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Sugar tax and its implications on health 糖税及其对健康的影响
IF 0.4 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2022-10-01 DOI: 10.4103/ajprhc.ajprhc_106_22
U. Nayak, P. Nayak, B. Akondi
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引用次数: 0
A stability indicating novel analytical method for the determination of lamivudine and dolutegravir in bulk and its tablets using reverse phase high-performance liquid chromatography 建立了反相高效液相色谱法测定拉米夫定和多替格拉韦散装及片剂含量的新方法
IF 0.4 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2022-10-01 DOI: 10.4103/ajprhc.ajprhc_38_22
K. Lalitha, J. Reddy, D. Nayakanti
Aim: A simple and sensitive analytical method was developed to simultaneously estimate lamivudine (LAM) and dolutegravir (DOL), anti-retroviral drug combination in bulk and dosage forms. Materials and Methods: Separation of analytes was done on a BEH Shield RP18 (2.1 mm × 100 mm × 1.7 mm, 5 μm Particle size) using sodium dihydrogen phosphate pH 4.9 adjusted with orthophosphoric acid: Methanol (60:40, %v/v) as mobile phase pumped at 1.0 ml/min. A photodiode array detector was used to find the detection wavelength at an isosbestic point of 292 nm while maintaining the column temperature at 30°C. With a total run period of 8 min, the mobile phase was utilized as a diluent. The International Council on Harmonization guidelines were followed in the method's validation. The method's capacity to indicate stability was confirmed by experiments on forced degradation. Results: LAM and DOL eluted at 2.88 and 3.83 min, respectively. Both the drugs exhibited excellent linearity between 105.00–315.00 and 17.50–52.50 μg/ml for LAM and DOL, respectively. The LOD and LOQ were found to be 4.51 and 15.03 μg/ml for LAM and 5.82 and 19.41 μg/ml for DOL, respectively, which are very minute concentrations. Conclusion: The method was therefore found to be quite sensitive. The proposed high-performance liquid chromatography technique was thereby sensitive, reproducible, accurate, and reliable for the measurement of LAM and DOL.
目的:建立一种简便、灵敏的同时评价拉米夫定(LAM)和多替格拉韦(DOL)这两种抗逆转录病毒药物组合原料药和剂型的分析方法。材料与方法:在BEH Shield RP18 (2.1 mm × 100 mm × 1.7 mm, 5 μm粒径)上进行分离,以正磷酸:甲醇(60:40,%v/v)为流动相,以1.0 ml/min泵送,pH为4.9。采用光电二极管阵列检测器,在柱温为30℃的条件下,在等吸点292 nm处找到检测波长。流动相作为稀释剂,总运行周期为8 min。该方法的验证遵循了国际协调理事会的准则。通过强迫退化实验验证了该方法的稳定性。结果:LAM和DOL洗脱时间分别为2.88 min和3.83 min。两种药物的LAM和DOL分别在105.00 ~ 315.00和17.50 ~ 52.50 μg/ml范围内呈良好的线性关系。检测结果表明,LAM的LOD和LOQ分别为4.51和15.03 μg/ml, DOL的LOD和LOQ分别为5.82和19.41 μg/ml,均为极微量浓度。结论:该方法具有较高的灵敏度。因此,所建立的高效液相色谱技术对LAM和DOL的测定具有灵敏度高、重复性好、准确性高、可靠性好等特点。
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引用次数: 0
Response surface methodology-based quantification of lamivudine and zidovudine using reverse-phase high-performance liquid chromatography in pharmaceutical formulation 基于响应面法的反相高效液相色谱法定量拉米夫定和齐多夫定
IF 0.4 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2022-10-01 DOI: 10.4103/ajprhc.ajprhc_74_22
Anjali Chauhan, Neeti Yadav, Aarchika Shah, Darshil Shah, D. Maheshwari, J. Shah
Objective: A novel reverse-phase high-performance liquid chromatography (RP-HPLC) method for estimation of lamivudine and zidovudine by using an experimental design approach applying the response surface technique was developed and validated using a C18 column and its application in marketed formulation. Multivariate optimization of experimental conditions was achieved using experimental design employing organic content in the mobile phase, pH, and flow rate of the mobile phase as three independent variables. The aim of this study was to apply response surface methodology and to study the effect of the independent variables on the separation and estimation of both drugs by the RP-HPLC method using a faced central composite experimental design. Materials and Methods: Derringer's desirability function was used to optimize the retention period of the last eluting peak and peak symmetry, and it was discovered that the optimal conditions were potassium dihydrogen phosphate buffer and acetonitrile in an isocratic ratio of 55:45 w/v, pH 3.5, and 0.4 ml/min flow rate. Baseline separation of both medications with good resolution and a run time of more than 7 min was accomplished using this ideal condition. Results: For lamivudine and zidovudine, a linear response was seen over the concentration range of 2–12 and 4–24 μg/mL, respectively. Lamivudine's limit of detection and limit of quantitation were determined to be 3.08 and 9.18 μg/mL, respectively, whereas zidovudine's values were 3.24 and 10.17 μg/mL. According to the ICH guidelines acceptance criteria for linearity, accuracy, precision, specificity, and robustness, the method was successfully validated.
