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2005 Asian Conference on Sensors and the International Conference on New Techniques in Pharmaceutical and Biomedical Research最新文献

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A Comparative Study of Apigenin Content and Antioxidant Potential of CosmosBipinnatus Transgenic Root Culture 草芥转基因根培养芹菜素含量及抗氧化潜力的比较研究
Soroush Bijani, Z. Gharari, A. Ahmadnia, H. Danafar, A. Sharafi
Background: Flavonoid-derived components have been studied for their therapeutic properties. Objectives: Apigenin has shown remarkable antioxidant and anti-inflammatory features, so we should have a reliable source of apigenin. Methods: In this study, we used high-performance liquid chromatography method to compare the amount of apigenin in flower, root, leaf, and stem of three varieties of osmos bipinnatus, i.e., ‘Dazzler,’ ‘Xanthos,’ ‘Sensation Pinkie’, and in transgenic root culture of C. bipinnatus ‘Dazzler’. Besides, the antioxidant activity of C. bipinnatus ‘Dazzler’ transgenic root culture was evaluated using Ferric Reducing Antioxidant Power (FRAP) assay. Results: Dazzler variety flowers showed the highest recovery of apigenin with 0.799 mg/100 mg Dry Weight (DW). However, the Sensation pinkie variety leafs had the lowest recovery with 0.089 mg/100mg. Apigenin content in transformed roots (0.797 mg/100 mg DW) of C. bipinnatus ‘Dazzler’ was significantly higher than non-transformed roots (0.42 mg/100 mg DW). The ethanolic extract of hairy root showed the FRAP value of 668.1 µM Fe2+/mg that was comparatively more than the wild root FRAP value (426.2 µM Fe2+/mg). Conclusion: In conclusion, the presence of apigenin in high amounts in hairy root cultures of C. bipinnatus ‘Dazzler’ indicates its great potential for the future pharmaceutical industry.
背景:类黄酮衍生成分因其治疗特性而被研究。目的:芹菜素具有显著的抗氧化和抗炎作用,因此我们应该有一个可靠的芹菜素来源。方法:采用高效液相色谱法比较了‘Dazzler’、‘Xanthos’、‘Sensation Pinkie’3个山楂品种花、根、叶、茎和转基因山楂‘Dazzler’根培养物中芹菜素的含量。此外,采用铁还原抗氧化能力(FRAP)法对转“炫乐”转基因根培养物的抗氧化活性进行评价。结果:花中芹菜素的回收率最高,为0.799 mg/100 mg干重(DW)。而感觉小指品种叶片的回收率最低,为0.089 mg/100mg。转化根中芹菜素含量(0.797 mg/100 mg DW)显著高于未转化根(0.42 mg/100 mg DW)。毛状根乙醇提取物的FRAP值为668.1µM Fe2+/mg,高于野生根的FRAP值(426.2µM Fe2+/mg)。结论:综上所述,刺眼草毛状根培养物中含有大量的芹菜素,具有广阔的制药应用前景。
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引用次数: 1
Inhibitory Effects of Salinispora-derived Metabolites Against Multidrug Resistance: An In-silico Study 盐孢衍生代谢物对多药耐药的抑制作用:一项计算机研究
Morteza Ghandadi
Background: Multi Drug Resistance (MDR) is known to defeat most chemotherapies as one of the main anticancer strategies. The role of overexpression or overactivation of ATPBinding Cassette (ABC) transporters, especially P-glycoprotein (P-gp), in the development of chemotherapy has long been demonstrated. Salinispora is a marine actinomycete genus known for the production of novel bioactive metabolites. Objectives: In this study, the potential of Salinispora derived metabolites as inhibitor of ATPbinding cassette (ABC) transports have been investigated using in-silico approaches. Methods: Physicochemical, pharmacokinetic and drug likeness of the Salinispora derived metabolites have been analyzed using SwissADME server. This was accompanied by the employment of docking strategy to evaluate anti-MDR potential of the metabolites using P-gp, Breast Cancer Resistance Protein (BCRP) and Multidrug Resistance Protein 1 (MRP-1) as target proteins. Results: Nineteen metabolites were found to have demonstrated appropriate physicochemical, pharmacokinetic, and drug-likeness properties and were involved in the docking studies. Based on docking studies, saliniquinones, cyclomarazine, and cyanosporoside A demonstrated ABC transporters inhibitory potential. Conclusion: Our results suggest that further in vivo and in vitro studies on anti-MDR effects of Salinispora-derived metabolites are warranted.
