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Current advances in dry eye disease diagnosis and treatment 干眼病诊断与治疗的最新进展
Pub Date : 2023-04-30 DOI: 10.55522/jmpas.v12i2.4952
M. Venkatesh
Dry eye disease (DED) is a disorder of the ocular surface caused due to hyperosmolarity and insufficient production of tears to moisturize the eye, which leads to less lubrication and ocular surface inflammation and results in visual disturbance and discomfort to the eye. Long-time use of computers, laptops, and mobiles causes less blinking, making the eye's mucin layer thinner, leading to tear-film instability and DED. Tens of millions of people are getting affected by DED worldwide. It is also known as Sjogren's syndrome, which impacts the lacrimal gland of the eyes, decreases tear secretion, and causes the development of aqueous tear film in the eyes and meibomian gland dysfunction. Here we have discussed the various diagnosis methods used for identifying DED and also the emerging technologies for the diagnosis of DED. The treatment options are discussed as per the disease's severity, including novel therapies like autologous serum, topical corticosteroids, and anti-inflammatory agents.
干眼病(DED)是一种眼表疾病,由于高渗透压和泪液分泌不足而导致眼睛湿润,导致润滑减少和眼表炎症,导致视力障碍和眼睛不适。长时间使用电脑、笔记本电脑和手机会导致眨眼次数减少,使眼睛的黏液层变薄,导致泪膜不稳定和DED。全世界有数千万人受到DED的影响。它也被称为干燥综合征,影响眼睛的泪腺,减少泪液分泌,导致眼内泪液膜的形成和睑板腺功能障碍。在这里,我们讨论了用于识别DED的各种诊断方法以及用于诊断DED的新兴技术。治疗方案根据疾病的严重程度进行讨论,包括新的治疗方法,如自体血清、局部皮质类固醇和抗炎药。
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引用次数: 0
Protective effect of ethanolic leaf extract of myrianthus arboreus on indomethacin induced gastric ulcer in adult male wistar rats 豆蔻叶乙醇提取物对吲哚美辛致成年雄性wistar大鼠胃溃疡的保护作用
Pub Date : 2023-04-30 DOI: 10.55522/jmpas.v12i2.4699
A. Agu
Gastric ulcers are a common gastrointestinal disease with a complex etiology. It manifests with various signs and symptoms, which, in severe cases, could be life-threatening, especially in developing countries. Medicinal plants have been known to exhibit therapeutic potential with minimal adverse effects and thus have been employed in treating various diseases. This study evaluated the effect of ethanolic Myrianthus arboreus leaf extract on indomethacin-induced gastric ulcers in adult male Wistar rats. Twenty-five rats were divided into five groups of five rats each: group A received distilled water; group B received distilled water for 14 days, and 30 mg/kg body weight of indomethacin after 24 hours of fasting. Group C received 20 mg/kg of omeprazole for 14 days and 30 mg/kg of indomethacin after 24 hours of fasting. Groups D and E received 50 mg/kg and 100 mg/kg of M. arboreus, respectively, for 14 days and 30 mg/kg of indomethacin each after 24 hours of fasting. The ulcer index, antioxidant parameters, gastric pH, and histopathology of the stomach were evaluated after the laboratory experiment. The results showed a significant increase in ulcer index and malondialdehyde caused by the indomethacin, while there was a reduction in glutathione, superoxide dismutase, and hydrogen ion concentration (pH), as well as extensive damage to the gastric mucosa. In contrast, both the extract and the omeprazole significantly improved these damages. The results revealed that the leaf extract of M. arboreus has a significant gastro-protective effect comparable to that of omeprazole on the indomethacin-induced gastric ulcer.
