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Hybrid Model: Deep Learning method for Early Detection of Alzheimer’s disease from MRI images 混合模型:从MRI图像中早期检测阿尔茨海默病的深度学习方法
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-30 DOI: 10.13005/bpj/2739
Anuradha Vashishtha, Anuja Kumar Acharya, Sujata Swain
Alzheimer's disease is a neurodegenerative brain disease that kills neurons. The global prevalence of the disease is gradually growing. In all leading countries, it is one of the senior citizens' leading causes of death. So, much research shows that early detection of illness is the most critical factor in improving patient care and treatment outcomes. Currently, AD is diagnosed by the manual study of magnetic resonance imaging, biomarker tests, and cognitive tests. Machine learning algorithms are used for automatic diagnosis. However, they have certain limits in terms of accuracy. Another issue is that models trained on class-unbalanced datasets often have poor results. Therefore, the main objective of the proposed work is to include a pre-processing method before the hybrid model to improve classification accuracy. This research presents a hybrid model based on a deep learning approach to detect Alzheimer’s disease. Which, we are using the SMOTE method to equally distribute the classes to prevent the issue of class imbalance. The hybrid model uses Inception V3 and Resnet50 to detect characteristics of Alzheimer's disease from magnetic resonance imaging. Finally, a dense layer of convolution neural network is used for classification. The hybrid approach achieves 99% accuracy in classifying MRI datasets, which is better than the old work. These results are better than existing approaches based on accuracy, specificity, sensitivity, and other characteristics.
阿尔茨海默病是一种神经退行性脑部疾病,会杀死神经元。这种疾病的全球流行率正在逐渐上升。在所有主要国家,它都是老年人死亡的主要原因之一。因此,许多研究表明,早期发现疾病是改善患者护理和治疗结果的最关键因素。目前,AD的诊断是通过人工研究磁共振成像、生物标志物测试和认知测试。机器学习算法用于自动诊断。然而,它们在准确性方面有一定的限制。另一个问题是,在类不平衡数据集上训练的模型通常会得到很差的结果。因此,本文的主要目标是在混合模型之前加入预处理方法,以提高分类精度。本研究提出了一种基于深度学习方法的混合模型来检测阿尔茨海默病。其中,我们使用SMOTE方法来平均分配类,以防止类不平衡的问题。混合模型使用Inception V3和Resnet50从磁共振成像中检测阿尔茨海默病的特征。最后,使用卷积神经网络的密集层进行分类。该方法对MRI数据集的分类准确率达到99%,优于传统的分类方法。这些结果在准确性、特异性、敏感性等方面优于现有的方法。
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引用次数: 0
In Vitro Antioxidant Activity, Pharmacognostical Evaluation, HPTLC and FTIR Fingerprinting of Phyllanthus Acidus L. Stem Bark Extract for Better Application in Phytotherapy 余甘子茎皮提取物体外抗氧化活性、生药评价、HPTLC和FTIR指纹图谱研究
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-30 DOI: 10.13005/bpj/2716
Zeba Siddiqui, Mohammad Irfan Khan, Badruddeen Badruddeen, Juber Akhtar, Mohammad Ahmed
Background: For safe and efficacious use of natural products, quality control of the crude drug is of paramount importance. Due to lack of scientific investigations pertaining to quality control phytochemical and pharmacological properties of Phyllanthus acidus (L.) Skeels, the present study was undertaken. Objective: The aim of the study is to establish various pharmacognostical and phytochemical parameters, including both macro and microscopic studies, along with HPTLC and FTIR fingerprinting analysis, total phenolic and flavonoid content of stem bark of Phyllanthus acidus, followed by exploring its anti-oxidant potential. Method: The determination of total phenolic and flavonoid content was done by various colorimetric assays. DPPH assay was used to establish antioxidant activity. Physiochemical analysis was carried out and presence of various functional groups was determined using various techniques like HPTLC, FTIR analysis and colorimetric assays. Result: The phytochemical screening showed the presence of various phytoconstituents like phenols, carbohydrates, flavonoid, tannins and terpenoids. in various solvent systems. Total phenolic was established as 189.74±0.52mg GAE/g and flavonoid content was found to be38.92±0.47 mg QE/g. Concentration of heavy metal was within acceptable limits. The stem bark showed comparable antioxidant activity in methanolic and aqueous extract showed IC50 values of 26.92 and 26.52 respectively compared to ascorbic acid having IC50 value of 31.82. HPTLC fingerprinting envisaged the presence of several phytoconstituents in Phyllanthus acidus. The FTIR analysis established the presence of phenolic functional groups. Conclusion: The referential information provided by this study will be useful to determine and manage adulterations in raw material. The study also provides insight into antioxidant property of this plant validating its ethno pharmacological use as a natural antioxidant.
