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Usage and Prescribing Patterns of NSAID in Different General and Specialized Hospitals in Bangladesh 非甾体抗炎药在孟加拉国不同综合和专科医院的使用和处方模式
Pub Date : 2022-09-28 DOI: 10.36347/sajp.2022.v11i09.007
Dr. Mohammad Abdul Gani, Professor Dr. Feroza Parveen, Dr. Shyamol Kumar Saha, Dr. Aftab Uddin Ahmed, Dr. Md. Mojib Uddin, Dr. Rafika Afrose, Dr. Safia Sultana, Dr. Akm Sazidur Rahman Siddique
Introduction: Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most commonly prescribed and used for the treatment of pain and inflammation. Though this type of drug contains many side effects, these are widely used. The present study was conducted to observe the prescribing pattern. The study aimed to observe and assess the usage pattern and prescribing pattern of NSAIDs based on collected data from multiple general and specialized hospitals. Methods: This cross-sectional descriptive study was conducted at multiple hospitals in Mymensingh district during the 2- year period from January 2015 to December 2016. For the purpose of this study, a total of 1216 patients of all ages and gender were selected based on whether they were prescribed NSAIDs. Result: Among the participants, 71.4% of the participants using NSAIDs were between the ages of 15-45 years. The difference in prevalence between different age groups was highly significant. Higher male prevalence was observed, with 60.4% male and 39.6% female population. The difference between male and female prevalence was statistically significant. The chief complaint/clinical diagnosis were mentioned as fever (20.1%); backache (15.6%); headache (12.0%); musculoskeletal pain (11.5%); traumatic injury (7.1%); dysmenorrhea (5.3%); infective condition (4.6%); post-surgical pain (1.5%) and others (5.6%) of total prescription. One drug was prescribed in 2.5%, two drugs were in 32.7%, three drugs were in 41.6%, four drugs were in 17.6%, five drugs were in 5.3% and six drugs were prescribed 0.3% prescriptions respectively. Out of the total of 1216 prescriptions: 15.6% were prescribed by a specialist doctor, 63.8% by an MBBS doctor, and 20.6% were prescribed by unqualified prescribers. Cost of prescribed NSAIDs was <10 BDT for 50.5%, 10-50 BDT for 42.9%, >50 BDT for 5.8% and for the remaining 0.8%, the price of prescribed NSAID was unknown. The commonest prescribed NSAIDs were paracetamol (42.1) diclofenac sodium (21.9%); ibuprofen (10.4%); naproxen (5.9%); aspirin (1.6%) and other NSAIDs (18.1%) were prescribed respectively. The commonest prescribed dosage from NSAIDs was tablet/capsule (83.7%); syrup (9.0%); suppository (3.0%); injection (2.0%); suspension (1.8%); topical application (0.5%) was prescribed respectively. Statistically, there was a relationship between different dosage forms of the drug. Tablet/capsule was the highest significant form of the drug. Conclusion: The patients usually consulted with an MBBS doctor. The chief complaint/clinical diagnosis are a fever for patients who consulted the prescribers. The commonest prescribed NSAID is paracetamol. NSAIDs are mentioned in the trade name in most cases. The commonest prescribed dosage of NSAIDs is tablet/capsule
简介:非甾体抗炎药(NSAIDs)是最常用的处方和用于治疗疼痛和炎症。虽然这种药物有很多副作用,但它们被广泛使用。本研究旨在观察其处方模式。本研究旨在通过收集多家综合医院和专科医院的数据,观察和评估非甾体抗炎药的使用模式和处方模式。方法:采用横断面描述性研究方法,于2015年1月至2016年12月在Mymensingh地区多家医院进行。为了本研究的目的,根据是否服用非甾体抗炎药,选择了1216名不同年龄和性别的患者。结果:使用非甾体抗炎药的患者中,年龄在15-45岁的占71.4%。不同年龄组之间的患病率差异非常显著。男性患病率较高,男性占60.4%,女性占39.6%。男性和女性患病率之间的差异具有统计学意义。主诉/临床诊断为发热(20.1%);腰痛(15.6%);头痛(12.0%);肌肉骨骼疼痛(11.5%);外伤(7.1%);痛经(5.3%);感染(4.6%);术后疼痛(1.5%)和其他(5.6%)占总处方。开1种药占2.5%,开2种药占32.7%,开3种药占41.6%,开4种药占17.6%,开5种药占5.3%,开6种药占0.3%。在1216张处方中,专科医生处方占15.6%,MBBS医生处方占63.8%,不合格处方占20.6%。处方非甾体抗炎药的成本为50 BDT,占5.8%,其余0.8%的处方非甾体抗炎药的价格未知。最常见的处方非甾体抗炎药是扑热息痛(42.1%)、双氯芬酸钠(21.9%);布洛芬(10.4%);甲氧萘丙酸(5.9%);分别使用阿司匹林(1.6%)和其他非甾体抗炎药(18.1%)。非甾体抗炎药最常见的处方剂量为片剂/胶囊(83.7%);糖浆(9.0%);栓剂(3.0%);注射(2.0%);暂停(1.8%);分别处方局部应用(0.5%)。在统计学上,不同剂型的药物之间存在相关性。片剂/胶囊是该药的最高显着形式。结论:患者通常会诊MBBS医生。主诉/临床诊断是咨询医生的患者发烧。最常用的非甾体抗炎药是扑热息痛。大多数情况下,非甾体抗炎药在商品名称中都有提及。非甾体抗炎药最常见的处方剂量是片剂/胶囊
