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RP-HPLC Method Developed for the Determination of Metformin in Human Saliva 建立了人唾液中二甲双胍的反相高效液相色谱测定方法
Pub Date : 2023-05-15 DOI: 10.18579/jopcr/v22.1.ms230206
Nasir Ibrahim, M. Aminu, A. M. Ismail, Y. A. Jega, Awwalu Salisu
Several extraction steps involved while analyzing metformin in plasma necessitates the need to develop a simple less tedious RP-HPLC method for metformin analysis in human saliva.Blank saliva (2 mL) was spiked with 2 mL solution (12.5 µg mL-1) of metformin and 1 mL solution (0.5 µg mL-1) of caffeine as internal standard (IS). The mixture was vortex mixed and centrifuged at 3000 rpm for 10 minutes. A portion (0.5 mL) of the resultant solution was injected into the HPLC machine (Agilent 1260 infinity). The optimized conditions included a mobile phase of methanol:water (80:20 v/v) containing 0.1 % orthophosphoric acid, isocratic elusion mode, an injection volume of 10 µL, flow rate of 1 mLmin-1, at 35°C and detection wavelength of 232nm. Calibration curve(1.25to25.0 µg mL-1) was prepared by plotting the peak height ratios of metformin Vs IS against their corresponding concentrations. The method was validated according to ICH guidelines. Metformin and caffeine eluted at 1.6 and 2.6 minutes respectively. The method was precise (<1 % RSD), accurate (% Er of 1.00 and % recovery of 99.98 %) with linear calibration curve (r= 0.9987). The developed method can be used for determination of metformin in human saliva. Keywords: Metformin, Saliva, Isocratic elution, RP-HPLC
分析血浆中二甲双胍时涉及的几个提取步骤需要开发一种简单而乏味的RP-HPLC方法来分析人类唾液中的二甲双胍。空白唾液(2 mL)中掺入2 mL二甲双胍溶液(12.5µg mL-1)和1 mL咖啡因溶液(0.5µg mL-1)作为内标(IS)。将混合物涡旋混合并以3000rpm离心10分钟。将所得溶液的一部分(0.5mL)注射到HPLC机器(Agilent 1260 infinity)中。优化的条件包括甲醇:水(80:20 v/v)的流动相,含0.1%正磷酸,等度洗脱模式,进样体积为10µL,流速为1 mLmin-1,温度为35°C,检测波长为232nm。通过绘制二甲双胍与IS的峰高比及其相应浓度,制备校准曲线(1.25~25.0µg mL-1)。该方法根据ICH指南进行了验证。二甲双胍和咖啡因分别在1.6分钟和2.6分钟洗脱。该方法精密度(RSD<1%),准确度(%Er为1.00,回收率为99.98%),线性校正曲线(r=0.9987),可用于人唾液中二甲双胍的测定。关键词:二甲双胍、唾液、异克拉底洗脱、RP-HPLC
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引用次数: 0
Fabrication of Sublingual Alprazolam Wafers using Mucoadhesive Vigna mungo L. Seeds and Characterized with Texture Analyzer QTS-25 用黏合剂制备阿普唑仑舌下晶片并用质构分析仪QTS-25进行表征
Pub Date : 2023-05-15 DOI: 10.18579/jopcr/v22.1.ms230102
K. A. Ali, Riya Das, S. Choudhuri
Our primary goal of this work was to create and test a mucoadhesive lyophilized rapid dissolving sublingual wafer of Alprazolam using a natural mucoadhesive agent extracted from black gram (Vigna mungo L.) seeds. We examined the pH, swelling volume, moisture absorption capability, mucoadhesive strength, and viscosity of the natural mucoadhesive agent. We compared it with synthetic mucoadhesive agents such as Hydroxypropyl cellulose (HPC) and Carbopol 934 (CP 934). The prepared wafers of both categories were characterized and compared for mechanical and texture properties, wetting time, disintegration time, Scanning Electron Microscopy (SEM), in vitro drug release, and ex vivo permeation study. We found that the pH of V. mungo mucilage (VMM) was 6.95±0.75, which lies between the normal sublingual mucosal range (pH 6-7), suggesting non-irritability to the mucosa. Attenuated total reflectance-Fourier-transform infrared (ATR-FTIR) peak showed no significant interaction between Alprazolam and mucoadhesive materials. The micrographs of SEM predicted good porosity of the wafer which leads to rapid wetting, disintegration, and dissolution. It is inferred from the study that the fast-dissolving wafer prepared from the VMM gave a better result than the HPC wafer in respect of various parameters. Hence, this study discovered an alternative method to deliver Alprazolam. Keywords: Lyophilization, Permeability, Solid dosage form(s), Mucoadhesive, Texture