背景:为了安全有效地使用天然药物,对原料药的质量控制至关重要。由于缺乏科学的质量控制、植物化学和药理性质的研究,因此,Skeels,本研究是进行的。目的:建立余甘子茎皮的各种生药和植物化学参数,包括宏观和微观研究,以及HPTLC和FTIR指纹图谱分析,以及总酚和总黄酮含量,并探讨其抗氧化潜力。方法:采用各种比色法测定总酚和总黄酮含量。DPPH法测定其抗氧化活性。进行了理化分析,并使用各种技术(如HPTLC、FTIR分析和比色法)确定了各种官能团的存在。结果:植物化学筛选结果显示,黄酮类、单宁类、萜类、酚类、碳水化合物等多种植物成分均存在。在各种溶剂体系中。总酚含量为189.74±0.52mg GAE/g,类黄酮含量为38.92±0.47 mg QE/g。重金属浓度在可接受范围内。与抗坏血酸的IC50值31.82相比,茎皮在甲醇和水提取物中的IC50值分别为26.92和26.52,具有相当的抗氧化活性。HPTLC指纹图谱设想了余甘子中几种植物成分的存在。FTIR分析证实了酚类官能团的存在。结论:本研究为原料中掺假的检测和管理提供了参考。该研究还提供了深入了解这种植物的抗氧化特性,验证了其作为天然抗氧化剂的民族药理学用途。
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引用次数: 0
Antibacterial Compounds Towards Staphylococcus aureus and Escherichia coli of the Stem Bark of Inocarpus Fagigerus FoSB 金菖蒲茎皮对金黄色葡萄球菌和大肠杆菌的抗菌化合物研究
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-30 DOI: 10.13005/bpj/2743
Sri Rahayu Santi, I Made Sukadana, I Gusti Agung Gede Bawa, Novi Tamauli Herawati Simalango
This study aimed to screen the antibacterial compounds of S. aureus and E. coli on the stem bark of Inocarpus fagiferus Fosb. Extraction of active antibacterial compounds by maceration and partitioning, antibacterial tests were carried out by diffusion method, separation of compounds by column chromatography method, and identification of active fractions using LSMS/MS. The results of maceration of 350 g of Inocarpus fagiferus Fosb stem bark produced 22.97 g of methanol viscous extract which was able to strongly inhibit the growth of S. aureus bacteria (14.75mm) and medium inhibit (8.50 mm) towards E. coli. The partition results of the methanol concentrated extract respectively with n-hexane, chloroform, n-butanol, and water yielded 0.01; 0.01; 2.75, and 0.07 g extracts. Based on extract weight only n-butanol extract allows further separation. The result of antibacterial activity has shown a strong inhibition zone toward S. aureus and E. coli (16.50 mm) and with a minimum inhibitory concentration (MIC) of 5%. The result of separation n-butanol extract by gradient column chromatography (silica gel 60; methanol: chloroform (5:5; 6:4; 7:3; 8:4; 9:1; and 10:0)) yielded 4 fractions (FA, FB, FC, and FD) with FC the most active antibacterial toward S. aureus and E. coli with an inhibition zone 7.25 mm and 6.25 mm respectively at 5%. The results of LCMS/MS show 5 identified compounds known are maltol, nicotinamide, bioachanin A, L-proline, and 2,3-diamino propionic acid, as well as one unidentified compound with a molecular weight of 95.8066 g/mol. Maltol, nicotinamide, bioachanin A, and L-proline are compounds potents to inhibit the growth of S. aureus and E. coli bacteria.
