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The preparation and physicochemical characterization of eprosartan mesylate-laden polymeric ternary solid dispersions for enhanced solubility and dissolution rate of the drug. 甲磺酸依普沙坦聚合物三元固体分散体的制备及理化性质研究。
Q3 Medicine Pub Date : 2018-07-01 DOI: 10.17219/pim/102976
Abid Mehmood Yousaf, Sundas Zulfiqar, Yasser Shahzad, Talib Hussain, Tariq Mahmood, Muhammad Jamshaid

Background: Eprosartan mesylate is a poorly water-soluble drug. It does not dissolve well in the aqueous gastrointestinal fluid, which means it is not absorbed well via the oral route, because a drug can cross cell membranes when it is dissolved in the gastrointestinal fluid.

Objectives: The purpose of this research was to enhance the aqueous solubility and dissolution rate of eprosartan mesylate using the solid dispersion technique. Enhancing the solubility and dissolution leads to better absorption via the oral route.

Material and methods: A number of eprosartan mesylate-laden polymeric solid dispersions were prepared with hydroxypropyl methylcellulose (HPMC) and polysorbate 80 by means of the solvent evaporation technique. The impact of the weight ratios of the constituents on the solubility and dissolution rate was studied in comparison with the plain drug. The formulation presenting the optimal solubility and dissolution underwent the solid-state characterization using X-ray diffraction (XRD), differential scanning calorimetry (DSC), scanning electron microscopy (SEM), and Fourier-transform infrared spectroscopy (FTIR).

Results: Both polysorbate 80 and HPMC positively affected the solubility and dissolution of eprosartan mesylate.

Conclusions: In particular, a ternary solid dispersion consisting of eprosartan mesylate, HPMC and polysorbate 80 at a weight ratio of 1:4.2:0.3 showed the highest solubility (36.39 ± 3.95 mg/mL) and dissolution (86.19 ±4.09% in 10 min). Moreover, the drug was present in the amorphous form in the solid dispersion with no covalent drug-excipient interactions.

背景:甲磺酸依普沙坦是一种水溶性较差的药物。它不能很好地溶解在胃肠道液体中,这意味着它不能很好地通过口服途径吸收,因为药物溶解在胃肠道液体中时可以穿过细胞膜。目的:利用固体分散技术提高甲磺酸依普沙坦的溶解度和溶出率。提高溶解度和溶出度可以通过口服途径更好地吸收。材料与方法:以羟丙基甲基纤维素(HPMC)和聚山梨酸酯80为原料,采用溶剂蒸发法制备了多种甲磺酸依普沙坦聚合物固体分散体。通过与普通药物的比较,研究了各组分的质量比对其溶解度和溶出率的影响。采用x射线衍射(XRD)、差示扫描量热法(DSC)、扫描电镜(SEM)和傅里叶变换红外光谱(FTIR)对具有最佳溶解度和溶出度的配方进行了固态表征。结果:聚山梨酯80和HPMC对甲磺酸依普沙坦的溶解度和溶出度均有积极影响。结论:甲磺酸依普沙坦、HPMC和聚山梨酸酯80以1:4.2:0.3的质量比组成的三元固体分散体在10 min内具有最高的溶解度(36.39±3.95 mg/mL)和溶出度(86.19±4.09%)。此外,药物以无定形形式存在于固体分散体中,没有共价药物-赋形剂相互作用。
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引用次数: 8
Effects of media components and agricultural by-products on γ-polyglutamic acid production by Bacillus toyonensis As8. 培养基成分和农副产物对toyonensis As8产γ-聚谷氨酸的影响
Q3 Medicine Pub Date : 2018-07-01 DOI: 10.17219/pim/105555
Olubusola A Odeniyi, David S Avoseh

Background: Poly-γ‑glutamic acid (γ‑PGA) provides an environmentally friendly alternative to plastic materials which have widely polluted the environment.

Objectives: The microbial production of γ‑PGA, an amino acid biopolymer with glutamic acid subunits, was investigated using renewable agricultural residues in an attempt to find cheaper substitutes for conventional synthetic media components.

Material and methods: Bacteria which produce γ‑PGA were isolated through depolymerizing Coix lacryma-jobi, a cellulosic grass, and the effects of various carbon and nitrogen sources, temperature, inoculant load, incubation period, and pH on γ‑PGA yield were determined after submerged fermentation. Bacterial growth was measured turbidimetrically at 550 nm. The γ‑PGA produced was characterized using Fourier transform infrared (FT-IR) spectroscopy and the polymer shape was determined using scanning electron microscopy (SEM).