胃溃疡是一种常见的胃肠道疾病,病因复杂。它表现为各种体征和症状,严重时可能危及生命,特别是在发展中国家。众所周知,药用植物具有治疗潜力,副作用最小,因此已被用于治疗各种疾病。本研究评价了豆蔻叶乙醇提取物对吲哚美辛致成年雄性Wistar大鼠胃溃疡的影响。25只大鼠分为5组,每组5只:A组给予蒸馏水;B组小鼠连续14 d给予蒸馏水,禁食24 h后给予吲哚美辛30 mg/kg体重。C组患者连续14 d给予奥美拉唑20 mg/kg,禁食24 h后给予吲哚美辛30 mg/kg。D组和E组在禁食24 h后分别给予树芽50 mg/kg和100 mg/kg,连用14 D,吲哚美辛30 mg/kg。实验结束后,观察大鼠溃疡指数、抗氧化参数、胃pH值及胃组织病理学变化。结果显示,吲哚美辛引起的溃疡指数和丙二醛明显升高,谷胱甘肽、超氧化物歧化酶和氢离子浓度(pH)降低,胃粘膜广泛损伤。相比之下,提取物和奥美拉唑都显著改善了这些损伤。结果表明,木柏叶提取物对吲哚美辛所致胃溃疡的保护作用与奥美拉唑相当。
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引用次数: 1
Morphology and Nottingham prognostic index in triple-negative breast carcinomas 三阴性乳腺癌的形态学和诺丁汉预后指数
Pub Date : 2023-01-31 DOI: 10.55522/jmpas.v12i1.3800
Anisha Tirumala Sudarshan
Triple-negative breast carcinomas are defined by a lack of expression of the steroid hormone receptors i.e., Estrogen Receptor, Progesterone Receptor, and Human epidermal growth factor Receptor-2. They are characterized by distinct molecular, histological, and clinical features. With higher mortality and early relapse, management of these tumors relies on clinicopathologic prognostic factors. Nottingham's prognostic index is a widely used prognostic tool that integrates three independent prognostic factors, namely tumor size, lymph node status, and histologic grade. It is a sensitive index of clinical aggressiveness in breast carcinomas. This study aims to evaluate morphologic features of Triple negative breast carcinomas and correlate them with Nottingham prognostic index. 22 modified radical mastectomies with triple-negative status were considered for this study. Tumor size, histologic type, grade, node involvement, necrosis, lymphovascular invasion, and Nottingham prognostic index were assessed. All 22 Triple negative breast carcinomas were invasive ductal carcinomas [NOS]. One involved skin and six were larger than 5cms. 10 cases (45%) were histologic grade III, and 9 cases (41%) were grade II. 2 cases had more than 10 positive nodes. Nottingham's prognostic index ranged from 2 to 9.4. Lymphovascular invasion and necrosis in 16 cases (73%) and perineural invasion in 3 cases were noted. Prognostication of breast carcinomas using Nottingham prognostic index helps clinicians in decision-making, stratifying risks, and tailoring individual treatment plans. Including Nottingham's prognostic index routinely in breast carcinoma reporting offers a meaningful integrated indicator for clinicians to assess tumor behavior and aggressiveness.
三阴性乳腺癌的定义是缺乏类固醇激素受体的表达,即雌激素受体、孕激素受体和人表皮生长因子受体-2。它们具有不同的分子、组织学和临床特征。由于高死亡率和早期复发,这些肿瘤的治疗依赖于临床病理预后因素。诺丁汉预后指数是一种广泛使用的预后工具,它综合了三个独立的预后因素,即肿瘤大小、淋巴结状态和组织学分级。它是乳腺癌临床侵袭性的敏感指标。本研究旨在探讨三阴性乳腺癌的形态学特征及其与诺丁汉预后指数的相关性。本研究考虑了22例三阴性的改良根治性乳房切除术。评估肿瘤大小、组织学类型、分级、淋巴结受累、坏死、淋巴血管浸润和诺丁汉预后指数。22例三阴性乳腺癌均为浸润性导管癌[NOS]。1例涉及皮肤,6例大于5厘米。组织学ⅲ级10例(45%),ⅱ级9例(41%)。2例阳性淋巴结大于10个。诺丁汉的预后指数在2到9.4之间。淋巴血管浸润坏死16例(73%),神经周围浸润3例。使用诺丁汉预后指数对乳腺癌进行预测,有助于临床医生进行决策、风险分层和个性化治疗计划。将诺丁汉的预后指数常规纳入乳腺癌报告中,为临床医生评估肿瘤行为和侵袭性提供了一个有意义的综合指标。
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引用次数: 0
Holistic care management for diabetes mellitus: A futuristic approach 糖尿病的整体护理管理:未来的方法
Pub Date : 2023-01-31 DOI: 10.55522/jmpas.v12i1.4588
K. Bora
The public health concern is very important for the growing burden of chronic metabolic disease like Diabetes mellitus. It is foreseeable that by 2045 India would reach rank first in Type-2 Diabetes Mellitus which contributes to 90% of diabetes. Therefore, more care or attention should be given to this disease. There are so many medications available in the market including herbal drugs. But due to more side effects of oral hypoglycemic agents, attention grabs more towards the alternative of synthetic drugs or using Nano-carriers to avoid side effects. Presently, many novel drug delivery systems for oral hypoglycemic agents are available in the market. But herbal drugs grab more attention due to lesser side effects, efficacy and cost-effective. However, there is very less work is reported on nanotechnology like liposomes, nanoparticles/microparticles, gold nanoparticles, noisome, and nano-capsules/microcapsules of herbal drugs, which is currently emerging therapy for diabetes. Nanotechnology or a novel drug delivery system for herbal medicine can be used to overcome the challenges like poor bioavailability, efficacy and stability problems. The current review emphasizes current epidemiology, its types, complications and management of different treatment strategies for diabetes mellitus. Furthermore, the problems related to herbal medicine with immense hope for herbal medicine using nanotechnology are discussed.
