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Coffee beverage reduces ROS production and does not affect the organism s response against Candida albicans 咖啡饮料可以减少活性氧的产生,而且不会影响机体对白色念珠菌的反应
Pub Date : 2020-12-08 DOI: 10.4322/2179-443x.0684
Alessandra dos Santos Danziger Silvério, R. T. G. Pereira, S. Duarte, S. Figueiredo, C. Ferreira, A. R. Lima, F. Paula, Tomaz Henrique Araújo, E. Ferreira, M. R. Rodrigues
Coffee is a mixture of substances with potential beneficial and adverse health effects. Several studies demonstrate the antioxidant effect of the phenolics compounds present in coffee. Neutrophils produce reactive oxygen species (ROS) by activating NOX2, which plays a key role in organism defense against microbial pathogens. Diabetes mellitus patients are more susceptible to bacterial and fungal infections. The present study evaluated the influence of coffee beverage on NOX2 activity and ROS generation and the impact of this effect on phagocytosis and killing of Candida albicans by neutrophils from diabetic and non-diabetic animals. Diabetes was induced in male Wistar rats using 2% alloxan. Diabetic and non-diabetic animals were divided into groups treated and untreated with coffee drink (7.2 mL/kg/day) or apocyanine (16 mg/kg/day) for 50 days. After 50 days, the animals' glycemic profile was measured by blood glucose and HbA1c tests. The generation of ROS in neutrophilic cells was measured by chemiluminescence and cytochrome C reduction assays. C. albicans phagocytosis and death were evaluated by optical microscopy using the May-Grunwald-Giemsa staining method. The coffee drink has not altered the glycemic profile and NOX2 activity of the animals. However, coffee reduced the ROS pool in non-diabetic and diabetic animals, but this activity did not harm the phagocytosis or killing of neutrophils. Treatment with apocyanin decreased ROS production and killing capacity of neutrophils from non-diabetic animals against C. albicans. We suggest that the coffee drink intake prevents oxidative damage and does not impair response of the organism against opportunistic microorganism.
咖啡是一种混合物质,对健康有潜在的有益和有害影响。几项研究证明了咖啡中酚类化合物的抗氧化作用。中性粒细胞通过激活NOX2产生活性氧(ROS),在机体防御微生物病原体中起关键作用。糖尿病患者更容易受到细菌和真菌感染。本研究评估了咖啡饮料对NOX2活性和ROS生成的影响,以及这种影响对糖尿病和非糖尿病动物中性粒细胞吞噬和杀死白色念珠菌的影响。用2%四氧嘧啶诱导雄性Wistar大鼠患糖尿病。将糖尿病和非糖尿病动物分为咖啡饮料(7.2 mL/kg/d)或罗布麻碱(16 mg/kg/d)治疗组和未治疗组,持续50天。50天后,通过血糖和糖化血红蛋白测试测量动物的血糖水平。用化学发光法和细胞色素C还原法测定中性粒细胞ROS的生成。光学显微镜下采用May-Grunwald-Giemsa染色法观察白色念珠菌的吞噬和死亡情况。咖啡饮料没有改变动物的血糖水平和NOX2活性。然而,咖啡降低了非糖尿病和糖尿病动物的ROS池,但这种活性不影响中性粒细胞的吞噬或杀死。用apocyanin治疗可以降低非糖尿病动物对白色念珠菌的ROS生成和中性粒细胞杀伤能力。我们认为,咖啡饮料的摄入可以防止氧化损伤,而不会损害生物体对机会微生物的反应。
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引用次数: 1
Hydroalcoholic extract of leaves of Arrabidaea brachypoda (DC.) Bureau present antispasmodic activity mediated through calcium influx blockage 短足蒿叶水醇提取物的研究局目前通过钙内流堵塞介导的抗痉挛活性
Pub Date : 2020-10-05 DOI: 10.4322/2179-443x.0667
F. S. Monteiro, J. S. Costa, Lenivaldo Jorge Alves Martins, Cláudia Quintino Rocha, A. C. Borges, M. O. R. Borges
Aim: Since other species of the Bignoniaceae Family presented of antispasmodic activity, it was decided, by chemotaxonomic criterion, to determine the antispasmodic activity of the leaves of Arrabidaea brachypoda. Methodology: the segments of the rat jejunum were suspended in glass vats containing specific saline solution, at an appropriate temperature, and after stabilization period, were stimulated by a contractile agent to observe the inhibitory or relaxing effect of EHFAB. Results: EH-FAB showed the presence of 10 compounds, mainly rutin and it has an antispasmodic activity as it inhibits the phasic component and relaxes the tonic component