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Public Health Activities: Evaluation of Community Pharmacists’ Attitude, Practice and Barriers in a Nigerian Southwestern State 公共卫生活动:尼日利亚西南部州社区药剂师的态度、实践和障碍评价
Pub Date : 2023-05-25 DOI: 10.21315/mjps2023.21.1.9
W. Akande-Sholabi, A.A. Akinbitan, Y. Adebisi
The Nigerian health system continues to face double burden of communicable and noncommunicable diseases. To meet the country’s health needs, the number of healthcare professionals participating in public health activities must be increased. The purpose of this study was to assess the attitudes, practices and barriers to rendering public health services among community pharmacists in a southwestern Nigerian state. We used a pretested self-administered questionnaire to collect data on 120 community pharmacists’ sociodemographic characteristics, practices, attitudes and barriers to providing public health services. Participating pharmacists must have at least one year of experience working in a community pharmacy. Data were summarised descriptively using IBM SPSS (version 23.0). Females’ respondents were (n = 69, 57.5%) and (n = 82, 68.3%) pharmacists had 1 year– 5 years’ experience. Most (n = 116, 96.7%) of the respondents agreed that pharmacists should be involved in public health activities, and (n = 106, 88.3%) respondents disagreed that public health activities should be carried out only by doctors and nurses. Overall (n = 89, 74.0%) of the respondents had positive attitude to public health activities (score ≥ 80%) and majority of the community pharmacists had been practicing public health activities. Insufficient time (n = 65, 54.2%) and lack of financial capital to implement changes (n = 84, 70.0%) were identified as prominent barriers that hindered community pharmacists from rendering public health services. Community pharmacists had positive attitude towards the practice of public health activities. However, further studies should emphasise on how to overcome barriers preventing their involvement in public health activities. Providing incentives for public health services rendered could increase community pharmacists’ involvement in public health activities.
尼日利亚卫生系统继续面临传染性疾病和非传染性疾病的双重负担。为了满足国家的健康需求,必须增加参与公共卫生活动的医疗保健专业人员的数量。本研究的目的是评估尼日利亚西南部一个州社区药剂师提供公共卫生服务的态度、做法和障碍。我们使用了一份经过预测试的自我管理问卷,收集了120名社区药剂师的社会人口特征、实践、态度和提供公共卫生服务的障碍的数据。参与药剂师必须至少有一年在社区药房工作的经验。使用IBM SPSS(23.0版)对数据进行描述性总结。女性受访者(n=69,57.5%)和药剂师(n=82,68.3%)有1-5年的工作经验。大多数(n=116,96.7%)受访者同意药剂师应参与公共卫生活动,(n=106,88.3%)受访者不同意公共卫生活动应仅由医生和护士进行。总体而言(n=89,74.0%)的受访者对公共卫生活动持积极态度(得分≥80%),大多数社区药剂师都从事过公共卫生活动。时间不足(n=65,54.2%)和缺乏实施变革的财政资本(n=84,70.0%)被确定为阻碍社区药剂师提供公共卫生服务的突出障碍。社区药剂师对公共卫生活动的实践持积极态度。然而,进一步的研究应该强调如何克服阻碍他们参与公共卫生活动的障碍。为提供的公共卫生服务提供激励措施可以增加社区药剂师对公共卫生活动的参与。
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引用次数: 0
Tribute to Professor Dr. Mohamed Azmi bin Ahmad Hassali: A Great Scholar, Generous Colleague, Friendly and Inspirational Mentor 向穆罕默德·阿兹米·本·艾哈迈德·哈萨里教授博士致敬:一位伟大的学者、慷慨的同事、友好和鼓舞人心的导师
Pub Date : 2023-05-25 DOI: 10.21315/mjps2023.21.1.10
O. G. See, David CM Kong, Chua Gin Nie, F. Saleem, Tan Ching Siang, Wong Yuet Yen, A. Shafie, Ong Siew Chin
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引用次数: 0
In Silico Evaluation of Aromatase Inhibitory Anti-benign Prostatic Hyperplasia Potentials of Spirostan Sapogenins Spirostan皂苷对芳香化酶抑制前列腺增生潜能的原位评价
Pub Date : 2023-05-25 DOI: 10.21315/mjps2023.21.1.5
O. S. Ajala, M. Akinleye, M. Owolabi, G. Ukpo
