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Lipid-polycaprolactone Core-shell Hybrid Nanoparticles for Controlled Delivery of Nateglinide 用于控制递送那格列奈的脂质-聚己内酯核-壳杂化纳米颗粒
IF 0.4 Pub Date : 2021-07-22 DOI: 10.22377/ajp.v15i2.4059
M. K. Das
Objective: Lipid-polymer hybrid nanoparticles (LPHNPs) combine the biomimetic advantages of lipids and the structural benefits of polymers. The aim of the present study is the development of core shell LPHNPs encapsulating a model lipophilic drug nateglinide and perceived its controlled delivery. Materials and Methods: LPHNPs were prepared by single emulsion solvent evaporation method using polycaprolactone as polymer and glyceryl monostearate, palmitic acid, and lauric acid as lipid. The formulations were characterized in terms of particle size, zeta potential, drug entrapment efficiency, drug loading (DL), surface morphology, in vitro drug release, and release kinetics studies. Results: Dynamic light scattering analysis demonstrated the smaller particle size of LPHNPs (380.2 ± 3.5–544.7 ± 2.8 nm) as compared to polycaprolactone polymeric NPs (PNPs) (647.1 ± 1.9–675.8 ± 3.7 nm). Transmission electron microscopy images of LPNPs and PNPs demonstrate that they are spherical in shape. The entrapment efficiencies (84.9 ± 0.1–87.76 ± 0.23%) and DL capacity (4.63 ± 0.01–8.18 ± 0.09%) of LPHNPs were higher than PNPs (72.5 ± 0.1% and 2.05 ± 0.005%). The higher colloidal stability of LPHNPs was confirmed by their zeta potential value at -12.5 ± 2.1––33.4 ± 0.2 mv as compared to zeta potential of PNPs (–8.71 ± 0.3–9.60 ± 0.1 mv). The LPHNPs displayed a biphasic drug release pattern with an initial burst release, followed by controlled release. The LPHNPs demonstrated the slower drug release (60–70% at 24 h) than that from PNPs (90% at 24 h). Conclusion: The results suggest the controlled release behavior of nateglinide from the developed lipid-polymer core shell hybrid NPs. The developed nanocarriers hold the great promise for controlled delivery of both the lipophilic and hydrophilic drugs to improve their pharmacokinetics.
目的:脂质-聚合物杂化纳米颗粒(LPHNPs)结合了脂质的仿生优势和聚合物的结构优势。本研究的目的是开发包封模型亲脂性药物那格列奈的核壳LPHNPs,并感知其控制递送。材料与方法:以聚己内酯为聚合物,单硬脂酸甘油酯、棕榈酸、月桂酸为脂质,采用单乳液溶剂蒸发法制备LPHNPs。从粒径、zeta电位、药物包载效率、载药量(DL)、表面形貌、体外药物释放和释放动力学研究等方面对处方进行了表征。结果:动态光散射分析表明,LPHNPs的粒径(380.2±3.5 ~ 544.7±2.8 nm)小于聚己内酯聚合物NPs(647.1±1.9 ~ 675.8±3.7 nm)。lnps和PNPs的透射电镜图像显示它们的形状是球形的。LPHNPs的包封效率(84.9±0.1 ~ 87.76±0.23%)和DL容量(4.63±0.01 ~ 8.18±0.09%)高于PNPs(72.5±0.1%和2.05±0.005%)。LPHNPs的zeta电位值为-12.5±2.1—33.4±0.2 mv,比PNPs的zeta电位值(-8.71±0.3—9.60±0.1 mv)更高。LPHNPs表现为两相药物释放模式,先是爆发释放,然后是控制释放。LPHNPs的释药速度较PNPs慢(24 h释药速度为60-70%),PNPs释药速度为90%。结论:所制备的脂质-聚合物核壳杂交NPs具有控释那格列奈的行为。所开发的纳米载体在控制亲脂性和亲水性药物的递送以改善其药代动力学方面具有很大的前景。
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引用次数: 1
Manifold Molecular Signaling Targets of Tropolones in Multifarious Diseases Tropolones在多种疾病中的多重分子信号靶点
IF 0.4 Pub Date : 2021-07-22 DOI: 10.22377/AJP.V15I2.4058
Mohamed Zerein Fathima
Tropolones are strewed phytochemicals having scaffold contains seven-membered ring system belongs to a family of Cupressaceae plants. Tropolone derivatives targeting multiple signaling transcription factors, cell cycle regulatory components, proteins, growth factors, kinases, and cytokines also involved in inflammatory mechanisms as well as involved in antioxidant, antimicrobial, anti-inflammatory, antithrombotic, and anticancer activities. To identify the therapeutically potent pharmacophores from the natural components is the long-term focus in pharmaceutical industry. Our preliminary findings on Hinokitiol (HIOL) showed binding potential in mitogen-activated protein kinase and ABL proto-oncogene 1 by in silico docking method perhaps in apoptosis of several cancers. This review aimed at gathering most of the available information to document the potential efficacy of tropolones and its molecular mechanisms. Although natural products usually have fewer activities compared with synthesized compounds, it will shed a light on studies aiming to discover new drugs from tropolone derivatives for targeting multiple signaling mechanisms for various diseases.
