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Study of the Resistance Pattern of Antimicrobials Used in Septicemia Patients in a Tertiary Care Teaching Hospital 某三级教学医院败血症患者抗菌药物耐药模式的研究
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引用次数: 0
Drug Therapy Problem and its Contributing Factors among Pediatric patients with Infectious Diseases admitted to Jimma University Medical Center, South West Ethiopia: Prospective observational study 埃塞俄比亚西南部吉玛大学医学中心收治的感染性儿科患者的药物治疗问题及其影响因素:前瞻性观察研究
Desalegn Feyissa, Tsegaye Melaku, Dula Dessalegn
Background: Drug therapy problem is a significant challenge to provide high quality health care service for the patients. It is associated with morbidity, mortality, increased hospital stay and reduced quality of life. Moreover, pediatric patients are quite susceptible to drug therapy problems.Thus this study aimed to assess drug therapy problem and its contributing factors among pediatric patients diagnosed with infectious disease admitted to pediatric ward of Jimma university medical center, from April ,2018 to June 30, 2018.Methodology: Prospective observational study was conducted among pediatric patients with infectious disease admitted to Jimma university medical center from April 01,2018 to June 30, 2018. Drug therapy problems were identified by using Cipolle’s and strand’s drug therapy problem classification method. Patient’s written informed consent was obtained after explaining the purpose of the study. Patient’s specific data were collected using structured questionnaire. Data was entered into Epi data version 4.0.2 and then exported to statistical software package version 21.0 for analysis. To identify predictors of drug therapy problems occurrence, multiple stepwise backward logistic regression analysis were done. The 95% CI was used to show the accuracy of data analysis and statistical significance was considered at p-value <0.05.Results: A total of 304 pediatric patients were included in the study. Of these, 226(74.3%) patients had at least one drug therapy problem during their hospital stay. A total of 356 drug therapy problems were identified among two hundred twenty six patients. Non-compliance (28.65%) and dose too low (27.53%) were the most common type of drug therapy problems while disease comorbidity [AOR=3.39, 95% CI= (1.89-6.08)], Polypharmacy [AOR=3.16, 95% CI= (1.61-6.20)] and more than six days stay in hospital [AOR=3.37, 95% CI= (1.71-6.64) were independent predictors of drug therapy problem occurrence.Conclusion and recommendation: Drug therapy problems were common in pediatric patients with infectious disease in the study area. Presence of comorbidity, Polypharmacy and Prolonged hospital stay were the predictors of drug therapy problem in this finding. Therefore, to overcome the significant gaps in pediatric pharmaceutical care, clinical pharmacists, Pediatricians and other health care professional have to work in collaboration.Keywords: Drug therapy problem, Pediatric, infectious disease, Ethiopia
背景:药物治疗问题是为患者提供高质量医疗服务的一个重大挑战。它与发病率、死亡率、住院时间延长和生活质量下降有关。此外,儿科患者很容易受到药物治疗问题的影响。因此,本研究旨在评估2018年4月至2018年6月30日吉马大学医学中心儿科病房收治的诊断为感染性疾病的儿科患者的药物治疗问题及其影响因素。方法:对2018年4月1日至2018年6月30日在吉马大学医学中心住院的儿科感染性疾病患者进行前瞻性观察研究。采用Cipolle和strand的药物治疗问题分类方法对药物治疗问题进行识别。在解释研究目的后获得患者的书面知情同意。采用结构化问卷法收集患者具体资料。数据输入Epi数据版本4.0.2,导出到统计软件包版本21.0进行分析。为确定药物治疗问题发生的预测因素,采用多元逐步logistic回归分析。以95% CI表示数据分析的准确性,p值<0.05认为具有统计学意义。结果:本研究共纳入304例儿科患者。其中,226例(74.3%)患者在住院期间至少有一次药物治疗问题。在226例患者中,共发现356个药物治疗问题。不依从性(28.65%)和剂量过低(27.53%)是最常见的药物治疗问题类型,疾病合并症[AOR=3.39, 95% CI=(1.89 ~ 6.08)]、多药治疗[AOR=3.16, 95% CI=(1.61 ~ 6.20)]和住院时间超过6天[AOR=3.37, 95% CI=(1.71 ~ 6.64)]是药物治疗问题发生的独立预测因素。结论与建议:在研究地区,儿童感染性疾病患者的药物治疗问题较为普遍。合并症的存在、多种用药和延长住院时间是药物治疗问题的预测因素。因此,要克服儿科药学服务的显著差距,临床药师、儿科医生和其他卫生保健专业人员必须协同工作。关键词:药物治疗问题,儿科,传染病,埃塞俄比亚
