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Biopharmaceutical distribution and pharmacodynamic evaluation of intra nasal in-situ gel of Lamotrigine for brain targeted drug delivery 用于脑靶向给药的拉莫三嗪鼻内原位凝胶的生物药理分布和药效学评估
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6538
Y. Indira Muzib, D. R. Aruna Kumari, Y. R. Ambedkar
Background: The present research investigates the nasal delivery of Lamotrigine by incorporating it into a natural in-situ gelling system. Additionally, the retention of the drug in the nasal cavity was enhanced by employing the natural mucoadhesive polymer locust bean gum (LBG). A preliminary investigation was conducted to determine the optimal concentration of gellan gum. The dosage of the drug was calculated using the Robinson Erikson equation. The central composite design was utilized to optimize the influence of individual variables such as gellan gum and locust bean gum on various responses, including gelation time, gel viscosity, mucoadhesive strength, and the time taken for the drug to release half of its initial concentration (t50). The goal of the current study was to evaluate the in-vivo effectiveness of intra nasal in-situ gel of Lamotrigine. Methodology: The pharmacokinetic and tissue distribution studies were carried out to evaluate the brain targeting efficiency of lamotrigine. Blood samples and tissues of various vital organs like brain, liver, kidneys and heart were obtained at different time intervals, plasma and tissue concentration of Lamotrigine was estimated by reverse phase HPLC. Results: According to the pharmacokinetic analysis, Cmax and AUC0-α is found to be significantly more (P<0.05) for nasal route compared to oral route. In comparison to the oral route, Cmax and AUC0-α was 7 and 6.5 folds more for IN route. The absolute bioavailability was found to be 159.07%. with regard to the oral group, minimal drug was present in any of the other tissue samples. In the pharmacodynamic data also the formulation through nasal route showed a significant difference compared to oral route (pure drug suspension) delivery in PTZ induced study. Keywords: Lamotrigine, in-vivo study, tissue distribution, pharmacodynamics
背景:本研究通过将拉莫三嗪纳入天然原位胶凝系统,对其鼻腔给药进行了研究。此外,通过使用天然粘液黏性聚合物槐豆胶(LBG),增强了药物在鼻腔中的保留。为了确定结冷胶的最佳浓度,我们进行了一项初步调查。使用罗宾逊-埃里克森方程计算了药物剂量。利用中心复合设计优化了单个变量(如结冷胶和槐豆胶)对各种反应的影响,包括凝胶化时间、凝胶粘度、粘附强度和药物释放到初始浓度一半的时间(t50)。本研究的目的是评估拉莫三嗪鼻内原位凝胶在体内的有效性。研究方法为评估拉莫三嗪的脑靶向效率,进行了药代动力学和组织分布研究。在不同时间间隔采集血样和脑、肝、肾、心脏等重要器官的组织,通过反相高效液相色谱法估算拉莫三嗪的血浆和组织浓度。结果药代动力学分析发现,与口服途径相比,鼻腔途径的 Cmax 和 AUC0-α 明显更高(P<0.05)。与口服途径相比,鼻腔途径的 Cmax 和 AUC0-α 分别高出 7 倍和 6.5 倍。口服组的绝对生物利用度为 159.07%,其他组织样本中的药物含量极低。在 PTZ 诱导的研究中,通过鼻腔途径给药的制剂与通过口腔途径(纯药物混悬液)给药的制剂在药效学数据上也有显著差异。关键词拉莫三嗪 体内研究 组织分布 药效学
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引用次数: 0
Chemotherapeutic Agents in Periodontics: A Review 牙周病学中的化疗药物:综述
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6610
Vasudha Gupta, Sameer Ahmed, M. Kaushik, Mehvish Saleem
"Selman Waksman" first used the term "antibiotic" in 1942 to refer to any material produced by a bacterium that inhibits the growth of other micro-organisms in high dilution. The pathogenic bacteria, the patient, and the medication are the three main components of the antibiotic periodontal therapy idea. Patients with attachment loss or with aggressive types of periodontitis or those with periodontitis linked with underlying medical conditions are the best candidates for systemic antimicrobial therapy. The three main objectives of Periodontal Therapy are disrupting biofilms, suppressing potential periodontal pathogens throughout the entire oral cavity, and halting the illness. The microbial etiology of inflammatory periodontal disease provides the rationale for the use of antibiotic medication in periodontal therapy. This idea is predicated on the idea that a certain bacterium causes destructive periodontal disease and that antibiotic agents can be present in humans in doses greater than those required to kill or inhibit infections. Keywords: Antibiotics, Systemic drug delivery, Local drug delivery, Periodontal therapy.
