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Embodiment of Pharmacist Intervention in Palliative Care and Augmentation of a Curriculum for Its Assessment 药剂师介入姑息治疗的体现及其评估课程的扩充
Pub Date : 2024-05-24 DOI: 10.1177/0976500x241240632
Ann Lithia Thomas, Asiya Nasouha, Aswanth Anil, Dilip Chandrasekhar, Pallavi Palasseri
Palliative care is the care of patients who have progressive, life-threatening illnesses and who are facing death in the foreseeable future. Since there is a growing need for pharmacist’s intervention in palliative care and there is a gap in the education of palliative care for pharmacy students, this study aims to identify roles and services that have to be performed by palliative care pharmacists in medication-related areas and also to formulate an add-on course to train pharmacy graduates. A prospective interventional study was done in the palliative care centre in Perinthalmanna, Kerala, India. Relevant data were pooled and analysed for drug-related problems. Necessary interventions were made. Results were interpreted and an add-on course for the training of pharmacy graduates was formulated. A total of 88 patients were included in the study. The most prevalent conditions in our palliative setting were kidney disease, liver disease, cancer and stroke. Notably, 38 and 10 cases were found to have drug interactions and drug duplications, respectively. Four patients required dosage adjustments. Fifty cases involved pharmacist intervention which improved the outcome by 80%. At the end of the study, a curriculum was formulated to implement a 3-month add-on course entitled ‘PALLIATIVE PHARMACY’ under the guidance of an Expert committee for training pharmacists and pharmacy students. The study identified that there are various roles a pharmacist must undertake in a palliative setup. The involvement of pharmacists in patients’ treatment helps to prevent drug-related problems to a greater extent. The addition of an integrated course for the management of palliative care patients will help to improve the learning as well as practical skills of pharmacists. Incorporating basic and clinical sciences in the therapeutic course is an effective learning plan.
姑息关怀是对患有进展性、危及生命的疾病并在可预见的未来面临死亡的病人的关怀。由于对药剂师介入姑息关怀的需求日益增长,而药剂学专业学生在姑息关怀教育方面存在空白,因此本研究旨在确定姑息关怀药剂师在用药相关领域必须履行的职责和提供的服务,并为培训药剂学专业毕业生制定附加课程。在印度喀拉拉邦佩林塔尔曼纳的姑息关怀中心开展了一项前瞻性干预研究。对相关数据进行了汇总,并分析了与药物有关的问题。采取了必要的干预措施。对结果进行了解释,并为药剂学毕业生的培训制定了附加课程。共有 88 名患者参与了这项研究。在我们的姑息治疗环境中,最常见的疾病是肾病、肝病、癌症和中风。值得注意的是,分别有 38 例和 10 例患者被发现存在药物相互作用和药物重复。4 名患者需要调整剂量。有 50 个病例需要药剂师干预,结果改善了 80%。研究结束后,在培训药剂师和药剂学学生的专家委员会的指导下,制定了一套课程,以实施为期 3 个月的名为 "姑息治疗药物学 "的附加课程。研究发现,药剂师在姑息治疗中必须承担各种角色。药剂师参与病人的治疗有助于在更大程度上预防与药物有关的问题。增设姑息关怀病人管理的综合课程将有助于提高药剂师的学习和实践技能。在治疗课程中融入基础科学和临床科学是一种有效的学习计划。
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引用次数: 0
Future of Pharmaceutical Industry: Role of Artificial Intelligence, Automation, and Robotics 制药业的未来:人工智能、自动化和机器人技术的作用
Pub Date : 2024-05-21 DOI: 10.1177/0976500x241252295
Manoj Kumar T., Preethi B., Raja Shekhar Nunavath, Krishnaveni Nagappan
The future of smart factories and pharmaceutical industries has evolved significantly since the 19th century. Computers have been used in the pharmaceutical field since the 1980s with the emergence of artificial intelligence (AI). In addition, automation and robotics are used in the pharmaceutical industry to improve the efficiency of pharmaceutical development and production. The present review article covers the future roles of AI, automation and robotics in pharmaceutical industries. The current review article employed a comprehensive search strategy across relevant databases, including PubMed, Scopus and Web of Science, utilizing keywords such as AI, Automation, Robotics and Pharmaceutical Industries. The articles considered a focus on recent advancements and emerging trends in the intersection of AI, automation and robotics within pharmaceutical sectors. AI, incorporating predictive machine learning and reasoning techniques, aids in the preclinical identification of molecules and forecasting potential lead compounds before conducting clinical trials. automation offers significant benefits in monitoring and predictive maintenance of production lines, power distribution and control machines. Robotic process automation improves efficiency by connecting computer terminals to handle various manufacturing process elements. Artificial intelligence, automation and Robotics have sparked innovations in the healthcare business, benefiting the global ecosystem and healthcare delivery. Incorporating these advanced tools in pharmaceutical industries from raw material selection to final product development could improve the quality and safety of the pharmaceutical products and reduce the time and cost.
