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Lipid emulsions in the treatment of acute poisoning in the Clinic of Toxicology at the Naval Hospital-Varna, Military Medical Academy-Sofia 脂质乳剂在瓦尔纳海军医院、索非亚军事医学院毒理学诊所治疗急性中毒中的应用
Pub Date : 2019-01-29 DOI: 10.14748/SSP.V5I2.5625
G. Kehayova, S. Zlateva, P. Marinov
Introduction: Acute drug intoxications are a serious problem worldwide. The damage to the cardiovascular system is severe and sometimes refractory to standard resuscitation therapy. In recent years, interest has increased in the role of lipid emulsions (LEs) as a potential antidote in patients with severe myocardial damage caused by toxic doses of lipophilic drugs. Aims: Clinical analysis of the cardioprotective effects of applied LEs at the Clinic of Toxicology at the Naval Hospital-Varna, Military Medical Academy-Sofia, as an antidote for the treatment of some acute poisoning with a cardiotoxic syndrome. Materials and Methods: The subject of the study were 26 patients with acute cardiotoxic lipophilic drug intoxications treated with LEs at the Clinic of Toxicology at the Naval Hospital-Varna in the period 2016-2018. Illnesses and medications administered to patients are derived from the medical documentation. Results: A three-year study was conducted in patients with acute exogenous intoxications treated with LEs at the Clinic of Toxicology at the Naval Hospital-Varna in regard to their demographics, concomitant diseases and prescribed treatment during their stay. Rapid recovery of patients' vital signs, short hospital stay and lack of adverse effects of LE administration were found. Conclusion: The good clinical results obtained by us will help the implementation of LE in a number of lipophilic intoxications causing toxic cardiovascular damages, including those with hemodynamic instability.
急性药物中毒是一个严重的世界性问题。对心血管系统的损害是严重的,有时对标准的复苏治疗是难治的。近年来,人们对脂质乳剂(LEs)作为一种潜在的解毒剂在由毒性剂量的亲脂性药物引起的严重心肌损伤患者中的作用越来越感兴趣。目的:临床分析索非亚军事医学院瓦尔纳海军医院毒理学诊所应用LEs作为治疗急性中毒合并心脏毒性综合征的解毒剂的心脏保护作用。材料与方法:以2016-2018年在瓦尔纳海军医院毒理学诊所接受LEs治疗的26例急性心毒性亲脂性药物中毒患者为研究对象。病人所患疾病和服用的药物均来自医疗记录。结果:对瓦尔纳海军医院毒理学诊所接受LEs治疗的急性外源性中毒患者进行了为期三年的研究,涉及其人口统计学、伴随疾病和住院期间的处方治疗。患者生命体征恢复快,住院时间短,给药后无不良反应。结论:我们获得的良好临床结果将有助于在一些引起毒性心血管损害的亲脂性中毒,包括血液动力学不稳定的患者中实施LE。
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引用次数: 0
A quartz crystal microbalance-assisted method for the assessment of iodine content in organoiodines 石英晶体微天平辅助测定有机碘中碘含量的方法
Pub Date : 2019-01-10 DOI: 10.14748/SSP.V5I2.5629
I. Kolev, Pavlina Koseva, Mihail K Marinov, G. Alexieva, V. Strashilov
Introduction: A new experimental quantitative approach for evaluating iodine content in organoiodine compounds has been proposed, based on the quartz crystal microbalance (QCM) method. This approach relies on following the time behavior of the resonance frequency of the quartz plate under temperature activation of iodine-containing analyte deposited on its surface. Materials and Methods: We have applied the QCM method and the pharmacopoeial titrimetric method. Results and Conclusion: From the mass variations observed, the quantity of emitted iodine is precisely obtained, which readily delivers its initial content in the studied sample. The obtained value corresponds exactly to the theoretical prediction, in contrast to the value obtained by applying the conventional pharmacopoeial metrics.
