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1.
Pak J Pharm Sci ; 36(3(Special)): 941-946, 2023 May.
Artículo en Inglés | MEDLINE | ID: mdl-37587702

RESUMEN

The current research investigation demonstrated that the aqueous leaves extract of Rosamarinus officinalis possesses cardinal phyto-chemicals to fabricate AgNPs in an eco-friendly way. The phyto-synthesized AgNPs were characterized to be stable, monodispersed, polycrystalline and mostly spheroidal in conformation. The nano-spheriods were observed to be 25-75 nm in diameter, displaying λmax peak at 430 nm. From the comparative antimicrobial investigations, it was observed that AgNPs manifested tremendous bactericidal properties against all test organisms particularly S. epidermis (89%), S. aureus (84%) and K. pneumonia (84%), owing least MIC values of 40µL. The aced fungicidal activity was also exhibited by AgNPs against all fungal test species particularly C. herbarum (90%), A. flavus (85%), R. stolonifer (85%) and C. jadinii (85%). In contrast to AgNPs, all crude ethanolic, aqueous, methanolic and n-hexanoic extracts manifested less to moderate antimicrobial activity against all test micro-organisms with three-fold escalating MIC values i.e., 160µL.


Asunto(s)
Antiinfecciosos , Nanopartículas del Metal , Plata/farmacología , Staphylococcus aureus , Antiinfecciosos/farmacología , Hojas de la Planta , Extractos Vegetales/farmacología
2.
Pak J Pharm Sci ; 36(2(Special)): 601-605, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37548196

RESUMEN

Type 2 diabetes mellitus is characterized by hyperglycemia and insulin resistance. It is spreading around the globe like a pandemic. Major factors behind the development of diabetes can be genetics, environmental factors, dietary choices and obesity. Many medicinal plants have anti-diabetic potential. This study has investigated the anti-diabetic effect of curry leaves extract. This study also investigated the chemical characterization of curry leaves. Phytochemicals including saponins, tannins, alkaloids, flavonoids, phenols and glycosides were also investigated. Encapsulated 5mg per kg of the body weight and 10mg per kg of the body weight were given to treatment groups I and II. Random blood sugar, fasting blood sugar and HbA1c of 45 diabetic female adults were measured on the 0-day and 45th days. All results were analyzed using the two-sample t-test in IBM SPSS Statistics 20. Curry leaves contained moisture (24.1±1.78)%, ash (17.82±2.13)%, nitrogen free extract (36.12±3.52)%, crude protein (8.32±0.83)%, crude fiber (6.98±2.31)% and crude fat (6.87±0.21)%. Mineral analysis showed that magnesium and calcium were major minerals present in curry leaves. Curry leaves extract contained saponins 2.71±0.23, flavonoids 7.84±0.42, tannins 0.91±0.09, glycosides 0.17±0.01, phenols 3.89±0.12, alkaloids 2.01±0.87. These phytochemicals were expressed in mg/100 g of the sample. Curry leaf extract showed a significant (p<0.05) reduction in fasting blood sugar, random blood sugar and glycated hemoglobin in both treatment groups.


Asunto(s)
Alcaloides , Diabetes Mellitus Tipo 2 , Murraya , Saponinas , Adulto , Humanos , Diabetes Mellitus Tipo 2/tratamiento farmacológico , Glucemia/metabolismo , Murraya/química , Taninos/análisis , Extractos Vegetales/farmacología , Extractos Vegetales/uso terapéutico , Extractos Vegetales/análisis , Alcaloides/análisis , Fitoquímicos/uso terapéutico , Fitoquímicos/análisis , Flavonoides/uso terapéutico , Flavonoides/análisis , Fenoles/análisis , Suplementos Dietéticos/análisis , Glicósidos , Saponinas/uso terapéutico , Saponinas/análisis , Peso Corporal , Hojas de la Planta/química
3.
Pak J Pharm Sci ; 36(2(Special)): 625-629, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37548200