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引用次数: 0
Physicochemical and Thermal Characterization of Ascorbic Acid: Impact of Biofield Energy Treatment 抗坏血酸的物理化学和热特性:生物场能量处理的影响
G. Nayak, M. Trivedi, A. Branton, Dahryn Trivedi, S. Jana
Ascorbic acid (vitamin C) acts as an antioxidant and plays a vital role in maintaining good health. The study was designed with the aim to determine the influence of the Trivedi Effect® on the various properties of ascorbic acid by using the modern analytical techniques. The study sample was divided into two parts. The first part was considered as control (no treatment), while the second part was termed as the Biofield Energy Treated sample and it was treated with the Trivedi Effect®-Consciousness Energy Healing Treatment by a renowned Biofield Energy Healer, Gopal Nayak. The PXRD peak intensities and the crystallite sizes were significantly altered ranging from -67.75% to 1059.21% and -29.41% to 271.10% respectively, whereas the average crystallite size was significantly increased by 50.67% in the treated sample compared to the control sample. The particle size analysis of the treated ascorbic acid was reduced by 8.23% (d10), 22.07% (d50), 11.64% (d90), and 15.81% {D(4,3)} and the surface area was increased by 15.38% as compared to the untreated sample. The weight loss was 20.57%; however, the residue amount was significantly increased by 573.99% in the treated sample compared to the control sample. The maximum thermal degradation temperatures were increased by 0.58% and 4.93%, respectively, of the treated sample compared to the control sample. The decomposition temperature was decreased by 4.17%; however, the ΔHfusion and ΔHdecomposition were increased by 9.13% and 110.60%, respectively of the treated sample compared to the control sample. The Consciousness Energy Healing Treatment showed the possible formation of a new polymorph of ascorbic acid that may show better solubility, dissolution, and bioavailability, as well as more thermally stable compared to the control sample. Hence, it might be advantageous to use the Biofield Energy Treated ascorbic acid in various nutraceutical/pharmaceutical formulations to improve their efficacy.
抗坏血酸(维生素C)是一种抗氧化剂,在保持身体健康方面起着至关重要的作用。本研究旨在利用现代分析技术确定Trivedi效应®对抗坏血酸各种性质的影响。研究样本分为两部分。第一部分被认为是对照(没有治疗),而第二部分被称为生物场能量治疗样本,它被著名的生物场能量治疗师Gopal Nayak用Trivedi效应®-意识能量治疗治疗。处理后样品的PXRD峰强度和晶粒尺寸分别在-67.75% ~ 1059.21%和-29.41% ~ 271.10%范围内发生了显著变化,平均晶粒尺寸较对照样品显著提高了50.67%。与未处理样品相比,处理后的抗坏血酸的粒径分析分别降低了8.23% (d10)、22.07% (d50)、11.64% (d90)和15.81% {D(4,3)},表面积增加了15.38%。体重减轻20.57%;但处理后样品的残留量较对照显著增加了573.99%。处理后样品的最大热降解温度比对照样品分别提高了0.58%和4.93%。分解温度降低4.17%;处理后样品的ΔHfusion和ΔHdecomposition分别比对照提高了9.13%和110.60%。与对照样品相比,意识能量治疗显示可能形成一种新的抗坏血酸多晶,可能表现出更好的溶解度、溶解性和生物利用度,以及更热稳定。因此,生物场能量处理抗坏血酸可能有利于在各种营养保健品/药物配方中使用,以提高其功效。
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引用次数: 0
In Vitro Effect of Biofield Energy Treated DMEM On Mitochondrial Biogenesis Using Myoblasts Cell Line, C2C12 体外生物场能处理DMEM对成肌细胞C2C12线粒体生物发生的影响
A. Branton, S. Jana
