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Efficacy of Topical Formulations in Healing of Caesarean Scars Using NonInvasive Devices: A Controlled Trial 局部配方在使用无创装置治疗剖宫产疤痕中的疗效:一项对照试验
Pub Date : 2020-12-28 DOI: 10.2174/2213476x07999201228111027
A. Abdullah, Rawya Al Kredly, M. Baguneid
Despite the availability of many topical formulations for scar treatment, an objective evaluation oftheir effect is lacking.To assess the physiological, structural, and mechanical parameters of scar healing by a scar ointment (MEBOScar).45 patients from the Department of Obstetrics at Al Ain Hospital, UAE, with recently acquired Pfannenstiel scarswere recruited into this prospective, open-label, controlled study. Scar ointment was applied to a lateral third of the scar;positive control (silicone gel based topical) to the other lateral third; the middle third was left untreated (negative control).The scars were evaluated at 4 time points up to 12 weeks using non-invasive devices and a scar questionnaire. In comparison with silicone gel, there was a significant reduction in trans epithelial water loss at weeks 2,4,8, and12 (p<0.001) and scar area at weeks 4, 8 and 12 (p<0.001) with scar ointment. The skin elasticity at week 4 was significantlyincreased by scar ointment (p=0.007). By week 12, gross colour mismatch of the scar was described by 9% patients withscar ointment (24% with silicone gel, 42% with no treatment; p<0.001). There was significant improvement in scar texturewith scar ointment by week 12 (p<0.001). Scar ointment has beneficial effects on objective and subjective patient-reported parameters of Pfannenstielscars.
尽管有许多用于疤痕治疗的局部配方,但缺乏对其效果的客观评估。评估疤痕软膏(MEBOScar)疤痕愈合的生理、结构和力学参数。来自阿联酋Al Ain医院产科的45名最近获得Pfannenstiel疤痕的患者被招募到这项前瞻性、开放标签、对照研究中。疤痕软膏涂抹在疤痕外侧的三分之一;阳性对照(硅凝胶为基础的局部)涂抹在另一侧的三分之一;中间三分之一不予治疗(阴性对照)。使用无创设备和疤痕问卷在4个时间点评估疤痕,直至12周。与硅胶相比,疤痕膏在第2、4、8和12周显著减少了上皮水分流失(p<0.001),在第4、8和12周显著减少了疤痕面积(p<0.001)。瘢痕膏组第4周皮肤弹性显著提高(p=0.007)。到第12周,9%的疤痕软膏患者出现了疤痕的总颜色不匹配(24%的患者使用了硅凝胶,42%的患者没有接受治疗;p < 0.001)。到第12周,疤痕膏显著改善了疤痕质地(p<0.001)。疤痕软膏对患者报告的Pfannenstielscars的客观和主观参数都有有益的影响。
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引用次数: 0
Study on Bovine Trypanosomosis and Associated Risk Factors in Chora District of Oromia Region, Ethiopia 埃塞俄比亚奥罗米亚州乔拉地区牛锥虫病及其相关危险因素研究
Pub Date : 2020-11-15 DOI: 10.31579/2693-4779/016
Alemitu Adisu
Bovine Trypanosomosis is one of the most parsimoniously challenging diseases in influencing mammals like cattle and it is a grave haemoprotozoan disease triggered by different species of unicellular eukaryotic parasite of the genus trypanosome. This study was conducted to assess the prevalence of bovine trypanosomosis, and the influence of associated risk factors on cattle reared in Chora district of Buno Bedele Zone. A Blood sample was collected from a total of 401 cattle of age ranges from 1 to 6 years. The presence of parasites from sampled blood was examined using a method of Buffy Coat Technique and a technique of Giemsa-stained thin blood films was used to identify the existing trypanosome species in the study area. The Packed Cell Volume (PCV) of collected blood samples was determined using haematocrit. A total of 50 traps were deployed to study the entomological survey. In general, 2.99 % of the studied cattle were infected with Trypanosomosis and the T.Vivax (58.33%) was the dominant species of trypanosomosis and followed by T. congulense (41.67%) in the study area. Statistically significant differences (P<0.05) were observed due to associated risk factors viz. Body Condition and age of cattle, whereas sampling sites and sex did not significantly affect the prevalence of Bovine Trypanosomosis. The mean PCV value of Parasitaemic and Aparasitaemic animals were 21.37 ± 0.19 and 27.89 ± 0.16, respectively and they were statistically different at (P< 0.05). Overall of 0.80 flies per trap per day was recorded from the study area and among the caught flies of Glossina species, 10%, 54% and 36% of them were, G.tachinoides, G.pallidipes and G.fuscipes, respectively. Therefore, the veterinarian’s has to continue providing the appropriate medication/treatment for the infected animals per appropriate recommendation and Bedele NTTICC has to take more focus to control the density and distribution of tsetse flies as well as biting flies for the transmission of high incidence of T. Vivax through mechanical ways of transmission of the disease.
