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A Holistic Approach to Parkinson's Disease: Integrating Advances in Pathophysiology, Diagnosis, and Therapy 帕金森病的整体治疗方法:整合病理生理学、诊断和治疗方面的进展
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6558
Lalit Kumar, Meenakshi Malhotra, Ankit Sharma, A. Singh, A. Singh
Background: Parkinson's disease (PD) is a prevalent neurodegenerative disorder affecting millions worldwide, with an increasing burden projected in the coming years. It involves complex neurological decline primarily affecting the Substantia nigra and Locus coeruleus, leading to motor and non-motor symptoms. Objective: This study aims to provide a comprehensive overview of Parkinson's disease, including its epidemiology, pathophysiology, diagnosis, and available therapies, encompassing both traditional pharmaceutical treatments and emerging technological advancements. Methods: A thorough review of literature was conducted, synthesizing information from various studies and clinical trials to elucidate the current understanding of Parkinson's disease and its management strategies. Results: Parkinson's disease is characterized by the gradual loss of dopamine-producing cells and the presence of Lewy bodies in the brain. Diagnosis relies on clinical evaluation, and treatment typically involves pharmaceutical interventions such as levodopa, COMT inhibitors, dopamine agonists, and deep brain stimulation. Additionally, advancements in technology offer promising avenues for objective symptom assessment and personalized treatment approaches. Conclusion: The management of Parkinson's disease requires a multidisciplinary approach, integrating traditional pharmacological treatments with emerging technologies and complementary therapies like dance therapy, tai chi, and speech therapy. By combining these diverse modalities, healthcare professionals can provide more effective and personalized care, ultimately enhancing the quality of life for individuals living with Parkinson's disease. Keywords: Parkinson's disease, medical therapy, device-aided therapy, alternative interventions, personalized treatment, neurodegenerative disorder
背景:帕金森病(Parkinson's disease,PD)是一种常见的神经退行性疾病,影响着全球数百万人,预计未来几年的负担会越来越重。帕金森病涉及复杂的神经功能衰退,主要影响黑质下部和躯体小叶,导致运动和非运动症状。研究目的本研究旨在全面概述帕金森病,包括其流行病学、病理生理学、诊断和现有疗法,包括传统药物治疗和新兴技术进步。研究方法对文献进行全面回顾,综合各种研究和临床试验的信息,阐明目前对帕金森病及其治疗策略的理解。结果:帕金森病的特征是大脑中产生多巴胺的细胞逐渐丧失并出现路易体。诊断依赖于临床评估,治疗通常涉及药物干预,如左旋多巴、COMT 抑制剂、多巴胺激动剂和脑深部刺激。此外,技术的进步为客观症状评估和个性化治疗方法提供了前景广阔的途径。结论帕金森病的治疗需要采用多学科方法,将传统药物治疗与新兴技术以及舞蹈疗法、太极拳和语言疗法等辅助疗法相结合。通过结合这些不同的模式,医护人员可以提供更有效和个性化的护理,最终提高帕金森病患者的生活质量。关键词帕金森病、医学疗法、设备辅助疗法、替代干预、个性化治疗、神经退行性疾病
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引用次数: 0
Evaluation of Some Hormones Total Antioxidant Capacity and Malondialdehyde Levels in Polycystic Ovarian Syndrome Women attending the gynecology Clinic at Nnewi 评估在 Nnewi 妇科诊所就诊的多囊卵巢综合征妇女体内某些激素的总抗氧化能力和丙二醛水平
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6539
A. Ihim, C. Onyenekwe, Nkiruka Nwamaka Eze, P. C. Obi, N. Osakue, J. C. Awalu, Tochukwu Anthony Ikwelle
