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ADVANCEMENT IN THERAPEUTIC EFFORTS AND TOOLS FOR PREVENTION AND TREATMENT OF INSULIN DEPENDENT DIABETES MELLITIS 胰岛素依赖型糖尿病的预防和治疗方法的研究进展
Pub Date : 2018-01-13 DOI: 10.22200/PJPR.20172%P
Imran Qadir
Insulin Dependent Diabetes Mellitus (IDDM) is an autoimmune disease and is also called type 1diabetes. It occurs mostly due to CD8+ and CD4+ T lymphocytes which are actually the T-helper cells and very rarely by some virus and drugs which take the β-cells, insulin and proinsulin as its target. Th-cells may also affect by other ways i.e. by secreting the CXCL10 which are also reactive against the β-cells. In these patients there is low level of insulin causing high level of glucose also called hyperglycemia. To treat this autoimmune disorder we take some important steps either against the autoimmune responses or in the favor of proliferation of the β-cells or may take steps for the production of the insulin by either ways. There is possibility to give the patients monoclonal antibodies against the causative agents. We can also use the stem cells from pancreas that can grow to the new matured functional islet of langerhan. Moreover replacement of beta cell mass, non-endocrine cell production, antigen-based therapy, pancreatic transplantation, use of immunosuppressive monocyte and control of IDDM by using naturally found CD4 + CD25 +, regulator of T lymphocytes, are other approaches. If we come to know the exact mechanism of CXCL10/CXCR3 system it may also be useful for us to treat the disease.
胰岛素依赖型糖尿病(IDDM)是一种自身免疫性疾病,也被称为1型糖尿病。它主要是由CD8+和CD4+ T淋巴细胞引起的它们实际上是T辅助细胞,很少由一些以β细胞,胰岛素和胰岛素原为靶点的病毒和药物引起。th细胞也可能通过其他方式产生影响,即分泌CXCL10, CXCL10也会对β细胞产生反应。在这些患者中,胰岛素水平低导致葡萄糖水平高,也称为高血糖症。为了治疗这种自身免疫性疾病,我们采取了一些重要的措施,要么对抗自身免疫反应,要么促进β细胞的增殖,要么通过这两种方式促进胰岛素的产生。有可能给予患者抗病原体的单克隆抗体。我们也可以利用胰腺的干细胞生长成新的成熟的功能胰岛。此外,替代β细胞群、非内分泌细胞生成、抗原治疗、胰腺移植、使用免疫抑制单核细胞和使用自然发现的CD4 + CD25 + (T淋巴细胞的调节剂)来控制IDDM也是其他方法。如果我们了解CXCL10/CXCR3系统的确切机制,也可能对我们治疗这种疾病有所帮助。
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引用次数: 1
Survey of prevalence of diabetes mellitus and associated factors in out patients’ clinic Nishtar Hospital Multan. 木尔坦市尼什塔尔医院门诊糖尿病患病率及相关因素调查。
Pub Date : 2017-06-16 DOI: 10.22200/PJPR.201719-13
A. Siddiqua, A. Majeed, Muhammad Hanif
Aim of this study was to determine the awareness amongst Diabetic patients, its risk factors and complications. This was a cross-sectional survey conducted at the outpatient, Diabetic clinic Nishtar hospital, Multan in April of 2014. A structured and close ended questionnaire was administered and 300 patients of different age groups were interviewed about their knowledge regarding awareness of Diabetes Mellitus, complications and risk factors. Of the three hundred patients subjected to the survey, 18% individuals were aware of risk factors while 22% were aware of the complications associated with the disease.This awareness is significantly less in female as compared to male. Prevalence of risk factors and complication is greater in female particularly because of physical inactivity. Majority of patients had inadequate knowledge about Diabetes Mellitus and its associated risk factors. Public awareness and knowledge about disease can be raised by planning and implementing outreach programmes and mass media. Moreover, exercise benefits should be demonstrated in public.
