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Comparative Evaluation of in - vitro Anthelmintic Activity of Sap, Fruit bulb, and Root of Borassus flabellifer 菖蒲树液、球茎和根离体驱虫活性的比较研究
Pub Date : 2022-01-31 DOI: 10.32789/publichealth.2021.1011
S. Thuvaragan, H.M.P.M. Jeyasinghe, A. Murugananthan
Helminth infections are major health problems, especially in developing countries with warm and humid environments. Limited synthetic drugs are available for treating helminth infections, and some of them showed resistance to helminths. Phytoconstituents can be used to develop cheap and effective anthelminthic drugs. Borassus flabellifer has been used in traditional medicine, in addition to consuming as food. This study was designed to evaluate the comparative in vitro anthelmintic activities of aqueous and methanol extracts of root, fruit pulp, and sap of Borassus flabellifer using two different concentrations (50 and 100 mg/mL). Adult earthworms, Eisenia fetida was used to evaluate the in-vitro anthelmintic activity. In-vitro anthelmintic activity was evaluated by determining times of paralysis and the death of worms. The anthelminthic activity of extracts was compared with mebendazole, and earthworm saline was used as a control. ANOVA followed by Dunnett’s multiple comparison test was used to compare the activities of extracts with mebendazole. All extracts showed concentrations dependent activity. All extracts except aqueous extract of roots of Borassus flabellifer showed statistically significant in-vitro anthelminthic activity. Further studies are needed to isolate and evaluate the active components from the extracts of Borassus flabellifer.
蠕虫感染是主要的健康问题,特别是在温暖潮湿环境的发展中国家。用于治疗蠕虫感染的合成药物有限,其中一些药物显示出对蠕虫的耐药性。植物成分可用于开发廉价有效的驱虫药物。凤仙花除了作为食物食用外,还被用于传统医学。研究了不同浓度(50 mg/mL和100 mg/mL)的牛蒡根、果肉和汁液的水提物和甲醇提物的体外驱虫活性。以成年蚯蚓(Eisenia fetida)为研究对象,对其体外驱虫活性进行了评价。通过测定蠕虫的麻痹时间和死亡时间来评估体外驱虫活性。以蚯蚓生理盐水为对照,与甲苯达唑进行了驱虫活性比较。采用单因素方差分析和Dunnett多重比较检验对其与甲苯达唑的活性进行比较。所有提取物的活性均呈浓度依赖性。除水提物外,所有提取物的体外驱虫活性均有统计学意义。对牛膝草提取物中有效成分的分离和评价有待于进一步的研究。
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引用次数: 0
Assessment of Drug Use Pattern among Hajj Pilgrims Saudi Arabia, 1439h (2018) 沙特阿拉伯朝觐人群药物使用情况评估,1439 (2018)
Pub Date : 2022-01-31 DOI: 10.32789/publichealth.2021.1009
S. A. Amer, Sami I. Almudarra
Hajj pilgrimage is the biggest and longest mass gathering, thus increasing the risk of communicable and non-communicable diseases, so this study aimed to promote rational drug use and optimum provision of drugs among Hajj 1439 Pilgrims through the following objectives: To determine the prevalence and the context of the drug's use and to assess the drug use patterns among pilgrims. METHODS: A cross-sectional study was carried out on randomly selected 785 Hajj Pilgrims, stratified according to their countries before their retrial in King Abdul Aziz Airport in Jeddah: The studied pilgrims were 52.4 % male,43.9% had chronic diseases, only 70.4% of studied pilgrims received medications, most of them were antibiotics 248 (33.8%), administrated orally 470 (90.6%), for managing chronic diseases 341 (61.66%), only 50% had written prescription. Patient care indicators; more than 80% of pilgrims knowing the drug/s correct dose, and 69.4 knowing the expired date. Facility indicators; 77% of studied pilgrims reported accessibility of medications, and only 12.4% of the bought drugs had been checked, and 20.3% complained of drug side effects mainly due to drugs unavailability. Conclusions; the drug use pattern is a prevalent and problematic issue among pilgrims due to many factors.