Polycystic ovarian syndrome (PCOS), marked by oxidative stress and hormonal imbalances, causes infertility, insulin resistance, and diverse health problems. It not only affects physical health but also can strain marriages and lead to divorce, posing a notable societal issue. The levels of hormones (Estradiol (E2), Dihydroepiandrosterone sulfate (DHEA), luteinizing hormone (LH), follicle-stimulating hormone (FSH), progesterone (PROG) Testosterone (TEST)), total antioxidant capacity (TAC) and Malondialdehyde (MDA) in PCOS Women attending the gynecology Clinic at Nnewi were investigated. This cross-sectional study had 45 participants with PCOS as a test group and 45 participants without PCOS as the control group between the ages of 18-50 recruited. All the biochemical parameters were determined by enzyme-linked immunoassay technique. Data was expressed as Mean ± standard deviation. The differences in parameters studied between the PCOS group (test) and the control group were evaluated using an independent t-test. Statistical significance was set at p-value < 0.05. Result showed significant higher differences in the mean serum levels of DHEA (87.40±65.90), LH (34.7±36.1), FSH (19.61±14.73) and Testosterone (3.04±1.36) in women with PCOS compared with the control (1.035±0.54),( 20.76±18.1), (13.2±10.19), and (3.04±1.36)(p< 0.05) respectively. A higher significant difference exists in the mean serum MDA values of the test group (women with PCOS compared with the control group(p<0.05). This study concluded that oxidative stress and hormone imbalance occurred among participants with PCOS attending the gynecology clinic of Nnamdi Azikiwe University Teaching Hospital in Nnewi.  Keywords: PCOS, Estradiol, DHEA, luteinizing hormone, FSH, progesterone, Testosterone, TAC
多囊卵巢综合征(PCOS)以氧化应激和内分泌失调为特征,会导致不孕、胰岛素抵抗和各种健康问题。它不仅影响身体健康,还可能给婚姻带来压力并导致离婚,成为一个显著的社会问题。本研究调查了在 Nnewi 妇科诊所就诊的多囊卵巢综合症妇女的激素水平(雌二醇 (E2)、硫酸双氢表雄酮 (DHEA)、黄体生成素 (LH)、卵泡刺激素 (FSH)、孕酮 (PROG)、睾酮 (TEST))、总抗氧化能力 (TAC) 和丙二醛 (MDA)。这项横断面研究招募了 45 名患有多囊卵巢综合症的参与者作为测试组,45 名年龄在 18-50 岁之间未患有多囊卵巢综合症的参与者作为对照组。所有生化指标均采用酶联免疫测定技术进行测定。数据以平均值 ± 标准偏差表示。多囊卵巢综合症组(试验组)与对照组之间的参数差异采用独立的 t 检验进行评估。统计显著性以 p 值 < 0.05 为标准。结果显示,与对照组(1.035±0.54)、(20.76±18.1)、(13.2±10.19)和(3.04±1.36)(P< 0.05)相比,多囊卵巢综合症妇女血清中 DHEA(87.40±65.90)、LH(34.7±36.1)、FSH(19.61±14.73)和睾酮(3.04±1.36)的平均水平差异较大。与对照组相比,试验组(多囊卵巢综合征妇女)的平均血清 MDA 值差异较大(P<0.05)。这项研究的结论是,在恩韦市纳姆迪-阿齐基韦大学教学医院妇科门诊就诊的多囊卵巢综合征患者中存在氧化应激和激素失衡。 关键词多囊卵巢综合征 雌二醇 DHEA 黄体生成素 FSH 孕酮 睾酮 TAC
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引用次数: 0
Soil-Transmitted Helminthiasis, Intestinal Schistosomiasis and Malaria Co-Infections among Children in Rural Communities Around Rwasave and Cyarwa Valleys 鲁瓦萨韦和赛亚瓦山谷周边农村社区儿童的土壤传播螺旋体病、肠血吸虫病和疟疾合并感染情况
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6613
Uwimana Jeannine, Ishimwe Alain Prudence, Mutesa Leon, Ntezirizaza Evariste, Tuyishime Jean De Dieu
Background: Soil-transmitted helminthiasis, schistosomiasis and malaria remain a threat in developing countries, especially to people living in rural areas near large water bodies, valleys or swamps whose daily life activities revolve around those areas. In addition, these parasites affect different groups of people especially those in contact with their breeding sites including children mostly due to their developing immunity compared to that of old people.  Methodology: This cross-sectional study was conducted in rural communities near the Rwasave and Cyarwa valleys, with 124 school-aged children participating. Stool samples were tested for the presence of STH eggs and intestinal Schistosoma parasites using the Kato Katz technique, and thick blood smears were made to aid in the identification of plasmodium species in blood. The threshold intensity of infection on STHs and Schistosoma sp. was estimated by counting their eggs microscopically, which aided in classifying infections as light, moderate, or heavy according to WHO standards. Furthermore, Plasmodium species were identified by the presence of schizonts, trophozoites, or gametocytes on Giemsa-stained thick blood smears, and parasitic density was calculated