Inherent oestrogen receptor alpha (ERα) and other nuclear receptor signaling activities of typical aromatase inhibitors (AIs) preclude their clinical use as anti-oestrogenic anti-benign prostatic hyperplasia (anti-BPH) agents. Spirostan sapogenins (SS) constitute a chemical space from which AIs without such deterrents could be sought. This work was aimed at in silico discovery of clinical aromatase inhibitory anti-oestrogenic anti-BPH drug leads. Fortysix SS were docked against an inhibitor conformation of the human placenta aromatase. Nuclear receptor signaling activation tendencies of seven of them showing high docking scores comparable to that of the co-crystalised ligand, exemestane, were determined in a ligand-based webserver screening (Protox-II) and docking against an agonist conformation of the ERα ligand binding domain (ERαLBD). Other toxicity and pharmacokinetic/druglikeness evaluations were caried out using Protox-II and SwissADME webservers. Stability of aromatase complex with the highest-docking-score SS was explored in a molecular dynamics simulation using Webgro molecular dynamics webserver at a 20 ns simulation time. None of the seven SS activated the nuclear receptor signaling pathways; pharmacokinetic/druglikeness predictors showed that they would be orally bioavailable; they were not susceptible to drug metabolising cytochrome P450 (CYP) isozymes and two of them demonstrated non-susceptibility to the efflux transport activity of P-glycoprotein (Pgp). Molecular dynamics data analysis revealed the root mean square deviation (RMSD) of 2 Å–3 Å and a radius of gyration of and 22 Å over the 20 ns simulation time. This investigation provides a molecular framework for anti-oestrogenic anti-BPH therapeutic strategy via aromatase inhibition (AI) and unmasks seven SS as potential anti-BPH AIs.
典型芳香化酶抑制剂(AI)的固有雌激素受体α(ERα)和其他核受体信号活性阻碍了其作为抗雌激素抗良性前列腺增生(抗BPH)药物的临床应用。Spirostan皂苷(SS)构成了一个化学空间,可以从中寻找没有这种威慑的人工智能。这项工作旨在通过计算机发现临床芳香化酶抑制、抗雌激素、抗前列腺增生的药物线索。Fortysix SS与人胎盘芳香化酶的抑制剂构象对接。在基于配体的网络服务器筛选(Protox II)和与ERα配体结合结构域(ERαLBD)的激动剂构象对接中,确定了其中7种显示出与共结晶配体依西美坦相当的高对接分数的核受体信号激活趋势。使用Protox II和SwissADME网络服务器进行其他毒性和药代动力学/药物相似性评估。在分子动力学模拟中,使用Webgro分子动力学Web服务器在20ns的模拟时间内探索了具有最高对接得分SS的芳香化酶复合物的稳定性。七种SS均未激活核受体信号通路;药代动力学/药物相似性预测因子显示它们将是口服生物可利用的;它们对药物代谢的细胞色素P450(CYP)同工酶不敏感,其中两种表现出对P-糖蛋白(Pgp)的外排转运活性不敏感。分子动力学数据分析显示,在20 ns的模拟时间内,均方根偏差(RMSD)为2Å–3Å,回转半径为和22Å。本研究通过芳香化酶抑制(AI)为抗雌激素抗BPH治疗策略提供了分子框架,并揭示了7种SS作为潜在的抗BPH AI。
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引用次数: 0
RP-HPLC Method Development for Simultaneous Determination of Phenolic Compounds in Fruit Extracts of Momordica charantia from Different Locations in Malaysia RP-HPLC法同时测定马来西亚不同产地苦瓜果实提取物中酚类化合物
Pub Date : 2023-05-25 DOI: 10.21315/mjps2023.21.1.1
S. Zainol, Aidiahmad Dewa, Z. Ismail, Nornisah Mohamed
A sensitive, reproducible, and reliable reversed-phase high performance liquid chromatography (RP-HPLC) method with diode array detection (DAD) was developed and validated. Simultaneous determinations of five compounds; gallic acid, catechin, chlorogenic acid, epigallocatechin gallate and caffeic acid in four types of Momordica charantia extracts; water, ethanol, water:ethanol (1:1) and acetone were conducted. The compounds were successfully separated by C18 column (250 mm × 4.6 mm, 5 µm) with a gradient solvent system of 3% acetic acid in water:methanol:acetonitrile at flow rate of 1.0 mL/min. UV detection was carried out at 280 nm. The standard curves of the five compounds were linear in the range of 0.0396 µg/mL–100 µg/mL. The intra-assay relative standard deviation (RSD) was less than 4.97%, while the inter-assay RSD was less than 4.92%, whereas the accuracy was between 90.96% and 108.92%, respectively. Our optimised RP-HPLC-DAD method was capable to detect flavonoids and phenolic acid contents in four types of M. charantia fruits extracts simultaneously from five locations in Malaysia. The present method is recommended to be used for chemical analyses of phenolic compounds in other Momordica species.
