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An Observational Study on Type 2 Diabetes Mellitus Related Risk Factors and Complications in In-patient Department at a Tertiary Care Centre in Telangana, India 印度Telangana三级保健中心住院部2型糖尿病相关危险因素和并发症的观察性研究
Pub Date : 2023-11-11 DOI: 10.9734/jpri/2023/v35i297452
Karra Geetha, Divya Amaravadi, Shaik Razia Begum, Anil Kumar, Nur Hussain, Rama RaoTadikonda
Aims: To identify the risk factors and complications of type 2 diabetes mellitus (T2DM). Study Design: It is a single-centre, prospective, observational study. Place and Duration of Study: This study site includes in-patient departments of Gandhi Hospital, Secunderabad done for a period of six months between December’2022 to May’2023. Methodology: In-patient cases diagnosed with T1DM, T2DM and pre-diabetes were included in study. A data collection form was drafted that included patient demographics (age, sex, height, weight, history in family, risk factors, past medication history, past medical illnesses- HTN (hypertension), dyslipidemia. Lifestyle of patients if physically active/ sedentary and social history as smoker/ alcoholic noted. Fasting Blood Sugar (FBS) was recorded for T2DM along with BMI in kg/m2. Any micro or macro-vascular complications noted during study period. Medications prescribed were assessed for appropriateness in treating Diabetes Mellitus. Case sheets with complete information regarding patient details were only analyzed. Results: 70 cases were collected and analyzed for diabetes out of which 58 cases comprised of T2DM. The majority study population was males 63.79% and with age group 53-69 years (25 cases, 43.10%) being higher. As per WHO-Diabetes Criteria, Pre-Diabetes was highly prevalent of 58.57% at this study site. Higher cases of T2DM (82.85%) was noted which shows the importance of implementing lifestyle changes to prevent macro and micro vascular complications. Symptoms of T2DM were abdominal pain (15, 25.86%) followed by excessive thirst (20.68%), and tiredness (10%). Major risk factors for T2DM were hypertension (15, 25.86%), smoking habit (22.41%), alcohol and obesity (17.24% each) which may have lead to complications associated with T2DM as Nephropathy in 2 cases followed by retinopathy, ischemic stroke, and diabetic foot each 1 case. Metformin as monotherapy (82.75% cases) was preferred treatment for T2DM at this site followed by Glimepiride (12, 20.68%). Conclusion: Study observations conclude that various risk factors can lead to T2DM, hence it is essential to create awareness among the general population on this. Strategies for preventing DM should also be highlighted such as lifestyle changes and following proper dietary guidelines that would avert any life-threatening conditions.
目的:探讨2型糖尿病(T2DM)的危险因素及并发症。研究设计:这是一项单中心、前瞻性观察性研究。 研究地点和时间:本研究地点包括甘地医院的住院部,在2022年12月至2023年5月期间进行了为期6个月的研究。 方法:纳入诊断为T1DM、T2DM和糖尿病前期的住院患者。起草了一份数据收集表,包括患者人口统计数据(年龄、性别、身高、体重、家族史、危险因素、既往用药史、既往医学疾病——高血压、血脂异常)。注意患者的生活方式(如运动/久坐)和吸烟/酗酒的社会历史。记录T2DM患者的空腹血糖(FBS)和BMI (kg/m2)。研究期间有无微血管或大血管并发症。评估所开药物治疗糖尿病的适宜性。仅对包含完整患者详细信息的病例表进行分析。 结果:共收集分析糖尿病70例,其中T2DM 58例。研究人群以男性居多,占63.79%,53 ~ 69岁年龄组较多,占25例,占43.10%。根据世卫组织糖尿病标准,该研究地点的糖尿病前期患病率为58.57%。T2DM的高发病例(82.85%)显示了改变生活方式以预防大微血管并发症的重要性。2型糖尿病的主要症状为腹痛(15.25.86%),其次为过度口渴(20.68%)和疲劳(10%)。T2DM的主要危险因素为高血压(15例,25.86%)、吸烟习惯(22.41%)、酒精和肥胖(各17.24%),可导致T2DM相关并发症,肾病2例,视网膜病变1例,缺血性卒中1例,糖尿病足1例。二甲双胍单药治疗(82.75%)是该部位T2DM的首选治疗方法,其次是格列美脲(12.20.68%)。结论:研究结果表明,多种危险因素可导致2型糖尿病,因此有必要提高普通人群对此的认识。还应强调预防糖尿病的策略,如改变生活方式和遵循适当的饮食指南,以避免任何危及生命的疾病。
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 Study Design: It is a single-centre, prospective, observational study.
 Place and Duration of Study: This study site includes in-patient departments of Gandhi Hospital, Secunderabad done for a period of six months between December’2022 to May’2023.
 Methodology: In-patient cases diagnosed with T1DM, T2DM and pre-diabetes were included in study. A data collection form was drafted that included patient demographics (age, sex, height, weight, history in family, risk factors, past medication history, past medical illnesses- HTN (hypertension), dyslipidemia. Lifestyle of patients if physically active/ sedentary and social history as smoker/ alcoholic noted. Fasting Blood Sugar (FBS) was recorded for T2DM along with BMI in kg/m2. Any micro or macro-vascular complications noted during study period. Medications prescribed were assessed for appropriateness in treating Diabetes Mellitus. Case sheets with complete information regarding patient details were only analyzed.