牛锥虫病是影响牛等哺乳动物的最具挑战性的疾病之一,是由不同种类的锥虫属单细胞真核寄生虫引发的一种严重的血原虫病。本研究旨在评估牛锥虫病的流行情况,以及相关危险因素对Buno Bedele区Chora区饲养的牛的影响。从401头年龄在1至6岁之间的牛身上采集了血液样本。采用黄皮法检测血样中寄生虫的存在,采用吉氏染色血膜技术鉴定研究区现有的锥虫种类。采用红细胞压积法测定采集的血液样本的堆积细胞体积(PCV)。共设置50个捕虫器进行昆虫学调查。总体而言,2.99%的牛感染了锥虫病,间日绦虫(58.33%)是优势种,其次是congulense(41.67%)。与牛体况和牛龄相关的危险因素对牛锥虫病的患病率有统计学意义(P<0.05),而采样地点和性别对牛锥虫病的患病率没有显著影响。寄生动物和寄生动物的PCV均值分别为21.37±0.19和27.89±0.16,差异有统计学意义(P< 0.05)。研究区共捕获蝇类0.80只/ d,捕获的绿蝇属蝇类中,分别有10%、54%和36%为速蝇、苍白蝇和fuscipes。因此,兽医必须根据适当的建议继续为受感染的动物提供适当的药物/治疗,Bedele nticc必须更加注重控制采采蝇的密度和分布,以及通过机械传播疾病的途径传播间日疟原虫的叮咬蝇。
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引用次数: 0
Role of topical insulin therapy as an adjunct in the management of pressure ulcer 外用胰岛素治疗在压疮治疗中的辅助作用
Pub Date : 2020-11-15 DOI: 10.31579/2578-8868/15
R. Chittoria
Pressure ulcer or pressure sore is one of the complications seen in bedridden patients. Management of these ulcers is often challenging. But there is no well-established method that accelerates the wound healing rate. Various adjunctive methods are used for wound bed preparation before definitive reconstruction plan is made. Here we describe our experience in the role of insulin therapy as an adjunct in the management of pressure sores.
压疮是卧床病人常见的并发症之一。这些溃疡的治疗通常是具有挑战性的。但目前还没有一种行之有效的方法可以加快伤口的愈合速度。在确定重建计划之前,使用各种辅助方法准备伤口床。在这里,我们描述了我们的经验,胰岛素治疗的作用,作为一种辅助管理的压力疮。
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引用次数: 0
The Concept of Causation and some common Epidemiological study Designs 因果关系的概念和一些常见的流行病学研究设计
Pub Date : 2020-11-15 DOI: 10.31579/2693-4779/019
Manvi Gupta
Epidemiology in its modern form is a relatively new discipline and uses quantitative methods to study diseases in human populations to inform prevention and control efforts [7]. Causation is an essential concept in epidemiology (Figure 1) [7] yet there is no single, clearly articulated definition for the discipline. Causal inference may be viewed as a special case of the more general process of scientific reasoning, about which there is substantial scholarly debate among scientists and philosophers.
