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1.
Spectrochim Acta A Mol Biomol Spectrosc ; 77(2): 359-66, 2010 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-20638329

RESUMEN

New four Schiff bases are prepared by condensation of 2-amino-pyridin-3-ol with 3, 4-dihydroxy-benzaldehyde (I), 2-hydroxybenzaldehyde (II), 5-bromo-2-hydroxybenzaldehyde (III), and 4-dimethylaminobenzaldehyde (IV). The structures of these compounds are characterized based on elemental analyses (C. H. N), IR and (1)H NMR. Also, the electronic absorption spectra are recorded in organic solvents of different polarity. The solvents are selected to be covered a wide range of parameters (refractive index, dielectric constant and hydrogen bonding capacity). The UV-vis absorption spectra of Schiff base compounds are investigated in aqueous buffer solutions of varying pH and utilized for the determination of ionization constant, pK(a) and activation free energy, DeltaG(*) of the ionization process. The biological activity against bacterial species and fungi as microorganisms representing different microbial categories such as (two Gram-negative bacteria, Eschericha coli and Agrobacterium sp.),three Gram-positive bacteria (Staphylococcus aureus, Bacillus subtlus and Bacillus megatherium), yeast (Candida albicans), and fungi (Aspergillus niger) were studied.


Asunto(s)
Benzaldehídos/química , Piridinas/química , Bases de Schiff , Solventes/química , Elementos de Transición , Antiinfecciosos/síntesis química , Antiinfecciosos/química , Antiinfecciosos/farmacología , Bacterias/efectos de los fármacos , Candida albicans/efectos de los fármacos , Hongos/efectos de los fármacos , Espectroscopía de Resonancia Magnética , Pruebas de Sensibilidad Microbiana , Estructura Molecular , Bases de Schiff/síntesis química , Bases de Schiff/química , Bases de Schiff/farmacología , Espectrofotometría Infrarroja , Elementos de Transición/síntesis química , Elementos de Transición/química , Elementos de Transición/farmacología
2.
Spectrochim Acta A Mol Biomol Spectrosc ; 74(3): 665-72, 2009 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-19720563

RESUMEN

New nano-blue ceramic pigments of Co(x)Mg(1-x)Al(2)O(4) (0< or =x< or =0.1) have been prepared by co-precipitate-combustion as a hybrid method using urea as a fuel at 500 degrees C in open furnace in air atmosphere. The structure of pigment is assigned based on TGA/DTA/DrTGA analyses, X-ray diffraction (XRD) and transmission electron microscopy (TEM). Also, electronic spectra, infrared (IR) and diffuse reflectance spectroscopy (DRS) using CIE L*a*b* parameter measurement techniques were used. The results revealed that the nano-particle size of pigments were obtained in the range 30-38 nm as well as the varying colors and particle size as a result of different calcinations temperatures within the range of 500-1200 degrees C for 2h.


Asunto(s)
Cerámica/química , Colorantes/química , Microscopía Electrónica de Transmisión , Tamaño de la Partícula , Espectrofotometría Infrarroja , Difracción de Rayos X
3.
Spectrochim Acta A Mol Biomol Spectrosc ; 71(2): 616-20, 2008 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-18343188

RESUMEN

The synthesis of a new nano-blue ceramic pigment CoxMg1-xAl2O4 (0 < or = x < or = 0.1) using the combination between co-precipitation and combustion synthesis (CS) method. The structure of pigments is assigned based on thermogravimetric and differential thermogravimetric analysis (TG-DTGA), X-ray diffractions (XRD), and UV-vis spectroscopy. Also, diffuse reflectance spectroscopy (DRS) using CIE L*a*b* parameter measurement method, infrared spectroscopy (IR) and transmission electron microscopy (TEM) is used. The result revealed that the nano-size particle pigment was obtained in range 24-35 nm by using 3-methyl-pyrozole-5-one (3MP5O) as a fuel at 400 degrees C in open furnace. Also, results show the varying colors and particles' size as a result of different calcination temperatures from 500 to 1200 degrees C for 2h.


