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Detection Methods of Counterfeit Drugs: A Systemic Review 假药检测方法:系统回顾
Pub Date : 2023-12-31 DOI: 10.47363/jprsr/2023(4)144
Abdul-Wali Ajlouni Ajlouni, Mesheal AL Abdulrahman
Counterfeit medicines are one of the major challenges facing pharmaceutical supply chains and patient safety and are a serious problem in countries around the world. These drugs represent a major threat to the patient’s life, to the real drug manufacturers, and to the country’s image. The problem of substandard/ counterfeit/counterfeit/counterfeit medical products is more serious in countries with weak health regulatory systems and fragile health infrastructure. These characteristics increase the risk of manufacturing and/or distributing medicinal products that do not comply with national and regional health regulations, putting patients at risk. High and variable prices, insufficient access to affordable medications, and drug shortages are incentives for actions, activities, and behaviors that lead to SSFFC medical products. These problems must be addressed from a public health perspective. In this paper, the authors will provide a direct and simple comparison between the five most popular detection techniques used to analyze and characterize various genuine and generic pharmaceutical brands, as an approach to analyzing counterfeit pharmaceutical products, as many genuine and generic products are classified as counterfeit and vice versa. The combination of analytical results provides a comprehensive characterization of counterfeit medical products. This information is essential for patient safety and to assist authorities in their mission to combat counterfeit products. The findings could help police, regulatory, and health bodies reduce the burden of combating counterfeit medicines and the consequences that occur if they are not detected and used.
假药是药品供应链和患者安全面临的主要挑战之一,也是世界各国面临的一个严重问题。这些药品对患者的生命、真正的药品制造商和国家形象都构成了重大威胁。在卫生监管体系薄弱、卫生基础设施脆弱的国家,劣质/假冒/仿冒/伪造医疗产品的问题更为严重。这些特点增加了制造和/或销售不符合国家和地区卫生法规的医药产品的风险,使患者面临风险。高昂且多变的价格、难以获得负担得起的药品以及药品短缺,都是导致 SSFFC 医疗产品的行动、活动和行为的诱因。这些问题必须从公共卫生的角度加以解决。在本文中,作者将对用于分析和描述各种正品和非专利药品品牌的五种最流行的检测技术进行直接而简单的比较,以此作为分析假冒药品的一种方法,因为许多正品和非专利产品被归类为假冒产品,反之亦然。综合分析结果可对假冒医药产品进行全面定性。这些信息对患者安全和协助当局打击假冒产品至关重要。这些研究结果可以帮助警方、监管机构和卫生机构减轻打击假药的负担,以及假药未被发现和使用所造成的后果。
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引用次数: 0
Assessment of Pesticide Residues in Vegetables Commonly Consumed in The Democratic Republic of Congo (DRC): Inadequate Agricultural Practices and Potential Impacts for Public Health 评估刚果民主共和国(DRC)常见蔬菜中的农药残留:不适当的农业做法及其对公众健康的潜在影响
Pub Date : 2023-12-31 DOI: 10.47363/jprsr/2023(4)145
J. K. Tuakuila, P. M. Ndelo
Pesticides residues in food pose a serious risk to children and adults consuming pesticide-contaminated food. The aim of present study was to assess pesticide residues in vegetables in the Kinshasa and Lubumbashi cities of the Democratic Republic of Congo (DRC). The levels of three pesticide residues were determined by gas chromatography coupled with electron capture detector (ECD) or mass spectrometer-time of flight detector (GC–ECD or GC-MS-TOF) in 96 samples of four vegetables amaranth, spinach, sorrel and sweet potato-leaves purchased from wholesale markets. The Dichlorodiphenyltrichloroethane with its metabolites (3-DDTs), endosulfan and malathion residues were found in 100% of the vegetable samples from Lubumbashi and in 62.5% to 87.5% of all vegetable samples from Kinshasa. Risks were mainly associated with the residues of DDTs pesticides in vegetables. The HQ and HI estimations revealed a serious potential risk to consumers, children particularly. Due to multiple pesticide residues exceeding the MRLs for single residue levels, the consumers are exposed to pesticides, heavily in Lubumbashi. Due to increasing trend in pesticide use, continuous monitoring of pesticide residues in vegetables and other food is recommended in order to develop the base line data on which pesticide regulations could be enhanced in DRC.