Mitochondria, a signaling organelles are responsible for energy metabolism within the cell, while its dysfunction in any form could results in the cell death due to an increased oxidative stress and that leads to various metabolic diseases. The aim of the present study was to examine the effect of Consciousness Energy Healing based DMEM medium on murine myoblasts (C2C12) cells to evaluate the mitochondrial mass content using 10-N-nonyl acridine orange (NAO) dye assay. The test item, DMEM was divided into three parts. First part did not receive any sort of treatment and defined as the untreated DMEM group. The second and third parts were treated with the one-time and two-times Biofield Energy Treatment by a renowned Biofield Energy Healer, Alice Branton and coded as the one-time Biofield Energy Treated DMEM (BT-I) and two-times Biofield Energy Treated DMEM (BT-II) groups, respectively. Cell viability of the test items using MTT assay showed 72.32%, 97.89%, and 104.96% viable cells in the untreated DMEM, BT-I, and BT-II groups, respectively suggested that the test items were nontoxic and safe in murine myoblasts (C2C12) cells. Further, the mitochondrial mass content in terms of Fluorescence Unit (FU) was significantly (p≤0.05) increased by 43.11% and 64.52% in the BT-I and BT-II groups, respectively in C2C12 cells compared to the untreated DMEM group. Thus, overall experimental data suggested that two-times blessed DMEM showed a significant improvement of mitochondrial mass content and results in better thermogenesis. In the present study, results demonstrated that an increased mitochondrial mass content in the cells, when treated with The Trivedi Effect®. This indicates that the Biofield Energy Treated DMEM has the great potential to improve thermogenesis, which can be used against various metabolic diseases, such as insulin resistance, type-2 diabetes, and cardiovascular diseases.
线粒体是细胞内负责能量代谢的信号细胞器,其任何形式的功能障碍都可能导致细胞因氧化应激增加而死亡,从而导致各种代谢疾病。本研究的目的是研究基于意识能量愈合的DMEM培养基对小鼠成肌细胞(C2C12)细胞的影响,并使用10- n -壬基吖啶橙(NAO)染色法评估线粒体质量含量。测试项目DMEM分为三个部分。第一部分未接受任何治疗,定义为未经治疗的DMEM组。第二部分和第三部分分别由著名的生物场能量治疗师Alice Branton进行一次和两次生物场能量治疗,分别被编码为一次生物场能量处理DMEM (BT-I)和两次生物场能量处理DMEM (BT-II)组。MTT法检测各组DMEM、BT-I、BT-II的细胞活力分别为72.32%、97.89%、104.96%,表明各组DMEM、BT-I、BT-II对小鼠成肌细胞(C2C12)无毒、安全。C2C12细胞中BT-I和BT-II组的线粒体质量含量(以荧光单位(Fluorescence Unit, FU)计算)比未处理的DMEM组分别显著(p≤0.05)提高了43.11%和64.52%。因此,总体实验数据表明,两次祝福的DMEM显著提高了线粒体质量含量,并导致更好的产热。在本研究中,结果表明,使用the Trivedi Effect®处理后,细胞中线粒体质量含量增加。这表明经生物场能量处理的DMEM具有改善产热的巨大潜力,可用于治疗各种代谢疾病,如胰岛素抵抗、2型糖尿病和心血管疾病。
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引用次数: 0
Complementary and Alternative Medicine: Impact of Consciousness Healing Treatment on the Characteristic Properties of Sulfamethoxazole 补充和替代医学:意识愈合治疗对磺胺甲恶唑特性的影响
G. Nayak, M. Trivedi, A. Branton, Dahryn Trivedi, S. Jana
Sulfamethoxazole is the sulfonamide class of antibiotic that acts as a bacteriostatic agent against various bacteria. The current study was aimed to analyze the impact of the Consciousness Energy Healing Treatment (the Trivedi Effect®) on various properties of sulfamethoxazole by using different modern analytical techniques. For this, the sample was first divided into two parts, followed by considering one part as a control sample (no treatment was given). The second part was named as the Biofield Energy Treated sample that was remotely given the Consciousness Energy Healing Treatment by a renowned Biofield Energy Healer, Gopal Nayak. The particle size values were reduced by 14.35%(d10), 8.93%(d50), 7.84%(d90), and 9.24%{D(4,3)}; therefore, the specific surface area was increased