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Local Drug Delivery in Periodontal Therapy: A Contemporary Review 牙周治疗中的局部给药:当代综述
Pub Date : 2021-01-01 DOI: 10.35248/2167-1052.21.10.246
D. Kamath, Razia Haidrus
Background: Periodontal disease is characterized by inflammation of supporting tissues of the teeth, resulting in progressive attachment loss, bone loss and subsequent tooth loss. Both non-surgical and surgical therapy can be used for the management of periodontal diseases. Systemic and local drug delivery of antimicrobials can be used as an adjunct to non-surgical therapy. Objective: The aim of this review article is to provide a better understanding regarding various local drug delivery agents used in periodontal therapy and their advantage over systemic delivery of antimicrobials. Conclusion: Placement of Local drug delivery restricts the drug within the periodontal pocket itself wherein they attain a much-elevated concentration. This review article includes various advances in local drug delivery systems. Most of the research is aimed at the use of LDD as either monotherapy or in combination with SRP. Further studies are required to determine the long-term benefit of these devices.
背景:牙周病的特征是牙齿支持组织的炎症,导致进行性附着物丧失、骨质流失和随后的牙齿脱落。非手术治疗和手术治疗均可用于牙周病的治疗。全身和局部给药可作为非手术治疗的辅助手段。目的:本文综述的目的是为了更好地了解用于牙周治疗的各种局部给药剂及其相对于全身给药的优势。结论:局部给药的放置限制了药物在牙周袋内,从而使药物浓度大大升高。本文综述了局部给药系统的各种进展。大多数研究的目的是将LDD作为单一疗法或与SRP联合使用。需要进一步的研究来确定这些设备的长期效益。
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引用次数: 0
Quantification of 3?-Acetyl-11-Keto-?-Boswellic Acid and 11-Keto-?Boswellic Acid in the Resin of Boswellia species by HPTLC 3?-乙酰-11-酮-?-乳香酸和11-酮-?薄层色谱法测定乳香属树脂中的乳香酸
Pub Date : 2021-01-01 DOI: 10.4172/2167-1052
S. Awoke
In this article, the amount of the most potent anti-inflammatory and anti-cancer compounds found in the resin of B. papyrifera was quantified and compared with the well-known species, B. serrata and B. sacra (Synonyms B. carteri), using CAMAG HPTLC scanner IV equipped with a sample applicator Limonat V at wavelength 254 nm without derivation. The two most active ingredients, 11-keto--boswellic acid and 3-acetyl-11-keto-boswellic acid, in the EtOH extract of B. papyrifera resin were determined as 14.0% and 8%, respectively
本文采用CAMAG HPTLC扫描仪,配上Limonat V样品涂抹器,在波长254 nm下,对纸莎草树脂中发现的最有效的抗炎和抗癌化合物进行了定量分析,并与著名的B. serrata和B. sacra(同名B. carteri)进行了比较。结果表明,纸莎草树脂EtOH提取物的活性成分11-酮-乳香酸和3-乙酰-11-酮-乳香酸含量分别为14.0%和8%
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引用次数: 0
Antidepressant: An Overview 抗抑郁药:概述
Pub Date : 2021-01-01 DOI: 10.35248/2167-1052.21.10.248
Omkar Tipugade
Depression is the largest cause of disability in the world and a substantial contributor to the global illness burden. According to the National Health Interview Survey, individuals aged 18-29 had the highest percentage of persons experiencing any symptoms of depression, followed by those aged 45-64 and 65 and older, and finally those aged 30-44. Women are more likely than men to suffer from serious depressive disorders (8.7 percent compared to 5.3 percent of adult males). Depression is characterized by drastic changes in one's life, childhood trauma, a hectic schedule, stress, brain structure (risk is higher in the frontal lobe of the brain), a variety of medical histories, a larger intake of alcohol, and drug addiction, to name a few.
