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Green Synthesis of Silver Nanoparticles from the Leaf Extract of Volkameriainermis 绿色合成银纳米颗粒的研究
Pub Date : 2017-08-25 DOI: 10.25258/IJPCR.V9I08.9587
Lavanya Krishnadhas, R. Santhi, S. Annapurani
Nanoparticles are gaining interest in biomedical applications due to its importance such as anti-bacterial, anti-fungal and anti-cancer agents. Conventional methods for the synthesis of metal nanoparticles involves toxic reagents which produce harmful by-products and are hazardous to the environment. To overcome these limitations, green synthesis of nanoparticles was established. Eco-friendly methods using plant extracts are gaining popularity due to the abundance of raw materials and the production of non-toxic by-products threatening to the environment. Moreover, the nanoparticles synthesized from the plant extract are cost-effective. In addition, nanoparticles produced by green synthesis methods produces synergetic effect where both the nanoparticles as well as the natural bioactive constituents of the plant influence the biocidal properties. Different methods namely heating in water bath, microwave oven and exposure to bright sunlight were adopted for the synthesis of silver nanoparticles. Plant extract based synthesis of silver nanoparticles was eco-friendly and shows an alternative promise in bio-medical applications and it undertakes the negative effects of synthetic drugs.
纳米粒子在生物医学领域的应用越来越受到人们的关注,因为它具有抗菌、抗真菌和抗癌等重要作用。传统的金属纳米粒子合成方法涉及有毒试剂,产生有害的副产品,对环境有害。为了克服这些限制,建立了绿色合成纳米颗粒的方法。利用植物提取物的环保方法越来越受欢迎,因为原料丰富,生产无毒的副产品对环境有威胁。此外,由植物提取物合成的纳米颗粒具有成本效益。此外,绿色合成方法生产的纳米颗粒产生协同效应,纳米颗粒和植物的天然生物活性成分都影响生物杀灭性能。采用水浴加热、微波加热和强光照射等方法合成纳米银。以植物提取物为基础合成纳米银是一种生态友好的方法,在生物医学应用中具有替代前景,并承担了合成药物的负面影响。
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引用次数: 6
Formulation and Evaluation of the Sustained Release Tablet of Ketorolac Tromethamine Using Natural Polymer as an Extended Releasing Agent 以天然聚合物为缓释剂的酮咯酸Tromethamine缓释片的研制与评价
Pub Date : 2017-08-25 DOI: 10.25258/IJPCR.V9I08.9584
M. Gadhave, V. Rutuja, S. Jadhav, D. Gaikwad
Sustained release tablets of Ketorolac Tromethamine were formulated using Aloe vera Gel Powder as extended drug releasing agent. The tablets were evaluated for preformulation studies like angle of repose, bulk density, compressibility index and physical characteristics like hardness, weight variation, friability and drug content. In-vitro release of drug was carried out in phosphate buffer solution pH 6.8 for twelve hours. All the physical characters of the formulated tablet were found within the acceptable limit. The tablet with Aloe Vera gel powder in Batch-F3 exhibited greater drug release than other batches. It is proved from the dissolution profile of Ketorolac Tromethamine, that Aloe Vera gel powder possess the drug release retarding ability.