我们这项工作的主要目标是使用从黑克(Vigna mungo L.)种子中提取的天然粘膜粘合剂,创建并测试一种粘膜粘合剂冻干快速溶解的阿普唑仑舌下片。我们检测了天然粘黏剂的pH值、溶胀体积、吸湿能力、粘黏强度和粘度。我们将其与合成粘膜粘合剂如羟丙基纤维素(HPC)和Carbopol 934(CP 934)进行了比较。对两类制备的晶片进行了表征和比较,包括机械和织构性能、润湿时间、崩解时间、扫描电子显微镜(SEM)、体外药物释放和离体渗透研究。我们发现绿豆粘液(VMM)的pH值为6.95±0.75,位于正常舌下粘膜范围(pH 6-7)之间,表明对粘膜没有刺激性。衰减的全反射傅立叶变换红外(ATR-FTIR)峰显示阿普唑仑和粘膜粘附材料之间没有显著的相互作用。SEM的显微照片预测了晶片的良好孔隙率,这导致快速润湿、崩解和溶解。从研究中可以推断,在各种参数方面,由VMM制备的快速溶解晶片比HPC晶片给出了更好的结果。因此,本研究发现了一种替代方法来递送阿普唑仑。关键词:冻干,渗透性,固体剂型,粘膜粘合剂,质地
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引用次数: 0
A Study of the Antihyperlipidemic and Antioxidant Activities of Ethanolic Extracts of Leaves of Houttuynia cordata Thunb . (EELHC) in Albino Rats 鱼腥草叶乙醇提取物抗高脂血症及抗氧化活性的研究。(EELHC)在白化大鼠中的作用
Pub Date : 2023-05-15 DOI: 10.18579/jopcr/v22.1.23.2
B. Tassa, Navajit Sahu, Pradumna Pathak
The present study was designed to evaluate the antihyperlipidemic and antioxidant activities of leaves of Houttuynia cordata Thunb. The ethanolic extract was obtained by percolation method and acute oral toxicity tests were performed according to OECD (Organization for Economic Cooperation and Development) guidelines. Hyperlipidaemia was induced by feeding the rats with a high-fat diet consisting of coconut oil and vanaspati ghee, in a ratio of 2:3 v/v at a dose of 10 ml/Kg body weight. The extract was given at a dose of 500mg/kg body weight. Lipid profile, Malondialdehyde (MDA), Catalase (CAT), and Superoxide Dismutase (SOD) were measured using standard methods. The extract showed a significant decrease in total cholesterol, triglycerides, LDL, and MDA in the blood. On the other hand, HDL, CAT, and SOD increased significantly. The study demonstrates that the ethanolic extract of leaves of Houttuynia cordata Thunb., decreases blood lipid levels and lipid peroxidation. Keywords: Antihyperlipidemic, Antioxidant, Houttuynia cordata Thunb, EELHC
本研究旨在评价鱼腥草叶的抗高血压和抗氧化活性。乙醇提取物通过渗滤法获得,并根据OECD(经济合作与发展组织)指南进行急性口服毒性试验。高脂血症是通过用由椰子油和钒酥油组成的高脂肪饮食以2:3v/v的比例以10ml/Kg体重的剂量喂养大鼠来诱导的。提取物的剂量为500mg/kg体重。采用标准方法测定脂质、丙二醛(MDA)、过氧化氢酶(CAT)和超氧化物歧化酶(SOD)。提取物显示血液中的总胆固醇、甘油三酯、低密度脂蛋白和丙二醛显著降低。HDL、CAT和SOD含量显著升高。研究表明,鱼腥草叶的乙醇提取物。,降低血脂水平和脂质过氧化。关键词:抗高脂血症,抗氧化剂,鱼腥草,EELHC
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引用次数: 1
Acute and Subchronic Toxicity and LC-MS Fingerprinting of a Polyherbal Formulation (KNDBHU) used for COVID-19 Management 用于COVID-19治疗的复方(KNDBHU)的急性和亚慢性毒性和LC-MS指纹图谱
Pub Date : 2023-05-15 DOI: 10.18579/jopcr/v22.1.23.7
K. Dwivedi, A. Mishra, Rajesh K Singh