 Results: 70 cases were collected and analyzed for diabetes out of which 58 cases comprised of T2DM. The majority study population was males 63.79% and with age group 53-69 years (25 cases, 43.10%) being higher. As per WHO-Diabetes Criteria, Pre-Diabetes was highly prevalent of 58.57% at this study site. Higher cases of T2DM (82.85%) was noted which shows the importance of implementing lifestyle changes to prevent macro and micro vascular complications. Symptoms of T2DM were abdominal pain (15, 25.86%) followed by excessive thirst (20.68%), and tiredness (10%). Major risk factors for T2DM were hypertension (15, 25.86%), smoking habit (22.41%), alcohol and obesity (17.24% each) which may have lead to complications associated with T2DM as Nephropathy in 2 cases followed by retinopathy, ischemic stroke, and diabetic foot each 1 case. Metformin as monotherapy (82.75% cases) was preferred treatment for T2DM at this site followed by Glimepiride (12, 20.68%).
 Conclusion: Study observations conclude that various risk factors can lead to T2DM, hence it is essential to create awareness among the general population on this. Strategies for preventing DM should also be highlighted such as lifestyle changes and following proper dietary guidelines that would avert any life-threatening conditions.","PeriodicalId":16718,"journal":{"name":"Journal of Pharmaceutical Research International","volume":"3 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135042053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Work Motivation on Job Performance among Healthcare Providers in Eradah and Mental Health Complex in Jeddah Region, Saudi Arabia 工作动机对吉达地区医疗保健提供者工作绩效的影响
Pub Date : 2023-11-08 DOI: 10.9734/jpri/2023/v35i297451
Abdalrhman Altamimi, Emad faroqu Khodary, Abdulrahman Thabet Alawi, Ahmed Thabet Alawi, Hatim Banjar, Yaser Mohammad Alhindi, Ismail Hadi Shabi
Aims: This study aimed to assess work motivation levels among healthcare providers in the Eradah Complex and evaluate healthcare providers’ job performance, considering various dimensions. Study Design: A cross sectional study design. Place and Duration of Study: The target population for this research comprises healthcare providers working within the Eradah Complex in Jeddah, Saudi Arabia, including a diverse range of professionals, such as doctors, nurses, administrative staff, and other healthcare personnel, who collectively contribute to providing healthcare services within the complex, between June 2023 and September 2023. Methodology: A cross-sectional design with comprising healthcare providers working in Eradah Complex in Jeddah, with diverse range of professionals, such as doctors, nurses, and administrative staff, Data for this study were collected through the administration of a structured questionnaire and then the data for this study was collected from healthcare providers working within the Eradah Complex in Jeddah, Saudi Arabia. Data from the structured questionnaires had been distributed within two-week timeframe for the participants to complete the questionnaires. Data reliability and statistical analyses using appropriate tests was done using SPSS version 25.0 program. Results: This study involved 212 participants from different age groups with a mean age of 37.6±1.3 years old, and predominant male gender (75%), educational level, and professional status with majority (29.7%) of nurses participated in this study, that there was a significant difference in Work Motivation according to Profession (F= 2.68, P-value = 0.011), but there was no significant difference in the other demographic characteristics (age, gender, marital status, education level, and experience year, and there was a significant difference in Job Performance according to age (F= 3.655, P-value = 0.028). Conclusion: It was observed that there was a significant effect of work motivation on job performance, so the work motivational process may enhance the job performance among healthcare workers in some of Jeddah hospitals.
目的:本研究旨在评估医疗服务提供者的工作动机水平,并评估医疗服务提供者的工作绩效,考虑不同的维度。 研究设计:横断面研究设计 研究地点和时间:本研究的目标人群包括在沙特阿拉伯吉达的根除综合体内工作的医疗保健提供者,包括各种专业人员,如医生、护士、行政人员和其他医疗保健人员,他们在2023年6月至2023年9月期间共同为综合体内提供医疗保健服务作出贡献。 方法:采用横断面设计,包括在吉达radah综合医院工作的医疗保健提供者,包括各种专业人员,如医生、护士和行政人员。本研究的数据通过结构化问卷的管理收集,然后从沙特阿拉伯吉达radah综合医院的医疗保健提供者收集本研究的数据。结构化问卷的数据在两周内分发给参与者完成问卷。采用SPSS 25.0版程序进行数据信度和统计分析。 结果:本研究共纳入212名不同年龄段的被试,平均年龄为37.6±1.3岁,男性占主导地位(75%),文化程度和专业地位占多数(29.7%),其中护士职业在工作动机方面存在显著差异(F= 2.68, p值= 0.011),其他人口学特征(年龄、性别、婚姻状况、文化程度、工作年限)无显著差异。不同年龄在工作绩效上存在显著差异(F= 3.655, p值= 0.028)。 结论:工作动机对工作绩效有显著影响,工作动机过程可以提高吉达部分医院医护人员的工作绩效。
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 Study Design: A cross sectional study design.
 Place and Duration of Study: The target population for this research comprises healthcare providers working within the Eradah Complex in Jeddah, Saudi Arabia, including a diverse range of professionals, such as doctors, nurses, administrative staff, and other healthcare personnel, who collectively contribute to providing healthcare services within the complex, between June 2023 and September 2023.
