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Correlation Between Serum Magnesium & Zinc with Lipoprotein-Associated Phospholipase A2 (Lp-PLA2) In Patients with Metabolic Syndrome 代谢综合征患者血清镁、锌与脂蛋白相关磷脂酶A2 (Lp-PLA2)的相关性
IF 0.2 Pub Date : 2023-09-06 DOI: 10.22376/ijlpr.2023.13.6.l227-l234
K. Manik, Sheela Joice P P, Jithesh T K, Imran A Jagadal, Sudhindra Prathap. A, Basheer M P
Metabolic syndrome (MS) increases cardiovascular disease and death risk. Many studies have found a link between vascular inflammation and metabolic disorders. Discovering unique and specific blood-based indicators for vascular inflammation, particularly in metabolic syndrome related to obesity, such as (lipoprotein-associated phospholipase A2) and Lp-PLA2, could provide valuable assistance in identifying individuals at an elevated risk for cardiovascular incidents. Lp-PLA2 has been implicated in metabolic dysregulation, playing a crucial role in the onset of microvascular dysfunction and the exacerbation of oxidative stress. Lp-PLA2 is essential in the pathogenesis of atherosclerosis and may be used as a biomarker to predict future cardiovascular events. The study comprised 200 participants categorized into two groups: individuals diagnosed with MS (Metabolic Syndrome) (Test, n = 100) and those without MS (controls, n = 100). The serum activity levels of hs-CRP and Lp-PLA2 were measured and subsequently analysed for correlation with micronutrients (magnesium (Mg) and zinc (Zn)) and lipoprotein markers (Ox LDL, Apo-A1, and Apo-B). The study showed a significant correlation between Lp-PLA2 and the Mg level of patients with MS, whereas Hs-CRP did not exhibit a significant correlation. The test population did not exhibit a noteworthy elevation in oxidized LDL level, despite the presence of inflammatory changes as indicated by the level of Lp-PLA2. A significant correlation was observed between the Zn level in patients with MS and Lp-PLA2, whereas Ox LDL did not exhibit a significant correlation. The current study revealed a significant link between Mg and Zn and CVD risk in the Kerala population. The study found elevated levels of LpPLA2, an emerging biomarker for cardiovascular risk, in people with MS
代谢综合征(MS)增加心血管疾病和死亡风险。许多研究发现了血管炎症和代谢紊乱之间的联系。发现血管炎症的独特和特定的血液指标,特别是与肥胖相关的代谢综合征,如(脂蛋白相关磷脂酶A2)和Lp-PLA2,可以为识别心血管事件高风险个体提供有价值的帮助。Lp-PLA2与代谢失调有关,在微血管功能障碍的发生和氧化应激的加剧中起着至关重要的作用。Lp-PLA2在动脉粥样硬化的发病机制中至关重要,可作为预测未来心血管事件的生物标志物。该研究包括200名参与者,分为两组:诊断为MS(代谢综合征)的个体(测试,n = 100)和非MS(对照组,n = 100)。测定hs-CRP和Lp-PLA2的血清活性水平,随后分析其与微量营养素(镁(Mg)和锌(Zn))和脂蛋白标志物(Ox LDL, Apo-A1和Apo-B)的相关性。本研究显示,MS患者Lp-PLA2与Mg水平有显著相关性,Hs-CRP与Mg水平无显著相关性。测试人群没有表现出氧化LDL水平的显著升高,尽管存在炎症变化,如Lp-PLA2水平所示。MS患者的Zn水平与Lp-PLA2有显著相关性,而Ox LDL无显著相关性。目前的研究表明,在喀拉拉邦人群中,镁和锌与心血管疾病风险之间存在显著联系。该研究发现,多发性硬化症患者的LpPLA2水平升高,这是一种新兴的心血管风险生物标志物
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引用次数: 0
Connective Tissue Mobilization Vs. Combination of Taping with Pelvic Tilt on Primary Dysmenorrhea. 结缔组织动员与骨盆倾斜联合贴敷治疗原发性痛经。
Pub Date : 2023-09-01 DOI: 10.22376/ijlpr.2023.13.5.l349-l356
K. Muthulakshmi, D. Monesh, Srilakshmi Moses, J. Aunselvi, Bernard Ebenezer Cyrus, Thirulogachandar Gunasekar, Rakshana. V.S.
