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THE ASPECTS OF DEVELOPMENT AND STANDARDIZATION OF CHILDREN’S SUPPOSITORIES WITH EXTRACT OF LICORICE ROOT 甘草提取物儿童栓剂的研制与标准化
Pub Date : 2018-11-21 DOI: 10.21303/2585-663.2018.00739
T. Yarnykh, O. Rukhmakova
The aim of this work was the development of technology of rectal suppositories of immunomodulatory action for children and their standardization. To obtain suppositories, a licorice root extract, chamomile and tea tree essential oils were used. Given that the introduction of ingredients in a dissolved form is preferable, we studied the possibility of using emulsion suppository bases. To evaluate the compositions, the homogeneity and colloidal stability of the suppositories obtained were studied. Estimation of homogeneity, melting temperature, decay time, average mass was carried out according to the State Pharmacopoeia. To confirm the authenticity of the active ingredients, a chromatography method was used. The quantitative determination of glycyrrhizin acid was carried out by spectrophotometric method. Suppositories were prepared by the pouring method. The licorice root extract was added to the suppository when dissolved in the hydrophilic phase of the base. Essential oils of chamomile and tea tree were introduced when a solid fat of type A dissolved in a melt, at a temperature of (42.0±2.0) ºC. Optimum indices for the criteria of “homogeneity” and “colloidal stability” were noted for the samples of the composition: purified water, polysorbate-80, lecithin, solid fat type A. To prove the authenticity of the licorice root extract in suppositories, the chloroform-methanol-water system was optimal (26:14:3). Identification of essential oils on a gas chromatograph showed that on the chromatogram the peaks and retention times of the solution under study coincide with the peaks and retention times of the reference solutions. The conducted studies of quantitative determination of glycyrrhizin acid have shown that its content in one suppository is not less than 0.035 g in terms of glycyram.
本工作的目的是开发具有免疫调节作用的儿童直肠栓剂的技术及其标准化。为了获得栓剂,使用了甘草根提取物、洋甘菊和茶树精油。考虑到以溶解形式引入成分是可取的,我们研究了使用乳液栓剂的可能性。为评价栓剂的组成,对所制栓剂的均匀性和胶体稳定性进行了研究。均质性、熔化温度、衰变时间、平均质量按国家药典进行估计。为证实其有效成分的真实性,采用了色谱法。采用分光光度法测定甘草酸的含量。采用灌注法制备栓剂。甘草根提取物溶解于碱的亲水性相后加入栓剂。在(42.0±2.0)℃的温度下,将a型固体脂肪溶解在熔体中,引入洋甘菊精油和茶树精油。在“均匀性”和“胶体稳定性”两项指标上,组份样品分别为纯净水、聚山梨酸酯-80、卵磷脂、a型固体脂肪。为了证明栓剂中甘草根提取物的真实性,以氯仿-甲醇-水体系为最佳(26:14:3)。在气相色谱仪上对精油的鉴定表明,在色谱图上,所研究溶液的峰和保留时间与参比溶液的峰和保留时间一致。对甘草酸的定量测定研究表明,甘草酸在一个栓剂中的含量以甘草酸为单位不小于0.035 g。
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引用次数: 0
ADVANTAGES OF BIOCHEMICAL METHODS OF DIAGNOSING FIBROSIS IN NON-ALCOHOLIC FATTY LIVER DISEASE IN ADOLESCENTS WITH OBESITY 生化方法诊断青少年肥胖非酒精性脂肪肝纤维化的优势
Pub Date : 2018-11-21 DOI: 10.21303/2585-663.2018.00774
O. Buznytska