本研究旨在筛选金葡萄茎皮中金黄色葡萄球菌和大肠杆菌的抑菌化合物。浸渍分块法提取活性抗菌成分,扩散法抑菌试验,柱层析法分离活性成分,液相色谱/质谱法鉴定活性组分。结果表明,350 g银果茎皮浸出22.97 g甲醇黏稠提取物,对金黄色葡萄球菌(14.75mm)有较强的抑制作用,对大肠杆菌(8.50 mm)有中等抑制作用。甲醇浓缩提取物与正己烷、氯仿、正丁醇、水的分馏结果分别为0.01;0.01;2.75 g和0.07 g提取物。根据萃取物的重量,只有正丁醇萃取物可以进一步分离。对金黄色葡萄球菌和大肠杆菌有较强的抑制带(16.50 mm),最小抑制浓度(MIC)为5%。梯度柱层析法分离正丁醇提取物(硅胶60;甲醇:氯仿(5:5;4;7:3;八4;9:1;和10:0))得到4个组分(FA、FB、FC和FD),其中FC对金黄色葡萄球菌和大肠杆菌的抑菌活性最强,在5%的浓度下抑菌带分别为7.25 mm和6.25 mm。LCMS/MS结果显示,鉴定出的5个化合物分别为麦芽醇、烟酰胺、生物芸香蛋白A、l -脯氨酸和2,3-二氨基丙酸,以及1个分子量为95.8066 g/mol的未鉴定化合物。麦芽糖醇、烟酰胺、生物链蛋白A和l -脯氨酸是抑制金黄色葡萄球菌和大肠杆菌生长的化合物。
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引用次数: 0
Tetracyclines: The Old, the New and the Improved - A Short Review 四环素:旧的,新的和改进的-一个简短的评论
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-30 DOI: 10.13005/bpj/2722
D. Manoharan, Shreya Srinivasan, Vignesh NR, Aswin Senthilvel
The most frequently prescribed antibiotic class in dermatology is the tetracycline family, which has both antibacterial and anti-inflammatory characteristics. Tetracycline is a broad-spectrum polyketide antibiotic effective against gram-positive and gram-negative organisms. It has been accepted for the therapeutic use of various conditions in dermatology like Acne, Rosacea, Syphilis, Immuno-bullous dermatoses, Pyoderma gangrenosum and Hidradenitis Suppurativa to name a few. However, the use and efficacy of newly discovered tetracyclines like Sarecycline, Omadacycline and Tigecycline are still yet to be documented and researched. In this study, a short summary of the utilization of various tetracycline are being documented for their use in dermatology.
皮肤病学中最常用的抗生素是四环素家族,它具有抗菌和抗炎的特性。四环素是一种广谱聚酮类抗生素,对革兰氏阳性和革兰氏阴性菌均有效。它已被接受用于治疗各种皮肤病,如痤疮,酒糟鼻,梅毒,免疫大疱性皮肤病,坏疽性脓皮病和化脓性汗腺炎等。然而,新发现的四环素如塞环素、奥马达环素和替加环素的使用和疗效仍有待记录和研究。在这项研究中,简短总结了各种四环素在皮肤病学中的应用。
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引用次数: 0
Tyrosine Kinase Inhibitors and Thyroid Toxicity 酪氨酸激酶抑制剂和甲状腺毒性
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-30 DOI: 10.13005/bpj/2713
Stefano Mastrangelo, Giorgio Attina, Antonio Ruggiero
Some multithyrosine kinase inhibitors have been reported to cause changes in thyroid function. For the management of sunitinib-induced hypothyroidism, an evaluation of thyroid hormone and antibody profile is recommended before starting treatment with tyrosine kinase inhibitors. Patients with pre-existing thyroid dysfunction should undergo dose adjustment of L-thyroxine during treatment with tyrosine kinase inhibitors. Thyroid dysfunction is not a reason to discontinue or reduce the dosage of sunitinib. Their occurrence appears to correlate with increased antitumour efficacy of the inhibitor. There are currently no guidelines for monitoring thyroid activity during treatment with TKIs, and the time interval at which TSH should be periodically measured has not yet been determined. A reasonable approach is to monitor thyroid function, both before and during 2-4 weeks after the end of therapy. A comprehensive analysis of adverse events associated with the use of these inhibitors could help clinical monitoring of patients along with the adoption of appropriate management approaches.