自 19 世纪以来,智能工厂和制药业的未来已经发生了重大发展。自 20 世纪 80 年代以来,随着人工智能(AI)的出现,计算机已被用于制药领域。此外,自动化和机器人技术也被用于制药业,以提高药品研发和生产的效率。本综述文章涵盖了人工智能、自动化和机器人技术在制药行业的未来作用。本综述文章在相关数据库(包括 PubMed、Scopus 和 Web of Science)中采用了全面的搜索策略,并使用了人工智能、自动化、机器人和制药业等关键词。文章重点考虑了制药行业中人工智能、自动化和机器人技术交叉领域的最新进展和新兴趋势。人工智能结合了预测性机器学习和推理技术,有助于分子的临床前鉴定,并在进行临床试验前预测潜在的先导化合物。自动化在生产线、配电和控制机器的监控和预测性维护方面具有显著优势。机器人流程自动化通过连接计算机终端来处理各种生产流程要素,从而提高了效率。人工智能、自动化和机器人技术引发了医疗保健业务的创新,使全球生态系统和医疗保健服务受益匪浅。将这些先进工具应用于制药行业,从原材料选择到最终产品开发,可以提高制药产品的质量和安全性,并减少时间和成本。
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引用次数: 0
Pharmacodynamic Interaction of Areca catechu with Gliclazide in Wistar Rats 儿茶属植物与格列齐特在 Wistar 大鼠体内的药效学相互作用
Pub Date : 2024-04-12 DOI: 10.1177/0976500x241231365
Suliman Abdullah Al-Omran, Dharmashree S, A. Kv, S. Nagaraja
Background and Purpose: In alloxan-induced diabetic rats, this study sought to evaluate the hypoglycemic potential of the hydroalcoholic seed extract of Areca catechu, also referred to as areca nut, both as a stand-alone treatment and in combination with the diabetic drug gliclazide. Methods: The hot percolation method was used to produce the hydroalcoholic seed extract of A. catechu. Rats were given alloxan monohydrate and developed type II diabetes. The hydroalcoholic seed extract of A. catechu (1000 mg/kg p.o.) alone or in different combinations of gliclazide (25 mg/kg p.o.) and A. catechu extract (250, 500, and 1000 mg/kg p.o.) were administered to the six diabetic rats. Body weights and blood glucose levels were measured on days 7, 14, 21, and 28 of the treatment. On the 28th day, the kidney, liver, and pancreas underwent histological investigations in addition to an oral glucose tolerance test (OGTT). Results: Blood glucose levels were significantly lowered upon administration of A. catechu’s hydroalcoholic seed extract, both alone and in conjunction with gliclazide. Comparing the diabetic control group to the A. catechu extract-treated group, histopathological examinations showed that high amounts of the extract, either by itself or in conjunction with gliclazide, caused the active proliferation of pancreatic beta cells, protecting against damage to the liver and kidneys. Conclusion: The hydroalcoholic seed extract of A. catechu showed promise as a monotherapy for controlling blood glucose levels, and as a co-administer for gliclazide, it showed signs of hypoglycemia. These results indicate A. catechu’s possible therapeutic benefit as an adjuvant diabetic treatment. To investigate the underlying mechanisms of action and evaluate its safety and effectiveness in clinical settings, more study is necessary.