Asunto(s)
Cerámica/química , Nanopartículas/química , Pigmentación , Calorimetría , Color , Difusión , Microscopía Electrónica de Transmisión , Nanopartículas/ultraestructura , Espectrofotometría , Temperatura , Difracción de Rayos X
4.
Appl Phys Lett ; 92(26): 262106, 2008 Jun 30.
Artículo en Inglés | MEDLINE | ID: mdl-19529838

RESUMEN

We report the phenomenon of extraordinary electroconductance in microscopic metal-semiconductor hybrid structures fabricated from GaAs epitaxial layer and a Ti thin film shunt. Four-lead Van der Pauw structures show a gain of 5.2% in electroconductance under +2.5 kVcm with zero shunt bias. The increase in the sample conductance results from the thermionic field emission of electrons and the geometrical amplification. A model provides good agreement with the experimental data and clearly demonstrates the geometry dependence of the field effect in extraordinary electroconductance (EEC). The differences between EEC devices and field effect transistors, such as junction field effect transistor (FET) and Schottky barrier gate FET, are discussed.

5.
Drug Dev Ind Pharm ; 33(5): 505-11, 2007 May.
Artículo en Inglés | MEDLINE | ID: mdl-17520441

RESUMEN

The pharmacokinetics of ketoprofen from a fast-dissolving lyophilized tablet (LT), which need not be swallowed, as compared to an immediate release (IR) tablet as reference after single oral dose (25 mg) administration was determined in six healthy subjects aged between 25-40 years using a randomized crossover design. In this study, the rate and extent of absorption of ketoprofen were found to be very different after administration of the LT and the IR tablet. The rate of absorption of ketoprofen from LT was significantly faster than that of IR tablet and had significantly higher Cmax (by about 50%) and earlier tmax (by 15 min), whereas the extent of absorption expressed by AUC was about 68% higher as compared to the IR tablet. The relative bioavailability (frel) of the LT compared with the IR tablet was 168%. The difference between the two formulations for half-life and MRT were statistically significant (p<0.05). The tolerance of the two tested formulations was excellent. Ketoprofen LT remained physically and chemically stable for 12 months at 25 degrees C and 60% relative humidity.


Asunto(s)
Antiinflamatorios no Esteroideos/administración & dosificación , Antiinflamatorios no Esteroideos/farmacocinética , Cetoprofeno/administración & dosificación , Cetoprofeno/farmacocinética , Absorción , Administración Oral , Adulto , Antiinflamatorios no Esteroideos/efectos adversos , Área Bajo la Curva , Disponibilidad Biológica , Estudios Cruzados , Estabilidad de Medicamentos , Almacenaje de Medicamentos , Liofilización , Semivida , Humanos , Humedad , Cetoprofeno/efectos adversos , Masculino , Solubilidad , Comprimidos
6.
Drug Dev Ind Pharm ; 32(4): 437-42, 2006 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-16638681

RESUMEN

The aim of this work was to develop a ketoprofen tablet which dissolve-rapidly in the mouth, therefore, needing not be swallowed. The solubility and dissolution rate of poorly water-soluble ketoprofen was improved by preparing a lyophilized tablet (LT) of ketoprofen using freeze-drying technique. The LT was prepared by dispersing the drug in an aqueous solution of highly water-soluble carrier materials consisting of gelatin, glycine, and sorbitol. The mixture was dosed into the pockets of blister packs and then was subjected to freezing and lyophilization. The saturation solubility and dissolution characteristics of ketoprofen from the LT were investigated and compared to the plain drug and the physical mixture (PM). Results obtained showed that the increase in solubility of ketoprofen from LT matrix, nearly three times greater than the solubility of the plain drug, was due to supersaturation generated by amorphous form of the drug. Results obtained from dissolution studies showed that LT of ketoprofen significantly improved the dissolution rate of the drug compared with the PM and the plain drug. More than 95% of ketoprofen in LT dissolved within 5 min compared to only 45% of ketoprofen plain drug dissolved during 60 min. Initial dissolution rate of ketoprofen in LT was almost tenfold higher than that of ketoprofen powder alone. Crystalline state evaluation of ketoprofen in LT was conducted through differential scanning calorimetry (DCS) and x-ray powder diffraction (XRPD) to denote eventual transformation to amorphous state during the process. Scanning electron microscopic (SEM) analysis was performed and results suggest reduction in ketoprofen particle size.


