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Zambia’s Response to the COVID-19 Pandemic: Exploring Lessons, Challenges and Implications for Future Policies and Strategies 赞比亚应对COVID-19大流行:探讨教训、挑战及其对未来政策和战略的影响
Pub Date : 2022-01-01 DOI: 10.4236/pp.2022.131002
Steward Mudenda, M. Chileshe, M. Mukosha, C. Hikaambo, M. Banda, M. Kampamba, Kennedy Mwila, D. Banda, W. Mufwambi, V. Daka
The coronavirus disease 2019 (COVID-19) pandemic is a global public health problem that has affected the globe in different ways. There is little information published on the challenges and lessons learnt in responding to the COVID-19 epidemic in Zambia.
2019冠状病毒病(COVID-19)大流行是一个以不同方式影响全球的全球公共卫生问题。关于赞比亚在应对COVID-19流行病方面面临的挑战和吸取的教训,目前发表的信息很少。
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引用次数: 15
Assessment of Knowledge, Attitude and Practices towards the Disposal of Unused and Expired Medications among Students of Private Medical Universities in Lusaka, Zambia 对赞比亚卢萨卡私立医科大学学生处置未使用和过期药物的知识、态度和做法的评估
Pub Date : 2022-01-01 DOI: 10.4236/pp.2022.132004
M. Kampamba, Vewoerd Maingaila, T. M. Akapelwa, Steward Mudenda, Luke Biete, W. Mufwambi, M. Banda, M. Phiri, C. Hikaambo
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引用次数: 0
Clinical Assessment of a Pharmaceutical Polyphenol Fruit Extract Gel to Inhibit Dental Plaque 药用多酚水果提取物凝胶抑制牙菌斑的临床评价
Pub Date : 2021-09-18 DOI: 10.4236/pp.2021.129016
Steven Goh, David Goh, E. R. Vickers
Oral bacteria (e.g. Porphyromonas gingivalis) are associated and potentially co-causative in several medical conditions including Alzheimer’s disease and increased cardiovascular risk. Naturally occurring polyphenols are a developing class of antimicrobial pharmaceutical agents. The use of plant-based polyphenol compounds is an attractive area of medical and dental research due to their high safety factor from their presence in vegetables and fruits. This preliminary study evaluated polyphenols found in berries to reduce bacterial dental plaque accumulation. The study was an in vivo single blind randomized controlled trial of seven subjects with a novel tooth gel using validated measurements. Results showed a significant reduction in plaque accumulation (p = 0.005) and a non-significant trend to reduce gingivitis (p = 0.08). The bioactive gel showed no local or systemic adverse effects and was well tolerated by subjects.
口腔细菌(如牙龈卟啉单胞菌)与包括阿尔茨海默病和心血管风险增加在内的几种疾病相关并可能共同致病。天然存在的多酚是一类正在发展的抗菌药物制剂。植物基多酚化合物的使用是医学和牙科研究的一个有吸引力的领域,因为它们存在于蔬菜和水果中,具有很高的安全系数。这项初步研究评估了浆果中发现的多酚可以减少细菌牙菌斑的积累。该研究是一项体内单盲随机对照试验,7名受试者使用一种新型牙齿凝胶,使用有效的测量方法。结果显示,牙菌斑积累明显减少(p = 0.005),而牙龈炎的减少趋势不显著(p = 0.08)。该生物活性凝胶无局部或全身不良反应,受试者耐受性良好。
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引用次数: 1
Transcriptome Analysis of gene in Mouse M-1 cells revealing the functional mechanism of Astragali radix extract 小鼠M-1细胞基因转录组分析揭示黄芪提取物的作用机制
Pub Date : 2021-09-15 DOI: 10.21203/rs.3.rs-889398/v1
Bing‐Bing Wang, Qian Feng, Chao Zhang, Yuming Chen, Yu Chen, Jie Teng, Zhong-zhen Cai, Meng-mei Li, Lin Wang, Yanpeng Zhao, Xu-Feng Bai
BackgroundAstragali Radix (AR),the dried root of legumes, belongs to the Qi- invigorating herbs in traditional Chinese medicine and plays an important role in the treatment of many diseases. In order to understand the mechanism of action of AR extract, we used AR extract to treat M-1, mouse kidney cells, and used transcriptome sequencing technology to detect the genomic transcription level of the cells under the action of AR at different concentrations and times.ResultThe results showed that after a low concentration of AR treatments on the cells, the expression of genes related to cell growth and cellular immune response changed significantly, among which multiple genes are related to mitochondrial function, while high concentrations of AR affected the expression of histones and disease-related genes. It showed that the low concentration of AR extract can achieve the effect of invigorating Qi by regulating the function of mitochondria. In addition, several important genes and pathways were identified as potential targets of AR activation.ConclusionThe research not only clarified the main molecular biological mechanism of AR invigorating Qi, but also provided experimental basis and cellular physiology reference for the further clinical application of AR.