以芦荟凝胶粉为缓释剂,研制了酮咯酸Tromethamine缓释片。对片剂进行休止角、容重、压缩性指数、硬度、重量变化、脆性、药物含量等物理特性评价。在pH 6.8的磷酸盐缓冲液中体外释放12小时。制剂的各项物理性状均在可接受范围内。f3批含芦荟凝胶粉的片剂释药效果优于其他批。从酮咯酸三聚氰胺的溶出谱分析证明,芦荟凝胶粉具有延缓药物释放的能力。
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引用次数: 0
Effect of HylocereusPolyrhizus Rind Extract Toward Interleukin-1β, Vascular Endothelial Growth Factor Expression, Endometriosis Implant Area 多根水蛭皮提取物对白细胞介素-1β、血管内皮生长因子表达及子宫内膜异位症种植面积的影响
Pub Date : 2017-08-25 DOI: 10.25258/IJPCR.V9I08.9588
P. YanuarEka, H. Hendarto, Widjiati
Retrograde menstruation lead to I Kappa B Kinase (IKK) fosforilation in peritoneum macrophage and cause secretion of proinflammatory cytokine interleukin1β then stimulate endometriosis cell to produce Vascular Endothelial Growth Factor which lead to increasing of endometriosis lession seen as endometriosis implant area. Cytokine secretion was inhibited through prevention of NF-κB activation by dragon red fruit rind extract (Hylocereuspolyrhizus). The aim of this reserach is to know the effect of dragon red fuit rind extract with 0,25; 0,5; and 1 mg/g bodyweight dosage toward IL-1β, VEGF expression and implant area in endometriosis mice model. The design of this experiment was randomized post test only control group design.Endometrios mice model were made in 14 days and split into two group, positive control group and treatment group after two week negative control group and postive control group were given Na-CMC 0,5% solution consequetively, and treatment group were given dragon red fruit extract with different dosage. Signification number for IL-1β is p>0,05, signification number for VEGF is p>0,05, and implant area signification number is p>0,05. Administration of dragon red fruit rind extract can decrease IL-1β, VEGF, and implant area.
月经逆行导致腹膜巨噬细胞IKK (Kappa B Kinase, IKK)堆积,引起促炎细胞因子白细胞介素1β的分泌,刺激子宫内膜异位症细胞产生血管内皮生长因子,导致子宫内膜异位症病变增加,称为子宫内膜异位症植入区。火龙果皮提取物可通过抑制NF-κB活化来抑制细胞因子的分泌。本研究的目的是了解0、25龙红果皮提取物的作用;0、5;1 mg/g体重剂量对子宫内膜异位症小鼠IL-1β、VEGF表达及植入面积的影响。本试验设计采用随机后测纯对照组设计。第14天建立子宫内膜小鼠模型,两周后分为两组,阳性对照组和治疗组,阴性对照组和阳性对照组分别给予Na-CMC 0.5%溶液,治疗组给予不同剂量的火龙果提取物。IL-1β的意义编号为p >00,05, VEGF的意义编号为p >00,05,种植面积的意义编号为p >00,05。龙红果皮提取物可降低IL-1β、VEGF和种植面积。
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引用次数: 2
Potential Role of Zamzam Water in Some Chronic Diseases in Rats 赞赞水在大鼠慢性疾病中的潜在作用
Pub Date : 2017-08-25 DOI: 10.25258/IJPCR.V9I08.9582
Amal S. Abdel-Azeem, A. Mubarak, Y. Abd-Elhady, Asmaa Gaber Mohammed Badawi
Water from holy zamzam is consumed by many Muslims in the world due to its beneficial role for the health of human beings.Therefore the present study was designed to evaluate the effect of zamzam water in diabetes mellitus, nephrotoxicity and hepatotoxicity in rats as well as to determine the chemical analysis of this water. Fifty six male albino rats weighting (150±5gm) were divided into four main groups and each group was divided into two subgroups a and b, one administered tap water (Tw) and the other subgroup administered zamzam water (zw). The 1st main group was normal rat (-ve control), the 2nd group was diabetic (induced by alloxan 150 mg/kg b.w.), the 3rd was nephrotoxic (induced by gentamicin 100 mg/kg b.w.) and the 4th group was hepatotoxic by carbon tetrachloride (2ml/ kg b.w.). The experiment lasted after four weeks. Zamzam water significantly decreased serum glucose, total lipids, total cholesterol, triglycerides, LDL-cholesterol and elevated HDL- cholesterol. Moreover the liver and kidney markers were also improved in the groups that treated with zamzam water relative to its control taking tap water. Zamzam water has a protective role against hazardous effects of diabetes mellitus, nephrotoxicity and hepatotoxicity in rats.