 Methodology: A cross-sectional design with comprising healthcare providers working in Eradah Complex in Jeddah, with diverse range of professionals, such as doctors, nurses, and administrative staff, Data for this study were collected through the administration of a structured questionnaire and then the data for this study was collected from healthcare providers working within the Eradah Complex in Jeddah, Saudi Arabia. Data from the structured questionnaires had been distributed within two-week timeframe for the participants to complete the questionnaires. Data reliability and statistical analyses using appropriate tests was done using SPSS version 25.0 program.
 Results: This study involved 212 participants from different age groups with a mean age of 37.6±1.3 years old, and predominant male gender (75%), educational level, and professional status with majority (29.7%) of nurses participated in this study, that there was a significant difference in Work Motivation according to Profession (F= 2.68, P-value = 0.011), but there was no significant difference in the other demographic characteristics (age, gender, marital status, education level, and experience year, and there was a significant difference in Job Performance according to age (F= 3.655, P-value = 0.028).
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引用次数: 0
Compound Characterization and Evaluation of Antioxidant Potential of Ethanol Extract Spatholobus littoralis Hassk in Kolaka, Southeast Sulawesi, Indonesia 印尼苏拉威西东南部Kolaka产滨海鸡血藤乙醇提取物的化合物表征及抗氧化潜力评价
Pub Date : 2023-11-06 DOI: 10.9734/jpri/2023/v35i287450
Ruslin Hadanu, None Irwansyah, None Sartika G. P., Retno Wahyuningrum
The bajakah tampala plant (Spahtolobus littoralis Hassk) has been traditionally believed by the public to cure cancer, tumors, heart disease, stroke, and diabetes. However, empirically the public does not yet know the chemical compound content and there have been no studies on biological activity tests, especially the antioxidants of bajakah tampala from Kolaka, Southeast Sulawesi. The aim of this research is a qualitative analysis of the chemical compounds of the ethanol extract of bajakah tampala roots and testing of antioxidant activity. Analysis of the chemical compounds of the ethanol extract of bajakah tampala roots using an FT-IR spectrophotometer and LC-MS/MS. The antioxidant activity of the bajakah tampala root ethanol extract was tested using the DPPH immersion method and the absorption was measured using a UV-Viss spectrophotometer and using the positive control quercetin. The results of the research showed that the ethanol extract of bajakah tampala roots had 8 chemical components that were detected, namely compound 1 apocynoside I, compound 2 quercetin, compound 3 hexosylphingosine, compound 4 3-hydroxy-7-methoxybaicalein, compound 5 momor-cerebroside I, compound 6 ambronal, compound 7 stigmastan-3,6-dione, and compound 8 trilaurin. The ethanol extract of bajakah tampala roots has an antioxidant activity of 21.75 µg/mL which is lower, compared to the antioxidant activity of quercetin of 2.91 µg/mL as a positive control, however the antioxidant activity of the ethanol extract of bajakah tampala roots is still included in the very strong category.
传统上,公众认为巴加坦帕拉(Spahtolobus littoralis Hassk)可以治疗癌症、肿瘤、心脏病、中风和糖尿病。然而,从经验上看,公众还不知道其化合物含量,也没有关于生物活性测试的研究,特别是来自苏拉威西东南部Kolaka的巴贾卡坦帕拉的抗氧化剂。本研究的目的是定性分析坦帕拉根乙醇提取物的化学成分并测试其抗氧化活性。FT-IR分光光度计和LC-MS/MS联用技术分析白参根乙醇提取物的化学成分。采用DPPH浸渍法测定巴加根乙醇提取物的抗氧化活性,紫外-可见分光光度计测定其吸光度,阳性对照槲皮素测定其吸光度。研究结果表明,竹叶根乙醇提取物中检出8种化学成分,分别为化合物1 apocynoside I、化合物2槲皮素、化合物3己糖硫苷、化合物4 3-羟基-7-甲氧基黄芩苷、化合物5 moman -cerebroside I、化合物6 ambronal、化合物7 stigmastan-3,6-dione和化合物8 trilaurin。与阳性对照槲皮素的抗氧化活性2.91µg/mL相比,坦帕拉根乙醇提取物的抗氧化活性为21.75µg/mL,低于槲皮素的抗氧化活性,但坦帕拉根乙醇提取物的抗氧化活性仍然属于很强的范畴。
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引用次数: 0
Gastric Ulcer Mechanism, Protection and Treatment from Natural Sources 天然来源的胃溃疡机制、保护和治疗
Pub Date : 2023-11-04 DOI: 10.9734/jpri/2023/v35i287449
Shiv Kumar, None Arushi, Vijay Sharma, Manjula Devi
Gastric acid secretions are main cause for formation of gastric ulcers that are attributed by Helicobacter pylori infection and extensive use of NSAIDs (non-steroidal anti-inflammatory drugs). These contributors facilitate the initiation of cellular and molecular signalling pathways in our body that give rise to formation of gastric ulcer. Generally, gastric ulcer results in minute to deep invading of gastric mucosal linings which may produce harmful symptoms in our body. Non-infectious gastric ulcers are another problem related with gastro-intestinal disorders that mainly caused because of poor daily activities including alcohol consumption, oxidative stress, mental stress and low consumption in healthy food intake. Stress plays a crucial role in the formation gastric ulceration due to its effect on the generation of ROS (reactive oxygen species) and RNS (reactive nitrogen species).Gastric cancer is found common in severe ulceration and gastric lesions. This type of cancer mainly attributed by untreated gastric ulcer and other related infected and inflammatory conditions. They all increase the worldwide incidence of morbidity and mortality rates. Therefore, a novel approach towards research and development has been must to categorise these complications. Natural agents with adaptogenic and antioxidant properties are useful in this situation. Some of the herbal extracts have been used from ancient times due to their cytoprotective, anti-inflammatory and antioxidant effects. New approaches are still on progress to obtain a potential phytopharmaceutical and natural agent to treat these disorders. It has been reported anti-secretory effects of herbal preparations give rise to protective action in the cure of gastric ulcers. We try to explain mechanisms involve in this complication and important pharmacological activity of natural extracts to counter act these symptoms in our review.