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引用次数: 0
Recent Application of Nanotechnology in Drug Delivery System 纳米技术在给药系统中的最新应用
Pub Date : 2022-09-20 DOI: 10.36347/sajp.2022.v11i09.006
Nagar Joginder, Anupama Anand
Nanoparticle drug delivery system is used for drug delivery applications in nanomedicine because of beneficial properties, such as better encapsulation, bioavailability, control release, and lower toxic effect. Nanomedicine and nano delivery systems are a relatively new but rapidly developing science where materials in the nano scale range are employed to serve as means of diagnostic tools or to deliver therapeutic agents to specific targeted sites in a controlled manner. There are a number of outstanding applications of the nanomedicine (chemotherapeutic agents, biological agents, immunotherapeutic agents etc. in the treatment of various diseases.The controlled self-assembly of organic and inorganic materials may enable their use in theranostic applications. This review presents an overview of a recent advanced nanoparticle system that can be used as a potential drug delivery carrier and focuses on the potential applications of nanoparticles in various biomedical fields for human health care.
纳米颗粒给药系统由于其良好的包封性、生物利用度、控释和低毒性作用等优点,被广泛应用于纳米医学的给药领域。纳米医学和纳米递送系统是一门相对较新的但发展迅速的科学,其中纳米尺度范围的材料被用作诊断工具的手段或以受控的方式将治疗剂递送到特定的目标部位。纳米药物(化学治疗剂、生物治疗剂、免疫治疗剂等)在各种疾病的治疗中有许多突出的应用。有机和无机材料的受控自组装可以使它们在治疗应用中使用。本文综述了近年来一种先进的纳米颗粒系统,它可以作为一种潜在的药物传递载体,并重点介绍了纳米颗粒在各种生物医学领域的潜在应用。
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引用次数: 1
Evaluation of Anticonvulsant Activity of Hydro Ethanolic Extract of Coccinia grandis in Mice 大球虫水乙醇提取物对小鼠的抗惊厥活性评价
Pub Date : 2022-09-20 DOI: 10.36347/sajp.2022.v11i09.005
D. P. Kumar, Makka Sai Kumar
Background: Hydro ethanolic extract of Coccinia grandis leaves was assumed to have anticonvulsant activity. Objective: To evaluate the anticonvulsant activity of Coccinia grandis by using some animal models like maximal electric shock model, pentylenetetrazole induced seizures, Isoniazid induced seizures. Materials and Methods: Various equipment and apparatus were used in the present study. Hydroethanolic extract of Coccinia grandis was done by Soxhlet apparatus. Phytochemical investigation of the leaf extract of Coccinia grandis was performed. Anticonvulsant activity was determined by using different animal models like maximal electric shock model, pentylenetetrazole induced seizures, Isoniazid induced seizures. Results: Anticonvulsant activity was determined by using different animal models like Maximal electric shock model, pentylenetetrazole induced seizures & Isoniazid induced model. Percentage of protection, Duration of hind limb tonic extension (HLTE), Latency of onset of convulsions were taken as a indication of anticonvulsant activity. Phenytoin and Diazepam showed significant anticonvulsant activity. In the present study the test samples exhibited significant (P < 0.0001) anticonvulsant activity and antioxidant activity at a dose of 200,400mg/kg. It may due to the presence of alkaloids, Phenols, carbohydrates, glycosides, saponins and flavonoids terpenoids. Conclusion: In present study leaves of Coccinia grandis extract was collected and anticonvulsant activity was examined in a doses of 200mg/kg, 400mg/kg. The results clearly shown that the low dose 200mg/kg of plant extract shown appropriate anticonvulsant activity and the high dose 400mg/kg shown specific anticonvulsant activity when compared to control and standard groups.