目的:建立反相高效液相色谱法(RP-HPLC)测定拉米夫定和齐多夫定含量的实验设计方法,并利用C18色谱柱对其进行验证。以流动相有机含量、pH、流动相流速为3个自变量进行实验设计,对实验条件进行多元优化。本研究的目的是应用响应面法,采用面中心复合实验设计,研究自变量对两种药物分离和估计的影响。材料与方法:采用Derringer期望函数优化最后一个洗脱峰的保留时间和峰的对称性,发现最佳条件为磷酸二氢钾缓冲液与乙腈的等密度比为55:45 w/v, pH为3.5,流速为0.4 ml/min。在这种理想条件下,两种药物的基线分离具有良好的分辨率和超过7分钟的运行时间。结果:拉米夫定和齐多夫定在2 ~ 12和4 ~ 24 μg/mL范围内呈线性关系;拉米夫定的检测限和定量限分别为3.08和9.18 μg/mL,齐多夫定的检测限和定量限分别为3.24和10.17 μg/mL。根据ICH指南的线性、准确度、精密度、特异性和稳健性验收标准,成功验证了该方法。
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引用次数: 0
Effect of respiratory muscle stretch gymnastics on chest expansion and peak expiratory flow rate among sawmill workers 呼吸肌拉伸体操对锯木厂工人胸扩张及呼气峰值流速的影响
IF 0.4 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2022-10-01 DOI: 10.4103/ajprhc.ajprhc_70_22
E. Shanmugananth, E. Chandramouli, S. Nambi, S. Parthasarathy
Introduction: Sawmill workers are subjected to high levels of wood dust, which can significantly impair lung function. Many studies have found restrictive abnormalities associated with decreased breathing muscle strength and chest expansion. Respiratory muscle stretch gymnastics (RMSG) has been proposed as an additional form of rehabilitation for patients suffering from respiratory diseases. RMSG is intended to reduce chest wall stiffness, particularly in the respiratory muscles of the chest wall. Objective: The objective of this study was to look into the impact of RMSG on chest expansion and peak expiratory flow rate (PEFR) in sawmill workers. Methodology: Fifty randomly selected sawmill workers aged 30–50 years in Chidambaram town were given RMSG training twice daily, four times each of five patterns for 4 weeks. A structured questionnaire was used to interview the subjects. Height, weight, and chest measurements were all part of the physical examination. Before and after training, the physiological parameter PEFR was measured. The extent of chest expansion was the primary outcome measure. Data Analysis and Outcomes: The Statistical Package for Social Sciences (SPSS) version 16 was used to evaluate and analyze the data, with the level of significance set at P < 0.05. The dependent t-test revealed a significant difference in chest expansion between pre- and posttraining (2.441.11) and (3.780.616) with a P = 0.001. At P = 0.001, there was also a statistically significant difference in the mean values of PEFR (341.80 77.13) and (479.8058.24). Conclusion: The study found that RMSG training improves chest expansion and pulmonary function (PEFR). According to the findings, RMSG is a simple, safe, and effective technique for increasing the overall functional capacity of sawmill workers. Our study clearly demarcates the difference in an angle that 40° or 45° recumbency is useful. With not much literature in such workers, we can say that this study is one of the early works in this field.