A polyherbal formulation consisting of Withania somnifera, Tinospora cordifolia, Moringa oleifera, Adhatoda vasica, Pipper longum, Glycyrrhiza glabra, Ocimum sanctum and Curcuma longa has been used for Covid-19 treatment empirically, which was found effective. However, toxicity data were not available for this polyherbal formulation. This study aims to assess the polyherbal formulation's oral acute and subchronic toxicity in rats. The fixed-dose approach was used to conduct the acute toxicity investigation on 6 female Wistar rats for the treatment group and 5 female Wistar rats for the control group. A single dosage of this polyherbal formulation weighing 2,000 mg/kg was administered orally to the test group. At the end of the investigation, no fatalities or major toxic effects were noted, and it was determined that the lethal dose 50% (LD50) of the polyherbal formulation was greater than 2,000 mg/kg. Vital organs underwent macroscopic and microscopic inspection, neither of which revealed any toxicity signs. The polyherbal formulation was given orally for 91 days during the subchronic toxicity research in dose variations: 250 mg/kg, 500 mg/kg, 1,000 mg/kg, 2,000 mg/kg, and 4,000 mg/kg. The daily dose for a human is the same at the lowest level of 250 mg/kg. On physical signs and symptoms, weight growth, food intake, haematological parameters, biochemical parameters, and macroscopic and microscopic examination of organs, no major harmful effects were seen at any of these doses. These results demonstrated that the oral administration of this polyherbal formulation over the short- and long-term is safe when taken as suggested. Keywords: Ayurvedic, Polyherbal, COVID­19, Acute toxicity, Sub­chronic Oral Toxicity
根据经验,由Withania somnifera、Tinospora cordifolia、Moringa oifera、Adhatoda vasica、Pipper longum、Glycrrhiza glabra、Ocimum santum和Curcuma longa组成的多羟基制剂已被用于新冠肺炎治疗,并被发现是有效的。然而,这种多羟基制剂的毒性数据尚不可用。本研究旨在评估多羟基制剂对大鼠的口服急性和亚慢性毒性。采用固定剂量法对6只雌性Wistar大鼠作为治疗组和5只雌性Wissar大鼠作为对照组进行急性毒性研究。将重量为2000mg/kg的这种多羟基制剂的单剂量口服给试验组。在调查结束时,没有发现死亡或重大毒性作用,并且确定多羟基制剂的致死剂量50%(LD50)大于2000 mg/kg。对重要器官进行了宏观和微观检查,均未发现任何毒性迹象。在亚慢性毒性研究期间,口服多羟基制剂91天,剂量变化为:250 mg/kg、500 mg/kg、1000 mg/kg、2000 mg/kg和4000 mg/kg。人体的日剂量是相同的,最低水平为250毫克/公斤。在身体体征和症状、体重增长、食物摄入、血液学参数、生化参数以及器官的宏观和微观检查方面,这些剂量都没有发现重大有害影响。这些结果表明,按照建议服用时,短期和长期口服这种多羟基制剂是安全的。关键词:阿育吠陀、多草药、COVID-19、急性毒性、亚慢性口服毒性
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引用次数: 0
Comparison of Antioxidant activity of Various Phytopharmaceuticals 不同植物药物抗氧化活性的比较
Pub Date : 2023-05-01 DOI: 10.33140/jpr.08.01.02
Herbal drugs are playing a pivotal role in the Indian medicine economy. The edible parts of plants are used to treat various types of diseases. There are many researches going on antioxidant activity, but our aim is to conduct Invitro and in-vivo comparison of antioxidant activity of various herbal plants to prove that natural antioxidants are more effective than synthetic antioxidants. Free radicals cause oxidative stress in the human body. Free radicals are substance with unpaired electrons which are ready to bind to cells and cause damage in the human body. For the inhibition of free radicals in the living organisms ethanolic extracts of five plants are used for the antioxidant activity. The extracts of six herbals, amla fruit powder (Phyllanthus emblica), Tulasi leaf powder (Ocimum tenuflorium), hibiscus leaf powder (Hibiscus rosa sinensis), coriander leaf powder (coriander sativum), lemon leaf powder (citrus limon) and the antioxidant activity of henna leaf powder (lawsonia inermis) was determined. Using the hydrogen peroxide free radical scavenging activity technique, the amount of antioxidant activity present in the plant extracts was evaluated. UV Spectroscopy was used to evaluate the strong antioxidant activity of the plant extract to the reference alpha tocopherol and vitamin C. This research will assist us in determining antioxidant activity profiles, revealing that herbals are more effective than commercially available alpha tocopherol and ascorbic acid.
