本研究的目的是评估高脂饮食使大鼠患高血脂症后,在 200 和 400 毫克/千克的剂量下,假竹花水醇提取物的抗高血脂作用、体外抗氧化作用以及定性和定量植物化学分析。采用 Folins Ciocalteau 试剂和氯化铝法分别对黄酮类化合物和酚类化合物进行了定量测定。通过植物化学研究发现,乔木花的水醇提取物中含有生物碱、碳水化合物、苷、单宁、酚类化合物、三萜类化合物和类固醇。 水醇提取物花的总酚含量为 126.000 毫克/克,其次是类黄酮,为 103.104 毫克/克。花的水醇提取物在体外对 DPPH 和超氧自由基清除测试技术显示出浓度依赖性抗氧化活性。在这项研究中,作为实验诱导程序的一部分,大鼠被给予高脂肪饮食。通过降低低密度脂蛋白和超低密度脂蛋白胆固醇水平,提高高密度脂蛋白水平,HANAT疗法和阿托伐他汀药物可显著减轻体重。 当口服水醇花提取物给因高胆固醇饮食而被迫成为高脂血症的动物时,高密度脂蛋白胆固醇、甘油三酯、低密度脂蛋白和超低密度脂蛋白的水平都大大降低。p 值(p<0.001)表明结果是显著的。三聚氰胺诱导的研究结果表明,使用剂量为 200 毫克/千克和 400 毫克/千克的 HANAT 治疗动物的血脂参数(p<0.01)大大低于对照组;但是,使用剂量为 400 毫克/千克的 HANAT 组动物的血清脂质参数(p<0.001)明显高于对照组。此外,此时的高密度脂蛋白水平也较高。关键词三棱草 理化分析 抗氧化活性 DPPH抗高血脂活性
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引用次数: 0
Comprehensive Review on Parkinson's Disease: Insights into Prevalence, Pathophysiology, Diagnosis, and Multifaceted Treatment Approaches 帕金森病全面综述:对发病率、病理生理学、诊断和多方面治疗方法的见解
Pub Date : 2024-06-15 DOI: 10.22270/jddt.v14i6.6637
Lalit Kumar, Meenakshi Malhotra, A. Singh, A. Singh
Background: Parkinson's disease (PD), a prevalent neurodegenerative condition affecting more than seven million individuals globally, manifests through the loss of dopaminergic neurons, leading to diverse motor and non-motor symptoms. This comprehensive review aims to explore PD's multifaceted nature, covering its introduction, prevalence patterns, pathophysiology, diagnostic challenges, and varied treatment strategies. Genetic and environmental influences on prevalence, brain region degeneration, Lewy body formation, and early-stage diagnostic difficulties are key focus areas. The review emphasizes the necessity of personalized approaches, innovative clinical criteria-, and subtype categorizations for effective management. Objective: This review aims to provide a holistic understanding of Parkinson's disease, contributing to improved insights for both individuals and healthcare professionals. By consolidating knowledge on PD's various facets, it seeks to facilitate informed decision-making for better management and enhanced quality of life. Methods: A thorough review of research literature, including studies, trials, and historical perspectives, was done. It covers prevalence, causes, diagnosis, and treatment options, including both traditional and herbal remedies, alongside conventional approaches. Results: The review reveals the complex interplay of genetic predisposition, environmental factors, and the neurodegenerative mechanisms underlying PD. It underscores the challenges of early-stage diagnosis and the wide array of treatment options available, emphasizing the need for personalized care. Conclusion: Understanding Parkinson's disease in its entirety is crucial for effective management. By presenting a comprehensive overview, this review advocates for a holistic approach, integrating diverse treatments and individualized strategies, thereby offering valuable guidance for improved quality of life in PD patients. Keywords: Parkinson's, neurodegeneration, DBS, Lewy bodies, motor & non-motor symptoms, diagnosis
背景:帕金森病(Parkinson's disease,PD)是一种常见的神经退行性疾病,影响着全球七百多万人,表现为多巴胺能神经元的缺失,导致各种运动和非运动症状。本综合综述旨在探讨帕金森病的多面性,涵盖其简介、流行模式、病理生理学、诊断难题和各种治疗策略。遗传和环境对发病率的影响、脑区变性、路易体形成和早期诊断困难是重点关注领域。综述强调了个性化方法、创新临床标准和亚型分类对有效管理的必要性。目的:本综述旨在提供对帕金森病的整体认识,为个人和医疗保健专业人员提供更深入的见解。通过整合帕金森病各方面的知识,本综述旨在促进知情决策,以改善管理并提高生活质量。研究方法对研究文献进行了全面回顾,包括研究、试验和历史观点。内容涉及发病率、病因、诊断和治疗方案,包括传统疗法、草药疗法和常规疗法。结果综述揭示了遗传易感性、环境因素和帕金森病的神经退行性机制之间复杂的相互作用。它强调了早期诊断所面临的挑战和现有治疗方案的多样性,强调了个性化护理的必要性。结论全面了解帕金森病对于有效治疗至关重要。本综述通过对帕金森病的全面概述,倡导采用综合方法,整合多种治疗方法和个性化策略,从而为改善帕金森病患者的生活质量提供有价值的指导。关键词帕金森病、神经变性、DBS、路易体、运动和非运动症状、诊断