黄芪是豆科植物的干根,是中医的益气中药,在治疗多种疾病中起着重要作用。为了了解AR提取物的作用机制,我们使用AR提取物处理M-1小鼠肾细胞,并利用转录组测序技术检测不同浓度和时间下AR作用下细胞的基因组转录水平。结果显示,低浓度AR对细胞处理后,与细胞生长和细胞免疫应答相关的基因表达发生显著变化,其中多个基因与线粒体功能相关,而高浓度AR影响组蛋白和疾病相关基因的表达。说明低浓度AR提取物可通过调节线粒体功能达到补气的效果。此外,一些重要的基因和途径被确定为AR激活的潜在靶点。结论本研究不仅阐明了AR补气的主要分子生物学机制,而且为AR的进一步临床应用提供了实验依据和细胞生理学参考。
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引用次数: 0
The Safety and Efficacy of CBD—A Pharmacist’s Perspective 从药师角度看CBD-A的安全性和有效性
Pub Date : 2021-08-26 DOI: 10.4236/pp.2021.128015
Samuel Maaiah, Alexander Nguyen, Simona Senovaityte, Lily Dang, Hayden Gharibyar
Here in the United States Cannabidiol (CBD) is legal in all 50 states if the Tetrahydrocannabinol (THC) concentration of the product is no more than 0.3%. The largest retailers of CBD in 2019 were located in California, Florida, and New York, which sold $730 million, $291 million, and $215 million, respectively. Of the patients who use CBD, the most common reasons for their use were pain, anxiety, and insomnia. As the use of CBD for the relief of different issues increases, it is important to assess the safety and efficacy of CBD as it pertains to drug-drug interactions, lab interactions, and its actual benefits. This subject of safety and efficacy is increasingly important as the use of CBD has increased, with approximately 64 million Americans having tried CBD between 2017 and 2019. In this article, we will discuss these different aspects of CBD use from the point of view of a pharmacist. Not only do pharmacists commonly get questions on different aspects of CBD use, but they are also drug experts in areas including drug-drug interactions, drug toxicities, pharmacokinetics and pharmacodynamic profiles of medications, and guideline-recommended therapeutic options. Although there is a limited amount of data, there is still accessible data that may serve to inform pharmacists to become aware of the safety and efficacy of CBD. This information will serve pharmacists to educate patients that CBD contains properties to be used in a variety of conditions such as Lennox-Gastaut Syndrome, Dravet Syndrome, pain, and sports enhancement.
在美国,如果四氢大麻酚(THC)的浓度不超过0.3%,大麻二酚(CBD)在所有50个州都是合法的。2019年最大的CBD零售商位于加利福尼亚州、佛罗里达州和纽约,销售额分别为7.3亿美元、2.91亿美元和2.15亿美元。在使用CBD的患者中,最常见的原因是疼痛、焦虑和失眠。随着CBD用于缓解不同问题的使用的增加,评估CBD的安全性和有效性非常重要,因为它涉及药物-药物相互作用,实验室相互作用及其实际益处。随着CBD使用量的增加,安全性和有效性这一主题变得越来越重要,在2017年至2019年期间,大约有6400万美国人尝试过CBD。在本文中,我们将从药剂师的角度讨论CBD使用的这些不同方面。药剂师不仅经常被问及CBD使用的不同方面,而且他们也是药物领域的专家,包括药物相互作用,药物毒性,药物的药代动力学和药效学概况,以及指南推荐的治疗方案。尽管数据数量有限,但仍有可获取的数据可以告知药剂师了解CBD的安全性和有效性。这一信息将有助于药剂师教育患者,CBD含有可用于各种病症的特性,如Lennox-Gastaut综合征、Dravet综合征、疼痛和运动增强。
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引用次数: 0
Development of a Method for Identification and Quantification of Sulfadiazine and Pyrimethamine in Serum of Congenital Toxoplasmosis Pediatric Patients 小儿先天性弓形虫病患者血清中磺胺嘧啶和乙胺嘧啶鉴定与定量方法的建立
Pub Date : 2021-08-26 DOI: 10.4236/pp.2021.128014
M. E. Marson, Fleitas Ulises, Pérez Montilla Carlos, Prospitti Anabela, A. Jaime, Moroni Samanta, M. Guillermo, G. Facundo, M. Guido