草药在印度医药经济中发挥着举足轻重的作用。植物的可食用部分被用来治疗各种疾病。关于抗氧化活性的研究很多,但我们的目的是对各种草药的抗氧化活性进行Invitro和体内比较,以证明天然抗氧化剂比合成抗氧化剂更有效。自由基在人体内引起氧化应激。自由基是一种具有不成对电子的物质,可以与细胞结合并对人体造成损伤。为了抑制活生物体中的自由基,五种植物的乙醇提取物用于抗氧化活性。测定了六种中草药的提取物,即amla果粉(余甘子)、图拉斯叶粉(细花)、木槿叶粉(芙蓉)、香菜叶粉(香菜)、柠檬叶粉(柠檬柠檬)和指甲花叶粉的抗氧化活性。利用过氧化氢自由基清除活性技术,评估了植物提取物中的抗氧化活性。紫外光谱法用于评估植物提取物对参考α-生育酚和维生素C的强大抗氧化活性。这项研究将有助于我们确定抗氧化活性,表明草药比市售的α-生育醇和抗坏血酸更有效。
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引用次数: 0
Logistics management information system performance for laboratory commodities in public health facilities of west Shoa zone, Oromia regional state, Ethiopia: A facility-based concurrent explanatory mixed-method design 埃塞俄比亚奥罗米亚州西Shoa区公共卫生设施实验室商品物流管理信息系统性能:基于设施的并发解释性混合方法设计
Pub Date : 2023-05-01 DOI: 10.33140/jpr.08.01.06
Background: A logistics management information system is a mechanism of recording and reporting that captures, analyzes, and displays logistics data. It works well if trained and skilled people record, analyze, manage, validate and use at all levels to make informed logistics decisions thus prevent shortages of commodities. Objective: To assess the logistics management information system performance for laboratory commodities in the case of public health facilities of West Shoa zone, Oromia regional state, Ethiopia Methods: A facility based concurrent explanatory mixed-method design was employed to assess the logistic management information system performance for laboratory commodities in public health facilities of West Shoa zone, Oromia regional state, Ethiopia from June 2021 to July 2021. Twenty health facilities were selected by using simple random sampling and purposely. Data were collected by reviewing logistic management information system tools. Data were checked for its completeness, coded, and entered into a statistical package for social sciences version 23 and analyzed using descriptive (percentage and frequency table) and inferential statistics (chi-square test). An in-depth interview was carried out to explore the challenges to logistic management information system performance and thematically analyzed. Results: Logistic management information system tools availability ranges from 30-100% with utilization ranges from 15-95%. Data quality like timeliness and completeness of the reports were 80% and 75% with 80% facility reporting rate. A significant association was observed between IFRR completeness and training pattern ꭓ2 (1, N = 109) = 4.127, P = 0.041, experience ꭓ2 (2, N = 109) = 12.203, P = 0.002, supervision ꭓ2 (5, N = 109) = 17.07, P = .004, and feedback ꭓ2 (4, N = 109) = 10.037, P = 0.04. Staff turnover, workload, and inadequate manpower were major challenges identified. Conclusion: The availability and utilization of logistic management information system tools need an improvement. Data quality like bin card accuracy, timeliness, and completeness still need focus. Staff turnover, lack of commitment, workload and inadequate manpower were the challenges identified.