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引用次数: 0
Psychologic Distress in Diabetic Patients 糖尿病患者的心理压力
Pub Date : 2024-06-15 DOI: 10.22270/jddt.v14i6.6663
Rosmin Jacob, Blessy Biju, Rajesh Kumar Sharma
Diabetes mellitus presents a growing global health challenge, impacting millions and imposing significant burdens on individuals and healthcare systems alike. Diabetes distress encompasses the negative emotional impact of living with diabetes and holds significant clinical relevance, as it correlates with suboptimal self-care and glycemic control. This review explores the multifaceted relationship between diabetes and psychosocial factors, focusing on the concept of diabetes distress and its profound implications for patient well-being and disease management. As the prevalence of diabetes continues to rise, understanding and addressing the emotional toll of the condition becomes increasingly critical. Moreover, it explores the intricate dynamics of diabetes distress, self-care behaviors, and metabolic outcomes, emphasizing the importance of tailored interventions to alleviate distress and improve patient adherence and glycemic control. Greater diabetes distress correlates with detrimental medical and psychological outcomes, including suboptimal self-management behaviors such as reduced physical activity, unhealthy eating habits, medication non-adherence, and infrequent blood glucose monitoring. It's associated with elevated A1C levels, increased risk of severe hypoglycemia, and diminished quality of life. Identification of diabetes distress is crucial, with validated screening tools available to aid clinicians in this process. Various management strategies are outlined, ranging from psychological interventions to effective patient-provider communication and supportive group interventions. By integrating psychosocial care into diabetes management, healthcare professionals can better address the holistic needs of patients, ultimately enhancing their quality of life and overall well-being. Keywords: Diabetes mellitus, psychological distress, Diabetic distress
糖尿病是一项日益严峻的全球性健康挑战,影响着数百万人,给个人和医疗系统带来了沉重负担。糖尿病困扰包括糖尿病患者的负面情绪影响,与自我护理和血糖控制不理想相关,因此具有重要的临床意义。本综述探讨了糖尿病与社会心理因素之间的多方面关系,重点关注糖尿病困扰的概念及其对患者福祉和疾病管理的深远影响。随着糖尿病患病率的持续上升,了解和解决糖尿病对患者造成的情感伤害变得越来越重要。此外,该书还探讨了糖尿病困扰、自我护理行为和代谢结果之间错综复杂的动态关系,强调了采取有针对性的干预措施以减轻困扰、改善患者依从性和血糖控制的重要性。更大的糖尿病困扰与有害的医疗和心理结果相关,包括次优的自我管理行为,如减少体育锻炼、不健康的饮食习惯、不坚持用药和不经常监测血糖。它与 A1C 水平升高、严重低血糖风险增加和生活质量下降有关。识别糖尿病困扰至关重要,在这一过程中,临床医生可利用有效的筛查工具进行辅助。本文概述了各种管理策略,包括心理干预、有效的患者与医护人员沟通以及支持性小组干预。通过将社会心理护理纳入糖尿病管理,医护人员可以更好地满足患者的整体需求,最终提高他们的生活质量和整体健康水平。关键词糖尿病 心理困扰 糖尿病困扰
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引用次数: 0
Stabilization of the pharmaceutical finished dosages form by using various techniques 利用各种技术稳定药品成品剂型
Pub Date : 2024-06-15 DOI: 10.22270/jddt.v14i6.6619
Vikas Chandel, Hemendra Pratap Singh, Nilesh Rarokar, K. Wadher
The stabilization of pharmaceuticals means that the drug product is physically, chemically and microbiologically stable at the recommended storage condition throughout the predefined shelf life of the product. Pharmaceutical formulations irrespective of its physical states have been used for their efficacy and safety so for as its therapeutic activity is concern. Stability of dosage forms is the ability of drugs to remains unaffected by environmental condition viz. temperature, humidity and microbiological contamination. This research work is an attempt to stabilize the drug product at controlled room temperature for the drug product which is stable at refrigerated storage condition. Hence the aim of present study was development and stabilization of the drug product at room temperature. Investigation of alternate manufacturing processes for stabilization of the drug product at controlled room temperature was one of the objectives of the work. Keywords: Stability, shelf life, lyophilization, freeze drying
