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Role of the Pharmacist in Managing Antidepressant Drug Interactions in the Solid Organ Transplant Population 在实体器官移植人群中,药剂师在抗抑郁药物相互作用管理中的作用
Pub Date : 2019-05-23 DOI: 10.33552/APPR.2019.01.000518
Suzanne C Harris, C. Hyatt
In transplant patients, Major Depressive Disorder (MDD) is the most prevalent psychiatric disorder and is associated with reduced quality of life, with prevalence rates of MDD in up to 25% of solid organ transplant (SOT) patients [1]. MDD can lead to medication nonadherence, which can cause rejection of the transplant organ. Additionally, antidepressant medications have a range of unique side effects and potential for pharmacokinetic and pharmacodynamic interactions. Many of the transplant medications are metabolized by cytochrome P450 3A4 enzymes, putting them at risk for pharmacokinetic drug interactions. In addition, these medications can have pharmacodynamic interactions with antidepressants. Corticosteroids can cause weight gain, leading to diabetes and obesity. Cyclosporine causes hypertension in 50% of kidney transplant patients. Tacrolimus and cyclosporine have been reported to have central nervous toxicity in one-third of patients. Corticosteroids, sirolimus, and cyclosporine have been associated with hyperlipidemia [2]. Hence, these interactions with antidepressants can result in altered concentrations of immunosuppressants or additive untoward side effects (Table 1).
在移植患者中,重度抑郁症(MDD)是最常见的精神障碍,与生活质量下降有关,在实体器官移植(SOT)患者中,重度抑郁症的患病率高达25%[1]。重度抑郁症会导致药物不依从,从而引起移植器官的排斥反应。此外,抗抑郁药物有一系列独特的副作用和潜在的药代动力学和药效学相互作用。许多移植药物是由细胞色素P450 3A4酶代谢的,这使它们面临药代动力学药物相互作用的风险。此外,这些药物可能与抗抑郁药有药效学上的相互作用。皮质类固醇会导致体重增加,导致糖尿病和肥胖。环孢素导致50%的肾移植患者高血压。据报道,他克莫司和环孢素对三分之一的患者有中枢神经毒性。皮质类固醇、西罗莫司和环孢素与高脂血症有关[2]。因此,这些与抗抑郁药的相互作用可能导致免疫抑制剂浓度的改变或副作用的增加(表1)。
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引用次数: 0
Role of the Pharmacist in Managing Antidepressant Drug Interactions in the Solid Organ Transplant Population 在实体器官移植人群中,药剂师在抗抑郁药物相互作用管理中的作用
Pub Date : 2019-04-09 DOI: 10.33552/APPR.2019.01.000517
Asli Buyukkoc
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引用次数: 0
Darwin’s Theorem Revised: Survival of The Careerist 达尔文定理修正:野心家的生存
Pub Date : 2019-02-27 DOI: 10.33552/appr.2019.01.000516
R. Skopec
Psychopathy of the careerist is a developmental disorder marked by emotional deficits and an increasedrisk for antisocial behavior. It is not equivalent to the diagnosis antisocial personality disorder, whichconcentrates only on the increased risk for antisocial behavior and not a specific cause, i.e., thereduced empathy and guilt that constitutes the emotional deficit. Our review considers data regardingthe neurobiology of this disorder. Dysfunction within the amygdala’s role in reinforcement learningand the role of ventromedial frontal cortex in the representation of reinforcement value is stressed.Data are also presented indicating potential difficulties within parts of temporal and posterior cingulatecortex. Suggestions are made with respect to why these deficits lead to the development of the disorder.Knowledge of recent neurobiology is proving our thesis that Darwin was wrong when formulated histheorem “Survival of the fittest.” Reality in the 21st century is showing that “Survival of the careerist”based on the quantum entanglement entropy (QEE) is more valid principle of social dynamics in ourdays. Careeristic competition is the main cause of the QEE, leading to increased complications throughcoincidences of social dynamics.
野心家的精神变态是一种以情感缺陷和反社会行为风险增加为特征的发育障碍。它不等同于反社会人格障碍的诊断,后者只关注反社会行为风险的增加,而不是具体的原因,即构成情感缺陷的同理心和内疚感的减少。我们的综述考虑了有关这种疾病的神经生物学数据。强调了杏仁核在强化学习中的作用和腹内侧额叶皮层在强化值表征中的作用。数据也显示潜在的困难在部分颞和后扣带皮层。关于为什么这些缺陷导致障碍的发展提出了建议。现代神经生物学的知识正在证明我们的论点,即达尔文在提出“适者生存”定理时是错误的。21世纪的现实表明,以量子纠缠熵(QEE)为基础的“野心家的生存”是当今更为有效的社会动力学原理。职业竞争是QEE的主要原因,通过社会动态的巧合导致并发症的增加。
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引用次数: 5
Association of Pulse Rate with Cartoons Watching 脉搏率与动画片观看的关系
Pub Date : 2019-02-08 DOI: 10.33552/APPR.2019.01.000515
Dua-e- Noor, M. Qadir
The word pulse simply means the number of individual beats in a specified time period such as one minute. The word pulse is actually a rhythmical beating, vibration or sounding. Pulse is the elaboration of artery. This elaboration is due to the increase of blood pressure that is pushing against the walls of arteries. When the heart pumps the blood, these elaborations rise and fall in time. Pulse is often measured by feeling the arteries of wrist and neck. It is the rhythmical dilation of an artery that result from beating the heart. For an adult the ideal heart rate should be 60-100 beats in one minute. The person whose heart rate is lower than 60 beats is suffering from the disease of bradycardia. For adults the heart rate more than 100 beats is considered to be most fast which is dangerous heart rate. There are present some places where there is less chance to find the pulse and one of that places is on the top or inner side of the foot [1].