导言:锯木厂的工人受到高水平的木尘,这可以严重损害肺功能。许多研究发现限制性异常与呼吸肌肉力量和胸部扩张减少有关。呼吸肌伸展体操(RMSG)已被提出作为一种额外形式的康复患者患有呼吸系统疾病。RMSG旨在减少胸壁僵硬,特别是胸壁的呼吸肌。目的:本研究的目的是探讨RMSG对锯木厂工人胸扩张和呼气峰流速(PEFR)的影响。方法:在Chidambaram镇随机选择50名年龄在30-50岁的锯木厂工人进行RMSG培训,每天两次,五种模式中每模式四次,为期四周。采用结构化问卷对研究对象进行访谈。身高、体重和胸围都是体检的一部分。训练前后测量生理参数PEFR。胸部扩张的程度是主要的结局指标。数据分析和结果:采用SPSS (Statistical Package for Social Sciences)第16版对数据进行评价和分析,显著性水平为P < 0.05。经相关t检验,训练前后胸围扩张量分别为2.441.11和3.780.616,差异有统计学意义(P = 0.001)。PEFR均值(341.80 77.13)和(479.8058.24)差异有统计学意义(P = 0.001)。结论:研究发现RMSG训练可改善胸扩张和肺功能(PEFR)。根据研究结果,RMSG是一种简单、安全、有效的技术,可以提高锯木厂工人的整体功能能力。我们的研究清楚地区分了40°或45°平躺的角度的不同。由于关于这类工作者的文献不多,我们可以说这项研究是这一领域的早期工作之一。
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引用次数: 0
The phenomenon of giving hypnotic medications to children without a therapeutic purpose 无治疗目的而给儿童服用催眠药物的现象
IF 0.4 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2022-10-01 DOI: 10.4103/ajprhc.ajprhc_53_22
MhdiaElhadi Osman, Heba Khaloofi
Background: The antihistamines such as chlorpheniramine malate, triprolidine, and pseudoephedrine cause sedation and are prescribed for insomnia as a first-line drug. Some mothers in Saudi Arabia reported using these medications for their children to induce and regulate sleep without prescription. This unnecessary and dangerous practice can cause serious side effects. Objective: The research aimed to discover the prevalence of sedative medication use among children in Saudi Arabia and evaluation of the mother's awareness of the seriousness of these medications' effects. This research also aimed to provide natural alternatives. Materials and Methods: A cross-sectional study has been conducted using a structured online questionnaire. The survey has been performed to identify the views of mothers on the subject and the reasons for their use of medicines and the most widely used drugs, dosage, and side effects. Fifty responses were collected from mothers and evaluated using Statistical Package for the Social Sciences (SPSS) software. Results: Most participants use sedative drugs to keep their children calm and in a deep sleep with ignorance and a lack of awareness of their serious side effects. We strongly encourage the initiation of awareness campaigns using pamphlets and other platforms including messages. Conclusion: Mothers, mainly working women, tend to use hypnotic medication for their children without a therapeutic indication. This practice needs to be stopped by awareness campaigns using both traditional and electronic formats.