of the contraction in isolated rat jejunum. To assess the mechanism of antispasmodic action, cumulative curves to the CCh were performed in which a non-competitive antagonism was observed, due to a displacement of the control curve to the right and reduction of the maximum contraction effect (Emax). Afterward, the participation of the calcium and/or potassium channels was evaluated by increasing the extracellular potassium, and it was observed that the EH-FAB relaxed the rat jejunum, suggesting the participation of the Ca2+ channels. To corroborate that hypothesis, the EH-FAB was tested against cumulative curves to Ca2+ in a free depolarizing solution of Ca2+, and it was observed that there was a shift of the curve to the right with a reduction in Emax. Conclusions: EH-FAB presents antispasmodic activity in isolated rat jejunum and it is suggested to block the influx of Ca2+ through voltage-gated calcium channels, signaling the therapeutic potential for the treatment of colic and/or diarrhea.
目的:考虑到其他大戟科植物也具有抗痉挛活性,决定采用化学分类标准,对短足Arrabidaea brachypoda叶片的抗痉挛活性进行测定。方法:将大鼠空肠各节段悬浮于含有特定生理盐水溶液的玻璃桶中,在适当温度下,稳定期后,用收缩剂刺激,观察EHFAB的抑制或松弛作用。结果:EH-FAB中含有以芦丁为主的10种化合物,具有抑制离体大鼠空肠收缩的相位成分和放松紧张性成分的抗痉挛活性。为了评估抗痉挛作用的机制,我们绘制了CCh的累积曲线,其中由于控制曲线向右移位和最大收缩效应(Emax)降低,观察到非竞争性拮抗作用。之后,通过增加细胞外钾来评估钙和/或钾通道的参与,观察到EH-FAB放松了大鼠空肠,表明Ca2+通道的参与。为了证实这一假设,EH-FAB在Ca2+的自由去极化溶液中对Ca2+的累积曲线进行了测试,观察到随着Emax的减少,曲线向右移动。结论:EH-FAB在离体大鼠空肠中具有抗痉挛活性,并可能阻断Ca2+通过电压门控钙通道的流入,表明其治疗绞痛和/或腹泻的潜力。
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引用次数: 5
Distortion and dissatisfaction with body size per the demographic and academic characteristics and the nutritional status of university students 对体型的扭曲和不满与大学生的人口统计学、学术特征和营养状况有关
Pub Date : 2020-09-16 DOI: 10.4322/2179-443X.0665
Adrielly dos Santos, W. Silva, M. Santana, J. Campos
To identify the prevalence of distortion and dissatisfaction with the body size of Brazilian university students, and establish their relationship with the demographic and academic characteristics and the anthropometric nutritional status. The sample consisted of students from a public university in the state of Sao Paulo. The Figure Rating Scale (FRS) for Brazilian adults was used as an instrument. The participants selected the figure that corresponded to the current body and another one for the desired body. The prevalence of distortion and dissatisfaction with body size was calculated with 95% confidence interval (95% CI). The association between the variables was evaluated by the Chi-Square Test (χ2). The significance level of 5% was adopted. A total of 356 students (women=71.63%) with a mean age of 20.95 (SD=2.55) years participated. The prevalence of distortion and dissatisfaction with body size was 73.03% (95% CI=68.23–77.83) and 79.49% (95% CI=75.3–83.68), respectively. There was a high prevalence of distortion with body size among individuals with low weight (χ2=9.523, p=0.009). Students who distorted the body size (52.31% [95% CI=47.12–57.50]) underestimated their body size. The type of distortion was related to sex (χ2=26.35, p<0.001), physical activity (χ2=4.51, p=0.034), use of supplements (χ2=4.62, p=0.032), and the anthropometric nutritional status (χ2=9.05, p=0.011). Students dissatisfied with the body (58.66% [95% CI=52.92–64.40]) wished to reduce the body size. The type of dissatisfaction was related to sex (χ2=5.79, p=0.016) and anthropometric nutritional status (χ2=89.83, p<0.001). The prevalence of body size underestimation was higher among men, students who practice physical activity, subjects using dietary supplements and underweight individuals. The wish to decrease body size was higher among women and overweight/obese individuals.