本研究的目的是确定糖尿病患者的认知,其危险因素和并发症。这是2014年4月在木尔坦市Nishtar医院糖尿病门诊进行的一项横断面调查。采用结构化封闭式问卷对300名不同年龄段的患者进行调查,了解其对糖尿病的认知、并发症及危险因素。在接受调查的300名患者中,18%的人意识到风险因素,22%的人意识到与疾病相关的并发症。与男性相比,女性的这种意识明显较弱。风险因素和并发症的流行率在女性中更高,特别是因为缺乏身体活动。大多数患者对糖尿病及其相关危险因素的认识不足。可以通过规划和执行外联方案和大众媒体提高公众对疾病的认识和知识。此外,锻炼的好处应该在公共场合展示。
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引用次数: 1
Antiphospholipid Antibodies – a tool for the screening of repeated spontaneous abortion 抗磷脂抗体-筛选反复自然流产的工具
Pub Date : 2017-06-16 DOI: 10.22200/pjpr.2017118-23
Z. Iqbal, T. Zafar, W. Zafar, T. Zafar, S. Waqas
Objective:- To evaluate the biomedical and clinical significance of antiphospholipid antibodies in women with repeated spontaneous abortion. Place & Duration:- Mohi-u-Din Islamci Medical College & DHQ Hospital, Mirpur, AJ & K, from March to December 2013. Methodology:- 50 subjects with history of three spontaneous abortions in their first trimester of pregnancy were included in this study & fifty women of corresponding age, with one, more alive babies having no record of any first three months spontaneous abortion were taken as controls. Coagulation tests, platelet count, prothrombin time and activated partial thromboplastin time were done by standards methods. Antiphospholipid Antibodies were estimated by ELISA method using specific kits. Results:- Mean serum Antiphospholipid Antibodies level was 7.10 + 3.47 in patients and 6.30 + 2.02 in controls. The difference in serum level of two groups was significant. Mean platelet count, mean prothrombin time & activated partial thromboplastin time revealed no significant difference between patients and controls. Conclusion:- It is concluded that there is a strong association of antiphospholipid antibodies in the patients having recurrent spontaneous abortions so there is a strong need of including this test in the primary screening of such disease in the pregnant women who have history of previous repeated spontaneous abortion.
目的:评价反复自然流产妇女抗磷脂抗体检测的生物医学和临床意义。地点和时间:- Mohi-u-Din伊斯兰医学院和DHQ医院,米尔普尔,AJ和K, 2013年3月至12月。方法:本研究纳入了50名在妊娠前三个月有三次自然流产史的受试者和50名相应年龄的妇女,其中有1名以上没有任何妊娠前三个月自然流产记录的活婴作为对照。采用标准方法进行凝血试验、血小板计数、凝血酶原时间和活化部分凝血活酶时间。采用特异性试剂盒,ELISA法测定抗磷脂抗体。结果:-患者平均血清抗磷脂抗体水平为7.10 + 3.47,对照组为6.30 + 2.02。两组血清水平差异有统计学意义。平均血小板计数、平均凝血酶原时间和活化的部分凝血活酶时间在两组间无显著差异。结论:反复自然流产患者的抗磷脂抗体水平与反复自然流产患者的抗磷脂抗体水平密切相关,因此有必要在反复自然流产病史的孕妇中进行此类疾病的初步筛查。
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引用次数: 0
MEDICAL WASTE IN PAKISTAN AND ENVIRONMENTAL LAW 巴基斯坦的医疗废物和环境法
Pub Date : 2017-06-16 DOI: 10.22200/PJPR.2017114-17
M. Khan
Medical Waste produced by health care activities including a wide range of materials, from used syringes and needles to soiled dressings, diagnostic samples, body parts, pharmaceuticals, chemicals, blood, medical devices and radioactive materials. In most developing countries, proper waste management system does not exist. In Pakistan, Government hospitals, no special techniques for waste handling, and due to lack of awareness, hospital staff normally treats all solid wastes carelessly. The present study is to determine the frequency of attitudes and practices of hospital waste management and environmental laws. The study was conducted in the Multan from August, 2016 to September, 2016. The sample was consisted of 100 hospital staff including doctors, nurses, laboratory technicians and class IV employees through convenience sampling. They were interviewed and results were analysed from the entries in a semi structured Performa. The study concluded that that in spite of all these laws and rules, the implementations, regulation and compliance still low have serious concerns for the environmental and public health due to unawareness, lack of strict hospital management and regular monitoring. There is gap between theory, rules, laws and its practices.