tropolone是柏科植物中具有支架含有七元环系统的弥散植物化学物质。Tropolone衍生物靶向多种信号转录因子、细胞周期调节成分、蛋白质、生长因子、激酶和细胞因子,也参与炎症机制以及抗氧化、抗菌、抗炎、抗血栓和抗癌活性。从天然成分中鉴定具有治疗作用的药效团是制药工业长期关注的焦点。我们的初步研究结果显示,通过硅对接方法,扁柏醇(HIOL)可能与丝裂原活化蛋白激酶和ABL原癌基因1结合,可能与多种癌症的凋亡有关。本综述旨在收集大多数现有信息,以证明tropolone的潜在功效及其分子机制。虽然天然产物的活性通常低于合成化合物,但它将为旨在从曲溴酮衍生物中发现针对多种疾病的多种信号机制的新药的研究提供线索。
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引用次数: 1
Design and in vitro Evaluation of Fluvoxamine Nanosuspension using PVA as Stabilizing Agent 聚乙烯醇为稳定剂的氟伏沙明纳米混悬液的设计与体外评价
IF 0.4 Pub Date : 2021-07-22 DOI: 10.22377/ajp.v15i2.4061
M. Srinivas
Introduction: Poor aqueous solubility and low dissolution rates are the initial drawback for the majority of upcoming and existing biologically active compounds. Materials and Methods: Fluvoxamine (API), other excipients such as PVA, SLS, Tween 80, and methanol. Fluvoxamine is a poorly water-soluble drug and its bioavailability is very low. The present study was to increase the solubility and dissolution rate of Fluvoxamine by formulating nanosuspensions by Emulsification solvent evaporation method. Results and Discussions: The formulation nanosuspenison was subject to zeta potential, particle size analysis, drug content, and in vitro drug release studies. The entrapment efficiency of all the formulations was within 95.78–98.16%, from the drug release studies, The NF6 formulation was optimized and it shows maximum drug release (99.02%) at a shorter period of time than remaining formulations. The average particle size of the optimized formulation was found to be 110 nm. Conclusion: The research showed that enhanced dissolution rate by reduced in particle size, which, in turn, increases the dissolution rate and oral bioavailability of fluvoxamine by formulating nanosuspensions. Formulations were found to physically stable with PVA as the stabilizing agent.
