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Beta-1 Receptor (β1) in the Heart Specific Indicate to Stereoselectivity 心脏中的β1受体(β1)对立体选择性的特异性指示
Pub Date : 2024-07-10 DOI: 10.29328/journal.apps.1001060
Ayyad Rezk Rezk, Mansour Ahmed Mohamed, Nejm Ahmed Mohamed, Hassan Yasser Abdel Allem, Gabr Norhan Hassan, Ayyad Ahmed Rezk
The β1 receptor is one of the three beta receptors present in the human body, namely β1, β2, and β3. The β1 receptor is predominantly located in the heart, where it plays a crucial role in regulating the heart rate and the force of contraction, thereby increasing the cardiac output and the efficiency of blood pumping throughout the body. This receptor is targeted by a variety of pharmaceutical agents known as beta-blockers, which are commonly used in the treatment of cardiovascular conditions such as hypertension, angina, and arrhythmias.The β1 receptor exhibits stereoselectivity, meaning that different enantiomers (chiral molecules) of beta blockers can have varying levels of effectiveness and side effects. This study focuses on the stereoselectivity of the β1 receptor and the clinical implications of this property. It includes an examination of various β1 blockers, such as propranolol (a non-selective beta blocker), and selective β1 blockers like atenolol, bisoprolol, nebivolol, metoprolol, esmolol, acebutolol, and betaxolol. Each of these drugs has a unique chemical structure, with specific functional groups that contribute to their selective action on the β1 receptor. Furthermore, the β2 receptor, which is mainly present in the bronchi and bronchioles, is responsible for bronchodilation, and the β3 receptor, found in the bladder, helps reduce urinary urgency. Understanding the distinct locations and functions of these receptors allows for the development of targeted therapies with minimal off-target effects. This review highlights the importance of stereoselectivity in the development and use of β1 blockers, discussing their chemical structures, pharmacological activities, and therapeutic uses. It also explores the potential for future research and development of more selective and effective β1 receptor agonists and antagonists, which could offer improved therapeutic outcomes for patients with cardiovascular diseases. This study underscores the significant role of the β1 receptor in cardiovascular health and provides insights into the ongoing advancements in beta-blocker therapy. By delving into the stereoselectivity and specific actions of these drugs, the research aims to enhance the understanding and optimization of β1 receptor-targeted treatments in clinical practice.
β1受体是人体内存在的三种β受体(即β1、β2和β3)之一。β1 受体主要位于心脏,在调节心率和收缩力方面起着至关重要的作用,从而提高心输出量和全身血液泵送效率。β1受体具有立体选择性,这意味着不同对映体(手性分子)的β受体阻滞剂会产生不同程度的药效和副作用。本研究的重点是β1受体的立体选择性及其临床意义。它包括对各种 β1 受体阻滞剂(如普萘洛尔(一种非选择性β受体阻滞剂))和选择性 β1 受体阻滞剂(如阿替洛尔、比索洛尔、奈比洛尔、美托洛尔、艾司洛尔、醋丁洛尔和倍他洛尔)的研究。每种药物都有独特的化学结构和特定的功能基团,从而对 β1 受体产生选择性作用。此外,β2 受体主要存在于支气管和细支气管中,负责支气管扩张;β3 受体存在于膀胱中,有助于减轻尿急症状。了解了这些受体的不同位置和功能,就能开发出最小脱靶效应的靶向疗法。这篇综述强调了立体选择性在开发和使用 β1 受体阻断剂中的重要性,讨论了它们的化学结构、药理活性和治疗用途。它还探讨了未来研究和开发更具选择性和更有效的 β1 受体激动剂和拮抗剂的潜力,这些药物可改善心血管疾病患者的治疗效果。这项研究强调了β1受体在心血管健康中的重要作用,并为目前β-受体阻滞剂疗法的进展提供了启示。通过深入研究这些药物的立体选择性和特异性作用,该研究旨在加强临床实践中对β1受体靶向治疗的理解和优化。
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引用次数: 0
Experiences of Consumers on the Health Effects of Fake and Adulterated Medicines in Nigeria 尼日利亚消费者关于假药和掺假药品对健康影响的经历
Pub Date : 2024-07-04 DOI: 10.29328/journal.apps.1001059
Ofomata Chijioke M, Ezeama Nkiru N, Ezejiogu Chinelo