by 9.68% in the treated sample compared to the control sample. The PXRD peak intensities and crystallite sizes were significantly altered ranging from -68.71% to 40.38% and -31.58% to 169.60%, respectively; however, the average crystallite size was significantly increased by 9.49% in the treated sample compared to the control sample. The residue weight and maximum thermal degradation temperature were increased by 2.12% and 3.25%, respectively in the treated sample compared with the control sample. The decomposition temperature, latent heat of fusion, and latent heat of decomposition were significantly increased by 11.44%, 48.27%, and 22.59%, respectively in the treated sample compared to the control sample. Thus, the Trivedi Effect®-Consciousness Energy Healing Treated sulfamethoxazole might have formed a new polymorph with reduced particle size and improved surface area and thermal stability. Hence, the use of the treated sulfamethoxazole might be more beneficial in terms of improved solubility, absorption, bioavailability, stability and also for designing the more efficacious pharmaceutical formulations for the treatment and prevention of various bacterial diseases, i.e., ear infections, urinary tract infections, shigellosis, traveler’s diarrhea, bronchitis, and pneumocystis-type of pneumonia, etc.
磺胺甲恶唑是磺胺类抗生素,对各种细菌起抑菌作用。本研究旨在利用不同的现代分析技术,分析意识能量治疗(Trivedi效应®)对磺胺甲恶唑各种性质的影响。为此,首先将样本分成两部分,然后将其中一部分作为对照样本(不进行处理)。第二部分被命名为生物场能量治疗样本,由著名的生物场能量治疗师Gopal Nayak远程给予意识能量治疗治疗。粒径值分别降低14.35%(d10)、8.93%(d50)、7.84%(d90)和9.24%{D(4,3)};因此,处理后的样品比表面积比对照样品增加了9.68%。PXRD峰强度和晶粒尺寸变化明显,分别为-68.71% ~ 40.38%和-31.58% ~ 169.60%;但处理后样品的平均晶粒尺寸较对照样品显著增大了9.49%。与对照样品相比,处理后样品的残渣重和最大热降解温度分别提高了2.12%和3.25%。处理后样品的分解温度、熔融潜热和分解潜热分别较对照样品显著提高11.44%、48.27%和22.59%。因此,Trivedi效应®-意识能量治疗处理过的磺胺甲恶唑可能形成了一种新的多晶型,粒径减小,表面积和热稳定性提高。因此,在改善溶解度、吸收度、生物利用度、稳定性以及设计治疗和预防各种细菌性疾病(即耳部感染、尿路感染、志贺氏菌病、旅行者腹泻、支气管炎和肺囊虫型肺炎等)的更有效的药物制剂方面,使用经处理的磺胺甲恶唑可能更有益。
{"title":"Complementary and Alternative Medicine: Impact of Consciousness Healing Treatment on the Characteristic Properties of Sulfamethoxazole","authors":"G. Nayak, M. Trivedi, A. Branton, Dahryn Trivedi, S. Jana","doi":"10.29011/2574-7711.100079","DOIUrl":"https://doi.org/10.29011/2574-7711.100079","url":null,"abstract":"Sulfamethoxazole is the sulfonamide class of antibiotic that acts as a bacteriostatic agent against various bacteria. The current study was aimed to analyze the impact of the Consciousness Energy Healing Treatment (the Trivedi Effect®) on various properties of sulfamethoxazole by using different modern analytical techniques. For this, the sample was first divided into two parts, followed by considering one part as a control sample (no treatment was given). The second part was named as the Biofield Energy Treated sample that was remotely given the Consciousness Energy Healing Treatment by a renowned Biofield Energy Healer, Gopal Nayak. The particle size values were reduced by 14.35%(d10), 8.93%(d50), 7.84%(d90), and 9.24%{D(4,3)}; therefore, the specific surface area was increased by 9.68% in the treated sample compared to the control sample. The PXRD peak intensities and crystallite sizes were significantly altered ranging from -68.71% to 40.38% and -31.58% to 169.60%, respectively; however, the average crystallite size was significantly increased by 9.49% in the treated sample compared to the control sample. The residue weight and maximum thermal degradation temperature were increased by 2.12% and 3.25%, respectively