"塞尔曼-瓦克斯曼 "于 1942 年首次使用 "抗生素 "一词,指细菌产生的任何在高稀释度下能抑制其他微生物生长的物质。病原菌、患者和药物是抗生素牙周治疗理念的三个主要组成部分。附着丧失、侵袭性牙周炎或牙周炎与潜在疾病相关的患者是全身抗菌治疗的最佳人选。牙周治疗的三个主要目标是破坏生物膜、抑制整个口腔中潜在的牙周致病菌以及阻止疾病的发展。炎症性牙周病的微生物病因为在牙周治疗中使用抗生素药物提供了理论依据。这一观点的前提是,某种细菌会导致破坏性牙周病,而抗生素制剂在人体中的存在剂量可能大于杀死或抑制感染所需的剂量。关键词抗生素 系统给药 局部给药 牙周治疗
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引用次数: 0
Management of Dubayla al-Kabid (Liver abscess) in Unani medicine: A review 尤那尼医学对肝脓肿(Dubayla al-Kabid)的治疗:综述
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6579
Ziaur Rahman, Shah Alam, Irfan Ahmad, Nikhat Shaikh, Mohammad Adil, Piyush Yadav, Nirmala Devi MK
Dubayla al-Kabid (Liver abscess) is a condition in which collection of pus occurs in the liver commonly involving the right lobe. Traditional Unani medicine offers a detailed description of liver disorders alongwith their management. Causative factors of Dubayla al-Kabid include- infection, chronic dysentery, liver injury, cholelithiasis, irregular diets etc. The symptoms are fever with chills, abdominal pain, loss of appetite and difficulty in breathing.  The line of treatment under Usool-e-Ilaj of the disease is based on evacuation of pus, use of medicines with Dāfi‘-i-Ḥummā (Antipyretic) , Daf‘-i-Ta‘affun (Antiseptic), Muḥāfiẓ-i-Jigar (Hepatoprotective) and Muqawwī-i-Jigar(Liver tonic) properties. In contemporary medicine liver abscess is an encapsulated collection of suppurated material within the liver resulting from either fungal, bacterial, or parasitic infection. Although Klebsiella pneumoniae accounts for 50–70% of cases in the Asian subcontinent, Entamoeba histolytica is also frequently seen in routine clinical practice causing liver abscesses. Escherichia coli is the most common bacterium causing liver abscesses. Thus, infection that spreads throughout the biliary system is one of the most frequent causes of liver abscess requiring antibiotics.  The drainage of pus is the treatment of choice in cases of large abscess while small liver abscess of 2-3 cm is conventionally treated with antibiotics. Antimicrobial resistance and persistence are associated with an elevated risk of treatment failure and relapsing infections. Hence there is a need to explore the ages old treatment strategies for the management of small liver abscess laid down in traditional Unani medicine. This paper will further pave the way of developing novel therapies for the effective management of liver abscess. Keywords:  Dubayla al-Kabid, Unani management, Usool-e-Ilaj