RESUMEN

Hyperglycemia is a condition often observed in diabetics, dyslipidemia and obese. It is a major factor behind the development of diabetes and the reasons can be genetics, environmental factors, dietary choices and obesity. Many medicinal plants have anti-diabetic potential. This study investigated the anti-hyperglycemic effect of apple peel extract. This study also investigated the chemical characterization of apple peel. Phytochemicals including total phenolics and flavonoids were determined. Encapsulated 350mg/day was given to treatment groups. Random blood sugar, fasting blood sugar and HbA1c of 45 diabetic female adults was measured on the 0-day and 45th day. Results showed that apple peel contained moisture (14.71±3.57)%, ash (17.82±2.13)%, nitrogen free extract (32.12±3.52)%, crude protein (6.89±0.83)%, crude fiber (19.17±0.21)% and crude fat (9.91±2.31)%. Findings showed that apple peel contains magnesium (6.61±1.088), calcium (8.17±0.32), zinc (14.08±1.21) and potassium (67.21±1.86). These findings were shown in mg in kg. Apple peel extract contained total phenolic content (TPC) of 8.14±1.07 and total phenolic content (TFC) of 4.89±1.81. Apple peel extract showed a significant reduction in all blood parameters of hyperglycemia. All results were significant at p<0.05.


Asunto(s)
Hiperglucemia , Malus , Humanos , Malus/química , Frutas/química , Antioxidantes/química , Glucemia/análisis , Fenoles/análisis , Suplementos Dietéticos , Hiperglucemia/tratamiento farmacológico
4.
Pak J Pharm Sci ; 36(2(Special)): 699-706, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37548211

RESUMEN

The emergence of multidrug-resistant ESKAPE infections has emerged as a serious public health threat. Nosocomial infections are most often caused by ESKAPE bacteria. To combat multidrug-resistant ESKAPE, the research team used Valeriana Wallichii extracts and nanoparticles. The well diffusion technique was used to test antimicrobial activity on Muller Hinton agar medium. The FTIR, SEM and XRD techniques were used to characterize the nanoparticles synthesized in an environmentally benign manner. Both NPs performed better than extracts made with methanol and water in this investigation. The smallest zones of inhibition were shown against A. baumannii and Enterobacter cloacae, whereas the largest zones of inhibition were seen against E. faecium. However, NPs synthesized from shoot extracts exhibited remarkable effects against all MDR ESKAPE infections, with zones of inhibition of 23, 20, 12, 18, 22 and 14mm, respectively. Although E. faecium. had the largest inhibitory zone in both methanolic root and shoot extracts (19mm and 22mm, respectively), K. pneumonia and E. cloacae had the smallest zones when tested with these solvents. Water-based extracts inactivated multidrug-resistant bacteria. Our research show that extracts and nanoparticles have stronger antibacterial efficiency because biologically active substances including Terpenoids, Alkaloids, Phenol and Pholobutannins affect people and microbe.


Asunto(s)
Alcaloides , Valeriana , Humanos , Antibacterianos/farmacología , Bacterias , Enterobacter cloacae
5.
Pak J Pharm Sci ; 36(2(Special)): 707-711, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37548212

RESUMEN

Hypercholesterolemia is a condition with elevated cholesterol and lipid profile. It is the leading reason behind myocardial infarction and coronary heart disease. It is observed in young people as well due to a sedentary lifestyle. Triphala powder has a hypolipidemic and anti-hypercholesterolemia effect. This study was designed to investigate the effect of triphala powder against hypercholesterolemia. This study also examined Triphala powder's chemical composition. Total phenolic and flavonoid content were examined. Encapsulated 400 mg and 600 mg Triphala powder were given to treatment groups I and II. Lipid profile parameters were measured and compared at 0 weeks and 10th weeks in all groups. All results were analyzed using ANOVA in IBM SPSS Statistics 20. Results of proximate analyses have shown that Okra pod powder contains moisture 12.27%, ash 11.25%, nitrogen-free extract 45.93%, crude protein 13.37%, crude fat 2.95% and crude fiber 14.23%. Mineral analysis showed that iron and manganese are major minerals in triphala powder. Triphala powder showed a significant reduction in lipid profile parameters in hypercholesterolemia. All results are taken significantly at p<0.05.