Primary dysmenorrhea is pain aggravation on menstruation without any pelvic disease. It is perhaps the most widely recognizedissue females face, influencing them physically and mentally. Connective tissue mobilization can help venous return by increasing theproduction of prostaglandin and different substances and preventing their collection in the pelvis, which can be powerful during the period,to reduce the pain aggravation and inconvenience. This study examines the effects of connective tissue mobilization vs. a combination oftaping and pelvic tilt on unmarried women with primary dysmenorrhea. This is an experimental design with pre and post-comparativestudy. This was conducted in the physiotherapy outpatient department at ACS Medical College and Hospital. The study duration was about3 months. The subjects aged 18 to 25 years female with primary dysmenorrheal were included in this study. The subject with Pelvicinflammatory disease, Uterine/ovarian tumor, Spinal pathology, deformity, and PCOD, were excluded from this study. 30 subjects wereselected and divided into 2 groups in which Group-A 15 received connective tissue mobilization for 3-4 minutes with a total of 20minutes/day a day before menstruation for 3 days for consecutive 3 months, and Group B received taping with pelvic tilt was given 4 daysfor lower abdomen and lumbar, one day before menstruation taping was applied and pelvic tilt was given 2-3 minutes for 20 minutes/dayfor 3 consecutive months The outcome measures were a pain. The outcome tools were the Menstrual symptom questionnaire, Numericalrating scale, and WaLIDD score. Comparing the pretest and posttest within Group A and Group B, Group B shows a highly significantdifference in Mean values at P <_0.001. Thus this study concludes that a combination of taping and pelvic tilt reduces pain in unmarriedwomen having primary Dysmenorrhea.
原发性痛经是月经时疼痛加重,无盆腔疾病。这可能是女性面临的最广为人知的问题,影响着她们的身心。结缔组织的活动可以增加前列腺素和其他物质的产生,防止它们在骨盆中聚集,从而帮助静脉回流,这在经期可以起到强大的作用,减少疼痛的加剧和不便。本研究探讨了结缔组织动员与捆绑结合骨盆倾斜对未婚女性原发性痛经的影响。这是一个前后对比研究的实验设计。这是在ACS医学院和医院物理治疗门诊部进行的。研究时间约为3个月。研究对象为18 ~ 25岁的女性原发性痛经患者。盆腔炎、子宫/卵巢肿瘤、脊柱病变、畸形和PCOD均被排除在本研究之外。选取30例受试者分为2组,a组15例在月经前每天进行结缔组织活动3-4分钟,共计20分钟/天,连续3个月;B组15例在月经前1天进行骨盆倾斜贴敷,下腹和腰椎贴敷4天,骨盆倾斜贴敷2-3分钟,连续20分钟/天,连续3个月。结果工具为月经症状问卷、数值评定量表和WaLIDD评分。比较A组和B组的前测和后测,B组的平均值有极显著差异,P <_0.001。因此,本研究的结论是,在原发痛经的未婚女性中,胶带和骨盆倾斜的结合可以减轻疼痛。
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引用次数: 0
Nomenclature of Aushadh Sevan Kaal(Time of Drug Administration) In Various Ayurved Samhita’s and Its Commentaries- A Critical Review 各种Ayurved Samhita中的aushah Sevan Kaal(服药时间)命名及其评论——一个批判性的评论
Pub Date : 2023-09-01 DOI: 10.22376/ijlpr.2023.13.5.l340-l348
Dr. Preeti S. Borkar, Dr.Sushil Yanpallewar, Dr.Pratyendra Pal Singh, Dr. Akshay Pargaonkar, Dr.Rhushikesh Thakre
Aushadh Sevan Kaal is a concept described in Ayurved samhitas, which means the time of medicine administration.Kaal(Time) isincluded in karana dravya and plays many important roles in our lives. The existence of the Kaal is from the Shrishti Uttpatti.Aacharya charak hasdescribed Trisutra Ayurved, which explains the knowledge about the entire Ayurveda.Trisutra includes Hetu[causative factors], Linga[signs andsymptoms], and Aushadh [medicines]. Additional considerations listed by Acharya Charaka include the patient's desha (region), kala (time),pramana (dosage), satmya (wholesomeness), asatmya (unwholesomeness), aahara (diet), and aushadh (medicine). Kaal is a particular and distinctcause of all kinds of outcomes and is also inevitable. Ayurveda is the science of life, emphasizing the idea of kaal as it is one of the karan dravya.The present study aims to critically analyze different terms used in samhitas for nomenclature and terminologies related to the administration time(aushadh sevan kaal) of ayurvedic herbo mineral formulations. To achieve this, we aim to study the concept of aushadha sevan kaal in varioussamhitas for its utility in identifying textual study material for selecting the treatment protocol. There are differences in the nomenclature[terminologies] in various samhitas and their commentaries. Mild variation is also observed in the number of types of Aushadh sevan kaal as perSamhitas. All Ayurveda treatments concentrate on maintaining and retaining the power of agni because it is the primary factor in establishing theDhatu Samyata.In the current era, it is observed that proper medicine administration needs to be done in relationship with Dosha,dusya,rogi, androgbala in consideration of the aushadh seven kaal. Hence, treatment is not successful in treating the patients.In this study, it is observed thatdifferent terms are mentioned in Ayurveda texts for different types of Aushadh sevan Kaal by different-different Acharyas.