Asunto(s)
Antiinflamatorios no Esteroideos/química , Cetoprofeno/química , Tecnología Farmacéutica/métodos , Rastreo Diferencial de Calorimetría , Liofilización , Microscopía Electrónica de Rastreo , Solubilidad , Propiedades de Superficie , Comprimidos , Factores de Tiempo , Difracción de Rayos X
7.
Spectrochim Acta A Mol Biomol Spectrosc ; 64(1): 246-50, 2006 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-16527529

RESUMEN

Cationic surfactant, cetylpyridinium bromide (CPB), sensitizes the colour reaction of cerium(IV) with 1,3-o-hydroxyphenyl-5-phenylformazan(I), 1-m-hydroxyphenyl-3-o-hydroxyphenyl-5-phenylformazan(II) and 1-m-carboxyphenyl-3-o-hydroxyphenyl-5-phenylformazan(III). The formation of a soluble ternary complex of stoichiometric ratio 1:1:1 (Ce(IV)-R-CPB) is responsible for the observed enhancement in the molar absorptivity and Sandell sensitivity of the formed complex, when a surfactant is present. The ternary complex exhibits absorption maxima at 596, 571 and 607 nm (epsilon=6.05 x 10(4), 6.28 x 10(4) and 8.06 x 10(4)L mol(-1)cm(-1)) using triphenylformazan derivatives I, II and III, respectively. Beer's law is obeyed between 0.15 and 2.5 microg ml(-1), whereas, optimum concentration range applying Ringbom method is in the range 0.30-2.25 microg ml(-1). Conditional formation constants in the presence and absence of CPB for Ce(IV) complexes have been calculated. The proposed method has been successfully applied to the analysis of magnesium-base cerium alloys and synthetic mixtures corresponding to various cerium alloys.


Asunto(s)
Cerio/química , Cetilpiridinio/química , Formazáns/química , Tensoactivos/química , Aleaciones/análisis , Concentración de Iones de Hidrógeno , Temperatura , Factores de Tiempo
8.
Drug Dev Ind Pharm ; 31(4-5): 465-70, 2005 May.
Artículo en Inglés | MEDLINE | ID: mdl-16093212

RESUMEN

The aim of this work was to investigate the effect of acidic pH representative of gastric fluid on the release of 5-aminosalicylic acid from beads coated with pectin/ethylcellulose as film coating intended for drug delivery to the colon, in media mimicking the lower gastrointestinal (GI) tract and representative of colonic conditions. In this work, the in vitro incubation of the beads in acid medium was found to influence the hydration and the swelling characteristics of pectin after transfer into simulated intestinal fluid and simulated cecal fluid containing pectinolytic enzymes. Moreover, the drug release profiles from the beads in simulated intestinal fluid after incubation for 2 h or 30 min in simulated gastric fluid vs. no acid incubation were found to be very different. The in vitro degradation of pectin in the coat by pectinolytic enzymes in simulated cecal fluid depended on whether the beads were placed in simulated gastric fluid prior to testing in simulated intestinal fluid. The percentage drug release also depended on the ratio of pectin to ethylcellulose in the coat.