Medicines are used to cure and treat ailments, relieve or eliminate disease symptoms, and slow down the disease process. Any attempt to disrupt this natural medicine process, using falsified medications, spells doom to a consumer of such medication. The challenge of fake medicines is a global one and affects developing and developed nations and currently assumes great significance as a result of globalization challenges, which have flattened the entire world, hence removing barriers to the movement of products and services. The cross-sectional survey was conducted, using six local government areas of Anambra State in South-East Nigeria, namely Awka, Nnewi, Onitsha, Aguata, Ogbaru, and Anaocha, among adults aged 18 years and above. A minimum sample size of 500 was calculated and stratified sampling was employed to select respondents in order to ensure that various population groups, the upper class, middle class, and lower class were represented. This research has shown that falsified medicine is an evil wind that blows nobody any good. It negatively affects every aspect of the citizen’s livelihood, ranging from their health, which manifests as treatment failures, deformities, loss of life to death, to loss of confidence in the healthcare providers, revenue losses to individuals, healthcare providers, manufacturers, and finally corruption of the genuine medicines supply chain with fake and adulterated medicines. The study has clearly shown the experiences of residents of Anambra State, South-East Nigeria with fake and adulterated medicines and also services as a wake-up call to medicines regulators like NAFDAC, PCN, the PSN, and Federal Ministry of Health to declare a state of emergency on the fight against fake and adulterated medicines and make enabling laws that are punitive enough towards the fight against this scourge, so that the healthcare and well-being of Nigerians would be assured at all times.
药物用于治疗疾病,缓解或消除疾病症状,延缓疾病进程。任何使用假药破坏这一自然医学过程的企图都会给药品消费者带来灭顶之灾。假药的挑战是全球性的,影响到发展中国家和发达国家,目前由于全球化的挑战而变得非常重要,全球化使整个世界变得扁平,从而消除了产品和服务流动的障碍。我们在尼日利亚东南部阿南布拉州的六个地方政府辖区(即阿卡、恩纽维、奥尼特沙、阿瓜塔、奥格巴鲁和阿瑙查)对 18 岁及以上的成年人进行了横向调查。研究计算出最小样本量为 500 人,并采用分层抽样法挑选受访者,以确保上层阶级、中层阶级和下层阶级等不同人群均有代表。这项研究表明,伪造药品是一股邪风,对任何人都没有好处。它对公民生活的方方面面都产生了负面影响,从他们的健康(表现为治疗失败、畸形、丧失生命到死亡),到对医疗服务提供者失去信心,个人、医疗服务提供者、制造商的收入损失,最后到假药和掺假药对真正药品供应链的腐蚀。这项研究清楚地展示了尼日利亚东南部阿南布拉州居民在假药和掺假药方面的经历,同时也为药品监管机构,如尼日利亚食品药品和药物管理局(NAFDAC)、PCN、PSN 和联邦卫生部敲响了警钟,要求他们宣布进入打击假药和掺假药的紧急状态,并制定足以惩罚假药和掺假药的授权法律,以便在任何时候都能确保尼日利亚人的医疗保健和福祉。
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引用次数: 0
Cardioprotective Potentials of Anacardium occidentale Nuts Methanolic Extract in Diabetes-Induced Cardiac Dysfunction in Rats 西洋接骨木果实甲醇提取物对糖尿病诱导的大鼠心功能障碍的保护潜力
Pub Date : 2024-05-15 DOI: 10.29328/journal.apps.1001057
Ajao Folasade Omobolanle, Kalejaiye Noheem Olaoluwa, Iyedupe Marcus Olaoye, Abiodun Sunday, Gbadero Joy, Ogundele Pelumi, Adeagbo Zainab, Ojolo Oluwatosin, Shonde Enitan, Olaleye Funmilayo Elizabeth
Background: The unwanted adverse toxicity displayed by synthetic antidiabetic medicine leads to the search for effective natural medicine to combat diabetes complications. This study investigated the cardioprotective of Anacardium occidentale nuts methanolic in high-fat diet (HFD)/streptozotocin (STZ)-induced diabetic rats. Materials and methods: Forty male adult Wistar were used and fed with HFD for 6 weeks before diabetes induction. The rats were grouped into 5 groups, 8 rats/group. Group I: normal control; Group II: diabetic control; Group III & IV: diabetic rats + 100 mg/kgb.wt & 200 mg/kgb.wt Anacardium occidentale nuts methanolic extract; Group V: diabetic rats + 200 mg/kgb.wt metformin. The rats were sacrificed on the experiment’s last day, blood samples were collected and the hearts were isolated for biochemical parameters estimation. Results: Food intake, water intake, plasmas insulin, Fasting Blood Glucose (FBG), glycosylated hemoglobin (HbA1c), cardiac enzymes, lipid profile, inflammatory cytokines, malondialdehyde, fibrotic marker, caspase-3 in cardiac of diabetic