介绍了一种基于石英晶体微天平(QCM)法测定有机碘化合物中碘含量的实验定量方法。这种方法依赖于石英板在含碘分析物沉积在其表面的温度激活下共振频率的时间行为。材料与方法:采用质谱法和药典滴定法。结果与结论:从所观察到的质量变化中,可以精确地得到碘的释放量,并能很容易地传递其在所研究样品中的初始含量。得到的值与理论预测完全一致,与应用常规药典指标得到的值相反。
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引用次数: 0
A review: Biological activity of myrtenal and some myrtenal-containing medicinal plant essential oils 综述:桃金娘烯醛及一些含桃金娘烯醛的药用植物精油的生物活性
Pub Date : 2018-12-31 DOI: 10.14748/SSP.V5I2.5614
S. Dragomanova, L. Tancheva, M. Georgieva
Introduction: Myrtenal, a component of many plants` essential oils, is a bicyclic monoterpenoid. Numerous effects of myrtenal in experimental animals have been found - bronchodilatory, anti-inflammatory, anti-aggregative and antihemolytic ( in vitro ), and antibacterial.  Its other activities have been studied - antioxidant, antitumor, antihyperglycemic, vasodilating, heart rate reducing and hypotensive. Myrtenal is relatively little studied in the field of neuroscience. Aim : The aim of this article is to summarize the available information on the established biological activity of the monoterpenoid myrtenal. Materials and Methods : Scientific databases such as PubMed, ResearchGate, HMDB and others have been used to provide information on the published results of properties and activities of the test substance (myrtenal) over a period of 15 years (2003 - 2018). Results: Our research confirmed the available data for its central nervous system (CNS) activity - anxiolytic and potentiating the effects of the hypnotic drugs, as well as the antioxidant properties. We have evaluated the neuromodulatory activity of M in brain tissue manifested in elevated levels of major neurotransmitters in healthy rodents and those with neurodegenerative changes accompanied by improvement in the animals` memory. Conclusion : Significant protective effects of myrtenal on neurodegenerative processes were established. Probably they are related to its complex mechanisms, including neuromodulatory and antioxidant properties.
桃金娘烯醛是一种双环单萜类化合物,是许多植物精油的成分之一。在实验动物中发现桃金娘酸的许多作用-支气管扩张,抗炎,抗聚集和抗溶血(体外)和抗菌。它的其他活性已被研究-抗氧化,抗肿瘤,抗高血糖,血管扩张,降低心率和降血压。桃金娘酸在神经科学领域的研究相对较少。目的:综述单萜桃金娘烯醛生物活性的研究进展。材料和方法:PubMed、ResearchGate、HMDB等科学数据库已被用于提供15年(2003 - 2018)期间已公布的测试物质(myrtenal)的特性和活性结果的信息。结果:我们的研究证实了其中枢神经系统(CNS)活性-抗焦虑和增强催眠药物的作用,以及抗氧化特性。我们已经评估了M在脑组织中的神经调节活性,表现在健康啮齿动物和神经退行性变化伴记忆改善的啮齿动物的主要神经递质水平升高。结论:桃金娘酸对神经退行性过程有明显的保护作用。可能与其复杂的机制有关,包括神经调节和抗氧化特性。
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引用次数: 17
Wine as a medicine in ancient times 酒在古代是一种药
Pub Date : 2018-12-27 DOI: 10.14748/SSP.V5I2.5610
P. Nikolova, Z. Stoyanov, D. Doncheva, S. Trendafilova
The history of wine use as a medicine dates back to antiquity. However, it has been rediscovered and reliably confirmed by current medical research. It is believed that wine is among the first documented remedies known and used by humans dating back to a period before 5000 BC. Preserved to date evidence of the medical use of wine in ancient times is very limited and is related to the development of different cultures and ancient civilizations. The article chronicles the more important periods of the history of the use of wine for medical (healing and prophylactic) purposes. The first evidence dates back to the time of the Mesopotamian culture, when the world's oldest Sumerian Pharmacopoeia - clay tiles, some of which contain wine prescriptions for therapy, was created. The next important documentary evidence is found in the Sino-Tibetan Pharmacopoeia, the Egyptian Medical Papyri, the Bible, the Sacred Book of the Jews Talmud , and the ancient Indian medical texts of Ayurveda. In ancient Greece, the first evidence of the healing effects of wine is found in the two poems of Homer Iliad and Odyssey . With the development of medical knowledge at the time of Hippocrates, the therapeutic use of wine expanded. Hippocrates included wine in the diet of almost all diseases, especially during the recovery period. Afterwards, the principles of wine therapy continued to be topical, although they were the subject of a heated debate during the Greco-Roman period, Galen's era, and even the Byzantine era, when the influence of Arab medicine began to manifest itself more and more.