开发并验证了一种灵敏、重现性好、可靠的二极管阵列检测反相高效液相色谱(RP-HPLC)方法。同时测定五种化合物;四种苦瓜提取物中没食子酸、儿茶素、绿原酸、表没食子儿茶素没食子酸盐和咖啡酸;进行水、乙醇、水∶乙醇(1∶1)和丙酮。采用C18柱(250mm×4.6mm,5µm),采用3%乙酸水溶液:甲醇:乙腈的梯度溶剂体系,以1.0mL/min的流速成功分离了这些化合物。在280nm处进行UV检测。五种化合物的标准曲线在0.0396µg/mL–100µg/mL范围内呈线性。批内相对标准偏差(RSD)小于4.97%,批间相对标准偏差小于4.92%,准确度分别在90.96%和108.92%之间。我们优化的RP-HPLC-DAD方法能够同时检测来自马来西亚五个地点的四种苦瓜果实提取物中的黄酮类化合物和酚酸含量。建议将本方法用于其他苦瓜中酚类化合物的化学分析。
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引用次数: 0
Prevalence of Perceived Depressive Symptoms and Its Association With Stages of Heart Failure among Outpatients in a Public Hospital in Malaysia 马来西亚一家公立医院门诊患者抑郁症状的患病率及其与心衰分期的关系
Pub Date : 2022-11-16 DOI: 10.21315/mjps2022.20.2.4
J. Ng, Fatimatuzzahra’ Abdul Aziz
Heart failure (HF) patients with depression usually have poor prognosis. This study aimed to determine the prevalence of perceived depressive symptoms among outpatients with HF and its association with the New York Heart Association (NYHA) class. This was a cross-sectional survey conducted at the Heart Failure Clinic in Hospital Pulau Pinang (HPP) over 3 months period starting January 2020 using a convenience sampling method. All patients were included except patients under 18 years old, pregnant patients, diagnosed with psychiatric or depressive disorders and HF inpatients. A validated English and Malay version of Patient-Health Questionnaire-9 (PHQ-9) was used for screening of depressive symptoms. High scorers (≥ 10) were regarded as depressive. Results were reported in percentage (%) or median ± interquartile range (IQR). Fisher’s exact test with a 95% confidence interval was used. A total of 177 patients were recruited. The prevalence of perceived depressive symptoms among HF outpatients in HPP was 14.1%. The NYHA class was significantly associated with depressive status (p = 0.003). Depressive symptoms were common among these outpatients diagnosed with HF. A higher NYHA class suggested a higher depressive symptoms score. Screening for perceived depression especially patients with higher NYHA class was recommended.