背景和目的:本研究试图评估儿茶属植物(又称 "areca nut")的水醇种子提取物在阿脲诱导的糖尿病大鼠中的降血糖潜力,既包括单独治疗,也包括与糖尿病药物格列齐特联合治疗。研究方法采用热渗滤法生产儿茶属植物的水醇种子提取物。给大鼠注射一水阿脲,使其患上 II 型糖尿病。给六只糖尿病大鼠单独或与格列齐特(25 mg/kg p.o.)和儿茶属植物提取物(250、500 和 1000 mg/kg p.o.)不同组合服用儿茶属植物水醇种子提取物(1000 mg/kg p.o.)。在治疗的第 7、14、21 和 28 天测量体重和血糖水平。在第 28 天,除了进行口服葡萄糖耐量试验(OGTT)外,还对肾脏、肝脏和胰腺进行了组织学检查。结果单独服用或与格列齐特同时服用儿茶酸茶籽水醇提取物后,血糖水平明显降低。将糖尿病对照组与儿茶酸茶籽提取物处理组进行比较,组织病理学检查显示,无论是单独使用还是与格列齐特一起使用,大量儿茶酸茶籽提取物都能使胰腺β细胞活跃增殖,保护肝脏和肾脏免受损害。结论儿茶属植物的水醇种子提取物有望作为控制血糖水平的单一疗法,而作为格列齐特的辅助用药,则显示出降血糖的迹象。这些结果表明,儿茶属植物提取物可能具有辅助治疗糖尿病的疗效。要研究其潜在的作用机制并评估其在临床环境中的安全性和有效性,还需要进行更多的研究。
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引用次数: 0
Mechanistic Roles of Different Varieties of Honey on Wound Healing: Recent Update 不同品种蜂蜜对伤口愈合的作用机制:最新进展
Pub Date : 2024-04-12 DOI: 10.1177/0976500x241237361
Ankan Naskar, Kaberi Chatterjee, Kankan Roy, Ankit Majie, Anroop B Nair, P. Shinu, M. Morsy, Neha Jain, Manisha Pandey, B. Gorain
Background: Honey has been used for centuries for its medicinal benefits, where topical treatments in the folklore literature reported its beneficial role in treating different types of wounds. Despite its immense use in wound care, honey’s exact mechanism remains unclear. Purpose: The present study aimed to explore and abridge the gap between honey and its molecular wound healing mechanism. Methods: An extensive literature study has been performed where these activities can be explained due to phenolic compounds, nitric oxide, non-peroxide factors, low pH, high osmolarity, and hydrogen peroxide in honey. Besides that, honey also contains carbohydrates, proteins, amino acids, lipids, minerals, and vitamins, contributing to the wound healing potential to some extent. However, these metabolites and constituents differ among different honey varieties due to the distinct nutritional requirements of different species of bees and their collection of nectar from varied sources containing different natural actives. Results: The revival of honey-based wound care research has identified a few probable mechanistic pathways of honey primarily due to its anti-inflammatory, antioxidant, antimicrobial, and immunomodulatory potentials. It also promotes angiogenesis, facilitates reepithelialization, stimulates proliferation of extracellular matrix, reduces neutrophil formation, modulates production of TNF-α, IL-1β, and IL-6, and prevents secondary infection at the wound site. Conclusion: The varieties of honey vary in their qualities, phenolic compounds, and safety for human use. A few of these are currently clinically employed for wound dressings. Moreover, honey can be effective for managing complicated and chronic wounds; more extensive molecular research and safety profiling would be necessary.
背景:蜂蜜的药用价值已有数百年的历史,据民间文献记载,蜂蜜的外用疗法可治疗不同类型的伤口。尽管蜂蜜在伤口护理方面有着广泛的应用,但其确切的作用机制仍不清楚。目的:本研究旨在探索和缩小蜂蜜及其分子伤口愈合机制之间的差距。研究方法:对大量文献进行了研究,发现蜂蜜中的酚类化合物、一氧化氮、非过氧化物因子、低 pH 值、高渗透压和过氧化氢可以解释这些活性。除此之外,蜂蜜还含有碳水化合物、蛋白质、氨基酸、脂类、矿物质和维生素,在一定程度上有助于伤口愈合。然而,由于不同种类的蜜蜂对营养的需求不同,从不同来源采集的花蜜含有不同的天然活性物质,因此不同品种的蜂蜜所含的这些代谢物和成分也不尽相同。研究结果以蜂蜜为基础的伤口护理研究已经确定了一些可能的机制途径,主要是由于蜂蜜具有抗炎、抗氧化、抗菌和免疫调节潜力。它还能促进血管生成,促进再上皮化,刺激细胞外基质的增殖,减少中性粒细胞的形成,调节 TNF-α、IL-1β 和 IL-6 的产生,并防止伤口部位的二次感染。结论各种蜂蜜的质量、酚类化合物和对人体的安全性各不相同。目前,临床上使用的伤口敷料有几种。此外,蜂蜜还能有效治疗复杂和慢性伤口,但需要进行更广泛的分子研究和安全性分析。
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引用次数: 0
Phytochemical Characterization and Anticancer Screening of Cladophora goensis and Cladophora glomerata Extracts Cladophora goensis 和 Cladophora glomerata 提取物的植物化学特征和抗癌筛选
Pub Date : 2024-04-10 DOI: 10.1177/0976500x241235721
Sharanya Sundaramoorthy, Anusha Dakshinamoorthy, Bhaskar L. V. K. S.