Dubayla al-Kabid(肝脓肿)是一种肝脏积脓的病症,通常累及右叶。传统的乌纳尼医学详细描述了肝脏疾病及其治疗方法。Dubayla al-Kabid 的致病因素包括感染、慢性痢疾、肝损伤、胆石症、饮食不规律等。症状是发热伴寒战、腹痛、食欲不振和呼吸困难。 Usool-e-Ilaj 疗法的治疗方法是排出脓液,使用具有 Dāfi'-i-Ḥummā (解热)、Daf'-i-Ta'affun(杀菌)、Muḥāfiẓ-i-Jigar(保肝)和 Muqawwī-i-Jigar(补肝)特性的药物。在现代医学中,肝脓肿是由真菌、细菌或寄生虫感染引起的肝脏内化脓物质的包裹性聚集。虽然在亚洲次大陆,肺炎克雷伯菌占 50-70% 的病例,但在常规临床实践中,组织溶解恩塔米巴氏菌也经常引起肝脓肿。大肠杆菌是引起肝脓肿最常见的细菌。因此,扩散到整个胆道系统的感染是导致肝脓肿的最常见原因之一,需要使用抗生素。 大面积脓肿的首选治疗方法是引流脓液,而 2-3 厘米的小肝脓肿则通常采用抗生素治疗。抗生素耐药性和持续性与治疗失败和复发感染的风险增加有关。因此,有必要探索传统乌纳尼医学中治疗小肝脓肿的古老治疗策略。本文将为开发有效治疗肝脓肿的新型疗法进一步铺平道路。关键词 Dubayla al-Kabid;尤那尼疗法;Usool-e-Ilaj
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引用次数: 0
Formulation and Evaluation of Ethosomal Cream containing Resveratrol for the Treatment of Contact Dermatitis 用于治疗接触性皮炎的含白藜芦醇的 Ethosomal 乳霜的配制与评估
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6532
Nidhika Kaundal, Pravin Kumar
Objective: The aim of this study was to formulate and evaluate ethosomal cream containing resveratrol for the treatment of contact dermatitis. Method: Resveratrol-loaded ethosome was prepared using cold method. The prepared ethosomes were assessed for entrapment efficiency (%), TEM analysis and sedimentation rate to determine the optimal formulation for loading into cream base. The selected formulation was further investigated for particle size distribution and zeta potential. A cream base was formulated using fusion and trituration method and selected for loading with the ethosomal suspension, meeting specification suitable for topical delivery.  Ethosomal cream formulations were evaluated for drug content, ex -vitro diffusion by using goat skin, skin retention, microbiological study and stability study.  Result and Discussion: The formulation E3 was selected for loading in the optimized cream base (F4) to obtain a topical cream containing ethosomes of resveratrol. The release study reveals that release was controlled for the 24 hours. The drug release in buffer was less than 17% from all the formulations after 24 hours. The drug content of resveratrol in goat skin and cream remained in donor compartment indicates that the drug retention in skin was high in all the formulations, which is desirable for the topical formulations. The best possible release kinetics of the formulation loaded with resveratrol containing ethosomes was found to be zero order. The ‘n’ value from Peppas’s model indicated that the drug release was by Fickian diffusion. Stability study indicates that all the cream formulations were stable after a time period of one month. Conclusion: The present study conclusively supported that ethosomal cream containing resveratrol to be an advantageous topical drug delivery system in treatment of ACD. However detail in- vivo study should be conducted in future to be justify the in- vitro study. Keywords: Resveratrol, Ethosome, Cream, Contact dermatitis.