葡萄酒作为药物使用的历史可以追溯到古代。然而,目前的医学研究已经重新发现并可靠地证实了这一点。据信,葡萄酒是公元前5000年以前人类已知和使用的第一批有记载的药物之一。保存至今的证据表明,古代葡萄酒的医疗用途非常有限,这与不同文化和古代文明的发展有关。这篇文章记录了葡萄酒用于医疗(治疗和预防)目的的更重要的历史时期。最早的证据可以追溯到美索不达米亚文化时期,当时世界上最古老的苏美尔药典——粘土瓦被创造出来,其中一些含有用于治疗的葡萄酒处方。下一个重要的文献证据是汉藏药典、埃及医学纸莎草、圣经、犹太人的圣书塔木德和古印度的阿育吠陀医学文献。在古希腊,关于酒的治疗作用的第一个证据出现在荷马的两首诗《伊利亚特》和《奥德赛》中。随着希波克拉底时代医学知识的发展,葡萄酒的治疗用途扩大了。希波克拉底在几乎所有疾病的饮食中都加入了葡萄酒,尤其是在恢复期。之后,葡萄酒疗法的原理继续成为热门话题,尽管在希腊罗马时期,盖伦时代,甚至拜占庭时代,当阿拉伯医学的影响开始越来越明显时,它们都是激烈辩论的主题。
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引用次数: 4
Radionuclide content in Matricaria chamomilla L., grown in two regions 产自两个地区的洋甘菊的放射性核素含量
Pub Date : 2018-11-30 DOI: 10.14748/SSP.V5I2.4517
T. Stefanova, Siyana Dimova, Y. Eneva, N Arhangelova
This article analyses the content of natural radionuclides in chamomile plants collected from two different locations. Both samples have been dried in the shade at room temperature. The chamomile has been collected in July 2016 from two different regions of Bulgaria - Yagnilo village, Varna district and the village of Debeli Rat, Veliko Tarnovo district. They are dried under natural conditions and milled into a fine powder. The measurements are taken on a low-background spectrometer at Shumen University "Episkop Konstantin Preslavski". The resulting gamma-spectra are processed with ANGES software. Radioisotopes are determined by their energies. The values of their specific activities are calculated. Approximately the same levels of 226 Ra, 228 Ac, 208 T1 and 40 K are found in the samples from both regions. The highest levels of radionuclides are meаsured for 40 K, the lowest specific activity in the flowers from Yagnilo is found for 208 Tl, and in those from Debeli Rat - for 212 Pb. The levels of their specific activities are within the limits, according to Ordinance №25 on the requirements for protection of people in case of chronic irradiation, as a result of production, trade and use of raw materials, products and goods with increased content of radionuclides and Ordinance №11 on defining the terms and conditions for providing free food and/or supplements to the workers and employees who work in enterprises of a specific nature and organization of work. The public health of consumers is not at risk, given these levels.