rats were elevated (p < 0.05) significantly. Body weight, cardiac antioxidant, and anti-apoptotic marker levels diminished (p < 0.05) significantly in diabetic rats. 100 mg/kgb.wt & 200 mg/kgb.wt of Anacardium occidentale nuts methanolic extract administration significantly suppressed the plasma insulin, FBG, HbA1c, cardiac lipid profile, cardiac enzymes biomarker, cardiac inflammatory cytokines, cardiac malondialdehyde, cardiac fibrotic marker, cardiac caspase-3, food intake & water intake and increased the body weight, cardiac antioxidant & cardiac anti-apoptotic marker in the diabetic rats. Conclusion: Anacardium occidentale nuts attenuate cardiac injury in diabetes. It could be a natural medicine to manage diabetes-cardiovascular complications.
背景:合成抗糖尿病药物的不良毒性导致人们开始寻找有效的天然药物来防治糖尿病并发症。本研究探讨了高脂饮食(HFD)/链脲佐菌素(STZ)诱导的糖尿病大鼠服用西洋接骨木果实甲醇对心脏的保护作用。材料与方法使用 40 只雄性成年 Wistar 大鼠,在诱导糖尿病前用高脂饮食喂养 6 周。大鼠分为 5 组,每组 8 只。I 组:正常对照组;II 组:糖尿病对照组;III 组和 IV 组:糖尿病大鼠 + 100 mg/kgb.wt 和 200 mg/kgb.wt 西洋辣木果甲醇提取物;V 组:糖尿病大鼠 + 200 mg/kgb.wt 二甲双胍。大鼠在实验的最后一天被处死,收集血液样本并分离心脏以进行生化指标评估。结果糖尿病大鼠的食物摄入量、水摄入量、血浆胰岛素、空腹血糖(FBG)、糖化血红蛋白(HbA1c)、心肌酶、血脂、炎症细胞因子、丙二醛、纤维化标志物、caspase-3均显著升高(P < 0.05)。糖尿病大鼠的体重、心脏抗氧化剂和抗凋亡标志物水平明显降低(p < 0.05)。服用 100 mg/kgb.wt 和 200 mg/kgb.wt 的西洋接骨木果实甲醇提取物可明显降低糖尿病大鼠的血浆胰岛素、血糖、HbA1c、心肌脂质、心肌酶生物标志物、心肌炎症细胞因子、心肌丙二醛、心肌纤维化标志物、心肌 caspase-3、进食量和饮水量,并增加体重、心肌抗氧化剂和心肌抗凋亡标志物。结论西洋接骨木果实可减轻糖尿病对心脏的损伤。它可以作为控制糖尿病-心血管并发症的天然药物。
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引用次数: 0
The Effect of Variable Doses of Imipramine and Amitriptyline on Learning and Memory 不同剂量的丙咪嗪和阿米替林对学习和记忆的影响
Pub Date : 2024-05-14 DOI: 10.29328/journal.apps.1001056
JO Asuquo, SE Oyama, Samuel Seriki A
This study compares the effect of imipramine and amitriptyline on learning and memory. Thirty-five (35) healthy Swiss white (CD1) mice of both sexes weighing 18 g - 30 g were randomly divided into 5 groups (n = 7). Mice in group 1 (control) were administered 0.9% normal saline orally, while mice in groups 2 and 3 were treated with low (1.8 mg/kg) and high (3.7 mg/kg) doses of imipramine, groups 4 and 5 were treated with low (1.8 mg/kg) and high (3.7 mg/kg) of amitriptyline respectively. Treatment was for 21 days before tests. All animals were tested using the Morris Water Maze (MWM) and Novel Object Recognition Task (NORT) to assess visuospatial learning and memory as well as cognitive learning and memory. The results obtained from the Morris Water Maze during the acquisition training showed that the swim latencies were significantly lower (p < 0.05) in the amitriptyline low-dose group compared to the control group. During the reversal training, the swim latencies were significantly lower (p < 0.05) in the test groups compared to the control group. The result for the retention quadrant in the probe trials showed a significant decrease (p < 0.05) in the northeast quadrant in the test groups compared to the control group, with no significant difference in the visible platform day of the Morris Water Maze in the test groups compared to the control group. In the novel object recognition task, the short-term index of habituation was significantly lower (p < 0.05) in the low-dose imipramine and low-dose amitriptyline compared to the control group, the results also showed a significant increase (p < 0.05) in amitriptyline high dose group compared to imipramine and amitriptyline low dose group and the control group. The index of discrimination showed no significant difference among all groups. The long-term index of habituation and discrimination in the memory test showed a significant decrease (p < 0.05) in all the test groups compared to the control group. The results suggest that imipramine and amitriptyline impaired cognitive memory and enhanced visuospatial learning and memory functions.
