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A Saudi National population based study Awareness and Practice of Periodic Medical check-up 一项以沙特阿拉伯国家人口为基础的研究:定期体检的意识和实践
IF 0.4 Pub Date : 2021-06-01 DOI: 10.22377/ajp.v15i3.4154
S. Iqubal
Introduction: The periodic medical examination is important in preventing some diseases and reducing their major complications; thus, it’s beneficial to provide a better healthy community and reducing financial loss. Studying beliefs, awareness, practice, and influence factors in the community will be a useful method to promote health among the population. Materials and Methods: Cross-sectional study survey in different areas in Makkah region using a sampling technique the sample size was 2061 participants of both gender. Data were collected through a self-administered structured survey. Results and Discussion: Adults 20–39 years (899) (56.9%) were the most group which have adequate knowledge. The most aware participants were females (928) (58.7%). 1021 (66.4%) of the aware participants have academic educational level. Most participants did not recall performing any medical checkup (1607) (78.0%). Conclusion: We noticed in this study that the rate of awareness of the participants was high but unfortunately it did not show reflection on their behavior toward medical checkups. This poor implementation despite their awareness was justified mostly by two major factors which were negligence and absence of motivation.
引言:定期体检对预防某些疾病和减少其主要并发症很重要;因此,提供一个更健康的社区和减少经济损失是有益的。研究社区中的信仰、意识、实践和影响因素将是促进人群健康的有用方法。材料和方法:采用抽样技术在麦加地区不同地区进行横断面研究调查,样本量为2061名男女参与者。数据是通过自行管理的结构化调查收集的。结果与讨论:20-39岁(899)(56.9%)的成年人是掌握足够知识的最多的群体。最有意识的参与者是女性(928人)(58.7%)。1021人(66.4%)具有学术教育水平。大多数参与者不记得进行过任何体检(1607)(78.0%)。结论:我们在这项研究中注意到,参与者的意识率很高,但不幸的是,这并没有反映出他们对体检的行为。尽管他们意识到了这一点,但执行不力的主要原因有两个,即疏忽和缺乏动机。
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引用次数: 6
Surgical Site Infections in Saudi Arabia: A Review 沙特阿拉伯手术部位感染:综述
IF 0.4 Pub Date : 2021-06-01 DOI: 10.22377/ajp.v15i3.4145
N. Ahmed
Introduction: Surgical site infections (SSIs) are infections that occur postoperatively in the part of the body where the surgery took place. Methods: This study included searching PubMed for the keywords (SSIs rate) AND (Saudi Arabia) from January 1, 2006, to July 1, 2021. Results: The rate of SSIs in Saudi Arabia was very low in some studies (e.g. the rate was 0% in one of the studies) and high rate in other studies (e.g. the rate was 32.2% in one of the studies). The rate of SSIs in Saudi Arabia was dissimilar in different cities and for different types of surgeries. Conclusion: More researches are needed to study not only the rate of SSIs but also the associated risk factors to support the actions of the health team to reduce SSI occurrence and to decrease its complications if it is occurred.
手术部位感染(ssi)是术后发生在手术部位的感染。方法:本研究包括2006年1月1日至2021年7月1日在PubMed检索关键词(ssi率)AND (Saudi Arabia)。结果:沙特阿拉伯的ssi发生率在一些研究中非常低(例如其中一项研究的发生率为0%),而在另一些研究中则很高(例如其中一项研究的发生率为32.2%)。沙特阿拉伯不同城市和不同手术类型的ssi发生率不同。结论:需要更多的研究来研究SSI的发生率和相关的危险因素,以支持卫生团队采取行动减少SSI的发生,并减少发生SSI的并发症。
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引用次数: 0
Evaluation of the Emerging Multidrug- Resistant Acinetobacter baumannii in Clinical Samples from Tertiary Care Hospitals in Mysore, India - a Cohort Study 印度迈索尔三级医院临床样本中新出现的多重耐药鲍曼不动杆菌的评估——一项队列研究