as a result. Results: In this study, the highest prevalence of soil transmitted helminthiasis was 12.7% in Cyarwa valley compared to 12.5% in Rwasave valley. The highest prevalence of Schistosomiasis was 3.2% in Cyarwa valley compared to 1.3% in Rwasave valley. Prevalence of malaria in Cyarwa valley was 3.3% in 63 children. Where children infected were only males falling in 5-8 age group. Conclusion: Results showed high prevalence of soil transmitted helminthiasis which was 12.7% in Cyarwa compared to 12.5% in Rwasave valley especially in children aged 5-8, this due to poor sanitation (P<0.001) that have assessed. Surprisingly, Cyarwa valley is located nearby town. Whereas malaria, intestinal schistosomiasis was low and there were not significantly associated with their risk factors with p-values 0.4, 0.092 respectively which can show that, preventive measures that have been established by government of Rwanda have positive impacts. Furthermore, there was a low prevalence of soil transmitted helminthiasis, intestinal schistosomiasis and malaria co-infection. Keywords: soil transmitted helminthiasis, intestinal schistosomiasis, malaria.
背景:在发展中国家,土壤传播的蠕虫病、血吸虫病和疟疾仍然是一种威胁,尤其是对生活在大型水体、山谷或沼泽附近的农村地区的人们来说,他们的日常生活活动都围绕着这些地区。此外,这些寄生虫还影响着不同的人群,尤其是那些与寄生虫滋生地有接触的人群,其中包括儿童,这主要是因为与老年人相比,儿童的免疫力还处于发育阶段。 研究方法:这项横断面研究在鲁瓦萨韦(Rwasave)和赛亚瓦(Cyarwa)山谷附近的农村社区进行,共有 124 名学龄儿童参加。采用卡托-卡茨技术对粪便样本进行了检测,以确定是否存在性传播疾病虫卵和肠道血吸虫寄生虫,并制作了厚血涂片,以帮助鉴定血液中的疟原虫种类。通过显微镜计数虫卵,估算出感染 STH 和血吸虫的阈值强度,这有助于根据世界卫生组织的标准将感染分为轻度、中度和重度。此外,通过在吉氏染色的血液涂片上发现裂殖子、滋养体或配子细胞来确定疟原虫的种类,并由此计算寄生虫密度。结果在这项研究中,Cyarwa 山谷的土壤传播蠕虫病发病率最高,为 12.7%,而 Rwasave 山谷为 12.5%。Cyarwa山谷的血吸虫病发病率最高,为3.2%,而Rwasave山谷为1.3%。Cyarwa山谷的疟疾发病率为3.3%,共有63名儿童感染。受感染的儿童仅为 5-8 岁年龄组的男性。结论结果显示,土壤传播的蠕虫病在 Cyarwa 谷的发病率为 12.7%,而在 Rwasave 谷为 12.5%,尤其是在 5-8 岁的儿童中。令人惊讶的是,Cyarwa 山谷位于城镇附近。疟疾和肠血吸虫病的发病率较低,且与风险因素无明显关联(P 值分别为 0.4 和 0.092),这表明卢旺达政府制定的预防措施产生了积极影响。此外,土壤传播蠕虫病、肠血吸虫病和疟疾合并感染的发病率较低。关键词:土壤传播的蠕虫病、肠血吸虫病、疟疾。
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引用次数: 0
Investigation of the Efficacy of Zonisamide in Alcohol Induced Hepatotoxicity 唑尼沙胺对酒精所致肝中毒的疗效研究
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6594
Nilüfer Dönmezdil, Selçuk Tunik, F. Aşır, Senem Çetin Duran, Dilara Akinci, Enis Duran, E. Yildizhan, Nurullah Peker, M. Obut
Subject: This research aims to evaluate the histological changes in liver tissue induced by alcohol consumption and to assess the effectiveness of zonisamide in treating alcohol-related hepatotoxicity. Materials and Methods: The study utilized 40 adult Wistar albino rats, divided into four groups: a control (sham), an ethanol group, a zonisamide group, and a combination of ethanol and zonisamide (ethanol+zonisamide). Each group underwent a four-day binge drinking protocol to mimic excessive alcohol intake observed in humans. Zonisamide was administered at a dose of 100 mg/kg daily. Post-treatment, the liver tissues were collected, stained with hematoxylin and eosin, and examined for histopathological changes. Results: The control and zonisamide-only groups showed no abnormal liver or vascular alterations, indicating zonisamide's safety. In contrast, the ethanol group displayed significant liver damage, including vascular dilatation, congestion, and extensive cellular degeneration. Conversely, the ethanol+zonisamide group exhibited substantial histological improvements with noticeable reductions in vascular impairments and signs of hepatocyte regeneration, suggesting that zonisamide mitigates the detrimental effects of alcohol on the liver. Conclusion: The study concludes that zonisamide has a protective