胃酸分泌物是胃溃疡形成的主要原因,胃溃疡是由幽门螺杆菌感染和大量使用非甾体抗炎药引起的。这些因素促进了我们体内细胞和分子信号通路的启动,从而导致胃溃疡的形成。一般情况下,胃溃疡会侵入胃粘膜,并对人体产生有害的症状。非传染性胃溃疡是另一个与胃肠道疾病有关的问题,主要是由于日常活动不足造成的,包括饮酒、氧化应激、精神压力和健康食物摄入不足。应激通过影响活性氧(ROS)和活性氮(RNS)的生成,在胃溃疡的形成中起着至关重要的作用。胃癌常见于严重溃疡和胃病变。这种类型的癌症主要归因于未经治疗的胃溃疡和其他相关的感染和炎症状况。它们都增加了世界范围内的发病率和死亡率。因此,必须采用一种新的研究和开发方法来对这些并发症进行分类。在这种情况下,具有适应性和抗氧化特性的天然药物是有用的。由于具有细胞保护、抗炎和抗氧化作用,一些草药提取物自古以来就被使用。新的方法仍在进展中,以获得潜在的植物药物和天然药物来治疗这些疾病。据报道,草药制剂的抗分泌作用在胃溃疡的治疗中起保护作用。在我们的综述中,我们试图解释涉及这种并发症的机制以及天然提取物对抗这些症状的重要药理活性。
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引用次数: 0
Healthcare Professionals' Knowledge, Attitude and Perception toward Adverse Drug Reaction Reporting in Saudi Arabia: A Systematic Review 沙特阿拉伯医疗保健专业人员对药物不良反应报告的知识、态度和感知:一项系统综述
Pub Date : 2023-11-03 DOI: 10.9734/jpri/2023/v35i287448
Hana Jaffar Al Khabbaz
Aims: To systematically evaluate the currently available evidences about the knowledge, attitude and perceptions of healthcare professionals in Saudi Arabia towards reporting adverse drug reactions to the Saudi Food and Drug Authority (Saudi FDA) as the regulatory authority monitoring adverse drug reactions in the country. Study Design: Systematic Review. Methodology: A systematic search of the literature was conducted on ScienceDirect, PubMed, OVID databases as well as Google Scholar for all studies published in English up to June 2023. Strengthening the Reporting of Observational Studies in Epidemiology Joanna Briggs Institute (STROBE) checklist was used to appraise the quality of the cross-sectional studies included in this review. Results: A total of 27 studies conducted in different healthcare institutions in Saudi Arabia were included in the systematic review. Overall, in the knowledge domain, the awareness of healthcare professionals toward the existence of a national pharmacovigilance adverse drug reaction reporting system ranged from 10% to 95%. In the attitude domain, the belief of the healthcare professionals that reporting adverse drug reaction is a professional obligation ranged from 12.80% to 90.20%. In the perception domain, 46.53% to 100% of healthcare professionals perceive adverse drug reaction reporting has a positive impact on healthcare system and improves patient’s care and quality of life. Conclusion: Despite having positive attitude toward reporting adverse drug reaction, the healthcare professionals require more education and training in utilizing the Saudi FDA provided adverse drug reaction form and online system to report on the adverse drug reaction that they encounter during their practice.
目的:系统地评估沙特阿拉伯医疗保健专业人员对向沙特食品和药物管理局(沙特FDA)报告药物不良反应的知识、态度和看法的现有证据,沙特FDA是该国监测药物不良反应的监管机构。& # x0D;研究设计:系统评价。 方法:对截至2023年6月发表的所有英文研究在ScienceDirect、PubMed、OVID数据库和Google Scholar上进行了系统的文献检索。采用乔安娜·布里格斯研究所(STROBE)检查表对纳入本综述的横断面研究的质量进行评价。 结果:在沙特阿拉伯不同医疗机构进行的27项研究被纳入系统评价。总体而言,在知识领域,卫生保健专业人员对存在国家药物警戒药物不良反应报告系统的认知度在10%到95%之间。在态度领域,医疗保健专业人员认为报告药物不良反应是一种职业义务的比例在12.80%至90.20%之间。在感知领域,46.53%至100%的医疗保健专业人员认为药物不良反应报告对医疗保健系统具有积极影响,并改善了患者的护理和生活质量。 结论:尽管医疗保健专业人员对报告药物不良反应持积极态度,但在利用沙特FDA提供的药物不良反应表和在线系统报告其在执业过程中遇到的药物不良反应方面,还需要更多的教育和培训。
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 Study Design: Systematic Review.
 Methodology: A systematic search of the literature was conducted on ScienceDirect, PubMed, OVID databases as well as Google Scholar for all studies published in English up to June 2023. Strengthening the Reporting of Observational Studies in Epidemiology Joanna Briggs Institute (STROBE) checklist was used to appraise the quality of the cross-sectional studies included in this review.