确定巴西大学生体型扭曲和不满意的普遍程度,并建立其与人口统计学和学术特征以及人体测量营养状况的关系。样本由圣保罗州一所公立大学的学生组成。采用巴西成人身材评定量表(FRS)作为研究工具。参与者选择与当前身体相对应的图形,另一个与期望的身体相对应。以95%置信区间(95% CI)计算扭曲和对体型不满意的发生率。变量间的相关性采用χ2检验。采用5%的显著性水平。共有356名学生(女性=71.63%)参与,平均年龄为20.95 (SD=2.55)岁。扭曲和不满意体型的患病率分别为73.03% (95% CI= 68.23-77.83)和79.49% (95% CI= 75.3-83.68)。体重低的人群中,体型扭曲的发生率较高(χ2=9.523, p=0.009)。曲解体型的学生(52.31% [95% CI= 47.12-57.50])低估了自己的体型。变形类型与性别(χ2=26.35, p<0.001)、体力活动(χ2=4.51, p=0.034)、补充剂使用情况(χ2=4.62, p=0.032)和人体营养状况(χ2=9.05, p=0.011)有关。对体型不满意的学生(58.66% [95% CI= 52.92-64.40])希望缩小体型。不满意程度与性别(χ2=5.79, p=0.016)和人体营养状况(χ2=89.83, p<0.001)有关。在男性、参加体育锻炼的学生、服用膳食补充剂的受试者和体重过轻的个体中,体型被低估的比例更高。在女性和超重/肥胖人群中,减少体型的愿望更高。
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引用次数: 1
Profile of depigmenting cosmetics and dermatological products on the market 市场上脱色化妆品和皮肤产品的概况
Pub Date : 2020-09-14 DOI: 10.4322/2179-443X.0643
Priscila Aparecida Rotava, J. Favero, Keth Ribeiro Garcia, Valéria Weiss Angeli
The skin is the largest and most exposed organ of the human body, therefore subject to diseases and alteration of its appearance. Among these alterations, the cutaneous hyperchromia may be cited. Currently, the market offers numerous products with depigmenting action to the treatment of such disorders. The aim of this work was to analyze depigmenting products commercialized in establishments in the city of Bento Goncalves (RS, Brazil) and websites of cosmetic companies. It was found 45 products with depigmenting action and, from these, 59 different active agents were identified. The main active compounds found were kojic acid, arbutin, ascorbic acid, hydroquinone and glycolic acid. Another observed data was that in 78% of the studied productsthe active substances were being used in combination. The most used vehicles were also studied as a reference to the use of sunscreen in the treatment of cutaneous hyperchromia. The present work had identified in the market a variety of products with depigmentation action and, because of this, it aims to serve as a reference to the healthcare professionals, especially at the prescribing moment, looking for the best results, with regards to treatment efficiency and safety.