effect against alcohol-induced liver damage. It appears to preserve the structural integrity of hepatocytes and supports cellular survival, potentially through its anti-inflammatory and antioxidant properties. These promising results advocate for further exploration of zonisamide as a therapeutic option for managing liver injuries associated with alcohol abuse. This study contributes significant insights into the therapeutic potential of zonisamide, encouraging more comprehensive investigations into its clinical applications in hepatology. Keywords: Alcohol, Zonisamide, Hepatotoxicity
研究对象本研究旨在评估饮酒引起的肝组织学变化,并评估唑尼沙胺治疗酒精相关肝毒性的效果。材料与方法:研究使用 40 只成年 Wistar 白化大鼠,分为四组:对照组(假)、乙醇组、唑尼沙胺组以及乙醇和唑尼沙胺的混合组(乙醇+唑尼沙胺)。每组都进行了为期四天的狂饮,以模拟人类的过量酒精摄入。唑尼沙胺的剂量为每天 100 毫克/千克。治疗后,收集肝脏组织,用苏木精和伊红染色,并检查组织病理学变化。结果对照组和仅使用唑尼沙胺组的肝脏和血管未出现异常变化,表明唑尼沙胺是安全的。与此相反,乙醇组出现了严重的肝损伤,包括血管扩张、充血和广泛的细胞变性。相反,乙醇+唑尼沙胺组的组织学状况有了很大改善,血管损伤和肝细胞再生迹象明显减少,这表明唑尼沙胺能减轻酒精对肝脏的有害影响。结论研究得出结论,唑尼沙胺对酒精引起的肝损伤具有保护作用。它似乎能保护肝细胞结构的完整性,并支持细胞存活,这可能是通过其抗炎和抗氧化特性实现的。这些令人鼓舞的结果主张进一步探索将唑尼沙胺作为一种治疗选择,以控制与酗酒相关的肝损伤。这项研究有助于深入了解唑尼沙胺的治疗潜力,鼓励对其在肝病学中的临床应用进行更全面的研究。关键词酒精 唑尼沙胺 肝毒性
{"title":"Investigation of the Efficacy of Zonisamide in Alcohol Induced Hepatotoxicity","authors":"Nilüfer Dönmezdil, Selçuk Tunik, F. Aşır, Senem Çetin Duran, Dilara Akinci, Enis Duran, E. Yildizhan, Nurullah Peker, M. Obut","doi":"10.22270/jddt.v14i5.6594","DOIUrl":"https://doi.org/10.22270/jddt.v14i5.6594","url":null,"abstract":"Subject: This research aims to evaluate the histological changes in liver tissue induced by alcohol consumption and to assess the effectiveness of zonisamide in treating alcohol-related hepatotoxicity. \u0000Materials and Methods: The study utilized 40 adult Wistar albino rats, divided into four groups: a control (sham), an ethanol group, a zonisamide group, and a combination of ethanol and zonisamide (ethanol+zonisamide). Each group underwent a four-day binge drinking protocol to mimic excessive alcohol intake observed in humans. Zonisamide was administered at a dose of 100 mg/kg daily. Post-treatment, the liver tissues were collected, stained with hematoxylin and eosin, and examined for histopathological changes. \u0000Results: The control and zonisamide-only groups showed no abnormal liver or vascular alterations, indicating zonisamide's safety. In contrast, the ethanol group displayed significant liver damage, including vascular dilatation, congestion, and extensive cellular degeneration. Conversely, the ethanol+zonisamide group exhibited substantial histological improvements with noticeable reductions in vascular impairments and signs of hepatocyte regeneration, suggesting that zonisamide mitigates the detrimental effects of alcohol on the liver. \u0000Conclusion: The study concludes that zonisamide has a protective effect against alcohol-induced liver damage. It appears to preserve the structural integrity of hepatocytes and supports cellular survival, potentially through its anti-inflammatory and antioxidant properties. These promising results advocate for further exploration of zonisamide as a therapeutic option for managing liver injuries associated with alcohol abuse. This study contributes significant insights into the therapeutic potential of zonisamide, encouraging more comprehensive investigations into its clinical applications in hepatology. \u0000Keywords: Alcohol, Zonisamide, Hepatotoxicity","PeriodicalId":15622,"journal":{"name":"Journal of Drug Delivery and Therapeutics","volume":" 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141127989","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