抑郁症是世界上最大的致残原因,也是全球疾病负担的一个重要因素。根据全国健康访谈调查,18-29岁的人有任何抑郁症状的比例最高,其次是45-64岁和65岁及以上的人,最后是30-44岁的人。女性比男性更容易患上严重的抑郁症(8.7%比5.3%的成年男性)。抑郁症的特点是生活中的剧烈变化,童年创伤,繁忙的日程安排,压力,大脑结构(大脑额叶的风险更高),各种病史,大量饮酒和吸毒成瘾,等等。
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引用次数: 0
The Use of 3D Models to Test Potential Anti-SARS-CoV-2 Drugs and Infection Mechanisms 使用3D模型测试潜在的抗sars - cov -2药物和感染机制
Pub Date : 2021-01-01 DOI: 10.35248/2167-1052.21.10.245
M. Porcionatto, B. A. G. Melo, Julia C. Benincasa, E. M. Cruz, J. Maricato
After more than a year of the pandemic caused by SARS-CoV-2, the development of vaccines reduced the impacts of COVID-19. However, the disease continues to affect millions of people worldwide, and the development of antivirals and effective treatments remains a challenge. We recently reviewed the strategies of the tissue engineering field in providing three-dimensional (3D) cell culture models suitable to study antiviral candidates to treat COVID-19, such as spheroids, organoids, and the use of 3D bioprinting technology. These models represent an advance over conventional monolayer cultures by providing more complex structures that better resemble native tissue, improving the prediction of results. Bioengineered organs could potentially contribute to our understanding of the infection mechanisms and help the research community to overcome the challenges of developing effective treatments against COVID-19.
在SARS-CoV-2引起的大流行一年多后,疫苗的开发减少了COVID-19的影响。然而,这种疾病继续影响着全世界数百万人,开发抗病毒药物和有效治疗方法仍然是一项挑战。我们最近回顾了组织工程领域在提供三维(3D)细胞培养模型方面的策略,这些模型适用于研究治疗COVID-19的抗病毒候选药物,如球体、类器官,以及3D生物打印技术的使用。这些模型代表了传统单层培养的进步,提供了更复杂的结构,更像天然组织,提高了结果的预测。生物工程器官可能有助于我们了解感染机制,并帮助研究界克服开发有效治疗COVID-19的挑战。
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引用次数: 0
Formulations 2020: Fast Disintegrating Tablets of Methylene Blue as Diagnostic Aid in Upper GI Endoscopy: Formulation and Evaluation- Sarada Anepu 制剂2020:快速崩解亚甲基蓝片作为上消化道内窥镜的诊断辅助:制剂和评估
Pub Date : 2020-01-01 DOI: 10.35248/2167-1052.20.9.225
Sarada Anepu
Barrett’s esophagus is generally evaluated by upper gastrointestinal endoscopy. In chromoendoscopy technique, methylene blue is used by spraying along the esophagus and upper stomach. The objective of present study is to prepare fast disintegrating tablets of methylene blue, which can disintegrate and dissolve rapidly in the saliva. Fast disintegrating tablets when administered 30 minutes prior to endoscopy will reach the esophagus and provide uniform staining for easy diagnosis during endoscopy. Methods: Fast disintegrating tablets of methylene blue were prepared by varying concentration of superdisintegrant and sublimating agent. Prepared tablets were evaluated after sublimation. Dye-Excipient compatibility studies were performed, and stability studies were carried according to ICH guidelines. Prepared formulations were evaluated in healthy animals. Results: All the precompression blends showed free flowing property and hence, were used in direct compression technique for tablet formulation. Tabletting parameters were within the compendial limits. Disintegration times of all the prepared tablets were less than 60 seconds indicating their suitability as fast disintegrating tablets. In vitro dissolution studies were performed in pH 6.8 phosphate buffer and tablets showing greater than 85% dye release in 10 minutes with minimum friability (10% camphor, 8% crospovidone). Dye- excipient compatibility studies did not show any interactions. Uniform staining along the esophagus indicated the suitability of developed methylene blue tablets. Conclusions: Prepared and evaluated tablets can be administered as diagnostic aid for diagnosis of Barrett’s esophagus, 30 minutes prior to endoscopy.