脉冲这个词仅仅是指在一段特定的时间内,比如一分钟内个体跳动的次数。脉冲这个词实际上是一种有节奏的跳动、振动或声音。脉搏是动脉的精细。这种细化是由于血压的增加对动脉壁的压力。当心脏泵出血液时,这些器官就会随时间起伏。脉搏通常通过摸手腕和脖子的动脉来测量。它是由心脏跳动引起的动脉节律性扩张。对于成年人来说,理想的心率应该是每分钟60-100次。心率低于60次的人患有心动过缓的疾病。对于成年人来说,心率超过100次被认为是最快的,这是危险的心率。有一些地方很少有机会发现脉搏,其中一个地方是在脚的顶部或内侧[1]。
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引用次数: 0
Role of Biotransformation Based on Intestinal Flora in the Research and Development of TCM 基于肠道菌群的生物转化在中药研发中的作用
Pub Date : 2018-12-03 DOI: 10.33552/APPR.2018.01.000514
Xin Liu
Introduction Traditional Chinese Medicine (TCM) is of great significance to the research and development of new drugs due to its various active components. Meanwhile, as the focus of current research, biotransformation greatly stimulates the investigation of TCM. Intestine is the primary place for the metabolism of oral drugs in the human body, where a number of parasite bacteria flora play an inevitable role in the biotransformation of drugs. Thus, it is obviously that the biotransformation based on intestinal flora is a powerful tool in the development of TCM.
中药具有多种有效成分,对新药的研究和开发具有重要意义。同时,生物转化作为当前的研究热点,极大地刺激了中医的研究。肠道是人体口服药物代谢的主要场所,许多寄生菌群在肠道中对药物的生物转化起着不可避免的作用。可见,以肠道菌群为基础的生物转化是中医药发展的有力工具。
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引用次数: 0
Taxonomy and Occurrence of Some Medicinal Plants Used in Traditional Medicines 一些中药药用植物的分类和分布
Pub Date : 2018-11-15 DOI: 10.33552/appr.2018.01.000513
Kshirsagar Sr
Present paper communicates potentially important medicinal plants with reference to their taxonomy, threats if any, precise locations, flowering and fruiting period, present status in the field, traditional uses, doses if any and ecology if any. Different parts of plant species are used as traditional medicines in the form of crude drugs by variety of doses to cure different ailments and diseases. These species are collected and studied from Khandesh region of the state of Maharashtra and Sahyadri ranges of Western Ghats in India and of them, some species are conserved in our botanical garden for research, multiplication and transfer to other botanical gardens.
本文介绍了潜在重要药用植物的分类、威胁(如果有的话)、精确位置、开花和结果期、在田间的现状、传统用途、剂量(如果有的话)和生态学(如果有的话)。植物种类的不同部分以不同剂量的药材形式被用作传统药物来治疗不同的疾病。这些物种是从印度马哈拉施特拉邦的Khandesh地区和西高特山脉的Sahyadri山脉收集和研究的,其中一些物种在我们的植物园保存,用于研究,繁殖和转移到其他植物园。
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引用次数: 0
Effect of Oral Clonidine on Hemodynamic Changes due to Laryngoscopy, Intubation and Operative Procedures Stress Response 口服可乐定对喉镜、插管及手术过程中血流动力学改变的影响
Pub Date : 2018-11-14 DOI: 10.33552/appr.2018.01.000512
J. Allam
Induction of general anesthesia, direct laryngoscopy and endotracheal intubation induce marked cardiovascular changes as well as autonomic reflex activity [1]. Laryngoscopy with or without tracheal intubation amounts to a highly noxious stimulus to the homeostasis of the patient. Many a time under lighter planes of anesthesia it elicits a defense mechanism in the form of hemodynamic response to stress, which involves activation of adrenocortical system [2]. The response may be particularly hazardous for patients with cardiovascular and cerebrovascular diseases [3].