食物中的农药残留对食用受农药污染食物的儿童和成人构成严重威胁。本研究旨在评估刚果民主共和国金沙萨和卢本巴希市蔬菜中的农药残留。采用气相色谱-电子捕获检测器(ECD)或质谱-飞行时间检测器(GC-ECD 或 GC-MS-TOF)对从批发市场购买的 96 份苋菜、菠菜、苏子叶和甘薯叶四种蔬菜样本中的三种农药残留水平进行了测定。在卢本巴希 100%的蔬菜样本中发现了二氯二苯基三氯乙烷及其代谢物(3-DDTs)、硫丹和马拉硫磷残留,在金沙萨 62.5%至 87.5%的蔬菜样本中也发现了这些残留。风险主要与蔬菜中的滴滴涕农药残留有关。HQ 和 HI 估计值显示,消费者,尤其是儿童面临严重的潜在风险。由于多种农药残留超过了最高残留限量的单一残留水平,卢本巴希的消费者暴露于农药的情况十分严重。由于农药使用呈上升趋势,建议对蔬菜和其他食品中的农药残留进行持续监测,以便为加强刚果民主共和国的农药监管提供基础数据。
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引用次数: 0
Concept of Drug Metabolism and Pharmacokinetics with Special Focus on Herbal-Drug Interaction 药物代谢和药代动力学概念,特别关注草药与药物的相互作用
Pub Date : 2023-10-31 DOI: 10.47363/jprsr/2023(4)141
C. Fokunang, G. Mbong
The study of how xenobiotics undergo the process of absorption, distribution, metabolism, and excretion (ADME) is conceptualized as pharmacokinetics. An understanding therefore of the PK properties is crucial and plays an important contribution in the drug discovery and development of new chemical entities. Drug metabolism is linked to the metabolic breakdown of drugs (xenobiotic metabolism) by enzyme or living organisms. The pathway involved in this process can lead to the bio-transformations that occurs in most living organisms. The drug metabolic action facilitates the detoxification process except in special circumstances where the metabolites (break down products) can lead to toxic effects. Under such circumstances the study of drug metabolism is termed as pharmacokinetics, which constitutes an important discipline as a branch of pharmacology. Herbal natural products have been used to prevent and treat diseases worldwide since the creation of mankind. However, the efficacy, safety and quality of herbal bioactive metabolites depends on the multiple components absorbed in the body and their pharmacokinetics. This review attempts to give an insight into the concept of drug metabolism and pharmacokinetics with special consideration on PK drug-herbal interactions, mechanisms, metabolizing enzymes involved and transporters implicated in the determination of the PK of xenobiotics.