Results: The best γ‑PGA producer was molecularly identified as Bacillus toyonensis As8. The conditions which produced the highest γ‑PGA yield were glucose, ammonium sulfate, 25°C, a pH of 5.5, and an incubation period of 48 h. This bacterium yielded the most γ‑PGA (26.45 g/L) on cassava peels, while other agro-wastes (corn cob, sorghum leaves, Coix noir leaves, and rice bran) also supported bacterial growth with lower γ‑PGA yields than conventional carbon sources. The wrinkled γ‑PGA had absorbance peaks of hydroxyl, amide, carbonyl, and amine groups comparable with the ranges of those found in commercial γ‑PGA.

Conclusions: The use of agricultural by-products as fermentation substrates increased γ‑PGA yield and may therefore be used as substitute components in γ‑PGA production.

背景:聚γ -谷氨酸(γ - PGA)为广泛污染环境的塑料材料提供了一种环保的替代品。目的:利用可再生农业残留物研究了γ - PGA(一种具有谷氨酸亚基的氨基酸生物聚合物)的微生物生产,试图找到传统合成介质成分的更便宜的替代品。材料和方法:通过解聚纤维素草Coix lacryma-jobi分离出产生γ - PGA的细菌,并在深层发酵后测定不同碳氮源、温度、接种剂用量、孵育时间和pH对γ - PGA产量的影响。用浊度法在550 nm处测定细菌生长。利用傅里叶变换红外光谱(FT-IR)对制备的γ - PGA进行了表征,并用扫描电子显微镜(SEM)确定了聚合物的形状。结果:经分子鉴定,最佳γ - PGA产生菌为toyonensis As8。在葡萄糖、硫酸铵、25°C、pH为5.5、48 h的培养条件下,该细菌在木薯皮上的γ - PGA产量最高(26.45 g/L),而其他农业废弃物(玉米心、高粱叶、黑薏米叶和米糠)也支持细菌生长,但γ - PGA产量低于常规碳源。皱化的γ - PGA具有羟基、酰胺、羰基和胺基团的吸光度峰,与商业γ - PGA的吸光度峰范围相当。结论:利用农业副产品作为发酵底物可以提高γ - PGA的产量,因此可以作为γ - PGA生产的替代成分。
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引用次数: 1
Study of the influence of cellulose derivatives on physical and analytical attributes of a drug product belonging to BCS class II. 研究纤维素衍生物对BCS II类药品的物理和分析属性的影响。
Q3 Medicine Pub Date : 2018-07-01 DOI: 10.17219/pim/104462
Magdalena Domosławska, Renata Pawlak-Morka, Łukasz Dobrzyński, Monika Herda

Background: Cellulose microcrystalline (MCC), hydroxypropyl methylcellulose (HPMC) and croscarmellose sodium are cellulose derivatives which are widely used in pharmaceutical technology. Although they are inert pharmaceutical ingredients, they can influence the release profile of an active substance from the dosage form depending on their distribution, type and quantity used in the formulation.

Objectives: The aim of the present investigation was to examine the effect of chosen cellulose derivatives on the physical and analytical attributes of a drug product containing an active substance of Biopharmaceutics Classification System (BCS) class II.

Material and methods: The tablets were prepared using the wet granulation technology. The batches differed in the amount and grade of HPMC, the type of MCC and the distribution of croscarmellose sodium. The granule properties as well as physical (tablet hardness, disintegration time, friability) and analytical (dissolution profile in different media) attributes of the tablets were examined.

Results: The flow characteristics were satisfying in the case of all prepared batches. However, the differences in flow properties were visible, especially in the cases where MCC of coarser particles was replaced with MCC of finer particles. The type of MCC used in the product formula also had a significant influence on the drug product dissolution profile. The batches in which MCC of finer particles was used had substantially better results, regardless of HPMC viscosity type and the distribution of croscarmellose sodium between the inner and outer phase. What is more, the differences in the results between batches of different MCC types were especially visible in dissolution conditions, i.e., 0.1N hydrochloric acid (HCl).

Conclusions: By choosing the right type, quantity and distribution of cellulose derivatives, it was possible to obtain the optimal formula of the drug product similar to in-vitro conditions to the reference drug. Out of all the tested excipients, the type of cellulose microcrystalline was found to have the most critical influence on both physical and analytical properties of the pharmaceutical formulation.