本研究比较了丙咪嗪和阿米替林对学习和记忆的影响。35只体重18克-30克的健康瑞士白(CD1)雌雄小鼠被随机分为5组(n = 7)。第1组(对照组)小鼠口服0.9%生理盐水,第2组和第3组分别服用低剂量(1.8毫克/千克)和高剂量(3.7毫克/千克)的丙咪嗪,第4组和第5组分别服用低剂量(1.8毫克/千克)和高剂量(3.7毫克/千克)的阿米替林。试验前治疗 21 天。所有动物均接受了莫里斯水迷宫(MWM)和新物体识别任务(NORT)测试,以评估视觉空间学习和记忆以及认知学习和记忆。莫里斯水迷宫习得训练的结果显示,与对照组相比,阿米替林低剂量组的游泳潜伏期明显更短(p < 0.05)。在逆转训练中,与对照组相比,试验组的游泳潜伏期明显更短(p < 0.05)。探究试验中的保留象限结果显示,与对照组相比,试验组的东北象限明显降低(p < 0.05),而在莫里斯水迷宫的可见平台日,试验组与对照组相比无明显差异。在新物体识别任务中,与对照组相比,低剂量丙咪嗪和低剂量阿米替林的短期习惯指数显著降低(P<0.05),结果还显示阿米替林高剂量组与丙咪嗪和阿米替林低剂量组及对照组相比显著增加(P<0.05)。各组的辨别指数无明显差异。与对照组相比,所有测试组在记忆测试中的长期习惯指数和辨别指数均显著下降(P < 0.05)。结果表明,丙咪嗪和阿米替林会损害认知记忆,增强视觉空间学习和记忆功能。
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引用次数: 0
Benefits of using SLGT2 Inhibitors for Patients with CDK and DM2 to Reduce Mortality Risks CDK 和 DM2 患者使用 SLGT2 抑制剂降低死亡率风险的益处
Pub Date : 2024-05-02 DOI: 10.29328/journal.apps.1001055
Fonseca Pandora Eloa Oliveira, Azevedo Jeremias Aguiar, Bié Sara Maria Gomes, Ferreira Sávio Benvindo
Type 2 diabetes mellitus (T2DM) is the most common cause of chronic kidney disease (CKD). CKD is characterized by progressive liver tissue damage and is an important risk factor for mortality due to renal and cardiovascular outcomes. Thus, randomized clinical trials have investigated the use of sodium-glucose cotransporter 2 (SLGT2) inhibitors as a promising therapy for patients with CKD and T2DM. This study aimed to analyze the benefits of using SGLT2 inhibitors in patients with CKD and T2DM to reduce mortality risks. To this end, a qualitative, descriptive methodological approach was adopted using a literature review in the PubMed, Embase, and VHL databases. The inclusion criteria were clinical trial articles, randomized or non-randomized, cohort studies, case-control studies, and open access, published in Portuguese and English, between 2018 and 2023 with topics associated with SGLT2 inhibitors, CDK, and T2DM patients. In this context, it was observed that the risk of death from CKD in patients treated with Canaglifozin was 30% lower than in those treated with a placebo and that Dapaglifozin prolonged survival. In this context, when assessing the progression of kidney disease or death from cardiovascular causes in patients taking Empagliflozin, only 13.1% achieved the outcome compared to 16.9% on placebo, so the drug safely reduces the risk of mortality. Consequently, SGLT2 inhibitors have shown excellent results in the treatment of CDK and T2DM, with a reduction in the risk of mortality, positive effects on reducing renal and cardiovascular outcomes, as well as prolonging survival.