水溶性差和溶解速率低是大多数即将到来和现有的生物活性化合物的最初缺点。材料和方法:氟伏沙明(API)、其他辅料如PVA、SLS、Tween 80、甲醇。氟伏沙明是一种水溶性差的药物,生物利用度很低。本研究采用乳化溶剂蒸发法制备氟伏沙明纳米混悬液,以提高其溶解度和溶出率。结果与讨论:通过zeta电位、粒度分析、药物含量和体外释药研究,确定了该纳米混悬剂的处方。各制剂的包封效率均在95.78 ~ 98.16%之间,从释药研究上看,优化后的NF6制剂在较短的时间内释药最大,释药率为99.02%。优化后的配方平均粒径为110 nm。结论:减小氟伏沙明纳米混悬液粒径可提高其溶出度,从而提高其口服生物利用度。以PVA为稳定剂的配方在物理上是稳定的。
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引用次数: 1
Post-operative Surgical Site Infection Rates in a Public Hospital in Al-Kharj Al Kharj一家公立医院术后手术部位感染率
IF 0.4 Pub Date : 2021-06-01 DOI: 10.22377/ajp.v15i3.4150
N. Ahmed
Introduction: Surgical site infections (SSIs) are the most prevalent healthcare-associated infections that increase mortality and morbidity rates. Aim: The present study was a retrospective study that aimed to determine the post-operative SSI rate in a public hospital in Al-Kharj. Materials and Methods: The data were collected by the microbiology laboratory in the hospital and included the number of infections caused by Gram-positive and Gram-negative bacteria and the number of SSIs in the hospital. Results: Most of the infections in the present study were caused by Gram-negative organisms (83.00%). The most common bacteria were Pseudomonas aeruginosa (19.87%) followed by Escherichia coli (16.34%) and Klebsiella pneumoniae (13.13%). The SSI rate in the hospital was 2.32% (=21/906*100%). Most of the SSIs were caused by Gram-negative bacteria (80.95%). Most of the SSIs were caused by Staphylococcus aureus (19.04%), P. aeruginosa (14.29%), Proteus mirabilis (14.29%), Acinetobacter (14.29%), and Citrobacter (14.29%). Conclusion: The SSIs rate in Al-Kharj city is low but adopting protocols for surveillance and implementing guidelines are still needed to minimize the SSIs rate.
引言:手术部位感染(SSIs)是最常见的医疗保健相关感染,会增加死亡率和发病率。目的:本研究是一项回顾性研究,旨在确定哈尔吉一家公立医院的术后SSI发生率。材料与方法:数据由医院微生物实验室收集,包括由革兰氏阳性菌和革兰氏阴性菌引起的感染人数以及医院SSI的数量。结果:本研究中大多数感染是由革兰氏阴性菌引起的(83.00%),最常见的细菌是铜绿假单胞菌(19.87%),其次是大肠杆菌(16.34%)和肺炎克雷伯菌(13.13%),住院SSI率为2.32%(=21/906*100%)。大多数SSIs是由革兰氏阴性菌引起的(80.95%)。大多数SSIs由金黄色葡萄球菌(19.04%)、铜绿假单胞菌(14.29%)、奇异变形杆菌(14.29%。
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引用次数: 0
A Kinetic and Synthetic Approach of Surfactants Accelerated by Vilsmeier- Haack Acetylation and Formylation with Anisole Vilsmeier-Haack乙酰化和苯甲醚甲酰化加速表面活性剂的动力学和合成方法
IF 0.4 Pub Date : 2021-06-01 DOI: 10.22377/ajp.v15i3.4152
S. Iqubal
Introduction: Vilsmeier-Haack (VH) reactions are mostly too slow even at higher temperatures. However, quick and easy transformation was observed in micellar media even at moderate temperatures. Materials and Methods: Different types of surfactants (anionic – sodium dodecyl sulfate, cationic – cetyltrimethyl ammonium bromide, and non-ionic – T X-100) are used as micelle forming compounds. Results and Discussion: Micellar-mediated reactions exhibited dramatic rate accelerations and improvements in the yield of end products. The VH reactions pursued pseudo-first- and second-order kinetics. Conclusion: This study with anisole is the first such report demonstrating a feasible, controllable, non-toxic, and easy methodology for the synthesis of formylated and acetylated derivatives and a study of their kinetic behavior.