Non-alcoholic fatty liver disease occurs in most obese people, the main pathway of which is the process of fibrogenesis. This disorder is currently classified into two types: hepatic steatosis and nonalcoholic steatohepatitis. Hepatic steatosis is a reversible condition in which large vacuoles of triglyceride fat accumulate in the liver cells, causing nonspecific inflammation. Most people with this condition experience few, if any, symptoms, and it does not usually lead to scarring or serious liver damage. The majority of patients with nonalcoholic fatty liver disease have this type. Nonalcoholic steatohepatitis is the more severe, progressive form that involves not only fat accumulation (steatosis) in the liver but also inflammation. Steatohepatitis can lead to fibrosis and eventually to cirrhosis, which is severe scarring that can lead to liver failure. The real frequency of the prevalence of the disease is difficult to establish, due to the insufficient use of non-invasive screening diagnostic methods, through which it is possible to detect the initial forms of the disease. The aim: to study the diagnostic significance of the serum biomarkers of liver fibrogenesis in adolescents with obesity. Methods. On the base of the Department of Endocrinology, SI “Institute of children and adolescence health care of NAMS” (Kharkov) 226 patients with obesity aged 8–18 years were examined. Investigation of liver fibrosis consisted of measurement in blood the levels of fibronectin, collagen type IV, N-terminal propeptides and C-terminal telopeptides of type I collagen by IFA method. Results. The study of liver fibrogenesis revealed a significant increase in levels of type IV collagen and fibronectin in children with obesity (p<0.05). As diagnostic criteria for two physiologically diverse processes – fibrogenesis and fibrolysis, the levels of N-terminal propeptides and C-terminal telopeptides of type I collagen, respectively, were determined. The serum level of N-terminal propeptides of type I collagen significantly exceeds the normal values in all children with obesity, in contrast to the children of the control group (p<0.05). Conclusion. It has been established that a biochemical method for determining the level of type IV collagen, fibronectin, N-terminal propeptides and C-terminal telopeptides of type I collagen has a high sensitivity for the diagnosis of liver fibrogenesis.
非酒精性脂肪性肝病发生于大多数肥胖者,其主要途径是纤维化过程。这种疾病目前分为两种类型:肝性脂肪变性和非酒精性脂肪性肝炎。肝脂肪变性是一种可逆性疾病,甘油三酯脂肪大液泡积聚在肝细胞中,引起非特异性炎症。大多数患有这种疾病的人几乎没有症状,而且通常不会导致疤痕或严重的肝损伤。大多数非酒精性脂肪性肝病患者属于这种类型。非酒精性脂肪性肝炎是更为严重的进行性形式,不仅涉及肝脏脂肪积累(脂肪变性),还涉及炎症。脂肪性肝炎可导致纤维化,最终导致肝硬化,这是一种严重的疤痕,可导致肝功能衰竭。由于没有充分使用非侵入性筛查诊断方法,因此很难确定该疾病流行的真实频率,通过这种方法可以检测出该疾病的初始形式。目的:探讨血清纤维化标志物对青少年肥胖症的诊断意义。方法。在哈尔科夫国立科学院儿童青少年保健研究所内分泌科的基础上,对226例8-18岁的肥胖患者进行了检查。肝纤维化的研究包括用IFA法测定血液中纤维连接蛋白、IV型胶原、I型胶原n端前肽和c端端肽的水平。结果。肝纤维化研究显示肥胖儿童IV型胶原蛋白和纤维连接蛋白水平显著升高(p<0.05)。作为两种不同生理过程的诊断标准——纤维发生和纤维溶解,分别测定了I型胶原n端前肽和c端端肽的水平。肥胖患儿血清I型胶原n端前肽水平均明显高于正常值,与对照组比较差异有统计学意义(p<0.05)。结论。已经证实,用生化方法检测IV型胶原蛋白、纤维连接蛋白、I型胶原蛋白n端前肽和c端端肽水平对肝纤维化的诊断具有较高的敏感性。
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引用次数: 0
POSTTRAUMATIC SYNDROME DURING PREGNANCY: EXPECTATIONS AND REALITY 怀孕期间的创伤后综合症:期望和现实
Pub Date : 2018-11-21 DOI: 10.21303/2585-663.2018.00779
I. Zhabchenko, S. Tertychnaya-Telyuk