药品的稳定化是指药品在预定的保质期内,在推荐的储存条件下保持物理、化学和微生物的稳定。药物制剂无论其物理状态如何,其疗效和安全性都是人们关注的焦点。剂型的稳定性是指药物不受环境条件(即温度、湿度和微生物污染)影响的能力。本研究试图在可控室温下稳定药物产品,使其在冷藏储存条件下保持稳定。因此,本研究的目的是开发和稳定室温下的药物产品。研究在受控室温下稳定药物产品的替代生产工艺也是研究工作的目标之一。关键词稳定性、保质期、冻干、冷冻干燥
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引用次数: 0
Formulation and Optimization of Immediate Release Tablet of Sapropterin Dihydrochloride by Dry Granulation Process 采用干法制粒工艺配制和优化盐酸沙泊三嗪速释片剂
Pub Date : 2024-06-15 DOI: 10.22270/jddt.v14i6.6583
Tapan Kumar Jena, R. Jat
The research aims to develop and evaluate an immediate-release dosage form of sapropterin dihydrochloride to improve efficacy, stability, and patient acceptance in treating hyperphenylalaninemia (HPA), ensuring rapid therapeutic action upon administration. Formulation development began with a pre-formulation study to evaluate drug-excipient compatibility, solubility, and compressibility, followed by feasibility trials to create a prototype formulation. Dissolution tests and optimization methods, including DoE and OFAT, were employed to refine the formulation based on critical quality attributes. Process optimization involved identifying and fine-tuning critical parameters through sequential unit operations and risk assessments, ensuring uniformity and quality during scale-up for commercial production. The prototype formulation development for a tablet product based on the reference product Kuvan involved strategic excipient selection to meet critical quality attributes (CQA) and mitigate concerns like mottling. The formulation deviates from the reference by using LH 21 as a binder, colloidal silicon dioxide as a glidant, and omitting anhydrous dibasic calcium phosphate, with Mannitol SD (Pearlitol 200) chosen for its flowability and compressibility. The feasibility trial aimed at achieving pharmaceutical equivalence to Kuvan tablets, focusing on bioequivalence, stability, and API distribution, and involved top spray fluid bed granulation with roller compaction and blending identified as high-risk steps. Optimization of tablet formulation considered drug substance particle size, blend ratios, and excipient selection, with adjustments in intra and extra-granular ratios significantly impacting tablet characteristics. Keywords: Immediate Release, Sapropterin Dihydrochloride, Dry Granulation Process
该研究旨在开发和评估盐酸沙普特林的速释剂型,以提高治疗高苯丙氨酸血症(HPA)的疗效、稳定性和患者接受度,确保给药后迅速发挥治疗作用。制剂开发始于制剂前研究,以评估药物与辅料的相容性、溶解性和可压缩性,然后进行可行性试验,以创建原型制剂。溶解试验和优化方法(包括 DoE 和 OFAT)被用来根据关键质量属性完善制剂。工艺优化包括通过连续的单元操作和风险评估来确定和微调关键参数,以确保在商业生产规模扩大过程中的一致性和质量。片剂产品的原型配方开发以参比产品 Kuvan 为基础,涉及辅料的战略性选择,以满足关键质量属性 (CQA) 并减少斑纹等问题。该配方与参比产品不同,使用 LH 21 作为粘合剂,胶体二氧化硅作为滑润剂,省略了无水二盐磷酸钙,甘露醇 SD(Pearlitol 200)因其流动性和可压缩性而被选用。可行性试验旨在实现与库万片剂的药效等同,重点关注生物等效性、稳定性和原料药分布,涉及顶部喷雾流化床制粒,辊压和混合被确定为高风险步骤。片剂配方的优化考虑了药物的粒度、混合比例和辅料的选择,其中粒内和粒外比例的调整对片剂特性有显著影响。关键词速释、盐酸沙普特林、干法制粒工艺
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引用次数: 0
Comparative study of Candidiasis among Single and Married women at Rwanda Military Hospital 卢旺达军事医院单身和已婚妇女念珠菌病比较研究
Pub Date : 2024-06-15 DOI: 10.22270/jddt.v14i6.6652