患有抑郁症的心力衰竭(HF)患者通常预后不佳。本研究旨在确定HF门诊患者感知抑郁症状的患病率及其与纽约心脏协会(NYHA)等级的关系。这是一项从2020年1月开始在皮昂岛医院心力衰竭诊所(HPP)使用方便抽样方法进行的为期3个月的横断面调查。除18岁以下患者、孕妇、诊断为精神或抑郁障碍的患者和HF住院患者外,所有患者均被纳入。使用经验证的英文和马来文版患者健康问卷-9(PHQ-9)筛查抑郁症状。高分者(≥10分)被视为抑郁。结果以百分比(%)或中位数±四分位间距(IQR)报告。采用95%置信区间的Fisher精确检验。共招募了177名患者。在HPP的HF门诊患者中,感知抑郁症状的患病率为14.1%。NYHA等级与抑郁状态显著相关(p=0.003)。抑郁症状在这些被诊断为HF的门诊患者中很常见。NYHA级别越高,抑郁症状得分越高。建议筛查可感知的抑郁症,尤其是NYHA级别较高的患者。
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引用次数: 0
Molecular Docking, Drug-Likeness and SwissADME Evaluations of the Interactions of 2’-Substituted Triclosan Derivatives with Plasmodium falciparum Enoyl-Acyl Carrier Protein Reductase 2 ' -取代三氯生衍生物与恶性疟原虫烯酰酰基载体蛋白还原酶相互作用的分子对接、药物相似性和SwissADME评价
Pub Date : 2022-11-16 DOI: 10.21315/mjps2022.20.2.5
Z. Ibrahim, A. Uzairu, G. Shallangwa, S. Abechi, S. Isyaku
The orthodox process of investigating lead molecules is a lengthy and laborious one that in most cases leads to minimal success. Molecular docking analysis provides an alternative path to drug discovery through the interactions of two or more complexes. Molecular docking studies were performed on 12 theoretically designed derivatives of 2’-substituted triclosan against a Plasmodium falciparum (P. falciparum) enoyl-acyl carrier protein reductase (PfENR) protein target as well as predicting their drug-likeness and SwissADME properties. The docking studies were carried out using the Molegro Virtual Docker (MVD) where the molecular interactions between the ligands and the target protein were studied. The docking analysis revealed 5-(((5-chloro-2-(4-chloro-2-hydroxyphenoxy)benzyl)amino)methyl) benzofuran-6-ol (re-rank docking score = -145.497 kcal/mol) as the most stable derivative. The compounds were all found to completely concord with the Lipinski rule regulations, in addition to the molar refractivity as well as the number of rotatable bonds appearing within acceptable limits. All compounds except 2–5 and 7 show high gastrointestinal absorption, and are non-inhibitors of cytochrome P450; CYP1A2 and CYP2C19 except CYP2C9, lack BBB penetration, and only compounds 2–7 and 12 were found to inhibit permeabilityglycoprotein (P-gp) substrate. The findings suggest that some of the derivatives tend to increase the oral bioavailability of the substrate and most of them cannot be used in the treatment of cerebral malaria. These results may lead to future optimisation of the designed derivatives for improved antimalarial agents.
研究铅分子的传统过程是一个漫长而费力的过程,在大多数情况下,成功率很低。分子对接分析通过两种或多种复合物的相互作用为药物发现提供了一条替代途径。对12种理论设计的2'-取代三氯生衍生物进行了分子对接研究,以对抗恶性疟原虫(P.falciparum)烯酰基载体蛋白还原酶(PfENR)蛋白靶标,并预测了它们的药物相似性和SwissADME特性。对接研究是使用Molegro虚拟对接器(MVD)进行的,其中研究了配体和靶蛋白之间的分子相互作用。对接分析显示,5-(((5-氯-2-(4-氯-2-羟基苯氧基)苄基)氨基)甲基)苯并呋喃-6-醇(重新排序的对接得分=-145.497 kcal/mol)是最稳定的衍生物。除了摩尔折射率以及出现在可接受范围内的可旋转键的数量外,发现所有化合物都完全符合利平斯基规则。除2-5和7外,所有化合物都表现出高胃肠道吸收,并且是细胞色素P450的非抑制剂;除CYP2C9外,CYP1A2和CYP2C19缺乏血脑屏障穿透,只有化合物2-7和12被发现能抑制渗透性糖蛋白(P-gp)底物。研究结果表明,一些衍生物往往会增加基质的口服生物利用度,其中大多数不能用于治疗脑疟疾。这些结果可能导致未来优化所设计的用于改进抗疟药物的衍生物。
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引用次数: 0
Drug Utilisation Evaluation of Human Albumin Solution in Tawau Hospital, Sabah, Malaysia 马来西亚沙巴州斗湖医院人白蛋白溶液的药物利用评价
Pub Date : 2022-11-16 DOI: 10.21315/mjps2022.20.2.8
N. Mazlan, Connie Vun Sie Yee, A. Mat Yusoff, Muhamad Fauzanudin Baharudin, Kim Yok Catherine Ong, Kohila Krishnan, M. F. Limun
Human albumin solution (HAS) which is available in government hospitals in Malaysia, mostly are supplied by the National Blood Centre, Ministry of Health (MOH) Malaysia. Due to the high usage of HAS, it is a strain to meet the demands nationwide. Moreover, HAS is very expensive. This study was a retrospective observational study evaluating drug utilisation of HAS in Hospital Tawau, Sabah. A name list of 61 patients who had received HAS between 6 months from 1 January to 30 June 2019 was sent for medical records tracing. Forty-eight prescriptions of HAS were evaluated and later categorised as ‘proven indications’ or ‘unproven indications’ with the aid of an internally prepared guideline. The result of this study indicates that 12 (25%) out of 48 prescriptions were for ‘unproven indications’. Possible wastage due to ‘unproven indications’ was 29 vials which were 20% of the total HAS usage in this study, estimated to cost RM7,804 (USD1,880). Major surgery with a serum albumin level of 20 g/L and above (55.2%), paracentesis with ascitic fluid removed of less than 5 L (24.1%) and hypoalbuminemia without justified comorbid or diagnosis (20.6%) being reasons for possible wastage of HAS in this study. The percentage of possible wastage of HAS reflected in this study was not as high as other published research done in other countries, mainly due to additional steps required for prescribing HAS in our facility (filling Blood Plasma Product Request Form) and also the need to obtain approval from the Director-General of MOH Malaysia if it was prescribed for other than the approved indications.