异种生物如何经历吸收、分布、代谢和排泄(ADME)过程的研究被概念化为药代动力学。因此,了解 PK 特性至关重要,在药物发现和新化学实体的开发中发挥着重要作用。药物代谢与酶或生物体对药物的代谢分解(异生物代谢)有关。这一过程所涉及的途径可导致大多数生物体内发生的生物转化。药物代谢作用有助于解毒过程,除非在特殊情况下,代谢产物(分解产物)会导致毒性作用。在这种情况下,对药物代谢的研究被称为药代动力学,它是药理学的一个重要分支学科。自人类诞生以来,草药天然产品一直被用于预防和治疗疾病。然而,草药生物活性代谢产物的疗效、安全性和质量取决于在体内吸收的多种成分及其药代动力学。本综述试图深入探讨药物代谢和药代动力学的概念,并特别考虑到 PK 药物与草药的相互作用、机制、参与代谢的酶以及与确定异种生物 PK 有关的转运体。
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引用次数: 0
Emerging Obsessive Compulsive Disorder Due to Covid Pandemic 新冠疫情导致的新出现的强迫症
Pub Date : 2023-02-28 DOI: 10.47363/jprsr/2022(4)133
Vaishali Saini
Background: Mental disorders have been emerged as a major threat to human health. Covid pandemic causes fear globally and due to covid lockdown the people find themselves isolated in their homes due to which chances of developing psychological disorder have been increased in significant figures. Obsessive compulsive disorder (OCD) is a mental state in which the patient originates compulsion of repetition of tasks due to uncontrolled thoughts and fears. In this study, we have tried evaluate the chances to develop OCD among the Indian population due to various factors associated with covid. Method: A set of questions are formatted to form a questionnaire. The questions related to impact of pre and post covid breakdown on the mental health of people and evaluated the frequency of developing OCD among population. The survey was conducting using digital online platform of “Google form” and “Google docs”. Total 134 subject population was taken for the survey. Result: After evaluating responses, it was found that 43.2 c /o people still hesitate touching goods after lockdown while the frequency is 78.6c /o during lockdown, 18.2c /o people felt depression during lockdown and 0.8c /o people use hand sanitizer in more than 50 times a day frequency. 19.7c /o people lost their loved ones due to covid pandemic, 40c /o pharmacists lost their job due to covid. 78c /o people still prefer social distancing while in a public meeting with new people. Other frequencies in table 1 and 2 also supported that the chances of developing mental disorders such as OCD. Conclusion: Form the distribution analysis it was found that covid crises play a major role in developing various psychological disorders among population across worldwide. Due to lockdown imposed on the population globally the people feared more about covid pandemic and developed more precautions nature and behavior. Therefore, after descriptive analysis of the data collected in survey which is presented in table 1 and 2 it can be concluded that there is an increase chances of developing OCD and other mental disorder due to covid pandemic.
背景:精神障碍已成为人类健康的主要威胁。新冠肺炎大流行在全球引发了恐惧,由于新冠肺炎的封锁,人们发现自己被隔离在家中,因此患心理障碍的可能性大幅增加。强迫症(OCD)是一种精神状态,在这种状态下,患者由于无法控制的思想和恐惧而产生重复任务的强迫。在这项研究中,我们试图评估由于与covid相关的各种因素在印度人群中发展强迫症的机会。方法:将一组问题格式化成问卷。问题涉及covid前后崩溃对人们心理健康的影响,并评估人群中发生强迫症的频率。该调查是通过“谷歌表单”和“谷歌文档”的数字在线平台进行的。调查对象共134人。结果:通过对反应的评估,发现有43.2 c /o的人在封锁后仍对接触物品犹豫不决,而封锁期间的频率为78.6c /o,封锁期间有18.2c /o的人感到抑郁,0.8c /o的人每天使用洗手液的频率超过50次。19.7 / 0的人因新冠疫情失去亲人,40c / 0的药剂师因新冠疫情失去工作。大多数人在与陌生人公开会面时仍然喜欢保持社交距离。表1和表2中的其他频率也支持患上精神障碍(如强迫症)的几率。结论:从分布分析中发现,covid危机在全球人口中各种心理障碍的发生中起着重要作用。由于全球对人口实施封锁,人们更加担心covid大流行,并制定了更多的预防措施,性质和行为。因此,在对表1和表2所示的调查中收集的数据进行描述性分析后,可以得出结论,由于covid大流行,患强迫症和其他精神障碍的机会增加。
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引用次数: 0
Beta-Endorphins in Autoimmune Diseases 自身免疫性疾病中的内啡肽
Pub Date : 2022-09-30 DOI: 10.47363/jprsr/2022(3)131
Shrihari Tg
Beta-endorphin is an abundant endorphin synthesized and stored in the anterior pituitary gland and its µ receptors are present on immune cells and nervous system. Autoimmune diseases are increasing now days because of psychological stress induced release of stress releasing hormones such as cortisol, adrenaline, noradrenaline, ACTH activate inflammatory mediators from inflammatory cells leads to immune modulation mediated autoimmune diseases.