背景:抗组胺药如苹果酸氯苯那敏、曲普利定和伪麻黄碱可引起镇静,作为治疗失眠症的一线药物。沙特阿拉伯的一些母亲报告说,在没有处方的情况下,她们给孩子使用这些药物来诱导和调节睡眠。这种不必要和危险的做法会导致严重的副作用。目的:本研究旨在了解沙特阿拉伯儿童镇静药物的使用情况,并评估母亲对这些药物影响严重性的认识。这项研究还旨在提供天然替代品。材料和方法:采用结构化在线问卷进行横断面研究。进行这项调查是为了确定母亲们对这一问题的看法,以及她们使用药物的原因,以及最广泛使用的药物、剂量和副作用。从母亲那里收集了50份回复,并使用社会科学统计软件包(SPSS)软件进行评估。结果:大多数参与者使用镇静药物来保持孩子的平静和深度睡眠,对其严重的副作用一无所知和缺乏意识。我们强烈鼓励利用小册子和包括信息在内的其他平台开展提高认识运动。结论:母亲,主要是职业妇女,倾向于在没有治疗指征的情况下给孩子使用催眠药物。需要通过使用传统和电子格式的宣传运动来制止这种做法。
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引用次数: 0
Community assessment of incidence of quantitative microalbuminuria at the time of first diagnosis of type 2 diabetes mellitus – kumbakonam urban–rural epidemiological study – kures 9 2型糖尿病首次诊断时定量微量白蛋白尿发生率的社区评估——kumbakonam城乡流行病学研究
IF 0.4 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2022-10-01 DOI: 10.4103/ajprhc.ajprhc_101_22
M. Suchitra, M. Anand, B. Saravanan, S. Parthasarathy
Background: Diabetic nephropathy (DN) is a condition defined by persistent albuminuria and progressive loss of kidney function, with the term implying the occurrence of a typical described pattern of glomerular disorder. The early marker of the disease is detecting microalbuminuria in the urine. Methods: The patients who consented for the sampling was considered when they were diagnosed with diabetes mellitus (DM) for the first time. The first hundred adult patients who consented to participate were included. Established methods were used to estimate quantitative microalbumin in the urine from the first sample of the morning. All the positive reports were counter-checked. The initiation of drugs was left to the physician's choice. Any other events were recorded. On arrival, random blood sugar and blood pressures were recorded. Descriptive analyses and Pearson correlation analyses were used. Results: A total of 101 patients were analyzed. There were 58 males and 43 females. The microalbuminuria was positive in 44.6% of newly diagnosed cases. There was no relationship between the random sugar values, age, or sex with the incidence of microalbuminuria. The mean ages of both the positive and negative cases were similar. Conclusion: There was a high incidence of microalbuminuria in our study among newly diagnosed DM. With such a high incidence of early renal damage on diagnosis, we suggest that the initial management should switch from other drugs to inhibitors of the sodium-glucose cotransporter 2 (SGLT2). We theorize that the high incidence may be due to a delayed diagnosis of diabetes in our area and a poor control of the disease. With such a high incidence of early renal damage on diagnosis, we suggest that the initial management should switch from other drugs to inhibitors of the SGLT2. This is the first such study on the incidence of early nephropathy on first diagnosis of DM.
背景:糖尿病肾病(DN)是一种持续蛋白尿和进行性肾功能丧失的疾病,该术语意味着肾小球疾病的典型描述模式的发生。该疾病的早期标志是在尿液中检测微量白蛋白尿。方法:对首次诊断为糖尿病(DM)的患者进行抽样调查。前100名同意参与的成年患者被纳入研究。采用已建立的方法,从早晨的第一个样本中定量估计尿液中的微量白蛋白。所有正面的报道都遭到了反驳。开始用药是由医生来选择的。任何其他事件都被记录下来。到达时,随机记录血糖和血压。采用描述性分析和Pearson相关分析。结果:共分析101例患者。男性58人,女性43人。新诊断病例微量白蛋白尿阳性率为44.6%。随机血糖值、年龄或性别与微量白蛋白尿发生率之间没有关系。阳性和阴性病例的平均年龄相近。结论:在我们的研究中,新诊断的糖尿病患者中微量白蛋白尿的发生率较高。鉴于诊断时早期肾损害的发生率如此之高,我们建议初始治疗应从其他药物转向钠-葡萄糖共转运蛋白2 (SGLT2)抑制剂。我们推测,高发病率可能是由于我们地区糖尿病的诊断延迟和疾病控制不佳。由于诊断时早期肾损害的发生率如此之高,我们建议初始治疗应从其他药物转向SGLT2抑制剂。这是第一个关于首次诊断为糖尿病的早期肾病发生率的研究。