IF 0.4 Pub Date : 2021-06-01 DOI: 10.22377/ajp.v15i3.4153
K. JayanthiM.
Objectives: Acinetobacter baumannii is an important emerging nosocomial pathogen of alarming significance. It has the propensity not only to cause much morbidity and mortality, but is also leading to the uselessness of the available limited antibiotic drugs due to the rampant resistance. Materials and Methods: The present study aims to document and evaluate the current situation on the available treatment options for A. baumannii nosocomial infection, mainly the carbapenem drug- imipenem, colistin, and tigecycline and to analyze the drug safety and any/all of the adverse drug reactions related to this drug therapy. Results: Results of this study probe that carbapenem resistance is seen in about 86% of all Acinetobacter isolates. Colistin is the best available treatment for multi-drug resistant species with 100% cure rate and fewer serious life threatening adverse effects with the long duration therapy that is required in this case. The only concern remained the patient compliance to the abdominal symptoms (56.7% of nausea, 14.43% vomiting and 4.12% diarrhea) which was statistically significant (P = 0.049). Conclusion: Overall, colistin therapy can be regarded as the best treatment for multi-drug resistant A. baumannii, which opens avenues for further studies on the pharmacokinetics and pharmacodynamics of this drug.
目的:鲍曼不动杆菌是一种重要的新兴医院病原体,具有重要的临床意义。它不仅有导致大量发病率和死亡率的倾向,而且由于耐药性猖獗,导致可用的有限抗生素药物无效。材料和方法:本研究旨在记录和评估鲍曼不动杆菌医院感染的可用治疗方案的现状,主要是碳青霉烯类药物亚胺培南、粘菌素和替加环素,并分析药物安全性和与该药物治疗相关的任何/所有药物不良反应。结果:本研究的结果表明,约86%的不动杆菌分离株对碳青霉烯产生耐药性。粘菌素是多种耐药物种的最佳治疗方法,治愈率为100%,这种情况下需要长期治疗,严重的危及生命的不良反应更少。唯一令人担忧的是患者对腹部症状的依从性(56.7%的恶心,14.43%的呕吐和4.12%的腹泻),这具有统计学意义(P=0.049)。
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引用次数: 0
Test, Track, and Treat Ameliorative Strategy to Contain Severe Acute Respiratory Syndrome Coronavirus 2: An Indian Perspective 测试、跟踪和治疗控制严重急性呼吸综合征冠状病毒2的改善策略:印度的视角
IF 0.4 Pub Date : 2021-06-01 DOI: 10.22377/ajp.v15i3.4142
N. Sharma
Ever since in January 2020, the WHO declared an international public health emergency, emerged as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease-19) pandemic which has devastated human race with its human-to-human transmission, mutation, and mortality with complex pathogenicity mechanism. Earlier theories postulated it to have emerged from “Wet Market,” Huanan Seafood Wholesale Market in Wuhan city of Hubei Province in China. Based on initial speculations, this pandemic was suggested to be of enzootic origin, considerably bats and pangolins as connecting link between human-animal transmissions, which were later refuted. Time bound and effective Test, Track, and Treat policy initiatives taken by Indian Government proved to be a benchmark in controlling the pandemic, up to certain extent. Molecular diagnostics have witnessed a scaled up trend in terms of reverse transcription polymerase chain reaction and Rapid Antigen Tests to detect the contagion in oro-pharyngeal and naso-pharyngeal swabs. It is imperative that frequent mutations in SARS-CoV-2 lead to development of new serotypes making screening for novel therapeutics or repurposing of drugs cumbersome. With an effort to consummate existing clinico-pharamaceutical gaps to curb SARS-CoV-2, ardent remains the fact that plants have been considered as medicinal power houses. Green therapeutics are formulation of active phyto components when administered, enhance the bio-availability through different drug delivery systems. Exploration of medicinal plants for their bio-active ingredients to develop immune-boosters as an antiviral prophylactic tool against SARS-CoV-2 remains a preferred choice among health-care practitioners, pharmacologists, and life sciences fraternity at large. In addition, indigenous vaccines have been granted approval for Emergency Use Authorization which would help lower the rates of transmission and mortality by significant numbers in times to come.