Advances in Local Anesthesia and Pain Management for Practicing Dentists: A Comprehensive Review 牙科医生局部麻醉和疼痛治疗的进展:全面回顾
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6572
Manisha Rout, N. Tomar, M. Kaushik, Soundarya Singh
One of the most frequent problems that patients bring to a dental clinic is pain in the orofacial region or within the tooth. To identify and solve the issue, a proficient practitioner needs to be equipped with the necessary information and resources. Comprehending the history of pain control in dentistry can provide valuable understanding into the development of the present techniques. Newer and more effective pain management treatments have been created as dentistry continues to advance. Several modalities have been developed to reduce and eliminate this, including pharmacological and non-pharmacological treatment modalities. The goal of the present review of the literature's findings is to provide dentists with reliable information regarding the application of contemporary local anesthetics, alternative methods, and strategies to reduce pain during anesthesia administration, thereby improving patient comfort. Keywords: Local Anesthesia, Anesthetic Agents, NSAIDS, Lignocaine, Management, Pain Control
患者到牙科诊所就诊时最常遇到的问题之一就是口面部或牙齿内部的疼痛。要发现并解决问题,精通业务的医生需要掌握必要的信息和资源。了解牙科疼痛控制的历史可以为当前技术的发展提供有价值的认识。随着牙科技术的不断进步,更新、更有效的疼痛控制治疗方法应运而生。目前已开发出多种方式来减轻和消除疼痛,包括药物和非药物治疗方式。本文献综述的目的是为牙医提供有关当代局部麻醉剂的应用、替代方法和策略的可靠信息,以减少麻醉过程中的疼痛,从而提高患者的舒适度。关键词局部麻醉、麻醉剂、非甾体类抗炎药、利诺卡因、管理、疼痛控制
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引用次数: 0
Efficacy of majun e khabsul hadeed in iron deficiency anemia in reproductive age group: A randomised control study majun e khabsul hadeed 对育龄人群缺铁性贫血的疗效:随机对照研究
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6595
Iram Bushra, K. Firdose, Wajeeha Begum
Background and Objectives: Iron deficiency is a condition in which blood lacks adequate healthy red blood cells. Women of child bearing age are at high risk. In India incidence is 74% and prevalence is 30%. The goals of treatment are to restore changes in hemoglobin levels, red cell indices and peripheral smear. Aim of the study is to evaluate the effect of majune khabsul hadeed in iron deficiency anemia in women of reproductive age group. Methods: A randomised standard controlled study, 60 patients were randomly allocated to test and control groups. Majune khabsul hadeed 5grams in test group and capsule fefol 1 in control group were given once daily for 3months. Subjective parameters viz. pallor, loss of appetite, reduced exercise capacity and fatigue were assessed at every follow up. Red cell indices, as objective parameters were assessed before and after treatment. Results: Significant changes were observed in subjective parameters with p<0.001 at each assessment in both groups. On intergroup comparison there were no significant difference with p>0.05 except for reduced exercise capacity and fatigue. Objective parameters significantly improved in both groups after treatment with p<0.001. Five (16.7%) and 4(13.3%) patients were among responders, 10(33.3%) and 14(46.7%) partial responders and 13(43.3%) and 12(36.7%) non responders to treatment in test and control groups respectively. On intergroup comparison, there was no significant difference with p >0.05 suggesting that both groups had similar effect. Conclusion: Majune khabsul hadeed is as effective as capsule fefol in the management of iron deficiency anemia in women of reproductive age group. Keywords: Iron deficiency anemia; majune khabsul hadeed; women of reproductive age; RBC indices.