Kaal(时间)是阿育学samhitas中描述的一个概念,意思是服药的时间。Kaal(时间)包含在karana dravya中,在我们的生活中扮演着许多重要的角色。卡尔的存在来自于神之神。Aacharya charak描述了Trisutra ayurve,它解释了整个阿育吠陀的知识。Trisutra包括Hetu(致病因素)、Linga(体征和症状)和Aushadh(药物)。《查查里亚·查罗卡》列出的其他考虑因素包括病人的desha(区域)、kala(时间)、pramana(剂量)、satmya(健康)、asatmya(不健康)、aahara(饮食)和aushadh(药物)。卡尔是产生各种结果的特殊的、独特的原因,也是必然的。阿育吠陀是一门关于生命的科学,强调卡尔的概念,因为它是卡兰德拉维亚之一。本研究旨在批判性地分析samhitas中使用的与阿育吠陀草药矿物配方的给药时间(aushadh sevan kaal)相关的术语和术语。为了实现这一目标,我们的目标是研究各种samhitas中aushadha sevan kaal的概念,以确定用于选择治疗方案的文本研究材料。在不同的samhitas和它们的注释中有不同的命名法(术语)。在作为perSamhitas的Aushadh sevan kaal的种类数量上也观察到轻微的变化。所有的阿育吠陀疗法都集中于维持和保留烈火的力量,因为它是建立三观的主要因素。在当今时代,人们观察到,适当的药物管理需要在与Dosha,dusya,rogi, androgbala的关系中进行,考虑到aushadh 7 kaal。因此,治疗在治疗患者方面并不成功。在这项研究中,我们观察到,在阿育吠陀文献中,不同类型的阿查里亚提到了不同的术语。
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引用次数: 0
Qualitative And Quantitative Analysis Of Organic Acids In Georgian Wine Lees By LCMS/ MS Method LCMS/ MS法定性定量分析格鲁吉亚葡萄酒酒渣中的有机酸
Pub Date : 2023-09-01 DOI: 10.22376/ijlpr.2023.13.5.p191-p198
Tamar Kirvalidze, Tamaz Murtazashvili, Lasha Bakuridze, Malkhaz Jokhadze, Koba Sivsivadze
In the XXI century, the interest and demand for natural compounds have increased significantly, compared to the previous period,especially for those natural compounds that have antioxidant, antimicrobial, and anti-inflammatory properties. Accordingly, organic acids arenoteworthy in this direction since studies have confirmed some organic acids' antioxidant, antimicrobial, and anti-inflammatory effects. It is known thatwine from vine products is one of the rich sources of organic acids. Therefore, the waste products of wine production - including wine lees areinteresting from this point of view. Winemaking is one of the most successful directions of agriculture in Georgia. Many waste products, such as grapepomace, grape seed, and wine lees, accompany wine production. It was the reason to use the waste product - wine lees- to study organic acids.Hence, the research aims to assess the potential of using a currently wasted winery product - Georgian wine lees as a source of biologically activeingredients. The objective of the current study was to identify the biologically active substances (organic acids) in the waste product of winemaking -wine lees obtained from widely distributed grape varieties in Georgia and to determine their quantitative content. By the LC-MS/MS method, weidentified organic acids in 6 samples of wine lees made from different varieties of Georgian grapes (Saperavi, Kisi, Rkatsiteli) and with differenttechnologies (traditional Kakhetian, factory conditions) and determined three main organic acids (tartaric acid, lactic acid, and citric acid) quantitatively.The results of the current research showed that the grape variety and the winemaking technology affect the qualitative and quantitative content oforganic acids in the wine; in particular, three organic acids were found in the Saferavi wine made by the factory method, and 2 organic acids in thewine made by the traditional Kakhetian (Georgia) method. Organic acid's quantitative content is also different. Also, the content of organic acids in thewine obtained from different varieties of grapes is different. The research showed that the quantitative content of organic acids in Kisi wine Lees ishigher than the other studied varieties. However, the content of organic acids in all three types of wine is significant. The study results support thepotential of using a currently wasted product - Georgian Wine Lees - as a source of biologically active ingredients.