背景:多药耐药(MDR)被认为是击败大多数化疗的主要抗癌策略之一。ATPBinding Cassette (ABC)转运体,特别是p -糖蛋白(P-gp)的过表达或过激活在化疗发展中的作用早已被证实。Salinispora是一种海洋放线菌属,以生产新型生物活性代谢物而闻名。目的:在这项研究中,盐孢衍生代谢物作为ATPbinding cassette (ABC)转运抑制剂的潜力已经用计算机方法进行了研究。方法:采用SwissADME软件对盐藻衍生代谢物进行理化、药代动力学和药物相似性分析。同时采用对接策略,以P-gp、乳腺癌耐药蛋白(BCRP)和多药耐药蛋白1 (MRP-1)为靶蛋白,评估代谢物的抗mdr潜力。结果:19种代谢物被发现具有适当的物理化学、药代动力学和药物相似特性,并参与对接研究。基于对接研究,盐醌类、环马杂嗪和氰孢苷A显示出抑制ABC转运蛋白的潜力。结论:我们的研究结果表明,在体内和体外进一步研究盐孢衍生代谢物的抗耐多药作用是有必要的。
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引用次数: 1
Synthesis of Pyrazolo[1,2-b]phthalazine-5,10- dione Derivatives: A New Class of α –Glucosidase Inhibitors 吡唑[1,2-b]酞嗪-5,10-二酮衍生物的合成:一类新的α -葡萄糖苷酶抑制剂
Maryam Hosseinpoor Tehrani, S. Mirshokraie, M. Khoobi, M. Amini
Background: Hyperglycemia is a metabolic disorder that refers to an increase in blood sugar in diabetic patients. α-Glucosidase has been introduced as a membrane-bound enzyme, and it is the main enzyme for carbohydrate digestion in some parts of the intestine. Inhibition of α -glucosidase enzyme activity is a reliable approach to control post-prandial hyperglycemia condition. Objectives: In this study, a series of Pyrazolo[1,2-b]phthalazine-5,10-dione derivatives 5a–t were synthesized via a multicomponent reaction and evaluated as new inhibitors for α-glucosidase. Methods: The biological activity of the synthesized compounds was studied using a source of the α-glucosidase enzyme (EC3.2.1.20, Saccharomyces cerevisiae) at 20 U/mg concentration. Results: Four compounds showed higher α-glucosidase inhibitory activity in comparison to a standard, i.e., Acarbose. Compound 5q displays the most potent α-glucosidase inhibitory activity (IC50 = 155.4 ± 6.0 μM). Conclusion: In conclusion, some of the synthesized compounds, including heterocyclic core molecules, have shown remarkable activity that could be considered as subjects for the development of new, more efficient inhibitors of the α-glucosidase enzyme.
背景:高血糖症是一种代谢性疾病,指的是糖尿病患者血糖升高。α-葡萄糖苷酶是一种膜结合酶,是肠道某些部位碳水化合物消化的主要酶。抑制α -葡萄糖苷酶活性是控制餐后高血糖的可靠方法。目的:通过多组分反应合成一系列吡唑啉[1,2-b]酞嗪-5,10-二酮衍生物5a-t,并评价其作为α-葡萄糖苷酶的新型抑制剂。方法:以α-葡萄糖苷酶(EC3.2.1.20, Saccharomyces cerevisiae)为原料,以20 U/mg的浓度对合成的化合物进行生物活性研究。结果:4种化合物对α-葡萄糖苷酶的抑制活性高于对照品阿卡波糖。化合物5q的α-葡萄糖苷酶抑制活性最强(IC50 = 155.4±6.0 μM)。结论:综上所述,所合成的一些化合物,包括杂环核心分子,显示出了显著的活性,可以作为开发新的、更有效的α-葡萄糖苷酶抑制剂的对象。
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引用次数: 1
Dental Prostheses and Risk of Medication-related Osteonecrosis of the Jaw 牙齿修复和药物相关性颌骨骨坏死的风险
L. D. de Castro, Satiro Watanabe, Luciano Leite de Castro
The article's abstract is not available.