简介:即使在更高的温度下,维尔斯梅尔·哈克(VH)反应也大多太慢。然而,即使在中等温度下,在胶束介质中也观察到快速而容易的转化。材料和方法:使用不同类型的表面活性剂(阴离子十二烷基硫酸钠、阳离子十六烷基三甲基溴化铵和非离子-TX-100)作为胶束形成化合物。结果和讨论:胶束介导的反应表现出显著的速率加速和最终产物产率的提高。VH反应追求伪一阶和二阶动力学。结论:本研究首次证明了甲酰化和乙酰化衍生物的合成及其动力学行为的可行性、可控性、无毒性和简便性。
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引用次数: 0
Evaluation of Medical Sciences Students’ Perception, Barriers, and Attitude toward Scientific Research: A Cross-sectional Study in Makkah Region, Saudi Arabia 评价医学专业学生对科研的认知、障碍和态度:沙特阿拉伯麦加地区的横断面研究
IF 0.4 Pub Date : 2021-06-01 DOI: 10.22377/ajp.v15i3.4149
N. Ahmed
Aim: Medical research skills at the undergraduate level is increasingly discussed as having a potential role in developing certain skills in students including decision making, problem-solving, and critical thinking. Therefore, this study aimed to evaluate the perception, barriers, and attitude of medical sciences students toward scientific research in Makkah region of Saudi Arabia. Methods: The data collected between August and September 2019 using an electronic questionnaire that was distributed to medical sciences students at Makkah region including (4th, 5th, 6th years, and interns). Results: Total number of participants who answered the questionnaire was 411 health-care students. Most of the students were females (70.6%), only 29.4% of them were male students. Most of them (72.8%) agreed that scientific research is essential for undergraduate students and about 73.2% of them said that they will participate in any available research opportunity. About 70.3% of the respondents reported that they do not know whom to contact if they want to conduct research and about 61.6% of the respondents reported there were few opportunities to do research in their college. Conclusion: Although students have good attitude and good perception toward research, there are some barriers that should be overcome to encourage student participation in research activities in Makkah region’s universities of Saudi Arabia.
目的:本科阶段的医学研究技能越来越多地被认为对培养学生的某些技能有潜在的作用,包括决策、解决问题和批判性思维。因此,本研究旨在评估沙特阿拉伯麦加地区医学专业学生对科研的认知、障碍和态度。方法:2019年8月至9月,通过电子问卷收集数据,分发给麦加地区的医学专业学生(四年级、五年级、六年级和实习生)。结果:参与问卷调查的卫生专业学生共411人。女生占比最高(70.6%),男生仅占29.4%。大多数学生(72.8%)认为科学研究对本科生来说是必不可少的,约73.2%的学生表示他们会参与任何可能的研究机会。约70.3%的受访者表示,如果他们想进行研究,他们不知道联系谁,约61.6%的受访者表示,在他们的大学里做研究的机会很少。结论:尽管学生对研究有良好的态度和良好的认知,但在沙特阿拉伯麦加地区的大学中,鼓励学生参与研究活动需要克服一些障碍。
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引用次数: 0
Technology, Recent Advancement, and Application of Multiple Emulsions: An Overview 多乳液技术、最新进展及应用综述
IF 0.4 Pub Date : 2021-06-01 DOI: 10.22377/ajp.v15i3.4143
N. Singh
Multiple emulsions are complex polydispersed organizations where both oil-in-water and water-in-oil emulsion are present simultaneously, which are stabilized by lipophilic and hydrophilic surfactants, respectively. To achieve stable multiple emulsions, the proportion of these surfactants is critical. Between the two types of multiple emulsions, water-in-oil-in-water (W/O/W) and oil-in-water-in-oil, the former has a wider range of applications and is thus investigated in more depth. Multiple emulsion development, preparation procedures, and in vitro evaluation methodologies have all been updated. Numerous elements impacting the stability of multiple emulsions, as well as stabilization strategies, are explored in detail, with a focus on W/O/W type multiple emulsions. Multiple emulsions are a possible carrier because they have desirable drug release mechanisms and rates, as well as a favorable in vivo fate. It has a wide range of uses, including regulated, targeted distribution, flavor masking, bioavailability augmentation, enzyme immobilization, and so on. In the microencapsulation process, several emulsions have also been regarded an intermediate phase. They are the systems of increasing interest for the oral delivery of hydrophilic drugs, which are unbalanced in the gastrointestinal tract such as proteins and peptides. It will provide a novel carrier system for the administration of pharmaceuticals, cosmetics, and medicinal agents as procedures for preparation, stabilization, and rheological characterization of multiple emulsions advance. Formulation, stabilization procedures, and prospective uses of various emulsion systems are all considered in this assessment.