2 型糖尿病(T2DM)是慢性肾脏病(CKD)最常见的病因。慢性肾脏病的特点是肝脏组织逐渐受损,是肾脏和心血管疾病导致死亡的重要风险因素。因此,随机临床试验研究了钠-葡萄糖共转运体2(SLGT2)抑制剂的使用,认为它是治疗慢性肾脏病和T2DM患者的一种很有前景的疗法。本研究旨在分析在慢性肾脏病和 T2DM 患者中使用 SGLT2 抑制剂对降低死亡风险的益处。为此,我们采用了定性描述的方法,在 PubMed、Embase 和 VHL 数据库中进行了文献综述。纳入标准为 2018 年至 2023 年期间以葡萄牙语和英语发表的临床试验文章、随机或非随机研究、队列研究、病例对照研究和开放存取,主题涉及 SGLT2 抑制剂、CDK 和 T2DM 患者。在此背景下,研究发现,接受卡那利福嗪治疗的患者死于慢性肾脏病的风险比接受安慰剂治疗的患者低 30%,而达帕利福嗪可延长患者的生存期。在这种情况下,在评估服用 Empagliflozin 的患者肾病恶化或因心血管原因死亡的情况时,只有 13.1%的患者达到了这一结果,而服用安慰剂的患者为 16.9%,因此该药物可以安全地降低死亡风险。因此,SGLT2 抑制剂在 CDK 和 T2DM 的治疗中显示出卓越的疗效,降低了死亡风险,对减少肾脏和心血管疾病结局以及延长生存期都有积极作用。
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引用次数: 0
Antibacterial Screening of Lippia origanoides Essential Oil on Gram-negative Bacteria 麝香草精油对革兰氏阴性菌的抗菌筛选
Pub Date : 2024-04-08 DOI: 10.29328/journal.apps.1001053
de Andrade Rodrigo Marcelino Zacarias, de Paixão Santos Bernardina, Fernandes Silva Roberson Matteus, Silva Mateus Gonçalves, de Sousa Oliveira Igor, Ferreira Sávio Benvindo, Lira Rafaelle Cavalcante
Essential oils (EO) are extracted from different plant species and can be present in different plant organs. Rosemary-pepper EO is composed of around 50% to 70% thymol, a phenolic compound proven to be active against fungi and bacteria. The active components present in these compounds can affect the vital functionality of bacterial cells, leading to protein denaturation and cell lysis. Therefore, the present study aims to evaluate in vitro the antibacterial potential of Lippia origanoides EO against gram-negative bacteria. This is an exploratory study, with a technical-experimental procedure, with a quantitative approach, carried out at the Federal University of Campina Grande. The strains used were Pseudomonas aeruginosa ATCC 27853, Proteus mirabilis ATCC 25933, and Escherichia coli ATCC 25922, using concentrations of 1024, 512, 256, and 128 μg/ml using the disc diffusion method in triplicate. After the incubation period, the formation of halos of bacterial growth inhibition was not observed. There are possible causes for the lack of antibacterial activity of the EO concerning the strains of gram-negative bacteria used in the study, including the possibility of not containing components with antibacterial properties in concentrations sufficient for the expected activity at the concentrations tested. Based on the results obtained, the Rosemary-Pepper EO (Lippia organoids) did not demonstrate antimicrobial activity against the gram-negative bacteria used in the study. Therefore, the development of new research with Lippia origanoides essential oil with gram-positive bacteria is suggested.
