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Comparison of ALEXNET and GOOGLENET convolutional neural network models to detect obstructive sleep apnea using single-channel electrocardiogram ALEXNET和GOOGLENET卷积神经网络模型检测阻塞性睡眠呼吸暂停单通道心电图的比较
Pub Date : 2023-07-03 DOI: 10.55522/jmpas.v12i3.5020
Nivedita Singh, R. .. Talwekar
Obstructive Sleep apnea (OSA) is a type of sleep disorder caused due to respiratory collapse during sleep. This sleep disorder generally goes undiagnosed and neglected. Severe OSA may cause arrhythmia, sudden death, high blood pressure, and other cardiac anomalies. Polysomnography (PSG) is the most popular gold standard used by many researchers to detect OSA. PSG required a well-equipped sleep laboratory and skilled persons to record multi- channel signals to detect OSA. PSG is a complex and expensive method and hence motivated to conduct the research using single-channel electrocardiogram (ECG). An automatic detection method of OSA using single-channel ECG in Convolutional Neural Network (CNN) takes less computing time as feature engineering does not require. This paper focuses on the automatic detection of OSA using ECG with two different deep CNN architectures AlexNet and GoogLeNet transfer learning. The apnea ECG datasheet is used for assessing the method proposed. The state of art using deep learning models are applied to single-channel ECG data. The GoogLeNet architecture is more complex and achieves 100% accuracy whereas AlexNet architecture shows 99.7% accuracy to detect OSA. The proposed work is applied to physionet apnea ECG online data which leads to an overfitting problem that can be resolved using clinical data to further enhance the robustness of the model.
阻塞性睡眠呼吸暂停(OSA)是一种由于睡眠时呼吸衰竭引起的睡眠障碍。这种睡眠障碍通常不被诊断和忽视。严重的OSA可能导致心律失常、猝死、高血压和其他心脏异常。多导睡眠图(PSG)是许多研究人员用来检测OSA的最流行的金标准。PSG需要设备完善的睡眠实验室和技术熟练的人员记录多通道信号来检测OSA。PSG是一种复杂且昂贵的方法,因此有动机使用单通道心电图(ECG)进行研究。一种基于卷积神经网络(CNN)的单通道ECG自动检测OSA的方法,由于不需要特征工程,计算时间较短。本文主要研究了基于深度CNN架构AlexNet和GoogLeNet迁移学习的ECG自动检测OSA。使用呼吸暂停心电图数据表对所提出的方法进行评估。最先进的深度学习模型应用于单通道心电数据。GoogLeNet架构更复杂,达到100%的准确率,而AlexNet架构检测OSA的准确率为99.7%。所提出的工作应用于生理网呼吸暂停心电图在线数据,导致过拟合问题,可以使用临床数据解决,进一步增强模型的鲁棒性。
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引用次数: 0
Early detection of disabling neonatal diseases in Morocco: a study exploring the response of health professionals 摩洛哥致残新生儿疾病的早期发现:一项探讨卫生专业人员反应的研究
Pub Date : 2023-07-03 DOI: 10.55522/jmpas.v12i3.4556
Amal Chairi-Achari, Ahmed Oubaasri, R. Razine, A. Barkat, M. Obtel
Currently, early detection of neonatal pathologies is fundamental to permanently eliminating the resulting disabilities. It represents a governmental priority. The aim of this study is to describe the response of health professionals to the need for early detection of disabling neonatal pathologies, and the factors that influence this answer and propose areas for improvement. The study adopted a descriptive and exploratory type, multicentric and quantitative, carried out between October and December 2021 using a questionnaire shared with 206 health professionals in Rabat prefecture. In all, 92 health professionals participated in the study and completed the questionnaire, of which 87% were women and 13% were men. Most participants were aged 41 to 50, 88% of participants had more than 10 years of service, and 57% of participants were doctors. In addition, 26% of participants had a negative perception of people with disabilities, 75% participants did not systematically screen newborns for disabling diseases, more than 59% of the participants knew neither the means nor the structures for dealing with disabilities nor the rights of people with disabilities, and 88% participants had never received training in disability and its medical and social care. This study represents a real opportunity and an innovation that, by presenting an initial assessment of the current response of health professionals to the need for early detection of newborns with disabling pathologies, will enable those responsible at different levels to reflect on an existing and priority problem.