现代流行病学是一门相对较新的学科,它使用定量方法研究人群中的疾病,为预防和控制工作提供信息[7]。因果关系是流行病学中的一个基本概念(图1)[7],但该学科并没有一个单一的、清晰的定义。因果推理可以被看作是更普遍的科学推理过程的一个特例,科学家和哲学家对此有大量的学术争论。
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引用次数: 0
Role of indigenous Bilaminar dermal regeneration template in the management of degloving injury 自体双层真皮再生模板在脱手套损伤治疗中的作用
Pub Date : 2020-11-15 DOI: 10.31579/2693-4779/017
R. Chittoria
Various modalities of treatment options and dressing materials are available in today’s era of medical advancement. A lot of newer dressing materials and adjuncts are in use for burn wound management. Bilaminar dermal regeneration template has been in use since the 1980s but owing to its high cost, its affordability and availability in third world developing countries is questionable. Here we have described our experience with the use of an indigenously made cost effective dermal regeneration template made from available materials in degloving injury raw area.
在当今医学进步的时代,治疗选择和敷料的各种方式都是可用的。许多较新的敷料和辅助材料被用于烧伤伤口管理。双层真皮再生模板自20世纪80年代以来一直在使用,但由于其成本高,其在第三世界发展中国家的可负担性和可用性值得怀疑。在这里,我们描述了我们使用本地制造的成本效益真皮再生模板的经验,该模板由现有材料制成,用于去除损伤原处的手套。
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引用次数: 0
Role of topical insulin therapy as an adjunct in the management of pressure ulcer 外用胰岛素治疗在压疮治疗中的辅助作用
Pub Date : 2020-11-15 DOI: 10.31579/2693-4779/015
Shucheng Gang
Pressure ulcer or pressure sore is one of the complications seen in bedridden patients. Management of these ulcers is often challenging. But there is no well-established method that accelerates the wound healing rate. Various adjunctive methods are used for wound bed preparation before definitive reconstruction plan is made. Here we describe our experience in the role of insulin therapy as an adjunct in the management of pressure sores.
压疮是卧床病人常见的并发症之一。这些溃疡的治疗通常是具有挑战性的。但目前还没有一种行之有效的方法可以加快伤口的愈合速度。在确定重建计划之前,使用各种辅助方法准备伤口床。在这里,我们描述了我们的经验,胰岛素治疗的作用,作为一种辅助管理的压力疮。
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引用次数: 0
Epidemic-related sites in covid-19 media reports 与疫情相关的网站在covid-19媒体报道
Pub Date : 2020-11-15 DOI: 10.31579/2693-4779/005
Bin Zhao
Background: Since the outbreak of the COVID-19 virus in Wuhan, China, in early 2020, the Chinese government has formed a mode of information disclosure. More than 400 cities have announced specific location information for newly diagnosed cases of novel coronavirus pneumonia, including residential areas or places of stay. We have established a conditional random field model and a rule-dependent model based on Chinese geographical name elements. Taking Guangdong Province as an example, the identification of named entities and the automatic extraction of epidemic-related sites are carried out. This method will help locate the spread of the epidemic, prevent and control the spread of the epidemic, and gain more time for vaccine clinical trials. Methods: Based on the presentation form of the habitual place or place of stay of the diagnosed cases in the text of the web page, a conditional random field model is established, and a rule-dependent model is established according to the combination rule of the elements of the place words and the place name dictionary composed of provinces, cities and administrative regions. Findings: The results of the analysis based on the conditional random field model and the rule-dependent model show that the location of confirmed cases of new coronavirus pneumonia in Guangdong Province in mid-February is mainly concentrated in Guangzhou,Shenzhen,Zhuhai and Shantou Cities. In Guangzhou, Futian District has more epidemicsites and Huangpu and Conghua District have fewer epidemic sites. Government officials in Guangzhou City should pay attention to Futian District. Interpretation: Governments at all levels in Guangzhou Province have intervened to control the epidemic through various means in mid-February. According to the results of the model analysis, we believe that the administrative regions with more diagnosed locations should focus on and take measures such as blockades and control of personnel flow to control the disease in those administrative regions to avoid affecting other adjacent administrative regions.