Infection with Toxoplasma gondii, is one of the most widespread zoonoses in the world. Congenital Toxoplasmosis (CT) is particularly risky due to its fetal complications. Sulfadiazine (SDZ) and Pyrimethamine (PYR) are usually used for CT treatment in Argentina, to prevent morbidity. Due to the lack of commercial pediatric formulations, these must be prepared in the hospital pharmacy. This is the first report of serum concentrations measures in pediatric CT therapy for this combination of drugs. A bioanalytical method was developed for identification and simultaneous quantification of SDZ and PYR by High Performance Liquid Chromatography (HPLC) with UV detection. The validated method was applied to residual serum samples obtained from 6 pediatric patients undergoing treatment with SDZ 42.20 a 93.70 mg/kg/day and PYR 0.77 a 2.70 mg/kg/day. Sample pretreatment consisted on a deproteinization step followed by centrifugation and then injection of supernatant. Limit of Detection (LOD) and Quantification (LOQ) were (0.17 ± 0.02 and 0.13 ± 0.02) μg/mL and (0.46 ± 0.01 and 0.36 ± 0.01) μg/mL for SDZ and PYR respectively, with an appropriate linear range. Concentrations range found were ( - 162.04 ± 0.02) μg/mL for SDZ and ( - 7.30 ± 0.03) μg/mL for PYR. We developed and validated in real pediatric samples, an acute, precise and low-cost method for quantification of SDZ and PYR using a non-sophisticate chromatographic equipment, suitable for hospital therapeutic monitoring for public health system.
弓形虫感染是世界上传播最广泛的人畜共患病之一。先天性弓形虫病(CT)是特别危险的,由于其胎儿并发症。在阿根廷,磺胺嘧啶(SDZ)和乙胺嘧啶(PYR)通常用于CT治疗,以预防发病率。由于缺乏商业儿科配方,这些必须在医院药房准备。这是首次报道儿童CT治疗中这种药物联合使用的血清浓度测量。建立了一种高效液相色谱(HPLC) -紫外检测同时测定SDZ和PYR的方法。将验证的方法应用于6例接受SDZ 42.20 a 93.70 mg/kg/day和PYR 0.77 a 2.70 mg/kg/day治疗的儿科患者的残留血清样本。样品的前处理步骤为脱蛋白、离心、上清。SDZ和PYR的检出限(LOD)和定量限(LOQ)分别为(0.17±0.02和0.13±0.02)μg/mL和(0.46±0.01和0.36±0.01)μg/mL,具有适当的线性范围。SDZ和PYR的浓度范围分别为(- 162.04±0.02)μg/mL和(- 7.30±0.03)μg/mL。我们开发了一种适用于公共卫生系统医院治疗监测的快速、精确和低成本的SDZ和PYR定量方法,并在实际儿科样品中进行了验证。
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引用次数: 0
Acute and Reproductive Toxicity of the Aqueous Extract of the Dry Seeds of Aframomum daniellii on the Female Wistar Rat Strain 白香树干种子水提物对Wistar雌性大鼠的急性和生殖毒性研究
Pub Date : 2021-07-20 DOI: 10.4236/pp.2021.127013
Z. Nde, M. Wankeu-Nya, B. L. Koloko, S. Ateba, Marie I. Ngaha, E. F. Bend, Paul V. G. Mboumwa, Doriane C. Nyonseu Nzeubang, D. Lembè
This work was designed to investigate the acute and reproductive toxicity activity of the aqueous extract of the dry seeds of Aframomum daniellii on the female rats. The acute toxicity of the aqueous extract of Aframomum daniellii (A. daniellii) was evaluated with 6 female rats which were divided into 2 groups (1 Test group and the Control group) of 3 female rats each. The control group received distilled water (10 mL/kg/po) and the test group received a single dose of extract of A. daniellii at the dose of 2000 mg/kg. The reproductive toxicity was evaluated using 45 adult female rats which were divided into 5 groups. Group I, received distilled water (1 mL/100 g/po, neutral control); group II, received Clomiphene citrate (600 μg/kg/po, positive control); Groups III, IV and V (trials) received aqueous extract of A. daniellii at doses of 100, 200 and 400 mg/kg/po respectively. The animals were treated daily for 14 days. From the 6th day of treatment, the rats were mated with males of proven fertility for 8 days. On day 22, after laparotomy and delivery, the number of implantation sites, corpora lutea, resorption sites and pups were recorded. Concerning the acute toxicity, it was observed that, after the single dose of 2000 mg/kg administration of the aqueous extract of the dry seeds of A. daniellii, no deaths were recorded. Concerning the reproductive toxicity, no implantation and gestation were observed when compared to the control. However, the aqueous extract of A. daniellii caused a significant (p A daniellii is weakly toxic, but could negatively affect some reproductive parameters.