背景:物流管理信息系统是一种记录和报告机制,用于捕获、分析和显示物流数据。如果训练有素、技术娴熟的人员在各个层面进行记录、分析、管理、验证和使用,以做出明智的物流决策,从而防止商品短缺,那么它就会很好地发挥作用。目的:评估奥罗米亚州西肖亚地区公共卫生设施实验室商品物流管理信息系统的性能,埃塞俄比亚方法:采用基于设施的并发解释混合方法设计,评估2021年6月至2021年7月埃塞俄比亚奥罗米亚州西肖亚地区公共卫生设施实验室商品的物流管理信息系统性能。通过简单的随机抽样和有目的地选择了20个卫生设施。数据是通过审查物流管理信息系统工具收集的。对数据的完整性进行检查,对其进行编码,并将其输入社会科学版本23的统计包中,并使用描述性(百分比和频率表)和推断统计学(卡方检验)进行分析。进行了一次深入的访谈,探讨了物流管理信息系统绩效面临的挑战,并对其进行了主题分析。结果:物流管理信息系统工具的可用性在30-100%之间,利用率在15-95%之间。报告的及时性和完整性等数据质量分别为80%和75%,设施报告率为80%。观察到IFRR完整性与训练模式之间存在显著关联ꭓ2(1,N=109)=4.127,P=0.041,经验ꭓ2(2,N=109)=12.203,P=0.002,监督ꭓ2(5,N=109)=17.07,P=.004,反馈ꭓ2(4,N=109)=10.037,P=0.04。工作人员流动、工作量和人力不足是确定的主要挑战。结论:物流管理信息系统工具的可用性和利用率有待提高。数据质量,如存储卡的准确性、及时性和完整性,仍然需要关注。工作人员更替、缺乏承诺、工作量和人力不足是确定的挑战。
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引用次数: 0
Curcumin from turmeric is an extremely efficient agent in increasing cholesterol uptake by the liver cells 姜黄中的姜黄素是一种非常有效的增加肝细胞摄取胆固醇的药物
Pub Date : 2023-05-01 DOI: 10.33140/jpr.08.01.01
Shaher Murad, Jamil Ahmed Lakhair, Z. H. Tanveer, I. Siddiqui, A. Fatah, Imtenan Sharif, Ajaz Fatima
Medicinal plants have a long history of usage and today, they are being extensively used for various diseases. There are several reasons for increasing the use of medicinal plants. Many plants from different parts of the world have been investigated for hypolipidemic effects. Based on strong epidemiological evidence on the relationship between high LDL-C and an increased risk of CVD, treatment and control of elevated LDL-C are as primary goals of CVD prevention in guidelines. In the meantime, both epidemiological and experimental studies confirm the protective effect of high-density lipoprotein cholesterol (HDL-C) on the onset of CAD despite LDL-C level, owing to the reverse cholesterol transport process of HDL-C. However, in recent decades, some researchers assert that other newer lipid measurements, including non-HDL-C, apolipoprotein (apo)A-I, apoB, and lipid ratios, are superior to traditional LDL-C in predicting adverse outcomes in general population. Some researchers even suggest that apoB can replace the standard “lipid profile” as a target for motoring and therapy in at-risk patients. High plasma lipids interact with free radicals in human body leading to develop coronary artery disease. We in this study have compared hypolipidemic effects of Fenugreek, Curcuma longa, and Lemon. Study was conducted at Jinnah Hospital Lahore-Pakistan from January 2018 to May 2018. Ninety hyperlipidemic patients of age group 19 to 70 were included in the study. Exclusion criteria were diabetic, alcoholic additives, hypertensive patients and those whose kidney or liver functions were impaired. Consent was taken from all participants. Their base line lipid profile was taken in biochemistry laboratory of the hospital. They were divided in three groups i.e. 30 patients in each group. Group-I was advised to take 500 mg of Curcuma longa (haldi) mixed in fresh milk without cream, thrice daily for two months. Group-II patients were advised to take 100 grams of Fenugreek leaves mixed with salad in each meal (thrice daily) for the period of two months. Group-III patients were advised to take 40 ml of fresh lemon juice mixed with 40 ml mineral water thrice daily for two months. They all were advised not to take heavy meal rich with any type of fat like junk food etc. One hour daily brisk walk was advised to all participants. 