多重乳液是复杂的多分散组织,水包油乳液和油包水乳液同时存在,分别由亲脂性和亲水性表面活性剂稳定。为了获得稳定的多重乳液,这些表面活性剂的比例至关重要。在水包油包水(W/O/W)和油包油包水包油两种类型的多重乳液之间,前者的应用范围更广,因此研究更深入。多种乳液的开发、制备程序和体外评估方法都已更新。详细探讨了影响多重乳液稳定性的许多因素以及稳定策略,重点是W/O/W型多重乳液。多重乳液是一种可能的载体,因为它们具有理想的药物释放机制和速率,以及良好的体内命运。它具有广泛的用途,包括调节、靶向分布、风味掩蔽、生物利用度提高、酶固定化等。在微胶囊化过程中,几种乳液也被视为中间相。它们是对亲水性药物的口服递送越来越感兴趣的系统,亲水性药物在胃肠道中是不平衡的,如蛋白质和肽。随着多种乳液的制备、稳定和流变学表征程序的进展,它将为药物、化妆品和药物制剂的给药提供一种新型载体系统。本评估中考虑了各种乳液体系的配方、稳定程序和预期用途。
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引用次数: 0
Binding of Carbonated Anions to Cationic Hexaureachromium(III): Synthesis, Characterization and Antimicrobial Activity of [Cr(CO(NH2 )2 )6 ](HCO3 )3 and [Cr(CO(NH2 )2 )6 ]2 (CO3 )3 [Cr(CO(NH2)2)6](HCO3)3和[Cr(CO(NH2)2)6]2 (CO3)3的合成、表征及抗菌活性
IF 0.4 Pub Date : 2021-06-01 DOI: 10.22377/ajp.v15i3.4151
V. Prakash
Aim: The aim of the study is to synthesize two new hexaureachromium complexes: [Cr(CO(NH2 ) 2 ) 6 ](HCO3 ) 3 (1), [Cr(CO(NH2 ) 2 ) 6 ] 2 (CO3 ) 3 (2) followed by the analysis of binding ability of hexaureachromium(III) cation towards carbonated anions ( 2 HCO and CO 3 3 − − ) and their antimicrobial activities against Escherichia coli, Staphylococcus aureus S. aurses (for anti-bacterial), and Aspergillus niger (for anti-fungal). Materials and Methods: The synthesized compounds 1 and 2 were characterized by spectroscopic studies (fourier-transform infrared and ultraviolet [UV]- visible). The binding properties of [Cr(CO(NH2 ) 2 ) 6 ] 3+ ([HuCr]3+) with carbonated anions ( 2 HCO and CO 3 3 − − ) in aqueous medium have been determined with standard UV–visible spectrophotometerthrough titration method. Further, the stoichiometric ratios for complexes 1 and 2 were found through Job’s plot. All compounds were also tested for antimicrobial activity against selected strains. Results and Discussion: The cation, [HuCr]3+, contains ligand urea bearing H-bond donors which are capable of forming hydrogen bonds. The binding constant values obtained are found to be 10.5334 for and 15.7377 for . Further, the stoichiometric ratios for complexes 1 and 2 have been found to be 1:3 and 2:3, respectively. [HuCr]Cl3 , 1 and 2 show the maximum zone of inhibition at 200 μg/mL but the starting material [HuCr]Cl3 and compound 1 does not show any activity against A. niger at 50 and 100 μg/mL concentration. Conclusion: The ionic reactions between anion receptor [HuCr]3+ and carbonated anions in aqueous solution have been investigated and characterized by spectroscopic (infrared and UV–visible) techniques. The results obtained indicate that the binding ability of the cation [HuCr]3+ towards carbonated anions is in the order 2 CO3 − > HCO3 − . Thus, the selectivity of receptors for particular anion can be chosen. The results predict that the octahedral geometry of [HuCr]3+ is capable enough to target both the carbonated anions. [HuCr]Cl3 and compound 1 do not show any activity against A. niger at 50 and 100 μg/mL concentration while compound 2 is found to be potent against all the tested organisms (E. coli, S. aurses, and A. niger).