目前,早期发现新生儿病理是永久消除由此导致的残疾的基础。它代表了政府的优先事项。本研究的目的是描述卫生专业人员对早期发现致残新生儿病理的需求的反应,以及影响这一答案的因素,并提出改进的领域。该研究采用描述性和探索性、多中心和定量研究,于2021年10月至12月期间进行,使用了一份与拉巴特州206名卫生专业人员共享的调查问卷。共有92名卫生专业人员参加了这项研究并完成了调查问卷,其中87%为女性,13%为男性。大多数参与者年龄在41岁至50岁之间,88%的参与者服务年限超过10年,57%的参与者是医生。此外,26%的参与者对残疾人有负面看法,75%的参与者没有系统地对新生儿进行致残疾病筛查,59%以上的参与者既不知道处理残疾的手段和结构,也不知道残疾人的权利,88%的参与者从未接受过残疾及其医疗和社会护理方面的培训。这项研究是一个真正的机会和创新,通过对卫生专业人员目前对早期发现新生儿致残病理的需求的反应进行初步评估,将使不同级别的负责人能够反思现有的优先问题。
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引用次数: 0
Nano-crystals a comprehensive review on formulation and application perspectives 综述了纳米晶体的制备及其应用前景
Pub Date : 2023-07-03 DOI: 10.55522/jmpas.v12i3.4798
Rakesh Mishra, Sagar Dhadwad, Akash Aher, Prajakta Dhokale
A majority of recently invented medications have been discovered to be poorly water-soluble and cause delays in the formulation and development of dosage forms. Solubility has been a major problem for BCS classes II and IV. As a result, nanotechnology may be useful in resolving the solubility problem. This review will cover Nanocrystals, as well as the numerous methodologies employed in their formulation and their application. Nanocrystals are nanometre-sized drug particles of a poorly water-soluble compound. They are distinct from polymeric nanoparticles in that they are entirely made up of the drug. Nanocrystals can be implemented to increase the rate of dissolution and saturation solubility of active pharmaceutical ingredients. Milling, high-pressure homogenization, precipitation, and combination methods such as Nanoedge andSmartCrystal, are among the approaches available for its formulation. The transition of nanocrystals into final formulations, as well as future nanocrystal trends, are also discussed.
大多数最近发明的药物已被发现水溶性很差,导致剂型的配方和开发延迟。溶解度一直是BCS II类和IV类的主要问题。因此,纳米技术可能有助于解决溶解度问题。这篇综述将涵盖纳米晶体,以及在它们的配方和应用中使用的许多方法。纳米晶体是一种水溶性差的化合物的纳米大小的药物颗粒。它们不同于聚合纳米粒子,因为它们完全由药物组成。纳米晶体可以提高活性药物成分的溶解速率和饱和溶解度。铣削、高压均质、沉淀和组合方法(如Nanoedge和smartcrystal)都是可用于其配方的方法。本文还讨论了纳米晶体向最终配方的转变,以及未来纳米晶体的发展趋势。
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引用次数: 0
Antiproliferative and pro-apoptotic effects on cancer cell line HCT116 using marine sponge Tedania species collected from Kalangahan, Lugait, Misamis Oriental, Philippines 来自菲律宾Kalangahan, Lugait, Misamis Oriental的海绵Tedania物种对癌细胞HCT116的抗增殖和促凋亡作用
Pub Date : 2023-07-03 DOI: 10.55522/jmpas.v12i3.4971
M. Banias, Mylene Mondarte Uy
Cancer is a major cause of mortality worldwide, and marine sponges have emerged as potential sources of anticancer agents. In this study, we investigated the antiproliferative and pro-apoptotic effects of a marine sponge extract from Tedania sp. against the human colorectal carcinoma cell line (HCT116) using 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) and Caspase-Glo® 3/7 assays. The extract was prepared using a polar solvent mixture of ethanol:water, and was subjected to reversed-phase flash chromatography consisiting of water(W), acetonitrile(ACN), and ethyl acetate(EA) gradient eluent, yielding 16 Fraction. Treatment of HCT116 cells with Fractions 1-16 showed that only Fraction 16, consisting of 100�, exhibited significant (p<0.05) cytotoxic activity with the lowest viability of 90.9% compared to the negative control. Furthermore, Fraction 9, consisting of 20:80 W and ACN, showed a significantly (p<0.05) highest fold change (FC) value of 2.89 indicating an almost threefold increase in caspase-3/7 activity. These results demonstrate that the Tedania sp. extract has promising antiproliferative and pro-apoptotic effects against HCT116 cell lines, indicating its potential as an anticancer agent.