Background: Cladophora goensis and Cladophora glomerata has been widely identified in the Indian Oceans. Marine algae have been identified as potential pharmacological agents useful in the treatment of diabetes, hypertension, infections, and cancers. Objectives: The present study aimed to evaluate the phytochemicals in C. goensis and C. glomerata using gas chromatography-mass spectroscopy (GC-MS), and to study the molecular interactions with cancer-related proteins using molecular docking techniques. Materials and methods: GC-MS analysis was done using electron impact ionization at 70eV and the data was evaluated using total ion count for compound identification and quantification. AutoDock 4.0 version was used for the molecular docking analysis. Results: The methanolic extracts of algae when subjected to GC-MS analysis, 19 compounds from C. goensis and 11 phytocompounds from C. glomerata were identified. The significant molecular interactions of phytochemicals of C. goensis (6-nitro-3 H-quinazolin-4-one, Isoquinoline, 1,2,3,4-tetrahydro-7-methoxy-2-methyl-8-(phenyl methoxy) and 9-Decen-1-ol, pentafluropropionate) and C. glomerata (phytol, palmitic acid, and octadec-9-enoic acid) against human epidermal growth factor receptor (4WRG), poly (ADP-ribose) polymerase-1 (4UND), human estrogen receptor alpha ligand-binding domain (3ERT), human peroxisome proliferator-activated receptor alpha ligand-binding domain (3VI8), and human topoisomerase (1EJ9) have been demonstrated. Conclusion: The phytochemicals of methanolic extracts of C. goensis and C. glomerata showed potential interactions with cancer-related proteins.
背景:Cladophora goensis 和 Cladophora glomerata 已在印度洋被广泛发现。海藻已被确认为可用于治疗糖尿病、高血压、感染和癌症的潜在药剂。研究目的本研究旨在利用气相色谱-质谱法(GC-MS)评估 C. goensis 和 C. glomerata 中的植物化学物质,并利用分子对接技术研究其与癌症相关蛋白的分子相互作用。材料与方法采用 70eV 电子碰撞电离技术进行气相色谱-质谱分析,并利用总离子计数对数据进行评估,以鉴定和量化化合物。使用 AutoDock 4.0 版本进行分子对接分析。结果对藻类的甲醇提取物进行气相色谱-质谱(GC-MS)分析,鉴定出 19 种来自 C. goensis 的化合物和 11 种来自 C. glomerata 的植物化合物。C. goensis(6-硝基-3 H-喹唑啉-4-酮、异喹啉、1,2,3,4-四氢-7-甲氧基-2-甲基-8-(苯基甲氧基)和 9-癸烯-1-醇、五氟丙酸酯)和 C. glomerata(植物醇)的植物化学物质之间存在明显的分子相互作用。研究表明,Cytol、棕榈酸和十八碳-9-烯酸对人类表皮生长因子受体(4WRG)、聚(ADP-核糖)聚合酶-1(4UND)、人类雌激素受体α配体结合结构域(3ERT)、人类过氧化物酶体增殖激活受体α配体结合结构域(3VI8)和人类拓扑异构酶(1EJ9)有抑制作用。结论C. goensis 和 C. glomerata 的甲醇提取物中的植物化学物质与癌症相关蛋白有潜在的相互作用。
{"title":"Phytochemical Characterization and Anticancer Screening of Cladophora goensis and Cladophora glomerata Extracts","authors":"Sharanya Sundaramoorthy, Anusha Dakshinamoorthy, Bhaskar L. V. K. S.","doi":"10.1177/0976500x241235721","DOIUrl":"https://doi.org/10.1177/0976500x241235721","url":null,"abstract":"Background: Cladophora goensis and Cladophora glomerata has been widely identified in the Indian Oceans. Marine algae have been identified as potential pharmacological agents useful in the treatment of diabetes, hypertension, infections, and cancers. Objectives: The present study aimed to evaluate the phytochemicals in C. goensis and C. glomerata using gas chromatography-mass spectroscopy (GC-MS), and to study the molecular interactions with cancer-related proteins using molecular docking techniques. Materials and methods: GC-MS analysis was done using electron impact ionization at 70eV and the data was evaluated using total ion count for compound identification and quantification. AutoDock 4.0 version was used for the molecular docking analysis. Results: The methanolic