背景:大球虫叶乙醇提取物被认为具有抗惊厥活性。目的:采用最大电击模型、戊四唑致痫模型、异烟肼致痫模型等动物模型评价大球菌的抗惊厥作用。材料与方法:本研究使用了多种设备和仪器。用索氏仪提取大球虫的乙醇提取物。对大球虫叶提取物进行了植物化学研究。采用最大电击模型、戊四唑致痫模型、异烟肼致痫模型测定抗惊厥活性。结果:采用最大电击模型、戊四唑致痫模型和异烟肼致痫模型测定抗惊厥活性。以保护百分率、后肢强直伸展时间(HLTE)、惊厥发作潜伏期作为抗惊厥活性的指标。苯妥英和地西泮显示出显著的抗惊厥活性。在本研究中,当剂量为200,400mg/kg时,试验样品显示出显著(P < 0.0001)的抗惊厥活性和抗氧化活性。这可能是由于生物碱、酚类、碳水化合物、糖苷、皂苷和类黄酮萜类的存在。结论:本研究收集了大球虫提取物叶片,并以200mg/kg、400mg/kg剂量测定了其抗惊厥活性。结果表明,与对照组和标准组相比,低剂量200mg/kg的植物提取物具有适当的抗惊厥活性,高剂量400mg/kg的植物提取物具有特异性的抗惊厥活性。
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引用次数: 0
Quality of Life for Patients with Type 1 Diabetes Mellitus 1型糖尿病患者的生活质量
Pub Date : 2022-09-16 DOI: 10.36347/sajp.2022.v11i09.004
Mahdi Alfarhan, Hayat Hilan, Ghadeer Hayel Al-Zu’bi, Alia Ali Jaradat, Nawal Hussein Alabbadi
Glycemic control is necessary to reduce morbidity and mortality and improving QoL of T1DMM through the prevention and/or delay of these complications. Despite the high susceptibility of Jordanian patients to diabetes and its complications there is scarcity of data in Jordan on the impact of T1DMM on QoL. There is a particular need for research on patients’ perception about QoL and self-care management for T1DMM. Objectives: The aim for this study is to assess QoL in patients' with TIDM and to find out the associations between demographical and QoL among the patients with TIDM. Methods: The study was conducted using a descriptive cross-sectional design, correlation cross-section. The target population for this study was all Jordanian patients who are suffering from T1DMM, while the accessible population will be all adult Jordanian patients who are suffering from T1DMM attending Queen Alia Military Hospital (QAMH). The study instrument included two parts first one the demographical data section. "Audit of Diabetes Dependent Quality of Life (ADDQoL)" was the second element of the instrument used to assess QoL. The SPSS statistics package's programs were used to conduct the statistical analysis (SPSS 24). Results: About 37.3% of survey participants reported that having type 1 diabetes had a negative influence on their quality of life, while 32.9 percent said that their lives would have been better off without the disease. Patients with T1DM showed that the disease had a poor impact on all ADDQoL dimensions. Important associations were perceived between the average weighted impact of ADDQoL values and diabetes complications in T1DM. Diabetes has a noteworthy influence on the quality of life (QoL) of diabetes patients in Jordan, particularly with relation to the liberty to eat and drink. Conclusion: According to the findings of the current study, T1DMM itself has a detrimental impact on patients' quality of life, particularly on their working lives, health status, .......