这篇文章的摘要没有。
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引用次数: 0
Doctors Perception of the Use of Hydroxychloroquine as Prophylaxis for COVID-19 Infection 医生对羟氯喹预防COVID-19感染的看法
Proteesh Rana, M. Ghadlinge, Pratap Singh, Rakhamaji D. Chandane, A. Khanna
Background: The National Task force constituted by the Indian Council of Medical Research (ICMR) and various International agencies has recommended the use of Hydroxychloroquine (HCQ) as prophylaxis for Coronavirus Disease 2019 (COVID-19). This measure was taken because of the urgent need to protect high-risk individuals like Health Care Workers (HCW) from contracting COVID-19. Objectives: This study aimed to assess the awareness, attitudes, and practices on using HCQ as prophylaxis to prevent COVID-19 infection. Methods: A cross-sectional study was conducted among the doctors working in Dr RML Hospital, New Delhi, India, a tertiary care public hospital involved in the care of COVID-19 patients. The invitation to participate was electronically circulated, and the consenting participants were allowed to access an online survey. The survey had a total of 23 questions that were designed to understand the awareness, perception, and practices of doctors regarding the use of HCQ as prophylaxis in COVID-19. Results: About 147 doctors participated in this survey. The major source of knowledge regarding HCQ prophylaxis was quoted as regulatory agencies (44%), particularly ICMR, and the main indication was reported as being a healthcare worker (60%). Most of the participants (91%) believed that the HCQ effect is not clear and felt more scientific data regarding the use of HCQ as prophylaxis for COVID-19. But many doctors (51%) still recommend using HCQ to their colleagues. Conclusion: In this study, we observed that most doctors were aware of the recommendations regarding the HCQ prophylaxis in COVID-19 and had good adherence to therapy but felt the need for more concrete scientific evidence for using HCQ.
背景:由印度医学研究理事会(ICMR)和各国际机构组成的国家工作队建议使用羟氯喹(HCQ)作为2019冠状病毒病(COVID-19)的预防措施。采取这一措施是因为迫切需要保护卫生保健工作者等高危人群不感染COVID-19。目的:本研究旨在评估使用HCQ作为预防COVID-19感染的意识、态度和做法。方法:对印度新德里三级公立医院Dr RML医院参与COVID-19患者护理的医生进行横断面研究。参与邀请以电子方式分发,同意的参与者可以访问在线调查。该调查共有23个问题,旨在了解医生对使用HCQ作为COVID-19预防措施的认识、看法和做法。结果:约147名医生参与了本次调查。关于HCQ预防的主要知识来源是监管机构(44%),特别是ICMR,报告的主要指征是卫生保健工作者(60%)。大多数参与者(91%)认为HCQ的效果尚不清楚,认为使用HCQ预防COVID-19有更多的科学数据。但许多医生(51%)仍然向他们的同事推荐使用HCQ。结论:在本研究中,我们观察到大多数医生了解COVID-19预防HCQ的建议,并且依从性较好,但认为使用HCQ需要更具体的科学证据。
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引用次数: 1
Evaluation of Susceptibility and Resistance of Human Infectious Bacteria and Identification of Bioactive Compounds in Pistacia atlantica, Cassia absus, and Quercus persica 黄连木、决明子和黑栎人体感染性细菌的药敏和耐药性评价及活性物质鉴定
M. Alamholo, Yosof Amraie