extracts of algae when subjected to GC-MS analysis, 19 compounds from C. goensis and 11 phytocompounds from C. glomerata were identified. The significant molecular interactions of phytochemicals of C. goensis (6-nitro-3 H-quinazolin-4-one, Isoquinoline, 1,2,3,4-tetrahydro-7-methoxy-2-methyl-8-(phenyl methoxy) and 9-Decen-1-ol, pentafluropropionate) and C. glomerata (phytol, palmitic acid, and octadec-9-enoic acid) against human epidermal growth factor receptor (4WRG), poly (ADP-ribose) polymerase-1 (4UND), human estrogen receptor alpha ligand-binding domain (3ERT), human peroxisome proliferator-activated receptor alpha ligand-binding domain (3VI8), and human topoisomerase (1EJ9) have been demonstrated. Conclusion: The phytochemicals of methanolic extracts of C. goensis and C. glomerata showed potential interactions with cancer-related proteins.","PeriodicalId":16780,"journal":{"name":"Journal of Pharmacology and Pharmacotherapeutics","volume":"2009 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140718441","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
Modulation of Stem Cell Factor by Forskolin Inhibits the Progression of Tubule Interstitial Fibrosis 佛司可林对干细胞因子的调节抑制了肾小管间质纤维化的进展
Pub Date : 2024-04-10 DOI: 10.1177/0976500x241237641
Prashant Vadnal, D. R. K. Babu, K.G.V Manikantha, Kishor Chitalkar, Ch. Sandeep Reddy, Mahalaxmi Mohan
Purpose: Forskolin is primarily found in the roots of the Coleus forskohlii plant, historically employed in Southeast Asian and Indian Ayurvedic medicine. Mast cells play a crucial role in fibrosis progression, yet their activation and inhibition in animal models are understudied; thus, we explored forskolin’s impact on kidney fibrosis. Materials and Methods: Forskolin was evaluated in a mouse model for stem cell factor-induced histamine release, and plasma histamine levels were measured using the enzyme-linked immunosorbent assay. Kidney fibrosis was developed by unilateral ureteral obstruction (UUO). Renal function was assessed by spectrophotometric measurements of serum blood urea nitrogen (BUN) and creatinine. The gene expression of collagen, transforming growth factor-beta (TGF-β), α-smooth muscle actin (α-SMA), interleukin-1 beta (IL-1β), and mast cell protease-5 (MCPT-5) in the kidney was analyzed by reverse transcription polymerase chain reaction (RT-PCR). Histopathological changes in the renal tissues were examined by hematoxylin and eosin (H&E) and Masson’s trichome stain. Results: Our results showed that 3 mg/kg forskolin inhibited SCF-induced plasma histamine release in a mouse model. In the 7-day UUO model, forskolin significantly showed inhibition of serum creatinine and blood urea nitrogen compared with the disease group. Forskolin significantly inhibited elevated expression of collagen, TGF-β, α-SMA, IL-1β, and MCPT-5 in the kidneys. Histopathological observation of H&E and Masson trichome-stained kidney forskolin demonstrated a reduction in inflammatory cells, pelvic and tubular dilation, and fibrosis. Conclusion: Forskolin showed an anti-fibrotic effect in UUO-induced renal fibrotic mice. Most significantly, forskolin administration showed a decrease in the expression of the mast cell protease MCPT5 in the kidneys. These results imply that forskolin, through modifying SCF activity, may be a viable potential treatment for the attenuation of tubule-interstitial fibrosis.