Barrett食管一般通过上消化道内窥镜检查。在色内窥镜技术中,亚甲蓝是通过沿着食道和上胃喷洒而使用的。本研究的目的是制备亚甲基蓝快速崩解片,使其在唾液中快速崩解溶解。内镜检查前30分钟服用快速崩解片,可到达食管,染色均匀,内镜检查时便于诊断。方法:采用不同浓度的超崩解剂和升华剂制备亚甲基蓝快速崩解片。制备的片剂经升华后进行评价。染料-赋形剂相容性研究,并根据ICH指南进行稳定性研究。制备的制剂在健康动物中进行了评价。结果:所有预压缩共混物均具有自由流动特性,可用于片剂的直接压缩工艺。压片参数均在药典规定范围内。崩解时间均小于60秒,适合作为快速崩解片。体外溶出度研究在pH 6.8的磷酸盐缓冲液中进行,片剂在10分钟内染料释放量大于85%,脆度最小(10%樟脑,8%交叉烷酮)。染料与赋形剂的相容性研究未发现任何相互作用。沿食道均匀染色表明显影亚甲蓝片的适宜性。结论:制备和评价的片剂可在内镜检查前30分钟作为Barrett食管的诊断辅助。
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引用次数: 0
Challenges of Hepatotoxicity Associated with Isoniazid Preventive Therapy among People Living with HIV in Eritrea 厄立特里亚艾滋病毒感染者与异烟肼预防治疗相关的肝毒性挑战
Pub Date : 2020-01-01 DOI: 10.35248/2167-1052.20.9.228
Mulugeta Russom, A. Berhane, Merhawi Debesai, Hagos Andom, Dawit Tesfai, Zenawi Zeremariam, Selamawit Gebrehiwet, Nighisty Tesfamichael, S. M. Said, Hagos Ahmed
Background Isoniazid preventive therapy (IPT) is an intervention recommended by the WHO for prophylaxis of Tuberculosis (TB) in people living with HIV (PLWH) and reported as generally safe with little risk of hepatotoxicity. Following its introduction in Eritrea in 2014, IPT related hepatotoxicity and fatality have been frequently reported to the Eritrean Pharmacovigilance Centre. The aim of this study is, therefore, to quantify the risk of hepatotoxicity, evaluate the effectiveness of close laboratory monitoring, assess the causal relationship of IPT and hepatotoxicity, identify possible risk factors and assess preventability of Isoniazid-induced hepatotoxicity in PLWH. Methods This was an observational cohort study of PLWH on IPT enrolled from three Antiretroviral therapy (ART) Clinics in Asmara, Eritrea, between August 2016 and February 2017. Causality and preventability of the cases was assessed using Naranjo probability scale and P-method respectively. Results Of the 360 eligible patients, 56 were identified with hepatotoxicity with an incidence rate of cases per 1000 person-months with a median time to reaction onset of 34 days. About 41% of the cases developed severe or very severe hepatotoxicity following initiation of IPT. INH was terminated in 78.6% of the cases and reaction abated in 84.1% (37/44) following withdrawal of INH. Besides, ART was discontinued in 42.5% of the cases due to hepatotoxicity. In majority of the cases (87.5%), the causal relationship was found to be ‘probable’ and in 82.1% hepatotoxicity was not preventable. Conclusion The incidence rate of INH-related hepatotoxicity is very high with a short time to reaction onset and the occurrence of severe/ very severe hepatotoxicity was unavoidable in substantial number of patients; making risk minimization plan and IPT deployment challenging.
背景:异烟肼预防治疗(IPT)是世卫组织推荐的一种预防艾滋病毒感染者结核病(TB)的干预措施,据报道,它通常是安全的,几乎没有肝毒性风险。自2014年在厄立特里亚采用IPT后,经常向厄立特里亚药物警戒中心报告IPT相关的肝毒性和死亡。因此,本研究的目的是量化肝毒性风险,评估密切实验室监测的有效性,评估IPT与肝毒性的因果关系,识别可能的危险因素,评估异烟肼引起的PLWH肝毒性的可预防性。方法:2016年8月至2017年2月,在厄立特里亚阿斯马拉的三家抗逆转录病毒治疗(ART)诊所招募了PLWH对IPT的观察性队列研究。分别采用纳兰霍概率量表和p -法评价病例的因果关系和可预防性。结果在360例符合条件的患者中,56例被确定为肝毒性,发病率为每1000人月,反应发生的中位时间为34天。大约41%的病例在IPT开始后出现严重或非常严重的肝毒性。停用INH后,78.6%的病例终止INH, 84.1%(37/44)的病例反应减轻。此外,42.5%的病例因肝毒性而停止抗逆转录病毒治疗。在大多数病例(87.5%)中,发现因果关系是“可能的”,82.1%的肝毒性是不可预防的。结论inh相关肝毒性发生率高,反应发生时间短,严重/极严重肝毒性的发生在大量患者中是不可避免的;使风险最小化计划和IPT部署具有挑战性。
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引用次数: 5