在21世纪,人们对天然化合物的兴趣和需求比以往显著增加,特别是对那些具有抗氧化、抗菌和抗炎特性的天然化合物。因此,有机酸在这方面值得注意,因为研究已经证实了一些有机酸的抗氧化、抗菌和抗炎作用。众所周知,葡萄酿造的葡萄酒是有机酸的丰富来源之一。因此,从这个角度来看,葡萄酒生产的废料——包括酒渣——是很有趣的。酿酒是格鲁吉亚最成功的农业方向之一。许多废物,如葡萄柚、葡萄籽和酒渣,伴随着葡萄酒的生产。这就是利用酒渣作为废物来研究有机酸的原因。因此,该研究旨在评估利用目前被浪费的酒庄产品的潜力——格鲁吉亚酒渣作为生物活性成分的来源。当前研究的目的是鉴定葡萄酒生产废料中的生物活性物质(有机酸)-从格鲁吉亚广泛分布的葡萄品种中获得的酒渣,并确定其定量含量。采用LC-MS/MS方法,对6份格鲁吉亚不同品种葡萄(Saperavi、Kisi、Rkatsiteli)和不同工艺(传统Kakhetian、工厂条件)酿造的酒糟样品中的有机酸进行了鉴定,定量测定了酒石酸、乳酸、柠檬酸3种主要有机酸。目前的研究结果表明,葡萄品种和酿酒工艺对葡萄酒中有机酸的定性和定量含量有影响;特别是,用工厂方法酿造的Saferavi葡萄酒中发现了三种有机酸,用传统的Kakhetian(格鲁吉亚)方法酿造的葡萄酒中发现了两种有机酸。有机酸的定量含量也不同。此外,不同品种的葡萄酿造的葡萄酒中有机酸的含量也不同。研究表明,Kisi酒酒中有机酸的定量含量高于其他研究品种。然而,这三种葡萄酒中有机酸的含量都很高。研究结果支持了利用目前被废弃的产品——格鲁吉亚酒渣——作为生物活性成分来源的潜力。
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引用次数: 0
Functional Outcome of Intra-Articular Hyaluronic Acid Injection in Osteoarthritis of Knee Joint 关节内注射透明质酸治疗膝关节骨性关节炎的功能效果
Pub Date : 2023-09-01 DOI: 10.22376/ijlpr.2023.13.5.p255-p272
Dr Parthiv Shah, Dr Umang R Sachapara, Dr Nitin S. Patil
Osteoarthritis/Osteoarthrosis (OA) defines an idiopathic, slowly progressive disease of the diarthrodial (synovial)joints. Intra-articular - Hyaluronic acid has been proposed to have many therapeutic mechanisms of action in the OA knee,including shock absorption, joint lubrication, anti-inflammatory effects, chondroprotection, proteoglycan synthesis, and cartilagematrix alterations. Thirty-six patients were selected for the proposed study based on eligibility criteria, study period, andfeasibility. Patients with clinical symptoms of osteoarthritis were screened based on inclusion (grades 1 and 2) and exclusioncriteria (previous history of trauma). Patients with grade I or II Osteoarthritis based on Kellegren & Lawrence grading weretaken up for the study. After obtaining informed consent, a structured interview schedule was administered to obtaininformation on their background characteristics and clinical and functional outcome of Osteoarthritis using VAS (Visual AnalogueScale) and WOMAC (The Western Ontario and McMaster Universities Osteoarthritis Index) tools. Following this, theintervention was done. All the patients were given a single injection(6ml) of high molecular weight Hyaluronic acid. This studywas done to verify safety and feasibility. Our findings suggest that intra-articular hyaluronic acid is safe for use with kneeosteoarthritis. While local and minor adverse events related to hyaluronic acid injection occurred, all symptoms disappearedwithin 48 hours.