背景:纤维素微晶(MCC)、羟丙基甲基纤维素(HPMC)和交联纤维素钠是广泛应用于制药技术的纤维素衍生物。虽然它们是惰性药物成分,但它们可以影响活性物质从剂型中的释放,这取决于它们在制剂中使用的分布、类型和数量。目的:本研究的目的是检查所选择的纤维素衍生物对含有生物制药分类系统(BCS) II类活性物质的药品的物理和分析属性的影响。材料与方法:采用湿法造粒工艺制备。不同批次的HPMC的数量和等级、MCC的类型和交联棉糖钠的分布都不同。考察了其颗粒性质、物理性质(片剂硬度、崩解时间、脆性)和分析性质(在不同介质中的溶出度)。结果:各制备批次的流动特性均令人满意。然而,流动性能的差异是明显的,特别是在粗颗粒的MCC被细颗粒的MCC取代的情况下。产品配方中使用的MCC类型对药品溶出度也有显著影响。无论HPMC的粘度类型和内外相间交联棉糖钠的分布如何,使用细颗粒MCC的批次的效果都要好得多。不同MCC类型批次之间的结果差异在溶出条件(即0.1N盐酸)下尤为明显。结论:通过选择合适的纤维素衍生物种类、用量和分布,可获得与对照药相似的体外条件下的最佳制剂配方。在所有测试的赋形剂中,发现纤维素微晶的类型对药物制剂的物理和分析性质有最关键的影响。
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引用次数: 1
The polymorphism of statins and its effect on their physicochemical properties. 他汀类药物的多态性及其对理化性质的影响。
Q3 Medicine Pub Date : 2018-07-01 DOI: 10.17219/pim/102978
Marta Karaźniewicz-Łada, Karina Bąba, Filip Dolatowski, Alicja Dobrowolska, Marlena Rakicka

Polymorphism of pharmaceutical substances has a significant impact on their physicochemical properties, durability, bioavailability and consequently on their pharmacological activity. Solid dosage forms may exist in both crystalline and amorphous forms. Amorphous varieties are characterized by higher solubility and dissolution rates, while crystalline forms show greater purity and storage stability. The choice between the crystalline or amorphous form of a drug is extremely important to ensure effective and safe pharmacotherapy. Statins - the most commonly used group of drugs in the treatment of lipid disorders - are an example of drugs that occur in many crystalline and amorphous forms. Statins belong to class II in the biopharmaceutical classification system (BCS), which means that they are poorly soluble, but permeate biological membranes well. The bioavailability of statins shows considerable variation, which is associated with the first-pass effect in the liver and the accumulation of the drug in the hepatocytes. The improvement of bioavailability after oral administration of poorly soluble medicinal substances remains one of the most challenging aspects of the drug development process. A specific polymorphic form is obtained by applying appropriate conditions during the process of its preparation under industrial conditions, including the use of a suitable solvent, a specific temperature or rate of crystallization. The article provides a comprehensive update on the current knowledge of the influence of polymorphic form on statin solubility and bioavailability. Research is still being carried out to obtain new polymorphic varieties of statins that are characterized by better physicochemical and pharmacokinetic parameters.

药用物质的多态性对其理化性质、耐久度、生物利用度以及药理活性有重要影响。固体剂型可以以结晶和非晶两种形式存在。无定形品种具有较高的溶解度和溶解速率,而结晶形式具有更高的纯度和储存稳定性。在药物的晶体或非晶态之间的选择对于确保有效和安全的药物治疗非常重要。他汀类药物是治疗脂质紊乱最常用的一类药物,是晶体和无定形药物的一个例子。他汀类药物在生物制药分类系统(BCS)中属于II类,这意味着它们难溶,但能很好地渗透生物膜。他汀类药物的生物利用度表现出相当大的差异,这与肝脏中的首过效应和药物在肝细胞中的积累有关。改善口服难溶性药物后的生物利用度仍然是药物开发过程中最具挑战性的方面之一。通过在工业条件下制备过程中应用适当的条件,包括使用合适的溶剂、特定的温度或结晶速率,获得特定的多晶形式。这篇文章提供了一个全面的更新,目前的知识影响多态形式对他汀类药物的溶解度和生物利用度。研究仍在进行,以获得新的多态品种的他汀类药物,具有更好的物理化学和药代动力学参数。
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引用次数: 14
Formulation and solid state characterization of carboxylic acid-based co-crystals of tinidazole: An approach to enhance solubility. 替硝唑羧酸基共晶的配方及固态表征:一种提高溶解度的方法。
Q3 Medicine Pub Date : 2018-07-01 DOI: 10.17219/pim/105609
Jyotsana R Madan, Rishikesh H Dagade, Rajendra Awasthi, Kamal Dua

Background: Tinidazole (TNZ) is an anti-parasite drug used in the treatment of a variety of amebic and parasitic infections. It has low solubility in aqueous media and is categorized under Class II of the Biopharmaceutical Classification System.