Background: The antimicrobial activity of plants has long been considered an effective mechanism for controlling pathogenic microorganisms. Objectives: This study aimed to identify phytochemical compounds of the seed extracts from ethnomedicinal plants of Pistacia atlantica, Cassia absus, and Quercus persica with Gas Chromatography-Mass Spectrometry (GC-MS) and investigation of their antibacterial and antioxidant activities. Methods: The seeds were collected from Lorestan Province, Iran. Their antibacterial and antiradical activities were analyzed by disk-diffusion and 2,2-diphenyl-1-picrylhydrazyl assays, respectively. Ethanol (96%), methanol (80%), and distilled water extracts were obtained by the maceration method. The methanol extract was used for the analysis of chemical compositions. Results: About 40, 31, and 8 compounds were identified by GC-MS in the seeds of C. absus, P. atlantica, and Q. persica, respectively. Results indicated that 2,4-di-tert-butylphenol (36.043%) and tetradecanoic acid (4.92%) were dominated in the seed extracts of C. absus. However, germacyclopetene (38.119%) and 1,2,3-benzenetriol (8.115%) were dominated in the seed extracts of P. atlantica. Furthermore, 5H-tetrazole-5-thione, 1,4-dihydro-1,4-dimethy (38.505%), and tetradecanoic acid (30.546%) were dominated in the seed extracts of Q. persica. The highest inhibitory activity against Micrococcus luteus was observed on the methanol extract of C. absus with ascorbic acid. A significant difference was observed between the Inhibitory Concentration (IC50) values of methanol extract of C. absus with ascorbic acid. Conclusion: Because of the presence of antimicrobial compounds in the tested ethnomedicinal plants, they can be used to synthesize new antimicrobial drugs in medicinal and pharmaceutical sciences.
背景:植物的抑菌活性一直被认为是控制病原微生物的有效机制。目的:采用气相色谱-质谱联用技术对民族药材黄连木、决明子和黑栎种子提取物的化学成分进行鉴定,并对其抗菌和抗氧化活性进行研究。方法:种子采自伊朗Lorestan省。采用圆盘扩散法和2,2-二苯基-1-苦味酰肼法测定其抗菌活性和抗自由基活性。浸渍法得到乙醇(96%)、甲醇(80%)和蒸馏水提取物。甲醇提取物用于化学成分分析。结果:GC-MS法分别从苦参、大西洋参和桃香种子中鉴定出约40、31和8个化合物。结果表明,苦参种子提取物中主要含有2,4-二叔丁基酚(36.043%)和十四酸(4.92%)。其中,细菌环戊烯(38.119%)和1,2,3-苯三醇(8.115%)含量最高。其中,5-四唑-5-硫酮、1,4-二氢-1,4-二甲基(38.505%)和十四烷酸(30.546%)在核桃种子提取物中含量最高。抗坏血酸提取物对黄体微球菌的抑制活性最高。甲醇提取物对抗坏血酸的抑制浓度(IC50)有显著性差异。结论:受试民族药材中含有抗菌化合物,可用于医药和药学领域合成新的抗菌药物。
{"title":"Evaluation of Susceptibility and Resistance of Human Infectious Bacteria and Identification of Bioactive Compounds in Pistacia atlantica, Cassia absus, and Quercus persica","authors":"M. Alamholo, Yosof Amraie","doi":"10.18502/pbr.v7i2.7363","DOIUrl":"https://doi.org/10.18502/pbr.v7i2.7363","url":null,"abstract":"Background: The antimicrobial activity of plants has long been considered an effective mechanism for controlling pathogenic microorganisms. \u0000Objectives: This study aimed to identify phytochemical compounds of the seed extracts from ethnomedicinal plants of Pistacia atlantica, Cassia absus, and Quercus persica with Gas Chromatography-Mass Spectrometry (GC-MS) and investigation of their antibacterial and antioxidant activities. \u0000Methods: The seeds were collected from Lorestan Province, Iran. Their antibacterial and antiradical activities were analyzed by disk-diffusion and 2,2-diphenyl-1-picrylhydrazyl assays, respectively. Ethanol (96%), methanol (80%), and distilled water extracts were obtained by the maceration method. The methanol extract was used for the analysis of chemical compositions. \u0000Results: About 40, 31, and 8 compounds were identified by GC-MS in the seeds of