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Evaluation of the Reporting System of Chemical Poisoning and Drug Safety Program in the Governmental and Private Hospitals in Jeddah City, Saudi Arabia, A Cross-Sectional Study 对沙特阿拉伯吉达市政府医院和私立医院化学中毒报告系统和药物安全计划的评估,一项横断面研究
Pub Date : 2023-12-23 DOI: 10.9734/jpri/2023/v35i337476
Mohammed Abdulaziz Kareem, Khalid Mohammed Alzahrani, A. S. Alshehri, Nedal Jamal A. Almasri, Wael Abdi Almutairi, Adel Saed Alghamdi
Background: Chemical poisoning is a major health issue. This study aimed to assess and evaluate the reporting system of chemical poisoning and drug safety program (CSP) in the governmental and private hospitals in Jeddah city, Saudi Arabia. Methods: This descriptive and analytical cross-sectional study was conducted in Jeddah city, Saudi Arabia in the period from January to June 2022. we included 30 governmental and private hospitals that included more than 150 beds. To collect data, this study used a 17-item evaluation form that was approved and used by the Saudi Ministry of Health to evaluate the reporting systems in the hospitals in the country. Results: Regarding the Reporting system in the public health departments (PHD), the Ministry of Health (MOH) memo for reporting cases of chemical and drug overdose is present in 80% of the hospitals, 30% reported that samples sent to the toxicology center are received. Regarding the Reporting system in the emergency department, 46.7% reported that death cases are immediately reported to the PHD. Regarding the Reporting system in hospital laboratory, 46.5% reported that chemical and drug overdose samples are sent to the Toxicology Center. Reporting system in the public health department and Reporting system in the emergency department were better in the Private hospitals (p =0.042 and p=0.045, respectively). Conclusion: Low adherence was found in the recruited hospitals. Less adherence was found in the governmental hospitals, particularly in the reporting system in the public health departments and the reporting system in the emergency departments. Some hospitals scored low in the three domains of the evaluation form.
背景:化学中毒是一个重大的健康问题。本研究旨在评估沙特阿拉伯吉达市政府和私立医院的化学中毒报告系统和药物安全计划(CSP)。 方法:这项描述性和分析性横断面研究于 2022 年 1 月至 6 月期间在沙特阿拉伯吉达市进行,研究对象包括 30 家拥有 150 张病床以上的政府医院和私立医院。为了收集数据,本研究使用了沙特卫生部批准和使用的 17 项评估表,以评估该国医院的报告系统。 结果在公共卫生部门(PHD)的报告系统方面,80%的医院遵照卫生部(MOH)的备忘录报告化学和药物过量病例,30%的医院报告已收到送往毒理学中心的样本。关于急诊科的报告系统,46.7%的医院报告说,死亡病例会立即报告给公共卫生司。关于医院化验室的报告系统,46.5%的化验室报告称已将化学和药物过量样本送至毒理学中心。私立医院的公共卫生科报告系统和急诊科报告系统更好(分别为 p =0.042 和 p=0.045)。 结论受聘医院的依从性较低。政府医院的坚持率较低,尤其是公共卫生部门的报告系统和急诊科的报告系统。一些医院在评价表的三个方面得分都较低。
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引用次数: 0
The Incidence of the Associated Meniscal Ligament (ML) With the Anterior Cruciate Ligament (ACL) Tears 前十字韧带(ACL)撕裂时相关半月板韧带(ML)的发生率
Pub Date : 2023-12-22 DOI: 10.9734/jpri/2023/v35i337473
Mahmoud S. Babiker, Awatif M Omer, Amel F. Alzain, Meaad Elbashir, Rufida E. Ahmed, Omima Adam Ahmed, Esra Salam Mohamed
Objective: To assess the incidence of the associated meniscal ligament (ML) with the anterior cruciate ligament (ACL) tears in hospital A in Medina-KSA. And to see the effect of sports activities in comparison between males and females.  Materials and Methods: In a retrospective study, ninety-nine patients' knee magnetic resonance imaging (MRI) records were selected conveniently from the (A) hospital's picture archiving and communication system (PACS). Patients with suspected anterior cruciate and meniscal ligament' tears were included. Patients with posterior cruciate ligament (PCL) tear, medial collateral ligament (MCL) or lateral collateral ligament (LCL) injury, and previously operated index knees were excluded. All patients were scanned by a 1.5T MRI machine using standard MRI knee scanning protocol. The categorical and continuous variables were presented as percentages, frequencies, and descriptive statistics. The cross-tabulations and chi-square test were applied to obtain the statistical associations between the study variables. A statistical association was considered significant if the P-value was < 0.05.  Results: 72 males and 27 females were included, with a mean age of 33 ± 2.43. 42.4% of the knee tears were ML tears, followed by associated (ACL with ML) tears, noted in 31.3%, and 26.3% were ACL tears. The tears were more frequent in the age group (31-40), reported in 35.3% (out of 99). There was no statistical association between the tears and the participants' age, gender, or sports activities; P value = 0.3, 0.5, and 0.9, respectively.  Conclusion: The study concluded that the isolated ML tears were more frequent than the associated (ACL with ML) tears—moreover, there was no significant statistical association between the participants' age, gender, or sports activities.