15 days follow up visit was scheduled for them. After two months their lipid profile was re-determined. When results were compiled and statistically analyzed by applying paired ‘t’ test, it revealed that Curcuma longa decreased total cholesterol, TG, LDL cholesterol 16.10, 20.01, and 17.59 mg/dl respectively. Fenugreek decreased total cholesterol, TGs, and LDL cholesterol 14.70, 17.33, and 17.06 mg/dl respectively. Lemon in two months therapy decreased total cholesterol, TGs, and LDL cholesterol 15.45, 10.13, and 11.97 mg/dl respectively. None of the above-mentioned herbs raised HDL cholesterol significantly. It was concluded from this research wo
药用植物有着悠久的使用历史,今天,它们被广泛用于治疗各种疾病。增加药用植物的使用有几个原因。来自世界各地的许多植物都被研究过降血脂的作用。基于高LDL-C与CVD风险增加之间关系的强有力的流行病学证据,治疗和控制LDL-C升高是指南中预防CVD的主要目标。同时,流行病学和实验研究都证实了高密度脂蛋白胆固醇(HDL-C)对冠心病发病的保护作用,尽管LDL-C水平不高,但由于HDL-C的逆向胆固醇转运过程。然而,近几十年来,一些研究人员断言,其他新的脂质测量,包括非hdl - c、载脂蛋白(apo)A-I、载脂蛋白b和脂质比率,在预测一般人群的不良后果方面优于传统的LDL-C。一些研究人员甚至认为载脂蛋白ob可以取代标准的“脂质谱”,作为高危患者运动和治疗的目标。高血脂与人体内自由基相互作用导致冠状动脉疾病的发生。我们在本研究中比较了葫芦巴、姜黄和柠檬的降血脂作用。研究于2018年1月至2018年5月在巴基斯坦拉合尔真纳医院进行。90例19 ~ 70岁高脂血症患者纳入研究。排除标准为糖尿病、酒精添加剂、高血压患者和肾功能或肝功能受损的患者。获得了所有参与者的同意。基线脂质谱在医院生化实验室采集。将患者分为三组,每组30例。第一组建议服用姜黄500毫克,与鲜奶混合,不加奶油,每日三次,连续服用两个月。ii组患者建议每餐服用100克葫芦巴叶混合沙拉(每日三次),为期两个月。iii组患者服用新鲜柠檬汁40 ml混合矿泉水40 ml,每日3次,连续2个月。他们都被建议不要吃含有大量脂肪的食物,比如垃圾食品等。建议所有参与者每天快走一小时。随访时间为15天。两个月后,重新测定他们的血脂。采用配对t检验对结果进行统计分析,发现姜黄可降低总胆固醇16.10 mg/dl、TG 20.01 mg/dl、LDL /dl 17.59 mg/dl。葫芦巴分别降低总胆固醇、总胆固醇和低密度脂蛋白胆固醇14.70、17.33和17.06 mg/dl。柠檬在两个月的治疗中降低了总胆固醇、总总胆固醇和低密度脂蛋白胆固醇,分别为15.45、10.13和11.97 mg/dl。上述草药均未显著提高高密度脂蛋白胆固醇。本研究结果表明,姜黄、胡芦巴叶和柠檬对降低血浆总胆固醇、甘油三酯和低密度脂蛋白胆固醇有轻度至中度的降血脂作用,但对提高高密度脂蛋白胆固醇没有作用。
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引用次数: 0
Determinants of Integrated Pharmaceutical Logistics System Performance in Ethiopian Public Health Facilities at Harari Regional State, Ethiopia 埃塞俄比亚哈拉里州公共卫生设施中综合医药物流系统性能的决定因素
Pub Date : 2023-05-01 DOI: 10.33140/jpr.08.01.03
The well-functioning pharmaceutical logistics system to deliver medicines, vaccines and other health products are critical to the provision of health services. The study aims to determine the association and magnitude of determinant factors with performance of integrated pharmaceuticals logistics system among public health facilities in Harari Regional State of Ethiopia. The study used cross-sectional descriptive study and explanatory research designs and structured questionnaire were adapted from Logistics Indicator Assessment Tool (LIAT) to collect data. Descriptive statistics was used to describe the public health facility performance data and binary logistics regression was done by using SPSS version 27. Data were complemented with