通过预防和/或延缓这些并发症,血糖控制对于降低T1DMM的发病率和死亡率以及改善生活质量是必要的。尽管约旦患者对糖尿病及其并发症的易感性很高,但约旦缺乏关于T1DMM对生活质量影响的数据。特别需要研究T1DMM患者对生活质量的认知和自我保健管理。目的:本研究旨在评估慢性糖尿病患者的生活质量,并探讨慢性糖尿病患者的人口学特征与生活质量之间的关系。方法:采用描述性横断面设计,相关横断面设计。本研究的目标人群是所有患有T1DMM的约旦患者,而无障碍人群是所有在阿利亚女王军事医院(QAMH)就诊的患有T1DMM的约旦成年患者。研究工具包括两部分,第一部分是人口数据部分。“糖尿病依赖生活质量审计(ADDQoL)”是用于评估生活质量的工具的第二个要素。采用SPSS统计软件包的程序进行统计分析(SPSS 24)。结果:约37.3%的调查参与者报告说,患有1型糖尿病对他们的生活质量有负面影响,而32.9%的人表示,如果没有这种疾病,他们的生活会更好。T1DM患者显示该疾病对所有ADDQoL维度的影响都很差。在T1DM患者中,ADDQoL值的平均加权影响与糖尿病并发症之间存在重要关联。糖尿病对约旦糖尿病患者的生活质量(QoL)有显著影响,特别是在饮食自由方面。结论:根据目前的研究结果,T1DMM本身对患者的生活质量有不利的影响,特别是对他们的工作生活,健康状况,.......
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引用次数: 1
Marketing Authorisation for Medicines in Mali: Issues and Prospects 马里药品上市许可:问题与前景
Pub Date : 2022-09-10 DOI: 10.36347/sajp.2022.v11i09.003
I. Coulibaly, Sylvestre Traoré, Mohamed dit Sarmoye Traoré, Até Assissè-Nowoto, S. Bah
Introduction: Medicines are special products, and their marketing requires an evaluation of the benefit-risk ratio, which leads to the granting of a marketing authorisation (MA). The objective was to study the conditions for issuing marketing authorisations in Mali. Materials and methods: This was a retro prospective cross-sectional descriptive study conducted from 01 January to 31 December 2019 at the Directorate of Pharmacy and Medicines. It included registration applications examined in 2019 and marketing authorisation applications for medicines for human use. Data entry and analysis was done with SPSS 21.0. Results: Of the 848 dossiers reviewed, 594 were favourable and 254 were unfavourable to the national marketing authorisation commission. Among the 254 refusals, 162 were due to price non-competitiveness, 91 to package insert defects, and only one to an inconclusive clinical study. Conclusion: This study allowed us to note a high number of references for the molecules amoxicillin, amoxicillin-clavulanic acid, artemether-lumefantrine, omeprazole, paracetamol, ceftriaxone.