-内啡肽是一种丰富的内啡肽,储存于脑垂体前叶,其受体存在于免疫细胞和神经系统中。由于心理应激引起的应激释放激素如皮质醇、肾上腺素、去甲肾上腺素、促肾上腺皮质激素等激活炎症介质,导致免疫调节介导的自身免疫性疾病。
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引用次数: 0
Pathophysiology of Different Types of Cardiovasular Diseases Diseases of the Heart 不同类型心血管疾病的病理生理学
Pub Date : 2022-09-30 DOI: 10.47363/jprsr/2022(3)127
Pallavi Nityananda
There are many types of heart disease, and each one has its own symptoms and treatment. For some, lifestyle changes and medicine can make a huge difference in improving your health. Heart disease is a huge term that can describe many different conditions. All of these conditions have some effect on the heart or the blood vessels that supply the heart, cardiovascular disease is not a single ailment, but a disorder of the heart and circulatory system. Heart disease can refer to damage in the heart’s lining, valves, muscle, arteries, or electrical system.
心脏病有很多种,每种都有自己的症状和治疗方法。对一些人来说,生活方式的改变和药物治疗可以极大地改善你的健康。心脏病是一个宽泛的术语,可以描述许多不同的疾病。所有这些情况都对心脏或供应心脏的血管有一定的影响,心血管疾病不是一种单一的疾病,而是心脏和循环系统的紊乱。心脏病可以指心脏内膜、瓣膜、肌肉、动脉或电气系统的损伤。
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引用次数: 0
Diagnosis Thyroid Tumors by using Touch Cytology 触摸细胞学诊断甲状腺肿瘤
Pub Date : 2022-09-30 DOI: 10.47363/jprsr/2022(3)130
Suzan Seno, Adnan Almarrawi
The study aims to assess the role of imprint cytology in the diagnosis of Thyroid nodules and compare it with paraffin Section in the diagnosis of thyroid lesions. It included 40 patients who visited Private Hospitals in Aleppo during the period from April to December 2021. The results indicated that there were 19 patients with thyroid cancer, representing 47.5%, of whom 14 were diagnosed with Papillary Carcinoma, with a percentage of 35%, and 5 cases with Follicular Carcinoma, with a percentage of 12.5%, while the remaining cases included 21 patients with Benign Adenomas at a rate of 52.5%, including 11 cases of Hashimoto’s disease at a rate of 27.5%, and 10 cases of Benign Follicular Tumors at a rate of 25%. These results were compared with Paraffin Sections and reached sensitivity, specificity, and accuracy in diagnosis for this technology, 94.73%, 95.23%, and 95%, respectively, and the positive predictive value was 94.73%, while the negative predictive value was 95.23%. The results also indicated that this technology is fast in determining the Histologic Grading of Tumor Differentiation, but it does not determine the Histological Type. It also indicated that there was a significant association between gender and the incidence of thyroid tumors, while no significant statistical evidence was observed between age and the possibility of thyroid cancers.
本研究旨在探讨印迹细胞学在甲状腺结节诊断中的作用,并与石蜡切片在甲状腺病变诊断中的比较。其中包括在2021年4月至12月期间到阿勒颇私立医院就诊的40名患者。结果显示,甲状腺癌19例,占47.5%,其中乳头状癌14例,占35%,滤泡癌5例,占12.5%,其余21例为良性腺瘤,占52.5%,其中桥本病11例,占27.5%,良性滤泡瘤10例,占25%。结果与石蜡切片比较,该技术的诊断敏感性、特异性和准确性分别为94.73%、95.23%和95%,阳性预测值为94.73%,阴性预测值为95.23%。结果还表明,该技术可以快速确定肿瘤分化的组织学分级,但不能确定肿瘤的组织学类型。研究还表明,性别与甲状腺肿瘤的发病率之间存在显著相关性,而年龄与甲状腺癌的可能性之间没有显著的统计证据。
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引用次数: 0
Clinical Pharmacology of Ampicillin 氨苄西林的临床药理学
Pub Date : 2022-09-30 DOI: 10.47363/jprsr/2022(3)129
Gudisa Bereda
Ampicillin is a semi-synthetic derivative of penicillin that functions as an orally active broad-spectrum antibiotic. Ampicillin prevents bacterial cell wall synthesis by binding to penicillin binding proteins (PBPs), which are the enzymes accountable for the formation of the cell wall structure. Ampicillin is a penicillin derivative used for treatment of a variety of infections caused by gram-positive and gram-negative bacteria as well as certain anaerobes. The half-life of ampicillin is nearly three hrs during continuous venovenous hemofiltration. Most ubiquitous adverse effects of ampicillin are rash and diarrhea. Coincident administration of ampicillin and oral contraceptives increased the risk of breakthrough bleeding and decreased the efficacy of the contraceptive by interruption of the enterohepatic cycling of ethinylestradiol by means of decreasing the bacterial population of the small intestine, which is responsible for the hydrolysis of the conjugated hormone.