Objectives: The aim of this research was to study the potential for enhancing the solubility of TNZ using carboxylic acid co-crystals.

Material and methods: The solubility of TNZ was determined individually using 6 carboxylic acids for forming co-crystals at a 1:1 stoichiometric ratio. Three carboxylic acids - namely tartaric acid (TA), oxalic acid (OA) and glutaric acid (GA) - resulted in the formation of co-crystals with enhanced solubility. An equilibrium solubility study of TNZ co-crystals at 1:1.5 and 1:2 stoichiometric ratios was also carried out. The co-crystals which developed were evaluated using X-ray powder diffraction (XRD) and differential scanning calorimetry (DSC) to study the drug-co-crystal former interactions.

Results: The solubility of TNZ in distilled water was found to be 0.014 mg/mL. The highest enhancement ratio was obtained with TNZ and TA at a ratio of 1:1. Differential scanning calorimetry thermograms suggested that the drug and carboxylic acids had undergone interactions such as hydrogen bonding. The XRD and DSC results confirmed the formation of co-crystals.

Conclusions: It was concluded that the results of enhanced solubility of TNZ using co-crystals is a clear indication of the potential for co-crystals to be used in the future for other poorly water-soluble drugs, considering that co-crystals are a safe and cost-effective approach.

背景:替硝唑(TNZ)是一种抗寄生虫药物,用于治疗多种阿米巴和寄生虫感染。它在水介质中溶解度低,属于生物制药分类系统的第二类。目的:研究羧酸共晶提高TNZ溶解度的可能性。材料和方法:采用6种羧酸,以1:1的化学计量比分别测定TNZ的溶解度。三种羧酸——酒石酸(TA)、草酸(OA)和戊二酸(GA)——形成了具有增强溶解度的共晶。在1:1.5和1:2的化学计量比下,对TNZ共晶的平衡溶解度进行了研究。采用x射线粉末衍射(XRD)和差示扫描量热法(DSC)对形成的共晶进行了评价,研究了药物共晶前体的相互作用。结果:TNZ在蒸馏水中的溶解度为0.014 mg/mL。TNZ与TA的比例为1:1时,增强率最高。差示扫描量热图表明,药物和羧酸发生了氢键等相互作用。XRD和DSC结果证实了共晶的形成。结论:综上所述,考虑到共晶是一种安全且具有成本效益的方法,使用共晶提高TNZ溶解度的结果清楚地表明,未来共晶有可能用于其他水溶性差的药物。
{"title":"Formulation and solid state characterization of carboxylic acid-based co-crystals of tinidazole: An approach to enhance solubility.","authors":"Jyotsana R Madan,&nbsp;Rishikesh H Dagade,&nbsp;Rajendra Awasthi,&nbsp;Kamal Dua","doi":"10.17219/pim/105609","DOIUrl":"https://doi.org/10.17219/pim/105609","url":null,"abstract":"<p><strong>Background: </strong>Tinidazole (TNZ) is an anti-parasite drug used in the treatment of a variety of amebic and parasitic infections. It has low solubility in aqueous media and is categorized under Class II of the Biopharmaceutical Classification System.</p><p><strong>Objectives: </strong>The aim of this research was to study the potential for enhancing the solubility of TNZ using carboxylic acid co-crystals.</p><p><strong>Material and methods: </strong>The solubility of TNZ was determined individually using 6 carboxylic acids for forming co-crystals at a 1:1 stoichiometric ratio. Three carboxylic acids - namely tartaric acid (TA), oxalic acid (OA) and glutaric acid (GA) - resulted in the formation of co-crystals with enhanced solubility. An equilibrium solubility study of TNZ co-crystals at 1:1.5 and 1:2 stoichiometric ratios was also carried out. The co-crystals which developed were evaluated using X-ray powder diffraction (XRD) and differential scanning calorimetry (DSC) to study the drug-co-crystal former interactions.</p><p><strong>Results: </strong>The solubility of TNZ in distilled water was found to be 0.014 mg/mL. The highest enhancement ratio was obtained with TNZ and TA at a ratio of 1:1. Differential scanning calorimetry thermograms suggested that the drug and carboxylic acids had undergone interactions such as hydrogen bonding. The XRD and DSC results confirmed the formation of co-crystals.</p><p><strong>Conclusions: </strong>It was concluded that the results of enhanced solubility of TNZ using co-crystals is a clear indication of the potential for co-crystals to be used in the future for other poorly water-soluble drugs, considering that co-crystals are a safe and cost-effective approach.</p>","PeriodicalId":20355,"journal":{"name":"Polimery w medycynie","volume":"48 2","pages":"99-104"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37192965","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: 2
[Study of the structure of contact lenses using PALS, MIR and Raman spectroscopy in the regard of safety of persons exposed to ionizing radiation]. [利用PALS、MIR和拉曼光谱研究隐形眼镜的结构对电离辐射暴露者安全的影响]。
Q3 Medicine Pub Date : 2018-01-01 DOI: 10.17219/pim/96287
Mariusz Budaj, Andrzej Michalski, Bogdan Miśkowiak, Katarzyna Filipecka, Sylwia Mandecka