in the treated sample compared with the control sample. The decomposition temperature, latent heat of fusion, and latent heat of decomposition were significantly increased by 11.44%, 48.27%, and 22.59%, respectively in the treated sample compared to the control sample. Thus, the Trivedi Effect®-Consciousness Energy Healing Treated sulfamethoxazole might have formed a new polymorph with reduced particle size and improved surface area and thermal stability. Hence, the use of the treated sulfamethoxazole might be more beneficial in terms of improved solubility, absorption, bioavailability, stability and also for designing the more efficacious pharmaceutical formulations for the treatment and prevention of various bacterial diseases, i.e., ear infections, urinary tract infections, shigellosis, traveler’s diarrhea, bronchitis, and pneumocystis-type of pneumonia, etc.","PeriodicalId":23793,"journal":{"name":"World Academy of Science, Engineering and Technology, International Journal of Pharmacological and Pharmaceutical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84628581","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
Antihypertensive Drug Regimen for High Blood Pressure Associated with Modifiable Cardiovascular Risk Factors Among Hypertensive Patients Attending Campus Teaching Hospital of Lomé, Togo, West Africa 西非多哥lomoise校园教学医院高血压患者与可改变心血管危险因素相关的降压药物治疗方案
Y. Potchoo, E. Goeh-Akue, F. Damorou, Stéphane Lolognier, Barima Massoka, D. Redah, I. Guissou
Objective: The present prospective study was aimed to target the antihypertensive drug regimen for HBP associated with modifiable cardiovascular risk factors such as stressful and sedentary lifestyle, obesity, diabetes and chronic ethylism among hypertensive patients. Material and Method: This study was conducted among outpatients and inpatients attending the department of cardiology of Campus Teaching Hospital for hypertension conditions associated with comorbidities (stressful, sedentary lifestyle, obesity, diabetes and ethylism) and placed on antihypertensive drug therapy. Results: Of the 112 patients treated for HBP, 43 (38.39%) received an ambulatory treatment and 69 (61.61%) were hospitalized. Of 43 outpatients, 37.21% and 18.60% vs 24.64%, 34.78% and 23.19% of 69 inpatients presented respectively 2, 3 and ≥ 4 concomitant modifiable risk factors. Regarding the antihypertensive drug regimens received and concomitant risk factor profile of patients, significant reduction of Systolic Blood Pressure (SBP) among patients with 3 risk factors and Diastolic Blood Pressure (DBP) among patients with at least, together with chronic ethylism, another risk factor among stressful, sedentary lifestyle, obesity and diabetes, was observed. In cases of complicated HBP, outpatients with 3 concomitant risk factors against inpatients with high stress, sedentary lifestyle and obesity were placed on diuretic (D), Calcium Channel Antagonist (CCA) and Angiotensin Converting Enzyme Inhibitor (ACEI) as first choice in monotherapy or in addition to Centrally Acting Antihypertensive Drug (CAAD) in suitable combinations in 2/3 of total combinations prescribed. Conclusion: antihypertensive drug regimens from mono to quadruple therapy allowed to control significantly SBP in patients with 3 concomitant modifiable risk factors and DBP among patients with at least, together with chronic ethylism, another risk factor among stress, sedentarity, obesity and diabetes. In complicated HBP with concomitant modifiable risk factors, D or CCA or ACEI or in suitable combinations in addition to CAAD were the favorite pharmacological groups prescribed. Citation: Potchoo Y, Goeh-Akue E, Damorou F, Lolognier S, Massoka B, et al. (2018) Antihypertensive Drug Regimen for High Blood Pressure Associated with Modifiable Cardiovascular Risk Factors Among Hypertensive Patients Attending Campus Teaching Hospital of Lomé, Togo, West Africa. J Pharma Pharma Sci: JPPS-176. DOI: 10.29011/2574-7711. 