精油(EO)从不同种类的植物中提取,可以存在于不同的植物器官中。迷迭香-胡椒精油由大约 50% 到 70% 的百里酚组成,这种酚类化合物被证明对真菌和细菌具有活性。这些化合物中的活性成分会影响细菌细胞的重要功能,导致蛋白质变性和细胞裂解。因此,本研究旨在体外评估 Lippia origanoides 环氧乙烷对革兰氏阴性细菌的抗菌潜力。这是一项探索性研究,采用技术-实验程序和定量方法,在坎皮纳格兰德联邦大学(Federal University of Campina Grande)进行。使用的菌株是铜绿假单胞菌(ATCC 27853)、变形杆菌(ATCC 25933)和大肠杆菌(ATCC 25922),使用的浓度分别为 1024、512、256 和 128 微克/毫升,采用一式三份的圆盘扩散法。培养期结束后,未观察到细菌生长抑制光环的形成。造成研究中使用的环氧乙烷对革兰氏阴性菌菌株缺乏抗菌活性的原因可能包括:环氧乙烷中抗菌成分的浓度不足以在测试浓度下产生预期的活性。根据获得的结果,迷迭香-胡椒环氧乙烷(Lippia organoids)对研究中使用的革兰氏阴性菌没有显示出抗菌活性。因此,建议开展新的研究,研究 Lippia origanoides 精油对革兰氏阳性细菌的作用。
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引用次数: 0
Evaluation of the Anti-inflammatory Activity of Equisetum arvense and Baccharis trimera Fractions 评估马钱子和三叶青的抗炎活性
Pub Date : 2024-03-19 DOI: 10.29328/journal.apps.1001049
Vaz Carolina Ferreira, Mariano Alan Fernandes, Fracasso Júlia Amanda Rodrigues, Ramos Marcus Vinicius Vieitas, dos Santos Lucineia, Dias Herbert Júnior
Inflammation is a natural response of the body to defend itself against potential threats and can be reduced through physical activity, proper nutrition, and the use of herbal medicines, which are medicinal plants. In the study, we aim to examine the anti-inflammatory effects of the volatile and ethanolic fractions of two commonly used medicinal plants, Equisetum arvense, and Baccharis trimera. The essential oils were obtained by hydrodistillation of the fresh leaves of the plants, while the ethanolic extracts were obtained using classical methodologies. All fractions were tested for anti-inflammatory activity, evaluating their ability to stabilize the red blood cell membrane and inhibit the spreading, and phagocytosis by macrophages, at concentrations varying from 200 to 600 µg mL-1. The results of the experiments suggest that the ethanolic fraction of B. trimera shows promising results compared to the positive controls. Our investigations thus contribute to the specialized literature on the use of herbal medicines around nutrition, providing guidance for future studies on these fractions.
炎症是人体抵御潜在威胁的一种自然反应,可以通过体育锻炼、适当营养和使用草药(即药用植物)来减轻。在这项研究中,我们旨在研究两种常用药用植物--马钱子和三叶青的挥发性和乙醇馏分的抗炎作用。精油是通过对植物鲜叶进行水蒸馏获得的,而乙醇提取物则是通过传统方法获得的。对所有馏分进行了抗炎活性测试,评估它们稳定红细胞膜、抑制扩散和巨噬细胞吞噬的能力,浓度为 200 至 600 µg mL-1 不等。实验结果表明,与阳性对照组相比,B. trimera 的乙醇部分显示出良好的效果。因此,我们的研究为有关围绕营养使用草药的专业文献做出了贡献,为今后有关这些馏分的研究提供了指导。
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引用次数: 0
Acyclovir Induced Acute Kidney Injury: A Case Report 阿昔洛韦诱发急性肾损伤:病例报告
Pub Date : 2024-02-13 DOI: 10.29328/journal.apps.1001048
Mohammed Ziauddin, Muskan Mariya Zoha, Narayanan Megha Mohan
Herpes zoster ophthalmicus, commonly referred to as shingles, manifests as a painful skin rash affecting one or more dermatome distributions of the trigeminal nerve, which supplies sensory innervation to the eye and its surrounding structures. Acyclovir stands as the primary pharmacological intervention for the treatment of this condition. However, its administration is associated with a notable risk of adverse effects, with acute kidney injury being the most prevalent. Herein, we present a case report involving a 59-year-old female patient who developed acute kidney injury after the prescription of Acyclovir for the management of herpes zoster ophthalmicus. This case underscores the importance of vigilance regarding potential renal complications associated with Acyclovir therapy, particularly in susceptible patient populations.