Evaluation of Pattern of Drug Use in Tertiary Health Care Setting in Central Tigray Using WHO Prescribing Indicators 使用世卫组织处方指标评价提格里格里省中部三级卫生保健机构的药物使用模式
Pub Date : 2020-01-01 DOI: 10.35248/2167-1052.19.9.228
Gebremicheal Gebreslassie Kasahun
Background: Rational drug use entails a multi-collaborative effort which encompasses various professionals. Prescribing indicator is among the WHO core drug use indicators used to investigate the rational drug use in healthcare facilities. The objective of the study was to evaluate rational drug use using WHO prescribing indicators in Aksum University Comprehensive Specialized Hospital (AkUCSH). Methods: A facility based cross sectional study design was employed which was conducted between April and May 2019. Records of patients at Out-patient Pharmacy administered from April 01 2018 to March 31 2019 were the study population. Based on WHO recommendation, a total of 600 patient prescriptions were included. A systematic random sampling technique was used to include patient prescriptions fulfilled the inclusion criteria. A structured data collection tool was used to collect data and necessary supervision was done during the data collection process. Data was entered in to, checked, and analyzed using Statistical Package for Social Science (SPSS) version 24. Results: Totally, 1053 drugs were prescribed in 600 prescriptions. The average number of drug prescribed per encounter was found to be 1.78 (SD±0.91). Encounters prescribed using generic name were 95.63% (1007). Moreover, about 99.5% (1048) prescribed medicines were within the Essential Medicines List (EML). Of a total of 1053 prescribed medicines, 49.2% (295) and 4.0% (24) were antibiotics and injections, respectively. Conclusion: Our finding revealed, a suboptimal level of rational drug use is found in tertiary healthcare setting of central Tigray. Appropriate strategies should be developed and implemented to promote rational drug use.
背景:合理用药需要多方合作,包括各专业人员。处方指标是世卫组织用于调查卫生保健机构合理用药情况的核心用药指标之一。本研究的目的是利用世卫组织处方指标评价阿克苏姆大学综合专科医院的合理用药情况。方法:采用基于设施的横断面研究设计,于2019年4 - 5月进行。研究人群为2018年4月1日至2019年3月31日在门诊药房管理的患者记录。根据世卫组织的建议,共纳入了600张患者处方。采用系统随机抽样技术纳入符合纳入标准的患者处方。使用结构化数据收集工具收集数据,并在数据收集过程中进行必要的监督。使用SPSS (Statistical Package for Social Science)第24版对数据进行输入、检查和分析。结果:600张处方中,共使用1053种药物。每次就诊的平均处方数为1.78 (SD±0.91)。使用通用名就诊的占95.63%(1007例)。此外,约99.5%(1048种)的处方药在基本药物清单内。在1053种处方药物中,抗生素和注射剂分别占49.2%(295种)和4.0%(24种)。结论:本研究结果显示,提格雷中部三级医疗机构的合理用药水平不理想。应制定和实施适当的战略,促进合理用药。
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引用次数: 7
Editorial note on Advances in Pharmacoepidemiology and Drug Safety 《药物流行病学与药物安全进展》社论注释
Pub Date : 2020-01-01 DOI: 10.35248/2167-1052.19.9.2
Shufeng Zhou
The Advances in Pharmacoepidemiology and Drug Safety, Longdom publication, is an international prominent journal focusing on studies pertaining to rare adverse drug reactions, drug efficacy evaluations, drug interaction quantifications, patterns of drug usage, herbal medicines, randomized control trials, case control studies, cross-sectional studies, case cross over studies and cohort studies. Its is an open access and peer reviewed journal by eminent Editorial Board and the manuscripts are peer-reviewed by potential reviewers according to their research interest.