一些多甲状腺氨酸激酶抑制剂已被报道引起甲状腺功能的改变。对于舒尼替尼引起的甲状腺功能减退的治疗,建议在开始酪氨酸激酶抑制剂治疗之前评估甲状腺激素和抗体谱。已有甲状腺功能障碍的患者在使用酪氨酸激酶抑制剂治疗期间应调整l -甲状腺素的剂量。甲状腺功能障碍不是停止或减少舒尼替尼剂量的原因。它们的发生似乎与抑制剂抗肿瘤功效的增加有关。目前还没有TKIs治疗期间监测甲状腺活动的指南,TSH应定期测量的时间间隔也尚未确定。一个合理的方法是在治疗结束前和治疗结束后2-4周监测甲状腺功能。与使用这些抑制剂相关的不良事件的综合分析可以帮助患者的临床监测以及采取适当的管理方法。
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引用次数: 0
Health Literacy in People Living with Human Immunodeficiency Virus Infection: A Narrative Review 人类免疫缺陷病毒感染者的健康素养:一个叙述性的回顾
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-30 DOI: 10.13005/bpj/2726
Basavaraj Poojar, Ashok Shenoy K, Ashwin Kamath, John Ramapuram, Sathish B. Rao, Sheetal Dinkar Ullal
Overall literacy talents comprise an individual’s capacity to read, write and recognise written information (print literacy), articulate and interpret oral language (oral literacy) and interpret and apply for numbers in everyday activities (numeracy). Health literacy, a subset of overall literacy talents, is relatively correlated with it and has been described as the extent to which people can gain, approach, and understand introductory medical information and services required to take health decisions. Concerning HIV, people with low health literacy have less information on the illness and their medical care needs. Moreover, they show poor drug compliance, potentially leading to treatment failure and lack of achievement of the target viral load reduction. The shortfall of non-conceptual models of health literacy is an issue in the utilization of general proficiency instruments. HIV disease-specific health literacy instruments would be more useful and likely to provide more meaningful results rather than those obtained through the use of general instruments. Further exploration of HIV health literacy is demanded. Prospective studies should involve different geographical areas with different socioeconomic characteristics, societal structures and regional healthcare settings. This narrative review has limitations. The vast majority of the HIV research referenced in this study was conducted among the western and African populations with HIV. The studies generally excluded individuals over 50 years of age, restricting the applicability of the study findings.
全面的读写能力包括个人阅读、写作和识别书面信息的能力(印刷素养),表达和解释口头语言的能力(口头素养),以及在日常活动中解释和应用数字的能力(算术能力)。健康素养是整体素养的一个子集,与健康素养相对相关,并被描述为人们能够获得、接近和理解做出健康决策所需的介绍性医疗信息和服务的程度。关于艾滋病毒,卫生知识普及程度低的人对这种疾病及其医疗保健需求的了解较少。此外,它们表现出较差的药物依从性,可能导致治疗失败和缺乏目标病毒载量降低的实现。缺乏卫生知识普及的非概念性模型是利用一般熟练程度工具的一个问题。针对艾滋病毒疾病的卫生扫盲工具比通过使用一般工具获得的结果更有用,也可能提供更有意义的结果。需要进一步探索艾滋病毒健康素养。前瞻性研究应涉及具有不同社会经济特征、社会结构和区域卫生保健设置的不同地理区域。这种叙事回顾有其局限性。本研究中引用的绝大多数艾滋病毒研究都是在西非和非洲艾滋病毒感染者中进行的。这些研究一般排除了50岁以上的个体,限制了研究结果的适用性。
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引用次数: 0
In Vivo and In Vitro Antidiabetic Assay of Purified Mahoni Seeds Extract (Swietenia mahagoni (L.) Jacq) Mahoni种子提取物体内外抗糖尿病实验研究Jacq)
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-30 DOI: 10.13005/bpj/2748
Aktsar Roskiana Ahamd, Abd. Malik, Virsa Handayani
This study examined the future of Mahoni seed as an aspirant drug for treating diabetes. Mahogany seeds were washed using n-hexane solvent and followed by ethanol solvent. Extracts were measured using a standard spectrophotometric plate reader with acarbose (Glucobayâ). Glucose tolerance was tested in alloxan-challenged mice. The results indicated that the extract had potency against a-glucosidases inhibited through a non-competitive mechanism. The IC50 value of the extract is 4.7 μg/ml, which was lower than 5.7 μg/ml for acarbose and has less activity on glucose tolerance at doses of 120 and 240 mg/kg. As a conclution, purified mahogany seed extract got the ability to be developed as a new antidiabetic drug candidate.