癌症是世界范围内导致死亡的主要原因,海洋海绵已成为抗癌剂的潜在来源。本研究采用3-(4,5-二甲基噻唑-2-酰基)-2,5-二苯基溴化四唑(MTT)和Caspase-Glo®3/7试验研究了Tedania sp.海绵提取物对人结肠癌细胞株(HCT116)的抗增殖和促凋亡作用。提取液采用乙醇:水的极性混合溶剂制备,经水(W)、乙腈(ACN)、乙酸乙酯(EA)梯度洗脱反相闪蒸层析,得到16馏分。用馏分1 ~ 16处理HCT116细胞时,只有馏分16 (100 μ)表现出显著的细胞毒活性(p<0.05),活性最低,为90.9%。W和ACN比例为20:80的第9部分,最高的FC值为2.89,表明caspase-3/7活性增加了近3倍(p<0.05)。这些结果表明,龙蒿提取物对HCT116细胞株具有良好的抗增殖和促凋亡作用,提示其具有潜在的抗癌作用。
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引用次数: 0
Diagnosis and management of hypertension understanding imperative role of various biomarkers 了解各种生物标志物在高血压诊断和治疗中的重要作用
Pub Date : 2023-07-03 DOI: 10.55522/jmpas.v12i3.5128
S. Shah, A. Bansal, Anubha Sharma, Lakshay Kaushik, R. Das
As hypertension, almost 90% of cases of hypertension with an unknown origin called essential hypertension, continue to be one of the most important risk factors for various fatal health conditions, its early diagnosis using trustworthy biomarkers to predict, diagnose, and monitor the therapeutic progress of hypertension is proving to be of utmost importance for the preventive as well as curative purpose of various health hazards. A rise in the activity of biochemical markers of endothelial dysfunction and blood lipids, notablyLow-density lipoprotein (LDL) andverylow-density lipoprotein(VLDL)measurements, and inflammation markers including C-reactive protein(CRP), cytokines, and adhesion molecules are linked to the development of hypertension. Growth and differentiation factor-15, red cell distribution width, uric acid, creatinine, inflammatory markers including interleukin-6, angiopoietins, and microRNAs are prognostic indicators in individuals with pulmonary arterial hypertension (PAH).The most extensively used blood markers for portal hypertension (PH) are the fibrosis-4 index and the improved liver fibrosis test. Likewise, Hepatic venous pressure gradient (HVPG), liver/SSMs and Plasma cyclic guanosine monophosphate (cGMP) being clinically significant tools to assess for PH. Along with Copeptin, serum levels of uric acid, potassium, and sodium may be crucial for the identification and monitoring of hypertension in pediatrics.Similarly, the severity of gestational hypertension correlates with hyperuricemia, elevated CRP, and interleukin-1 serum levels. Here, in this study, literature on biomarkers has been reviewed which are versatile diagnostic tools posing that influence healthcare professionals’ judgment and assist in patient education regarding diagnosis, prognosis, early detection, and treatment intervention.