{"title":"Community assessment of incidence of quantitative microalbuminuria at the time of first diagnosis of type 2 diabetes mellitus – kumbakonam urban–rural epidemiological study – kures 9","authors":"M. Suchitra, M. Anand, B. Saravanan, S. Parthasarathy","doi":"10.4103/ajprhc.ajprhc_101_22","DOIUrl":"https://doi.org/10.4103/ajprhc.ajprhc_101_22","url":null,"abstract":"Background: Diabetic nephropathy (DN) is a condition defined by persistent albuminuria and progressive loss of kidney function, with the term implying the occurrence of a typical described pattern of glomerular disorder. The early marker of the disease is detecting microalbuminuria in the urine. Methods: The patients who consented for the sampling was considered when they were diagnosed with diabetes mellitus (DM) for the first time. The first hundred adult patients who consented to participate were included. Established methods were used to estimate quantitative microalbumin in the urine from the first sample of the morning. All the positive reports were counter-checked. The initiation of drugs was left to the physician's choice. Any other events were recorded. On arrival, random blood sugar and blood pressures were recorded. Descriptive analyses and Pearson correlation analyses were used. Results: A total of 101 patients were analyzed. There were 58 males and 43 females. The microalbuminuria was positive in 44.6% of newly diagnosed cases. There was no relationship between the random sugar values, age, or sex with the incidence of microalbuminuria. The mean ages of both the positive and negative cases were similar. Conclusion: There was a high incidence of microalbuminuria in our study among newly diagnosed DM. With such a high incidence of early renal damage on diagnosis, we suggest that the initial management should switch from other drugs to inhibitors of the sodium-glucose cotransporter 2 (SGLT2). We theorize that the high incidence may be due to a delayed diagnosis of diabetes in our area and a poor control of the disease. With such a high incidence of early renal damage on diagnosis, we suggest that the initial management should switch from other drugs to inhibitors of the SGLT2. This is the first such study on the incidence of early nephropathy on first diagnosis of DM.","PeriodicalId":8534,"journal":{"name":"Asian Journal of Pharmaceutical Research and Health Care","volume":"2010 1","pages":"243 - 246"},"PeriodicalIF":0.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78904420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antioxidant and inflammatory cytokines regulatory actions of fresh snail and seawater gastropods extracts 新鲜蜗牛和海水腹足动物提取物的抗氧化和炎症细胞因子调节作用
IF 0.4 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2022-10-01 DOI: 10.4103/ajprhc.ajprhc_77_22
Deepak P. Pawar, P. Shamkuwar
Context: Mollusca also termed mollusks. These are unsegmented, bilateral animals. Freshwater and seawater gastropods are considered rich source of bioactive molecules that possesses various therapeutic potential. Aim: The present work aimed to investigate the antioxidant, wound healing, and anti-inflammatory effects along with the regulation of inflammatory protein at the cellular level by apple snail (freshwater gastropod) and tibia shell (seawater gastropod) extract. Materials and Methods: The mass of freshwater and seawater gastropods was macerated in water. Results: The aqueous extract of apple snail exhibited the highest 1,1-diphenyl-2-picrylhydrazyl (DPPH) radical scavenging activity and 2,2'-azinobis-(3-ethylbenzothiazoline)-6-sulphonic acid (ABTS) activity at 85.62% and 73.35% at 10 mg/ml, whereas the aqueous extract of seawater gastropod exhibited the highest DPPH radical scavenging activity and ABTS activity 83.53% and 76.14% at 1 mg/ml. Marine water snail aqueous extract and freshwater snail aqueous extract, each of 250 mg/kg showed 83% and 67.14% inhibition of paw edema, respectively. The cell viability study was performed by MTT assay and both the extracts showed cell viability above 97%. Both samples (freshwater snail extract and seawater gastropod extract) have good anti-inflammatory effects as they lower the concentration of tumor necrosis factor-alpha (pro-inflammatory cytokines) and increase interleukin-10 (anti-inflammatory cytokines). Conclusion: The present work concluded that the extracts of seawater gastropods were found to be more effective as an antioxidant and anti-inflammatory agent.