 Results: A total of 27 studies conducted in different healthcare institutions in Saudi Arabia were included in the systematic review. Overall, in the knowledge domain, the awareness of healthcare professionals toward the existence of a national pharmacovigilance adverse drug reaction reporting system ranged from 10% to 95%. In the attitude domain, the belief of the healthcare professionals that reporting adverse drug reaction is a professional obligation ranged from 12.80% to 90.20%. In the perception domain, 46.53% to 100% of healthcare professionals perceive adverse drug reaction reporting has a positive impact on healthcare system and improves patient’s care and quality of life.
 Conclusion: Despite having positive attitude toward reporting adverse drug reaction, the healthcare professionals require more education and training in utilizing the Saudi FDA provided adverse drug reaction form and online system to report on the adverse drug reaction that they encounter during their practice.","PeriodicalId":16718,"journal":{"name":"Journal of Pharmaceutical Research International","volume":"43 21","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135820345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of Potential Drug-drug Interactions in Prescription in Outpatient Department of Tertiary Care Hospital 三级医院门诊处方中潜在药物相互作用的评价
Pub Date : 2023-11-01 DOI: 10.9734/jpri/2023/v35i287447
Sunil M. Mahakalkar, Akhil Giradkar, Rahul Gholse, Umesh Rathod, Divya Raj
Aims: To evaluate potential drug- drug interactions (pDDIs) in prescriptions generated in outpatient department. Study Design: A cross sectional, observational study. Place and Duration of Study: Pharmacy store, Government Medical College & Hospital, Nagpur, between July 2022 to September 2022. Methodology: Cross Sectional study performed in outpatient department from July 2022 to September 2022 analysed 382 patient prescriptions (Male : Female 1.41 : 1.0 ; Mean Age 33.67 ± 23.18 ) to evaluate for potential DDIs. Precription with atleast 2 drugs were included in the analysis. Data was analysed for potential drug- drug interactions using Rx list drug interaction checker Online, an online software to check drug-drug interactions (https://www.rxlist.com/drug-interaction-checker.htm) available on the website. Descriptive statistics were performed using MS Excel 2019. Results: Of the 382 (Male: Female 1.41 : 1.0 ; Mean Age 33.67 ± 23.18 )prescriptions analysed for potential DDIs , 55 prescription were found to have potential DDIs. In those 55 prescriptions, 73 potential DDIs were identified. Conclusion: Incidence of potential drug- drug interactions was found to be 14.39% in these study.
目的:评价门诊处方中潜在的药物-药物相互作用(pddi)。 研究设计:横断面观察性研究。 学习地点和时间:药店、政府医学院等;医院,那格浦尔,2022年7月至2022年9月。方法:横断面研究于2022年7月至2022年9月在门诊进行,分析了382例患者的处方(男:女1.41:1.0;平均年龄(33.67±23.18)评估潜在的ddi。处方中至少有2种药物被纳入分析。使用Rx list drug interaction checker Online(一种用于检查药物-药物相互作用的在线软件)(https://www.rxlist.com/drug-interaction-checker.htm)对数据进行潜在的药物-药物相互作用分析。描述性统计使用MS Excel 2019. 结果:382例(男:女1.41例:1.0例;平均年龄(33.67±23.18)张处方存在潜在ddi, 55张处方存在潜在ddi。在这55张处方中,鉴定出73张潜在的ddi。 结论:本研究发现潜在药物-药物相互作用发生率为14.39%。
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 Study Design: A cross sectional, observational study.
 Place and Duration of Study: Pharmacy store, Government Medical College & Hospital, Nagpur, between July 2022 to September 2022.
 Methodology: Cross Sectional study performed in outpatient department from July 2022 to September 2022 analysed 382 patient prescriptions (Male : Female 1.41 : 1.0 ; Mean Age 33.67 ± 23.18 ) to evaluate for potential DDIs. Precription with atleast 2 drugs were included in the analysis. Data was analysed for potential drug- drug interactions using Rx list drug interaction checker Online, an online software to check drug-drug interactions (https://www.rxlist.com/drug-interaction-checker.htm) available on the website. Descriptive statistics were performed using MS Excel 2019.
 Results: Of the 382 (Male: Female 1.41 : 1.0 ; Mean Age 33.67 ± 23.18 )prescriptions analysed for potential DDIs , 55 prescription were found to have potential DDIs. In those 55 prescriptions, 73 potential DDIs were identified.