皮肤是人体最大和最暴露的器官,因此容易受到疾病和外观改变的影响。在这些改变中,可引用皮肤高色素血症。目前,市场上提供了许多具有脱色作用的产品来治疗这种疾病。这项工作的目的是分析在本托贡萨尔维斯市(RS,巴西)和化妆品公司网站上销售的脱色产品。发现45种产品具有脱色作用,并从中确定了59种不同的活性剂。主要活性成分为曲酸、熊果苷、抗坏血酸、对苯二酚和乙醇酸。另一个观察到的数据是,在78%的研究产品中,活性物质是混合使用的。还研究了最常用的车辆,作为使用防晒霜治疗皮肤高色素血症的参考。目前的工作已经在市场上确定了各种具有脱色作用的产品,因此,它的目的是作为医疗保健专业人员的参考,特别是在开处方的时候,在治疗效率和安全性方面寻求最佳结果。
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引用次数: 0
Qualitative and quantitative analysis of formaldehyde in samples of hair straighteners and suitability of the labels 直发器样品中甲醛的定性和定量分析及标签的适用性
Pub Date : 2020-08-26 DOI: 10.4322/2179-443x.0648
Amanda Letícia Polli Silvestre, Maira Fagá, M. G. J. Almeida-Cincotto, B. G. Chiari-Andréo, T. P. Formariz
Formaldehyde is an active compound, irregularly used in hair products, that has the property of straighten and waterproofing the wires. However, it is highly toxic and can stimulate dermatological hypersensitivity and cancer. In this context it is of fundamental importance the inspection of these products that can be used in safe conditions for the consumer, without formaldehyde in concentrations higher than the allowed. Thus, the aim of this research was the qualitative and quantitative identification formaldehyde in samples of hair straighteners that was obtained by donation in the beauty salons of Araraquara-SP. In addition, the analysis of the packaging labels of the products tested were conducted, following the requirements of the national legislation. A qualitative analysis for formaldehyde identification is based on the formation of a purple colored complex. The quantitative analysis was performed by spectrophotometry. The qualitative and quantitative formaldehyde analysis methods were applied to 13 bottles of hair straighteners. When submitted to qualitative analysis, all samples showed formaldehyde presence. The quantitative analysis demonstrated that the samples identified as B, C, D, E, G, H, I, J and M presented formaldehyde concentration of 3.5 to 14.5%, which is above of the limit recommended by the National Health Surveillance Agency (ANVISA), of 0.2%. In the label analysis, in all samples were found irregularities.
甲醛是一种活性化合物,不规则地用于护发产品中,它具有拉直和防水电线的特性。然而,它是剧毒的,可以刺激皮肤过敏和癌症。在这种情况下,对这些产品进行检查是至关重要的,这些产品可以在消费者安全的条件下使用,甲醛浓度不超过允许的水平。因此,本研究的目的是对Araraquara-SP美容院捐赠的直发器样品中的甲醛进行定性和定量鉴定。此外,根据国家立法的要求,对测试产品的包装标签进行了分析。甲醛鉴定的定性分析是基于紫色络合物的形成。采用分光光度法进行定量分析。对13瓶直发器进行定性和定量甲醛分析。经定性分析,所有样品均显示甲醛存在。定量分析结果表明,B、C、D、E、G、H、I、J、M 4种样品的甲醛浓度为3.5 ~ 14.5%,超过了国家卫生监督局(ANVISA)建议的0.2%的甲醛浓度限值。在标签分析中,在所有样品中都发现了违规现象。
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引用次数: 0
Prevention of UVB radiation-induced oxidative stress in mice by topical administration of Azadirachta indica (neem) extract 印楝提取物预防UVB辐射引起的小鼠氧化应激
Pub Date : 2020-08-17 DOI: 10.4322/2179-443x.0633
Renata M. Martinez, Clara Ruiza de Souza, Cristina P. B. Melo, M. Baracat, N. S. Arakawa, J. C. Duarte, W. Verri, R. Casagrande, S. Georgetti
Neem tree (Azadirachta indica A. Juss. fam. Meliaceae) has been extensively employed to combat diverse pathologies. Moreover, it has been described that its leaf extract present anticarcinogenic action. Thus, the neem extract (NE) chemical and antioxidant properties was evaluated, and also, the capacity of two dermatological formulations incorporated with neem extract (F1 and F2) to avoid oxidative UVB-induced skin injury in hairless mice. NE constituents were investigated and free radical scavenging ability were determined by different methods in vitro. Skin from mice treated with F1 and F2 and submitted to UVB radiation were tested for different parameters of inflammation and oxidative injury. Results show that the NE polyphenol and flavonoid content were 135.30 and 37.12mg/g, respectively. High performance liquid chromatography (HPLC) results demonstrated the existence of azarachtin, rutin, ursolic acid and tannic acid. NE presented scavenging ability by ABTS radical, ferric-reducing antioxidant power (FRAP), inhibition of lipid peroxidation and iron chelation. In vivo, it was observed that mice treated with F1 and F2 showed amelioration of the inflammation by reducing UVB induced skin edema. However, only samples from animals treated with F1 had lower neutrophil recruitment (measured by myeloperoxidase activity), and returning the oxidative status to baseline levels in parameters such as reduced glutathione level, ferric reducing ability (FRAP), and scavenging of free radical (ABTS). Concluding, NE demonstrated a good antioxidant property in vitro, and the data suggest the use of NE added F1 to prevent skin damage caused by UVB irradiation.