世界上许多穆斯林都饮用圣赞赞的水,因为它对人类健康有益。因此,本研究旨在评价赞赞水对糖尿病、大鼠肾毒性和肝毒性的作用,并确定赞赞水的化学分析。将体重(150±5gm)的雄性白化大鼠56只分为4个主要组,每组又分为a、b两个亚组,一个亚组给自来水(Tw),另一个亚组给扎扎水(zw)。第一主组为正常大鼠(对照组),第二主组为糖尿病大鼠(四氧嘧啶150 mg/kg b.w诱导),第三主组为肾毒性大鼠(庆大霉素100 mg/kg b.w诱导),第四主组为四氯化碳肝毒性大鼠(2ml/ kg b.w)。实验持续了四周。Zamzam水显著降低血清葡萄糖、总脂、总胆固醇、甘油三酯、低密度脂蛋白胆固醇和升高的高密度脂蛋白胆固醇。此外,与饮用自来水的对照组相比,用zamzam水处理的组的肝脏和肾脏标志物也有所改善。赞赞水对大鼠糖尿病、肾毒性和肝毒性具有保护作用。
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引用次数: 3
Optimization, Production, and Partial Purification of Thermostable -Amylase Produced by Marine Bacterium Bacillus sp. NRC12017 海洋细菌芽孢杆菌NRC12017耐热淀粉酶的优化、生产及部分纯化
Pub Date : 2017-08-25 DOI: 10.25258/IJPCR.V9I08.9581
E. M. El-kady, Mohsen S. Asker, Saadia M. Hassanein, Eman A. Elmansy, F. El-beih
α-Amylase biosynthesis was illustrated under stress circumstances of high temperature and high salinity in aerobically cultivated culture of a newly isolated moderately thermophilic bacterium of spore-forming Bacillus sp. NRC12017 in medium containing starch, peptone and yeast extract. Maximum yield (18.41 U/ml) was took place at pH 6.5 with 200 µl inoculum size at 45°C and an incubation time of 3 days. The ideal volume of the fermentation broth was found to be 15 ml in 100 ml Erlenmeyer flask, supplementation of starch at 2.5% and peptone plus yeast extract at 0.7% brought about the greatest production of α-amylase. Two fractions of α-amylase activities, designated FIII and FIV, were refined from culture filtrate utilizing ammonium sulfate (60 and 80%) and showed the main band at 30 KDa. Both fractions had the highest activity at 250 µl starch in a reaction mixture and pH 6.0-7.0. FIII and FIV showed that a temperature of 50 and 55°C and a reaction time of 20 and 30 min were the best available conditions for their activities, respectively, both fractions were stable up to 65°C and the activity was decreased drastically to 3.22 and 3.26 % when heated at 70°C. Concerning pH stability, a broad range of pH stability (5.0-11.0) was obtained by FIII and FIV.
在含淀粉、蛋白胨和酵母提取物的培养基中,研究了新分离的中等嗜热芽孢杆菌NRC12017在高温高盐胁迫条件下的α-淀粉酶生物合成。在pH 6.5,接种量200µl, 45°C,培养时间3 d的条件下,产量最高(18.41 U/ml)。在100 ml的Erlenmeyer烧瓶中,理想的发酵液体积为15 ml,添加2.5%的淀粉和0.7%的蛋白胨和酵母浸膏,α-淀粉酶的产量最大。利用硫酸铵(60%和80%)从培养滤液中提取α-淀粉酶活性的两个组分FIII和FIV,在30 KDa处显示主带。在250µl淀粉和pH 6.0-7.0的反应混合物中,两个组分的活性最高。FIII和FIV表明,温度为50℃和55℃,反应时间为20 min和30 min是其活性的最佳条件,两组分在65℃时均保持稳定,在70℃时活性急剧下降至3.22%和3.26%。在pH稳定性方面,FIII和FIV的pH稳定性范围较广(5.0-11.0)。
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引用次数: 10
Effect of Imperatorin in Neuropathology of Parkinson’s Disease: An In Silico Study 欧前胡素在帕金森病神经病理学中的作用:一项计算机研究
Pub Date : 2017-08-25 DOI: 10.25258/IJPCR.V9I08.9586
Krishnapriya M Varier, Sumathi Thangarajan, Arulvasu Chinnasamy
Parkinson’s disease (PD) is an age related neurodegenerative disorder characterized by thedopaminergic neurons loss in the midbrain. Even though there are some drugs in the market to ease parkinsonian symptoms, an accurate drug to prevent or cure the disease is still unknown. This study is an attempt to estimate in silico; a bioactive plant fucocoumarinImperatorin; for its ability as an anti-PD drug, using Autodock 4.2, Pre-ADMET and molinspiration tools against the antioxidants involved in neuropathology of PD, keeping amantadine as a positive control. The molecules selected for the study are Cyclo- Oxygenase 1 (COX-1), Homo-Oxygenase-1(HO-1), NRF2-Keap1, Lipo-Oxygenase 1(LOX-1), Phospholipase A2 (pA2), DJ-1 and superoxide dismutase (SOD). The reliability of the 3 Dimensional (3-D) structures generated were confirmed using WHATIF Server. The study predicted Imperatorin as a potent anti-PD drug, being good inhibitors of COX-1, HO-1 and LOX-1, having less human toxicity and better ability to cross Blood Brain-Barrier (BBB).