由于高血压,几乎90%的病因不明的高血压病例被称为原发性高血压,仍然是各种致命健康状况的最重要危险因素之一,使用可靠的生物标志物来预测、诊断和监测高血压的治疗进展,其早期诊断被证明对于预防和治疗各种健康危害至关重要。内皮功能障碍和血脂生化标志物活性的升高,特别是低密度脂蛋白(LDL)和极低密度脂蛋白(VLDL)测量,以及炎症标志物,包括c反应蛋白(CRP)、细胞因子和粘附分子,都与高血压的发展有关。生长与分化因子-15、红细胞分布宽度、尿酸、肌酐、炎症标志物包括白细胞介素-6、血管生成素和microrna是肺动脉高压(PAH)患者的预后指标。门脉高压(PH)最广泛使用的血液标志物是纤维化-4指数和改良的肝纤维化试验。同样,肝静脉压梯度(HVPG)、肝/SSMs和血浆环鸟苷单磷酸(cGMP)是评估ph的临床重要工具。与Copeptin一起,血清尿酸、钾和钠水平可能对儿科高血压的识别和监测至关重要。同样,妊娠期高血压的严重程度与高尿酸血症、CRP升高和白细胞介素-1血清水平相关。在这里,本研究回顾了生物标志物的文献,这些生物标志物是一种多功能的诊断工具,可以影响医疗保健专业人员的判断,并有助于患者在诊断、预后、早期检测和治疗干预方面的教育。
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引用次数: 0
Protective effect of aqueous leaf extract of vernonia amygdalina (bitter leaf) on gentamicin induced nephrotoxicity in adult wistar rat 苦叶水提物对庆大霉素致成年wistar大鼠肾毒性的保护作用
Pub Date : 2023-07-03 DOI: 10.55522/jmpas.v12i3.4662
A. Agu, Patience Orji, S. Chime, Kelechi Duru, V. Nwannadi
This study evaluated the protective effect of an aqueous leaf extract of Vernonia amygdalina on the kidney functions and histological architecture of gentamicin-induced nephrotoxicity in adult Wistar rats. Twenty-five (25) Wistar rats were divided into five groups (groups 1–5), with five rats in each group. Group 1 served as the normal control. Group 2 was the negative control and received 40 mg/kg of body weight of gentamicin. Groups 3, 4, and 5 received an aqueous extract of V. amygdalina at doses of 100 mg, 200 mg, and 400 mg/kg of body weight, respectively, for 21 days. The gentamicin was administered intraperitoneally for 14 days, starting on day 8, while the aqueous leaf extract was given orally. There was a significant (P< 0.05) increase or derangement in the serum levels of urea, creatinine, and potassium in group 2 when compared to the normal control. The groups that received the extract of V. amygdalina showed a significant (P<0.05) reduction in the levels of deranged serum urea, creatinine, and potassium compared to group 2. The kidney histological photomicrograph of group 2 was characterized by epitheloid granulomas, glomerular necrosis, and severe nephrotic tissue degeneration. The groups treated with the extract showed significant protection against these alterations. The protection was found to be dose-dependent. It was discovered that V. amygdalina had a dose-dependent protective effect against kidney damage caused by gentamycin toxicity.
本研究评价了苦杏仁叶水提物对庆大霉素肾毒性成年Wistar大鼠肾脏功能和组织结构的保护作用。取Wistar大鼠25只,分为5组(1 ~ 5组),每组5只。第一组为正常对照组。2组为阴性对照,给予庆大霉素40 mg/kg体重。3组、4组和5组分别以100 mg、200 mg和400 mg/kg体重的剂量给予苦杏仁桃水提物,持续21 d。从第8天开始,庆大霉素腹腔注射14天,而叶片水提物口服。与正常对照组相比,2组患者血清尿素、肌酐、钾水平明显升高或紊乱(P< 0.05)。各组大鼠血清尿素、肌酐、钾水平均显著低于对照组(P<0.05)。2组肾组织显微照片表现为上皮样肉芽肿、肾小球坏死和严重的肾病组织变性。用提取物处理的组显示出对这些变化的显著保护。研究发现,这种保护作用是剂量依赖性的。发现苦杏仁桃对庆大霉素毒性肾损害具有剂量依赖性的保护作用。
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引用次数: 0
Endophytic fungi isolated from the root bark of sungkai (Peronema canescens) as Anti-bacterial and antioxidant 从松凯(Peronema canescens)根皮中分离的内生真菌具有抗菌和抗氧化作用
Pub Date : 2023-04-30 DOI: 10.55522/jmpas.v12i2.4925
Elfita Elfita