Among patients and health professionals who are exposed to ionizing radiation during diagnostic and therapeutic procedures, refractive errors are common and soft contact lenses are widely used to correct them. Changes in the inner structure of contact lens may influence the safety of its usage through modification of its water content or oxygen accessibility to cornea. Therefore, analysis of impact of external factors, therein ionizing radiation used in medicine, on contact lenses parameters is necessary, particularly to compare the presence of free volume gaps in the structure of the polymer soft contact lenses. Possible change in dimensions or quantity of free volume gaps in the structure of the material caused by the exposure to ionizing radiation may have negative influence on oxygen permeability. To prevent such process, different means could be used, i.a., positron annihilation lifetime spectroscopy (PALS), Raman spectroscopy and mid-infrared spectroscopy (MIR). Use of contact lenses which reduce transport of oxygen to cornea increases the risk of corneal hypoxia - one of the possible complications of using contact lenses. Research on effects of different types of ionizing radiation (X-ray, gamma, beta) on materials used in production of contact lenses is vital because of the connection of this issue with the safety of contact lenses wearers. Such research can also shed light on the problem of safe use of contact lenses by persons exposed to ionizing radiation.

在诊断和治疗过程中暴露于电离辐射的患者和卫生专业人员中,屈光不正是常见的,软性隐形眼镜被广泛用于矫正。隐形眼镜内部结构的改变可能通过改变其含水量或角膜的氧气可及性而影响其使用的安全性。因此,有必要分析外部因素,其中包括医学中使用的电离辐射,对隐形眼镜参数的影响,特别是比较聚合物软性隐形眼镜结构中自由体积间隙的存在。电离辐射照射造成的材料结构中自由体积间隙的尺寸或数量可能发生变化,可能对氧渗透性产生负面影响。为了防止这一过程,可以使用不同的手段,即正电子湮灭寿命光谱(PALS)、拉曼光谱和中红外光谱(MIR)。使用隐形眼镜会减少氧气输送到角膜,从而增加角膜缺氧的风险——这是使用隐形眼镜可能引起的并发症之一。研究不同类型的电离辐射(x射线、伽马、β)对生产隐形眼镜所用材料的影响至关重要,因为这一问题关系到隐形眼镜佩戴者的安全。这种研究还可以阐明暴露于电离辐射的人安全使用隐形眼镜的问题。
{"title":"[Study of the structure of contact lenses using PALS, MIR and Raman spectroscopy in the regard of safety of persons exposed to ionizing radiation].","authors":"Mariusz Budaj,&nbsp;Andrzej Michalski,&nbsp;Bogdan Miśkowiak,&nbsp;Katarzyna Filipecka,&nbsp;Sylwia Mandecka","doi":"10.17219/pim/96287","DOIUrl":"https://doi.org/10.17219/pim/96287","url":null,"abstract":"<p><p>Among patients and health professionals who are exposed to ionizing radiation during diagnostic and therapeutic procedures, refractive errors are common and soft contact lenses are widely used to correct them. Changes in the inner structure of contact lens may influence the safety of its usage through modification of its water content or oxygen accessibility to cornea. Therefore, analysis of impact of external factors, therein ionizing radiation used in medicine, on contact lenses parameters is necessary, particularly to compare the presence of free volume gaps in the structure of the polymer soft contact lenses. Possible change in dimensions or quantity of free volume gaps in the structure of the material caused by the exposure to ionizing radiation may have negative influence on oxygen permeability. To prevent such process, different means could be used, i.a., positron annihilation lifetime spectroscopy (PALS), Raman spectroscopy and mid-infrared spectroscopy (MIR). Use of contact lenses which reduce transport of oxygen to cornea increases the risk of corneal hypoxia - one of the possible complications of using contact lenses. Research on effects of different types of ionizing radiation (X-ray, gamma, beta) on materials used in production of contact lenses is vital because of the connection of this issue with the safety of contact lenses wearers. Such research can also shed light on the problem of safe use of contact lenses by persons exposed to ionizing radiation.</p>","PeriodicalId":20355,"journal":{"name":"Polimery w medycynie","volume":"48 1","pages":"5-9"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36723626","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
Porous starch and its application in drug delivery systems. 多孔淀粉及其在给药系统中的应用。
Q3 Medicine Pub Date : 2018-01-01 DOI: 10.17219/pim/99799
Monika Sujka, Urszula Pankiewicz, Radosław Kowalski, Karolina Nowosad, Agnieszka Noszczyk-Nowak