药品是特殊产品,其营销需要评估收益-风险比,从而获得上市许可(MA)。目的是研究在马里发放销售许可的条件。材料和方法:这是一项回顾性前瞻性横断面描述性研究,于2019年1月1日至12月31日在药学和药品管理局进行。其中包括2019年审查的注册申请和人用药物的上市许可申请。数据录入和分析采用SPSS 21.0软件。结果:在审查的848份文件中,594份对国家上市许可委员会有利,254份对国家上市许可委员会不利。在254个拒绝中,162个是由于价格不具有竞争力,91个是由于包装说明书缺陷,只有一个是由于临床研究不确定。结论:本研究为阿莫西林、阿莫西林-克拉维酸、蒿甲醚-氨苯曲明、奥美拉唑、对乙酰氨基酚、头孢曲松等分子提供了大量参考文献。
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引用次数: 0
Antioxidant and Anti-Hyperglycemic Activities of Aqueous and Hydro-Ethanolic Extracts of Excoecaria grahamii (Euphorbiacea) 大戟水、乙醇提取物的抗氧化和抗高血糖活性研究
Pub Date : 2022-09-09 DOI: 10.36347/sajp.2022.v11i09.002
P. A. Dabiré, Andouormwine Abel Somé, Stanislas Sawadogo, K. Sayah, S. Fettach
Background: Excoecaria grahamii is a traditional medicinal plant use in Burkina Faso and other part in the word to treat many diseases. However, its antioxydant and antidiabetic effects are not yet demonstrated. Objective: The aim of this study was to investigate the potential inhibitory effects of aqueous and ethanolic extracts of leaves and roots of Excoecaria grahamii on oxidative stress and hyperglycemia. Materials and Method: The antioxidant effect was investigated by FRAP, DPPH and ABTS essays while the anti-hyperglycemic effect were evaluated using α-amylase and β-galactosidase inhibitory assays. In addition, the phytochemical screening for some targeted compounds was carried out. Results: The result has shown that Excoecaria grahamii have antioxidant effect. Regarding the antidiabetic effect our data have shown only an inhibitory effect on α-amylase enzyme but not on β-galactosidase. Phytochemical study has shown the presence of gallic tannins, terpenoids and flavonoids in all the extract. Only aqueous extract have shown saponins. No catechic tannins and anthraquinones have been showed. Conclusions: This study suggests that Excoecaria grahamii contain chemicals components that can reduce oxidative stress and post prandial glucose enhance. It can be useful in the fight against antioxidant-related diseases such as those seen during ageing.
背景:Excoecaria grahamii是布基纳法索和世界其他地区用于治疗许多疾病的传统药用植物。然而,其抗氧化和抗糖尿病作用尚未得到证实。目的:研究虎杖叶和根水提液和乙醇提液对氧化应激和高血糖的潜在抑制作用。材料与方法:采用FRAP、DPPH和ABTS法研究其抗氧化作用,采用α-淀粉酶和β-半乳糖苷酶抑制法评价其抗高血糖作用。此外,还对部分目标化合物进行了植物化学筛选。结果:实验结果表明,虎尾鱼具有抗氧化作用。关于抗糖尿病作用,我们的数据显示只有α-淀粉酶有抑制作用,而对β-半乳糖苷酶没有抑制作用。植物化学研究表明,所有提取物中均含有没食子单宁、萜类和类黄酮。只有水萃取物显示出皂甙。没有发现儿茶单宁和蒽醌。结论:本研究提示棘鱼含有降低氧化应激和提高餐后血糖的化学成分。它在对抗抗氧化剂相关疾病(如衰老过程中出现的疾病)方面很有用。
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引用次数: 0
A Literature Review on Herbs used in Cough Medication 中药治疗咳嗽的文献综述
Pub Date : 2022-09-09 DOI: 10.36347/sajp.2022.v11i09.001
M. Kumar, S. Parihar
Cough refers to a powerful explosive expiration that clears the tracheobronchial tract of fluids and foreign materials. Given the high frequency of cough in both children and adults, the goal of this review paper was to document the plants used to cure and relieve cough in traditional culture and ethnobotany. The issues arising from the use of traditional opioid antitussive medications, such as codeine and codeine-like compounds, to treat cough in a variety of respiratory disorders. Medicinal plants have the potential to provide compounds with strong antitussive efficacy and little side effects. Specification of active compounds responsible for therapeutic action, as well as their measurement in healing medications, are recent advancements in modern phytotherapy, allowing for treatment rationalisation, particularly dose and monitoring of unwanted effects. The purpose of this review is to discuss the current state of the plant that is utilised as a source of food, cough-suppressing antitussives and expectorants, as well as their active components