本文分析了两个不同产地的洋甘菊植物中天然放射性核素的含量。两个样品都在室温下阴凉处干燥。洋甘菊于2016年7月在保加利亚的两个不同地区——Varna区的Yagnilo村和Veliko Tarnovo区的Debeli Rat村采集。它们在自然条件下干燥,磨成细粉。测量是在舒门大学“Episkop Konstantin Preslavski”的低背景光谱仪上进行的。得到的伽马谱用ANGES软件进行处理。放射性同位素是由它们的能量决定的。计算其特定活动的价值。在两个地区的样品中发现了大约相同水平的226 Ra, 228 Ac, 208 T1和40 K。放射性核素的最高含量为meа,为40 K, Yagnilo花的比活性最低,为208 Tl, Debeli大鼠花的比活性最低,为212 Pb。他们的具体活动水平在第25号条例规定的范围内,该条例规定了由于生产、贸易和使用放射性核素含量增加的原材料、产品和货物而导致的长期辐照下对人员的保护要求,以及第11号条例规定了向在特定性质和工作组织的企业工作的工人和雇员提供免费食品和/或补品的条件。考虑到这些水平,消费者的公共健康不会受到威胁。
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引用次数: 0
Reaction strategies for synthesis of imidazole derivatives: a review 咪唑衍生物合成的反应策略综述
Pub Date : 2018-11-30 DOI: 10.14748/SSP.V5I2.5483
S. Atanasova-Stamova, S. Georgieva, M. Georgieva
The development of a methodical directional synthesis of complex organic molecules with the aim of obtaining the physiologically active substance with selective action takes a central position in modern synthetic organic chemistry. Imidazole derivatives are a key component in great many bioactive compounds of both natural and synthetic origin. Ðœany scientists in the field of pharmaceutical chemistry and pharmacology have been attracted to them in recent years. This is because of the exceptional chemical properties and biological activities that they demonstrate. It is a big challenge for the scientists to modify and synthesize new imidazole derivatives.
以获得具有选择性作用的生理活性物质为目标的复杂有机分子的有系统定向合成的发展在现代合成有机化学中占有中心地位。咪唑衍生物是许多天然和人工合成的生物活性化合物的关键成分。Ðœany近年来吸引了药物化学和药理学领域的科学家。这是因为它们具有特殊的化学性质和生物活性。如何修饰和合成新的咪唑衍生物对科学家来说是一个巨大的挑战。
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引用次数: 5
Pharmaceutical care for patients with postoperative history 术后病史患者的药学护理
Pub Date : 2018-11-06 DOI: 10.14748/SSP.V5I2.5104
Nikolina Zarkova, A. Todorova, Ivo Kumanov
Surgical wounds are the most commonly treated wounds in today's global medical practice. Often, patients are not aware of exactly how they should treat their post-surgical wounds at home. A model for pharmaceutical care of patients with postoperative wounds was developed on the basis of literary sources and guidelines. The Life Value (LV) of the patients was evaluated using the generic SF12 v2 instrument.  SF12 v2 was administered to consulted patients and  not consulted patients in a control group. The results showed an improvement in all measured LV scores within the group of the consulted patients. Pharmacists are the most accessible healthcare professionals and with their knowledge and competencies, they can contribute to the process.
外科伤口是当今全球医疗实践中最常见的治疗伤口。通常情况下,患者并不知道他们应该如何在家治疗他们的术后伤口。在文献资料和指南的基础上,建立了术后创伤患者的药物护理模型。采用通用sf12v2仪器评估患者的生命值(LV)。SF12 v2分别用于会诊患者和未会诊患者的对照组。结果显示,在咨询的患者组中,所有测量的LV评分都有所改善。药剂师是最容易获得的医疗保健专业人员,凭借他们的知识和能力,他们可以为这一进程作出贡献。
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引用次数: 0
Electrochemical detection of Nitrofural in the presence of sodium amminepentacyanoferrate (II) 氨基五氰高铁酸钠存在下硝基呋喃的电化学检测
Pub Date : 2018-06-25 DOI: 10.14748/ssp.v5i2.5103
I. Kolev, S. Ivanova, Mihail K Marinov
The present study deals with the development of a new qualitative electrochemical analytic test for detecting the chemotherapeutic agent Nitrofural . The combination of sodium amminepentacyanoferrate(II) and electric power, provided by a 9V battery, was successfully implemented for the analysis of the medicine in question.