背景:自2020年初中国武汉新冠肺炎疫情爆发以来,中国政府形成了信息公开模式。400多个城市公布了新冠肺炎确诊病例的具体位置信息,包括居民区或停留地点。建立了基于中文地名元素的条件随机场模型和规则依赖模型。以广东省为例,进行了命名实体识别和疫情相关站点自动提取。这将有助于确定疫情的传播地点,预防和控制疫情的传播,并为疫苗临床试验争取更多时间。方法:根据诊断病例在网页文本中惯常居住地或停留地的表现形式,建立条件随机场模型,并根据地名词元素与省、市、行政区地名词典的组合规则建立规则依赖模型。结果:基于条件随机场模型和规则依赖模型的分析结果显示,广东省2月中旬新型冠状病毒肺炎确诊病例分布地点主要集中在广州、深圳、珠海和汕头市。在广州,福田区疫点较多,黄埔区和从化区疫点较少。广州市的政府官员应该关注福田区。解读:2月中旬,广州市各级政府通过各种方式进行干预,控制疫情。根据模型分析的结果,我们认为诊断地点较多的行政区域应重点采取封锁、控制人员流动等措施来控制该行政区域的疾病,避免影响到邻近的其他行政区域。
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引用次数: 0
Reducing drug resistance should be the aim of therapies 减少耐药性应该是治疗的目标
Pub Date : 2020-09-27 DOI: 10.46940/ijpi.01.1003
P. D. Gupta
Over the period, due to evolutionary constrains, gene mutations, changes in micro- and mega- environment gave a tool to bacteria to adopt for survival in the hostile environment. When they are exposed with broad spectrum antibiotics, they have adopted to live and become resistant to antibiotics. In this review many preventive and curative strategies has been described to avoid antibiotics. These lines of treatments would not give chances to microbes to become drug resistant. “Prevention is better than cure” adopting this strategy we have described immunochemicals and many herbal medicines which will prevent infections. Also given importance to maintain proper balance of microbiota in the gut by replacement of the lost (may be due to many reasons) species which are considered necessary for maintaining a balance in bacterial population.
在此期间,由于进化的限制,基因突变,微环境和巨环境的变化为细菌提供了在恶劣环境中生存的工具。当它们暴露于广谱抗生素时,它们已经适应了生存并对抗生素产生耐药性。在这篇综述中,许多预防和治疗策略已经描述了避免抗生素。这些治疗方法不会给微生物产生抗药性的机会。“预防胜于治疗”采用这一策略,我们描述了免疫化学药物和许多可以预防感染的草药。此外,通过替换丢失的(可能是由于许多原因)物种来维持肠道微生物群的适当平衡也很重要,这些物种被认为是维持细菌种群平衡所必需的。
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引用次数: 0
Self-Emulsifying Drug Delivery System (SEDDS) and its Pharmaceutical Applications 自乳化给药系统(SEDDS)及其制药应用
Pub Date : 2020-08-27 DOI: 10.2174/2213476x07666200827102951
Sankha Bhattacharya
Poor aqueous solubility, oral bioavailability, inter, and inter-subjectvariability, and physical stability have always been a concern for pharmaceuticalformulation scientists while formulating an oral dosage form. Self-EmulsifyingDrug Delivery System (SEDDS) is a promising new approach to mitigating thosepotential problems. The main advantages of SEDDS are that it increases the solubilityand decreases the bio-degradation of lipophilic drugs. Mostly BCS II & IVClass drugs are preferable. SEDDS is an admixture of drugs, oil, surfactants, cosolvents,and stabilizers. With little energy input, they form (o/w) microemulsionwithin the G.I. lumen. The present review discusses the various formulations ofSEDDS, selection criteria for surfactants, oils, Patentable SEDDS dosage forms,solidification technique, characterization, and future approaches.