马来西亚政府医院提供的人白蛋白溶液(HAS),主要由马来西亚卫生部(MOH)国家血液中心提供。由于HAS的高使用率,满足全国的需求是一种压力。此外,HAS非常昂贵。本研究是一项回顾性观察性研究,评估沙巴州斗湖医院HAS的药物利用情况。在2019年1月1日至6月30日6个月内接受HAS治疗的61名患者的名单已发送用于医疗记录追踪。在内部编制的指南的帮助下,对48个HAS处方进行了评估,并随后将其分类为“已证实的适应症”或“未证实的适应症”。这项研究的结果表明,48张处方中有12张(25%)用于“未经证实的适应症”。由于“未经证实的适应症”可能造成的浪费为29瓶,占本研究中HAS总使用量的20%,估计成本为7804令吉(1880美元)。在本研究中,大手术时血清白蛋白水平为20 g/L及以上(55.2%),穿刺时腹水排出量小于5 L(24.1%),以及无合理合并症或诊断的低白蛋白血症(20.6%)是可能造成HAS浪费的原因。本研究中反映的ha可能浪费的百分比并不像其他国家发表的其他研究那样高,主要是由于在我们的设施中处方ha需要额外的步骤(填写血浆产品申请表),并且如果它是针对批准适应症以外的其他适应症开出的,则需要获得马来西亚卫生部总干事的批准。
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引用次数: 0
Exploring Pharmacists’ Experiences with Annual Renewal of License of Practice in Nigeria 尼日利亚药师执业执照年度更新经验探讨
Pub Date : 2022-11-16 DOI: 10.21315/mjps2022.20.2.10
Sai’du Lawal Burji, A. Jatau, G. Khalid, M. K. Hassan, Ismaeel Yunusa, Safiya A. Shehu, K. Gulma, A. Ahmed, Fatima Mohammed, Inuwa Bello
Consistent with the global best practices, pharmacists practicing in Nigeria are mandated by law to renew their professional licenses annually. However, there is limited data regarding pharmacists’ experience with the renewal of practice licenses in Nigeria. Therefore, we aimed to provide this data. A cross-sectional study was conducted in an online survey (using Google FormTM). Eligible respondents were registered pharmacists in Nigeria. A questionnaire (link) that examines experiences towards renewing their license was developed and validated. The survey link was shared with the respondents via social media platforms, namely, Facebook, WhatsApp and Twitter. A total of 349 pharmacists responded to the survey, of which 313 (89.7%) completed the questionnaire. Of these respondents, 276 (88.2%) reported renewing their licenses annually. Among those, 18 (48.6%) do not renew their licenses due to the high cost of license renewal, 9 (24.3%) due to cumbersome process and 8 (21.6%) reported licenses not required in their place of work, were the common reasons for not renewing their licenses. A total of 277 (88.5%) respondents indicated a preference in the online method of license renewal. Of the respondents, 43.5% and 64.2% disagreed with linking Mandatory Continuing and Professional Development (MCPD) and payment of professional associations’ dues with re-licensure, respectively. Twenty (6.4%) rated the performance of the Pharmacists Council of Nigeria (PCN) as excellent and 143 (45.7%) as good. A high proportion of pharmacists (276 out of 313) renew their practice licenses in Nigeria. However, a reasonable number of pharmacists 82 (29.7%) in this study reported inconsistent attitudes towards license renewal. Therefore, there is a need for interventions to encourage pharmacists to renew their licenses annually.