骨关节炎/骨关节病(OA)是一种特发性、缓慢进展的腹泻(滑膜)关节疾病。关节内透明质酸被认为在OA膝关节中具有多种治疗机制,包括减震、关节润滑、抗炎作用、软骨保护、蛋白多糖合成和软骨基质改变。根据入选标准、研究期限和可行性,选择了36例患者参加拟议的研究。根据纳入(1级和2级)和排除标准(既往创伤史)筛选有骨关节炎临床症状的患者。I级或II级骨关节炎患者(Kellegren &劳伦斯的评分被用于这项研究。在获得知情同意后,使用VAS (Visual AnalogueScale)和WOMAC (The Western Ontario and McMaster university Osteoarthritis Index)工具进行结构化访谈,以获取他们的背景特征以及骨关节炎的临床和功能结果信息。在此之后,进行了干预。所有患者均给予高分子量透明质酸单次注射(6ml)。本研究是为了验证其安全性和可行性。我们的研究结果表明关节内透明质酸对于治疗膝关节炎是安全的。虽然发生了与透明质酸注射有关的局部和轻微不良事件,但所有症状在48小时内消失。
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引用次数: 0
Comparative Study On the Academic Performance of Day Scholar and Hostel Medical Undergraduate Students 走读生与住校医本科生学习成绩的比较研究
Pub Date : 2023-09-01 DOI: 10.22376/ijlpr.2023.13.5.l392-l398
G. Priyanka, M. Kumaresan, Sangeetha Achuthan, Chaturitha. K, Gunapriya Raghunath
Examinations are the greater source of anxiety in medical education, and they can be greatly affected by the residential status of medical students. The study compares the academic performance between the day scholar students and the hostelers pursuing the first year of MBBS. This study was conducted at Saveetha Medical College, Chennai, India. Assessment of the marks obtained by both groups of students was done. Two exams, one theory and one practical exam, including viva voce, were taken for analysis. All 149 students attended both exams. Students in both categories were divided into 4 groups according to the marks obtained. Students who obtained < 50% marks were categorized as Group A, 50 to 69 % as Group B, 70% to 89% as Group C, and> 90% as Group D. In this study, 149 students participated. Among these, 82 students (55.03%) were day scholars, and 67 (44.96%) were hostelers. In the theory exam, 59.8% of day scholars belonged to Group B compared to 55.2% of hostelers. Only 6.09% of day scholar students were in group A as opposed to 19.4% of Hostelers in the same group. In Practical exams, amongst day scholars, 52.4% were in group B compared to 46.2% of hostelers in the same group. Only 4.9% of day scholars were in Group A as opposed to 19.4% of hostelers in the same group. There was a significant difference academically between the two groups of students involved in this study. The day scholars performed better than Hostelers in academics.
考试是医学教育中更大的焦虑来源,医学生的居住状况对考试的影响很大。该研究比较了全日制学生和寄宿学生在MBBS第一年的学习成绩。这项研究是在印度金奈的savetha医学院进行的。对两组学生的成绩进行了评估。我们进行了两个测试,一个是理论测试,一个是实践测试,其中包括viva voice。所有149名学生都参加了两次考试。两组学生根据得分分为4组。获得<A组占50%,B组占50% ~ 69%,C组占70% ~ 89%,C组占70% ~ 89%。90%为d组。本次研究共有149名学生参与。其中,走读生82人(55.03%),住宿生67人(44.96%)。在理论考试中,59.8%的住宿生属于B组,而宿舍学生的这一比例为55.2%。只有6.09%的走读生属于A组,而旅舍生的这一比例为19.4%。在实践考试中,在日间学生中,52.4%的人属于B组,而在同一组中,宿舍学生的比例为46.2%。只有4.9%的走读生属于A组,而同一组中有19.4%的住宿生属于A组。参与本研究的两组学生在学业上有显著差异。日间学生在学业上的表现优于宿舍学生。
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引用次数: 0
Management of Radius and / Or Ulna Fracture by Screw Intramedullary Nail in Skeletally Mature Patients 骨成熟患者桡骨和/或尺骨骨折的髓内钉治疗
Pub Date : 2023-09-01 DOI: 10.22376/ijlpr.2023.13.5.l377-l386
Dr. Parth Shah, Dr. Nareshkumar Dhaniwala, Dr. Poornima Pandey
The standard nailing of both bone forearm fractures of the radius and ulna poses a possible complication of nail migration androtational instability, despite being one of the best reduction techniques. This study has strived to evaluate how effectively screw elasticintramedullary nail is useful in the therapy for mature diaphyseal fractures of both bone forearms. The issues faced with conventional nailingtechniques for managing forearm fractures have also been discussed. A prospective evaluation of twenty-one cases with forearm fractures (radiusand ulna or isolated fracture of the single bone) was done. Out of the twenty-one cases studied, eighteen patients had undergone closedreduction, and three cases required mini-open reduction. The fracture was categorized as claimed by Arbeitsgemeinschaft furOsteosynthesefragen (AO) Foundation/Orthopedic Trauma Association(OTA). The results were evaluated according to Anderson criteria, inwhich 13 cases had excellent results, 4 had good results, 3 had an unsatisfactory result, and 1 was reported as failure. Also, there was 1 case ofsynostosis and 1 case of delayed union in radius. We concluded that the intramedullary screw nail for forearm fractures in adults could be used asa good internal fixation therapy giving excellent functional and radiological results. This technique is easy to learn, and the implant used is alsocost-effective, thus, providing a good fixation of the fracture. The most accepted technique for forearm fracture, as per current recommendationand AO, are open reductions and internal fixation with plating, but our study is exclusive since it helped to overcome the failure of conventionalnailing of both forearm bones with the potential complication of nail migration and rotational instability in spite the best reduction.