本文研究了一种新的定性电化学分析方法,用于检测化疗药物硝基呋喃。氨五氰高铁酸钠(II)与9V电池提供的电力的组合成功地实现了对有关药物的分析。
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引用次数: 0
Intravenous lipid emulsion infusion in acute intoxication with fenitrothion 非硝硫磷急性中毒静脉滴注脂乳治疗
Pub Date : 2018-06-13 DOI: 10.14748/ssp.v1i1.5108
P. Marinov, Dobri Ivanov, S. Zlateva, S. Dimitrova, G. Kehayova, M. Radeva, S. Stoeva
Acute intoxications with organophosphorus pesticides (OPs) are a challenge for the clinical toxicology, because they are common, severe and with high lethality. Most OPs are lipophilic. In recent years, intravenous lipid emulsion (ILE) has been successfully used to treat acute poisoning with lipophilic xenobiotics. A clinical case of a 64-year-old male hospitalized after oral intake of 50 ml of fenitrothion is reported. He had been hospitalized with tachypnea and depressed consciousness – 8 by Glasgow coma scale (GCS). Standardized for this type of intoxication treatment was initiated. On the 3rd hour treatment with Intralipid 20% was started, with a bolus dose of 1.5 ml/kg followed by infusion at a rate of 0.25 ml/kg/min to a total dose of 1000 ml. At the 16th hour consciousness was restored to GCS-15. In severe FTO intoxications ILE can be used as an additional method of controlling cardiotoxic and neurotoxic effects.
有机磷农药急性中毒因其常见、严重、致死率高,一直是临床毒理学研究的难点。大多数OPs是亲脂性的。近年来,静脉注射脂质乳(ILE)已成功用于治疗急性嗜脂性外源药物中毒。本文报告一例64岁男性口服氟硝硫磷50ml后住院的临床病例。他曾因呼吸急促和意识低下住院,格拉斯哥昏迷量表(GCS)为8。标准化的这种类型的中毒治疗是开始。第3小时开始用20%脂质内酯治疗,注射剂量为1.5 ml/kg,然后以0.25 ml/kg/min的速率输注,总剂量为1000 ml。第16小时意识恢复至GCS-15。在严重的FTO中毒中,ILE可作为控制心脏毒性和神经毒性作用的附加方法。
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引用次数: 0
Intravenous lipid infusion in toxicological practice 静脉脂质输注在毒理学实践中的应用
Pub Date : 2018-06-04 DOI: 10.14748/SSP.V1I1.5047
P. Marinov, Dobri Ivanov, S. Zlateva, S. Dimitrova, G. Kehayova, M. Radeva
The use of intravenous lipid emulsions (ILEs) is a relatively new method of treatment in toxicology. Initially, it was applied to control the resistant to other therapeutic methods systemic toxicity of local anesthetics. In the last decade this therapeutic method has been approved and recommended. Thereafter, attempts have been made to clarify the effect of ILEs in cases of acute intoxications with lipophilic xenobiotics, other than the local anesthetics.
静脉注射脂质乳剂(ILEs)是一种较新的毒理学治疗方法。最初,它被用于控制局麻药对其他治疗方法的耐药性。在过去的十年中,这种治疗方法得到了批准和推荐。此后,人们试图阐明在使用局部麻醉剂以外的亲脂性外源性药物急性中毒的情况下,ILEs的作用。
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引用次数: 1
期刊
Scripta Scientifica Pharmaceutica
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