Traditional medicine is still used by the community to prevent and treat various diseases, including infectious diseases and exposure the free radicals. The part of the medicinal plant that is often used as traditional medicine is root bark of sungkai. This study explored endophytic fungi from root bark of sungkai and determined their antibacterial and antioxidant activities. Endophytic fungi were isolated from fresh root bark tissue in PDA (Potato Dextrose Agar) media and identified morphologically. The DPPH (2,2-diphenyl-1-picrylhydrazyl) and diffused-disc paper methods were used for antioxidant and antibacterial. The endophytic fungi extracts showing the best bioactivity were identified molecularly. A total of 6 isolates of endophytic fungi were found in this study (RNA1-RNA6). Antibacterial and antioxidant activity test showed the best activity for RNA4 isolates. Molecular identification results describe it as Penicillium janczewskii. This research can be used as a basic reference for isolating pure compounds that have antibacterial and antioxidant properties through chromatography techniques
传统医学仍然被社会用来预防和治疗各种疾病,包括传染病和自由基暴露。通常作为传统药物使用的药用植物部分是松开的根皮。研究了从松开根皮中提取的内生真菌,并测定了其抗菌和抗氧化活性。从马铃薯新鲜根皮组织中分离到内生真菌,并对其进行形态鉴定。采用DPPH(2,2-二苯基-1-苦味酰肼)和扩散圆盘纸法进行抗氧化和抗菌。对具有最佳生物活性的内生真菌提取物进行了分子鉴定。本研究共分离到6株内生真菌(RNA1-RNA6)。抗菌和抗氧化活性试验表明,RNA4菌株的抗菌和抗氧化活性最好。分子鉴定结果为青霉。本研究可为通过色谱技术分离具有抗菌和抗氧化特性的纯化合物提供基础参考
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引用次数: 3
Understanding the prophylactic, chemo preventive, and pharmacotherapeutic perspectives of various dietary foods in breast cancer 了解不同饮食对乳腺癌的预防、化疗预防和药物治疗的观点
Pub Date : 2023-04-30 DOI: 10.55522/jmpas.v12i2.4211
V. Kahale
Currently, one of the most challenging diseases to tis breast cancer. Hormone therapy, surgery, chemotherapy, and radiation have all been used to treat breast cancer for a long time, but they are become eating less and less successful due to serious side effects and rising drug resistance. Numerous dietary foods have been linked to altered cancer genesis and progression pathways, decreased aggressiveness, and growth inhibition of malignant cells. These dietary foods may be advantageous compared to produce medications since they exhibit lower toxicity and negative effects in various investigations. The promises made by dietary foods for breast cancer treatment by focusing on several pathophysiological cascades involved in the onset and progression of breast cancer and their capacity to simultaneously stop metastatic and growth progression. Some of the extensively researched numerous dietary foods that specifically target certain breast cancer pathways and express any of the three attributes are mentioned in article.
目前,最具挑战性的疾病之一是乳腺癌。长期以来,激素疗法、手术、化学疗法和放射疗法都被用于治疗乳腺癌,但由于严重的副作用和不断增加的耐药性,这些疗法越来越不奏效。许多饮食食物与癌症发生和发展途径的改变、侵袭性的降低和恶性细胞的生长抑制有关。与生产药物相比,这些膳食食品可能是有利的,因为在各种研究中它们表现出较低的毒性和负面影响。饮食对乳腺癌治疗的承诺是通过关注乳腺癌发病和发展过程中的几个病理生理级联反应以及它们同时阻止转移和生长进展的能力。文章中提到了一些广泛研究的膳食食品,它们专门针对某些乳腺癌途径,并表现出上述三种特征中的任何一种。
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引用次数: 0
Nano-photonics in cancer therapy 纳米光子学在癌症治疗中的应用
Pub Date : 2023-04-30 DOI: 10.55522/jmpas.v12i2.4451
D. Venkatesh
Biological alterations result in unchecked cell growth and division producing cancer. Mankind has always been interested in light, and, it being both a topic of study and a device for looking into other occurrences can be seen following the inception of time. Besides the development of nanosystems, the usage of light has now entered a new level where interactions between light and matter occur at wavelength and subwavelength levels accompanying management by physico-chemical properties of nanoforms. This area of nanophotonics enables the investigation and control of lightencompassing nanoforms, individual molecules, and biomolecular assemblies. Numerous molecular cancer treatments have been developed using the amazing nanoscale features as a result of nanophotonics in biomolecular interactivities, or nanobiophotonics. In this work, we demonstrate the applications of nanobiophotonics and of multifaceted nanoplatforms which constitute excellent treatment efficiency and impart breakthroughs for aimed tumour treatment