咳嗽指的是一种强烈的爆发性呼气,可以清除气管支气管内的液体和异物。鉴于儿童和成人咳嗽的高频率,本综述的目的是记录传统文化和民族植物学中用于治疗和缓解咳嗽的植物。使用传统的阿片类止咳药物,如可待因和可待因样化合物,治疗各种呼吸系统疾病的咳嗽所产生的问题。药用植物有潜力提供具有强止咳功效和小副作用的化合物。现代植物疗法的最新进展是对负责治疗作用的活性化合物进行规范,以及在治疗药物中对其进行测量,从而使治疗合理化,特别是剂量和监测不良影响。本综述的目的是讨论该植物作为食物来源、止咳药和祛痰药的现状,以及它们的活性成分
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引用次数: 1
Knowledge, Attitudes, and Practices towards Antibiotic Use and Antimicrobial Resistance among Pharmacy Students at the University of Zambia: Implications for Antimicrobial Stewardship Programmes 赞比亚大学药学学生对抗生素使用和抗菌素耐药性的知识、态度和实践:对抗菌素管理计划的影响
Pub Date : 2022-08-18 DOI: 10.36347/sajp.2022.v11i08.002
S. Mudenda, Mirriam Mukela, S. Matafwali, M. Banda, R. Mutati, L. Muungo, V. Daka, S. Saad, F. Bumbangi, Billy Chabalenge
Background: Antimicrobial resistance (AMR) is a global public health problem affecting healthcare systems. There is little information on undergraduate pharmacy students' knowledge, attitude, and practices regarding antibiotic use (AMU) and AMR in Zambia. This study assessed knowledge, attitude, and practices on AMU and AMR among undergraduate pharmacy students at the University of Zambia. Materials and Methods: This cross-sectional study was conducted among172 randomly selected participants using a structured questionnaire. Data were analysed using IBM Statistical Package for Social Sciences version 20. Results: Of the 172 total participants, 55.2% (n = 95) were male. Most participants were between 21 and 25 years old (n=110, 64 %). Most of the pharmacy students had good knowledge (n=155, 90% average score), positive attitude (n=145, 84% average score) but suboptimal practices (n=110, 64% average score) about AMU and AMR. Despite these good scores, the prevalence of self-medication using antibiotics was 41% (n=70).Conclusion: Undergraduate pharmacy students had good knowledge, and a positive attitude, but suboptimal practices towards AMU and AMR. A low-average practice score is of great concern and requires urgent attention. There is a need to improve the details of the undergraduate pharmacy curriculum regarding AMU, AMR and antimicrobial stewardship programmes.
背景:抗菌素耐药性(AMR)是影响卫生保健系统的全球性公共卫生问题。关于赞比亚本科药学学生关于抗生素使用(AMU)和AMR的知识、态度和实践的信息很少。本研究评估了赞比亚大学药学本科学生在AMU和AMR方面的知识、态度和实践。材料与方法:本横断面研究采用结构化问卷,随机抽取172名参与者。使用IBM Statistical Package for Social Sciences version 20对数据进行分析。结果:172名参与者中,55.2% (n = 95)为男性。大多数参与者年龄在21 - 25岁之间(n=110, 64%)。大多数药学专业学生对AMU和AMR的认识程度(n=155,平均得分90%)良好,态度积极(n=145,平均得分84%),但实践不佳(n=110,平均得分64%)。尽管得分很高,但使用抗生素自我用药的患病率为41% (n=70)。结论:药学本科学生对AMU和AMR的认知良好,态度积极,但实践不理想。一个低平均的练习成绩是非常值得关注的,需要紧急关注。有必要改善有关AMU, AMR和抗菌药物管理计划的本科药学课程的细节。
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引用次数: 9
Formulation, Development and Evaluation of Invasomes Loaded Clotrimazole Gel for Fungal Treatment 侵袭体型克霉唑凝胶治疗真菌的制备、开发与评价
Pub Date : 2022-08-09 DOI: 10.36347/sajp.2022.v11i08.001
Harshit Verma, Dr. Pradeep Pal
The transdermal route is an important pathway for localized or systemic effects. The stratum corneum, the outer layer of the skin, is an essential skin permeation barrier for many drugs. To overcome this barrier, several techniques have been developed, including the use of the vehicle and nanocarriers to improve drug penetration. Recently, different types of nanocarriers have been designed to improve the dermal and transdermal delivery of medicines like ‘INVASOME’. We made clotrimazole loaded invasome gel which is used in fungal treatment. The procedure used in formulation of invasomal gel is mechanical dispersion method. This preparation is evaluate by many parameters they are appearance, spreadability, solubility, in vitro drug diffusion. And also discuss application of invasome.