眼带状疱疹俗称带状疱疹,表现为疼痛性皮疹,影响三叉神经的一个或多个皮节分布,三叉神经为眼睛及其周围结构提供感觉神经支配。阿昔洛韦是治疗这种疾病的主要药物。然而,阿昔洛韦的用药存在明显的不良反应风险,其中最常见的是急性肾损伤。在此,我们提交了一份病例报告,其中涉及一名 59 岁的女性患者,她在使用阿昔洛韦治疗带状疱疹眼炎后出现了急性肾损伤。该病例强调了警惕阿昔洛韦治疗相关潜在肾脏并发症的重要性,尤其是在易感人群中。
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引用次数: 0
Biologic Medications for the Treatment of Psoriasis - Main Groups and Dosing System 治疗银屑病的生物制剂--主要类别和剂量系统
Pub Date : 2023-11-20 DOI: 10.29328/journal.apps.1001045
Elsherbiny Bedeer Sabry
This review explores the evolving landscape of psoriasis treatment with a focus on the transformative impact of biologic drugs. Psoriasis, a prevalent and persistent skin condition characterized by red and scaly patches, historically relied on topical, phototherapeutic, and systemic treatments, each with limitations. The advent of biologics represents a significant advancement, offering targeted interventions by addressing specific immunologic mechanisms underlying the disease. Biologics are now considered the preferred systemic therapy for chronic moderate-to-severe plaque psoriasis, particularly when conventional treatments prove ineffective or present disadvantages. The review delineates the mechanisms of action for biologics targeting tumour necrosis factor-alpha (TNF-α), interleukin-17 (IL-17) and interleukin-23 (IL-23). Specific drugs under each category, including etanercept, infliximab, adalimumab, secukinumab, ustekinumab, and others, are detailed with recommended dosages. Biologics have demonstrated substantial effectiveness, with clinical trials and real-world studies showcasing significant improvements in disease severity and patient’s quality of life. Notably, these drugs exhibit rapid action, often yielding noticeable changes within weeks. While biologics have revolutionized psoriasis treatment, the review emphasizes the importance of judicious use due to potential side effects such as injection-site reactions and respiratory infections. Serious adverse events, including infections and autoimmune reactions, necessitate careful patient selection and monitoring for safety. In conclusion, biologics offer a precise and effective approach to psoriasis treatment, promising marked symptom improvement and enhanced quality of life. The review underscores the need for responsible utilization, considering patient-specific factors, and anticipates ongoing advancements in biologics for improved control over this chronic dermatitis.
这篇综述探讨了银屑病治疗不断发展的前景,重点关注生物制剂的变革性影响。银屑病是一种以红色鳞屑斑块为特征的流行性顽固皮肤病,以往主要依靠局部治疗、光疗和全身治疗,但每种治疗方法都有其局限性。生物制剂的出现代表了一项重大进步,它通过解决疾病背后的特定免疫机制,提供有针对性的干预措施。目前,生物制剂被认为是治疗慢性中重度斑块状银屑病的首选系统疗法,尤其是在传统疗法无效或存在缺点的情况下。本综述阐述了针对肿瘤坏死因子-α(TNF-α)、白细胞介素-17(IL-17)和白细胞介素-23(IL-23)的生物制剂的作用机制。每个类别下的具体药物,包括依那西普(etanercept)、英夫利昔单抗(infliximab)、阿达木单抗(adalimumab)、secukinumab、乌斯替康单抗(ustekinumab)等,都有详细的推荐剂量。生物制剂已显示出巨大的疗效,临床试验和实际研究显示,这些药物可显著改善疾病的严重程度和患者的生活质量。值得注意的是,这些药物作用迅速,通常在数周内就能产生明显的变化。虽然生物制剂给银屑病治疗带来了革命性的变化,但综述强调,由于注射部位反应和呼吸道感染等潜在副作用,谨慎使用非常重要。由于存在感染和自身免疫反应等严重不良反应,因此有必要谨慎选择患者并对其进行安全性监测。总之,生物制剂为银屑病治疗提供了一种精确有效的方法,有望明显改善症状,提高生活质量。本综述强调了负责任地使用生物制剂的必要性,同时考虑了患者的具体因素,并期待生物制剂不断取得进步,以改善对这种慢性皮炎的控制。
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引用次数: 0
Hypersexual Disorder: A Comprehensive Review of Conceptualization, Etiology, Assessment and Treatment 性功能亢进:概念、病因、评估和治疗的综合综述
Pub Date : 2023-09-06 DOI: 10.29328/journal.apps.1001044
Tiwari Shashank