糖尿病等慢性代谢性疾病的负担日益加重,引起了公众的关注。可以预见的是,到2045年,印度的2型糖尿病将排名第一,占糖尿病的90%。因此,对这种疾病应给予更多的照顾或关注。市场上有很多药物,包括草药。但由于口服降糖药的副作用较大,人们越来越关注合成药物的替代或使用纳米载体来避免副作用。目前,市面上出现了许多新型的口服降糖药给药系统。但草药因副作用小、疗效好、性价比高而更受关注。然而,目前关于纳米技术如脂质体、纳米颗粒/微颗粒、金纳米颗粒、噪音体和草药纳米胶囊/微胶囊等治疗糖尿病的研究很少。纳米技术或一种新的草药给药系统可以用来克服诸如生物利用度差、疗效差和稳定性问题等挑战。本文综述了糖尿病的流行病学现状、类型、并发症及不同治疗策略的处理。此外,本文还讨论了与草药相关的问题,并对纳米技术应用于草药的巨大希望进行了讨论。
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引用次数: 0
Assessment of reference dose levels for nuclear medicine center in Jordan 约旦核医学中心参考剂量水平的评估
Pub Date : 2023-01-31 DOI: 10.55522/jmpas.v12i1.3446
T. Alayed
This study aims to evaluate diagnostic reference levels (DRLs) for nuclear medicine (NM) imaging studies in Jordan. The parameters of the current study obtained from different NM modalities conducted for adult patients imaging. The Administrated Activity (AA) of a radioactive substance (MBq) was collected from four hospitals specialized in nuclear medicine imaging at Amman City. According to ICRP recommendation, the established DRLs values obtained based on the 75th percentile of the AA values. The obtained results were compared with several international results. The DRLs' values for Jordan were located within the recommended range.
本研究旨在评估约旦核医学成像研究的诊断参考水平(DRLs)。本研究的参数来自于对成人患者成像的不同NM模式。从安曼市四家专门从事核医学成像的医院收集了放射性物质(MBq)的管理活度(AA)。根据ICRP的建议,建立的DRLs值是基于AA值的第75个百分位。所得结果与国际上的一些结果进行了比较。约旦的drl值位于推荐范围内。
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引用次数: 0
Holistic care management for diabetes mellitus: A futuristic approach 糖尿病的整体护理管理:未来的方法
Pub Date : 2023-01-31 DOI: 10.55522/jmpas.v12i1.458
Kundan Singh Bora
The public health concern is very important for the growing burden of chronic metabolic disease like Diabetes mellitus. It is foreseeable that by 2045 India would reach rank first in Type-2 Diabetes Mellitus which contributes to 90% of diabetes. Therefore, more care or attention should be given to this disease. There are so many medications available in the market including herbal drugs. But due to more side effects of oral hypoglycemic agents, attention grabs more towards the alternative of synthetic drugs or using Nano-carriers to avoid side effects. Presently, many novel drug delivery systems for oral hypoglycemic agents are available in the market. But herbal drugs grab more attention due to lesser side effects, efficacy and cost-effective. However, there is very less work is reported on nanotechnology like liposomes, nanoparticles/microparticles, gold nanoparticles, noisome, and nano-capsules/microcapsules of herbal drugs, which is currently emerging therapy for diabetes. Nanotechnology or a novel drug delivery system for herbal medicine can be used to overcome the challenges like poor bioavailability, efficacy and stability problems. The current review emphasizes current epidemiology, its types, complications and management of different treatment strategies for diabetes mellitus. Furthermore, the problems related to herbal medicine with immense hope for herbal medicine using nanotechnology are discussed.