医疗保健活动产生的医疗废物,包括各种各样的材料,从用过的注射器和针头到污染的敷料、诊断样品、身体部位、药品、化学品、血液、医疗设备和放射性材料。在大多数发展中国家,不存在适当的废物管理系统。在巴基斯坦,政府医院没有处理废物的特殊技术,由于缺乏认识,医院工作人员通常不小心处理所有固体废物。本研究旨在确定医院废物管理和环境法律的态度和做法的频率。该研究于2016年8月至2016年9月在木尔坦进行。样本由100名医院工作人员组成,包括医生、护士、实验室技术人员和四级员工。他们接受了采访,并从半结构化的Performa条目中分析了结果。该研究的结论是,尽管有所有这些法律和规则,但由于缺乏意识、缺乏严格的医院管理和定期监测,实施、监管和遵守情况仍然很低,对环境和公众健康造成严重关切。理论、规则、法律与实践之间存在差距。
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引用次数: 1
Physicochemical characterization of medicinal essential oil made obtained from the rhizome of Zingiber officinale (ginger), grown in San Carlos, Costa Rica, in order to standardize future hydroponic cultivations of the plant 从哥斯达黎加圣卡洛斯种植的生姜根茎中提取的药用精油的理化特性,以便标准化该植物未来的水培栽培
Pub Date : 2017-06-16 DOI: 10.22200/PJPR.2017124-29
G. Madrigal
Introduction: Ginger is a medicinal plant native to India. Has been reported their potential use in cosmetics, medicines and natural products, however depending on crop conditions the medicinal components of the different parts of the plant not only changes in concentration but in its composition, this modifies its medicinal action. The aim of this study was to characterize by physicochemical methods the chemical composition of essential oil obtained from rhizomes of Zingiber officinale grown in the area of San Carlos, Costa Rica in order to standardize future hydroponic cultivations of the plant and validate their subsequent pharmacological or cosmetic effects. Materials and methods: the rhizomes of the plant were used, the active principles were extracted by ethanolic extraction with Soxleth and distillation by entrainment with vapor, analysis was performed by using a qualitative phytochemical profile for the ethanolic extract, and the composition of the essential oil was studied by gas chromatography coupled to mass spectrometry detector (GC-MS). Results and Conclusions. The presence of flavonoids, alkaloids, saponins, tannins and triterpenes in the ethanolic extract was qualitatively determined. In characterizing the essential oil by GC-MS were identified as lead compounds the geranialdehyde (27.42%), neral (20.11%), 1.8-cineole (13.35%), camphene (4.65%) and E-geraniol (3.92%). The composition obtained was compared with the composition reported in the literature, obtaining a clear difference with those reported in other studies, allowing predicting an antimicrobial behavior unlike most traditional essential oils of the rhizomes.
生姜是一种原产于印度的药用植物。据报道,它们在化妆品、药物和天然产品中的潜在用途,然而,根据作物条件,植物不同部位的药用成分不仅浓度变化,而且成分变化,这改变了其药用作用。本研究的目的是通过物理化学方法表征从哥斯达黎加圣卡洛斯地区生长的生姜根茎中提取的精油的化学成分,以便标准化该植物的未来水培栽培,并验证其后续药理或美容效果。材料和方法:以该植物的根茎为原料,采用索氏乙醇萃取法提取活性成分,气相色谱-质谱联用(GC-MS)分析挥发油的成分,并对乙醇提取物进行定性植物化学分析。结果与结论。定性测定了乙醇提取物中黄酮类、生物碱、皂苷、单宁和三萜的含量。GC-MS鉴定出香叶醛(27.42%)、木犀草醛(20.11%)、1.8-桉叶脑(13.35%)、莰烯(4.65%)和e -香叶醇(3.92%)为香叶精油的先导化合物。将获得的成分与文献报道的成分进行比较,与其他研究报道的成分有明显差异,从而可以预测与大多数传统根茎精油不同的抗菌行为。
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引用次数: 1
Anxiolytic and Antidepressant like Profile of Repeatedly administrated Escitalopram in Behavioral Animal Models 反复给药艾司西酞普兰在行为动物模型中的抗焦虑和抗抑郁作用
Pub Date : 2017-06-16 DOI: 10.22200/PJPR.2017139-47
Muhammad Farhan, Mehvish Perveen
Selective serotonin reuptake inhibitors (SSRIs) were initially introduced as antidepressants, and their potential as anxiolytic has been observed in the treatment of social phobia, post-traumatic stress disorder, and generalized anxiety disorder Escitalopram is therapeutically active S-enantiomer of citalopram. It is a commonly prescribed Selective serotonin reuptake inhibitor (SSRI). SSRIs are the latest generated antidepressants having the selective mechanism of action towards 5-Hydroxytryptamine (Serotonin; 5-HT) without affecting any other unwanted effects on other neurotransmitters. Escitalopram is very selective serotonin reuptake inhibitor; it blocks the serotonin transporters without producing any significant effect on other monoamines transporters. Evidences suggest that escitalopram is efficient in the treatment of major depressive disorder (MDD) and generalized anxiety disorders (GAD). The present study was designed to determine the effects of repeated administration of escitalopram on locomotor activity and anxiolytic behavior of animals in animal model. Rats were administered orally with escitalopram (5 mg/kg) daily for 7 days. This study showed anxiolytic activity produced on repeated administration of drug in light dark transition test. As compared to control animals, activity in activity box was higher and activity in open field was smaller in escitalopram administrated animals. These information support clinical discoveries that escitalopram is a powerful, very much endured SSRI with anxiolytic-like impacts.