自2020年1月世界卫生组织宣布进入国际公共卫生紧急状态以来,严重急性呼吸系统综合征冠状病毒(SARS-CoV-2)(冠状病毒病-19)大流行以其具有复杂致病机制的人际传播、突变和死亡给人类带来了毁灭性的打击。早期的理论认为它起源于中国湖北省武汉市的华南海鲜批发市场“湿市场”。根据最初的推测,这次大流行被认为是地方性动物病,主要是蝙蝠和穿山甲作为人与动物之间传播的联系纽带,后来被驳斥。事实证明,印度政府采取的有时限和有效的“检测、跟踪和治疗”政策举措在一定程度上是控制疫情的基准。分子诊断在逆转录聚合酶链反应和快速抗原检测方面呈扩大趋势,用于检测口咽和鼻咽拭子中的传染病。SARS-CoV-2的频繁突变必须导致新的血清型的发展,这使得筛选新疗法或重新利用药物变得困难。为了弥补现有的临床-制药差距,以遏制SARS-CoV-2,他仍然坚持将植物视为药用植物的事实。绿色疗法是活性植物成分的配方,当给药时,通过不同的药物传递系统提高生物利用度。探索药用植物的生物活性成分,开发免疫增强剂,作为对抗SARS-CoV-2的抗病毒预防工具,仍然是卫生保健从业者、药理学家和整个生命科学界的首选。此外,已批准土著疫苗的紧急使用授权,这将有助于在今后大大降低传播率和死亡率。
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引用次数: 0
Isolation and Characterization of Potential Microorganism from Dhanyamla - An Ayurvedic Formulation with Therapeutic Properties 具有治疗作用的阿育吠陀制剂Dhanyamla中潜在微生物的分离与鉴定
IF 0.4 Pub Date : 2021-06-01 DOI: 10.22377/ajp.v15i3.4155
J. Prarthana
Objectives: Ayurveda is one of the oldest codified medical knowledge systems with equal emphasis on curative, preventive, and promotive aspects of health. Ayurveda pharmaceutics was developed from the quest to administer plants, animals, or metals and minerals products in a palatable and longer shelf life modification. The study aims to evaluate and characterize the microbial sp. and their biochemical properties in extrapolating its use as a potent probiotic formulation with multifaceted use. Materials and Methods: The microbial diversity of the formulation was evaluated by isolation followed by its microbial characterization using Gram’s staining, biochemical characterization using catalase assay, and molecular characterization by sequencing the internal transcribed spacer (ITS) region. Results: The study revealed that the bacteria isolated in the present study were Gram-positive, rod-shaped organism that exhibited catalase-positive test. Further, molecular characterization studies using the ITS sequence analysis revealed that the isolated organism showed similarity with that of Bacillus species. Conclusion: Therapeutic efficacy of any formulation depends on the process of its preparation, the kind of microflora that is established during aging or fermentation, and the kind of bioactive compounds released during fermentation. The present study identifies the microorganism that plays a pivotal role in this fermentation process and renders therapeutic properties to Dhanyamala formulation. This study can form the basis for further investigations on formulating this as a promising probiotic supplement.
目的:阿育吠陀是最古老的医学知识体系之一,同样强调治疗,预防和促进健康方面。阿育吠陀制药是从寻求管理植物,动物,或金属和矿物产品在一个可口的和更长的保质期修改。该研究旨在评估和表征微生物sp及其生化特性,以推断其作为一种具有多方面用途的有效益生菌制剂的用途。材料和方法:通过分离评估制剂的微生物多样性,然后使用革兰氏染色进行微生物鉴定,使用过氧化氢酶测定进行生化鉴定,并通过内部转录间隔区(its)测序进行分子鉴定。结果:本研究分离的细菌为革兰氏阳性,杆状菌,过氧化氢酶检测阳性。此外,利用ITS序列分析进行的分子特征研究表明,分离的生物与芽孢杆菌物种具有相似性。结论:任何制剂的疗效取决于其制备工艺、陈化或发酵过程中所建立的菌群种类以及发酵过程中所释放的生物活性物质种类。本研究确定了在发酵过程中起关键作用的微生物,并使丹雅马拉制剂具有治疗特性。这项研究可以为进一步研究将其作为一种有前途的益生菌补充剂奠定基础。
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引用次数: 0
Tannin Loaded Nanoparticles and its Therapeutic Applications – A Comprehensive Review 单宁负载纳米颗粒及其治疗应用综述
IF 0.4 Pub Date : 2021-06-01 DOI: 10.22377/ajp.v15i3.4146
S. Kumar