背景和目的:缺铁是指血液中缺乏足够的健康红细胞。育龄妇女是高危人群。在印度,发病率为 74%,流行率为 30%。治疗的目的是恢复血红蛋白水平、红细胞指数和外周涂片的变化。本研究旨在评估 majune khabsul hadeed 对育龄妇女缺铁性贫血的治疗效果。研究方法随机标准对照研究,将 60 名患者随机分配到试验组和对照组。试验组服用 5 克 Majune khabsul hadeed,对照组服用 1 粒 fefol 胶囊,每天一次,连续服用 3 个月。每次随访时都对患者的主观指标,即面色苍白、食欲不振、运动能力下降和疲劳进行评估。红细胞指数作为客观参数,在治疗前后进行评估。结果除运动能力下降和疲劳外,主观指标均有显著变化(P0.05)。治疗后,两组患者的客观指标均有明显改善,P值均为0.05,这表明两组治疗效果相似。结论在治疗育龄妇女缺铁性贫血方面,Majune khabsul hadeed与胶囊fefol同样有效。关键词缺铁性贫血;Majune khabsul hadeed;育龄妇女;红细胞指数。
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引用次数: 0
Herbs as Skeletal Muscle Relaxant: An Updated Review 作为骨骼肌松弛剂的草药:最新综述
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6577
Rohan Rohan, Ritu Rani, A. Singh, A. Singh
When compared to modern drugs, herbal medicines are usually accepted by doctors and patients for having greater therapeutic efficacy and fewer adverse effects.A diverse class of drugs known as skeletal muscle relaxants is frequently used to treat two distinct underlying disorders: spasticity resulting from upper motor neuron syndromes and muscular pain or spasms resulting from peripheral musculoskeletal problems. Skeletal muscle (SM) controls insulin sensitivity, glucose uptake, and blood glucose homeostasis, all of which are essential for energy and glucose metabolism. A progressive and widespread loss of skeletal muscle mass and strength that results in physical handicap, a low quality of life, and perhaps death is known as sarcopenia. Herbs are a valuable tool for illness prevention. These all have dysregulated skeletal muscle and sarcopenia. These medicinal herbs are being used over recent years.  In this Review article we will keep an eye on an updated review on herbs as skeletal muscle relaxant. We will discuss about musculoskeletal disorders, phytochemicals role in disorders. Herbs like aloe barbedensis, curcuma longa, zingiber officinale,citrus aurantium,chamaemelum nobile,hibiscus rosa sinensis etc. will be studied for their role in skeletal muscle relaxation. Keywords: Skeletal muscle relaxant, sarcopenia, herbal medicines, herbs, skeletal muscles, myopathy
与现代药物相比,中草药的疗效更好,不良反应更少,通常为医生和患者所接受。有一类药物被称为骨骼肌松弛剂,常用于治疗两种不同的潜在疾病:上运动神经元综合征引起的痉挛和外周肌肉骨骼问题引起的肌肉疼痛或痉挛。骨骼肌(SM)控制着胰岛素敏感性、葡萄糖摄取和血糖平衡,所有这些对能量和葡萄糖代谢都至关重要。骨骼肌质量和力量的逐渐和广泛丧失,导致身体残疾、生活质量低下,甚至死亡,这就是所谓的 "肌肉疏松症"。草药是预防疾病的重要工具。这些草药都有调节骨骼肌和肌肉疏松症的作用。近年来,这些药草正被广泛使用。 在这篇综述文章中,我们将关注作为骨骼肌松弛剂的草药的最新综述。我们将讨论肌肉骨骼疾病、植物化学物质在疾病中的作用。我们将研究芦荟、莪术、细辛、枳壳、金钗、木槿等草药在放松骨骼肌方面的作用。关键词:骨骼肌松弛剂骨骼肌松弛剂 肌肉疏松症 中药 草药 骨骼肌 肌病
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引用次数: 0
Review on Moringa oleifera Plant 关于油麻菜植物的评论
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6596
Shubham Sharma, Ritu Rani, A. Singh, A. Singh