研究目的本研究旨在配制和评估用于治疗接触性皮炎的含白藜芦醇的乙酰乳膏。方法:采用冷冻法制备白藜芦醇载体乙霜:采用冷冻法制备白藜芦醇载体。对制备的乙素体进行夹带效率(%)、TEM 分析和沉降率评估,以确定载入膏霜基质的最佳配方。对选定的配方进一步研究了粒度分布和 zeta 电位。使用熔融和滴定法配制了一种乳膏基质,并选择用于添加乙硫睾酮悬浮液,以满足适合局部给药的规格要求。 用山羊皮对乙硫嘧啶乳膏配方进行了药物含量、体外扩散、皮肤保留率、微生物研究和稳定性研究等方面的评估。 结果与讨论:在优化后的乳膏基质(F4)中加入配方 E3,得到了含有白藜芦醇乙硫体的外用乳膏。释放研究表明,24 小时内的释放是可控的。24 小时后,所有配方在缓冲液中的药物释放量都低于 17%。白藜芦醇在山羊皮和乳膏中的药物含量保持在供体区,这表明所有制剂在皮肤中的药物保留率都很高,这对于外用制剂来说是理想的。含有乙硫体的白藜芦醇制剂的最佳释放动力学为零阶。佩帕斯模型的 "n "值表明,药物释放是通过费克扩散作用进行的。稳定性研究表明,所有乳膏配方在一个月后均保持稳定。结论本研究证实,含有白藜芦醇的乙酰胆碱乳膏是治疗 ACD 的理想局部给药系统。不过,今后应进行详细的体内研究,以证明体外研究的正确性。关键词白藜芦醇 Ethosome 乳霜 接触性皮炎
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引用次数: 0
Bioanalytical Method Development and Validation and forced degradation of Sitagliptin and determination of Pharmacokinetic application study in Human Plasma by RP-HPLC method 利用 RP-HPLC 方法开发和验证西他列汀的生物分析方法,并对其进行强制降解和确定人血浆中的药代动力学应用研究
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6559
Shanthi Diraviyam Shanmuga Kumar, Mahendar Kotte, N. K. Rao, Vollem Jyothi, Juttu Pavani, Ashritha Shivani, P. S. Sundar
In the present investigation, an attempt was made for the development, validation, forced degradation and pharmacokinetic application of sitagliptin in the human plasma spiking studies by UV - HPLC method. The experimentation was developed based on the extensive literature survey and ascertained by the statistical parameters of the sampling. A simplified, accurate method was created by the liquid chromatographic system from Shimadazu LC 20AD consisting of manual injection. The optimized chromatogram was obtained with acetonitrile in the isocratic mobile phase method at a 1.0 mL/min flow rate. A thermo C-8 column (4.6X250mm,5μm) was used as a stationary phase, and 265.0nm was selected as the detection wavelength with the aid of a UV-Vis detector. The proposed method was validated as per ICH guidelines. The technique was linear in the range of 10-50μg/mL with correlation coefficient R2 = 0.9746, respectively. Recovery studies postulated that % RSD 19.14, 3 & 9.95 respectively. Injection repeatability values were found to be % RSD 17 & 10.63 for intraday and interday, respectively. Stress degradation studies revealed that sitagliptin degrades more rapidly when subjected to 0.1 NaoH. Human plasma spiking studies reported 3.02 ng/mL at 3.02+/-60 min of C and T max, respectively. Keywords: Sitagliptin, Method development, HPLC, Validation, Stress degradation studies, Human plasma spiking studies
本研究尝试采用紫外-高效液相色谱法对西他列汀进行开发、验证、强制降解和药代动力学应用于人体血浆加标研究。实验是在大量文献调查的基础上进行的,并通过采样的统计参数进行了确认。岛津 LC 20AD 液相色谱系统采用手动进样方式,建立了简化、准确的方法。优化后的色谱图以乙腈为等度流动相,流速为 1.0 mL/min。固定相为 thermo C-8 色谱柱(4.6X250 毫米,5 微米),检测波长为 265.0 纳米,检测器为紫外-可见检测器。根据 ICH 指南对所提出的方法进行了验证。该技术在 10-50μg/mL 范围内线性关系良好,相关系数 R2 = 0.9746。回收率研究表明,% RSD 分别为 19.14、3 和 9.95。注射重复性研究发现,日内和日间的 RSD 分别为 17%和 10.63%。应力降解研究表明,西他列汀在 0.1 NaoH 条件下降解更快。人体血浆加标研究报告显示,在3.02+/-60分钟的C和T最大值分别为3.02纳克/毫升。关键词西他列汀 方法开发 高效液相色谱 验证 应力降解研究 人体血浆添加研究
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引用次数: 0
Ziabetus (Prediabetes): A Harbinger of Critical Stage in the Continuum of Glucose Metabolism Disorder: A Review Ziabetus(糖尿病前期):预示着葡萄糖代谢紊乱的关键阶段:综述
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6543
Rafat Afzal, Asia Sultana, Mohammad Shoaib, Hamid Ashraf