Cancer is one stage of a condition that occurs due to uncontrolled growth of cells and is caused by many factors ranging from genetic mutations to different lifestyle factors such as exposure to chemicals, radiation, tobacco usage, and physical exercise so on. They are so many surgeries and therapies treatment is available for cancer but this treatment only reduces the symptoms of the disease, and complete cannot be expected. These chemical drugs are more prominent to destroy cancer cells in our body but they increase side effects includes nausea and vomiting it will lead to damage to the vital organs such as the kidney, heart, and lung. Phytoconstituents are one of the promising treatment prospects for minimizing the side effects and to improve effectiveness of the chemotherapeutic drugs and it is used for natural products, which have been traditionally used to treat many types of cancer. Many plant extracts were described that pharmacological activities are characteristic of their phytoconstituents includes tannins, flavonoids, saponin, alkaloids, and terpenes. Tannins are secondary metabolites of plants. Tannins are popularly known as natural polyphenolic molecules possess many pharmacological actions such as antibacterial, anti-cancer, antioxidant, chemo-preventive, and anti-inflammatory actions. One of the problems that present the use of tannins is their poor bioavailability. Nanoparticles have been introduced a different type of formulation and evaluation methods to identify their bioavailability of a drug. The present study concentrates on tannin-loaded nanoformulations to increase the bioavailability in the treatment of cancer.
癌症是由于细胞生长失控而发生的疾病的一个阶段,由许多因素引起,从基因突变到不同的生活方式因素,如接触化学品、辐射、吸烟和体育锻炼等。癌症有很多手术和疗法可供治疗,但这种治疗只会减轻疾病的症状,并且不能期望完成。这些化学药物更能破坏我们体内的癌症细胞,但它们会增加副作用,包括恶心和呕吐,这会导致肾脏、心脏和肺部等重要器官受损。植物成分是最大限度地减少副作用和提高化疗药物有效性的有前景的治疗前景之一,它用于天然产物,传统上用于治疗多种类型的癌症。许多植物提取物具有药理活性,其植物成分包括单宁、黄酮、皂苷、生物碱和萜烯。单宁是植物的次生代谢产物。单宁通常被称为天然多酚分子,具有许多药理作用,如抗菌、抗癌、抗氧化、化学预防和抗炎作用。单宁的使用存在的问题之一是其生物利用度低。纳米粒子已经被引入了一种不同类型的制剂和评估方法,以确定其药物的生物利用度。本研究集中于单宁负载纳米制剂,以提高癌症治疗中的生物利用度。
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引用次数: 1
Tourists’ Perception of Infectious Diseases in Malaysia 游客对马来西亚传染病的认知
IF 0.4 Pub Date : 2021-04-05 DOI: 10.22377/AJP.V15I1.3957
M. Iqbal
Objective: This study evaluated the perceptions of infectious diseases among tourists about risk categories of different diseases. Materials and Methods: A cross-sectional study using a self-developed research instrument was designed and used to collect data from the tourists visiting Penang, Malaysia. Descriptive, comparative, and inferential statistics were performed using Statistical Package for the Social Sciences. Results: One-half of the respondents perceived hepatitis A (50.3%), meningitis (52.3%), and typhoid fever (51.3%) as low-risk diseases, while about 37% and 33% tourists considered dengue and HIV/AIDS as high-risk diseases, respectively. Conclusion: The results suggest that tourists perceived varied risk levels of infectious diseases in Malaysia, indicating that the tourists should take proper preventive measures to avoid contracting these diseases.