目的:福斯可林主要存在于蜗牛科植物福斯可林(Coleus forskohlii)的根部,历来被用于东南亚和印度阿育吠陀医学中。肥大细胞在肾脏纤维化进程中起着至关重要的作用,但在动物模型中激活和抑制肥大细胞的研究还不够深入;因此,我们探讨了蕨麻对肾脏纤维化的影响。材料和方法:在干细胞因子诱导组胺释放的小鼠模型中评估福斯可林,并使用酶联免疫吸附试验测定血浆组胺水平。单侧输尿管梗阻(UUO)导致肾脏纤维化。通过分光光度法测量血清尿素氮(BUN)和肌酐来评估肾功能。通过反转录聚合酶链反应(RT-PCR)分析了肾脏中胶原蛋白、转化生长因子-β(TGF-β)、α-平滑肌肌动蛋白(α-SMA)、白细胞介素-1β(IL-1β)和肥大细胞蛋白酶-5(MCPT-5)的基因表达。用苏木精和伊红(H&E)及马森氏毛状体染色法检测肾组织的组织病理学变化。结果显示结果表明,在小鼠模型中,3 毫克/千克福斯克林可抑制 SCF 诱导的血浆组胺释放。在为期 7 天的 UUO 模型中,与疾病组相比,蕨麻素对血清肌酐和血尿素氮有明显的抑制作用。蕨麻能明显抑制肾脏中胶原蛋白、TGF-β、α-SMA、IL-1β和MCPT-5的表达。对 H&E 和 Masson trichome 染色的肾脏进行组织病理学观察后发现,炎症细胞、肾盂和肾小管扩张以及纤维化均有所减少。结论蕨麻对 UUO 诱导的肾纤维化小鼠具有抗纤维化作用。最重要的是,服用福斯克林可减少肾脏中肥大细胞蛋白酶 MCPT5 的表达。这些结果表明,通过改变 SCF 的活性,福斯克林可能是一种可行的减轻肾小管间质纤维化的潜在治疗方法。
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引用次数: 0
A Comparative Evaluation of Antimicrobial Efficacy of Various Intracanal Medicaments (Curcuma longa, Honey, Nitrofurantoin, and Calcium Hydroxide) on Enterococcus faecalis: An In Vitro Study 各种龋内药物(莪术、蜂蜜、硝基呋喃妥因和氢氧化钙)对粪肠球菌抗菌效果的比较评估:体外研究
Pub Date : 2024-04-05 DOI: 10.1177/0976500x241237849
M. S. Rangareddy, Shanti Priya P., B. Karteek, C. Swetha, B. S. Kumar, Sumaiya Waheed, Jagrati Agrawal
Background: In the modern era of dentistry, natural and herbal alternatives are favored since they are renewable, have fewer adverse effects, and are cost-effective. Purpose: To assess the effectiveness of different intracanal medications in eliminating Enterococcus faecalis. Materials and Methods: In total, 50 single-rooted extracted teeth were decoronated at the cemento-enamel junction followed by the preparation of the canal. Then, in each of the presterilized samples, inoculum containing the E. faecalis was transferred and incubated at 37°C for 24 hours. Samples were allocated into 5 groups of 10 each: Group A (saline), Group B (calcium hydroxide), Group C ( Curcuma longa), Group D (honey), and Group E (nitrofurantoin group). The medicaments were injected into the canals respectively, the antibacterial assessment was done on the 1st and 7th day. Dentinal shavings are incubated and streaked on Mueller–Hinton agar plates and incubated for 24 hours at 37°C and the colony forming units (CFUs) were assessed. Results: Among all the groups, there was a significant change in the number of colonies from Day 1 to Day 7, except in Group A (saline). Comparison between the groups revealed significant differences, with better efficacy by Group D (honey) followed by Group E (nitrofurantoin) and Group C ( C. longa). The least antimicrobial efficacy was observed with calcium hydroxide and no activity with saline. Conclusion: Honey has the greatest antimicrobial efficacy among all the tested intra-canal medicament groups.