 Conclusion: Incidence of potential drug- drug interactions was found to be 14.39% in these study.","PeriodicalId":16718,"journal":{"name":"Journal of Pharmaceutical Research International","volume":"34 9-10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135272639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Molecular Modeling of Enoyl Acyl Carrier Protein Reductase Inhibitors for Mycobacterium tuberculosis and their Pharmacokinetic Predictions 结核分枝杆菌烯丙基酰基载体蛋白还原酶抑制剂的分子模拟及其药代动力学预测
Pub Date : 2023-10-30 DOI: 10.9734/jpri/2023/v35i287446
Narcisse Fidèle Zonon, Logbo Mathias Mousse, Koffi N’Guessan Placide Gabin Allangba, Koffi Charles Kouman, Eugene Megnassan
Tuberculosis (TB) is a deep public health concern worldwide worsened by reported multi drugresistant (MDR) and extensively drug- resistant (XDR) stralins of Mycobacterium tuberculosis, the causative agent of the disease. A new class of thiadiazole inhibitors were reported to inhibit the enoyl-acyl transporter protein reductase (InhA) of Mycobacterium tuberculosis (MTb). We performed here the computer-aided molecular design of novel thiadiazole (TDZ) inhibitors of InhA by in situ modifying the reference crystal structure of (S)-1-(5-((1-(2,6-difluorobenzyl)-1 H-pyrazol-3yl)amino)-1,3,4-thiadiazol-2-yl)-1-(4-methylthiazol-2-yl)ethanol-InhA (PDB code: 4BQP). Thus a training set of 15 hybrids with known inhibition potency (left(mathrm{IC}_{50}^{exp }right)) was selected to establish a onedescriptor quantitative structure-activity relationship (QSAR) model resulting in a linear correlation between the Gibbs free energy (GFE) during the formation of the InhA-TDZ complex and (mathrm{IC}_{50}^{mathrm{exp}}left(mathrm{plC} mathrm{C}_{50} exp ==-0.29 mathrm{x} Delta Delta mathrm{G}_{mathrm{com}}+8.13 ; mathrm{n}=15 ; mathrm{R}^2=0.92, mathrm{R}^2{ }_{mathrm{xv}}=0.91 ;right.) F-test of (142.6 ; sigma=0.21 ; alpha>) (left.95 % ; R^2-R_{x v}^2=0.01right)). The 3D pharmacophore model ((mathrm{PH} 4)) generated from the active conformations of TDZs ( (mathrm{pIC}_{50}^{mathrm{exp}}=0.93 times mathrm{pIC}_{50}^{text {pred }}+0.47 ; mathrm{n}=15 ; mathrm{R}^2=0.97 ; mathrm{R}_{mathrm{xv}}=0.94 ;) F-test of (215.45 ; sigma=0.17 ; alpha>98 % ; R^2-R_{x v}^2=0.03) ) served as a virtual screening tool for new analogs from a virtual library (VL). The combination of molecular modeling and (mathrm{PH} 4) in silico screening of ((mathrm{VL})) resulted in the identification of novel potent antitubercular agent candidates with favorable pharmacokinetic profiles of which the six best hits predicted inhibitory potencies (mathrm{IC}_{50}^{text {pre }}) in the sub nanomolar range ((0.1-0.2 mathrm{nM})).
结核病(TB)是世界范围内严重的公共卫生问题,据报道,该病的病原体结核分枝杆菌(Mycobacterium Tuberculosis)具有多重耐药(MDR)和广泛耐药(XDR)菌株,使其恶化。报道了一类新的噻二唑抑制剂抑制结核分枝杆菌(MTb)烯酰酰基转运蛋白还原酶(InhA)。本文通过原位修饰(S)-1-(5-((1-(2,6-二氟苯基)-1 h -吡唑-3基)氨基)-1,3,4-噻二唑-2-基)-1-(4-甲基噻唑-2-基)乙醇-InhA (PDB代码:4BQP)的参考晶体结构,进行了新型噻二唑(TDZ) InhA抑制剂的计算机辅助分子设计。因此,我们选取了15个已知抑制力(left(mathrm{IC}_{50}^{exp }right))的杂合物作为训练集,建立了一个单描述定量构效关系(QSAR)模型,得到了InhA-TDZ配合物形成过程中的吉布斯自由能(GFE)与(142.6 ; sigma=0.21 ; alpha>)(left.95 % ; R^2-R_{x v}^2=0.01right))的(mathrm{IC}_{50}^{mathrm{exp}}left(mathrm{plC} mathrm{C}_{50} exp ==-0.29 mathrm{x} Delta Delta mathrm{G}_{mathrm{com}}+8.13 ; mathrm{n}=15 ; mathrm{R}^2=0.92, mathrm{R}^2{ }_{mathrm{xv}}=0.91 ;right.) f检验之间的线性关系。由TDZs活性构象生成的三维药效团模型((mathrm{PH} 4)) ((215.45 ; sigma=0.17 ; alpha>98 % ; R^2-R_{x v}^2=0.03)的f检验(mathrm{pIC}_{50}^{mathrm{exp}}=0.93 times mathrm{pIC}_{50}^{text {pred }}+0.47 ; mathrm{n}=15 ; mathrm{R}^2=0.97 ; mathrm{R}_{mathrm{xv}}=0.94 ;))作为虚拟库(VL)中新的类似物的虚拟筛选工具。结合分子建模和(mathrm{PH} 4) ((mathrm{VL}))的硅筛选,鉴定出具有良好药代动力学特征的新型有效抗结核药物候选物,其中六个最佳命中预测抑制效力(mathrm{IC}_{50}^{text {pre }})在亚纳摩尔范围((0.1-0.2 mathrm{nM}))。
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引用次数: 0
Intravenous Hyoscine Butylbromide “Scopolamine” for the Treatment of Extrapyramidal Symptoms: A Case Report 静脉注射丁基溴莨菪碱治疗锥体外系症状1例
Pub Date : 2023-10-28 DOI: 10.9734/jpri/2023/v35i277445
None Alanazi Saleh Farhan M.