桡骨和尺骨前臂骨折的标准钉入虽然是最好的复位技术之一,但可能会造成钉移位和旋转不稳定的并发症。本研究旨在评估弹性髓内钉在治疗前臂双侧成熟骨干骨折中的有效性。我们也讨论了传统的前臂骨折固定技术所面临的问题。对21例前臂骨折(桡骨、尺骨或孤立性单骨骨折)进行了前瞻性评估。在研究的21例病例中,18例患者接受了闭合复位,3例需要小切口复位。骨折被Arbeitsgemeinschaft furrosteosynthesefragen (AO)基金会/骨科创伤协会(OTA)分类。按照Anderson标准对结果进行评价,其中优13例,良4例,不理想3例,不合格1例。桡骨愈合延迟1例,骨膜粘连1例。我们认为髓内钉治疗成人前臂骨折是一种良好的内固定治疗方法,具有良好的功能和放射学效果。该技术易于学习,所使用的植入物也具有成本效益,因此可以很好地固定骨折。根据目前的推荐和AO,最被接受的前臂骨折技术是切开复位和钢板内固定,但我们的研究是排他的,因为它有助于克服传统的前臂骨钉入失败,尽管有最好的复位,但钉子移位和旋转不稳定的潜在并发症。
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引用次数: 0
Knowledge, Attitude, and Practice of Medical Professionals About Organ Donation and Transplantation in Saudi Arabia: A Cross-Sectional Study 沙特阿拉伯医疗专业人员关于器官捐献和移植的知识、态度和实践:一项横断面研究
Pub Date : 2023-09-01 DOI: 10.22376/ijlpr.2023.13.5.l425-l432
Raghad Alharbi, Abdullah Alfozan, Hind Jrais, Raghad Al-Awn, Imtinan Ibrahim, Samah Alotaibi, Laila Aljifry, Maryam Alrawi, Omar Amer
Transplantation is the preferred therapy for terminal organ disease because it improves patients' long-term survival and quality of life. This study aimed to assess knowledge, attitudes, and practices regarding organ donation among medical students and doctors across Saudi Arabia. It is a cross-sectional study using a questionnaire distributed online through social media. The 32-item questionnaire was adapted from a previous study to assess organ donation knowledge, attitudes, and practices among medical students and doctors in Saudi Arabia. Participants demonstrate a moderate level of knowledge, with an average total knowledge score of 6.5 out of 12. Females have higher knowledge scores than males (p=0.037), and married participants score higher than non-married individuals (p=0.031). Interns and doctors score higher than medical students (p<0.001). Most participants support organ donation (85.13%), feel comfortable discussing it (81.28%), and are willing to donate their organs (61.03%). However, concerns about premature treatment termination for registered donors (35.64%) and the belief that your body should be kept intact after death (56.67%) are present. A minority have pledged or signed to donate (33.59%), and even fewer have donated organs (13.59%). Medical professionals in Saudi Arabia have moderate knowledge and good attitudes, but some are concerned about premature treatment termination for donors and fear of disfigurement. The findings highlight the need for educational interventions to improve knowledge and address concerns to bridge the gap between attitudes and actual organ donation practices.