目的:本研究评估了游客对不同疾病风险类别的传染病认知。材料和方法:使用自行开发的研究仪器进行横断面研究,并收集马来西亚槟城游客的数据。使用社会科学统计软件包进行描述性、比较性和推断性统计。结果:一半的受访者认为甲型肝炎(50.3%)、脑膜炎(52.3%)和伤寒(51.3%)是低风险疾病,而约37%和33%的游客分别认为登革热和艾滋病毒/艾滋病是高风险疾病。结论:研究结果表明,游客对马来西亚传染病的风险程度各不相同,表明游客应采取适当的预防措施,避免感染这些疾病。
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引用次数: 0
The Frequency of Prescribing Nonsteroidal Anti-inflammatory Drugs in a Public Hospital 公立医院开具非甾体抗炎药的频率
IF 0.4 Pub Date : 2021-04-05 DOI: 10.22377/AJP.V15I1.3962
N. Ahmed
Aim: This study aims to explore the frequency of prescribing nonsteroidal anti-inflammatory drugs (NSAIDs) in a public hospital in Al-Kharj. Materials and Methods: This study included review the electronic medical records of outpatients who received at least one of the NSAIDs between January 1, 2018, and June 30, 2018, in a public hospital in Al-Kharj. Results: The most commonly prescribe NSAIDs was diclofenac (61.23%) followed by ibuprofen (36.12%). About half of the patients receiving NSAIDs were <30 years old (50.17%) and about 72.25% of them were <40 years old. Only diclofenac was prescribed as a topical form (gel, cream, or ointment). More than 71% of diclofenac prescriptions were included a topical dosage form. Conclusion: The study showed that nonaspirin NSAIDs prescribing rate was high, particularly diclofenac and ibuprofen. It is important to increase the awareness of health-care providers to increase the efficacy and decrease the adverse effects of these medications.
目的:探讨Al-Kharj市某公立医院非甾体类抗炎药(NSAIDs)的处方频率。材料和方法:本研究包括回顾Al-Kharj一家公立医院2018年1月1日至2018年6月30日期间至少接受过一种非甾体抗炎药的门诊患者的电子病历。结果:处方中使用最多的非甾体抗炎药为双氯芬酸(61.23%),其次为布洛芬(36.12%)。接受非甾体抗炎药治疗的患者中约有一半(50.17%)年龄<30岁,约72.25%的患者年龄<40岁。只有双氯芬酸作为外用形式(凝胶、乳膏或软膏)开处方。超过71%的双氯芬酸处方包括外用剂型。结论:研究表明非阿司匹林类非甾体抗炎药处方率较高,尤其是双氯芬酸和布洛芬。必须提高卫生保健提供者的认识,以提高这些药物的疗效并减少其不良影响。
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引用次数: 0
Development and Validation of Stereoselective Method for the Quantification of Stereoisomers of Eliglustat Using Amylose-Based Immobilized Chiral Stationary Phase 以直链淀粉为基础的固定化手性固定相定量非利司他立体异构体的立体选择方法的建立与验证
IF 0.4 Pub Date : 2021-04-05 DOI: 10.22377/AJP.V15I1.3967
G. Srinivasu
Aim: The main aim of the present work is to develop and validate a new simpler, selective, specific, and robust high performance liquid chromatographic method for the separation of Eliglustat and its isomers. Materials and Methods: For the accurate quantification method, for the all isomers was developed by performing the significant number of methods on trial and error techniques using a large number of polar and non-polar solvent mixtures as mobile phase. A distinctive resolution between Eliglustat and its stereo isomers was achieved on Immobilized Amylose tris (3-chloro-4-methylphenylcarbamate) stationary phase namely CHIRALPAK IF-3(4.6 mm × 250 mm, 3 μm), with flow rate of 1.0 mL/min using isocratic method containing n-Hexane/Ethanol/Methanol/ Diethyl amine (90/05/05/0.1,v/v/v/v). Column temperature was maintained at 40°C and detection wavelength of 280 nm. Results and Discussion: The limit of detection and limit of quantification values of Eliglustat S,SIsomer, R,S-Isomer, and S,R-Isomers were found to be 0.0027/0.0082, 0.0367/0.1112, and 0.0375/0.1137 μg/mL, respectively. The method was found to be precise, accurate, and linear (R2 > 0.999). Recoveries of all isomers were found to be in the range of 90–110%. Conclusion: As per the ICH guidelines, the developed method has been shown to be linear, accurate, precise, robust, and sensitive. The method is also considered quality control friendly as it is robust, uses isocratic mobile phase and employs commonly used solvents as mobile phase.