C. absus, P. atlantica, and Q. persica, respectively. Results indicated that 2,4-di-tert-butylphenol (36.043%) and tetradecanoic acid (4.92%) were dominated in the seed extracts of C. absus. However, germacyclopetene (38.119%) and 1,2,3-benzenetriol (8.115%) were dominated in the seed extracts of P. atlantica. Furthermore, 5H-tetrazole-5-thione, 1,4-dihydro-1,4-dimethy (38.505%), and tetradecanoic acid (30.546%) were dominated in the seed extracts of Q. persica. The highest inhibitory activity against Micrococcus luteus was observed on the methanol extract of C. absus with ascorbic acid. A significant difference was observed between the Inhibitory Concentration (IC50) values of methanol extract of C. absus with ascorbic acid. \u0000Conclusion: Because of the presence of antimicrobial compounds in the tested ethnomedicinal plants, they can be used to synthesize new antimicrobial drugs in medicinal and pharmaceutical sciences.","PeriodicalId":6323,"journal":{"name":"2005 Asian Conference on Sensors and the International Conference on New Techniques in Pharmaceutical and Biomedical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78030870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
L-arginine Ameliorated Mitochondrial Oxidative Damage Induced by Sub-chronic Exposure to Cadmium in Mice Kidney l -精氨酸改善亚慢性镉暴露小鼠肾脏线粒体氧化损伤
F. Shaki, Melika Teymoori, F. Motafeghi, Nasibeh Hemmati, M. Arab-Nozari
Background:Cadmium is a heavy metal that can cause various injuries in the body, including nephrotoxicity. L-Arginine is a metal chelator that can prevent oxidative damage caused by oxygen free radicals. Objectives:This study aimed to investigate the effect of L-arginine in inhibiting mitochondrial toxicity induced by subchronic cadmium exposure in the kidney of male mice. Methods: A total of 42 male mice were randomly divided into six groups (n=6): control (normal saline), cadmium (2 mg/kg), cadmium (2 mg/kg) plus three doses of L-arginine (50, 100, and 200 mg/kg) and finally cadmium (2 mg/kg) plus vitamin C (500 mg/kg). After 42 days, the animals were anesthetized with ketamine/xylazine. Their kidney tissues were removed, and mitochondrial fractions were isolated. Oxidative stress factors and mitochondrial damage parameters (MTT, swelling, and mitochondrial membrane potential) were measured in renal isolated mitochondria. Also, evaluation of Blood Urea Nitrogen (BUN) and Creatinine (Cr) tests were done. Results: Significant rise in BUN and Cr were observed in cadmium-treated mice (P<0.05). Cadmium enhanced oxidative stress in the kidney via increasing lipid peroxidation and oxidation of protein and glutathione. It caused significant mitochondrial dysfunction, mitochondrial membrane potential collapse, and swelling in isolated mitochondria (P<0.05). L-Arginine significantly ameliorated cadmium-induced oxidative stress and mitochondrial damage (P<0.05). Furthermore, a significant reduction in serum BUN and Cr were observed in L-arginine received group (P<0.05). Conclusion: The results showed that L-arginine has significant protective effects against cadmium-induced renal toxicity in male mice.