Aim: Extrapyramidal symptoms (EPS) represent motor disturbances frequently induced by medications that impact the dopamine pathways. Although not traditionally employed for addressing EPS, there is potential in using hyoscine butylbromide, an anticholinergic antispasmodic, owing to its mechanism of action that influences cholinergic receptors. Presentation of Case: We present a 34-year-old female patient, post-haemorrhoidectomy under spinal anaesthesia, who developed post-lumbar puncture headache with nausea and vomiting. A single dose of metoclopramide (10 mg) led to rapid onset of EPS—tremor, restlessness, and akathisia. Intravenous hyoscine butylbromide (20 mg) resulted in prompt alleviation of EPS. Discussion and Conclusion: This case highlights hyoscine butylbromide's potential in managing medication-induced EPS, even in unconventional cases. Rapid symptom resolution and a 7-day follow-up without side effects underscore its short-term efficacy and safety. While broader application and mechanisms necessitate further research, hyoscine butylbromide could be a valuable option for EPS management.
目的:锥体外系症状(EPS)通常是由影响多巴胺通路的药物引起的运动障碍。虽然传统上不用于治疗EPS,但由于其作用机制影响胆碱能受体,因此使用抗胆碱能抗痉挛药海莨菪碱丁基溴具有潜力。 病例介绍:我们报告一名34岁的女性患者,在脊髓麻醉下进行痔疮切除术后,出现腰穿刺后头痛并恶心和呕吐。单剂量甲氧氯普胺(10mg)可导致eps -震颤、躁动和静坐症的快速发作。静脉注射丁溴海莨菪碱(20mg)可迅速缓解EPS。 讨论与结论:本病例强调了海莨菪碱丁基溴在治疗药物性EPS方面的潜力,即使在非常规病例中也是如此。快速的症状消退和7天的随访无副作用,强调了其短期疗效和安全性。虽然更广泛的应用和机制需要进一步研究,但海莨菪碱丁基溴可能是EPS管理的有价值的选择。
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 Presentation of Case: We present a 34-year-old female patient, post-haemorrhoidectomy under spinal anaesthesia, who developed post-lumbar puncture headache with nausea and vomiting. A single dose of metoclopramide (10 mg) led to rapid onset of EPS—tremor, restlessness, and akathisia. Intravenous hyoscine butylbromide (20 mg) resulted in prompt alleviation of EPS.
 Discussion and Conclusion: This case highlights hyoscine butylbromide's potential in managing medication-induced EPS, even in unconventional cases. Rapid symptom resolution and a 7-day follow-up without side effects underscore its short-term efficacy and safety. While broader application and mechanisms necessitate further research, hyoscine butylbromide could be a valuable option for EPS management.","PeriodicalId":16718,"journal":{"name":"Journal of Pharmaceutical Research International","volume":"31 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136233312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Knowing the Unknown: A Review on Nanotechnology in Orthodontics 了解未知:纳米技术在正畸中的研究进展
Pub Date : 2023-10-27 DOI: 10.9734/jpri/2023/v35i277443
None Ali Fathima S., None Abiraj K. R., None Pratheesh A. P., Sonu M. Mohan, None Krishna A. S., None Dynamol S.
Nanotechnology is the structuring and manipulation of matter at nanoscale for the creation of new particles and devices. The applications of nanotechnology are being explored in various arenas including health care. The use of this technology aims to improvise the quality of health care being rendered to the patients. Nanotechnology has paved its way into various specialties of dentistry including orthodontics. The goal of these innovations and research in this field is to improve human life and health. The merging of nanotechnology with orthodontics helps the clinicians to a great extent in improving the quality of patient care and its applications. This article aims to summarize and describe the most recent advancements and well-known nanotechnological innovations in the field of orthodontics and the use of new nanomaterials, nano devices, nano LIPUS, nano particles and nano sensors incorporation of the same to the arsenal of Orthodontics.
纳米技术是在纳米尺度上构建和操纵物质,以创造新的粒子和设备。纳米技术在包括医疗保健在内的各个领域的应用正在被探索。这项技术的使用旨在提高向患者提供的医疗保健的质量。纳米技术已经进入了包括牙齿矫正在内的各种牙科专业。该领域的这些创新和研究的目标是改善人类的生活和健康。纳米技术与正畸学的结合在很大程度上有助于临床医生提高患者护理质量及其应用。本文旨在总结和描述正畸领域的最新进展和众所周知的纳米技术创新,以及新型纳米材料,纳米器件,纳米LIPUS,纳米颗粒和纳米传感器的使用,这些都与正畸的军库相结合。
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引用次数: 1
The Effect of Tannic Acid as Antimicrobial Agent on Pseudomonas aeruginosa Using In-vitro Diffusion Method 单宁酸体外扩散法对铜绿假单胞菌的抑菌作用
Pub Date : 2023-10-26 DOI: 10.9734/jpri/2023/v35i277442
None Sardjiman, Rolando Rahardjoputro, Joko Santoso
Background: Bacterial infection is a health problem that has long been attention in the world of health. Various antimicrobials have been discovered and developed by researchers to solve pathogenic bacterial infections. Pseudomonas aeruginosa is a pathogenic bacteria that is often of concern to researchers because it has the potential to become resistant to a number of antibiotics. Tannic acid is known to have potential antibacterial activity against pathogenic bacteria. The antibacterial activity of tannic acid is interesting to study considering its great potential as an antimicrobial agent for pathogenic bacterial infections. Aims: To find out the antibacterial potential of tannic acid compounds against Pseudomonas aeruginosa In-vitro using the disc diffusion method. Methodology: This research is quantitative research with experimental methods. This research was carried out at the Pharmacy Laboratory of Kusuma Husada Surakarta University, Indonesia between April and May 2023. The sample for this study was a certified bacterial culture of Pseudomonas aeruginosa ATCC 27853 originating from a stock culture from the laboratory. We use certified tannic acid from Merck Millipore. The tannic acid in powder form was dissolved in a 1% DMSO solution. The sample solution containing tannic acid in 1% DMSO was dropped on a Kirby-Bauer disk and placed on an agar plate inoculated with bacteria. One petri dish contains five discs with different samples placed at adequate distances. There were 0.5% tannic acid solution, 1% tannic acid solution, and 2% tannic acid solution, negative control 1% DMSO solution and positive control ciprofloxacin 5 µg/ml. Replication was carried out five times. Results: Tannic acid with a concentration of 0.5% has an average inhibitory zone of 102 mm. A 1% concentration of tannic acid has an average inhibitory zone of 121 mm. A 2% concentration of tannic acid has an average inhibitory zone of 150 mm. The positive control used, namely the antibiotic ciprofloxacin, obtained an average inhibitory zone of 350 mm. The negative control used, namely 1% DMSO solution, had no inhibitory zone at all. Statistical tests using the Kruskal-Wallis test showed that there was a significant difference with a value of p = 0.000. Conclusion: The tannic acid compound is an active compound that has antimicrobial activity against Pseudomonas aeruginosa ATCC 27853 and its application in health can be considered.