The most extensively grown species of the monogeneric, Moringaceae family, which is native to south Asia, is Moringa oleifera, sometimes known as "The Miracle Tree." The medium-sized agroforestry tree Moringa oleifera (Moringaceae) is native to south Asia but has now naturalized in many other nations. Moringa is also thought to be a treatment for malnutrition. It has several pharmacological characteristics, including antioxidant, hepatoprotective, cardioprotective, anti-inflammatory, anti-diabetic, and anti-cancer effects. It was discovered that every portion of the plant contains bioactive components. To far, over a hundred chemicals, comprising alkaloids, flavonoids, anthraquinones, vitamins, glycosides, and terpenes, have been identified from various sections of Moringa oleifera. These leaves have been used for many years in traditional medicine to treat a wide range of illnesses. These leaves have the potential to avert the plague of starvation and associated illnesses due to their potent nutritional content. In this article, we will keep an eye on Moringa Oleifera Plant overview. Keywords: Moringa Oleifera plant, Miracle Tree, Herb, Drumstick, Herbal Medicine
在原产于南亚的单属桑科植物中,种植最广泛的树种是油辣木(Moringa oleifera),有时也被称为 "奇迹之树"。中等大小的农林树 Moringa oleifera(桑科)原产于南亚,但现在已在许多其他国家归化。人们还认为 Moringa 可以治疗营养不良。它具有多种药理特性,包括抗氧化、保肝、保心、抗炎、抗糖尿病和抗癌作用。研究发现,植物的每一部分都含有生物活性成分。迄今为止,已经从油辣木的不同部分鉴定出一百多种化学物质,包括生物碱、黄酮类、蒽醌类、维生素、苷类和萜类。这些叶子多年来一直被用于传统医学,治疗多种疾病。由于这些叶子含有丰富的营养成分,因此有可能避免饥饿和相关疾病的困扰。在本文中,我们将继续关注油橄榄辣木植物概述。关键词:油辣木属植物、奇迹之树、草本植物、鼓槌、草药
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引用次数: 0
Formulation, Optimization and Evaluation of Solid Dispersion of Deferasirox Using Factorial Design 采用因子设计配制、优化和评估地拉罗司固体分散体
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6526
Shruti Talla, K. Wadher, M. Umekar, R. Lohiya
Deferasirox, an oral iron-chelating agent, is a poorly soluble drug (Biopharmaceutical Classification System class II) having insufficient solubility in physiological fluids resulting in low bioavailability of the drug. The idea behind the present study was to explore the prospects of solid dispersion as a prolific method to enhance the dissolution rate of drug using a water soluble polymer. The solid dispersion was prepared by the solvent evaporation technique using Polyvinyl pyrrolidone with different drug to carrier and solvent ratio. Formulations were characterized through attenuated total reflectance-Fourier transform infrared spectroscopy (ATR-FTIR), differential scanning calorimetry (DSC), Powder X-ray diffraction (XRD), and in vitro release studies. A 32 factorial design was implemented to obtain optimum solubility, % yield, and optimization of solid dispersion (SD) also quantitates the influence of PVP on the solubility and dissolution profile. Thedrug-to-carrier and solvent ratio was chosen as independent variable, while %yield, drug content, and saturation solubility were chosen as dependent variables. The results showed that the optimized formulation of SD-DFX was able to significantly enhance its solubility. The SD containing a dispersion of Deferasirox with PVP show an exceptional rise in the solubility. This study describes the development of solid dispersion that significantly improved the solubility and bioavailability of DFX. The FTIR studies indicate the interaction between the drug and polymer. The DSC and XRD analysis indicated that the drug was in an amorphous state when dispersed in the polymer. It is resolved that the SD method significantly improves the solubility and dissolution rate, which could also be exploit for other poorly water soluble drug candidates. Keywords: Deferasirox , Polyvinyl pyrrolidone, solid dispersion, Factorial design, Solubility