背景:镉是一种重金属,可对人体造成各种伤害,包括肾毒性。精氨酸是一种金属螯合剂,可以防止氧自由基引起的氧化损伤。目的:研究l -精氨酸对亚慢性镉暴露雄性小鼠肾脏线粒体毒性的抑制作用。方法:42只雄性小鼠随机分为6组(n=6):对照组(生理盐水)、镉组(2 mg/kg)、镉组(2 mg/kg)加3种剂量的l -精氨酸(50、100、200 mg/kg)和镉组(2 mg/kg)加维生素C组(500 mg/kg)。42天后,用氯胺酮/噻嗪麻醉动物。取肾组织,分离线粒体组分。在肾分离线粒体中测量氧化应激因子和线粒体损伤参数(MTT、肿胀和线粒体膜电位)。同时评价血尿素氮(BUN)和肌酐(Cr)。结果:镉处理小鼠BUN、Cr显著升高(P<0.05)。镉通过增加脂质过氧化和蛋白质和谷胱甘肽的氧化而增强肾脏的氧化应激。引起离体线粒体明显功能障碍、线粒体膜电位塌陷、肿胀(P<0.05)。l -精氨酸可显著改善镉诱导的氧化应激和线粒体损伤(P<0.05)。l -精氨酸治疗组血清BUN和Cr显著降低(P<0.05)。结论:左旋精氨酸对镉致雄性小鼠肾毒性有明显的保护作用。
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引用次数: 4
Poisoning and its Management in Healthcare Facilities in Lagos State, Nigeria 尼日利亚拉各斯州医疗机构的中毒及其管理
A. Joda, O. Ajetunmobi, O. Olugbake
Background: Poisons are chemical substances that produce harmful effects on the body. About 0.3 million people die annually from poisoning. Poisons are produced by animals, plants, microorganisms, and food contamination. Poisoning is a global public health problem, especially in children and teenagers and healthcare providers ought to provide protocols for its management. Objectives: The main aim of this study was to document the mode, knowledge of antidotes, and management of poisoning by healthcare providers in selected community pharmacies and hospitals in Lagos state. Methods: This study was a descriptive cross-sectional study. The study data were collected using questionnaires administered to 112 providers in selected community pharmacies and hospitals in Lagos state. The obtained data were collated and analyzed using SPSS version 20.0. Results were presented as frequency tables and charts. Results: A response rate of 85.7% was achieved. The most common mode of poisoning was accidental (89% and 68% among pharmacists and physicians, respectively) and the highest incidence was among children 0-5 years old (41.5% and 48.3% among pharmacists and physicians, respectively). Management was mainly via gastric decontamination with activated charcoal in pharmacies and supportive care in the hospitals. Knowledge and availability of antidotes and management of poisoning were poor. Conclusion: Management of poisoning was generally inadequate and the prominence of a poison control center was recognized. The establishment of poison control centers in healthcare facilities and the organization of updated lectures for healthcare providers will go a long way to improving poisoning management in the state.
背景:毒物是对身体产生有害影响的化学物质。每年大约有30万人死于中毒。毒物是由动物、植物、微生物和食物污染产生的。中毒是一个全球性的公共卫生问题,特别是在儿童和青少年中,医疗保健提供者应该提供其管理方案。目的:本研究的主要目的是记录在拉各斯州选定的社区药房和医院的卫生保健提供者的模式、解毒剂知识和中毒管理。方法:本研究为描述性横断面研究。研究数据是通过对拉各斯州选定的社区药房和医院的112名提供者进行问卷调查收集的。使用SPSS 20.0对所得数据进行整理和分析。结果以频率表和图表的形式呈现。结果:总有效率为85.7%。意外中毒是最常见的中毒方式(药剂师和医生分别占89%和68%),0-5岁儿童中毒发生率最高(药剂师和医生分别占41.5%和48.3%)。管理主要是通过药房用活性炭进行胃净化和医院的支持护理。解毒剂的知识和可用性以及中毒管理都很差。结论:中毒管理普遍不足,认识到中毒控制中心的重要性。在卫生保健机构建立中毒控制中心,并为卫生保健提供者组织更新的讲座,将大大有助于改善该州的中毒管理。
{"title":"Poisoning and its Management in Healthcare Facilities in Lagos State, Nigeria","authors":"A. Joda, O. Ajetunmobi, O. Olugbake","doi":"10.18502/pbr.v7i1.7352","DOIUrl":"https://doi.org/10.18502/pbr.v7i1.7352","url":null,"abstract":"Background: Poisons are chemical substances that produce harmful effects on the body. About 0.3 million people die annually from poisoning. Poisons are produced by animals, plants, microorganisms, and food contamination. Poisoning is a global public health problem, especially in children and teenagers and healthcare providers ought to provide protocols for its management. \u0000Objectives: The main aim of this study was to document the mode, knowledge of antidotes, and management of poisoning by healthcare providers in selected community pharmacies and hospitals in Lagos state. \u0000Methods: This study was a descriptive cross-sectional study. The study data were collected using questionnaires administered