Background: Prediabetes is a metabolic condition characterized by blood glucose levels higher than normal but below the threshold for diabetes mellitus. It represents a critical stage in the progression towards type 2 diabetes mellitus (T2DM) and is associated with an increased risk of cardiovascular disease and other complications. The two major pathophysiologic defects responsible for losing glucose tolerance are insulin resistance and β-cell glucose insensitivity, both appearing in subjects of Intermediate Hyperglycaemia. In classical literature, Unani physicians have described the initial symptoms and factors leading to the pathology, the risk factors are described in terms of ‘Su-e-mizaj’ as per the concept of Tibb. So, it is considered in the context of Ziabetus which is described as a disease that develops due to Sue-mizaj haar (abnormal hot temperament). The symptoms mentioned in Unani medicine are increased frequency of micturition (ants and flies are attracted to urine), increased thirst, nocturia, dryness of mouth and whole body, fatigue, loss of weight, malaise, and cramps in lower extremities. The modern drug-based approach for the management of Intermediate Hyperglycaemia is associated with inherent drawbacks, including toxicity, tolerability, cost, and efficacy. Objective: The purpose of this review is to provide an in-depth understanding of prediabetes concerning the classical literature of Greek medicine based on the analysis of certain parameters like etiopathophysiology, current diagnostic criteria, risk factors, and evidence-based management strategies. By synthesizing findings from epidemiological studies, and clinical trials, this paper aims to enhance understanding of prediabetes and facilitate effective preventive measures and interventions. Keywords: Prediabetes, Intermediate hyperglycaemia, Impaired Glucose Tolerance, Impaired Fasting Glucose, Insulin Resistance.
背景:糖尿病前期是一种新陈代谢疾病,其特征是血糖水平高于正常值,但低于糖尿病的临界值。它是向 2 型糖尿病(T2DM)发展的关键阶段,与心血管疾病和其他并发症的风险增加有关。导致糖耐量减退的两个主要病理生理缺陷是胰岛素抵抗和β细胞葡萄糖不敏感,两者都出现在中度高血糖患者身上。在经典文献中,尤那尼医生描述了最初的症状和导致病变的因素,根据提卜的概念,风险因素被描述为 "Su-e-mizaj"。因此,它被视为 Ziabetus 的一部分,而 Ziabetus 被描述为一种由于 Sue-mizaj haar(异常炎热的性情)而导致的疾病。乌纳尼医学中提到的症状包括排尿次数增多(蚂蚁和苍蝇会被尿液吸引)、口渴、夜尿增多、口腔和全身干燥、疲劳、体重减轻、精神萎靡和下肢痉挛。现代药物治疗中度高血糖症的方法存在固有的缺陷,包括毒性、耐受性、成本和疗效。本综述的目的是提供有关治疗中度高血糖的相关信息:本综述旨在通过对病因生理学、现行诊断标准、风险因素和循证管理策略等参数的分析,深入了解希腊医学经典文献中有关糖尿病前期的内容。通过综合流行病学研究和临床试验的结果,本文旨在加深对糖尿病前期的理解,并促进有效的预防措施和干预措施。关键词糖尿病前期 中度高血糖 葡萄糖耐量受损 空腹血糖受损 胰岛素抵抗
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引用次数: 0
Unraveling the Therapeutic Potential of Miracle Plant ‘Aftimoon’ in Disease Prevention and Treatment: A Comprehensive Review 揭示神奇植物 "Aftimoon "在疾病预防和治疗中的治疗潜力:全面回顾
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6602
Mohd. Maruf Khan, Akanksha Mishra