Asunto(s)
Celulosa/análogos & derivados , Colon/metabolismo , Preparaciones de Acción Retardada/farmacocinética , Tránsito Gastrointestinal/fisiología , Pectinas/química , Animales , Antiinflamatorios no Esteroideos/química , Antiinflamatorios no Esteroideos/farmacocinética , Celulosa/química , Preparaciones de Acción Retardada/química , Humanos , Concentración de Iones de Hidrógeno , Mesalamina/química , Mesalamina/farmacocinética , Microesferas , Modelos Biológicos , Factores de Tiempo
10.
Clin Sci (Lond) ; 105(5): 551-60, 2003 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-12790795

RESUMEN

We adopted Bayesian analysis in combination with hierarchical (population) modelling to estimate simultaneously population and individual insulin sensitivity (SI) and glucose effectiveness (SG) with the minimal model of glucose kinetics using data collected during insulin-modified intravenous glucose tolerance test (IVGTT) and made comparison with the standard non-linear regression analysis. After fasting overnight, subjects with newly presenting Type II diabetes according to World Health Organization criteria (n =65; 53 males, 12 females; age, 54 +/- 9 years; body mass index, 30.4 +/- 5.2 kg/m2; means+/-S.D.) underwent IVGTT consisting of a 0.3 g of glucose bolus/kg of body weight given at time zero for 2 min, followed by 0.05 unit of insulin/kg of body weight at 20 min. Bayesian inference was carried out using vague prior distributions and log-normal distributions to guarantee non-negativity and, thus, physiological plausibility of model parameters and associated credible intervals. Bayesian analysis gave estimates of SI in all subjects. Non-linear regression analysis failed in four cases, where Bayesian analysis-derived SI was located in the lower quartile and was estimated with lower precision. The population means of SI and SG provided by Bayesian analysis and non-linear regression were identical, but the interquartile range given by Bayesian analysis was tighter by approx. 20% for SI and by approx. 15% for SG. Individual insulin sensitivities estimated by the two methods were highly correlated ( rS=0.98; P <0.001). However, the correlation in the lower 20% centile of the insulin-sensitivity range was significantly lower than the correlation in the upper 80% centile ( rS=0.71 compared with rS=0.99; P <0.001). We conclude that the Bayesian hierarchical analysis is an appealing method to estimate SI and SG, as it avoids parameter estimation failures, and should be considered when investigating insulin-resistant subjects.


Asunto(s)
Teorema de Bayes , Interpretación Estadística de Datos , Diabetes Mellitus Tipo 2/sangre , Resistencia a la Insulina , Adulto , Anciano , Glucemia/análisis , Femenino , Prueba de Tolerancia a la Glucosa , Humanos , Insulina/sangre , Modelos Lineales , Masculino , Persona de Mediana Edad
11.
Spectrochim Acta A Mol Biomol Spectrosc ; 59(4): 695-703, 2003 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-12609617

RESUMEN

Three simple, accurate and sensitive colorimetric methods (A, B and C) for the determination of ranitidine HCl (RHCl) in bulk sample, in dosage forms and in the presence of its oxidative degradates are described. The first method A is based on the oxidation of the drug by N-bromosuccinimide (NBS) and determination of the unreacted NBS by measurement of the decrease in absorbance of amaranth dye (AM) at a suitable lambda(max)=520 nm. The methods B and C involve the addition of excess Ce(4+) and determination of the unreacted oxidant by decrease the red color of chromotrope 2R (C2R) at a suitable lambda(max)=528 nm for method B or decrease the orange pink color of rhodamine 6G (Rh6G) at a suitable lambda(max)=526 nm for method C. Regression analysis of Beer-Lambert plots showed good correlation in the concentration ranges 0.2-3.6, 0.1-2.8 and 0.1-2.6 microg ml(-1) for methods A, B and C, respectively. The apparent molar absorptivity. Sandell sensitivity, detection and quantitation limits were calculated. For more accurate results, Ringbom optimum concentration ranges were 0.3-3.4, 0.2-2.6 and 0.2-2.4 microg ml(-1) for methods A, B and C, respectively. Analyzing pure and dosage forms containing RHCl tested the validity of the proposed methods. The relative standard deviations were