documentary analysis, description of internal processes and logistics registrations. Findings from this study indicate that management ownership level of the system with β value 3.961, [AOR -19.373 in 95% CI (3.765, 116.271), P = 0.001], and health facility staff skill level with β of value 2.109, [AOR - 8.241, 95% CI (3.703, 81.336), P = 0.005], have positive associations with integrated pharmaceuticals logistics system performance. But, the health facility service volume has no significant association with the performance of integrated pharmaceutical logistics system. The hypothesis proposed were accepted for both health facility staff’s skills and management ownership of the system while the hypothesis proposed for health facility service volume is rejected as it has no significant effect on the performance. The study found that the health facility staff skill and management ownership have significant effect on integrated pharmaceutical logistics system implementation. The major factors for health professional under optimal skill were poor management support, staff insufficiency, and a poor skill transfer mechanism.
提供药品、疫苗和其他保健产品的运作良好的药品物流系统对提供保健服务至关重要。本研究旨在确定埃塞俄比亚哈拉里州公共卫生设施中决定因素与综合药品物流系统绩效的关系和程度。本研究采用横断面描述性研究和解释性研究设计,并采用物流指标评估工具(LIAT)编制的结构化问卷进行数据收集。描述统计学用于描述公共卫生设施绩效数据,并使用SPSS 27版进行二元物流回归。文件分析、内部流程说明和物流登记补充了数据。这项研究的结果表明,β值为3.961的系统管理所有权水平[AOR-19.373,95%CI(3.765162.71),P=0.001],以及β值为2.109的卫生设施工作人员技能水平[AOR-8.241,95%CI)(3.70381.336),P=0.005],与综合药品物流系统绩效呈正相关。但是,医疗机构的服务量与药品综合物流系统的绩效没有显著的相关性。对于卫生机构工作人员的技能和系统的管理所有权,所提出的假设被接受,而对于卫生机构服务量的假设被拒绝,因为它对绩效没有显著影响。研究发现,卫生机构工作人员的技能和管理所有权对综合药品物流系统的实施有显著影响。卫生专业人员掌握最佳技能的主要因素是管理支持不力、工作人员不足和技能转移机制差。
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引用次数: 0
Literature Review: Role of Pharmacogenetics in the Treatment of HBV 文献综述:药物遗传学在HBV治疗中的作用
Pub Date : 2023-05-01 DOI: 10.33140/jpr.08.01.05
Chelsea Schneider, Solmaz Karimi, Kristi Bears
Background: Hepatitis B virus (HBV) infection is a serious and in some cases life threatening infection accounting for numerous deaths annually The virus can be transmitted through sexual contact or exchange of bodily fluids. Progression to a chronic infection is age dependent with 90% of newborns of HBeAg-positive mothers developing a chronic infection. The risk is lowest with adults, with only <5% of adults progressing into a chronic infection. The goal of treatment is to prevent disease progression and further chronic HBV related complications like cirrhosis, hepatic failure, and cancer. The 2018 AASLD practice guidelines recommends the following preferred drugs: Pegylated interferon alpha 2a, Entecavir, Tenofovir dipivoxil fumarate, Tenofovir alafenamide in treatment of chronic Hepatitis B (CHB). There are several other non-preferred drugs used to treat CHB infection. The aim of this study was to review the current published literature recommending use based on genetic test results. Ongoing research has shown that pharmacogenomics can play a pivotal role in treatment efficacy and safety of HBV medications.