背景:软体动物也被称为软体动物。它们是无节的,两侧的动物。淡水和海水腹足动物被认为是生物活性分子的丰富来源,具有多种治疗潜力。目的:研究苹果蜗牛(淡水腹足动物)和胫骨壳(海水腹足动物)提取物在细胞水平上的抗氧化、创面愈合和抗炎作用以及对炎症蛋白的调节作用。材料与方法:将淡水腹足动物和海水腹足动物浸泡在水中。结果:苹果蜗牛水提液在10 mg/ml浓度下对DPPH自由基和ABTS自由基的清除率最高,分别为85.62%和73.35%;海水腹足动物水提液在1 mg/ml浓度下对DPPH自由基和ABTS自由基的清除率最高,分别为83.53%和76.14%。海水螺水提物和淡水螺水提物浓度为250 mg/kg时,对足跖水肿的抑制作用分别为83%和67.14%。MTT法测定细胞活力,两种提取物的细胞活力均在97%以上。两种样品(淡水蜗牛提取物和海水腹足动物提取物)均具有较好的抗炎作用,可降低肿瘤坏死因子- α(促炎细胞因子)浓度,增加白细胞介素-10(抗炎细胞因子)浓度。结论:海水腹足动物提取物具有较好的抗氧化和抗炎作用。
{"title":"Antioxidant and inflammatory cytokines regulatory actions of fresh snail and seawater gastropods extracts","authors":"Deepak P. Pawar, P. Shamkuwar","doi":"10.4103/ajprhc.ajprhc_77_22","DOIUrl":"https://doi.org/10.4103/ajprhc.ajprhc_77_22","url":null,"abstract":"Context: Mollusca also termed mollusks. These are unsegmented, bilateral animals. Freshwater and seawater gastropods are considered rich source of bioactive molecules that possesses various therapeutic potential. Aim: The present work aimed to investigate the antioxidant, wound healing, and anti-inflammatory effects along with the regulation of inflammatory protein at the cellular level by apple snail (freshwater gastropod) and tibia shell (seawater gastropod) extract. Materials and Methods: The mass of freshwater and seawater gastropods was macerated in water. Results: The aqueous extract of apple snail exhibited the highest 1,1-diphenyl-2-picrylhydrazyl (DPPH) radical scavenging activity and 2,2'-azinobis-(3-ethylbenzothiazoline)-6-sulphonic acid (ABTS) activity at 85.62% and 73.35% at 10 mg/ml, whereas the aqueous extract of seawater gastropod exhibited the highest DPPH radical scavenging activity and ABTS activity 83.53% and 76.14% at 1 mg/ml. Marine water snail aqueous extract and freshwater snail aqueous extract, each of 250 mg/kg showed 83% and 67.14% inhibition of paw edema, respectively. The cell viability study was performed by MTT assay and both the extracts showed cell viability above 97%. Both samples (freshwater snail extract and seawater gastropod extract) have good anti-inflammatory effects as they lower the concentration of tumor necrosis factor-alpha (pro-inflammatory cytokines) and increase interleukin-10 (anti-inflammatory cytokines). Conclusion: The present work concluded that the extracts of seawater gastropods were found to be more effective as an antioxidant and anti-inflammatory agent.","PeriodicalId":8534,"journal":{"name":"Asian Journal of Pharmaceutical Research and Health Care","volume":"45 1","pages":"231 - 237"},"PeriodicalIF":0.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76570583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A-heal® in the management of chronic nonhealing ulcers: A case series A-heal®在慢性不愈合溃疡治疗中的应用:一个病例系列
IF 0.4 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2022-10-01 DOI: 10.4103/ajprhc.ajprhc_69_22
MdQamar Azam, Ajay Mahaputra Kumar, Nilesh Jagne
Background and Objective: The aim of this study is to assess the efficacy of A-Heal® in the treatment of nonhealing ulcers (NHU). Patients and Methods: This is a case–control study involving 12 patients who applied A-Heal® 10 mg twice a day on an NHU till the complete healing of the ulcer. The control group had the standard treatment. A-Heal® is a 13 amino acid chain, which was initially isolated from the human placenta, is now synthesized, and has shown to be a powerful angiogenesis factor. Before starting the trial, morphologic features of the ulcers were noted including, size, shape, location, and associated diseases. The follow-up period was set at 6 months. Results: The average age of the treated patients was 52.5 ± 5.3 years in the study group and 51.9 ± 4.7 years in the control group. The mean duration of the ulcer was 13.7 ± 5.3 weeks. All the ulcers were located in the lower limbs. In 9 (75%) patients, there was total healing of ulcers in 22 days and three patients showed signs of wound healing with a reduction in wound size and required an additional 1 week for total healing of the ulcer. Regarding the secondary outcomes of preliminary efficacy, total healing and significant reduction of the area were observed in all patients. There were no adverse events recorded. Conclusion: This case series shows that A-Heal® has proved to be safe with a good preliminary efficacy to heal NHUs, according to the protocol and doses used. A larger clinical trial is needed to verify our results.