根据全球最佳实践,在尼日利亚执业的药剂师根据法律规定每年更新其专业执照。然而,关于药剂师在尼日利亚执业许可证续期方面的经验,数据有限。因此,我们旨在提供这些数据。在一项在线调查中进行了一项横断面研究(使用Google FormTM)。符合条件的受访者是尼日利亚的注册药剂师。开发并验证了一份调查问卷(链接),该问卷调查了他们在更新许可证方面的经验。调查链接通过Facebook、WhatsApp和Twitter等社交媒体平台与受访者分享。共有349名药剂师接受了调查,其中313人(89.7%)完成了问卷调查。在这些受访者中,276人(88.2%)报告每年更新执照。其中,18人(48.6%)因换证成本高而不换证,9人(24.3%)因手续繁琐而不换照,8人(21.6%)报告工作场所不需要换证,是不换照的常见原因。共有277名(88.5%)受访者表示更喜欢在线换证方式。在受访者中,43.5%和64.2%的人分别不同意将强制性持续和专业发展(MCPD)和支付专业协会会费与重新许可联系起来。二十(6.4%)人将尼日利亚药剂师委员会(PCN)的表现评为优秀,143(45.7%)人评为良好。在尼日利亚,很高比例的药剂师(313人中有276人)更新了执业执照。然而,在这项研究中,有82名药剂师(29.7%)报告对执照续期的态度不一致。因此,有必要采取干预措施,鼓励药剂师每年更新执照。
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引用次数: 0
Empirical Quality Evaluation of Common Brands of Ceftriaxone Sodium Injection Marketed in the Northern Region of Nigeria 尼日利亚北部地区常用品牌头孢曲松钠注射液质量的实证评价
Pub Date : 2022-11-16 DOI: 10.21315/mjps2022.20.2.1
Dahiru Ibrahim Malami, N. Aminu, A. Jatau, M. K. Hassan, S. Ilyasu, Abraham Daniel
Information related to the quality of ceftriaxone (CF) sold in northern Nigeria is limited. Therefore, we aimed to evaluate the quality of different brands of CF sodium injections marketed in Kano State of Nigeria. Thirteen different brands of CF sodium for injection (three samples per brand) were obtained from patent medicines vendors (PMVs), pharmacies and a government drug store in Kano State of Nigeria. The quality of these brands was assessed using physicochemical quality-control tests (colour, appearance, labelling, pH, weight uniformity and percentage of content). The results obtained from these tests were checked for compliance with the standards specified in British Pharmacopoeia 2009 (BP 2009) and the United States Pharmacopeia 2016 (USP 2016). All 13 (100%) brands were registered with the National Agency for Food and Drug Administration and Control (NAFDAC). The samples were brands imported from other countries and passed tests for colour and pH. However, 1 of the 13 samples did not pass the labelling inspection and only 4 (30.8%) brands were found to fulfil the requirements for physical appearance. Twelve (92.3%) of the 13 evaluated brands were found to have an acceptable percentage of content within a range of 95%–105% based on BP 2009 standards. The tested brands of CF sodium injection being marketed in Kano State of Nigeria were found to have variable compliance regarding the BP 2009 and USP 2016 specifications. Therefore, there is a need for relevant regulatory agencies to embark on more post-marketing surveillance to ensure the quality of medicines in Nigeria.