本实验旨在研究白芷干种子水提物对雌性大鼠的急性毒性和生殖毒性活性。用6只雌性大鼠分为2组(试验组1只,对照组1只),每组3只,评价丹参水提物的急性毒性。对照组给予蒸馏水(10 mL/kg/po),试验组给予单次丹参提取物,剂量为2000 mg/kg。将45只成年雌性大鼠分为5组,评价其生殖毒性。第一组,给予蒸馏水(1 mL/100 g/po,中性对照);II组,给予枸橼酸克罗米芬(600 μg/kg/po,阳性对照);III组、IV组和V组(试验)分别以100mg /kg/po、200mg /kg/po和400mg /kg/po给药。这些动物每天治疗14天。从给药第6天开始,将大鼠与具有生育能力的雄鼠交配8天。剖腹分娩后第22天,记录着床部位数、黄体数、吸收部位数和产仔数。关于急性毒性,据观察,在单次以2000毫克/公斤的剂量给药丹daniellii干种子的水提取物后,没有记录死亡。生殖毒性方面,与对照组相比,未见着床和妊娠。丹参水提物对豚鼠的毒性较弱,但对部分生殖参数有不利影响。
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引用次数: 1
Evaluation of the Preventive and Therapeutic Activities of Tridax procumbens against Hyperglycemia and Hyperlipidemia Induced in Wistar Rats 原甘露对Wistar大鼠高血糖和高脂血症的防治作用
Pub Date : 2021-07-20 DOI: 10.4236/pp.2021.127012
J. Amagbegnon, O. Koukoui, P. Agbangnan, S. Seton, M. Betira, S. Médégan, L. Loko, Victorin Dougnon, L. Djogbénou, A. Sezan
From the Asteraceaes family, Tridax procumbens is a wild species frequently found in fields, meadows and roadsides. It is traditionally used to treat yellow fever, typhoid fever, high blood pressure and diabetes. In this work we used the hydro-ethanolic extract of the leaves and stems of the plant and also the fractions of this extract to determine the preventive and therapeutic activities of the plant against obesity, hyperglycemia and hyperlipidemia. The yields of the fractions obtained by decantation of the hydro-ethanolic extract are respectively 0.160% with hexane, 0.073% with dichloromethane, 0.09% with diethyl ether and 0.150% with ethyl acetate. Hyperglycemia and hyperlipidemia were induced in the rats submitted to a fatty and sweet diet for 28 days. Our results showed a significant increase in glycemia, weight and triglyceride level in rats that were subjected to the diet. On the other hand, the rats treated with the dose of 500 mg/kg of body weight of Tridax procumbens extract during the induction showed a reduction in weight gain and an absence of increase in blood sugar and triglyceride levels. The ethyl acetate fraction of Tridax procumbens extract administered to fatty and hyperglycemic rats at 50 mg/kg of body weight for 14 days did not induce change in the blood sugar and triglycerides level of fatty and hyperglycemic rats. If it seems obvious that the extract of Tridax procumbens prevents hyperglycemia and hyperlipidemia, the ethyl acetate fraction does not seem to have a therapeutic effect.