目的:本工作的主要目的是开发和验证一种新的更简单、选择性、特异性和稳健的高效液相色谱方法,用于分离依利格司他及其异构体。材料和方法:对于准确的定量方法,所有异构体都是通过使用大量极性和非极性溶剂混合物作为流动相,在试错技术上进行大量方法来开发的。在固定化直链淀粉三(3-氯-4-甲基苯基氨基甲酸酯)固定相CHIRALPAK IF-3(4.6mm×,流速为1.0mL/min,采用含有正己烷/乙醇/甲醇/二乙胺(90/05/05/0.1,v/v/v)的等度法。柱温保持在40°C,检测波长为280nm。结果与讨论:Eliglustat S、SIsomer、R、S-异构体和S、R-异构体的检测限和定量限分别为0.0027/0.0082、0.0367/0.1112和0.0375/0.1137μg/mL。该方法精密、准确、线性(R2>0.999)。所有异构体的回收率在90-110%之间。结论:根据ICH指南,所开发的方法已被证明是线性的、准确的、精确的、稳健的和灵敏的。该方法也被认为是质量控制友好的,因为它是稳健的,使用等度流动相,并使用常用溶剂作为流动相。
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引用次数: 0
Formulation, Optimization, and Evaluation of Bioadhesive Xanthan Gum Based Buccal Patch for Sustained Delivery of Ropinirole Hydrochloride 生物胶粘剂黄原胶口腔贴剂的配方、优化及评价
IF 0.4 Pub Date : 2021-04-05 DOI: 10.22377/AJP.V15I1.3956
Kalyani Kayande
Introduction: Parkinson’s disease is a neurological disorder in which there is a gradual loss of brain cells that make and store dopamine. Ropinirole hydrochloride (ROPH) is an anti-Parkinson’s drug which undergoes extensively first-pass metabolism, with oral bioavailability 45%. Aim: The study aimed to formulation, optimization, and evaluation of ROPH buccal patch using xanthan gum (XG). Materials and Methods: Solvent casting method was used to prepare mucoadhesive buccal patch ROPH using XG as a mucoadhesive polymer, polyvinylpyrrolidone K90 as a film former and polycarbophil and hydroxypropyl methylcellulose K4M as a release retardant. Results and Discussion: The dissolution studies showed sustained release of drug about 97.86% for 8 h following Korsmeyer-Peppas model (r2=0.989, n = 0.199). The optimization of all prepared batches was carried out by 32 factorial designs, the optimized batch F3 showed acceptable physicochemical properties and having swelling index 286.10%, mucoadhesive strength 26.90 g, tensile strength 0.04±0.01 N/mm2, and in vitro drug release 97.86%. Ex vivo permeability was carried out using sheep buccal mucosa and it was found to be increased by five folds than that of formulation without penetration enhancer. After histopathological evaluation cellular membrane was found to be intact and did not show any signs of necrosis. Conclusion: Thus, an attempt to formulate a stable mucoadhesive buccal patch was made. The in vitro studies have shown that this is a potential drug delivery system for ROPH with good stability and release profile.
引言:帕金森病是一种神经系统疾病,产生和储存多巴胺的脑细胞逐渐丧失。盐酸Ropinirole(ROPH)是一种抗帕金森病药物,经过广泛的首过代谢,口服生物利用度为45%。目的:以黄原胶(XG)为原料,对ROPH口腔贴片的配方、优化及评价进行研究。材料与方法:采用溶剂浇铸法,以XG为粘膜粘附聚合物,聚乙烯吡咯烷酮K90为成膜剂,聚羧甲基纤维素和羟丙基甲基纤维素K4M为缓释剂,制备口腔粘膜粘附贴片ROPH。结果与讨论:根据Korsmeyer-Peppas模型(r2=0.989,n=0.199),溶出度研究显示药物在8h内持续释放约97.86%。通过32个析因设计对所有制备的批次进行了优化,优化的批次F3显示出可接受的理化性质,溶胀指数为286.10%,粘膜粘附强度为26.90g,拉伸强度为0.04±0.01N/mm2,体外释药率为97.86%。用绵羊颊粘膜进行体外渗透性试验,发现其比不含渗透促进剂的制剂增加了5倍。组织病理学评估后,发现细胞膜完好无损,没有任何坏死迹象。结论:为研制一种稳定的口腔粘膜粘附贴片进行了尝试。体外研究表明,这是一种潜在的ROPH给药系统,具有良好的稳定性和释放特性。
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引用次数: 0
期刊
Asian Journal of Pharmaceutics
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