帕金森病(PD)是一种以中脑多巴胺能神经元丧失为特征的年龄相关性神经退行性疾病。尽管市场上有一些缓解帕金森症状的药物,但一种准确预防或治愈这种疾病的药物仍然未知。本研究是一种用计算机进行估计的尝试;一种生物活性植物岩藻香豆素欧前胡素;利用Autodock 4.2、Pre-ADMET和molinspiration工具对抗PD神经病理中涉及的抗氧化剂,以金刚烷胺为阳性对照。本研究选择的分子有环氧合酶1(COX-1)、同质氧合酶1(HO-1)、NRF2-Keap1、脂质氧合酶1(LOX-1)、磷脂酶A2 (pA2)、DJ-1和超氧化物歧化酶(SOD)。利用WHATIF Server对生成的三维结构进行可靠性验证。本研究预测欧前胡素是一种有效的抗帕金森病药物,是COX-1、HO-1和LOX-1的良好抑制剂,具有较小的人体毒性和更好的穿越血脑屏障(BBB)的能力。
{"title":"Effect of Imperatorin in Neuropathology of Parkinson’s Disease: An In Silico Study","authors":"Krishnapriya M Varier, Sumathi Thangarajan, Arulvasu Chinnasamy","doi":"10.25258/IJPCR.V9I08.9586","DOIUrl":"https://doi.org/10.25258/IJPCR.V9I08.9586","url":null,"abstract":"Parkinson’s disease (PD) is an age related neurodegenerative disorder characterized by thedopaminergic neurons loss in the midbrain. Even though there are some drugs in the market to ease parkinsonian symptoms, an accurate drug to prevent or cure the disease is still unknown. This study is an attempt to estimate in silico; a bioactive plant fucocoumarinImperatorin; for its ability as an anti-PD drug, using Autodock 4.2, Pre-ADMET and molinspiration tools against the antioxidants involved in neuropathology of PD, keeping amantadine as a positive control. The molecules selected for the study are Cyclo- Oxygenase 1 (COX-1), Homo-Oxygenase-1(HO-1), NRF2-Keap1, Lipo-Oxygenase 1(LOX-1), Phospholipase A2 (pA2), DJ-1 and superoxide dismutase (SOD). The reliability of the 3 Dimensional (3-D) structures generated were confirmed using WHATIF Server. The study predicted Imperatorin as a potent anti-PD drug, being good inhibitors of COX-1, HO-1 and LOX-1, having less human toxicity and better ability to cross Blood Brain-Barrier (BBB).","PeriodicalId":19889,"journal":{"name":"Pharmaceutical and Clinical Research","volume":"162 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73802240","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: 3
Evaluation of Antifungal Activity of CalvatiaCraniiformis and IverMectin as Novel Alternative Therapies for Aspergillus Niger Associated Acute Otitis Media with Special Refer to SocioDemographic Factors Among Rural Children of Diyala Province-Iraq 伊拉克迪亚拉省农村儿童治疗尼日尔曲霉相关性急性中耳炎的新方法——牛牙裂甲菌和伊维菌素的抗真菌活性评价
Pub Date : 2017-08-25 DOI: 10.25258/IJPCR.V9I08.9583
G. Jameel, A. Al-ezzy
Objectives are to determine antifungal activity of Ivermectin and Calvatiacraniiformis as a novel alternative therapy for aspergillus niger associated acute otitis media (AOM) among rural children of Diyala province; correlation of sociodemographic factors with frequency of infection. Ear swabs taken from 58 infected children and cultured onSabouraud dextrose agar for 7-14 days .Macroscopic and microscopic criteria used for diagnosis of A.niger .High isolation rate for A.niger (27.59%) among children of (4-6) years with significant difference between age groups ( p value 0.039); genders ( p value 0.004);house status(p value=0.018);family size (p value =0.00006334) and month of infection (p value=0.000). A.niger infection negatively correlated with patients age (p value =0.039), family economy and house status (p value =0.000),family size (p value =0.000). Alcohol extract of C.craniiformis (100mg, 200mg, 