这项研究考察了马霍尼种子作为治疗糖尿病的药物的前景。红木种子先用正己烷洗涤,再用乙醇洗涤。提取液采用标准分光光度计,用阿卡波糖(glucobay)测定。在四氧嘧啶刺激小鼠中测试葡萄糖耐量。结果表明,该提取物对a-葡萄糖苷酶具有非竞争性抑制作用。120和240 mg/kg剂量下,提取物的IC50值为4.7 μg/ml,低于阿卡波糖的IC50值5.7 μg/ml,对糖耐量的影响较小。综上所述,纯化红木籽提取物具有开发新型抗糖尿病药物的潜力。
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引用次数: 0
The Effect of Administering Forest Honey to Rats Exposed to Physical Stress on Corticosteroid Levels, Folliculogenesis and the Number of Corpus Luteum 给药森林蜂蜜对应激大鼠皮质类固醇水平、卵泡发生和黄体数量的影响
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-30 DOI: 10.13005/bpj/2721
Widjiati Widjiati, Suryo Kuntjorodjakti, Aditya Tri Ananda, Mey Vanda Pusparina Sajida, Alivia Fairuz Ilmi, Meisa Zalfa Adisti, Dean Chou, Epy Muhammad Luqman
Livestock that has stress releases glucocorticoids in response to it, and it causes inhibition of the hypothalamus-pituitary-gonadal axis (HPG) signaling pathway so that it reduces reproductive efficiency. Forest honey can reduce corticosteroid levels as a stress response from physical stress induction which is expected to increase reproductive efficiency including folliculogenesis and the formation of the corpus luteum. This study aims to determine the effect of forest honey on rats (Rattus novergicus) exposed to physical stress on corticosteroid levels, folliculogenesis, and the number of corpus luteum. This study is an experimental laboratory one using 32 rats which were divided into 4 treatment groups; control positive (C) treated with physical stress, treatment 1 (T1) treated with physical stress + honey 2 g/rat/day PO, treatment 2 (T2) treated with physical stress + honey 4 g/rat/day PO and treatment 3 (T3) treated with physical stress + honey 6 g/rat/day PO. All treatments were carried out for 14 days. The results showed that T1 had the lowest corticosteroid level compared to all treatment groups and the corticosteroid level of this group was significantly different (p <0.05) compared to that of C and T3. The folliculogenesis profile showed that the number of primary secondary, tertiary, and Graafian follicles of group T1 was significantly different (p<0.05) compared to that of C, T2, and T3. In terms of the number of corpus luteum, it showed that T1 had the highest number of corpus luteum, and the number of corpus luteum in this group was significantly different (p<0.05) from that of C, T2, and T3. It can be concluded that the administration of forest honey at a dose of 2g/rat/day could reduce corticosteroid levels, improve the folliculogenesis profile, and increase the number of corpus luteum in rats exposed to physical stress. The use of forest honey could reduce corticosteroid levels as a stress response from physical stress induction which was expected to increase reproductive efficiency.