Hypersexual disorder, also known as compulsive sexual behavior or sex addiction, is a complex and clinically significant condition characterized by intense and recurrent sexual fantasies, urges, or behaviors that significantly disrupt an individual’s daily life and overall well-being. Despite its importance, hypersexual disorder remains a controversial and debated topic, lacking standardized diagnostic criteria in major classification systems. This review paper provides a comprehensive examination of hypersexual disorder, encompassing its definition, conceptualization, etiology, co-occurring conditions, effects on mental and physical health, assessment, treatment approaches, cultural and ethical considerations, and future research directions. By synthesizing information from existing literature and research, this review aims to deepen our understanding of hypersexual disorder and contribute to the development of evidence-based interventions. The review begins by exploring the evolution of the term “hypersexual disorder” and its current status in diagnostic classifications. It then delves into the potential etiological factors contributing to the development of hypersexual behaviors, including neurobiological, genetic, and psychosocial factors. Furthermore, the review discusses the common comorbidities associated with hypersexual disorder, emphasizing the importance of addressing co-occurring mental health conditions in treatment planning. The psychological and physiological effects of hypersexual behaviors on affected individuals are examined, underscoring the urgency of early intervention and comprehensive treatment. The assessment and diagnosis of hypersexual disorder are thoroughly examined, considering the challenges and methodologies involved in identifying and evaluating affected individuals. Cultural and ethical considerations are highlighted, stressing the significance of providing culturally sensitive and ethical care to diverse populations. In the context of treatment, the review discusses various therapeutic approaches, including psychotherapy, medication, support groups, and harm-reduction strategies. The need for evidence-based treatments tailored to hypersexual disorder is underscored while recognizing the challenges of developing standardized protocols in this evolving field. Finally, future research directions are outlined, focusing on the standardization of diagnostic criteria, prevalence studies, neurobiological investigations, and the integration of cultural competency in treatment approaches. In conclusion, this review paper aims to contribute to a comprehensive understanding of hypersexual disorder and its implications for affected individuals and society. By exploring the multifaceted aspects of the condition, this review seeks to provide insights into effective treatment approaches and inspire further research in the study of hypersexual disorder.
性欲亢进症,也被称为强迫性行为或性成瘾,是一种复杂的、临床意义重大的疾病,其特征是强烈的、反复出现的性幻想、性冲动或性行为,严重扰乱个人的日常生活和整体健康。尽管它很重要,但性欲亢进仍然是一个有争议的话题,在主要的分类系统中缺乏标准化的诊断标准。本文综述了性欲亢进症的定义、概念、病因、并发疾病、对身心健康的影响、评估、治疗方法、文化和伦理考虑以及未来的研究方向。通过综合现有文献和研究的信息,本综述旨在加深我们对性欲亢进的理解,并为循证干预措施的发展做出贡献。本文首先探讨了“性欲亢进”一词的演变及其在诊断分类中的现状。然后深入研究了导致性亢进行为的潜在病因,包括神经生物学、遗传和社会心理因素。此外,本综述讨论了与性亢进相关的常见合并症,强调了在治疗计划中处理并发精神健康状况的重要性。本研究探讨了性欲亢进对个体的心理和生理影响,强调了早期干预和综合治疗的紧迫性。考虑到识别和评估受影响个体所涉及的挑战和方法,对性亢进的评估和诊断进行了彻底的检查。强调了文化和伦理方面的考虑,强调了向不同人口提供文化敏感和伦理关怀的重要性。在治疗方面,本综述讨论了各种治疗方法,包括心理治疗、药物治疗、支持团体和减少伤害策略。在认识到在这一不断发展的领域中制定标准化协议的挑战的同时,强调了针对性欲亢进症的循证治疗的必要性。最后,展望了未来的研究方向,重点是诊断标准的标准化、患病率研究、神经生物学研究以及文化能力在治疗方法中的整合。综上所述,本文旨在对性欲亢进及其对个体和社会的影响有一个全面的了解。通过对性欲亢进的多方面研究,本综述旨在为有效的治疗方法提供见解,并为性欲亢进的进一步研究提供启发。
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引用次数: 0
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Archives of Pharmacy and Pharmaceutical Sciences
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