In recent years, starch has become a new potential biomaterial for pharmaceutical applications. This biopolymer has unique physicochemical and functional characteristics, as well as various advantages such as low price, relative ease of isolation in pure form from the plant source, non-toxicity, biodegradability, good biocompatibility, and interaction with living cells. Starch is currently used in pharmacy as a binder, disintegrating agent, film-forming material, raw material for production of microspheres and nanoparticles, and a component of drug delivery systems. Porous starch, which can be obtained with physical, chemical and enzymatic methods of modification, has a large specific surface area thanks to the presence of pores and channels. It has excellent adsorption capacity and can be used to enhance the dissolution rate of poorly soluble drugs or as shell material to improve the stability and water-solubility of compounds. As a component of drug delivery systems, porous starch has another advantage: it is biodegradable, so there is no need to remove it from the body after the release of the active agent.

近年来,淀粉已成为一种具有潜在应用前景的新型生物材料。该生物聚合物具有独特的物理化学和功能特性,以及价格低廉、相对容易从植物源中分离纯化、无毒、可生物降解、生物相容性好、与活细胞相互作用等优点。淀粉目前在制药中用作粘合剂、崩解剂、成膜材料、生产微球和纳米颗粒的原料以及药物输送系统的组成部分。多孔淀粉可以通过物理、化学和酶的改性方法得到,由于孔隙和通道的存在,多孔淀粉具有很大的比表面积。它具有优异的吸附能力,可用于提高难溶性药物的溶解速度,或作为壳材料提高化合物的稳定性和水溶性。作为药物传递系统的组成部分,多孔淀粉还有另一个优点:它是可生物降解的,因此在释放活性剂后不需要将其从体内移除。
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引用次数: 14
Polyethylene terephthalate tape augmentation as a solution in recurrent quadriceps tendon ruptures. 聚对苯二甲酸乙二醇酯带增强术治疗复发性股四头肌肌腱断裂。
Q3 Medicine Pub Date : 2018-01-01 DOI: 10.17219/pim/102977
Maciej Leciejewski, Aleksandra Królikowska, Paweł Reichert

Quadriceps tendon rupture is a severe and demanding problem in knee surgery, especially when it is recurrent and when elderly patients are involved. It can have a devastating impact when it is a complication following knee arthroplasty. There are many procedures for dealing with this problem, but none of them offer reliable results. The most popular methods of treatment are traditional transosseous sutures and suture anchors, often in combination with semitendinosus augmentation. In cases of osteoporotic bone or hamstring insufficiency, these solutions are not appropriate. One way to manage quadriceps tendon rupture is to use polyethylene terephthalate tape (poly tape) as scaffolding for tissue ingrowth. Because of its structure, poly tape provides adequate strength and allows early mobilization. Besides being durable, multifilament high tenacity polyethylene terephthalate is flexible. Poly tape augmentation is particularly recommended in the following cases: recurrent rupture of the quadriceps tendon; extensor apparatus damage following total knee arthroplasty (TKA); delayed diagnosis of quadriceps tendon rupture; and in elderly patients (with weak bones and poor ligament quality). The surgical technique is simple and the procedure has a low complication rate. There have been many studies confirming the security of polyethylene terephthalate use in the human body. There is also a great deal of evidence concerning tissue ingrowth in the mesh structure of poly tape. Allergic reactions and inflammatory responses are rare.