Asunto(s)
Hipercolesterolemia , Hiperlipidemias , Humanos , Masculino , Adolescente , Hipercolesterolemia/tratamiento farmacológico , Polvos , Extractos Vegetales/uso terapéutico , Lípidos
6.
Food Chem ; 404(Pt A): 134516, 2023 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-36240561

RESUMEN

2,4,6-Trichlorophenol (TCP) is the most widely used pesticide in the world and has a devastating effect on the environment and human health. As a result of the use of pyrochlore type La2Sn2O7 hexagonal nanosheet (La2Sn2O7 HNS) modified electrode, this work reports on the quick and sensitive electrochemical detection of TCP. The La2Sn2O7 HNS is reported here for the first time and has been made using a simple precipitation and calcination technique. The crystal structure and surface morphologies of La2Sn2O7 HNS have been characterized using XRD, XPS, HR-TEM, and FE-SEM analyses. Detection limits of 0.074 µM and sensitivity of 1.5 µA µM-1 cm-2 were achieved using the La2Sn2O7 HNS for TCP detection. It also showed decent selectivity among the common interfering molecules. Additionally, the La2Sn2O7 HNS/GCE sensor was able to detect TCP in water and vegetable samples with >90 % recovery, proving its appropriateness for quick TCP detection.


Asunto(s)
Clorofenoles , Plaguicidas , Humanos , Lantano/química , Técnicas Electroquímicas/métodos , Electrodos
7.
Food Chem ; 397: 133791, 2022 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-35917784

RESUMEN

Herein we report the ternary hybrid nanocomposite of iron oxide @ molybdenum carbide micro flowers decorated graphitic-carbon nitride (Fe3O4@MoC MFs/g-CN), as a catalyst for the detection of organophosphorus pesticide, parathion (PAT), for the first time. The growth of hierarchical nanostructure from the core level will facilitate easy diffusion of analyte and interact more effectively with the reactive catalytic sites. Thus, Fe3O4 NFs architecture was hydrothermally grown over MoC flakes from the core level, which further hybridized with g-CN to ensure electrical conductivity and mechanical stability. Experimental results demonstrate that Fe3O4@MoC MFs/g-CN/GCE has superior catalytic efficacy for PAT reduction. At optimum conditions, the proposed sensor exhibits a low detection limit (7.8 nM), high sensitivity, and wide linear range (0.5-600 µM) toward PAT detection. The satisfactory test results of the food samples indicate that the Fe3O4@MoC MFs/g-CN/GCE sensor can be used as an excellent candidate for real-time PAT detection.


Asunto(s)
Insecticidas , Nanocompuestos , Plaguicidas , Técnicas Electroquímicas/métodos , Compuestos Férricos/química , Flores/química , Grafito , Insecticidas/análisis , Molibdeno , Nanocompuestos/química , Compuestos de Nitrógeno , Organofosfatos , Compuestos Organofosforados
8.
Saudi J Biol Sci ; 29(8): 103351, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-35846384