100076 2 Volume 2018; Issue 03 J Pharma Phamra Sci, an open access journal ISSN: 2474-7711
目的:本前瞻性研究旨在针对高血压患者中与压力和久坐生活方式、肥胖、糖尿病和慢性乙基化等可变心血管危险因素相关的高血压药物治疗方案。材料与方法:本研究在校园教学医院心内科就诊的伴有合并症(压力大、久坐生活方式、肥胖、糖尿病和乙基化)的高血压患者中进行,并给予降压药物治疗。结果:112例HBP患者中,43例(38.39%)接受了门诊治疗,69例(61.61%)住院。43例门诊患者中存在2、3和≥4个可改变危险因素的比例分别为37.21%和18.60%,69例住院患者中存在2、3和≥4个可改变危险因素的比例分别为24.64%、34.78%和23.19%。关于所接受的降压药方案和患者的相关危险因素,观察到有3种危险因素的患者收缩压(SBP)显著降低,至少有慢性乙基化(压力、久坐生活方式、肥胖和糖尿病中的另一危险因素)的患者舒张压(DBP)显著降低。在合并高血压的病例中,针对高压力、久坐生活方式和肥胖的住院患者,对伴有3种危险因素的门诊患者,将利尿剂(D)、钙通道拮抗剂(CCA)和血管紧张素转换酶抑制剂(ACEI)作为单药治疗的首选,或在处方总组合的2/3中,在适当的组合中添加中央作用降压药(CAAD)。结论:降压药方案从单药到四药治疗可显著控制伴有3种可改变危险因素的患者的收缩压,以及至少伴有慢性乙基化(应激、久坐、肥胖和糖尿病中的另一危险因素)的患者的舒张压。对于伴有可改变危险因素的复杂高血压,除CAAD外,D或CCA或ACEI或适当的组合是最受欢迎的药理学组。引用本文:Potchoo Y, Goeh-Akue E, Damorou F, Lolognier S, Massoka B,等。(2018)西非多哥lomoreit校园教学医院高血压患者高血压相关心血管危险因素的降压药物治疗方案。医药科学:JPPS-176。2574 - 7711 . DOI: 10.29011 /。100076 2卷2018;第03期《J Pharma pharmra Sci》,开放获取期刊ISSN: 2474-7711
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引用次数: 0
Inverse Analysis of Clinical Trial Test of Oshadi Oral Insulin 奥沙地口服胰岛素临床试验试验的逆分析
S. Mavrodiev, S. Efrati, H. Levy, A. Vol, O. Gribova
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引用次数: 0
Self-Medication Among Children Under 15 Years, At the Teaching Hospitals of Lomé, Togo 15岁以下儿童的自我药疗,在多哥lomoise的教学医院
Y. Potchoo, Anéwédom Awizoba
Objectives: The present study was aims to identify the causes, the categories of medicines used and the outcomes of self-medi-cation in hospitalized children under 15 years. Materials and Methods: We conducted a descriptive study from June 18 to July 18, 2016 in two Teaching Hospitals in Lomé. Parents/relatives of inpatient pediatric department were interviewed, using a questionnaire on self-medication. The data was ana-lyzed on the basis of frequencies (%) of parameters investigated. Results: We interviewed 204 informants. The self-medication prevalence was 85.8% (n=175) and mostly imputed to the mothers. Children’s pathological histories were asthma and sickle cell disease (16.0%). The sources of self-medication drugs were pharmacies (60%), itinerant sellers of medicines (49.7%) and left-over prescribed medicines stored at home (21.1%). Fever (85.1%), headaches (49.7%), abdominal pain (28%), cough and cold (14.3%) and diarrhea (12.6%) were the main symptoms responsible for self-medication. Analgesics and antipyretics were used in 92.6 % of cases. Anti-microbial (antibiotics, antimalarial, and other antiparasitics) was auto-administered in approximately 47.4%. Herbal medicine and other local products represented 41.7%. The outcomes of self-medication in children are multiple, including nausea and/or vomiting (89.7%), anaemia requiring transfusion (39.9%), allergic skin reactions and so on. Conclusion: Parental self-medication is common in Togolese children. In view of previous outcomes, the use of self-medication for children is a practice that must be controlled and reasoned.