股四头肌肌腱断裂是膝关节手术中一个严重的问题,特别是当它是复发性的和涉及老年患者时。当它是膝关节置换术后的并发症时,会产生毁灭性的影响。处理这个问题有很多方法,但没有一种方法能提供可靠的结果。最常用的治疗方法是传统的经骨缝合和缝合锚钉,通常结合半腱肌增强。在骨质疏松或腘绳肌功能不全的情况下,这些解决方案是不合适的。处理股四头肌肌腱断裂的一种方法是使用聚对苯二甲酸乙二醇酯胶带(聚胶带)作为组织向内生长的支架。由于它的结构,聚胶带提供足够的强度,并允许早期动员。除了耐用,多丝高强度聚对苯二甲酸乙二醇酯是灵活的。特别建议在以下情况下使用聚乙烯带增强术:股四头肌肌腱复发性断裂;全膝关节置换术(TKA)后伸肌装置损伤;股四头肌肌腱断裂的延迟诊断老年患者(骨质疏松、韧带质量差)。手术技术简单,并发症发生率低。已经有很多研究证实了聚对苯二甲酸乙二醇酯在人体中的安全性。在聚带的网状结构中也有大量关于组织长入的证据。过敏反应和炎症反应很少见。
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引用次数: 4
[Safety assessment of using collamer phakic implants in the correction of refractive errors]. [屈光不正矫正中角膜植入物的安全性评价]。
Q3 Medicine Pub Date : 2018-01-01 DOI: 10.17219/pim/102975
Krystyna Grzebieluch-Reichert, Jarosław Marek, Marta Misiuk-Hojło
BACKGROUND An increasing number of patients with refractive visual impairments, in whom the correction using spectacles or contact lenses does not meet expectations, consider the possibility of undergoing refractive surgery. Phakic implants are an alternative for patients who are not eligible for laser correction. OBJECTIVES The aim of the study is to assess the safety of using collamer phakic implants in the correction of vision defects during the annual follow-up. MATERIAL AND METHODS The study included 24 eyes in 12 patients who were implanted with Visian ICL phakic posterior chamber lenses in order to correct myopia. The examinations carried out before the surgery were as follows: objective refractometry, the assessment of distant visual acuity with the best correction, intraocular pressure measurement, evaluation of the endothelium, corneal topography, and depth of the anterior chamber measurement. The final examinations included visual acuity, refraction, intraocular pressure, implant placement, endothelial microscopy, and funduscopic examination. RESULTS Mean objective refraction was: sphere -7.77 ±3.55 diopters and cylinder 1.18 ±0.87 diopters. Spectacle correction produced the mean visual acuity of 0.91 ±0.20 (Snellen). During the period of 1-year follow-up, the mean spherical power was 0.475 ±0.39 diopters, cylinder 0.46 ±0.27 diopters and the visual acuity after the procedure 1.05 ±0.22 (Snellen). The results of the 12-month evaluation showed a statistically significant greater improvement in patients using phakic implants compared to those subjected to spectacle correction (p < 0.05). The preand post-operative evaluation demonstrated no significant differences in endothelial cell density (p < 0.05). No complications were reported both during the surgery and the entire follow-up period. CONCLUSIONS The results of the safety assessment of using properly implanted ICL phakic lenses show good tolerance of collomer implants in the posterior chamber. They do not have a negative effect on the structures located in the anterior segment of the eye, including the corneal endothelium and the lens.
背景:越来越多的屈光性视力障碍患者,在使用眼镜或隐形眼镜矫正视力不符合预期的情况下,考虑进行屈光手术的可能性。对于不符合激光矫正条件的患者,植体是一种替代选择。目的:本研究的目的是在每年的随访中评估使用晶状体植入物矫正视力缺陷的安全性。材料与方法:12例24眼植入Visian ICL晶状体后房型晶状体矫正近视。术前检查如下:物镜验光、最佳矫正远处视力评估、眼压测量、内皮评估、角膜地形图、前房深度测量。最终检查包括视力、屈光、眼压、植入物、内皮显微镜和眼底检查。结果:平均物镜屈光度为:球体-7.77±3.55屈光度,圆柱体1.18±0.87屈光度。矫正后的平均视力为0.91±0.20 (Snellen)。随访1年,平均球度数0.475±0.39屈光度,柱面0.46±0.27屈光度,术后视力1.05±0.22 (Snellen)。12个月的评估结果显示,与接受眼镜矫正的患者相比,使用有晶状体植入的患者的改善有统计学意义(p < 0.05)。术前和术后评估显示内皮细胞密度无显著差异(p < 0.05)。手术及随访期间均无并发症发生。结论:合理使用ICL晶状体植入术的安全性评估结果显示,人工晶状体植入术后房区具有良好的耐受性。它们对位于眼睛前段的结构,包括角膜内皮和晶状体,没有负面影响。
{"title":"[Safety assessment of using collamer phakic implants in the correction of refractive errors].","authors":"Krystyna Grzebieluch-Reichert,&nbsp;Jarosław Marek,&nbsp;Marta Misiuk-Hojło","doi":"10.17219/pim/102975","DOIUrl":"https://doi.org/10.17219/pim/102975","url":null,"abstract":"BACKGROUND An increasing number of patients with refractive visual impairments, in whom the correction using spectacles or contact lenses does not meet expectations, consider the possibility of undergoing refractive surgery. Phakic implants are an alternative for patients who are not eligible for laser correction. OBJECTIVES The aim of the study is to assess the safety of using collamer phakic implants in the correction of vision defects during the annual follow-up. MATERIAL AND METHODS The study included 24 eyes in 12 patients who were implanted with Visian ICL phakic posterior chamber lenses in order to correct myopia. The examinations carried out before the surgery were as follows: objective refractometry, the assessment of distant visual acuity with the best correction, intraocular pressure measurement, evaluation of the endothelium, corneal topography, and depth of the anterior chamber measurement. The final examinations included visual acuity, refraction, intraocular pressure, implant placement, endothelial microscopy, and funduscopic examination. RESULTS Mean objective refraction was: sphere -7.77 ±3.55 diopters and cylinder 1.18 ±0.87 diopters. Spectacle correction produced the mean visual acuity of 0.91 ±0.20 (Snellen). During the period of 1-year follow-up, the mean spherical power was 0.475 ±0.39 diopters, cylinder 0.46 ±0.27 diopters and the visual acuity after the procedure 1.05 ±0.22 (Snellen). The results of the 12-month evaluation showed a statistically significant greater improvement in patients using phakic implants compared to those subjected to spectacle correction (p < 0.05). The preand post-operative evaluation demonstrated no significant differences in endothelial cell density (p < 0.05). No complications were reported both during the surgery and the entire follow-up period. CONCLUSIONS The results of the safety assessment of using properly implanted ICL phakic lenses show good tolerance of collomer implants in the posterior chamber. They do not have a negative effect on the structures located in the anterior segment of the eye, including the corneal endothelium and the lens.","PeriodicalId":20355,"journal":{"name":"Polimery w medycynie","volume":"48 1","pages":"47-51"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36913202","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
A study of the effect of X-ray irradiation on the structure of Narafilcon A biopolymer soft contact lenses. x射线照射对Narafilcon A生物聚合物软性隐形眼镜结构影响的研究。
Q3 Medicine Pub Date : 2018-01-01 DOI: 10.17219/pim/96288
Katarzyna Filipecka, Mariusz Budaj, Bogdan Miśkowiak, Sylwia Mandecka, Radosław Mandecki, Małgorzata Makowska-Janusik, Jacek Filipecki