生物学上的改变导致不受控制的细胞生长和分裂,从而产生癌症。人类一直对光感兴趣,而且,它既是研究的主题,也是观察其他事件的工具,可以看到时间的开始。除了纳米系统的发展,光的使用也进入了一个新的水平,光与物质之间的相互作用发生在波长和亚波长水平,同时伴随着纳米形式的物理化学性质的管理。纳米光子学的这一领域使研究和控制光环绕纳米形态、单个分子和生物分子组装成为可能。由于生物分子相互作用中的纳米光子学或纳米生物光子学,许多分子癌症治疗已经利用惊人的纳米尺度特征开发出来。在这项工作中,我们展示了纳米生物光子学和多面纳米平台的应用,它们构成了出色的治疗效率,并为靶向肿瘤治疗带来了突破
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引用次数: 0
Assessing the knowledge, attitude and perception about potentially inappropriate medications among community pharmacists in Kedah, Malaysia 评估马来西亚吉打州社区药剂师对可能不适当药物的知识、态度和看法
Pub Date : 2023-04-30 DOI: 10.55522/jmpas.v12i2.4332
G. Balasubramanian
Potentially inappropriate medications (PIMs) among geriatric are detrimental to both clinical outcomes and health care costs. Knowledge of PIMs among community pharmacists plays vital role in minimizing the inappropriate prescribing. Beers Criteria is commonly used guidelines that lists specific PIMs, where community pharmacists would benefit from knowledge of Beers Criteria in detecting PIMs in primary care. This study therefore investigates the knowledge, attitude and perception of PIMs among community pharmacists in Kedah, Malaysia. This is a prospective, cross-sectional study. The knowledge of PIMs; perception regarding PIMs; awareness of Beers Criteria; and perception of educational needs to enhance community pharmacists’ knowledge about PIMs was assessed by using 5‐point Likert scale. Descriptive statistics and Chi-square tests were used to analyse the data. In this study a total of 107 community pharmacists participated. The respondents demonstrated a higher-level knowledge of PIMs. All of the respondents agreed inappropriate medications among geriatric will cause increased in healthcare utilization, health complications and hospitalization. The respondents demonstrated poor awareness of Beers Criteria. Majority respondents were uncertain that Omeprazole is the most common Beers medication prescribed in healthcare system. Majority of respondents agreed incorporation of geriatric pharmacotherapy education as a core subject or elective subject and postgraduate education in geriatric pharmacotherapy can help to enhance community pharmacists’ knowledge about PIMs among elderly patients. The community pharmacists in Kedah demonstrated high knowledge level of PIMs but poor awareness of the Beers Criteria. Thus, there is a need to increase the awareness and use of Beers Criteria among community pharmacists.
在老年人中潜在的不适当药物(PIMs)对临床结果和医疗保健成本都是有害的。社区药师的pim知识在减少不当处方方面起着至关重要的作用。比尔斯标准是常用的指导方针,列出了具体的pim,社区药剂师将受益于比尔斯标准的知识,在检测初级保健的pim。因此,本研究调查了马来西亚吉打州社区药师对pim的知识、态度和认知。这是一项前瞻性横断面研究。了解项目管理体系;对项目管理计划的看法;对比尔斯标准的认识;采用5点李克特量表评估社区药师对加强pim知识的教育需求感知。采用描述性统计和卡方检验对数据进行分析。本研究共有107名社区药师参与。受访者表现出对项目管理体系有更高层次的了解。所有的应答者都同意老年人用药不当会导致医疗保健利用增加、健康并发症和住院。受访者表现出对比尔斯标准的认识不足。大多数受访者不确定奥美拉唑是医疗保健系统中最常见的比尔斯药物。大多数受访者同意将老年药物治疗教育作为核心科目或选修科目,并将老年药物治疗研究生教育纳入社区药师对老年患者药物管理方案的认识。吉打州的社区药剂师对pim的知识水平较高,但对Beers标准的认识较差。因此,有必要提高社区药剂师对比尔斯标准的认识和使用。
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引用次数: 0
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Journal of Medical pharmaceutical and allied sciences
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