目的:本研究旨在了解15岁以下住院儿童自我药疗的原因、药物使用类别和结果。材料与方法:我们于2016年6月18日至7月18日在lom两所教学医院进行描述性研究。采用自我用药问卷对儿科住院患者的家长/亲属进行访谈。根据所调查参数的频率(%)对数据进行分析。结果:共采访了204名举报人。自我药疗率为85.8% (n=175),主要归咎于母亲。患儿病理史为哮喘和镰状细胞病(16.0%)。自行用药的来源主要为药店(60%)、流动药品销售者(49.7%)和家中存放的剩余处方药(21.1%)。发热(85.1%)、头痛(49.7%)、腹痛(28%)、咳嗽和感冒(14.3%)、腹泻(12.6%)是自行用药的主要症状。92.6%的病例使用镇痛药和解热药。抗微生物药(抗生素、抗疟药和其他抗寄生虫药)在47.4%的患者中被自动使用。草药及其他土特产占41.7%。儿童自我药疗的结果是多种多样的,包括恶心和/或呕吐(89.7%)、贫血需要输血(39.9%)、皮肤过敏反应等。结论:父母自我药疗在多哥儿童中很常见。鉴于以往的结果,对儿童使用自我药疗是一种必须加以控制和合理的做法。
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引用次数: 0
Growth Hormone-Releasing Hormone (GHRH): Its Biology and Therapeutic Aspects 生长激素释放激素(GHRH):其生物学和治疗方面
Liting Zheng
GHRH, (also known somatocrinin; Growth Hormone Releasing Factor (GRF); Growth hormone releasing hormone (GRH) and somatorelin) is a 44-amino acid peptide which synthesized in arcuate nucleus of the hypothalamus in Central Nervous System (CNS) and subsequently released into hypothalamic-pituitary portal vascular system. By binding with GHRH receptors at anterior pituitary gland, GHRH stimulates synthesis and release of Growth Hormone (GH). After Schally, AV et al made his discoveries concerning the peptide hormone production of the brain [1-3], in 1982, GHRH was isolated and sequenced its full length by two groups Rivier, J et al and Guillemin, R et al. from two pancreatic tumors patients beared with acromegaly [4,5], All these discoveries made GHRH knowledge more rapidly acquired by scientists in the following decades. The important roles GHRH played in different biological process, such as energetic metabolism [6], cancer initiation and progression [7], sleep process [8], pituitary hypoplasia and dwarfism [9], also gradually recognized by researchers.