400mg, 500mg, 600mg, 800mg and 1000 mg) and ivermectin (0.5%,1 % and 2%) restricted the growth of A. niger after 3 days .Significance difference reported between all concentrations except 100 mg and 200 mg ; 600 mg and 800 mg. Significance difference in inhibitory activity between concentration 1% and 2%,0.5% and 2% of Ivermectin respectively. Conclusions: A.niger infections positively correlated with family size and inversely with age and family economy. The growth of A nigersignificantly restricted by alcohol extract of C.craniiformis and Ivermectin in concentration dependent manner. The powerful concentration was 1000mg, for C.craniiformis and 2% for Ivermectin. Thus, C.craniiformis and Ivermectin consider a novel antifungal agents that can be used in clinical practice for treatment of A.niger associated otitis media that represents a clinical problem in children and need serious attention from clinicians.
目的是确定伊维菌素和甲骨裂菌作为治疗农村儿童黑曲霉相关性急性中耳炎(AOM)的一种新的替代疗法的抗真菌活性;社会人口学因素与感染频率的相关性。从58名感染儿童的耳部拭子上取耳拭子,在sabouraud葡萄糖琼脂上培养7-14天。采用肉眼和显微镜标准诊断黑曲霉。(4-6)岁儿童黑曲霉分离率高(27.59%),年龄组间差异有统计学意义(p值0.039);性别(p值0.004)、房屋状况(p值=0.018)、家庭规模(p值=0.00006334)、感染月份(p值=0.000)。黑曲霉感染与患者年龄(p值=0.039)、家庭经济及房屋状况(p值=0.000)、家庭规模(p值=0.000)呈负相关。钉螺醇提物(100mg、200mg、400mg、500mg、600mg、800mg和1000mg)和伊维菌素(0.5%、1%和2%)在3 d后抑制黑曲霉生长,除100mg和200mg外,其余浓度均有显著性差异;600毫克和800毫克。伊维菌素浓度分别为1%和2%、0.5%和2%,抑菌活性差异有统计学意义。结论:尼日尔杆菌感染与家庭规模呈正相关,与年龄、家庭经济状况呈负相关。酒精提取物和伊维菌素对线虫生长有明显的抑制作用,且呈浓度依赖性。毒力浓度为1000mg,伊维菌素为2%。因此,颅形假丝酵母和伊维菌素被认为是一种新的抗真菌药物,可用于临床实践,治疗黑曲霉相关性中耳炎,这是儿童的一个临床问题,需要临床医生的认真关注。
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引用次数: 4
Effectiveness of Education Based Information-Motivation-Behavioral Skill (IMB) Model of Improving Knowledge, Motivation, and Performance Demonstration Metered-Dose Inhaler (MDI) to Community Pharmacists in Surabaya 基于教育的信息-动机-行为技能(IMB)模式对泗水社区药师提高知识、动机和绩效的效果
Pub Date : 2017-07-25 DOI: 10.25258/IJPCR.V9I7.8780
Amelia Lorensia, Benny Setiawan, Daniel Maranatha, Ananta Yudiarso
Preparations in the treatment of chronic asthma inhaler is more recommended dosage, but many asthma patients are not able to use an asthma inhaler properly. Dosage forms of inhaler types of metered-dose inhaler (MDI) is the most commonly used ayng. The role of community pharmacists are crucial in educating techniques use an asthma inhaler, but pharmacists can not use its own community and pharmacists current training methods based on knowledge has not been effective. In this study tested the theory-based educational methods IMB compared with conventional educational methods knowledge of the performance of community pharmacists in educating techniques use an asthma inhaler. A total of 25 community pharmacists participate in the research. All 25 pharmacists were then divided into two, the control group (n = 13). In comparison, the use of inhaler technique education based IMB improve the ability of community pharmacists inhaler demonstration is better than knowledge-based education, but there was no difference in the improvement of knowledge and motivation between the two. Although pharmacists who intervened with IMB-based educational models can demonstrate MDI use techniques better than knowledge-based education course.