Asunto(s)
Oxígeno/química , Ranitidina/análisis , Ranitidina/química , Bromuros/química , Bromosuccinimida/química , Cerio/química , Colorantes/farmacología , Antagonistas de los Receptores H2 de la Histamina/análisis , Antagonistas de los Receptores H2 de la Histamina/química , Modelos Químicos , Oxidación-Reducción , Compuestos de Potasio/química , Análisis de Regresión , Espectrofotometría/métodos , Sulfatos/química , Temperatura , Factores de Tiempo
12.
Spectrochim Acta A Mol Biomol Spectrosc ; 58(12): 2765-9, 2002 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-12396058

RESUMEN

The UV, IR and 1H-NMR spectra of some 4-(R-phenyl azo) 1-hydroxy 2-naphthoic acid derivatives are studied. The effects of substituent groups and the solvent polarity on electronic spectral, IR bands and 1H-NMR proton chemical shifts are considered, the molecular orbital calculations obtained are rationalized quantitatively with that obtained practically using the PPP-model with configuration interaction (CI).


Asunto(s)
Compuestos Azo/química , Colorantes/química , Análisis Espectral , Espectroscopía de Resonancia Magnética , Modelos Moleculares , Espectrofotometría Infrarroja , Espectrofotometría Ultravioleta
13.
J Biol Chem ; 276(16): 13452-60, 2001 Apr 20.
Artículo en Inglés | MEDLINE | ID: mdl-11278307

RESUMEN

Sphingosine 1-phosphate, lysophosphatidic acid, and phosphatidic acid bind to G-protein-coupled receptors to stimulate intracellular signaling in mammalian cells. Lipid phosphate phosphatases (1, 1a, 2, and 3) are a group of enzymes that catalyze de-phosphorylation of these lipid agonists. It has been proposed that the lipid phosphate phosphatases exhibit ecto activity that may function to limit bioavailability of these lipid agonists at their receptors. In this study, we show that the stimulation of the p42/p44 mitogen-activated protein kinase pathway by sphingosine 1-phosphate, lysophosphatidic acid, and phosphatidic acid, all of which bind to G(i/o)-coupled receptors, is substantially reduced in human embyronic kidney 293 cells transfected with lipid phosphate phosphatases 1, 1a, and 2 but not 3. This was correlated with reduced basal intracellular phosphatidic acid and not ecto lipid phosphate phosphatase activity. These findings were supported by results showing that lipid phosphate phosphatases 1, 1a, and 2 also abrogate the stimulation of p42/p44 mitogen-activated protein kinase by thrombin, a peptide G(i/o)-coupled receptor agonist whose bioavailability at its receptor is not subject to regulation by the phosphatases. Furthermore, the lipid phosphate phosphatases have no effect on the stimulation of p42/p44 mitogen-activated protein kinase by other agents that do not use G-proteins to signal, such as serum factors and phorbol ester. Therefore, these findings show that the lipid phosphate phosphatases 1, 1a, and 2 may function to perturb G-protein-coupled receptor signaling per se rather than limiting bioavailability of lipid agonists at their respective receptors.


Asunto(s)
Sistema de Señalización de MAP Quinasas/fisiología , Proteína Quinasa 1 Activada por Mitógenos/metabolismo , Proteínas Quinasas Activadas por Mitógenos/metabolismo , Fosfatidato Fosfatasa/metabolismo , Receptores de Superficie Celular/fisiología , Línea Celular , Membrana Celular/enzimología , Proteínas de Unión al GTP/metabolismo , Humanos , Isoenzimas/metabolismo , Riñón , Cinética , Lisofosfolípidos/farmacología , Proteína Quinasa 3 Activada por Mitógenos , Forbol 12,13-Dibutirato/farmacología , Ácidos Fosfatidicos/farmacología , Fosfolipasa D/metabolismo , Receptores de Superficie Celular/efectos de los fármacos , Proteínas Recombinantes/metabolismo , Esfingosina/análogos & derivados , Esfingosina/farmacología , Especificidad por Sustrato , Acetato de Tetradecanoilforbol/farmacología , Transfección , Factores de Virulencia de Bordetella/farmacología
14.
Am J Physiol ; 276(4): C838-47, 1999 04.
Artículo en Inglés | MEDLINE | ID: mdl-10199814