背景与目的:本研究的目的是评估A-Heal®治疗非愈合性溃疡(NHU)的疗效。患者和方法:这是一项病例对照研究,涉及12名患者,每天两次在NHU上应用a - heal®10毫克,直到溃疡完全愈合。对照组采用标准治疗。a - heal®是一个13个氨基酸链,最初是从人胎盘中分离出来的,现在已被合成,并已被证明是一种强大的血管生成因子。在试验开始前,记录溃疡的形态学特征,包括大小、形状、位置和相关疾病。随访时间为6个月。结果:研究组患者平均年龄52.5±5.3岁,对照组患者平均年龄51.9±4.7岁。溃疡持续时间平均为13.7±5.3周。所有溃疡均位于下肢。在9例(75%)患者中,溃疡在22天内完全愈合,3例患者表现出伤口愈合的迹象,伤口大小缩小,需要额外的1周来使溃疡完全愈合。关于初步疗效的次要结果,所有患者均观察到完全愈合和面积显着缩小。无不良事件记录。结论:该系列病例表明,根据方案和使用剂量,a - heal®已被证明是安全的,具有良好的治疗nhu的初步疗效。需要更大规模的临床试验来验证我们的结果。
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引用次数: 0
Satisfaction of the clients attending integrated counseling and testing center in a teaching hospital of North-Eastern India: An observational study 印度东北部某教学医院综合咨询检测中心来访者满意度的观察研究
IF 0.4 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2022-10-01 DOI: 10.4103/ajprhc.ajprhc_75_22
A. Debnath, T. Roy, H. Bhattacharjya
Background: Integrated Counseling and Testing Centers (ICTC) provide counseling and testing for HIV to the clients. Satisfaction of the clients attending an ICTC determines its acceptance among people, and it is crucial for preventing this disease. Objectives: To estimate the level of satisfaction and to determine its association with sociodemographic parameters of the clients attending ICTC in a teaching hospital. Methodology: This hospital-based cross-sectional study was conducted in October 2019 among 213 clients attending ICTC of Agartala Government Medical College, chosen by census technique. An interview schedule containing information regarding age, sex, marital status, education, socioeconomic class, along with a component for evaluating HIV counseling and testing services initially used by UNAIDS, was used for data collection. Results: Among the clients, 54.5% (116) were male, 45.5% were aged between 35 and 80 years, 79.3% were from rural areas, 87.8% were Hindu by religion, 33.8% belonged to scheduled caste community, 63.4% were primary educated, 35.2% belonged to BG Prasad's Class II socioeconomic status, 83.6% were married, and 10.3% attended ICTC by self-initiated approach. Only 39% of the clients were found to be satisfied with the services of this ICTC. Waiting time in queue was found to be significantly associated with client's satisfaction. Conclusion: The client's satisfaction level was found to be low. Reduction in queuing time, caring attitude, and use of the client's own language might improve the scenario.
背景:综合咨询与检测中心(ICTC)为艾滋病患者提供咨询和检测服务。参加ICTC的患者的满意度决定了人们对其的接受程度,这对预防这种疾病至关重要。目的:评估某教学医院ICTC患者的满意度水平,并确定其与社会人口学参数的关系。方法:这项基于医院的横断面研究于2019年10月对Agartala政府医学院ICTC的213名患者进行了调查,这些患者采用人口普查技术选择。收集数据时使用了一个包含年龄、性别、婚姻状况、教育程度、社会经济阶层等信息的访谈时间表,以及一个评估艾滋病规划署最初使用的艾滋病毒咨询和检测服务的组成部分。结果:患者中男性占54.5%(116人),年龄在35 ~ 80岁之间占45.5%,农村占79.3%,印度教占87.8%,排定种姓占33.8%,小学文化程度占63.4%,社会经济地位占35.2%,已婚占83.6%,自发参加ICTC的占10.3%。只有39%的客户对该中心的服务感到满意。排队等候时间与顾客满意度显著相关。结论:患者满意度较低。减少排队时间、关心的态度和使用客户自己的语言可能会改善这种情况。
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引用次数: 0
Effect of costus pictus D don methanolic leaf extract on induced prediabetic behavioral change in albino wistar rats 木香醇叶提取物对白化wistar大鼠糖尿病前期行为改变的影响
IF 0.4 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2022-10-01 DOI: 10.4103/ajprhc.ajprhc_80_22
J. Raj, S. Parthasarathy, Manimekalai Kumarappan, A. Srinivasan