目的评估沙特阿拉伯麦地那A医院前交叉韧带(ACL)撕裂伴发半月板韧带(ML)的发生率。并比较男性和女性体育活动的影响。 材料和方法:在一项回顾性研究中,从(A)医院的图片存档和通信系统(PACS)中方便地选取了 99 名患者的膝关节磁共振成像(MRI)记录。其中包括疑似前交叉韧带和半月板韧带撕裂的患者。不包括后交叉韧带(PCL)撕裂、内侧副韧带(MCL)或外侧副韧带(LCL)损伤的患者,以及曾接受过手术的膝关节。所有患者均使用 1.5T 核磁共振成像仪,按照标准核磁共振成像膝关节扫描方案进行扫描。分类变量和连续变量以百分比、频率和描述性统计呈现。交叉分析和卡方检验用于获得研究变量之间的统计学关联。如果 P 值小于 0.05,则认为统计关联显著。 结果研究对象中有 72 名男性和 27 名女性,平均年龄为 33±2.43 岁。42.4%的膝关节撕裂为ML撕裂,31.3%为伴发撕裂(前交叉韧带与ML),26.3%为前交叉韧带撕裂。膝关节撕裂多发于 31-40 岁年龄组,在 99 人中占 35.3%。这些撕裂与参与者的年龄、性别或体育活动之间没有统计学关联;P 值分别为 0.3、0.5 和 0.9。 结论该研究得出结论,孤立的前交叉韧带撕裂比伴有前交叉韧带撕裂的前交叉韧带撕裂更常见,此外,参与者的年龄、性别或体育活动与前交叉韧带撕裂没有明显的统计学关联。
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引用次数: 0
Injecting Quality Care: Syringes and their Impact on Precision Medicine in Healthcare 注射优质护理:注射器及其对医疗保健领域精准医疗的影响
Pub Date : 2023-12-21 DOI: 10.9734/jpri/2023/v35i327471
Akash Sharma, Chandra Prakash, Ankur Vora
This paper explores the pivotal role of syringes in the era of precision medicine, shedding light on their historical significance, technological advancements, and the profound impact they have on healthcare quality. By delving into the design features of precision syringes and their application in various medical fields, this paper aims to underline the critical role these instruments play in achieving optimal patient outcomes. The discussion also addresses challenges, solutions, and the regulatory landscape, offering a comprehensive overview of the synergy between syringes and precision medicine.
本文探讨了注射器在精准医疗时代的关键作用,揭示了注射器的历史意义、技术进步及其对医疗质量的深远影响。通过深入探讨精密注射器的设计特点及其在各个医疗领域的应用,本文旨在强调这些器械在实现最佳患者治疗效果方面发挥的关键作用。讨论还涉及挑战、解决方案和监管环境,全面概述了注射器与精准医疗之间的协同作用。
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引用次数: 0
Evaluation of Effects of Vitamin C Supplementation in Wound Healing Post Dental Implant Surgery: A Clinical Study 评估维生素 C 补充剂对植牙术后伤口愈合的影响:临床研究
Pub Date : 2023-12-21 DOI: 10.9734/jpri/2023/v35i337472
Sarangal Vandana, Goyal Pankaj, S. Tej, Kaur Supreet, Suchdev Vasudha
Aim: The present study was conducted to assess the role of vitamin C in wound healing following dental implant surgery. Materials and Methods: 60 patients receiving dental implants were divided into two groups of 30 each. group A and group B. Group A included 30 patients who underwent dental implant surgery along with vitamin C supplementation, 500 mg twice a day post-surgery for 5 days and group B included 30 patients who underwent dental implant surgery alone. The Wound Healing Index, Wound Evaluation score and Visual Analog Scale were the following indices evaluated. Results: The results of the present study showed that there was a significant improvement in all indices in both group A and group B, but results in group A were statistically more significant than group B and indicating that maximum healing was seen in the first 7 days post-operative, thereafter, remaining more or less the same. In reference to vitamin C for pain relief, there was no statistically difference between the study groups. Conclusion: Using vitamin C supplementation post-operative healing following dental implant surgery in patients given vitamin C. However, vitamin C supplementation does not decrease the post operative pain associated with dental pain and anxiety.