印楝树(印楝树)fam公司。Meliaceae)已被广泛用于对抗各种病理。此外,据报道,其叶提取物具有抗癌作用。因此,我们评估了楝树提取物(NE)的化学和抗氧化性能,以及两种含有楝树提取物(F1和F2)的皮肤病制剂对避免氧化性uvb诱导的无毛小鼠皮肤损伤的能力。研究了NE的成分,并采用不同的方法测定了其体外清除自由基的能力。对F1和F2处理后的小鼠皮肤进行UVB辐射的不同炎症和氧化损伤参数测试。结果表明,NE多酚含量为135.30 mg/g,类黄酮含量为37.12mg/g。高效液相色谱(HPLC)结果表明,药材中含有印楝素、芦丁、熊果酸和单宁酸。NE具有ABTS自由基清除能力、铁还原抗氧化能力(FRAP)、抑制脂质过氧化和铁螯合作用。在体内,我们观察到F1和F2处理的小鼠通过减少UVB引起的皮肤水肿来改善炎症。然而,只有经过F1处理的动物样本的中性粒细胞招募(通过髓过氧化物酶活性测量)降低,并且在诸如还原型谷胱甘肽水平、铁还原能力(FRAP)和自由基清除(ABTS)等参数中氧化状态恢复到基线水平。综上所述,NE在体外表现出良好的抗氧化性能,数据表明,NE添加F1可以预防UVB照射引起的皮肤损伤。
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引用次数: 2
Development and validation of a method for phenobarbital in serum: anticonvulsant pharmacotherapy monitoring 开发和验证血清中苯巴比妥的方法:抗惊厥药物治疗监测
Pub Date : 2020-08-17 DOI: 10.4322/2179-443x.0632
Palas Atenéia Dantas de Medeiros, P. Silva, Luana Pinto de Arruda Sales, S. Mariz, S. Fook
The therapeutic drug monitoring (TDM) is an important strategy for the effectiveness and safety of long-term pharmacotherapy, such as the use of phenobarbital as an anticonvulsant drug in epilepsy. In this sense, HLPC has been presented as a technique for the measurement of phenobarbital in serum. However, the ideal conditions for carrying out the method must be established for each laboratory reality. An analytical method using HPLC was developed and validated in order to identify and quantify Phenobarbital in blood. The chromatographic conditions were C-18 column (Shimpack XR-ODS 50L x 3.0), acetonitrile-water mobile phase (30:70, v v-1), 0.2 mL min-1 flow and reading wavelength of 210 nm. Linearity was established in the range of 2.5 to 80 μg mL-1, the linear correlation coefficient was 0.9981. The average of the coefficient of variation of the precision was 5.30%. The relative standard error of the accuracy was -2.17% and of the recovery coefficient was 97.83%. In all eleven patients, phenobarbital concentrations were below the therapeutic range. The tested method was selective, linear, precise, accurate and showed good recovery.