Aim of the research is to study identification of peculiar issues associated with psycho-emotional state and the related stress-associated hormones and micronutrients in pregnant-displace individuals for further improvement of programmes for antenatal research. Materials and methods. In order to reach the research objective, a dynamic prospective clinical-paraclinical examination of 96 pregnant women (experimental group) – temporary displaced individuals with gestation period of more than 22 weeks who have been treated and gave birth to their children in the Central Municipal Hospital in Rubizhne and Perinatal Centre in Severodonetsk, Lugansk region. The control group consists of 39 randomly selected pregnant women for the purposes of prospective research that are living in the areas under the control of Ukraine government. All pregnant women were examined (clinical-laboratory and special midwifery examinations), the evaluation of psycho-emotional state of examined pregnant women was conducted with the help of screening by performing clinical interviews together with routine questioning. The questionnaires that contained the questions of Spielberg’s tests in the modification of Khanin were composed in advance. Concentration of stress-associated hormones in the blood serum, Ca and Mg was identified using the method of solid-phase immuno-ferment analysis. Results. According to the Spielberg’s test, the average score of reactive anxiety in the experimental group exceeded the analogous indicator in the control group by 1.6 times. The indicators of personal anxiety exceeded the normal indicator in the control group by 2.2 times. Of the pregnant women in the experimental group had the concentration of cortisol in the blood serum exceeded the upper physiological standard by 5.5 % and exceeded the analogous indicator in the control group by 43.4 %. The increase concentration of prolactin was yet observed in the II trimester of pregnancy if compared to the upper level of physiological standard by 13.3 %; if compared to the average indicator of this hormone in the control group - by 20.3 %. In the III trimester - concentration in both groups was within normal ranges, but in the experimental group this indicator was higher by 10.5 %. In the experimental group of pregnant women the concentration of Ca in the blood serum in comparison to the physiological standard was higher by 19.2 % and by 9.6 % higher if compared to the analogous indicator in the control group of pregnant women. At the same time, the pregnant women in the experimental group have low concentration of Mg. Conclusions. Taking into account the identified patterns, it is useful to categorise the pregnant women from among the internally displaced individuals as the group of high risk with respect to the development of obstetric and perinatal complications.
这项研究的目的是研究确定与怀孕流离失所者的心理情绪状态有关的特殊问题以及与压力有关的激素和微量营养素,以进一步改进产前研究方案。材料和方法。为了达到研究目标,对96名怀孕妇女(实验组)进行了动态的前瞻性临床-临床旁检查,这些妇女是妊娠期超过22周的临时流离失所者,她们在鲁比日涅市中央医院和卢甘斯克州北罗顿涅茨克围产期中心接受治疗并分娩。对照组由39名随机选择的孕妇组成,这些孕妇生活在乌克兰政府控制下的地区,用于前瞻性研究。对所有孕妇进行检查(临床-实验室检查和特殊助产检查),通过临床访谈和常规询问相结合的方式对检查孕妇的心理-情绪状态进行评估。问卷中包含了斯皮尔伯格在修改《可汗》中所做的测试的问题。采用固相免疫发酵法测定血清中应激相关激素、钙、镁的浓度。结果。根据斯皮尔伯格的测试,实验组的反应性焦虑平均得分比对照组的类似指标高出1.6倍。对照组的个人焦虑指标是正常指标的2.2倍。实验组孕妇血清皮质醇浓度超过生理上标准5.5%,超过对照组类似指标43.4%。妊娠中期催乳素浓度较生理标准上水平升高13.3%;如果与对照组中这种激素的平均指标相比-降低了20.3%。在妊娠晚期,两组浓度均在正常范围内,但实验组该指标高出10.5%。实验组孕妇的血钙浓度比生理标准高19.2%,比对照组孕妇的类似指标高9.6%。同时,实验组孕妇Mg浓度较低。结论。考虑到已确定的模式,将国内流离失所者中的孕妇归类为产科和围产期并发症发展的高风险群体是有用的。
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引用次数: 0
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