目的:本研究旨在评估维生素 C 在牙科种植手术后伤口愈合中的作用。 材料和方法:将 60 名接受牙科种植手术的患者分为两组,每组 30 人,A 组和 B 组。A 组包括 30 名接受牙科种植手术的患者,他们在接受手术的同时补充维生素 C,每天两次,每次 500 毫克,连续 5 天;B 组包括 30 名仅接受牙科种植手术的患者。评估指标包括伤口愈合指数、伤口评估评分和视觉模拟量表。 结果显示本研究结果显示,A 组和 B 组的所有指数均有明显改善,但 A 组的结果在统计学上比 B 组更为显著,表明术后头 7 天的愈合程度最高,此后则基本保持不变。至于维生素 C 的止痛作用,研究组之间没有统计学差异。 结论但补充维生素 C 并不能减轻与牙痛和焦虑相关的术后疼痛。
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引用次数: 0
Pharmaceutical Studies of Leaf and Bark Extracts of Mammea suriga (Buch.-Ham. ex Roxb.) Kosterm. Mammea suriga(Buch.-Ham. ex Roxb.)
Pub Date : 2023-12-18 DOI: 10.9734/jpri/2023/v35i327470
Trupthi N. Rane, Rama Bhat P.
Mammea suriga is a familiar endemic medicinal plant belonging to the family Guttiferae/Clusiaceae, grows abundantly in the Western Ghats of India. The present investigation focuses on studying the phytoconstituents as well as antioxidant and antimicrobial properties of bark and leaf extracts. Phytochemical screening showed the presence of carbohydrates, phenolics, flavonoids, alkaloids, cardiac glycosides, terpenoids, triterpenoids, steroids and saponins. The carbohydrate contents were highest in leaf methanol (140.90 ± 1.19 mg/g), phenolic contents highest in leaf methanol (154.32 ± 1.80 mg/g), the highest flavonoid content were observed in bark aqueous extract (437.3878 ± 0.09mg/g). In the antioxidant screening assay, the highest inhibition concentration was found to be IC­50 (53.33 ± 0.13) for leaf methanol for DPPH, highest ferric reducing activity was observed in both the bark extracts at 300μg/mL concentrations, antioxidant activity for phoshomolybdenum assay was observed highest (75%) in leaf methanol extract at 300μg/mL. Antibacterial activity was carried out  by agar well diffusion method using extracts against E. coli, K. pneumoniae, P. aeruginosa and S. aureus which showed inhibition  zone diameter ranging  from 12-22mm. Antifungal test by poison bait method against Fusarium solani and Colletotrichum gloeosporioides have shown good results.