牲畜在应激状态下会释放糖皮质激素,从而抑制下丘脑-垂体-性腺轴(HPG)信号通路,从而降低繁殖效率。森林蜂蜜可以降低糖皮质激素水平,作为生理应激诱导的应激反应,这有望提高生殖效率,包括卵泡发生和黄体的形成。本研究旨在确定森林蜂蜜对身体应激大鼠(Rattus novergicus)皮质类固醇水平、卵泡发生和黄体数量的影响。本研究为实验室实验,32只大鼠分为4个治疗组;对照阳性(C)组为物理应激组,处理1 (T1)组为物理应激+蜂蜜2 g/大鼠/天PO,处理2 (T2)组为物理应激+蜂蜜4 g/大鼠/天PO,处理3 (T3)组为物理应激+蜂蜜6 g/大鼠/天PO。所有治疗均进行14 d。结果显示,T1组皮质激素水平较各治疗组最低,且与C组和T3组相比,T1组皮质激素水平差异有统计学意义(p <0.05)。与C、T2和T3组相比,T1组的初级、次级、三级和Graafian卵泡数量有显著差异(p < 0.05)。黄体数量方面,T1组黄体数量最多,与C、T2、T3组黄体数量差异有统计学意义(p < 0.05)。由此可见,森林蜂蜜剂量为2g/大鼠/d,可降低应激大鼠体内皮质激素水平,改善卵泡发生状况,增加黄体数量。使用森林蜂蜜可以降低糖皮质激素水平,作为生理应激诱导的应激反应,有望提高生殖效率。
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引用次数: 0
Vitis Pedata Nanoformulation in the Management of Alloxan Induced Experimental Diabetes Vitis Pedata纳米制剂在四氧嘧啶诱导的实验性糖尿病治疗中的应用
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-30 DOI: 10.13005/bpj/2715
Suvadra Das, Joyeeta Bhattacharya, Srija Sur, Subhasis Chakraborty, Aparna Lakshmi, Tanay Pramanik, Partha Roy
Vitis pedata is a woody climber of the Vitaceae family with a multitude of pharmacological effects like anti-inflammatory, antibacterial, anti-nociceptive, anti-arthritic, anti-oxidant, astringent, and hemostatic qualities. The research targets to assess the anti-diabetic efficacy of Vitis pedata aqueous extract nanoformulation in alloxan-induced diabetes rats. Biocompatible polycationic polymer chitosan is used for nanoformulation development. The aqueous extract loaded chitosan nanoparticle formulation displayed a particle size of 186± 5.37 nm with a polydispersity index of 0.226 and zeta potential value of 23 ± 1.93 mV. The nanoformulations were assessed for its anti-diabetic properties in comparison to aqueous extracts for the first time by in- vivo methodologies. Several parameters like body weight, blood glucose level, blood and serum biomarkers, were examined. Changes in tissue histoarchitecture, liver glycogen content, oxidative stress response and antioxidant status were also studied. In diabetic rats, the nano-scale formulation significantly reduced blood glucose levels, glucose tolerance, lipid profiles, and serum biomarkers, comparable to the oral hypoglycemic medication glibenclamide. The restoration of antioxidant status and pancreatic histoarchitecture through by size assisted delivery may be related to the improved control of diabetes by the nanoformulation than the extract alone. The work marks the first report of Vitis pedata nanoformulation for diabetes management and can serve as a prelude for further preclinical/clinical evaluations.