透皮途径是局部或全身作用的重要途径。角质层,皮肤的外层,是许多药物必不可少的皮肤渗透屏障。为了克服这一障碍,已经开发了几种技术,包括使用载体和纳米载体来提高药物渗透。最近,人们设计了不同类型的纳米载体,以改善“INVASOME”等药物的真皮和透皮递送。研制了用于真菌治疗的含氯霉唑侵入体凝胶。侵入性凝胶的制备采用机械分散法。对该制剂进行了外观、涂敷性、溶解度、体外药物扩散等评价。并讨论了侵入性的应用。
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引用次数: 0
Evaluation of Asthma Management Outcomes 哮喘管理结果的评估
Pub Date : 2022-07-30 DOI: 10.36347/sajp.2022.v11i07.002
Tamara S Al Tawisi, O. Samawi, Buthainah S Al Qudah, R. Ayesh, Mai M Al Falahat
Background: Asthma is a serious global health problem with an estimated 300 million affected individuals. Clinical manifestations of asthma can be controlled with appropriate treatment. When asthma is controlled, severe exacerbations should be rare. The goal of treatment in Asthma is to reduce inflammation and to achieve¸ total control. Treatment with anti-inflammatory drugs can, to a large extent, reverse some of these processes; however, the successful response to therapy often requires weeks to achieve and, in some situations, may be incomplete. Objectives of the study: This study was performed to evaluate the outcomes of Asthma treatment amongst asthmatic patients on follow-up at King Hussein Medical Centre (KHMC) at the Royal Medical Services (RMS) in Jordan/Amman. Methods: A retrospective, observational study was designed and performed on the basis of the asthma patient medical files. The patients’ medical profiles of were revised and the results were assessed according global initiative for asthma (GINA) guidelines. The collected data was analyzed by using statistical Package for the Social Sciences (SPSS) version 22. Results: A total of 210 asthmatic patient’s profiles were revised, and amongst the patient's majority (62.6%) were males and the average age of the participants was 35.1 years with standard deviation (SD) of 9.4. The most (53.3%) have been prescribed asthmatic drug combination was fluticasone propionate and salmeterol xinafoate (Seretide®) for long term asthmatic symptoms management. Amongst the asthmatic patients, 58 % had used antibacterial for their respiratory tract infections (RTIs) and urinary tract infections (UTIs). Conclusion: This study has shown that, despite the existence of an effective medication for asthma, disease control is insufficient and falls short of the accepted global guidelines.
背景:哮喘是一个严重的全球健康问题,估计有3亿人受其影响。通过适当的治疗,哮喘的临床表现可以得到控制。当哮喘得到控制时,严重的恶化应该是罕见的。哮喘治疗的目标是减少炎症并实现全面控制。用消炎药治疗可以在很大程度上逆转这些过程;然而,对治疗的成功反应往往需要数周才能达到,在某些情况下,可能是不完整的。研究目的:本研究旨在评估在约旦/安曼皇家医疗服务(RMS)侯赛因国王医疗中心(KHMC)随访的哮喘患者的哮喘治疗结果。方法:根据哮喘患者的医疗档案设计并进行回顾性观察性研究。修订了患者的医学概况,并根据全球哮喘倡议(GINA)指南对结果进行了评估。收集的数据采用SPSS (statistical Package for The Social Sciences)第22版进行分析。结果:共修改了210例哮喘患者的资料,其中大多数(62.6%)为男性,参与者的平均年龄为35.1岁,标准差(SD)为9.4。最多(53.3%)的患者长期使用丙酸氟替卡松和沙美特罗(舒利泰®)联合治疗哮喘症状。在哮喘患者中,58%的患者使用过抗菌药物治疗呼吸道感染和尿路感染。结论:本研究表明,尽管存在有效的哮喘药物,但疾病控制不足,未达到公认的全球指南。
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Scholars Academic Journal of Pharmacy
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