Uwihanganye Jean Chrysostome, Ishimwe Alain Prudence, Nzabanterura Innocent, Uwizeyimana Jean Pierre, Bizimana Ezechiel, Uwumuremyi Fabrice, Mukandayishimiye Julienne, Ndayambaje Jean de Dieu, Marinde Pacifique
Background: Genital tract is the portal of entry for numerous sexually and non-sexually trans­mitted diseases. A number of bacterial and non-bacterial infections exist that affect the female reproductive tract and cause vaginal discharge. Candida species are among im­portant opportunistic pathogens causing candidiasis in human worldwide. These yeast species are of public health concern nowadays. Aim: This study aimed at comparing the prevalence of candidiasis among single and married women attending Rwanda Mili­tary Hospital. The study population comprises of single and married women. Methodology: This was a retrospective study where data was collected from Rwanda Military Hospital. Results: The re­sults of this study showed that the incidence of candidiasis was higher in married women when compared with single women. The prevalence of candidiasis in married women was 128(74.4%), while in single women is 44(25.6%). It was observed in this study that the distribution of candidiasis among married and single is statistically sig­nificant (p<0.05). Results also show that out of 172 single and married women, more cases of candidiasis were observed within the age range of 21-30 years, 66 (44.2%) were infected with candida albicans, 31-40 years had a prevalence of 55(32%) and 11-20 years had a prevalence of 13(7.6%). The overall of cases of candida other than C. albicans observed was 15.1%. Conclusion:  This study showed that married and single women are predisposed to candidiasis. It is therefore important to give opportunistic pathogens like Candida species attention in women especially among married ones as they are mostly affected by this candidiasis. Keywords: Candidiasis, C. albicans, Vaginal discharge, Urinary tract infection, bacterial vaginosis, aerobic vaginitis.
背景:生殖道是许多性传播和非性传播疾病的入口。许多细菌和非细菌感染都会影响女性生殖道并导致阴道分泌物增多。念珠菌是导致全球人类念珠菌病的重要机会性病原体之一。如今,这些酵母菌已成为公共卫生关注的问题。目的:本研究旨在比较在卢旺达军事医院就诊的单身女性和已婚女性中念珠菌病的发病率。研究对象包括单身女性和已婚女性。研究方法:这是一项回顾性研究,从卢旺达军事医院收集数据。结果研究结果表明,与单身女性相比,已婚女性的念珠菌病发病率更高。已婚妇女的念珠菌病发病率为 128(74.4%),而单身妇女的发病率为 44(25.6%)。研究发现,念珠菌病在已婚和单身女性中的分布具有统计学意义(P<0.05)。结果还显示,在 172 名单身和已婚妇女中,21-30 岁年龄段的念珠菌感染病例较多,有 66 例(44.2%)感染了白色念珠菌,31-40 岁的感染率为 55 例(32%),11-20 岁的感染率为 13 例(7.6%)。除白念珠菌外,其他念珠菌感染率为 15.1%。结论 这项研究表明,已婚和单身女性易患念珠菌病。因此,对女性,尤其是已婚女性中的念珠菌等机会性病原体给予关注是非常重要的,因为她们大多会受到念珠菌病的影响。关键词:念珠菌病念珠菌病、白色念珠菌、阴道分泌物、尿路感染、细菌性阴道病、需氧性阴道炎。
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引用次数: 0
The Impact of the Antimicrobial Stewardship Program on Antibiotic Use, Resistance Patterns, and Cost in Madinat Zayed Hospital 抗菌药物管理计划对扎耶德医院抗生素使用、耐药性模式和成本的影响
Pub Date : 2024-06-15 DOI: 10.22270/jddt.v14i6.6553
Ashraf ALakkad, Yazan Ayaad, Zill Huma Hussain, Egbal Mohmed Suleimen, Anas Alhomran, Hesham Abdalla
Antimicrobial resistance and excessive antibiotic usage are a growing public health concern. Antimicrobial Stewardship Programs (ASPs) aim to optimize antibiotic use and curb resistance. This retro-respective study evaluated the impact of an ASP at Madinat Zayed Hospital, Abu Dhabi (January 2021-December 2022). It analyzed electronic health records to assess the ASP's impact on antibiotic consumption, resistance patterns, and economic outcomes. Patients from intensive care units, medical wards, and outpatient settings were included, though patients admitted to obstetrics/gynaecology, paediatrics, neonatal