慢性哮喘治疗中制剂吸入器是比较推荐的剂量,但许多哮喘患者不能正确使用哮喘吸入器。吸入器的剂型类型计量吸入器(MDI)是最常用的一种。社区药师在哮喘吸入器使用技术的教育中发挥着至关重要的作用,但社区药师不能自行运用,目前基于社区药师知识的培训方法尚未取得成效。本研究比较了基于理论的教育方法与传统教育方法对社区药师使用哮喘吸入器的知识教育效果的影响。共有25名社区药剂师参与了这项研究。将所有25名药师分为2组,即对照组(n = 13)。相比之下,基于IMB的吸入器技术教育比基于知识的教育更能提高社区药师的吸入器演示能力,但两者在知识和动机的提高方面没有差异。虽然药师干预以imb为基础的教育模式可以证明MDI使用技术比以知识为基础的教育课程更好。
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引用次数: 4
A Study to Determine the Effectiveness of Ergonomic Training on Body Posture and Musculoskeletal Disorder in Hospital Nurses 确定人体工程学训练对医院护士身体姿势和肌肉骨骼疾病有效性的研究
Pub Date : 2017-07-25 DOI: 10.25258/IJPCR.V9I7.8782
C. Vinodhini
The study aims in determining the effectiveness of ergonomic training on work- related musculoskeletal disorders andbody posture among hospital nurses. Thirty hospital nurses were selected based on the selection criteria. Pre-testassessments were obtained using Cornell musculoskeletal discomfort questionnaire, Visual analogue scale and Rapid upperlimb assessment. The nurses were further split into experimental and control group with fifteen each. A comprehensive 8week ergonomic training program was aided to the experimental group. Wilcoxon signed rank test was applied to determinethe significance between the pre-test and the post-test values. P= 0.0001 (P less than 0.05 is considered significant). The frequencyof the musculoskeletal pain has decreased with improved body posture. The study reveals the evidence for a need of amulticentre approach towards the treatment of work related musculoskeletal disorders. Study also illuminates the dynamicrole of an occupational therapist in the field of ergonomics and intervening musculoskeletal disorders.