原驼峰是一种常见于田野、草地和路边的野生种。传统上,它被用来治疗黄热病、伤寒、高血压和糖尿病。在这项工作中,我们使用该植物的叶和茎的水乙醇提取物及其提取物的部分来确定该植物对肥胖,高血糖和高脂血症的预防和治疗活性。用正己烷、二氯甲烷、乙醚和乙酸乙酯馏出各馏分的得率分别为0.160%、0.073%、0.09%和0.150%。给大鼠喂食高脂高糖食物28天,引起高血糖和高脂血症。我们的研究结果显示,食用这种食物的大鼠血糖、体重和甘油三酯水平显著增加。另一方面,在诱导过程中给予500 mg/kg体重的原藜提取物治疗的大鼠体重增加减少,血糖和甘油三酯水平没有升高。脂肪型和高血糖型大鼠按50 mg/kg体重给药14 d后,脂肪型和高血糖型大鼠血糖和甘油三酯水平无明显变化。如果原藜提取物明显可以预防高血糖和高脂血症,那么乙酸乙酯部分似乎没有治疗作用。
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引用次数: 1
Verbascoside—A Review of Its Antitumor Activities 毛蕊花苷-抗肿瘤活性研究进展
Pub Date : 2021-06-30 DOI: 10.4236/pp.2021.126011
Hasan Khalaf, Ruaa A. Jasim, I. T. Ibrahim
Cancer is a set of diseases including abnormal growth of cells that can spread to another tissue. Verbascoside (or acteoside) is a naturally occurring, water-soluble secondary metabolite with significant biological properties, which is distributed widely in plant kingdom. Verbascoside is pharmacologically active compounds with many recent evidences that support its biological activities and safety. This review focuses on the recent studies that concerned with the antitumor activities of verbascoside alone and as a synergistic agent as well as nanoproduct. It also shows the latest advances in its antitumor effects, cytotoxic selectivity and its efficiencies in treating cancer, in vitro and/or vivo.
癌症是一组疾病,包括细胞的异常生长,可以扩散到另一个组织。毛蕊花苷(Verbascoside)是一种天然存在的水溶性次生代谢产物,具有重要的生物学特性,广泛分布于植物界。毛蕊花苷是一种具有药理活性的化合物,近年来有许多证据支持其生物活性和安全性。本文综述了近年来毛蕊花苷单用、协同剂及纳米制剂抗肿瘤作用的研究进展。它还展示了其抗肿瘤作用,细胞毒性选择性及其在体外和/或体内治疗癌症的效率方面的最新进展。
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引用次数: 5
Test of the Popular Benzodiazepine Alprazolam in a Positive Conditioned Place-Preference Model in Female Rats 常用苯二氮卓类药物阿普唑仑在雌性大鼠正条件位置偏好模型中的检验
Pub Date : 2021-05-31 DOI: 10.4236/PP.2021.125010
Cheyenne Moffett, Katherine J. Kost, A. Thompson, M. Ossipov, J. Pergolizzi, Sumiyo Umeda-Raffa, R. Raffa, T. Largent-Milnes, T. Vanderah
The benzodiazepines were introduced into medical practice during the 1960s. At the time, they represented a safer alternative to extant therapies used for anxiety, such as the barbiturates. However, on September 23, 2020, the United States FDA indicated that more is needed to be known about the initiation, continuation, and discontinuation of the use of these widely-used drugs with publication of the announcement “to address the serious risks of abuse, addiction, physical dependence, and withdrawal reactions, the U.S. Food and Drug Administration (FDA) is requiring the Boxed Warning be updated for all benzodiazepine medicines.” Because for many years, there has been a sparsity of research on these drugs, relevant information is unfortunately lacking at this critical time. It is therefore valuable to (re)establish animal models and begin to collect relevant data. We here use a model of conditioned place preference (CPP) which suggests that the representative benzodiazepine alprazolam induces positive place preference in female rats.
苯二氮卓类药物在20世纪60年代被引入医疗实践。当时,它们代表了一种比巴比妥类药物等现有治疗焦虑症的药物更安全的选择。然而,2020年9月23日,美国食品和药物管理局(FDA)表示,需要对这些广泛使用的药物的开始、继续和停止使用了解更多,并发布了一份公告,“为了解决滥用、成瘾、身体依赖和戒断反应的严重风险,美国食品和药物管理局(FDA)要求更新所有苯二氮卓类药物的黑框警告。”由于多年来对这些药物的研究很少,不幸的是,在这个关键时刻缺乏相关的信息。因此,(重新)建立动物模型并开始收集相关数据是有价值的。本研究采用条件位置偏好(CPP)模型,表明代表性的苯二氮卓类药物阿普唑仑可诱导雌性大鼠的正向位置偏好。
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引用次数: 1
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Pharmacology & Pharmacy
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