背景:细菌感染是世界卫生领域长期关注的健康问题。研究人员已经发现并开发了各种抗菌剂来解决致病性细菌感染。铜绿假单胞菌是一种致病细菌,经常引起研究人员的关注,因为它有可能对许多抗生素产生耐药性。已知单宁酸对致病菌具有潜在的抗菌活性。考虑到单宁酸作为病原菌感染的抗菌剂的巨大潜力,研究单宁酸的抗菌活性是一个有趣的问题。 目的:采用圆盘扩散法研究单宁酸类化合物对铜绿假单胞菌的体外抑菌作用。研究方法:本研究采用实验方法进行定量研究。这项研究于2023年4月至5月在印度尼西亚Kusuma Husada Surakarta大学的药学实验室进行。本研究的样本是经认证的铜绿假单胞菌ATCC 27853细菌培养物,源自实验室的一种家畜培养物。我们使用默克密理博认证的单宁酸。将粉末形式的单宁酸溶解在1%的二甲基亚砜溶液中。将含有1% DMSO单宁酸的样品溶液滴在Kirby-Bauer圆盘上,置于接种了细菌的琼脂板上。一个培养皿包含五个圆盘,不同的样品放置在适当的距离。分别为0.5%单宁酸溶液、1%单宁酸溶液、2%单宁酸溶液,阴性对照1% DMSO溶液,阳性对照环丙沙星5µg/ml。重复进行了五次。 结果:单宁酸浓度为0.5%时,平均抑菌带为102 mm。1%浓度的单宁酸的平均抑制带为121毫米。2%浓度的单宁酸的平均抑制带为150毫米。阳性对照,即抗生素环丙沙星,获得了平均350毫米的抑制带。阴性对照,即1% DMSO溶液,完全没有抑制带。使用Kruskal-Wallis检验的统计检验显示存在显著差异,p = 0.000。 结论:单宁酸化合物是一种对铜绿假单胞菌ATCC 27853具有抑菌活性的活性化合物,可考虑其在卫生领域的应用。
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 Aims: To find out the antibacterial potential of tannic acid compounds against Pseudomonas aeruginosa In-vitro using the disc diffusion method.
 Methodology: This research is quantitative research with experimental methods. This research was carried out at the Pharmacy Laboratory of Kusuma Husada Surakarta University, Indonesia between April and May 2023. The sample for this study was a certified bacterial culture of Pseudomonas aeruginosa ATCC 27853 originating from a stock culture from the laboratory. We use certified tannic acid from Merck Millipore. The tannic acid in powder form was dissolved in a 1% DMSO solution. The sample solution containing tannic acid in 1% DMSO was dropped on a Kirby-Bauer disk and placed on an agar plate inoculated with bacteria. One petri dish contains five discs with different samples placed at adequate distances. There were 0.5% tannic acid solution, 1% tannic acid solution, and 2% tannic acid solution, negative control 1% DMSO solution and positive control ciprofloxacin 5 µg/ml. Replication was carried out five times.
 Results: Tannic acid with a concentration of 0.5% has an average inhibitory zone of 102 mm. A 1% concentration of tannic acid has an average inhibitory zone of 121 mm. A 2% concentration of tannic acid has an average inhibitory zone of 150 mm. The positive control used, namely the antibiotic ciprofloxacin, obtained an average inhibitory zone of 350 mm. The negative control used, namely 1% DMSO solution, had no inhibitory zone at all. Statistical tests using the Kruskal-Wallis test showed that there was a significant difference with a value of p = 0.000.
 Conclusion: The tannic acid compound is an active compound that has antimicrobial activity against Pseudomonas aeruginosa ATCC 27853 and its application in health can be considered.","PeriodicalId":16718,"journal":{"name":"Journal of Pharmaceutical Research International","volume":"30 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134908130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Journal of Pharmaceutical Research International
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