GHRH(也称为生长激素);生长激素释放因子(GRF);生长激素释放激素(Growth hormone releasing hormone, GRH)和生长激素(somatorelin)是一种由中枢神经系统(CNS)下丘脑弓状核合成并释放到下丘脑-垂体门静脉系统的含有44个氨基酸的肽。GHRH通过与垂体前腺的GHRH受体结合,刺激生长激素(GH)的合成和释放。继Schally, AV等人发现脑内肽激素的产生[1-3]后,1982年Rivier, J等人和Guillemin, R等人从2例肢端肥大症胰腺肿瘤患者中分离出GHRH并对其进行了全长度测序[4,5],这些发现使得科学家们在随后的几十年里更加迅速地获得了GHRH的相关知识。GHRH在能量代谢[6]、癌症发生与发展[7]、睡眠过程[8]、垂体发育不全与侏儒症[9]等不同的生物学过程中发挥的重要作用也逐渐被研究者所认识。
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引用次数: 0
Demographic and Clinical Risk Factors of Hiccups 打嗝的人口统计学和临床危险因素
Ryuichiro Hosoya, Ippei Tanaka, R. Ishii‐Nozawa, T. Amino, T. Kamata, Seiichi Hino, H. Kagaya, Y. Uesawa
Background: The hiccup is a common somatic side effect of medication. Although hiccups rarely influence disease prognosis, they can reduce tolerance to medication regimens and decrease quality of life. Our previous analysis of the Japanese Adverse Drug Event Report Database identified male sex and height as factors related to hiccup risk. While the clinical features and pathogenesis of hiccups have been partially elucidated, there has been no analysis of the relation between hiccups and clinical variables, and to this end, we examined the relation among hiccups, patients’ demographics and clinical risk factors. Methods: In the present study, we conducted a more extensive examination of patient demographics, physical characteristics, primary disease, and other clinical characteristics to identify additional risk factors for medication-induced hiccups in patients hospitalized at Musashino Red Cross Hospital between April 2014 and December 2014. We conducted a statistical analysis of patient demographics, physical characteristics, and other clinical characteristics in patients with and without hiccups hospitalized at Musashino Red Cross Hospital between April 2014 and December 2014. In total, 7603 patients (> 40 years) and 2343 patients (≤ 40 years) were enrolled in the present study. Results: In the patients > 40 years, 228 exhibited hiccups. Univariate analysis indicated that male sex, tall stature, low BMI, chemotherapy, and death within 24 hours of hospitalization were related to hiccup risk. Furthermore, a multivariable analysis identified male sex, chemotherapy, low BMI, and death within 24 hours of hospitalization as independent risk factors for hiccups. Neurovascular diseases and neoplasms (of renal pelvis, brain, bile duct, bladder, esophagus, and lung/bronchus) were also identified as independent risk factors in the patients > 40 years. In the patients ≤ 40 years, most with neonatal diseases, 28 exhibited hiccups. Sex was not a significant risk factor in the patients ≤ 40 years old. Conclusions: We suggest that low BMI is a reliable physical index related to hiccup risk, while chemotherapy and certain malignant tumors are clinical risk factors. These results may assist in elucidating the underlying mechanisms and guiding therapy to reduce hiccup risk.
背景:打嗝是一种常见的药物副作用。虽然打嗝很少影响疾病预后,但会降低对药物治疗方案的耐受性,降低生活质量。我们之前对日本不良药物事件报告数据库的分析发现,男性的性别和身高是与打嗝风险相关的因素。虽然打嗝的临床特征和发病机制已经部分阐明,但尚未分析打嗝与临床变量之间的关系,为此,我们研究了打嗝与患者人口统计学和临床危险因素之间的关系。方法:在本研究中,我们对2014年4月至2014年12月在武藏野红十字会医院住院的患者进行了更广泛的人口统计学、身体特征、原发疾病和其他临床特征的检查,以确定药物性打嗝的其他危险因素。我们对2014年4月至2014年12月在武藏野红十字会医院住院的有和无打嗝患者的人口统计学、身体特征和其他临床特征进行了统计分析。本研究共纳入7603例患者(> 40岁)和2343例患者(≤40岁)。结果:在> 40岁的患者中,228例出现呃逆。单因素分析显示,男性、高个子、低BMI、化疗和住院24小时内死亡与打嗝风险相关。此外,一项多变量分析发现,男性、化疗、低BMI和住院24小时内死亡是打嗝的独立危险因素。神经血管疾病和肿瘤(肾盂、脑、胆管、膀胱、食道和肺/支气管)也被确定为> 40岁患者的独立危险因素。在≤40岁的患者中,大多数患有新生儿疾病,28例出现呃逆。在年龄≤40岁的患者中,性别不是显著的危险因素。结论:低BMI是与呃逆风险相关的可靠生理指标,化疗及某些恶性肿瘤是临床危险因素。这些结果可能有助于阐明潜在的机制和指导治疗,以减少打嗝的风险。
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引用次数: 1
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World Academy of Science, Engineering and Technology, International Journal of Pharmacological and Pharmaceutical Sciences
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