氨苄西林是青霉素的半合成衍生物,是一种口服活性广谱抗生素。氨苄西林通过与青霉素结合蛋白(PBPs)结合来阻止细菌细胞壁的合成,PBPs是负责细胞壁结构形成的酶。氨苄西林是一种青霉素衍生物,用于治疗由革兰氏阳性和革兰氏阴性细菌以及某些厌氧菌引起的各种感染。连续静脉-静脉血液滤过时氨苄西林的半衰期接近3小时。氨苄西林最普遍的不良反应是皮疹和腹泻。氨苄西林与口服避孕药同时使用会增加突破性出血的风险,并通过减少小肠中负责结合激素水解的细菌数量而中断炔雌醇的肠肝循环,从而降低避孕药的疗效。
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引用次数: 0
Differences between Chemical Elements of Thyroid Benign Nodules and Those of Thyroid Tissue adjacent to Nodules investigated using Neutron Activation Analysis 应用中子活化分析探讨甲状腺良性结节与结节邻近组织化学元素的差异
Pub Date : 2022-06-30 DOI: 10.47363/jprsr/2022(3)125
V. Zaichick
Thyroid benign nodules (TBNs) are the most common diseases of this endocrine gland and are common worldwide. The etiology and pathogenesis of TBNs must be considered as multifactorial. The present study was performed to clarify the role of some chemical elements (ChEs) in the etiology of these thyroid disorders. For this purpose, thyroid tissue levels of calcium (Ca), chlorine (Cl), iodine (I), potassium (K), magnesium (Mg), manganese (Mn), and sodium (Na) were prospectively evaluated in nodular tissue and tissue adjacent to nodules of 79 patients with TBNs. Measurements were performed using neutron activation analysis Results of the study were additionally compared with previously obtained data for the same ChEs in “normal” thyroid tissue.
甲状腺良性结节(tbn)是最常见的内分泌腺疾病,在世界范围内都很常见。tbn的病因和发病机制是多因素的。本研究旨在阐明一些化学元素(ChEs)在这些甲状腺疾病病因学中的作用。为此,我们前瞻性地评估了79例tbn患者结节组织和结节邻近组织中钙(Ca)、氯(Cl)、碘(I)、钾(K)、镁(Mg)、锰(Mn)和钠(Na)的甲状腺组织水平。使用中子活化分析进行测量,并将研究结果与先前获得的“正常”甲状腺组织中相同的ChEs数据进行比较。
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引用次数: 0
Recurrence of Acute Migraine Following Ubrogepant and Diclofenac Buffered Solution Combination Therapy-An Observational Study 舒张剂与双氯芬酸缓冲液联合治疗急性偏头痛复发的观察性研究
Pub Date : 2022-06-30 DOI: 10.47363/jprsr/2022(3)124
J. A. Charles
Objective: To analyze the need for a repeat dose following administration of a single fixed combination dose of ubrogepant and diclofenac potassium buffered solution for an acute migraine attack,
目的:分析急性偏头痛发作患者单次固定联合用药后双氯芬酸钾缓冲溶液是否需要重复用药。
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引用次数: 0
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Journal of Pharmaceutical Research & Reports
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