移植是终末期器官疾病的首选治疗方法,因为它可以改善患者的长期生存和生活质量。本研究旨在评估沙特阿拉伯医科学生和医生关于器官捐赠的知识、态度和做法。这是一项横断面研究,通过社交媒体在线分发问卷。这份32项调查问卷改编自先前的一项研究,旨在评估沙特阿拉伯医科学生和医生的器官捐赠知识、态度和做法。参与者表现出中等水平的知识,平均总知识得分为6.5分(满分为12分)。女性知识得分高于男性(p=0.037),已婚参与者得分高于未婚参与者(p=0.031)。实习生和医生的得分高于医学生(p<0.001)。大多数受访者支持器官捐献(85.13%)、愿意讨论器官捐献(81.28%)、愿意捐献器官(61.03%)。然而,对已登记的捐赠者过早终止治疗的担忧(35.64%)和认为你的身体应该在死后保持完整(56.67%)存在。少数人承诺或签署捐赠(33.59%),更少的人捐赠器官(13.59%)。沙特阿拉伯的医疗专业人员有适度的知识和良好的态度,但有些人担心过早终止捐助者的治疗和担心毁容。研究结果强调了教育干预的必要性,以提高知识和解决问题,弥合态度和实际器官捐赠实践之间的差距。
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引用次数: 0
Development of RP-HPLC Method for Simultaneous Determination of Bilastine and Montelukast by Qbd Approach and Its Validation Qbd法同时测定比拉斯汀和孟鲁司特的反相高效液相色谱方法建立及验证
IF 0.2 Pub Date : 2023-09-01 DOI: 10.22376/ijlpr.2023.13.5.p199-p220
Aejaz Ahmed, Manjra Mehfuza U, Lajporiya Mubina, Sayyed Nazifa, Patel Seema, G. J. Khan, Qazi Majaz Ahamad
This study proposes to develop and validate the RP-HPLC method for Bilastine (BIL) and Montelukast (MKT) byQbD to substantiate the RP-HPLC analysis as per ICH validation guidelines. Quality by Design (QbD) allows the accomplishmentof specific unsurprising quality with a predetermined and wanted determination. The simultaneous estimation of BIL and MKTwas performed with C18 (4.6×250 mm, 5-μm particle size) with an LC-10AD pump and PDA detector. The mobile phaseemployed methanol and ammonium acetate buffer pH-3.6 at 85:15 v/v. The flow rate was maintained at 1.0 ml/min, and BIL andMKT were detected at 249nm and 293 nm by UV detector, respectively. The HPLC method provided linear responses found inthe 200–600 μg/ml range. The correlation coefficient was 0.9995 for BIL and 0.9991 for MKT. The LOD and LOQ for BIL andMKT were found to be 0.493, 1.495 μg/ml, and 0.693, 2.100, respectively. The percentage recovery for BIL was 95.33 to 102.06,and for MKT was 96.31 to 104.05, respectively. Calculated information acquired for both the preliminaries roughly coordinateswith the information given by Design expert programming, showing the chromatographic condition's genuineness. Design-Expertversion 10 ("DX10") software has calculated this calculation, setting a composite design of significant parameters. A newselective, rapid, accurate, precise, and sensitive RP-HPLC method was developed and evaluated for the simultaneousdetermination of Bilastine (BIL) and Montelukast sodium (MKT) in a bulk and pharmaceutical dosage form. This method is usefulin the routine quality analysis of combinations of BIL and MKT in bulk and its tablet formulations.
本研究拟根据ICH验证指南,建立并验证比拉斯汀(BIL)和孟鲁司特(MKT)的qbd反相高效液相色谱分析方法,以证实反相高效液相色谱分析。设计质量(QbD)允许在预先确定和需要的确定下实现特定的、意料之中的质量。用C18 (4.6×250 mm, 5-μm粒径),LC-10AD泵和PDA检测器同时估计BIL和mkt。流动相采用甲醇和醋酸铵缓冲液pH-3.6, 85:15 v/v。流速保持在1.0 ml/min,紫外检测器分别在249nm和293 nm处检测BIL和mkt。HPLC法在200 ~ 600 μg/ml范围内呈线性关系。BIL和MKT的相关系数分别为0.9995和0.9991。BIL和mkt的LOD和LOQ分别为0.493、1.495和0.693、2.100 μg/ml。BIL和MKT的回收率分别为95.33 ~ 102.06和96.31 ~ 104.05。两种初步计算得到的信息与设计专家程序给出的信息基本一致,显示了色谱条件的真实性。design - expertversion 10(“DX10”)软件对此进行了计算,设定了复合设计的重要参数。建立了一种选择性、快速、准确、精密、灵敏的反相高效液相色谱(RP-HPLC)方法,用于同时测定散装和药用剂型中比拉斯汀(BIL)和孟鲁司特钠(MKT)的含量。该方法可用于BIL和MKT组合原料药及其片剂制剂的常规质量分析。
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引用次数: 0
Development and Validation of Chemometric Assisted RP-HPLC Method for Simultaneous Estimation of Perindopril Erbumine, Indapamide, and Amlodipine Besylate in Bulk and Pharmaceutical Formulation 化学计量辅助反相高效液相色谱法同时测定原料药和制剂中培哚普利厄布明、吲达帕胺和苯磺酸氨氯地平的含量
IF 0.2 Pub Date : 2023-09-01 DOI: 10.22376/ijlpr.2023.13.5.p241-p254