Mammea suriga 是人们熟悉的一种特有药用植物,属于 Guttiferae/Clusiaceae 科,大量生长在印度西高止山脉。本次调查的重点是研究树皮和树叶提取物的植物成分以及抗氧化和抗菌特性。植物化学筛选结果表明,树皮中含有碳水化合物、酚类、黄酮类、生物碱、强心苷、萜类、三萜类、甾体和皂苷。叶片甲醇提取物中碳水化合物含量最高(140.90 ± 1.19 mg/g),叶片甲醇提取物中酚类含量最高(154.32 ± 1.80 mg/g),树皮水提取物中黄酮类含量最高(437.3878 ± 0.09 mg/g)。在抗氧化筛选试验中,叶甲醇对 DPPH 的抑制浓度最高(53.33 ± 0.13),两种树皮提取物在 300 微克/毫升浓度下的铁还原活性最高,叶甲醇提取物在 300 微克/毫升浓度下的磷钼抗氧化活性最高(75%)。琼脂井扩散法使用提取物对大肠杆菌、肺炎双球菌、铜绿假单胞菌和金黄色葡萄球菌进行了抗菌测试,结果显示抑制区直径为 12-22 毫米。采用毒饵法对茄科镰刀菌和球孢子菌进行的抗真菌试验也取得了良好的结果。
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引用次数: 0
The Impact of Social Work Services on the Quality of Care in Mental Health Complex in Jeddah: A Study of Healthcare Professionals’ Perceptions 社会工作服务对吉达心理健康综合医院护理质量的影响:医疗保健专业人员的看法研究
Pub Date : 2023-12-16 DOI: 10.9734/jpri/2023/v35i327469
Waseem Mohammed Alkhaldi, Ohoud Fouad Abuatallah, Nesreen Abdullah AL-Ghamdi, Bandar Allahyani, Salman Safar Alghamdi, Mohammed Ali Alqarni, Ibrahim Abdullah Alzahrani
Aim: This study aims to investigate the influence of social work services on the quality of care at Eradah and Mental Health Complex in Jeddah. Duration of the Study: This study employs one year of conduction from December 2022 to November 2023. Methods: A cross-sectional study was conducted using the SERVQUL questionnaire as the main scale to assess the degree of social work influence on the overall quality of the healthcare setting to be distributed among selected healthcare workers. Results: Among randomly selected 240 healthcare workers, among these, 20.8% were aged between 25 and 30 years, the majority (68.3%) were male, about 45.4% had a bachelor’s degree, also, about 67.5% of them were married, 52.5% were laboratory technicians. The results indicated a moderate healthcare rating with a mean score of 58.29 and a moderate healthcare adherence rating with a mean score of 98.37. The results revealed a significant difference in the quality of healthcare among patients due to education (P-value =0.012) and there was a significant difference with job title (p-value = 0.001). However, no significant differences were observed about age, or marital status. Conclusion: It can be concluded that social work is a crucial type of work that must be implemented among healthcare workers to enhance cooperation and serve society, it has been found that healthcare adherence was rated as moderate. Nevertheless, variables such as age, gender, education level, and marital status did not exert a substantial impact.
目的:本研究旨在调查社会工作服务对吉达市 Eradah 和心理健康综合医院护理质量的影响。研究时间:本研究为期一年,从 2022 年 12 月至 2023 年 11 月。研究方法以 SERVQUL 问卷为主要量表进行横断面研究,评估社会工作对医疗环境整体质量的影响程度,并在选定的医疗工作者中进行分发。研究结果在随机抽取的 240 名医护人员中,20.8% 的人年龄在 25 至 30 岁之间,大多数(68.3%)为男性,约 45.4%的人拥有学士学位,约 67.5%的人已婚,52.5%的人是实验室技术人员。结果显示,他们的医疗保健评级为中等,平均得分为 58.29;医疗保健依从性评级为中等,平均得分为 98.37。结果显示,受教育程度对患者的医疗质量有显著影响(P 值 =0.012),而职称对患者的医疗质量有显著影响(P 值 =0.001)。然而,在年龄和婚姻状况方面没有观察到明显差异。结论可以得出结论,社会工作是医护人员为加强合作和服务社会而必须开展的一项重要工作。然而,年龄、性别、教育程度和婚姻状况等变量并未产生实质性影响。
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引用次数: 0
Medical Error’ Incidence and Its Relation to Psychological Stressors among Nurses in Jeddah, Saudi Arabia 沙特阿拉伯吉达护士的 "医疗事故 "发生率及其与心理压力的关系
Pub Date : 2023-12-15 DOI: 10.9734/jpri/2023/v35i327468
Wajdi Alansari, Abdullah Hasan Alshaikhi, Mohanna Almutairi, Dalia Khalid H. Kaki, Ali Ghurmullah Alzahrani
Aim: This review aimed to assess the correlation between nurses’ exposure to psychosocial stressors and the occurrence of medical and medication errors in some hospitals of Jeddah and its correlation to other hospitals. Methods: The study utilized a range of approaches. To conduct a thorough literature search, a total of five databases CINAHL, PubMed, COCHRANE, Google Scholar and Web of Science were employed. Results: Using date filters, we ensured that the literature we retrieved was accurate and up to date for the last 5 years across all databases to ensure updated deep analysis evidence to find that from a total of 6019 studies, only seventeen studies were relevant to this review to be analyzed and discussed to find that to mitigate the likelihood of medical incidents/errors, it is imperative to consider factors such as current/recent illness, bodily discomfort, and emotional role as personal challenges for nurses. Additionally, addressing break periods during the night shift and working conditions as administrative concerns is crucial. Conclusion: Research has demonstrated that medical errors constitute the most widespread kind of errors, posing a significant risk to patient safety. Many psychological factors are concerned with rising rates of errors among nurses. The implementation of proactive methods is a successful approach to mitigating medical errors within healthcare settings.