背景:乙型肝炎病毒(HBV)感染是一种严重的,在某些情况下威胁生命的感染,每年造成许多人死亡。病毒可通过性接触或体液交换传播。发展为慢性感染与年龄有关,90%的hbeag阳性母亲的新生儿发展为慢性感染。成人的风险最低,只有<5%的成年人进展为慢性感染。治疗的目标是预防疾病进展和进一步的慢性HBV相关并发症,如肝硬化、肝功能衰竭和癌症。2018年AASLD实践指南推荐以下首选药物:聚乙二醇化干扰素α 2a,恩替卡韦,富马酸替诺福韦酯,替诺福韦alafenamide治疗慢性乙型肝炎(CHB)。还有其他几种非首选药物用于治疗慢性乙型肝炎感染。本研究的目的是回顾目前发表的基于基因检测结果推荐使用的文献。正在进行的研究表明,药物基因组学可以在HBV药物的治疗疗效和安全性方面发挥关键作用。
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引用次数: 0
Development of a second-generation Testosterone synthesis route via biocatalysis 通过生物催化的第二代睾酮合成途径的发展
Pub Date : 2023-05-01 DOI: 10.33140/jpr.08.01.04
Testosterone is a male hormone which is being manufactured in pharmaceutical industry for many years. Testosterone is the primary sex hormone and anabolic steroid in males. It is also used as a drug to treat male hypogonadism, gender dysphoria, bone loss, certain types of breast cancer, prostate cancer and hypersexuality [01]. It may also be used to increase athletic ability in the form of doping. Most of the time the current manufacturing routes start from 4 androstene 3,17 dione which is chemically converted to Testosterone by a reduction reaction. In this article we present the development of a second-generation route towards Testosterone via Biocatalysis, using an oxidoreductase enzyme. This results in a more sustainable API Testosterone. The overall PMI decreases from 69 to 44. Consequently, the enzymatic route reduces the environmental impact based on material use by 36%. Via proteomics principles we have been able to develop a generally applicable in-house analysis/method to prove absence of residual enzyme with a detection limit as low as 1 ppm.
睾酮是一种男性激素,已在制药行业生产多年。睾酮是男性体内主要的性激素和合成代谢类固醇。它也被用作治疗男性性腺功能减退、性别焦虑、骨质流失、某些类型的乳腺癌、前列腺癌和性欲亢进的药物。它也可能以兴奋剂的形式被用来提高运动能力。大多数时候,目前的制造路线从4雄烯3,17二酮开始,通过还原反应将其化学转化为睾酮。在这篇文章中,我们介绍了通过氧化还原酶生物催化合成睾酮的第二代途径。这导致API睾酮更可持续。整体PMI从69降至44。因此,酶的途径减少了36%的基于材料使用的环境影响。通过蛋白质组学原理,我们已经能够开发出一种普遍适用的内部分析/方法来证明残留酶的缺失,检测限低至1ppm。
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Journal of Pharmaceutical Research
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