Aftimoon (Cuscuta reflexa), a member of Convolvulaceae family is a miraculous parasitic plant with a rich history of utilization in traditional medicine. It has been extensively employed in the Unani treatments all over the world, particularly in the Indian subcontinent, to treat and prevent a variety of illness. Over the years, numerous research findings have documented its diverse therapeutic effects including antioxidant, anti-inflammatory, anticancer, hepatoprotective, and neuroprotective activities. It is utilized as a single medication (mufrad) in powder, mixture, and decoction form and as compound formulations (murakkab) to treat a variety of ailments, which includes hepatitis, palpitations, varicose veins, mental ailments such as epilepsy and depression as well as dermatological conditions such as vitiligo and pityriasis. A number of biologically active compounds with therapeutic potential have been recognized and isolated from this wonder plant which includes amarbelin, sterol glycosides, cuscutalin, bergenin, and others. The synergistic actions of its constituents contribute to its multifaceted healing properties. This review explores the therapeutic potential of Aftimoon, shedding light on its pharmacological properties, traditional uses, and emerging research. By synthesizing traditional knowledge with modern scientific insights, this review aims to illuminate the diversified healing properties of C.reflexa and inspire further research and foster its integration into mainstream healthcare practices. Keywords: Aftimoon; Cuscuta reflexa; Therapeutic potential; Unani medicines
茜草(Cuscuta reflexa)是一种神奇的寄生植物,在传统医学中有着丰富的应用历史。世界各地,尤其是印度次大陆的尤那尼疗法都广泛使用它来治疗和预防各种疾病。多年来,大量研究结果证明了它的多种治疗效果,包括抗氧化、抗炎、抗癌、保肝和神经保护活性。它可作为粉末、混合物和煎剂形式的单一药物(mufrad)以及复方制剂(murakkab)用于治疗各种疾病,包括肝炎、心悸、静脉曲张、癫痫和抑郁症等精神疾病以及白癜风和白斑病等皮肤病。人们从这种神奇的植物中发现并分离出了许多具有治疗潜力的生物活性化合物,其中包括天麻素、甾醇苷、菟丝子苷、小檗苷等。其成分的协同作用为其多方面的治疗特性做出了贡献。这篇综述探讨了阿夫替蒙的治疗潜力,揭示了其药理特性、传统用途和新兴研究。通过将传统知识与现代科学见解相结合,本综述旨在阐明 C.reflexa 的多种治疗特性,激发进一步的研究,并促进其融入主流医疗保健实践。关键词芦荟;菟丝子;治疗潜力;乌那尼医药
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引用次数: 0
Anti-mitotic Activity of Methanolic Extract of Thevetia peruviana fruits 秘鲁鼠尾草果实甲醇提取物的抗有丝分裂活性
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6531
L. Kanthal, Suman Pattanayak, Susmita Roy, P. K. Panda, Rahul Ari, Sanchayan Mondal, Saikat Midya, Argho Golui
Thevetia peruviana plant, a member of the Apocynaceae family, has a long history in traditional medicine for treating various ailments such as amenorrhea, malaria, jaundice, hemorrhoids, constipation, headaches, and skin issues. It contains significant amounts of cardiac glycosides in both its roots and seeds, which are known for their cytotoxic effects similar to digoxin. Given its potential toxicity and widespread use, current research is focused on assessing the antimitotic properties of the methanolic extract derived from the fruits of Thevetia peruviana. In the pursuit of potential pharmaceutical findings from plants, the antimitotic properties of the extracts were investigated through the Allium cepa assay. The findings indicated a noteworthy decrease in the mitotic index of root tips compared to the control, with the degree of mitotic suppression escalating alongside the concentration of the extracts. Therefore, the study suggests that the methanol extract derived from T. peruviana fruit has notable inhibitory and mitodepressive impacts on cell division in Allium cepa L. meristems. Keywords: Thebetia peruviana, Anti-mitotic Activity, Allium cepa assay, mitotic index