治疗性药物监测(TDM)是长期药物治疗的有效性和安全性的重要策略,例如在癫痫中使用苯巴比妥作为抗惊厥药物。从这个意义上说,HLPC已被提出作为血清中苯巴比妥的测量技术。但是,必须根据每个实验室的实际情况建立实施该方法的理想条件。建立了高效液相色谱法测定血液中苯巴比妥含量的方法。色谱条件:C-18色谱柱(Shimpack XR-ODS 50L × 3.0),乙腈-水流动相(30:70,v v-1), 0.2 mL min-1流速,读取波长210 nm。在2.5 ~ 80 μ mL-1范围内呈线性关系,线性相关系数为0.9981。精密度变异系数平均值为5.30%。准确度的相对标准误差为-2.17%,回收率为97.83%。在所有11例患者中,苯巴比妥浓度均低于治疗范围。方法选择性好,线性好,精密度高,准确度高,回收率好。
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引用次数: 0
Development and validation of analytical method by HPLC-DAD for determination of vasodilator active in pharmaceutical ophthalmic forms HPLC-DAD法测定眼科药物中血管扩张剂含量的方法的建立与验证
Pub Date : 2020-08-14 DOI: 10.4322/2179-443x.0636
A. L. César, Larissa Caldeira Navarro, Alaíde de Matos Silva, R. Castilho, Gisele Goulart, G. Heida, A. Ferreira, S. Cronemberger, A. A. Faraco
4-Aminobenzamidine dihydrochloride (4-AD) is one of the degradation products of diminazene aceturate, which have been demonstrating anti-glaucoma potential. As glaucoma is the second leading cause of blindness worldwide, it is relevant to study new therapeutic alternatives, for example, 4-AD carried in polymeric inserts of prolonged release. The present work aims to develop and validate an analytical method for the quantification of 4-AD. An HPLC with UV-Vis detector was used, using a wavelength of 290 ƞm and an ACE® C18 column (125x4.6 mm, 5 μm) mobile phase consisting of phosphate (pH 7.4 ) and triethylamine in the concentration of 0.03% (v / v), in isocratic mode and flow of 1.0 mL / min. . The retention time for 4-AD was 3.2 minutes. The method was developed and validated in accordance with the recommendations of the Resolution of the Collegiate Board (RDC) No. 166 of 2017 of ANVISA, of the Brazilian Pharmacopoeia 5th edition and of the ICH quality guides. The linearity range was established between the concentrations of 5 and 25 μg / mL (r2), the accuracy, repeatability, intermediate precision tests showed a relative standard deviation less than or equal to 5%, in addition the method was also considered selective, exact and robust, pH being its critical factor. Therefore, the HPLC analysis method is robust and can be used to quantify the substance 4-AD in pharmaceutical forms for ocular application.
4-氨基苯脒二盐酸盐(4-AD)是醋酸迪咪那烯的降解产物之一,具有抗青光眼的潜力。由于青光眼是世界范围内致盲的第二大原因,因此研究新的治疗方案是有意义的,例如,将4-AD携带在缓释聚合物插入物中。本研究旨在建立并验证一种定量测定4-AD的方法。采用高效液相色谱法,紫外可见检测器,波长290 ƞm,流动相为ACE®C18柱(125 × 4.6 mm, 5 μm),流动相为磷酸(pH 7.4)和三乙胺,浓度为0.03% (v / v),等压模式,流速为1.0 mL / min。4-AD的保留时间为3.2分钟。该方法是根据ANVISA 2017年第166号理事会决议、巴西药典第5版和ICH质量指南的建议开发和验证的。在5 ~ 25 μg / mL的浓度范围内建立了线性关系(r2),准确度、重复性、中间精密度试验的相对标准偏差小于等于5%,并考虑了pH值是其关键因素,认为该方法具有选择性、准确性和鲁棒性。因此,高效液相色谱分析方法是稳健的,可用于定量4-AD物质的药用形式眼应用。
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引用次数: 0
Economic impact of the clinical pharmacist interventions in the pediatric intensive care unit 临床药师干预儿科重症监护病房的经济影响
Pub Date : 2020-01-01 DOI: 10.4322/2179-443X.0670
B. Menezes, Francieli Zanella Lazaretto, Lucélia Hernandes Lima, Karin Hepp Schwambach, C. Blatt
Introduction: The clinical pharmacist in the intensive care unit is involved in the aspects of patient safety, technical guidance for the team care and cost saving with rational use of medicines. Objective: This study aims to estimate the cost saving with of the clinical pharmacist interventions in the pediatric intensive care unit (PICU). Methods: This was a retrospective, observational study. The cost saving was measured over three months based on (1) Clinical pharmacist interventions from the prescriptions analysis. (2) Individualized doses of four antibiotics. (3) Comparison of drugs dispensing system between the period before and after the decentralization of pharmacy services. The main outcome measure is costs saving with strategic planning for the rational use of medicines, based on local reality. Results: 173 clinical pharmacist interventions were carried out, from 13 interventions we could calculated the economic impact, resulting in an estimate cost saving of the US$ 633.38/year. Cost saving from individualized doses of four antimicrobials was US$ 8,754.46/year. The decentralization of the pharmacy service resulted in a cost saving of US$ 28,770.52/year. Conclusion: The clinical pharmacist in the pediatric intensive care unit results in cost saving. Clinical pharmacist interventions, antimicrobials individualized doses and decentralization of pharmacy services reduce costs in the hospital.
