Medical
Yicen Long; Xiaoqiang Du; Zhi Ouyang; Jian Zhong; Ye Zeng
Abstract
Sepsis has remained a high mortality rate worldwide. Endothelial cell dysfunction is closely associated with the development of sepsis. Hydrocortisone has potent immunological and antitoxic effects, and thus it is frequently used in the treatment of septic shock. However, it can also cause respiratory ...
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Sepsis has remained a high mortality rate worldwide. Endothelial cell dysfunction is closely associated with the development of sepsis. Hydrocortisone has potent immunological and antitoxic effects, and thus it is frequently used in the treatment of septic shock. However, it can also cause respiratory damage and death by anaphylaxis. In recent years, the combination of hydrocortisone and other drugs such as vitamin C and thiamine has achieved promising outcomes in refractory septic shock. The present review focuses on the therapeutic effects of hydrocortisone in sepsis and summarizes the mechanisms by which hydrocortisone acted on the vascular endothelial cells. We highlighted the effect of hydrocortisone on anti-inflammation, anti-apoptosis, improvement of vascular functions, and anti-oxidative stress. We also pointed out that the mechanisms by which the combination therapy with other drugs enhances the effects of hydrocortisone are still unclear and need to be clarified to determine the benefit of the treatment of sepsis.
Medical
Gandu Sravanthi; Kumara Swamy Gandla; Lalitha Repudi
Abstract
A new simple, selective, rapid, precise reversed-phase high-performance liquid chromatography method has been developed and validated for the estimation of Molnupiravir in bulk and its pharmaceutical dosage form. The separation was made using Symmetry ODS C18 (4.6×150mm, 5µm) column. The ...
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A new simple, selective, rapid, precise reversed-phase high-performance liquid chromatography method has been developed and validated for the estimation of Molnupiravir in bulk and its pharmaceutical dosage form. The separation was made using Symmetry ODS C18 (4.6×150mm, 5µm) column. The mobile phase used contained Methanol. Phosphate Buffer pH-4.2 adjusted with Orthophosphoric acid solution in the ratio of 35:65% v/v in an isocratic mode at a wavelength of 236nm. The mobile-phase flow rate and the sample volume injected were 1 ml/min and 10 μL, respectively. The retention time of Molnupiravir was found to be 2.8 ±0.2mins. A good linear relationship of Molnupiravir r =0.999) was observed over a concentration range of 20 to 100µg/ml of Molnupiravir. The limit of detection (LOD) and limit of quantification (LOQ) for Molnupiravir was found to be 2.6µg/ml and 6.35µg/ml. The recovery percentage was observed in the range of 98-102%. The relative standard deviation for the precision study was found <2%. The developed method is simple, precise, specific, accurate and rapid, making it suitable for the estimation of Molnupiravir in bulk and marketed pharmaceutical dosage form. It was concluded that in the present developed RP- HPLC method is simple, rapid, and accurate, hence can be used for routine quality control analysis in the Pharmaceutical industry.
Medical
Ismail Muhammad; Pukuma Mikah Sale; Tanko Mahmoud Muhammad; Ali Rufai; Augustine Linda Midala; Bala Abubakar
Abstract
Successful malaria diagnosis is the mainstay of successful treatment, prevention and eradication of malaria infection. Apart from the gold standard technique (Microscopy), numerous diagnostic techniques perform a similar function to microscopy and in most cases tend to have varying sensitivity and specificity, ...
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Successful malaria diagnosis is the mainstay of successful treatment, prevention and eradication of malaria infection. Apart from the gold standard technique (Microscopy), numerous diagnostic techniques perform a similar function to microscopy and in most cases tend to have varying sensitivity and specificity, especially when compared with the gold standard technique. Therefore this study aimed to determine the Performance and accuracy of SD Bioline Malaria Ag P.f (05fk50) (Rapid Diagnostic Test kit) to Gold standard (Microscopy). A total of two hundred (200) samples were collected from the consented study subjects and analyzed using RDT and Giemsa staining technique. The result revealed an overall prevalence of 132(66.0%) and 167(83.5%) respectively by RDT and Microscopy, where 115 (57.5%) were true positive, there was no significant difference between the two techniques (P> 0.05, df= 1, χ2 = 3.695). The RDT recorded a sensitivity and specificity value of 68.86% and 48.48% respectively with a positive predictive value of 87.78% and a negative predictive value of 23.53%. The RDT recorded an overall accuracy of 0.66. The Rapid Diagnostic test kit used in the present demonstrated a high level of sensitivity and positive predictive value with relatively low specificity and negative predictive value. Regular checks on the Performance and accuracy of all brands of RDT should be conducted as their perform
Medical
Namrata Malik; Umesh Pravin Dhuldhaj
Abstract
The sudden outbreak of coronavirus turned into a pandemic and resulted in huge socio-economic and human losses becoming a public health emergency. It took just 3-4 months to spread and encroach all over the world and not even a single country is left was unaffected by the coronavirus. WHO started clinical, ...
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The sudden outbreak of coronavirus turned into a pandemic and resulted in huge socio-economic and human losses becoming a public health emergency. It took just 3-4 months to spread and encroach all over the world and not even a single country is left was unaffected by the coronavirus. WHO started clinical, epidemiological, and laboratory investigations in response to this outbreak to control the further spread of the virus. The coronaviruses are enveloped and pleomorphic. The spike proteins present on the virus surface mediate its entry into host cells. The vaccines recommended have been shown to reduce COVID-19 illness symptoms but somehow their role in the transmission of the disease is unclear. By contrast, immunomodulatory therapy has also benefitted patients. As long as SARS-CoV-2 spreads in the population there are chances of its mutation as RNA viruses mutate over time and its upcoming variants. The previous Delta variant and the latest Omicron variant may cause much more serious deaths and health issues. Variants reduce the effectiveness of monoclonal antibodies or antibodies generated by previously administered vaccines. This review focuses on the pathogenicity of coronavirus and various drug therapies available to date to cure the disease. The present study also highlights the target sites and side effects of available drugs for treating COVID-19.
Medical
Mohammad Reza Mohammadi; Mahram Ali Mehran; Amir Hossein Omidi; Mohammad Hadi Hassani
Abstract
Tuberculosis is a contagious infectious disease. This disease is called tuberculosis and is abbreviated as TB. Tuberculosis is one of the most important infectious diseases of this century, which can involve all the organs of the body, but the lungs are most affected by tuberculosis. The occurrence of ...
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Tuberculosis is a contagious infectious disease. This disease is called tuberculosis and is abbreviated as TB. Tuberculosis is one of the most important infectious diseases of this century, which can involve all the organs of the body, but the lungs are most affected by tuberculosis. The occurrence of 10 million new cases of tuberculosis and the treatment of only two-thirds of them, which unfortunately was incomplete in more than 50% of cases, shows the depth of the disaster in these years. The occurrence of three epidemics of this disease in the last two decades shows that the prospect of controlling tuberculosis soon is very uncertain. Today, more than 8 million people are infected with this disease in the world every year, and until now, one-third of the world's people have been infected with the germ of tuberculosis without feeling sick. Tuberculous peritonitis is an uncommon disorder; sometimes, it is not considered in the initial evaluation of ascites. A negative 5-TU PPD test, or a low level of ascitic fluid protein, can mistakenly divert attention from tuberculosis. Tuberculosis peritonitis can be fatal if not diagnosed in time. Here we report a 67-year-old patient who was confirmed to have tuberculous peritonitis after clinical examination and laboratory diagnosis. The patient recovered after diagnosis with prescribed drugs.
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