秘鲁苦参属植物在传统医学中有着悠久的历史,可用于治疗各种疾病,如闭经、疟疾、黄疸、痔疮、便秘、头痛和皮肤问题。它的根茎和种子中都含有大量强心苷,其细胞毒性作用类似于地高辛。鉴于其潜在的毒性和广泛的使用,目前的研究重点是评估从秘鲁鼠尾草果实中提取的甲醇提取物的抗有丝分裂特性。为了从植物中寻找潜在的制药成果,研究人员通过薤白试验研究了萃取物的抗硝化特性。研究结果表明,与对照组相比,根尖的有丝分裂指数明显下降,有丝分裂抑制程度随提取物浓度的增加而增加。因此,该研究表明,从 T. peruviana 果实中提取的甲醇提取物对薤白分生组织的细胞分裂具有显著的抑制和有丝分裂抑制作用。关键词西番莲;抗有丝分裂活性;薤白测定;有丝分裂指数
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引用次数: 0
Assessment of Urinary Tract Infections Among Female Patients Attending Ruhengeri Referral Hospital 鲁亨盖里转诊医院女性患者尿路感染评估
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6247
Ishimwe Alain Prudence, Ntezirizaza Evariste, Yamukujije Clementine, Migabo Hiberte, Uwamahoro Consolée, Tuyishime Jean De Dieu
Background:  Urinary tract infections (UTIs) are the inflammatory disorders of the urinary tract caused by the abnormal growth of pathogens. UTI is known to cause short-term morbidity in terms of fever, dysuria, and lower abdominal pain (LAP) and may result in permanent scarring of the kidney. The presence of bacteria in the urine, known as bacteriuria, may be indicative of infection or colonization of the urinary tract, but it may also be due to bacterial contamination occurring during collection of a specimen. Aim: The present study was done in order to identify the bacteria causing UTI from female patients. Methodology: A cross sectional study was conducted on female patients who were attending Ruhengeri Referral Hospital in a period of two months from October to November 2021. Urine samples were collected from patients who were requested to urinary test with respect to standard procedures. Samples were processed and analyzed at INES-Ruhengeri microbiology laboratory where gram stain and culture as well as biochemical test were performed in order to make microbial identification. From the results patients who were found with UTI, their structured questionnaire was taken into consideration in order to determine the associated risk factors.  Results: The outcomes of the study indicated that E.coli, K. pneumonia, P. aeruginosa, Enterobacter ssp and S. saprophyticus were isolated from patients urine sample where E. coli is more present in patients sample where it has been found at 60%(18) samples. The least isolated bacteria in patient’s samples are Enterrobacter spp and S. saprophyticus at frequency of 2(6.7) per each bacterium. The risk factor associated with urinary tract infection in female patients attended Ruhengeri-referral-hospital in a period of study, the results indicated that douching in secret parts twice a day is associated with UTI with P-value equivalent to 0.001. Conclusion: This study was intended to assess the UTI among female patients. The study findings indicated that E.coli, K. pneumonia, P. aeruginosa, Enterobacter ssp and S. saprophyticus are more likely to be found in urinary tract of female. The study finding has indicated also that poor hygienic life style increases the risk of being infected by UTIs.
背景: 尿路感染(UTI)是由病原体异常生长引起的尿路炎症性疾病。众所周知,尿路感染会在短期内引起发烧、排尿困难和下腹痛(LAP),并可能导致肾脏永久性瘢痕。尿液中存在细菌,即细菌尿,可能表明尿路感染或定植,但也可能是由于收集标本时发生细菌污染所致。目的:本研究旨在确定导致女性患者尿道炎的细菌。研究方法:在 2021 年 10 月至 11 月的两个月期间,对鲁亨盖里转诊医院的女性患者进行了横断面研究。研究人员按照标准程序收集了要求进行尿检的患者的尿液样本。样本在 INES-Ruhengeri 微生物实验室进行处理和分析,并通过革兰氏染色、培养和生化测试进行微生物鉴定。根据发现的尿毒症患者的结果,对其进行结构化问卷调查,以确定相关的风险因素。 研究结果研究结果表明,从患者尿液样本中分离出了大肠杆菌、肺炎双球菌、铜绿假单胞菌、肠杆菌属和溶血性链球菌。在患者样本中分离到的细菌最少的是肠杆菌属和溶血性棒状杆菌,每种细菌的分离频率为 2(6.7)次。研究期间,在鲁亨盖里转诊医院就诊的女性患者尿路感染的相关风险因素,结果表明,每天两次冲洗秘密部位与尿路感染有关,P 值相当于 0.001。结论本研究旨在评估女性患者的尿道炎情况。研究结果表明,大肠杆菌、肺炎双球菌、铜绿假单胞菌、肠杆菌属和溶血性链球菌更容易在女性尿路中发现。研究结果还表明,不良的卫生生活方式会增加感染尿道炎的风险。