背景:在现代牙科医学中,天然药物和草药因其可再生、不良反应少、成本效益高而备受青睐。目的:评估不同的根管内药物在消除粪肠球菌方面的效果。材料和方法:共对 50 颗单根拔牙的骨水泥-釉质交界处进行装饰,然后制备牙道。然后,在每个预先消毒的样本中转移含有粪肠球菌的接种体,并在 37°C 下培养 24 小时。样本被分成 5 组,每组 10 个:A 组(生理盐水组)、B 组(氢氧化钙组)、C 组(莪术组)、D 组(蜂蜜组)和 E 组(硝基呋喃妥因组)。将药物分别注入牙槽,在第 1 天和第 7 天进行抗菌评估。在穆勒-欣顿琼脂平板上培养和条痕化牙本质屑,并在 37°C 下培养 24 小时,然后评估菌落形成单位(CFU)。结果:除 A 组(生理盐水)外,各组菌落数从第 1 天到第 7 天均有显著变化。各组之间的比较显示出明显的差异,D 组(蜂蜜)的疗效更好,其次是 E 组(硝基呋喃妥因)和 C 组(长春花)。氢氧化钙的抗菌效果最低,而生理盐水则没有活性。结论在所有测试的龋洞内药物组中,蜂蜜的抗菌效果最好。
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引用次数: 0
Patterns of Physical Activity and Its Association with Gender and Academic Year Among Undergraduate Medical Students 医科本科生的体育锻炼模式及其与性别和学年的关系
Pub Date : 2024-04-02 DOI: 10.1177/0976500x241236827
A. Nishanthi, Packirisamy Agilan, M. Vimal, M. Shanthi
Aim: This study aimed to determine the patterns of physical activity (PA) and its association with gender and academic year among undergraduate medical students of a tertiary care hospital in South India. Materials and Methods: A cross-sectional study was conducted among undergraduate medical students from August to October 2022 at a tertiary care teaching hospital in South India. PA was determined using the self-administered long form of the International Physical Activity Questionnaire (IPAQ). Statistical analysis was performed using SPSS software. Results: A total of 223 students aged 18 to 25 years completed the questionnaire, with the majority being females (59.2%). Their median total PA (metabolic equivalent [MET] minutes/week) was 1320, with 2073 and 771 MET minutes/week among male and female students, respectively. Fourth-year students were the most physically active, with higher energy expenditure per week, followed by second-year, third-year, and first-year students ( p = .007). Out of the total 223 students, 141 (63.2%), 62 (27.8%), and 20 (9%) students belonged to low, moderate, and high PA levels, respectively. There was a greater proportion of students with low PA among females (70.5%) compared to male (52.7%) participants ( p < .001). Conclusion: Most undergraduate medical students had a low level of PA, especially females and students in the first academic year. To increase the PA levels among medical students, curricular reforms by incorporating sports/exercise training, and ensuring the availability of adequate facilities and trainers for sports in every college/university is warranted. Future research focusing on the exploration of barriers to PA and designing innovative strategies to promote PA among medical students is the need of the hour.
目的:本研究旨在确定南印度一家三级医院医科本科生的体力活动(PA)模式及其与性别和学年的关系。材料与方法:研究于 2022 年 8 月至 10 月在印度南部一家三级医疗教学医院的医学本科生中进行了一项横断面研究。采用自填长式国际体力活动调查问卷(IPAQ)测定学生的体力活动量。统计分析使用 SPSS 软件进行。结果共有 223 名 18 至 25 岁的学生完成了问卷调查,其中女性占大多数(59.2%)。他们的总运动量(代谢当量[MET]分钟/周)中位数为 1320 分钟,其中男生为 2073 分钟/周,女生为 771 分钟/周。四年级学生的运动量最大,每周能量消耗较高,其次是二年级、三年级和一年级学生(P = .007)。在 223 名学生中,分别有 141 名(63.2%)、62 名(27.8%)和 20 名(9%)学生属于低、中和高体力活动水平。与男生(52.7%)相比,女生(70.5%)的 PA 水平较低(P < .001)。结论:大多数本科医学生的PA水平较低,尤其是女生和第一学年的学生。为了提高医学生的PA水平,有必要进行课程改革,纳入体育/运动训练,并确保每所学院/大学都有足够的体育设施和教练。未来研究的重点是探究医学生进行体育锻炼的障碍,并设计创新策略来促进医学生的体育锻炼,这是当务之急。
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引用次数: 0
Measurement of Nuchal Translucency Thickness 
in First Trimester Ultrasound Foetal Images 
Using Markov Random Field 利用马尔可夫随机场测量第一孕期超声胎儿图像中的颈部透明层厚度
Pub Date : 2024-03-22 DOI: 10.1177/0976500x241232530
Kalyani Choudhari, Shruti Oza
Background: The first-trimester ultrasound assessment of nuchal translucency (NT) thickness has lately been recommended as the most helpful sign in early screening for prenatal chromosomal disorders. Increased foetal NT thickness between 11 and 13+6 weeks of gestation is a frequent phenotypic manifestation of chromosomal abnormalities as well as a variety of foetal deformities and genetic disorders. Purpose: At the moment, clinicians conduct the measurement manually. The measurement may take a long time to complete, requires highly competent operators, and is susceptible to mistakes. So, an automatic method is required for NT measurement. Methods: This study proposes a Markov random Field-based approach for contextually segmenting the NT area from foetal pictures and offering a quick and inexpensive diagnostic even during the early stages of pregnancy. Results: Proposed method gives maximum NT thickness error 0.03 and minimum NT thickness error 0.04. Conclusion: The proposed research work developed a prototype for an automated NT thickness measuring system. This study proposes an MRF-based model for segmentation and detection of NT area from foetal pictures which gives error is less than other methods.