RESUMEN

Antibacterial drug-resistant strains are a serious problem of bacterial treatments nowadays and have a concern. The plant exacts of Adhatoda vasica and Calotropis procera are well-known for their role as antibiotic agents. The extraction of novel antibiotic compounds was done by HPLC-DAD, their yield is quantified by numerous solvents. The complete biological activity with antioxidants, bio-kinematicof four compounds of B-Sitosteryl linoleate, Myristyl diglucoside, D-Triglucopyranoside, and S- allylcysteine acids were studied. The supercritical fluid extraction techniques were the best strategies for higher yield, accuracy clarity, and inter, intra process of all four compounds. A. vasica and C. procera samples and investigated in six different solvents. D-Triglucopyranoside (13.81 ± 0.48%), Myristyl diglucoside (11.81 ± 0.41%), B- Sitosteryl linoleate (12.81 ± 0.48%), and s-allylcysteine acids (14.81 ± 0.31%) were higher. The design and action of compounds were applied to proper compartmental pharmacokinetic modelling for in-depth design understanding. The morphology and structure of bacterial cells with the extracted compounds upheld the permeability of cell membranes, membrane integrity, and membrane potential and lower the bacterial binding capacity the infectious index was measured in transmission electron microscopy (TEM) and their alteration process. Plants have well upheld the cellular permeability The toxicity test was performed on both extracted samples with concentrations (1, 0.4, and 0.8%). The areas under plasma half-life of compounds with their solubility, abortion level were higher in four compounds showed the potential of novel antibiotics. The novel medicinal plants used as antibiotics could be the best sources of infection control as a source of future medicines with antibacterial potential solving multidrug issues of bacteria in the world.

9.
Saudi J Biol Sci ; 29(6): 103305, 2022 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-35602866

RESUMEN

Salinity is a worldwide problem limiting the plant growth and risking food security. This study was conducted to examine exogenous application of silicon (Si), gibberellic acid (GA3) upon the ion transport, growth, yield, and antioxidant enzymes activities of pea plant in saline conditions. Two pea varieties Meteor-FSD and Samrina Zard were pre-treated with GA3 (10-4 M) for 12 h. Plants were allowed to grow with or without silicon in washed silica sand. Ten days old seedlings were shifted in pots with 10 kg soil. Twenty-five days old plants were exposed to 0 and 5 dS m-1 sodium stress. Results showed that exogenous application of GA3 + Si was the best treatment for increasing plant biomass and yield in the presence and absence of NaCl. Furthermore, application of Si or GA3 enhanced chlorophyll content in the leaves, thereby increasing the net assimilation rate of pea varieties under NaCl stress by increasing the antioxidant enzyme activity. Treatment of Si alone or in combination with GA3 significantly reduced Na+ movement in both pea varieties. Results showed that Si has more prominent role than GA3 alone to build-up high plant biomass, yield, soluble protein content and reduction of Na+ transport. Samrina Zard variety showed higher yield, shoot and root dry weight as compared to Meteor-FSD variety in presence and absence of salt. It was concluded that Si can be used as a nutrient for pea under saline or non-saline conditions. Moreover, application of GA3 has a potential role for increasing salinity tolerance, mostly in sensitive pea varieties.

10.
Front Plant Sci ; 13: 863760, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35481137

RESUMEN

The aim of this study is to analyze the variations in the plant-available nitrogen (PAN) concentrations in the soil profile. Different fertilizers were applied for Chinese cabbage plantation (CCP) in the experimental fields of the Shunyi region. The treatments used for the comparative analysis are (i) no fertilizer and plantation (NVP), (ii) no fertilizer with CCP (CTP), (iii) fertilization as urea (URP), and (iv) potassium nitrate (KNP) and chicken manure (CMP) with CCP. It was concluded that the yield was significantly high in URP, CMP, and KNP as compared to CTP. In URP, maximum PAN in soil layers 0-60 cm was recorded during crop production and in 60-100 cm after harvesting as compared to other treatments. Significant variations in soil pH and electrical conductivity (EC) for the soil profile (0-100 cm) from the initial values with respect to time and treatments were observed. CMP showed maximum ammonium in the upper layers of 0-60 cm throughout the season, whereas minimum PAN was observed in NVP but increased in lower layers of 60-100 cm. In general, all fertilizers raised the PAN below the soil 60-100 cm which indicates their potential for nitrate leaching (NL).