《药物流行病学与药物安全进展》(Advances in Pharmacoepidemiology and Drug Safety)是一份国际知名期刊,专注于罕见药物不良反应、药物疗效评估、药物相互作用量化、药物使用模式、草药、随机对照试验、病例对照研究、横断面研究、病例交叉研究和队列研究等方面的研究。它是一份开放获取和同行评审的期刊,由著名的编辑委员会和潜在的审稿人根据他们的研究兴趣对手稿进行同行评审。
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引用次数: 0
Phama Sci Preparation, In Vitro and In Vivo Studies of Vitamin B12 Loaded Implants Al-Rasheed University College, Iraq 药物科学制备,体外和体内研究维生素B12负载植入物Al-Rasheed大学学院,伊拉克
Pub Date : 2020-01-01 DOI: 10.35248/2167-1052.19.9.230
J. Faraj, Shaimaa M. Mohammed, Ihab I. Al-khalifa, Sabah Nema Al Thamer, K. A. Shareffi, P. P. Deluca
Vitamin B12 is an important water-soluble vitamin which is found in a variety of food such as fish, shellfish, meat, and dairy products. It helps maintain healthy nerve cells and red blood cells, as well as aid in rapid DNA production during cell division. The daily requirement of vitamin B12 for the human body is approximately 1-25 µg . In 1960 introduced long-acting depot antipsychotic drug as the first long acting medications. Depot formulations providing further reductions in morbidity and mortality. Because they bypass the gastrointestinal tract, Depot treatments decrease the amount of medication needed and reduce certain peripheral side effects. Understanding the clinical and compliance of patients from the use of single dose with multiple and consecutive treatment of B12, we have developed long-term implantable medication delivery loaded with vitamin B12. The proposed method of controlled drug delivery uses sterile implants processed with a Poly (lactic-co-glycolic acid) (PLGA) polymer with a delivery interval of up to one month depending on polymer composition, and drug loading. In this study, 3 goals were addressed:  1: To formulate six different batches of biodegradable polymer implants loaded with vitamin 12 and target profile shown in Tables 1. 2: To characterize the formulated implants and establish an in vitro release for the B12 as a function of time. 3: Perform in vivo study and measure the serum concentration of B12 released from implants subcutaneously inserted into rats. Accomplishment of these three goals could provide the feasibility of controlled release vitamin B12 implants for human treatment for vitamin deficiency.
维生素B12是一种重要的水溶性维生素,存在于鱼类、贝类、肉类和乳制品等多种食物中。它有助于维持健康的神经细胞和红细胞,以及在细胞分裂过程中帮助快速生成DNA。人体每天所需的维生素B12约为1-25微克。1960年推出长效库抗精神病药作为第一批长效药物。仓库配方提供进一步降低发病率和死亡率。由于它们绕过胃肠道,Depot治疗减少了所需的药物量并减少了某些外围副作用。了解患者使用单剂量多次连续治疗的临床依从性,我们开发了长期植入的维生素B12药物输送。所提出的受控药物递送方法使用用聚乳酸-羟基乙酸(PLGA)聚合物处理的无菌植入物,根据聚合物组成和药物负载的不同,递送间隔可达一个月。在这项研究中,有3个目标:1:配制6个不同批次的可生物降解聚合物植入物,装载维生素12,目标谱如表1所示。2:表征配方植入物,并建立B12的体外释放作为时间的函数。3:进行体内研究,测定大鼠皮下植入物释放的血清B12浓度。这三个目标的实现为控释维生素B12植入物治疗人体维生素缺乏症提供了可行性。
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引用次数: 0
Tendon Rupture as a probable side effect of Ciprofloxacin: A review article 环丙沙星可能的副作用是肌腱断裂:一篇综述文章
Pub Date : 2019-01-01 DOI: 10.35248/2167-1052.19.8.226
Nazanin Foroutan
Ciprofloxacin is a broad-spectrum antibiotic from fluoroquinolones which are used to treat gram negative and positive bacterial infections. In last twenty years, tendinopathy is a worrying side effect. The side effects of tendon disorders including pain on tendon, angle tenderness, tendinitis and tendon rupture risk. Based on these symptoms various cases are shown and calculated. After several weeks pause in ciprofloxacin treatment the symptoms of tendon disorders are reduced.
环丙沙星是氟喹诺酮类药物中的一种广谱抗生素,用于治疗革兰氏阴性和阳性细菌感染。在过去的二十年里,肌腱病是一个令人担忧的副作用。肌腱疾病的副作用包括肌腱疼痛、角度压痛、肌腱炎和肌腱断裂风险。根据这些症状,显示并计算了各种情况。暂停环丙沙星治疗数周后,肌腱紊乱症状减轻。
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引用次数: 3
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Advances in Pharmacoepidemiology and Drug Safety
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