背景:第一胎超声评估颈部透明层(NT)厚度最近被推荐为早期筛查产前染色体疾病的最有用的体征。妊娠 11-13+6 周胎儿 NT 厚度增加是染色体异常以及各种胎儿畸形和遗传疾病的常见表型表现。目的:目前,临床医生都是手动进行测量。这种测量可能需要很长时间才能完成,要求操作人员具有很高的能力,而且容易出错。因此,需要一种自动方法来进行 NT 测量。方法:本研究提出了一种基于马尔可夫随机场的方法,可从胎儿图片中根据上下文分割 NT 区域,即使在怀孕早期也能提供快速、廉价的诊断。结果建议方法的最大 NT 厚度误差为 0.03,最小 NT 厚度误差为 0.04。结论所提议的研究工作为自动 NT 厚度测量系统开发了一个原型。本研究提出了一种基于 MRF 的模型,用于从胎儿照片中分割和检测 NT 区域,其误差小于其他方法。
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引用次数: 0
Role of Antioxidants in Sleep Disorders: 
A Review 抗氧化剂在睡眠障碍中的作用:综述
Pub Date : 2024-03-11 DOI: 10.1177/0976500x241229835
Alexander Victor Anand David, Subramani Parasuramani, Evelyn Jerusha Edward
Sleep is a crucial physiological process that plays an indispensable role in sustaining overall health and well-being. It is well known that various factors affect the multifaceted dimensions of sleep, from its underlying mechanisms or comorbidity to its profound impact on physical and mental health. Sleep disorders are very common, frequently underdiagnosed, and often overlooked. They are also linked to a wide range of illnesses and may significantly reduce the quality of life. There is strong evidence that chronic diseases are more likely to develop due to the adverse consequences of sleep deprivation, which include cognitive decline, emotional and mental health problems, as well as cardiovascular, cerebrovascular, and metabolic health issues. Insufficiency of sleep and sleep disorders are common augurs of child/adolescent mental diseases, such as anxiety and depression, including suicidal thoughts. Additionally, we discuss a few sleep disorders, focusing on their effects, for instance, insomnia, sleep apnea, and restless leg syndrome. Antioxidants are molecules that can benefit the body by combating detrimental free radicals, which have been associated with health ailments such as diabetes and cancer. These are groups of compounds that counterbalance free radicals and reactive oxygen species (ROS) in the cell, and over the many clinical trials, they have been scientifically fascinating compounds due to their numerous advantages. As the relationship between sleep and health continues to evolve, this review highlights the intricate significance of antioxidants and their benefits for improving sleep quality and managing sleep deprivation. In addition to that, antioxidants are well known to defend the human body from oxidative stress and inflammation, which can disrupt sleep patterns, leading to various health ailments.
睡眠是一个关键的生理过程,在维持整体健康和福祉方面发挥着不可或缺的作用。众所周知,各种因素影响着睡眠的方方面面,从其基本机制或合并症到对身心健康的深远影响。睡眠障碍非常常见,经常诊断不足,而且常常被忽视。睡眠障碍还与多种疾病相关,并可能大大降低生活质量。有确凿证据表明,由于睡眠不足造成的不良后果,包括认知能力下降、情绪和心理健康问题,以及心血管、脑血管和代谢健康问题,更有可能导致慢性疾病。睡眠不足和睡眠障碍是儿童/青少年精神疾病的常见征兆,如焦虑和抑郁,包括自杀念头。此外,我们还讨论了一些睡眠障碍,重点是其影响,例如失眠、睡眠呼吸暂停和不安腿综合症。抗氧化剂是一种分子,可以通过对抗有害的自由基而对人体有益,自由基与糖尿病和癌症等健康疾病有关。抗氧化剂是一组能抵消细胞中自由基和活性氧(ROS)的化合物,在许多临床试验中,抗氧化剂因其众多优点而成为科学上令人着迷的化合物。随着睡眠与健康之间关系的不断发展,本综述强调了抗氧化剂的复杂意义及其对改善睡眠质量和控制睡眠不足的益处。此外,众所周知,抗氧化剂能保护人体免受氧化压力和炎症的影响,而氧化压力和炎症会扰乱睡眠模式,导致各种健康问题。
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引用次数: 0
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Journal of Pharmacology and Pharmacotherapeutics
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