糖尿病等慢性代谢性疾病的负担日益加重,引起了公众的关注。可以预见的是,到2045年,印度的2型糖尿病将排名第一,占糖尿病的90%。因此,对这种疾病应给予更多的照顾或关注。市场上有很多药物,包括草药。但由于口服降糖药的副作用较大,人们越来越关注合成药物的替代或使用纳米载体来避免副作用。目前,市面上出现了许多新型的口服降糖药给药系统。但草药因副作用小、疗效好、性价比高而更受关注。然而,目前关于纳米技术如脂质体、纳米颗粒/微颗粒、金纳米颗粒、噪音体和草药纳米胶囊/微胶囊等治疗糖尿病的研究很少。纳米技术或一种新的草药给药系统可以用来克服诸如生物利用度差、疗效差和稳定性问题等挑战。本文综述了糖尿病的流行病学现状、类型、并发症及不同治疗策略的处理。此外,本文还讨论了与草药相关的问题,并对纳米技术应用于草药的巨大希望进行了讨论。
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引用次数: 0
Swotting effective hypertension therapy: Ramipril versus telmisartan 有效的高血压治疗:雷米普利与替米沙坦
Pub Date : 2023-01-31 DOI: 10.55522/jmpas.v12i1.4280
R. Das
One of the most important, globally controllable risk factors for cardiovascular diseases and early mortality is hypertension. Angiotensinconverting enzyme inhibitors and angiotensin receptor blockers, both of which inhibit the renin-angiotensin system, are becoming more common as initial treatments for the management of hypertension patients with which ramipril and telmisartan being the most frequently used. Telmisartan has the highest affinity for the AT1 receptor of all the ARBs.Ramipril and telmisartan both are found to provide a variety of therapeutic advantages. In this study, a detailed comparative analysis has been done between ramipril and telmisartan regarding their efficacy, safety, monotherapy as well as combination therapy outcome and measures to be taken while considering both drugs. This study focused on which one is more successful in treating hypertension individuals, while also having a superior safety profile and combining the two medications which one is linked to more side effects, additional benefits, or other important information to eliminate the hazards connected to blood pressure increase while minimizing negative effects on quality of life.
高血压是心血管疾病和早期死亡最重要的、全球可控的危险因素之一。血管紧张素转换酶抑制剂和血管紧张素受体阻滞剂,两者都抑制肾素-血管紧张素系统,作为高血压患者管理的初始治疗越来越普遍,其中雷米普利和替米沙坦是最常用的。替米沙坦对所有arb的AT1受体具有最高的亲和力。雷米普利和替米沙坦都具有多种治疗优势。在本研究中,我们对雷米普利和替米沙坦的疗效、安全性、单药治疗和联合治疗的结果以及考虑两种药物时应采取的措施进行了详细的比较分析。这项研究的重点是哪一种药物在治疗高血压患者方面更成功,同时也有更好的安全性,并将两种药物结合起来,哪一种药物有更多的副作用,额外的好处,或其他重要信息,以消除与血压升高有关的危害,同时最大限度地减少对生活质量的负面影响。
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引用次数: 0
Liquid infused silicon based urinary catheters: A simple laboratory model to study bacterial biofilm formation 液体输注硅基导尿管:研究细菌生物膜形成的简单实验室模型
Pub Date : 2023-01-31 DOI: 10.55522/jmpas.v12i1.4154
V. Palanimuthu
Biofilms are organized communities of micro-organisms buried firmly on an extra polymeric matrix attached to the living surface. The matrix which is formed surrounding the bacteria makes them tolerant to harsh environmental conditions as well as resistant to antibacterial treatment. The development of biofilms in clinical or hospital settings is the major reason for several infections. They have a negative impact when they are formed on medical devices as it is difficult to eradicate them using disinfectants or antibiotics available. Several in vitro models have been implemented in the last decade to evaluate antimicrobial activity on bacterial biofilms. Although well-established static biofilm methods are available; there is a lack of simple dynamic biofilm models to replicate the clinical settings of biofilm development. In this scenario, considering the importance of this research area, we planned to design laboratory-scale working models to study biofilms. We used Pseudomonas aeruginosa as a model organism. We divided the biofilm models into two categories namely static and dynamic models. The dynamic model of biofilm, that we used for mimicking the clinical setting, was a silicone-based catheter model. This new model will contribute to deeper knowledge about the physiology, structure, formation, and composition of biofilms. This method can be used as an appropriate and up-to-date technique to study biofilms in laboratory settings.