选择性5 -羟色胺再摄取抑制剂(SSRIs)最初是作为抗抑郁药引入的,它们作为抗焦虑药的潜力已经在治疗社交恐惧症、创伤后应激障碍和广泛性焦虑症中被观察到。艾司西酞普兰是西酞普兰的有效s -对映体。它是一种常用的选择性血清素再摄取抑制剂(SSRI)。SSRIs是最新开发的抗抑郁药物,具有选择性作用于5-羟色胺(5-羟色胺;5-羟色胺)而不会对其他神经递质产生不良影响。艾司西酞普兰是选择性很强的5 -羟色胺再摄取抑制剂;它阻断5 -羟色胺转运体,但对其他单胺转运体没有显著影响。有证据表明艾司西酞普兰对重度抑郁障碍(MDD)和广泛性焦虑症(GAD)有较好的治疗效果。本研究旨在确定反复给药艾司西酞普兰对动物运动活动和焦虑行为的影响。大鼠口服艾司西酞普兰(5mg /kg),每天7天。在明暗转换试验中,反复给药可产生抗焦虑活性。与对照动物相比,艾司西酞普兰给药动物活动箱内活动较高,空地活动较小。这些信息支持临床发现,艾司西酞普兰是一个强大的,非常持久的SSRI与焦虑样的影响。
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引用次数: 0
Virtual Screeningfor Novel HIV-Reverse Transcriptase Inhibitors 新型hiv逆转录酶抑制剂的虚拟筛选
Pub Date : 2017-06-16 DOI: 10.22200/PJPR.2017134-38
M. Qadir
HIV–1 (human immunodeficiency virus type–1) isthe disease causing agent for AIDS. It is pathogenic retrovirus which joined in a long polypeptide chain when viral RNA is translated into a polypeptide sequence. It contains different proteins like reverse transcriptase, protease, integrase, etc. These proteins have to be altered from polypeptide chain before these enzymes become to start function. Reverse transcriptase is inhibited by. We applied existing system by virtual screening analysis of HIV-RT from PDB database versus chemical compounds from ZINC database using “Autodockvina” and “cornia sketch tool”. Different hypothetical ligands were deliberate on cornia sketch tool and their structures were docked with (HIV-RT) PDB file. The structure with best recording was selected and the database of zinc was separated for similar structures and consequences in 18 hits.
HIV-1(人类免疫缺陷病毒1型)是艾滋病的致病因子。它是一种致病性逆转录病毒,当病毒RNA被翻译成多肽序列时,它连接在一个长多肽链上。它含有不同的蛋白质,如逆转录酶、蛋白酶、整合酶等。在这些酶开始发挥作用之前,这些蛋白质必须从多肽链上被改变。逆转录酶被。我们利用“Autodockvina”和“cornia sketch tool”对PDB数据库中的HIV-RT和ZINC数据库中的化合物进行虚拟筛选分析。在cornia草图工具上考虑不同的假设配体,并将其结构与(HIV-RT) PDB文件对接。选择记录效果最好的结构,并对18个命中的相似结构和后果进行锌数据库分离。
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引用次数: 0
Gender specific correlation among fingerprint patterns and blood group in Pakistani population 巴基斯坦人群指纹图谱与血型的性别特异性相关性研究
Pub Date : 2017-06-16 DOI: 10.22200/pjpr.2017130-33
T. Javed, S. Riaz, M. Adil, M. S. Anjum, G. Mustafa
Finger print patterns are extensively used for the study of individuality as most legitimate evidence against criminals. Due to the massive potential of fingerprints as a definite method of identification they can be useful to analyze their correlation with gender.  In present study, total 166 Pakistani subjects with (70.83%) of males and (29.1%) of females were selected for this study. Whorls were the most frequent fingerprint pattern (48.21%), while arches were the least common (10.11%). There high frequency of whorls (35.4%) and females have higher incidence of loops (14.2%). The ridge density can also predict the gender as the female had higher ridge density (13±1) than males (12±1). Whorls were predominant in blood group O, A, B and AB in both Rh negative and Rh positive individuals.