RESUMEN

The shear-induced intracellular signal transduction pathway in vascular endothelial cells involves tyrosine phosphorylation and activation of mitogen-activated protein (MAP) kinase, which may be responsible for the sustained release of nitric oxide. MAP kinase is known to be activated by reactive oxygen species (ROS), such as H2O2, in several cell types. ROS production in ligand-stimulated nonphagocytic cells appears to require the participation of a Ras-related small GTP-binding protein, Rac1. We hypothesized that Rac1 might serve as a mediator for the effect of shear stress on MAP kinase activation. Exposure of bovine aortic endothelial cells to laminar shear stress of 20 dyn/cm2 for 5-30 min stimulated total cellular and cytosolic tyrosine phosphorylation as well as tyrosine phosphorylation of MAP kinase. Treating endothelial cells with the antioxidants N-acetylcysteine and pyrrolidine dithiocarbamate inhibited in a dose-dependent manner the shear-stimulated increase in total cytosolic and, specifically, MAP kinase tyrosine phosphorylation. Hence, the onset of shear stress caused an enhanced generation of intracellular ROS, as evidenced by an oxidized protein detection kit, which were required for the shear-induced total cellular and MAP kinase tyrosine phosphorylation. Total cellular and MAP kinase tyrosine phosphorylation was completely blocked in sheared bovine aortic endothelial cells expressing a dominant negative Rac1 gene product (N17rac1). We concluded that the GTPase Rac1 mediates the shear-induced tyrosine phosphorylation of MAP kinase via regulation of the flow-dependent redox changes in endothelial cells in physiological and pathological circumstances.


Asunto(s)
Proteínas Quinasas Dependientes de Calcio-Calmodulina/metabolismo , Endotelio Vascular/fisiología , Proteínas de Unión al GTP/metabolismo , Especies Reactivas de Oxígeno/fisiología , Animales , Aorta , Bovinos , Endotelio Vascular/citología , Endotelio Vascular/efectos de los fármacos , Activación Enzimática , GTP Fosfohidrolasas/metabolismo , Peróxido de Hidrógeno/farmacología , Fosforilación , Fosfotirosina/metabolismo , Transducción de Señal , Estrés Mecánico , Proteínas de Unión al GTP rac
15.
Immunol Invest ; 24(5): 725-35, 1995 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-8543337

RESUMEN

Rabbit immunoglobulin G (IgG) was subjected to affinity chromatography on a column of jacalin-Sepharose 4B. While the majority of IgG molecules did not bind, a small fraction, representing about 25% of the total IgG applied, bound to jacalin-Sepharose 4B. The binding of rabbit IgG to jacalin was further evidenced by ELISA performed on jacalin coated microtitre plates. While the jacalin-retained IgG fraction displayed strong binding, the unretained fraction did not demonstrate any detectable binding. Upon SDS-PAGE, both the jacalin retained and unretained rabbit IgG fractions displayed identical protein profiles. Upon protein blotting it was demonstrated that jacalin binding sites were located only on the heavy chain of IgG. These results suggest that rabbit IgG molecules are heterogeneous with respect to their glycosylation patterns. A small fraction of rabbit IgG molecules binds jacalin and the process is probably mediated through O-linked oligosaccharides present on the heavy chain of IgG.