临床药师在重症监护病房的工作涉及患者安全、对团队护理的技术指导以及合理用药节约成本等方面。目的:本研究旨在评估临床药师干预在儿科重症监护病房(PICU)的成本节约。方法:回顾性观察性研究。通过(1)临床药师对处方的干预分析,测算三个月内的成本节约。(2)四种抗生素的个体化剂量。(3)药房服务放权前后药品调剂制度的比较。主要的结果衡量标准是根据当地实际情况,通过合理使用药物的战略规划节省成本。结果:开展了173项临床药师干预措施,从13项干预措施中我们可以计算出经济影响,估计节省成本633.38美元/年。四种抗菌素个体化剂量每年可节省成本8,754.46美元。药房服务的权力下放导致每年节省28 770.52美元的费用。结论:临床药师在儿科重症监护病房的应用,节约了费用。临床药师干预、抗菌剂个体化剂量和药房服务的分散化降低了医院的成本。
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引用次数: 0
Influence of the capuchin hydroethanolic extract (Tropaeolum majus L.) on the stability of ketoconazole 卷尾猴水乙醇提取物对酮康唑稳定性的影响
Pub Date : 2020-01-01 DOI: 10.4322/2179-443X.0679
A. M. D. Silva, L. M. Silva
The stability of pharmaceuticals is influenced by several factors, directly related to the product, or to environmental factors, such as the presence of light and oxygen. Ketoconazole is an antifungal drug of the azole class which is prone to undergo degradation processes, such as oxidation and hydrolysis, changing from white to pink, suggesting formation of degradation products. Capuchin (Tropaeolum majus L.) is a species of pharmacological interest due to its phytochemical composition, it is rich in vitamin C and flavonoids with known antioxidant activity. The the objective of this work was to investigate the antioxidant activity of capuchin hydroalcohol extracts and evaluate their influence on the stability of ketoconazole. For the evaluation of the antioxidant activity of the extracts the DPPH radical was used. Differents gel ketoconazole formulations were manipulated and subjected to a stability study to compare the antioxidant efficiency of the extract and the sodium metabisulphite by analyzing the samples by ultraviolet scanning. Microbiological assays were performed to evaluate the activity of ketoconazole against the fungus Candida albicans. The extract solution presented antioxidant activity equivalent to a 16.35 μg / mL metabisulfite solution, and a 0.108 μg metabisulfite / μg extract ratio was calculated. In the spectrophotometric analysis, it was observed that the absorption spectrum of the extract-containing formulation presented a different alteration from the others, presenting a possible advantage in relation to the synthetic antioxidant. In the microbiological analysis, only the samples that remained at room temperature formed inhibition halo. Thus, a natural active potential was evaluated, representing a possible alternative for application in pharmaceutical formulations.
药物的稳定性受到几个因素的影响,这些因素与产品直接相关,或者与环境因素有关,例如光和氧的存在。酮康唑是一种唑类抗真菌药物,易发生氧化、水解等降解过程,由白色变为粉红色,提示有降解产物形成。卷尾猴(Tropaeolum majus L.)富含维生素C和黄酮类化合物,具有抗氧化活性,是一种具有药理价值的植物。研究卷尾猴水醇提取物的抗氧化活性,并评价其对酮康唑稳定性的影响。采用DPPH自由基评价其抗氧化活性。对不同凝胶酮康唑配方进行稳定性研究,通过紫外扫描对样品进行分析,比较其提取物和焦亚硫酸钠的抗氧化效果。采用微生物学方法评价酮康唑对白色念珠菌的抑菌活性。提取液的抗氧化活性相当于16.35 μg / mL代谢亚硫酸盐溶液,计算出代谢亚硫酸盐/ μg提取物比为0.108 μg。在分光光度分析中,观察到含提取物配方的吸收光谱与其他配方有不同的变化,与合成抗氧化剂相比可能具有优势。在微生物学分析中,只有保存在室温下的样品才会形成抑制晕。因此,评估了天然活性电位,代表了在药物制剂中应用的可能替代方案。
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Revista de Ciências Farmacêuticas Básica e Aplicada
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