目的:本综述旨在评估吉达一些医院的护士所面临的社会心理压力与医疗和用药错误发生率之间的相关性及其与其他医院的相关性。研究方法:本研究采用了一系列方法。为了进行全面的文献检索,共使用了 CINAHL、PubMed、COCHRANE、Google Scholar 和 Web of Science 五个数据库。结果通过使用日期过滤器,我们确保检索到的所有数据库中过去 5 年的文献都是准确的、最新的,以确保获得最新的深度分析证据,结果发现,在总共 6019 项研究中,只有 17 项研究与本综述相关,我们对这些研究进行了分析和讨论,发现要降低医疗事故/差错发生的可能性,必须考虑护士当前/近期的疾病、身体不适和情感角色等因素,将其视为个人挑战。此外,解决夜班休息时间和工作条件等行政问题也至关重要。结论:研究表明,医疗差错是最普遍的差错类型,对患者安全构成重大风险。护士出错率的上升与许多心理因素有关。采取积极主动的方法是减少医疗机构医疗差错的成功途径。
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引用次数: 0
Neuroimaging and Neuropsychological Performance in Parkinson's Disease Patients with Normal Cognition: A Systematic Review 认知正常的帕金森病患者的神经影像学和神经心理学表现:系统回顾
Pub Date : 2023-12-14 DOI: 10.9734/jpri/2023/v35i327467
Abeer Alanazi, Reema Albakheit, Hamad Alzahrani
Introduction: Cognitive decline is one of Parkinson's disease's (PD) non-motor symptoms that is most frequently observed. Patients with PD exhibit quick cognitive decline in a variety of cognitive domains, particularly in the areas of executive functions, attention, language, memory, and visuospatial abilities. The scope of PD patients with normal cognition (PD-NC) and its relationship to specific regions of the brain as shown by neuroimaging, have not received much attention in the literature. Objective: This review was to summarise the existing literature that explored cognitive performance in PD-NC using different neuroimaging techniques. Methods: A comprehensive search was conducted on PubMed and Web of Science databases. This review focused on papers that investigated neuroimaging and neuropsychological performance in patients with PD. A total of 17 articles have met the criteria. Results: The findings of this review were that executive functions appear to be the most critical cognitive domain to be damaged in PD-NC. Global cognitive ability was found to have insignificant decline overall between PD-NC and healthy controls (HC). Attention and executive functions were associated with the prefrontal cortex. Memory was mainly associated with hippocampal atrophy. Language was associated with cerebrospinal fluid and grey matter. Visuospatial ability was associated with the anterior cingulate cortex. Conclusion:  This review illustrated that PD-NC seemed to experience different cognitive patterns and neuroanatomical changes compared with HC. These results suggested that PD-NC may develop specific cognitive impairments associated with specific brain regions. Therefore, it indicated that PD-NC may need to have specific treatments tailored to their needs.