朝觐朝圣是规模最大、时间最长的人群聚集,因此增加了传染性和非传染性疾病的风险,因此本研究旨在通过以下目标促进朝觐1439朝圣者的合理用药和最佳药物供应:确定朝觐朝圣者的吸毒流行情况和吸毒背景,评估朝觐朝圣者的吸毒模式。方法:在吉达阿卜杜勒阿齐兹国王机场,随机抽取按国家分层的785名朝觐朝觐者进行横断面研究,研究对象中男性占52.4%,患有慢性病者占43.9%,仅有70.4%的朝觐者接受药物治疗,其中抗生素248例(33.8%),口服470例(90.6%),治疗慢性病者341例(61.66%),仅有50%的朝觐者有书面处方。患者护理指标;超过80%的朝圣者知道药物的正确剂量,69.4的朝圣者知道药物的有效期。设施指标;77%的朝圣者报告了药物的可及性,只有12.4%的人购买了药物进行了检查,20.3%的人抱怨药物副作用主要是由于药物不可获得。结论;由于许多因素的影响,毒品的使用模式在朝圣者中是一个普遍而棘手的问题。
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引用次数: 0
Knowledge on Pharmaceutical Wastage Management and Factors Influence on It among Pharmacy Personnel at Private Pharmacies in Jaffna Municipality Area, Sri Lanka 斯里兰卡贾夫纳市民营药店药学人员药品浪费管理知识及其影响因素
Pub Date : 2022-01-31 DOI: 10.32789/publichealth.2021.1012
Thivya Janarthanan, S. Thuvaragan, R. Surenthirakumaran
Improper pharmaceutical waste management is one of the reasons for environmental hazards and affects all living organisms in the world. Pharmacy working personnel’s knowledge on pharmaceutical waste management plays important role in the provision of proper wastage management to secure the ecosystem in the country. The aim of the study was to assess the knowledge of pharmaceutical wastage management and the influence of socio-demographic and work-related factors among personals working at private pharmacies in Jaffna Municipality Area, Sri Lanka. A descriptive cross-sectional study was conducted in private pharmacies. Pre-tested and validated self-administered questionnaire was used to collect data. The knowledge level of participants was categorized as good, adequate and poor. Data were analyzed using SPSS version 23. Chi-square test was performed to analyze the variable and 95% confidence interval was set for the test and results were significant if p-value <0.05. Respondent rate of pharmacy personnel was 78.71% (n = 122) and most of them were female 59% (n = 72). The majority of the participants (67.2%, n = 82) were pharmacy assistants. In this study, most participants (76.2%, n = 93) had poor knowledge of pharmaceutical waste management. 10.7% (n = 13) had good knowledge and 13.1% (n = 16) had adequate knowledge. Age, marital status, educational level, position in the pharmacy and work experience (p< 0.001) had a statistically significant influence on the level of knowledge. Continuous education programs should be initiated and periodically conducted among pharmacy personnel to improve knowledge of pharmaceutical waste management. Existing guidelines should be strengthened and monitored for implementation by regulatory authorities.
医药废弃物管理不当是造成环境危害的原因之一,影响到世界上所有的生物。药房工作人员对药物废物管理的知识在提供适当的废物管理以确保该国生态系统方面发挥着重要作用。这项研究的目的是评估斯里兰卡贾夫纳市地区私营药店工作人员对药品浪费管理的知识以及社会人口和工作相关因素的影响。一项描述性横断面研究在私人药房进行。采用预先测试和验证的自我管理问卷收集数据。参与者的知识水平分为良好、一般和较差。数据分析采用SPSS version 23。采用卡方检验对变量进行分析,采用95%置信区间进行检验,p值<0.05为显著性。药学人员的应答率为78.71% (n = 122),其中女性占59% (n = 72)。以药学助理为主(67.2%,n = 82)。在本研究中,大多数参与者(76.2%,n = 93)对药品废物管理知识不了解。10.7% (n = 13)知识良好,13.1% (n = 16)知识充足。年龄、婚姻状况、文化程度、药学职务、工作经验对知识水平的影响有统计学意义(p< 0.001)。应在药学人员中开展并定期开展继续教育,以提高对药品废弃物管理的认识。应当加强现有的指导方针,并监督管理当局的执行情况。
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引用次数: 0
The Advent of Artificial Intelligence in Diabetes Diagnosis: Current Practices and Building Blocks for Future Prospects 人工智能在糖尿病诊断中的出现:当前的实践和未来前景的构建模块
Pub Date : 2022-01-31 DOI: 10.32789/publichealth.2021.1008
Mrinmoy Roy, Dr. Mohit Jamwal
India has the highest proportion of diabetes patients, and it is estimated that there will be 134 Million diabetics in India by 2045 as per IDF. Also, the disease burden is increasing to the young population between ages 25-40 as more of them are diagnosed positive according to JAMA recently. Moreover, there are only 4.8 Doctors per 10,000 population, and in villages, the ratio is the lowest possible in this country, according to the Indian Journal of Public Health. Therefore, screening & predicting Diabetes at an early stage remains a priority for clinicians. It reduces the risk of major complications and improves patients' quality of life with diabetes, and builds resilience and well-being amongst other citizens. With the advancement of Computer Science & Artificial Intelligence, it is now possible to predict diabetes and other such diseases through applying deep learning algorithms in high-quality data sets. This helps in a more accurate and faster diagnosis of Pre-diabetes, Diabetes & diabetes-related progressive eye diseases. In this study, a systematic review of the Pubmed repository for current practices to diagnose Diabetes based on AI intervention in the Indian context is carried out. Also, a critical analysis was done on various pioneered companies currently offering AI-based Diabetes diagnostic services in India. The study represents different concepts of AI tools used to predict the diseases currently available in India. Although most of the studies were carried out on Diabetic Retinopathy screening, future opportunities can be in several other areas such as Clinical Decision Support, Predictive Population Risk Stratification and Patient Self-Management Tools.