Background: The effects of external factors such as X-ray irradiation on the structure and physical properties of contact lenses are very important for both the patients using contact lenses and medical personnel.

Objectives: The aim of the study was to investigate the effect of X-rays on the structure of Narafilcon A silicone-hydrogel contact lenses.

Material and methods: In order to study the structural changes caused by X-rays in Narafilcon A polymer contact lenses, the following spectroscopy methods were used: positron annihilation lifetime spectroscopy (PALS), Fourier transform middle infrared spectroscopy (FTIR) and Raman spectroscopy (RS). Irradiation of the investigated sample was carried out using an Elekta Synergy accelerator. The contact lenses were irradiated with the following total doses of X-rays: 0.05 Gy, 0.5 Gy, 0.8 Gy, and 1.0 Gy.

Results: The PALS measurements showed that X-ray irradiation caused slight changes in the size of the free volume and the fractional free volume in the structure of the polymer contact lenses examined. However, the FTIR and RS measurements showed that X-rays did not break the monomer bonds in the polymeric structure of the sample.

Conclusions: The changes revealed by the PALS method may be related to possible displacement of monomer chains, resulting in changes in the dimensions and numbers of free volumes. The finding that X-ray radiation does not affect or damage polymer bonds can in the future contribute to the use of X-ray and gamma radiation to sterilize contact lenses.

背景:x射线照射等外界因素对隐形眼镜的结构和物理性能的影响对使用隐形眼镜的患者和医务人员都非常重要。目的:研究x射线对纳拉菲康A型硅水凝胶隐形眼镜结构的影响。材料与方法:采用正电子湮灭寿命谱(PALS)、傅里叶变换中红外光谱(FTIR)和拉曼光谱(RS)等光谱学方法研究x射线作用下Narafilcon A聚合物隐形眼镜的结构变化。使用Elekta Synergy加速器对所研究的样品进行辐照。隐形眼镜接受的x射线总剂量分别为0.05 Gy、0.5 Gy、0.8 Gy和1.0 Gy。结果:PALS测量结果显示,x射线照射引起聚合物隐形眼镜结构中自由体积大小和分数自由体积的轻微变化。然而,FTIR和RS测量表明,x射线并没有破坏样品的聚合物结构中的单体键。结论:PALS方法显示的变化可能与单体链可能发生位移有关,从而导致自由体积的尺寸和数量发生变化。x射线辐射不会影响或破坏聚合物键,这一发现有助于未来使用x射线和伽马射线对隐形眼镜进行消毒。
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引用次数: 3
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Polimery w medycynie
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