指纹模式被广泛用于个性研究,作为最合法的证据来反对罪犯。由于指纹作为一种确定的识别方法的巨大潜力,它们可以用于分析它们与性别的相关性。本研究共选取166名巴基斯坦受试者,其中男性占70.83%,女性占29.1%。螺旋形指纹最常见(48.21%),弓形指纹最少(10.11%)。雌虫发生环虫的频率较高(14.2%),雌虫发生环虫的频率较高(35.4%)。脊密度对性别也有预测作用,雌性脊密度(13±1)高于雄性脊密度(12±1)。Rh阴性和Rh阳性个体均以O型、A型、B型和AB型为主。
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引用次数: 0
Demographic and hematologic pattern of acute myeloid leukemia patients from lower Punjab area 下旁遮普地区急性髓性白血病患者的人口统计学和血液学特征
Pub Date : 2016-07-15 DOI: 10.22200/PJPR.20162127-135
Sahir Sajjad, A. Ghaffar, M. Qadir
Purpose of this study was to evaluate the demographic and hematologic pattern of acute myeloid leukemia patients from lower Punjab area. The treatment of the acute myeloid leukemia patients is related with the unsatisfactory rates of complete responses that usually as short lived. At the relapse of leukemia patients the evaluation of investigational treatment strategies, therapeutic decision making by clinically useful prognostic index. All the hematological techniques were applied to increase the life expectancy of the leukemia patients. The study concluded that acute myeloid leukemia was prevalent in local population especially in males as compared to females. All the patients had varied CBCs profiles. The hematological tests are used to characterize the disease for its management and treatment to increase the life expectancy of the patients.
本研究的目的是评估下旁遮普地区急性髓系白血病患者的人口学和血液学模式。急性髓系白血病患者的治疗与完全缓解率不理想有关,通常是短暂的。在白血病复发患者的临床研究中评价治疗策略,制定治疗决策时采用临床有用的预后指标。所有的血液学技术都被应用于提高白血病患者的预期寿命。该研究得出结论,急性髓性白血病在当地人群中普遍存在,尤其是男性。所有患者都有不同的CBCs特征。血液学测试用于表征疾病的管理和治疗,以增加患者的预期寿命。
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引用次数: 0
Self-Medication amongst the university students of Multan, Pakistan- A questionnaire based survey 巴基斯坦木尔坦大学学生的自我药疗——一项问卷调查
Pub Date : 2016-07-15 DOI: 10.22200/PJPR.20162142-145
S. Chughtai, M. A. Khan, Muhammad Zia Ul Haq, A. Shahzad, Farwa Hussain, Farzana Nazar, M. A. Chughtai
Self-medication is a common incidence in the world today. This study aims to evaluate self-medication among university students of Multan, Pakistan. This randomized cross sectional study was carried out in Bahauddin Zakariya University, Multan during December 2015- January 216. A sample size of 200 students was randomly selected. Response rate was 90% (n=182).The prevalence of self-medication among the students was determined to be 83%. There was difference in perception of pharmacy students and students of other professions. Most common condition in which students did self-medication was headache (49.66%; n=75). Students also showed tendency of self-medication in case of herbal and essential oil products (46.35%). Awareness concerning insecurity and benefits of self-medication must be spread among students to avoid the complications of self-medication.
自我药疗在当今世界是一种普遍现象。本研究旨在评估巴基斯坦木尔坦地区大学生的自我药疗状况。这项随机横断面研究于2015年12月至2016年1月在木尔坦的Bahauddin Zakariya大学进行。随机抽取200名学生作为样本。有效率90% (n=182)。学生自我药疗的患病率为83%。药学专业学生与其他专业学生的认知存在差异。学生自我药疗最常见的症状是头痛(49.66%);n = 75)。学生在服用草药和精油产品时也有自我药疗的倾向(46.35%)。必须在学生中宣传自我药疗的不安全性和益处,以避免自我药疗的并发症。
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引用次数: 3
期刊
Pakistan Journal of Pharmaceutical Research
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