Background: Prediabetes is a hyperglycemic intermediate state with glycemic parameters above normal values but below the threshold of diagnosis of diabetes. While the diagnostic criteria for prediabetes differ between international professional organizations, it is still a high-risk state for getting diabetes, with an annual conversion rate of 5%–10%. Plants and plant-derived products have been the first treatment choice in ancient India. Of late, they have regained a preference for allopathic medicine. Prediabetes, if identified early and treated, the intermittent hyperglycemia, as well as its complications, can be prevented or reverted. Costus pictus D Don would serve this purpose. Materials and Methods: The present study was aimed to study the effect of methanolic leaf extract of Costus pictus D Don on glycemic status and cognitive behavior in induced prediabetic status. Prediabetic status was induced by 35% sucrose solution. Glycemic status was assessed by the Oral glucose tolerance test, homeostatic model assessment for insulin resistance, and QUantitative Insulin sensitivity Check Index. Cognitive and anxiety-like behavior was assessed by elevated T maze and open arena maze. After the termination of the study, all the animals were sacrificed and their brain was sectioned and stained with H and E strain to check for any associated change in the hippocampal region to correlate with the observed behavioral change. Results: Methanolic leaf extract of Costus pictus D Don had a significant effect on normalizing glycemic status in prediabetic rats. Meanwhile, they did not cause hypoglycemia when given to normal rats. Methanolic leaf extract of Costus pictus D Don reduces blood glucose level and insulin level in both doses of 100 mg and 200 mg/kg BW. The extract exhibited an anxiolytic effect and improved cognition in prediabetic rats. When compared to control rats, the prediabetic rats exhibited slow learning. This was evident with an increase in transfer latency. Delta percentage was minimum in prediabetic animals indicating poor learning ability associated with prediabetes. The extract at the dose of 200 mg/Kg BW was found to revert this adverse effect back to near normal. Conclusion: Leaves of Costus pictus D Don can be a better choice for normalizing the hyperglycemic status and improving prediabetic induced mental disturbances such as anxiety and cognitive dysfunction.
背景:糖尿病前期是血糖参数高于正常值但低于糖尿病诊断阈值的高血糖中间状态。虽然国际专业组织对前驱糖尿病的诊断标准有所不同,但仍是糖尿病的高危状态,年转换率为5%-10%。在古印度,植物和植物衍生产品一直是首选的治疗选择。最近,他们又重新偏爱对抗疗法。前驱糖尿病,如果及早发现和治疗,间歇性高血糖及其并发症可以预防或恢复。Costus pictus D Don可以达到这个目的。材料与方法:本研究旨在研究木香叶甲醇提取物对诱导的糖尿病前期血糖状态和认知行为的影响。35%蔗糖溶液诱导糖尿病前期状态。通过口服糖耐量试验、胰岛素抵抗稳态模型评估和定量胰岛素敏感性检查指数评估血糖状态。采用高架T型迷宫和开放式竞技场迷宫评估认知行为和焦虑样行为。实验结束后,处死所有动物,对其进行脑切片,并用H和E菌株染色,检查海马区是否有与观察到的行为变化相关的相关变化。结果:木香叶甲醇提取物对糖尿病前期大鼠血糖有明显的调节作用。同时,给正常大鼠服用时,它们不会引起低血糖。木香叶甲醇提取物在100mg和200mg /kg体重组均可降低血糖水平和胰岛素水平。该提取物对糖尿病前期大鼠具有抗焦虑和改善认知的作用。与对照大鼠相比,糖尿病前期大鼠表现出缓慢的学习。这在传输延迟的增加中表现得很明显。糖尿病前期动物的δ百分比最小,表明与糖尿病前期相关的学习能力差。200 mg/Kg体重的提取物可使这种不良反应恢复到接近正常的水平。结论:木香叶可较好地改善糖尿病前期患者的高血糖状态,改善焦虑、认知障碍等精神障碍。
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引用次数: 2
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Asian Journal of Pharmaceutical Research and Health Care
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