全麻诱导、直接喉镜检查和气管插管均可引起明显的心血管变化和自主反射活动[1]。有或没有气管插管的喉镜检查对患者的体内平衡是一种高度有害的刺激。很多时候,在较轻的麻醉平面下,它引发了一种防御机制,其形式是对应激的血流动力学反应,涉及肾上腺皮质系统的激活[2]。这种反应对心脑血管疾病患者尤其危险[3]。
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引用次数: 2
Novel Cocrystals of Glipizide: Green Supramolecular Mechanosynthesis 新型格列吡嗪共晶:绿色超分子机械合成
Pub Date : 2018-10-13 DOI: 10.33552/APPR.2018.01.000511
Dimpy Rani, Sarb Sukhmani Kaur Dargan, Parnika Goyal, R. Chadha
The present research demonstrates the five novel cocrystals of glipizide (GPZ) with picolinic acid (PA), adipic acid (AA), isonicotinic acid (INA), fumaric acid (FA) and sorbic acid (SRA). The cocrystals were prepared via green supramolecular mechanosynthesis approach and exhibited 1:1 stoichiometric ratio. The cocrystals were characterized by thermal (DSC) and spectroscopic (PXRD, FTIR and SSNMR) techniques. PXRD data was used to elucidate the crystal structure. GPZ-PA, GPZ-AA, GPZ-INA, GPZ-FA and GPZ-SRA were found to be crystallized in triclinic and monoclinic crystal systems, which exist in P-1, P1 and P21 space groups. Remarkable improvement in solubility and intrinsic dissolution rate (IDR) was observed along with significant reduction in rat blood serum glucose level and high Cmax in comparison to GPZ.
本研究证实了格列吡嗪(GPZ)与吡啶酸(PA)、己二酸(AA)、异烟酸(INA)、富马酸(FA)和山梨酸(SRA)的五种新型共晶。通过绿色超分子机械合成方法制备了共晶,其化学计量比为1:1。用热(DSC)和光谱(PXRD, FTIR和SSNMR)技术对共晶进行了表征。利用PXRD数据对晶体结构进行了分析。GPZ-PA、GPZ-AA、GPZ-INA、GPZ-FA和GPZ-SRA在P-1、P1和P21空间群中以三斜晶和单斜晶的形式结晶。与GPZ相比,显著改善溶解度和内在溶出率(IDR),显著降低大鼠血清葡萄糖水平和高Cmax。
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引用次数: 2
Increasing the Probability of Discovering Improved Antiepileptic Drugs through the Use of Human Epileptic Tissue 通过使用人类癫痫组织增加发现改良抗癫痫药物的可能性
Pub Date : 2018-10-09 DOI: 10.33552/appr.2018.01.000510
J. Witkin
Epilepsy affects millions of people world-wide with wideranging health and economic consequences [1]. A first-line approach to the control of epilepsy is through the administration of anticonvulsant drugs sometimes referred to as antiepileptics [2]. These medicines help control seizure activity but the evidence for controlling disease progression in patients is not firmly established [3]. There are many antiepileptics approved for clinical use [2] that dampen excitatory neurotransmission through different mechanisms including positive allosteric modulation of GABA (e.g., diazepam, valproic acid) and blockade of ion channels (e.g., gabapentin, lacosamide).
癫痫影响着全世界数百万人,造成广泛的健康和经济后果[1]。控制癫痫的一线方法是服用抗惊厥药物,有时也称为抗癫痫药[2]。这些药物有助于控制癫痫发作活动,但控制患者疾病进展的证据尚不明确[3]。有许多抗癫痫药物被批准用于临床[2],它们通过不同的机制抑制兴奋性神经传递,包括GABA的正变构调节(如地西泮、丙戊酸)和离子通道的阻断(如加巴喷丁、拉科沙胺)。
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引用次数: 0
A Charge Transfer Determination of Paracetamol with Picric Acid 苦味酸法测定扑热息痛的电荷转移
Pub Date : 2018-09-13 DOI: 10.33552/APPR.2018.01.000507
N. Gloria
A cost effective and sensitive spectrophotometric method has been developed for the assay of paracetamol in pure and commercial forms. The method employed was charge transfer complexation. Paracetamol formed a 1:2 stoichiometric ratio with picric acid. The complex was quantified at 500nm. Beer –Lambert’s law was obeyed within a concentration range of 5-10μg/ml with molar absorptivity of 2.6 x104Lmol-1cm-1. The method was used for the determination paracetamol in pure and commercial forms with percentage mean recovery of 95%.
本文建立了一种具有成本效益和灵敏度的分光光度法,用于测定纯品和商业形式的扑热息痛。采用电荷转移络合法。扑热息痛与苦味酸形成1:2的化学计量比。配合物在500nm处定量。浓度在5 ~ 10μg/ml范围内符合Beer -Lambert定律,摩尔吸光度为2.6 x104Lmol-1cm-1。该方法可用于对乙酰氨基酚纯品和市售品的测定,平均回收率为95%。
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引用次数: 1
期刊
Archives of Pharmacy & Pharmacology Research
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