生物膜是有组织的微生物群落,牢牢地埋在附着在生物表面的额外聚合物基质上。在细菌周围形成的基质使它们能够耐受恶劣的环境条件,并对抗菌治疗有抵抗力。临床或医院环境中生物膜的形成是几种感染的主要原因。当它们在医疗设备上形成时,它们会产生负面影响,因为使用现有的消毒剂或抗生素很难根除它们。在过去的十年中,已经实施了几个体外模型来评估细菌生物膜的抗菌活性。虽然已有成熟的静态生物膜方法;缺乏简单的动态生物膜模型来复制生物膜发育的临床环境。在这种情况下,考虑到该研究领域的重要性,我们计划设计实验室规模的工作模型来研究生物膜。我们以铜绿假单胞菌作为模式生物。我们将生物膜模型分为静态模型和动态模型两类。生物膜的动态模型,我们用来模拟临床环境,是一个硅基导管模型。这一新模型将有助于深入了解生物膜的生理、结构、形成和组成。这种方法可以作为一种合适的和最新的技术来研究生物膜在实验室设置。
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引用次数: 0
Extraction and identification of bioactive compound embelin from embelia ribes fruits 枸杞果实中生物活性化合物栓塞素的提取与鉴定
Pub Date : 2023-01-31 DOI: 10.55522/jmpas.v12i1.4226
Thirupataiah Boini
Embelia ribes is the most widely used plant in numerous Ayurvedic preparations to treat various disorders. The most commonly used plant parts like leaves and fruit are in the Indian traditional system for CNS (Central Nervous System) disease, Anti-bacterial Anthelmintic, and Anti-ulcer activity. The proposed work aimed to optimize different extraction parameters (Part of Crude drug, Solvent and Temperature) to increase the extraction yield of the Embelin from Embelia ribes fruits. Extraction was done by using Chloroform as a solvent, and extraction yield was optimized by using independent variables, such as solvent, drug parts, time and temperature, with the help of the design of expert software. One part of the crude drug kept in 3 parts of Chloroform for 34 mins at 49 oC temperature gives the maximum yield (38.73±1.13%) of Embelin. HPTLC was done by using the mobile phase of Chloroform: Ethyl acetate: Formic acid (5:4:0.5 v/v/v). A single band appeared in the TLC plate exhibiting the Isolation of a Single compound, further the Isolated compound was identified and characterized by using Ultraviolet Spectroscopy (UV), Fourier Transform Infra-Red (FTIR), and Nuclear Magnetic Resonance Spectroscopy (NMR). The results obtained from the analytical techniques reveal that the Isolated compound was Embelin.
在许多阿育吠陀制剂中,栓皮草是最广泛使用的植物,用于治疗各种疾病。最常用的植物部分,如叶子和果实,在印度传统系统中用于中枢神经系统疾病,抗菌驱虫药和抗溃疡活性。本研究旨在优化不同提取工艺条件(部分生药、溶剂和温度),以提高气莲果实中气莲素的提取率。以氯仿为溶剂进行提取,以溶剂、药物成分、时间、温度为自变量,设计专家软件优化提取得率。1份生药在3份氯仿中于49℃温度下保存34 min, Embelin得率最高(38.73±1.13%)。采用流动相:氯仿:乙酸乙酯:甲酸(5:4:5 .5 v/v/v)进行高效液相色谱分析。在薄层色谱板上出现一个单一的条带,表明该化合物被分离,进一步用紫外光谱(UV)、傅里叶变换红外光谱(FTIR)和核磁共振光谱(NMR)对分离的化合物进行了鉴定和表征。分析结果表明,分离得到的化合物为Embelin。
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引用次数: 0
Assessment of anti-psychotic drug utilisation in psychiatry ward of tertiary care hospital 三级医院精神科病房抗精神病药物使用情况评估
Pub Date : 2023-01-31 DOI: 10.55522/jmpas.v12i1.3823
Manish Kumar
A total of 50 patients were enrolled in the study from October 2021 to April 2022. Total numbers of drugs prescribed were found to be 244 including the anti-psychotics. The total numbers of anti-psychotics prescribed were found to be 160. The ratio of anti-psychotics to the total number of drugs was found to be 65.7%. Antipsychotics were the most used drugs (69.6%) followed by multivitamins (7.37%), following them were proton pump inhibitors (5.73%), they were followed by analgesics (5.32%), following analgesics were cognition enhancers (4.9%), cognition enhancers were followed by mood stabilizers (4.09%), mood stabilizers were followed by anti-hypertensives (3.2%) which in turn were followed by anticholinergics (2.04%) and calcium+ vitamin D3 supplements (1.6%).
从2021年10月到2022年4月,共有50名患者参加了这项研究。包括抗精神病药物在内,共开出244种药物。处方的抗精神病药物总数为160种。抗精神病药物占总用药数的比例为65.7%。使用最多的药物是抗精神病药(69.6%),其次是多种维生素(7.37%),其次是质子泵抑制剂(5.73%),其次是镇痛药(5.32%),镇痛药之后是认知增强药(4.9%),认知增强药之后是情绪稳定药(4.09%),情绪稳定药之后是降压药(3.2%),其次是抗胆碱能药(2.04%)和钙+维生素D3补充剂(1.6%)。
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引用次数: 0
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Journal of Medical pharmaceutical and allied sciences
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