印度的糖尿病患者比例最高,据IDF估计,到2045年,印度将有1.34亿糖尿病患者。另外,据《美国医学会杂志》(JAMA)报道,25岁至40岁的年轻人群中,被诊断为阳性的人越来越多,疾病负担也在增加。此外,根据《印度公共卫生杂志》(Indian Journal of Public Health)的数据,每1万人中只有4.8名医生,而在农村,这一比例可能是全国最低的。因此,在早期阶段筛查和预测糖尿病仍然是临床医生的优先事项。它降低了主要并发症的风险,改善了糖尿病患者的生活质量,并在其他公民中建立了适应能力和幸福感。随着计算机科学和人工智能的进步,现在可以通过在高质量数据集中应用深度学习算法来预测糖尿病和其他此类疾病。这有助于更准确和更快地诊断前驱糖尿病,糖尿病和糖尿病相关的进行性眼病。在本研究中,系统地回顾了Pubmed资料库中基于人工智能干预在印度诊断糖尿病的当前实践。此外,对目前在印度提供基于人工智能的糖尿病诊断服务的各种领先公司进行了批判性分析。该研究代表了用于预测印度目前可用疾病的人工智能工具的不同概念。虽然大多数研究都是关于糖尿病视网膜病变筛查的,但未来的机会可以在其他几个领域,如临床决策支持,预测人群风险分层和患者自我管理工具。
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引用次数: 0
Presumed Ocular Tuberculosis – Challenges in Diagnosis 假定的眼结核-诊断的挑战
Pub Date : 2022-01-31 DOI: 10.32789/publichealth.2021.1010
S. Sathyapriya, Loh Chow Chin, Wan-Hazabbah Wan Hitam
Mycobacterium tuberculosis has a large spectrum of extra-pulmonary manifestations, and ocular tuberculosis is one of them. Diagnosis of ocular tuberculosis is often presumptive due to its extreme variability of ocular manifestations and difficulty isolating the organism through biopsy or culture. We report three cases of primary ocular tuberculosis with varied clinical presentations, namely neuroretintis, panuveitis, and occlusive vasculitis. Patients were aged 23 to 45 presented with symptoms of blurring of vision from 3 days to one week prior to presentation. Visual acuity ranged from 6/18 to 2/60. For all three cases, chest X-ray and serological investigation for infective causes were normal. Mantoux test and TB Quantiferon test were negative, and ESR was raised for the first two cases. Mantoux was positive, and ESR was not raised for the third case. Patients were diagnosed to have Presumed Ocular Tuberculosis. An anti-tubercular therapy was administered. There was significant improvement at post-initiation of medication. A high index of clinical suspicion is crucial due to the diverse clinical presentations of ocular tuberculosis. Early initiation of anti-tubercular therapy is vital for successful treatment.
结核分枝杆菌具有广泛的肺外表现,眼结核是其中之一。眼结核的诊断通常是假定的,因为其眼部表现的极端可变性和难以通过活检或培养分离有机体。我们报告三例具有不同临床表现的原发性眼结核,即神经视网膜炎、全葡萄膜炎和闭塞性血管炎。患者年龄在23至45岁之间,在发病前3天至1周出现视力模糊症状。视力范围从6/18到2/60。所有三例,胸片和血清学调查感染原因正常。Mantoux试验和TB Quantiferon试验均为阴性,前2例均提高ESR。Mantoux是阳性的,第三个病例的ESR没有提高。患者被诊断为疑似眼结核。给予抗结核治疗。在开始用药后有显著的改善。由于眼结核的临床表现多样,临床怀疑指数高是至关重要的。早期开始抗结核治疗对成功治疗至关重要。
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引用次数: 0
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Conference Proceedings of the 2nd International Conference on Public Health and Well-being
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