Asunto(s)
Inmunoglobulina G/metabolismo , Lectinas/metabolismo , Lectinas de Plantas , Animales , Cromatografía de Afinidad , Glicosilación , Inmunoglobulina G/química , Cadenas Pesadas de Inmunoglobulina/química , Cadenas Pesadas de Inmunoglobulina/metabolismo , Peso Molecular , Oligosacáridos/química , Oligosacáridos/metabolismo , Unión Proteica , Conejos , Sefarosa
16.
East Afr Med J ; 71(11): 716-9, 1994 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-7859655

RESUMEN

A survey of knowledge, attitudes and practices of mothers in the rural communities of two villages in Sudan regarding diarrhoeal diseases in children was conducted using a focus group research technique. Seven groups of literate mothers (87 mothers) and 13 groups of illiterate mothers (152 mothers) interviewed comprised 85% of mothers with children under 5 years of age in that community. The study showed that mothers can define and describe diarrhoea, however awareness about the aetiology and the importance of germs in its causation was low. The majority of mothers attributed diarrhoea to teething, milk of pregnant women, hot food and salty water. Less than 40% of mothers identify symptoms and signs of "dehydration" and the need for consultation. Only 10% could relate danger signs to severe dehydration. The ORS use rate was very low (2.1-4.3%). Although awareness about ORS was high (100%), only 25% prepared and used it correctly. However, home made fluids including rice water, custard, pap and tabaladi juice were used by 45% of the mothers. 45% of illiterate mothers stop breast feeding and food during diarrhoea compared to 30% of literate mothers. Harmful practices used in caring for children with diarrhoea included: fumigation (50%), cauterization and removal of teeth buds (45% illiterate mothers, 10% literate), withholding of breast feeding and indiscriminate use of drugs and herbs in 30%.


Asunto(s)
Diarrea/terapia , Conocimientos, Actitudes y Práctica en Salud , Madres , Lactancia Materna , Preescolar , Diarrea/etiología , Diarrea Infantil/terapia , Escolaridad , Femenino , Fluidoterapia , Grupos Focales , Humanos , Lactante , Masculino , Madres/educación , Madres/psicología , Salud Rural , Sudán
17.
Drug Intell Clin Pharm ; 21(1 Pt 1): 38-40, 1987 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-3545736

RESUMEN

Antiarrhythmic-induced hypoglycemia is an ill-defined phenomenon. Sporadic cases have been reported with disopyramide, a class IA antiarrhythmic agent. We report a case of cibenzoline-induced hypoglycemia in an elderly male with a history of ischemic heart disease, congestive heart failure, ventricular arrhythmias, and chronic obstructive pulmonary disease. Cibenzoline is a class I antiarrhythmic agent currently undergoing clinical investigation in the U.S. The initial hypoglycemic episode occurred after two years of successful treatment with cibenzoline. Blood glucose during the first hypoglycemic episode was 40 mg/dL. The hypoglycemia was associated with central nervous system depression, hyperkalemia, electrocardiographic abnormalities, and respiratory distress. Rechallenge with cibenzoline resulted in recurrence of symptoms and a blood glucose level of 21 mg/dL. A second rechallenge resulted in symptoms suggestive of hypoglycemia, but cibenzoline was discontinued before frank hypoglycemia and hyperkalemia recurred. Hypoglycemia occurred during periods of fasting, which most likely ruled out reactive-type hypoglycemia. Insulinoma was ruled out by the presence of normal fasting blood glucose and plasma insulin levels. It was concluded that this patient's hypoglycemia was secondary to cibenzoline. Hypoglycemia is a rare and sporadic adverse effect associated with antiarrhythmic therapy. However, the severity of these reactions warrants increased awareness of their occurrence in patients presenting with symptoms of hypoglycemia who are receiving disopyramide or cibenzoline.


Asunto(s)
Hipoglucemia/inducido químicamente , Imidazoles/efectos adversos , Anciano , Glucemia/metabolismo , Humanos , Insulina/sangre , Masculino
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