地拉罗司是一种口服铁螯合剂,属于难溶性药物(生物制药分类系统 II 级),在生理液体中的溶解度不足,导致药物的生物利用度较低。本研究的目的是利用水溶性聚合物探索固体分散体作为提高药物溶出率的有效方法的前景。固体分散体是利用聚乙烯吡咯烷酮通过溶剂蒸发技术制备的,药物与载体和溶剂的比例各不相同。通过衰减全反射-傅立叶变换红外光谱(ATR-FTIR)、差示扫描量热法(DSC)、粉末 X 射线衍射(XRD)和体外释放研究对制剂进行了表征。为了获得最佳溶解度、产率和固体分散体(SD)的优化,采用了 32 个因子设计,同时还量化了 PVP 对溶解度和溶出曲线的影响。药物与载体和溶剂的比例被选为自变量,而产率%、药物含量和饱和溶解度被选为因变量。结果表明,SD-DFX 的优化配方能够显著提高其溶解度。含有地拉罗司与 PVP 的分散体的 SD 的溶解度有了明显的提高。本研究介绍了固体分散体的开发过程,该分散体能显著提高地拉罗司的溶解度和生物利用度。傅立叶变换红外光谱研究表明,药物与聚合物之间存在相互作用。DSC 和 XRD 分析表明,药物在聚合物中分散时呈无定形状态。由此可见,SD 方法能显著提高药物的溶解度和溶解速率,也可用于其他水溶性较差的候选药物。关键词地拉羅司、聚乙烯吡咯烷酮、固體分散、因子設計、溶解度
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引用次数: 0
A Comprehensive Review of Medication Errors in Modern Healthcare 全面回顾现代医疗中的用药错误
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6565
Zeenath Unnissa, Maher Unnisa, Shayesta Khan
Medication errors are regarded as a significant contributor to the morbidity and mortality rates among patients. These errors encompass any mistake made during the prescription, dispensing, administration, or consumption of medication, as well as the monitoring of therapy. Such errors often stem from factors such as insufficient knowledge, limited staff and resources, issues with medication naming and labeling, and inadequate communication among patients, physicians, and pharmacists. Nonetheless, it is crucial to detect these errors, as shortcomings in healthcare systems can lead to seemingly minor mistakes like misuse and abuse, which may ultimately result in more serious errors. The act of reporting a medication error holds great importance in enhancing the quality of life for patients and reducing the financial burden of re-hospitalization. The primary responsibility of a clinical pharmacist is to identify and assess medication errors with the aim of enhancing patient safety and therapeutic results. By closely monitoring the drug therapy administered to patients in a hospital setting and promptly informing healthcare providers of any inconsistencies discovered, the likelihood of medication errors occurring in hospitalized patients can be minimized. Keywords: Medication error, misuse, patient safety, quality of life
用药错误被认为是导致患者发病率和死亡率的重要因素。这些错误包括在处方、配药、用药或服药以及监测治疗过程中出现的任何错误。这些错误通常源于知识不足、人员和资源有限、药物命名和标签问题以及患者、医生和药剂师之间沟通不足等因素。然而,发现这些错误至关重要,因为医疗系统的缺陷会导致误用和滥用等看似微小的错误,最终可能导致更严重的错误。报告用药错误这一行为对于提高患者的生活质量和减少再次住院的经济负担具有重要意义。临床药剂师的主要职责是识别和评估用药错误,以提高患者安全和治疗效果。通过密切监测医院环境中为患者提供的药物治疗,并及时告知医护人员发现的任何不一致之处,可以最大限度地降低住院患者发生用药错误的可能性。关键词用药错误 误用 患者安全 生活质量
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引用次数: 0
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Journal of Drug Delivery and Therapeutics
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