to 112 providers in selected community pharmacies and hospitals in Lagos state. The obtained data were collated and analyzed using SPSS version 20.0. Results were presented as frequency tables and charts. \u0000Results: A response rate of 85.7% was achieved. The most common mode of poisoning was accidental (89% and 68% among pharmacists and physicians, respectively) and the highest incidence was among children 0-5 years old (41.5% and 48.3% among pharmacists and physicians, respectively). Management was mainly via gastric decontamination with activated charcoal in pharmacies and supportive care in the hospitals. Knowledge and availability of antidotes and management of poisoning were poor. \u0000Conclusion: Management of poisoning was generally inadequate and the prominence of a poison control center was recognized. The establishment of poison control centers in healthcare facilities and the organization of updated lectures for healthcare providers will go a long way to improving poisoning management in the state.","PeriodicalId":6323,"journal":{"name":"2005 Asian Conference on Sensors and the International Conference on New Techniques in Pharmaceutical and Biomedical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74495043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Hemorrhagic Events in Patients Receiving Heparin or Enoxaparin in Combination With Oral Antithrombotics, NSAIDs, and Antiplatelet Medications: A Multi-Center Case-Series Study 接受肝素或依诺肝素联合口服抗血栓药、非甾体抗炎药和抗血小板药物的患者出血事件:一项多中心病例系列研究
A. Ghanbarzamani, Aida Sefidani Forough, J. Salamzadeh, F. Fahimi
Background: Hemorrhagic events are amongst the significant adverse effects of injectable anticoagulants such as heparin and enoxaparin. This undesirable effect needs close monitoring of their use for clinically relevant drug-drug interactions. Objectives: To study the rate of hemorrhagic events, the anatomical site, and the severity of the bleeding in patients receiving heparin or enoxaparin in combination with clopidogrel, Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), and warfarin. Methods: We designed a prospective, multi-center, case-series study. Patients admitted to two teaching hospitals who received either an NSAID, or warfarin, or clopidogrel were evaluated. Any hemorrhagic event was recorded by Yellow Card Scheme. Also, the Naranjo scale was utilized for causality assessment.Results: A total of 123 patients were eligible for inclusion. They were admitted between November 2014 and April 2015. Sixty-five patients (52.5%) received heparin and 58 patients (47.2%) received enoxaparin. Of 123 patients, 115 patients (93.5%) received aspirin, 69 (56.1%) warfarin, 34 (27.6%) an antiplatelet medication, and 121 (98.4%) NSAIDs in combination with heparin or enoxaparin. Overall, 26 cases (21.1%) of the hemorrhagic incident were reported, of whom six cases (4.9%) were categorized as major bleeding. Patients receiving heparin constituted the largest proportion among all 26 hemorrhagic incidents (57.7%). All patients with the hemorrhagic incident had aspirin in their medication regimen, while 19 patients (73.0%) were concomitantly receiving warfarin as well. Hematuria (46.2%), hematoma in the injection site (38.5%), and hematoma (34.6%) were the top three types of hemorrhagic events. In Naranjo scale analysis, 19 patients scored more than 9 points, indicating a definite Adverse Drug Reaction (ADR) causality. Moreover, seven patients scored 5 to 8, affirming a possible association with ADR. Conclusion: The risk of hemorrhagic can be influenced by undesirable drug-drug interactions. Close monitoring of high-risk patients is advised to prevent adverse hemorrhagic reactions. Further studies to detect the explanatory factors associated with the hemorrhagic events are recommended.  