目的:合成两种新的六脲铬配合物:[Cr(CO(NH2)2)6](HCO3)3(1)、[Cr(CO(NH2,2)6]2(CO3)3(2),和黑曲霉(用于抗真菌)。材料与方法:通过红外光谱和紫外可见光谱对合成的化合物1和2进行了表征。用标准紫外-可见分光光度计通过滴定法测定了[Cr(CO(NH2)2)6]3+([HuCr]3+)与碳酸化阴离子(2 HCO和CO 3−−)在水介质中的结合性能。此外,配合物1和2的化学计量比通过Job's图得到。还测试了所有化合物对选定菌株的抗微生物活性。结果与讨论:阳离子[HuCr]3+含有能够形成氢键的带有氢键供体的配体脲。得到的结合常数值为10.5334和15.7377。此外,已经发现配合物1和2的化学计量比分别为1:3和2:3。[HuCr]Cl3、1和2在200μg/mL时显示出最大抑制区,但起始材料[HuCr]Cl3和化合物1在50和100μg/mL浓度下对黑曲霉没有显示出任何活性。结论:阴离子受体[HuCr]3+与水溶液中碳酸化阴离子之间的离子反应已通过光谱(红外和紫外-可见光)技术进行了研究和表征。结果表明,阳离子[HuCr]3+对碳酸化阴离子的结合能力为2CO3−>HCO3−。因此,可以选择受体对特定阴离子的选择性。结果预测,[HuCr]3+的八面体几何结构足以靶向两种碳酸化阴离子。[HuCr]Cl3和化合物1在50和100μg/mL浓度下对黑曲霉没有任何活性,而化合物2被发现对所有测试的生物体(大肠杆菌、金黄色葡萄球菌和黑曲霉)都有效。
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引用次数: 0
Polylactide-co-glycolic Acid Nanoparticles for Drug Delivery System 用于给药系统的聚乳酸-羟基乙酸纳米颗粒
IF 0.4 Pub Date : 2021-06-01 DOI: 10.22377/ajp.v15i3.4144
S. Kumar
Novel drug delivery system, an area of present research is used to carry pharmaceutical ingredients to a targeted site of action in a body, without affecting the nature of the drug. Nanoparticles are too small in size; it has a drug size of 10–100 nm due to its drug size a large amount of drug is absorbed through blood. Polylactide-co-glycolic acid (PLGA) is a synthetic polymer; it has several lactic acids in the unit and several glycolic acids in the unit. PLGA is used with the drug for improved bioavailability and it works on the targeted site of action. It is used as a polymer with the drug which is having less half-life period. The PLGA has been approved by the department of FDA. The PLGA nanoparticles are prepared by the nano-emulsion method and nanoprecipitation method. The PLGA- loaded nanoparticles are administered through various routes of administration such as oral, parenteral, nasal, and transdermal. It is used to treat several diseases such as Alzheimer’s, diabetes, and cancer. The evaluation of PLGA nanoparticles has been done with Fourier transform infrared, differential scanning calorimetric, scanning electron microscopy, transmission electron microscopy, etc. PLGA is a biodegradable polymer possessing superiority over other polymers in targeting the disease. This review aims in pooling the nanoparticles prepared using the biodegradable PLGA polymer and its efficiency in targeting the drug.