本研究旨在探讨人体工程学训练对医院护士工作相关的肌肉骨骼疾病及身体姿势的效果。根据选取标准选取30名医院护士。采用康奈尔肌肉骨骼不适问卷、视觉模拟量表和快速上肢评估法进行测试前评估。将护士进一步分为实验组和对照组,每组15人。实验组进行为期8周的人体工程学综合训练。采用Wilcoxon符号秩检验来确定前测值与后测值之间的显著性。P= 0.0001 (P < 0.05为显著)。肌肉骨骼疼痛的频率随着身体姿势的改善而减少。该研究揭示了需要多中心方法治疗与工作相关的肌肉骨骼疾病的证据。研究还阐明了职业治疗师在人体工程学和干预肌肉骨骼疾病领域的动态作用。
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引用次数: 1
Follow Up Evaluation of Pediatric Epileptic Patients: A Prospective Clinical Study 儿童癫痫患者随访评价:一项前瞻性临床研究
Pub Date : 2017-07-25 DOI: 10.25258/IJPCR.V9I7.8789
Ahmad Khan, Anam Khan, M. Rehman, Sumaya Hanif, N. Sahi, Maria Zafar, Jallat Khan, F. Saleem
Objective: To investigate the follow up evaluation of pediatric epileptic patients and to determine the problems in epilepsytreatment that need improvement. Methods: This prospective study was conducted in the Neurology Department atChildren Hospital Lahore. A Pharmaceutical Care Plan was developed which included Subjective information, Objectiveinformation, Assessment and Plan of the condition of patient followed by definitive plan for assessment of adverse drugreactions, drug-drug interactions and pharmacoecnomics. 100 patients having age ≤ 15 years with uncomplicated epilepticseizures were followed for seven months. Data was analyzed by routine statistical methods. Results: Commonlyencountered cases were tonic clonic 39%, myoclonic 12%, petitmal 11% and complex partial seizures 9%. Results showthat most commonly prescribed drug was Valproic acid used in 67% cases. Patients stable on monotherapy were 57 %.Patients with appropriate dose were 89%. Generic prescribing was done in 10% cases. Patient who received antibiotics andmultivitamins were 19% and 21% respectively. Adverse drug reactions were observed in 13% cases. The patients withpoor education, medium education and good education were 7.9, 63 and 28.6 percent respectively. Compliance wassatisfactory in 72% patients. Patients with well-controlled fits were 25%. Mean cost of treatment for one month at start andend study was Rs. 576 ± Rs. 345 and Rs. 716 ± Rs. 422 respectively. Various wrong views about epilepsy are common inour society like patients who consider it due to evil spirits were 36%, and 24% of these patients in the start of diseasestrictly take a treatment from faith holders for the cure of disease. Conclusion: There is a great need for the education ofour society about epilepsy and its proper treatment. The discrepancies observed in the treatment of epilepsy were due toabsence of pharmacist in our health care system. If pharmacist checks all the prescriptions, maintains pharmaceutical careplan of all the patients under SOAP format and implements guidelines of Standard Pharmaceutical Care Plan, the qualityof life of epileptic patients can be improved. Likewise, cost of the treatment can be reduced.
目的:探讨小儿癫痫患者的随访评价,探讨癫痫治疗中需要改进的问题。方法:本前瞻性研究在拉合尔儿童医院神经内科进行。制定了一份药学服务计划,其中包括患者的主观信息、客观信息、评估和计划,随后是评估药物不良反应、药物-药物相互作用和药物经济学的明确计划。100例年龄≤15岁的无并发症癫痫发作患者随访7个月。采用常规统计学方法对数据进行分析。结果:常见的强直性阵挛占39%,肌阵挛占12%,小波性发作占11%,复杂部分性发作占9%。结果显示,67%的患者以丙戊酸为主;单药治疗稳定的患者占57%。剂量合适的患者占89%。在10%的病例中进行了通用处方。接受抗生素和复合维生素治疗的患者分别占19%和21%。13%的病例出现药物不良反应。受教育程度低、中等和良好的患者分别占7.9%、63%和28.6%。72%的患者依从性满意。控制良好的患者占25%。研究开始和结束时一个月的平均治疗费用分别为576±345卢比和716±422卢比。在我们的社会中,对癫痫的各种错误看法是很常见的,比如36%的患者认为是由于恶灵,24%的患者在疾病开始时严格接受信仰者的治疗来治愈疾病。结论:我国社会对癫痫的教育和正确治疗是十分必要的。在癫痫治疗中观察到的差异是由于我国卫生保健系统中缺乏药剂师。药师核对所有处方,按照SOAP格式维护所有患者的药学护理计划,并执行《标准药学护理计划》的指导方针,可提高癫痫患者的生活质量。同样,治疗费用也可以降低。
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引用次数: 0
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