背景:出血事件是注射抗凝剂如肝素和依诺肝素的显著不良反应之一。这种不良影响需要密切监测其临床相关药物-药物相互作用的使用。目的:探讨肝素或依诺肝素联合氯吡格雷、非甾体抗炎药(NSAIDs)、华法林患者的出血事件发生率、解剖部位及出血严重程度。方法:我们设计了一项前瞻性、多中心、病例系列研究。对两所教学医院收治的接受非甾体抗炎药、华法林或氯吡格雷治疗的患者进行评估。黄牌系统记录出血情况。并采用纳兰霍量表进行因果关系评价。结果:共有123例患者符合纳入条件。他们在2014年11月至2015年4月期间入院。65例(52.5%)患者接受肝素治疗,58例(47.2%)患者接受依诺肝素治疗。123例患者中,115例(93.5%)患者使用阿司匹林,69例(56.1%)使用华法林,34例(27.6%)使用抗血小板药物,121例(98.4%)使用非甾体抗炎药联合肝素或依诺肝素。报告出血事件26例(21.1%),其中大出血6例(4.9%)。26例出血事件中接受肝素治疗的患者所占比例最大(57.7%)。所有发生出血事件的患者均在其用药方案中使用阿司匹林,而19例患者(73.0%)同时使用华法林。血尿(46.2%)、注射部位血肿(38.5%)和血肿(34.6%)是排在前三位的出血事件。在Naranjo量表分析中,有19例患者得分在9分以上,表明存在明确的药物不良反应(ADR)因果关系。此外,7名患者得分为5至8分,证实了与ADR的可能关联。结论:不良的药物相互作用可影响出血风险。建议密切监测高危患者,防止出血不良反应。建议进一步研究发现与出血事件相关的解释因素。
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引用次数: 0
The Effect of Inclusive Quality Management on the Educational Accreditation Results of the Educational Centers of Mazandaran University of Medical Sciences in 2015-2018 全纳质量管理对马赞达兰医科大学教育中心2015-2018年教育认证结果的影响
Roya Malekzadeh, F. Amuei, Elahe Mahmoudi, G. Abedi, H. Mohammadi
Background: The Deming model is an effective method for comprehensive quality management. Objectives: This study aimed to investigate the effect of inclusive quality management on the educational accreditation results of the educational hospitals in the Mazandaran Province, Iran. Methods: This interventional study was conducted in 5 hospitals. In this study, the Deming cycle validation model was employed. This model, which is based on the checklist for the educational centers of the Ministry of Health and Medical Education, has 91 benchmarks for 81 standards. Descriptive statistical methods (Wilcoxon and Friedman nonparametric tests) were used to analyze the data. Results: A significant difference was observed among the accreditation scores of the hospitals before and after the intervention (P<0.05). The accreditation score obtained by the educational centers improved by 41.1, 37, 15.7, 53.2, and 49.2 units. Besides, the intervention outcomes in all areas of accreditation, except facilities management, space, facilities, equipment, and resources, were significantly different. Conclusion: The use of the Deming cycle has proved effective in performing the educational accreditation of the centers, which can be achieved with continuous and proper implementation. This study can help improve the standards of education of the educational centers.
背景:戴明模型是一种有效的全面质量管理方法。目的:本研究旨在探讨全纳品质管理对伊朗马赞达兰省教育医院教育认证结果的影响。方法:对5家医院进行介入研究。本研究采用Deming循环验证模型。该模型以卫生和医学教育部各教育中心的核对表为基础,为81项标准制定了91项基准。采用描述性统计方法(Wilcoxon和Friedman非参数检验)对数据进行分析。结果:干预前后各医院的认可评分差异有统计学意义(P<0.05)。教育中心获得的认证分数分别提高了41.1、37、15.7、53.2和49.2个单位。此外,除设施管理、空间、设施、设备、资源外,各认可领域的干预效果均存在显著差异。结论:采用戴明循环对中心进行教育认证是有效的,只要持续、正确地实施,就可以实现。本研究有助于提高教育中心的教育水平。
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2005 Asian Conference on Sensors and the International Conference on New Techniques in Pharmaceutical and Biomedical Research
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