葡萄是一种藤本植物,具有多种药理作用,如抗炎、抗菌、抗伤害、抗关节炎、抗氧化、收敛和止血。研究目的是评价葡萄水提物纳米制剂对四氧嘧啶诱导的糖尿病大鼠的抗糖尿病作用。利用生物相容性聚阳离子聚合物壳聚糖进行纳米配方的研制。水提物负载壳聚糖纳米颗粒的粒径为186±5.37 nm,多分散指数为0.226,zeta电位值为23±1.93 mV。该纳米制剂的抗糖尿病特性首次通过体内方法与水提取物进行了比较。研究人员检查了一些参数,如体重、血糖水平、血液和血清生物标志物。研究了组织结构、肝糖原含量、氧化应激反应和抗氧化状态的变化。在糖尿病大鼠中,纳米级制剂显著降低血糖水平、葡萄糖耐量、脂质谱和血清生物标志物,与口服降糖药格列本脲相当。通过大小辅助分娩恢复抗氧化状态和胰腺组织结构可能与纳米配方比单独提取物改善糖尿病控制有关。这项工作标志着Vitis pedata纳米配方用于糖尿病管理的第一份报告,可以作为进一步临床前/临床评估的前奏。
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引用次数: 0
Relationship between Cardiovascular Risk Factors and Development of Acute Coronary Syndrome 心血管危险因素与急性冠脉综合征发生的关系
Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-09-30 DOI: 10.13005/bpj/2756
Tahani H Ibrahim, Sara Almutiri, Manahil Alharbi, Dana Alotaibi, Mehboob Ali, Waleed Hamza, Mohamed Zaki
Acute coronary syndrome (ACS) which known as subcategory of coronary heart disease is considered a major cause of death. In Saudi Arabia, the prevalence of ACS is 8.2%. Early recognition of risk factors (RFs) associated with ACS is essential to prevent its progression. Therefore, the goals of this study is to estimate the prevalence of cardiovascular RFs among ACS patients and to appraise its association with the development of ACS. This retrospective multi-center cross-sectional study involved 170 patients admitted to Prince Sultan cardiac center, King Saud Hospital, and Bukayriyah General Hospital in Al Qassim, KSA. The participants categorized into three groups UA, NSTEMI, and STEMI. Patients with stable angina or previous MI were excluded from the study. 73.5% were males and 26.5% were females with a mean age of 58.2 ± 11.9. The distribution of ACS subtypes was 51.2%, 27.6%, and 21.2% for STEMI, NSTEMI and UA, respectively. The most common RFs were diabetes mellitus (DM), hypertension (66% each), and dyslipidemia (58%). The prevalence of RFs among STEMI group was 65.6% active smokers, 54.5% dyslipidemia, and 52.2% ischemic heart disease (IHD). On the other hand, in NSTEMI group hypertension and DM were nearly the same (32% & 30% respectively), however family history of IHD was 42.9%. UA revealed a strong association with IHD and family history of IHD (30.4%, 28.6%, respectively).To conclude, most of ACS patients presented with STEMI followed by NSTEMI and the least with UA. Among the cardiovascular risk factors, HTN, DM, and dyslipidemia, were presented in more than half of the patients which strongly suggests an association with developing ACS.
急性冠状动脉综合征(ACS)被认为是冠心病的一个亚类,是导致死亡的主要原因。在沙特阿拉伯,ACS患病率为8.2%。早期识别与ACS相关的危险因素(RFs)对于预防其进展至关重要。因此,本研究的目的是估计ACS患者中心血管RFs的患病率,并评估其与ACS发展的关系。这项回顾性多中心横断面研究纳入了沙特阿拉伯Al Qassim的苏尔坦王子心脏中心、沙特国王医院和Bukayriyah总医院的170例患者。参与者分为UA、NSTEMI和STEMI三组。有稳定型心绞痛或既往心肌梗死的患者被排除在研究之外。男性占73.5%,女性占26.5%,平均年龄58.2±11.9岁。STEMI、NSTEMI和UA的ACS亚型分布分别为51.2%、27.6%和21.2%。最常见的RFs是糖尿病(DM)、高血压(各66%)和血脂异常(58%)。STEMI组中RFs患病率为:活跃吸烟者65.6%,血脂异常54.5%,缺血性心脏病(IHD) 52.2%。另一方面,在NSTEMI组高血压和糖尿病几乎相同(32% &30%),家族史占42.9%。UA与IHD和IHD家族史密切相关(分别为30.4%和28.6%)。综上所述,大多数ACS患者以STEMI为主,其次为NSTEMI,最少为UA。在心血管危险因素中,超过一半的患者出现HTN、DM和血脂异常,这强烈提示与ACS的发生有关。
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引用次数: 0
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Biomedical and Pharmacology Journal
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