Thomas Sudha, Palani Kumar Nallasivan, Munnusamy Vijayakumar Saranya, Arumugam Sarveswaran
This research paper illustrates a latterly developed, optimized and validated gradient RP-HPLC approach for simultaneous analysis ofIndapamide, Perindopril erbumine and Amlodipine besylate in bulk and pharmaceutical formulation with the assistance of quality by design. Qualityis predicated on desired and predetermined specifications. Understanding various factors, dependent variables, and their interconnection effectsby a desired set of experiments on the responses to be analyzed is an important component of QbD. Several operating conditions of variousprocesses optimization, chromatographic separation performance improvement, and high extraction efficiency were attained by using QbD. Thepowerful chromatographic conditions were done using the HypersilC18 column (250mm × 4.6mm, 5μm particle Size). The UV detector wasadjusted to 215nm. Design of experiments (DoE) was applied for multivariate optimization of the experimental conditions of the RP-HPLCmethod. Three independent factors, mobile phase composition, phosphate buffer strength, and flow rate, were used to design mathematicalmodels. Central composite design (CCD) was used to examine the response surface methodology and fully examine the results of theseindependent factors. The desirability function was used to optimize the retention time and resolution of the analytes simultaneously. Theimproved and anticipated data from the contour diagram consisted of methanol and phosphate buffer (pH 2.5, strength 0.05M) in the ratio of65:35, respectively, at a flow rate of 1.1 ml/min. Using these optimum conditions, baseline separation of both drugs with good resolution and runtime of less than 5.0 min was achieved. The novelty of the developed method was time-consuming, cost-effective, and sensitive. The optimizedassay conditions were validated according to ICH guidelines. Under the optimized state, the linearity ranges were found to be 10-40 μg/mL, 32–128 μg/mL, and 40-160 μg/mL for Indapamide, Perindopril erbumine, and amlodipine besylate, respectively, with correlation coefficients (R2) of0.999. The mean accuracy studied ranged from 99.18 to 99.58%. The percentage coefficient variation value for the precision study was lower than1%. The proposed method showed good precision and repeatability. Hence the developed RP-HPLC method using quality by design can be usedas a routine quality control analysis of indapamide, perindopril erbumine, and amlodipine besylate.
本文阐述了一种最新开发、优化和验证的梯度RP-HPLC方法,该方法可在设计质量的帮助下同时分析原料药和制剂中的吲达帕胺、培哚普利-erbumine和苯磺酸氨氯地平。质量取决于所需和预先确定的规格。通过一组所需的实验来了解各种因素、因变量及其相互影响,这是QbD的一个重要组成部分。利用QbD优化了多种工艺条件,提高了色谱分离性能,提高了萃取效率。采用HypersilC18色谱柱(250mm×4.6mm,粒径5μm)进行了高效液相色谱分析。紫外检测器调整到215nm。实验设计(DoE)用于RP HPLC方法实验条件的多变量优化。采用流动相组成、磷酸盐缓冲液强度和流速三个独立因素设计数学模型。中心复合设计(CCD)用于检验响应面方法,并充分检验这些独立因素的结果。期望函数用于同时优化分析物的保留时间和分辨率。等高线图中改进和预期的数据分别由甲醇和磷酸盐缓冲液(pH 2.5,强度0.05M)组成,比例为65:35,流速为1.1ml/min。使用这些最佳条件,实现了两种药物的基线分离,具有良好的分辨率和小于5.0分钟的运行时间。所开发方法的新颖性耗时、成本效益高且敏感。根据ICH指南对优化的测定条件进行了验证。在优化状态下,Indapamide、Perindopril erbumine和苯磺酸氨氯地平的线性范围分别为10-40μg/mL、32-128μg/mL和40-160μg/mL,相关系数(R2)为0.999。研究的平均准确度在99.18%至99.58%之间。精密度研究的变异系数百分比值低于1%。该方法具有良好的精密度和重复性。因此,所开发的采用设计质量的RP-HPLC方法可作为吲达帕胺、培哚普利-erbumine和苯磺酸氨氯地平的常规质量控制分析。
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引用次数: 0
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International Journal of Life Science and Pharma Research
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