与尼日利亚北部销售的头孢曲松(CF)质量有关的信息有限。因此,我们旨在评估在尼日利亚卡诺州销售的不同品牌的CF钠注射液的质量。从尼日利亚卡诺州的专利药品供应商、药店和一家政府药店获得了13个不同品牌的注射用氟氯化钠(每个品牌3个样品)。这些品牌的质量通过理化质量控制测试(颜色、外观、标签、pH值、重量均匀性和含量百分比)进行评估。检测结果符合2009年英国药典(BP 2009)和2016年美国药典(USP 2016)规定的标准。所有13个(100%)品牌都在国家食品药品监督管理局(NAFDAC)注册。这些样本是从其他国家进口的品牌,并已通过颜色和ph值测试。然而,13个样本中有1个没有通过标签检查,而只有4个(30.8%)品牌符合外观要求。根据BP 2009年的标准,13个被评估品牌中有12个(92.3%)的可接受含量百分比在95%-105%的范围内。在尼日利亚卡诺州销售的CF钠注射液的测试品牌被发现在BP 2009和USP 2016规范方面具有不同的合规性。因此,相关监管机构有必要开展更多的上市后监测,以确保尼日利亚药品的质量。
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引用次数: 0
Anti-Toxic Principles from Morinda lucida and Annona muricata Down-Regulated Ki67 and Multi-Drug Resistance1 Genes in Lead-Induced Hepato-Toxicity in Rats 桑葚和野牡丹抗毒原理下调铅致大鼠肝毒性Ki67和多重耐药基因
Pub Date : 2022-11-16 DOI: 10.21315/mjps2022.20.2.11
A. Akinlolu, Temitope Omohimoria, A. Oyewopo, R. Kadir, Mubarak Oloduowo Ameen
Morinda lucida (ML) and Annona muricata (AM) are ethno-medicinal plants with antioxidant potentials. In addition, lead is a toxic pollutant of global health concerns. This study evaluated the effects of column chromatography-extracted ethanolic fractions of ML and AM leaves on immuno-modulations of Ki67 and multi-drug resistance1 (MDR1) proteins in the liver of rats in lead acetate (LA)-induced hepato-toxicity in-order to determine their hepato-protective, anti-proliferation, anti-drug resistance and anti-cancer potentials. Sixty adult female rats were randomly divided into 12 groups (n = 5). Groups 1 and 2 received physiological saline and 100 mg/kg bodyweight of LA, respectively, for 5 weeks. Groups 3–6 received 100 mg/ kg bodyweight LA for 2 weeks followed by post-treatments with 7.5 mg/kg and 15 mg/kg bodyweight of ML, and 7.5 mg/kg and 10 mg/kg bodyweight of AM, respectively, for another 3 weeks. Groups 7–10 received 7.5 mg/kg and 15 mg/kg bodyweight of ML, and 7.5 mg/ kg and10 mg/kg bodyweight of AM, respectively, for 5 weeks. Groups 11 and 12 received co-administrations of 100 mg/kg bodyweight LA simultaneously with 15 mg/kg bodyweight ML and 10 mg/kg bodyweight of AM, respectively, for 5 weeks. Drugs and extracts were administered orally. Consequently, liver histopathology (heamatoxylin and eosin technique) and enzyme linked immunosorbent assay (ELISA) homogenates’ concentrations of Ki67 and MDR1 were evaluated. Computed data were statistically analysed (p ≤ 0.05). Results showed normal liver histology in all groups. Post-treatments of LA-induced hepato-toxicity resulted in statistically significant (p ≤ 0.05) and non-significant decreased concentrations (p ≥ 0.05) of Ki67 and MDR1 in Groups 3–12 compared with Group 2. These observations indicated that ML and AM ameliorated LA-induced hepato-toxicity, abnormal proliferation, drug resistance and mutagenesis.
Morinda lucida (ML)和Annona muricata (AM)是具有抗氧化潜力的民族药用植物。此外,铅是一种引起全球健康关注的有毒污染物。本研究以乙酸铅(LA)致肝毒性大鼠为研究对象,通过柱层析提取ML和AM叶乙醇组分对其肝脏中Ki67和MDR1蛋白免疫调节的影响,探讨其保肝、抗增殖、耐药和抗癌作用。将60只成年雌性大鼠随机分为12组(n = 5),第1组和第2组分别给予生理盐水和100 mg/kg体重的LA,饲养5周。3 ~ 6组分别给予100 mg/kg体重的LA治疗2周,后分别给予7.5 mg/kg和15 mg/kg体重的ML和7.5 mg/kg和10 mg/kg体重的AM治疗3周。7 ~ 10组分别给予7.5 mg/kg、15 mg/kg体重的ML和7.5 mg/kg、10 mg/kg体重的AM,连续5周。第11组和第12组分别给予100 mg/kg体重LA同时给予15 mg/kg体重ML和10 mg/kg体重AM,连续5周。口服药物和提取物。因此,肝脏组织病理学(血精素和伊红技术)和酶联免疫吸附试验(ELISA)均质液中Ki67和MDR1的浓度进行了评估。对计算数据进行统计学分析(p≤0.05)。结果各组肝脏组织学均正常。la肝毒性治疗后,3 ~ 12组大鼠Ki67、MDR1浓度较2组降低,差异有统计学意义(p≤0.05),但差异无统计学意义(p≥0.05)。这些观察结果表明,ML和AM改善了la诱导的肝毒性、异常增殖、耐药和诱变。
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Malaysian Journal of Pharmaceutical Sciences
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