导言:认知能力下降是帕金森病(PD)最常见的非运动症状之一。帕金森病患者在多个认知领域,尤其是在执行功能、注意力、语言、记忆力和视觉空间能力方面,都表现出快速的认知能力下降。神经影像学显示,认知正常的帕金森氏症患者(PD-NC)的范围及其与大脑特定区域的关系在文献中并未得到广泛关注。研究目的本综述旨在总结利用不同神经影像学技术探讨 PD-NC 认知表现的现有文献。研究方法在 PubMed 和 Web of Science 数据库中进行了全面检索。本综述侧重于研究帕金森病患者神经影像学和神经心理学表现的论文。共有 17 篇文章符合标准。研究结果综述结果表明,执行功能似乎是帕金森病-慢性阻塞性肺病患者受损最严重的认知领域。研究发现,总体认知能力的下降在帕金森综合症晚期患者和健康对照组(HC)之间并不明显。注意力和执行功能与前额叶皮层有关。记忆力主要与海马体萎缩有关。语言与脑脊液和灰质有关。视觉空间能力与前扣带回皮层有关。结论 本综述表明,与 HC 相比,PD-NC 似乎经历了不同的认知模式和神经解剖学变化。这些结果表明,PD-NC 可能会出现与特定脑区相关的特定认知障碍。因此,这表明 PD-NC 可能需要根据他们的需要进行特定的治疗。
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引用次数: 0
Fabrication of Customized Ocular Prosthesis using a Surface Sealant and Modified Laboratory Technique Using Stainless Steel Wire 使用表面密封剂和改良实验室技术(使用不锈钢丝)制作定制眼球假体
Pub Date : 2023-12-12 DOI: 10.9734/jpri/2023/v35i317466
Madhura Titar, P. Sanyal, Shubha Joshi
Eye defects are surgically classified as evisceration, enucleation, and exenteration. It causes psychological trauma as an individual is visually and esthetically compromised. Eye defects can be restored with silicone or acrylic-based prosthesis. This is a case report of a patient with a customized ocular prosthesis where emphasis has been given to securing the iris shell during the laboratory process. A surface sealant has been used to provide glossiness to the prosthesis. The appearance of the patient was enhanced with the eye prosthesis.
眼球缺损在手术上分为开裂、去核和外翻。眼球缺损会给患者的视觉和美观造成影响,从而造成心理创伤。眼球缺损可以用硅胶或丙烯酸类假体进行修复。本病例报告了一名患者的定制义眼,重点是在实验室过程中固定虹膜外壳。修复体表面使用了密封剂,以增加光泽度。义眼使患者的外观得到了提升。
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引用次数: 0
Screening of Alkaloids in Sophora Flavescens with Liquid Chromatography Tandem Data-Dependent Acquisition Mass Spectrometry 用液相色谱-串联数据采集质谱法筛选红花槐中的生物碱
Pub Date : 2023-11-27 DOI: 10.9734/jpri/2023/v35i317465
Hua Wang, Hui Ding
A novel and simple hyphenated method was applied for the screening of alkaloids in S. flavescens. The approach combined easy sample extraction with an ultra-high-performance liquid chromatography (UPLC) and a high-resolution mass spectrometry (HRMS) in the data-dependent acquisition (DDA) method. With the optimized chromatographic program, ten alkaloids were screened. Among them, matrine, oxymatrine, oxysophoridine, sophocarpine, and oxysophocarpine were identified and quantified. The other five alkaloids were identified with accurate m/z value in MS1 and product ions in MS2. The quantification method was validated with specificity, linearity, recovery, and precision. The LOD and LOQ were determined. In twelve batches of collected S. flavescens roots, the identified ten alkaloids were all observed. The oxymatrine was the most abundant component, and sophocarpine was the least abundant in these samples. This comprehensive method is a powerful tool for the biochemical and clinical research of S. flavescens. It can also be adopted in resource utilization and related medicine quality control.
一种新颖、简便的联用方法被用于筛查S.flavescens中的生物碱。该方法将简便的样品提取、超高效液相色谱法(UPLC)和高分辨质谱法(HRMS)结合在一起,采用数据依赖性采集法(DDA)。通过优化色谱程序,共筛选出 10 种生物碱。其中,matrine、oxymatrine、oxysophoridine、sophocarpine 和 oxysophocarpine 得到了鉴定和定量。其他五种生物碱在 MS1 中的 m/z 值准确,在 MS2 中的产物离子准确。对该定量方法的特异性、线性、回收率和精密度进行了验证。确定了定量限(LOD)和最低定量限(LOQ)。在 12 批采集的 S. flavescens 根中,发现了 10 种生物碱。这些样品中含量最高的是氧化苦参碱,含量最低的是苦参碱。这种综合方法是进行 S. flavescens 生化和临床研究的有力工具。它还可用于资源利用和相关药品的质量控制。
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引用次数: 0
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Journal of Pharmaceutical Research International
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