新型药物递送系统是目前研究的一个领域,用于在不影响药物性质的情况下将药物成分运送到体内的靶向作用部位。纳米粒子的尺寸太小;它的药物大小为10–100 nm,由于其药物大小,大量药物通过血液吸收。聚乳酸-羟基乙酸(PLGA)是一种合成聚合物;它的单元中有几种乳酸,单元中有多种乙醇酸。PLGA与药物一起使用以提高生物利用度,它在靶向作用部位发挥作用。它与半衰期较短的药物一起用作聚合物。PLGA已获得美国食品药品监督管理局的批准。采用纳米乳液法和纳米沉淀法制备了PLGA纳米粒子。PLGA负载的纳米粒子通过多种给药途径给药,如口服、非肠道给药、鼻腔给药和透皮给药。它被用于治疗多种疾病,如阿尔茨海默氏症、糖尿病和癌症。用傅立叶变换红外光谱、差示扫描量热法、扫描电子显微镜、透射电子显微镜等对PLGA纳米颗粒进行了评价。PLGA是一种可生物降解的聚合物,在靶向疾病方面优于其他聚合物。这篇综述旨在汇集使用可生物降解PLGA聚合物制备的纳米颗粒及其靶向药物的效率。
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引用次数: 0
Prevalence of Rheumatoid Arthritis and DMARDs Usage in Indian Population: A Cross-Sectional Study 印度人群类风湿关节炎患病率和DMARDs使用:一项横断面研究
IF 0.4 Pub Date : 2021-06-01 DOI: 10.22377/ajp.v15i3.4148
T. Goud
Background: Rheumatoid arthritis (RA) is an autoimmune disorder characterized by symmetric and erosive synovitis with extra-articular involvement in some cases. RA prevalence in India is 0.75%. The study is to estimate the prevalence of RA in the South Indian population and to determine the demographic characteristics such as gender, age, geographical locality, and usage of antirheumatic drugs. Methodology: This prospective cross-sectional study was conducted in 600 patients of both male and female at advance rheumatology center. The patients were selected based on inclusion and exclusion criteria. Patients who are suspected and diagnosed newly with RA, patients who are already with RA attending the rheumatoid center and are on therapy, and patients age equal to and above 16 years either gender are included in the study. Patients with other arthritic and immunologic problems such as osteoarthritis, psoriatic arthritis, systemic lupus erythematosus, spondylosis, and osteoporosis were excluded from the study and patient’s age below 16 years are excluded from the study. Results: Among 600 patients presented to advance rheumatology center, 174 patients are identified with classical symptoms of RA, in those female and male patients are 132 and 42, respectively. The mean age of total patients is 45.51 ± 12.09. The estimated prevalence was found to be 0.29 or 29% (95% confidence interval is 0.25–0.33). Disease-modifying antirheumatic drugs (36.9%) are mostly prescribed. Conclusion: This study witnessed a rise in the prevalence of RA in South Indian population which gives alarming signals to the health authority and policymakers to increase the awareness on RA in India.
背景:类风湿性关节炎(RA)是一种自身免疫性疾病,其特征是对称性和糜烂性滑膜炎,在某些情况下累及关节外。RA在印度的患病率为0.75%。该研究旨在估计南印度人群中RA的患病率,并确定其人口统计学特征,如性别、年龄、地理位置和抗风湿药物的使用情况。方法:这项前瞻性横断面研究在600名男性和女性患者中进行。根据纳入和排除标准选择患者。怀疑和新诊断为类风湿性关节炎的患者,已经患有类风湿性关节炎并在类风湿中心接受治疗的患者,以及年龄在16岁及以上的患者,无论男女,都包括在研究中。患有其他关节炎和免疫问题(如骨关节炎、银屑病关节炎、系统性红斑狼疮、颈椎病和骨质疏松症)的患者被排除在研究之外,年龄在16岁以下的患者被排除在研究之外。结果:600例就诊于advance风湿病中心的患者中,有174例确诊为典型RA症状,其中女性132例,男性42例。患者平均年龄45.51±12.09岁。估计患病率为0.29或29%(95%可信区间为0.25-0.33)。治疗疾病的抗风湿药物(36.9%)多为处方药。结论:本研究表明,南印度人群中RA患病率的上升给卫生当局和政策制定者敲响了警钟,以提高对RA在印度的认识。
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Asian Journal of Pharmaceutics
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