intensive care, and surgical wards were excluded. The primary objective of this study was to report on the ASP experience and measure the prescribing appropriateness percentage of empirical antibiotic therapy along with the de-escalation of broad-spectrum antimicrobials, after ASP implementation at Madinat Zayed Hospital in Al Dhafra Region, United Arab Emirates. The secondary objectives were to reflect on the rate of Multidrug-Resistant Organisms (MDROs), total utilization using defined daily dose, and the total direct cost of antibiotics. Descriptive analysis, proportions, mean values, and percentage changes were employed for data analysis. The ASP achieved high compliance rates with restricted antibiotics (>90%) and approved guidelines (inpatient 97-100%, outpatient 93-98%). Antibiotic de-escalation rates were also high (>80%).  Significant reductions in use were observed for cefixime (91.3%), levofloxacin (46.3%), and several others. Notably, cefepime use increased (1137.5%). Direct antibiotic expenditure decreased by 2% (saving Dhs2.6 million), and resistance decreased in some bacteria. However, a concerning rise in ceftazidime resistance against Pseudomonas aeruginosa was identified. This study concluded that the implementation of a new Antimicrobial Stewardship Program at Madinat Zayed Hospital demonstrated effectiveness in promoting responsible antibiotic use. The program achieved high compliance with restricted antibiotic use and approved guidelines, leading to significant reductions in overall antibiotic consumption. Keywords: Antimicrobial, resistance, Multidrug-Resistant Organisms, de-escalation, consumption
抗菌药耐药性和过度使用抗生素是一个日益严重的公共卫生问题。抗菌药物管理计划(ASP)旨在优化抗生素的使用并抑制耐药性。这项回顾性研究评估了阿布扎比扎耶德医院抗菌药物管理计划(ASP)的影响(2021 年 1 月至 2022 年 12 月)。研究分析了电子健康记录,以评估 ASP 对抗生素消耗、耐药性模式和经济效益的影响。研究对象包括重症监护病房、内科病房和门诊病人,但不包括妇产科、儿科、新生儿重症监护病房和外科病房的住院病人。本研究的主要目的是报告阿拉伯联合酋长国达夫拉地区的扎耶德医院实施 ASP 后的经验,并衡量经验性抗生素治疗处方的适当性百分比以及广谱抗菌药物的降级情况。次要目标是反映耐多药生物(MDRO)的比率、使用规定日剂量的总用量以及抗生素的直接总成本。数据分析采用了描述性分析、比例、平均值和百分比变化。ASP 对限制使用的抗生素(大于 90%)和批准的指南(住院病人 97%-100%,门诊病人 93%-98%)的遵守率很高(住院病人 97%-100%,门诊病人 93%-98%)。抗生素降级率也很高(>80%)。 头孢克肟(91.3%)、左氧氟沙星(46.3%)和其他几种抗生素的使用率显著降低。值得注意的是,头孢吡肟的使用量有所增加(1137.5%)。直接抗生素支出减少了 2%(节省了 260 万迪拉姆),一些细菌的耐药性也有所下降。然而,发现头孢他啶对铜绿假单胞菌的耐药性上升,令人担忧。这项研究的结论是,在马迪纳扎耶德医院实施新的抗菌药物管理计划在促进负责任地使用抗生素方面取得了成效。该计划实现了对限制抗生素使用和批准指南的高度遵守,从而显著减少了抗生素的总体消耗量。关键词抗生素 耐药性 耐多药生物 降级 消耗量
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引用次数: 0
Characterization of Sapropterin Dihydrochloride Tablet 盐酸沙普特林片剂的表征
Pub Date : 2024-06-15 DOI: 10.22270/jddt.v14i6.6599
Tapan Kumar Jena, R. Jat
Characterization of Kuvan tablets involved thorough analysis of physical, chemical, and dissolution properties. Formulation development encompassed pre-formulation studies, feasibility trials, and process optimization. Kuvan tablets demonstrated variability in sapropterin dihydrochloride concentration but rapid dissolution across different media. Consistent mechanical strength, low impurity levels, and appropriate pH values were observed, ensuring efficacy, safety, and reliability. Keywords: Sapropterin dihydrochloride, Hyperphenylalaninemia, Kuvan tablets
Kuvan 药片的表征包括对物理、化学和溶解特性的全面分析。制剂开发包括制剂前研究、可行性试验和工艺优化。Kuvan 片剂显示出盐酸沙普特林浓度的可变性,但在不同介质中溶解迅速。此外,还观察到了一致的机械强度、低杂质含量和适当的 pH 值,从而确保了药效、安全性和可靠性。关键词盐酸沙泊三嗪 高苯丙氨酸血症 库万片
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引用次数: 0
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Journal of Drug Delivery and Therapeutics
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