水溶性差、口服生物利用度、个体间和个体间的可变性以及物理稳定性一直是药物制剂科学家在制定口服剂型时所关注的问题。自乳化给药系统(SEDDS)是缓解这些潜在问题的一种很有前途的新方法。SEDDS的主要优点是增加了亲脂性药物的溶解度,减少了其生物降解。首选BCS II和iv类药物。SEDDS是药物、油、表面活性剂、共溶剂和稳定剂的混合物。在很少的能量输入下,它们在胃肠道腔内形成(0 /w)微乳剂。本综述讨论了SEDDS的各种配方,表面活性剂的选择标准,油,可申请专利的SEDDS剂型,固化技术,表征和未来的方法。
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引用次数: 3
Safety and Quality of Nutraceuticals: Have FSSAI Guidelines been Able to Blaze the Trail? 营养药品的安全和质量:FSSAI指南是否能够引领潮流?
Pub Date : 2020-08-25 DOI: 10.2174/2213476x07666200825193259
P. Dande, Purva Samant, Yashita Y. Singh, Umang Sheth
The nutraceutical industry has three main segments, including herbal/-natural products, dietary supplements and functional foods. The dietary supplementsmarket is preliminarily driven by the paradigm shift towards preventivehealth management practices, amid rising healthcare costs and increasing burdenof lifestyle diseases. Rise in healthcare expenditure, increased usage of nutraceuticalsproduct as a substitute to prescription and OTC drugs and augmented demandfor the nutritional diet are the major factors driving the global nutraceuticalsmarket. Many individual laws were devised to govern its manufacturing andsale. However, increasing regulatory formalities from multiple agencies andlaws, complicate the development, testing and marketing of these substances andhamper the growth of the nutraceutical market. Globally, the regulatory authoritiesare aware of the changing needs of consumers and proactively protect consumersby amending existing laws to accommodate changes. Market entry requirementsof nutraceuticals, functional foods and supplements vary from countryto country. The global regulatory guidelines aim at regulating various aspectsof the nutraceutical and dietary supplements market, focusing on its manufacture,testing, labeling, sale and registration to assure safety and quality of theproduct. The major change that was introduced was the ban on marketing Nutraceuticalsas medicinal products. This review has been performed to provide acomprehensive understanding of the global regulatory requirements with criticalanalysis of the Indian regulatory guidelines to explore the lacunae and suggestthe need of further amendments in the form of recommendations that can be incorporatedinto regulatory body guidelines to make it more competitive for national& international trade.
营养保健品行业有三个主要部分,包括草药/天然产品,膳食补充剂和功能食品。在医疗成本上升和生活方式疾病负担增加的背景下,向预防性健康管理实践的范式转变初步推动了膳食补充剂市场的发展。医疗保健支出的增加,营养保健品作为处方药和非处方药的替代品的使用增加以及对营养饮食的需求增加是推动全球营养保健品市场的主要因素。制定了许多单独的法律来管理它的生产和销售。然而,来自多个机构和法律的越来越多的监管手续,使这些物质的开发、测试和销售复杂化,并阻碍了营养保健市场的增长。在全球范围内,监管当局意识到消费者不断变化的需求,并通过修改现有法律来积极保护消费者,以适应变化。营养保健品、功能性食品和补充剂的市场准入要求因国家而异。全球监管指南旨在规范营养保健品和膳食补充剂市场的各个方面,重点关注其生产、测试、标签、销售和注册,以确保产品的安全和质量。引入的主要变化是禁止销售营养保健品和医药产品。本综述旨在全面了解全球监管要求,并对印度监管指南进行批判性分析,以探索其中的空白,并以建议的形式提出进一步修订的必要性,这些建议可以纳入监管机构指南,使其在国内和国际贸易中更具竞争力。
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引用次数: 0
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Applied Clinical Research, Clinical Trials and Regulatory Affairs
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