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引用次数: 0
Nutritional and Therapeutic Values of Cow Milk: A Comprehensive Review 牛奶的营养和治疗价值:全面回顾
Pub Date : 2024-05-15 DOI: 10.22270/jddt.v14i5.6561
Chand Bibi, Safder Husain, Zar Nigar
Milk is the most necessary food for humans because it provides almost all nutrients such as the most nutritious protein, calcium, essential fatty acids, water-soluble vitamins, and other bioactive compounds responsible for maintaining health and other physiological functions. Milk has also been used effectively in the Unani system of medicine for centuries to improve complexion and to treat other ailments (especially dermatological disorders). For skin brightening, Unani physicians mentioned the use of the paste made up of powdered tukhm e kharpazah (seeds of musk melon), aarad e nakhud (powdered chickpea) each 2 parts, arad e baqla(powdered broad beans), aarad e jau (powdered barley) each 1 part, adas muqashshar (powdered lentil), nishasta (corn flour), kateera (tragacanth gum) each half part, tukhm e turb (radish seeds) 1/4th part, za’fran (saffron) a little and milk at night on the face and advice to wash the face with the decoction of banafsha (sweet violet) and post kharpaza (musk melon fruit epicarp) in the morning. Milk has several therapeutic actions too e.g. Musammin e Badan (adipogenous), Muhallil (anti-inflammatory), Mugharri (glutinous- Mugharri drug is a cold and dry substance with a small amount of viscid moisture that coats the surface and constricts pores. It moisturizes the skin and makes it appear lighter), Mohsin e laun (fairness activity), Ghassal (irrigator), Tiryaq (antidote), and Muqawwi (general tonic), etc. There are some scientific reports on the anti-hyperpigmentation effect of cow milk in which a paste of cow milk and powdered roasted red lentils was tested to enhance the complexion. They found significantly effective result on the Fitzpatrick scale, enhanced complexion, and reduced tanning as well as dullness. The main objective of this article is to present cow milk's nutritional and therapeutic activity. Keywords: Cow milk, Unani medicine, Nutrition, Skin Tanning, Skin Brightening.
牛奶是人类最必需的食物,因为它提供了几乎所有的营养成分,如最有营养的蛋白质、钙、必需脂肪酸、水溶性维生素和其他负责维持健康和其他生理功能的生物活性化合物。几个世纪以来,牛奶在乌纳尼医学体系中一直被有效地用于改善肤色和治疗其他疾病(尤其是皮肤病)。为了美白皮肤,尤那尼医生提到使用由 tukhm e kharpazah(麝香瓜籽)粉末、aarad e nakhud(鹰嘴豆粉末)各 2 份、arad e baqla(蚕豆粉末)、aarad e jau(大麦粉末)各 1 份、adas muqashshar(扁豆粉末)制成的糊状物、nishasta (玉米粉)、kateera(黄蓍胶)各半份,tukhm e turb(萝卜籽)1/4 份,za'fran(藏红花)少许,晚上用牛奶敷脸,建议早上用 banafsha(甜紫罗兰)和 post kharpaza(麝香瓜果表皮)的煎煮液洗脸。牛奶也有多种治疗作用,如 Musammin e Badan(去脂肪)、Muhallil(消炎)、Mugharri(糯米--Mugharri 药物是一种冷而干燥的物质,带有少量粘性水分,能覆盖皮肤表面并收缩毛孔。它能滋润皮肤,使皮肤看起来更白)、Mohsin e laun(白皙活性)、Ghassal(灌溉剂)、Tiryaq(解毒剂)和 Muqawwi(一般滋补剂)等。有一些关于牛奶抗色素沉着效果的科学报告,其中测试了牛奶和烤红扁豆粉的糊状物对改善肤色的作用。他们在菲茨帕特里克量表上发现了明显有效的结果,即增强了肤色,减少了晒黑和暗沉。本文的主要目的是介绍牛奶的营养和治疗活性。关键词牛乳、尤那尼医学、营养、皮肤晒黑、美白。
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引用次数: 0
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Journal of Drug Delivery and Therapeutics
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