11.
Molecules ; 27(2)2022 Jan 13.
Artículo en Inglés | MEDLINE | ID: mdl-35056801

RESUMEN

Today, the most significant challenge encountered by food manufacturers is degradation in the food quality during storage, which is countered by expensive packing, which causes enormous monetary and environmental costs. Edible packaging is a potential alternative for protecting food quality and improving shelf life by delaying microbial growth and providing moisture and gas barrier properties. For the first time, the current article reports the preparation of the new films from Ditriterpenoids and Secomeliacins isolated from Melia azedarach (Dharek) Azadirachta indica plants to protect the quality of fruits. After evaluating these films, their mechanical, specific respirational, coating crystal elongation, elastic, water vapor transmission rate (WVTR), film thickness, and nanoindentation test properties are applied to apple fruit for several storage periods: 0, 3, 6, 9 days. The fruits were evaluated for postharvest quality by screening several essential phytochemical, physiological responses under film coating and storage conditions. It was observed that prepared films were highly active during storage periods. Coated fruits showed improved quality due to the protection of the film, which lowered the transmission rate and enhanced the diffusion rate, followed by an increase in the shelf life. The coating crystals were higher in Film-5 and lower activity in untreated films. It was observed that the application of films through dipping was a simple technique at a laboratory scale, whereas extrusion and spraying were preferred on a commercial scale. The phytochemicals screening of treated fruits during the storage period showed that a maximum of eight important bioactive compounds were present in fruits after the treatment of films. It was resolved that new active films (1-5) were helpful in the effective maintenance of fruit quality and all essential compounds during storage periods. It was concluded that these films could be helpful for fruits growers and the processing industry to maintain fruit quality during the storage period as a new emerging technology.


Asunto(s)
Películas Comestibles , Conservación de Alimentos/métodos , Frutas/química , Tecnología Química Verde/métodos , Fitoquímicos/química , Azadirachta/química , Enzimas/metabolismo , Frutas/fisiología , Malus/química , Malus/fisiología , Melia azedarach/química , Fitoquímicos/aislamiento & purificación , Extractos Vegetales/química , Extractos Vegetales/aislamiento & purificación , Hojas de la Planta/química , Respiración , Gusto , Agua/química
12.
Microsc Res Tech ; 85(5): 1757-1767, 2022 May.
Artículo en Inglés | MEDLINE | ID: mdl-34953112

RESUMEN

This article reports the three principal groups of compounds for the first time from Adhatoda vasica and Calotropis procera plants species using nuclear magnetic resonance methods in which aliphatic, oxy heterocyclic, and tannins compounds were detected from these plants. The leaves of both species were subjected to testing tyrosinase inhibition and antioxidant activities. ATP bioluminescence use for indirect measurement of the amount of organic residue on the surface of the leaves that provide support to microbial growth. The distinguishing characteristics and intraoperative findings of bacterial diseases involved in treatments were conducted against the positive and negative microbial strains using a scanning electron microscope (SEM). The methanolic extracts of leaves of both species were applied to bacterial strains through broth microdilution method to determine the minimum inhabitation concentrations (MICs) for both species. It was concluded that both plants are a rich resource of bioactive compounds. Their extract may also be used to treat various bacterial diseases and in drug manufacturing. HIGHLIGHTS: New chemical compounds of oxy-heterocyclic, aliphatic, and tannins derivatives are isolated from herbal plants as a source of various drugs. 1 H NMR spectrum and 13 C NMR spectrum of each new derivate were calculated. NMR-spectral analysis of new compound of chemistry class was studied and further applied in various bacterial strains. Tyrosinase inhibition property of bacteria strains by application of active compounds on these strains. Agar overlay bioassays were used to evaluate intercellular morphological features of strains applied on extracts by electron microscope (SEM). a-Glucosidase inhibition assay determined with antioxidants activity through FRAP assay methods.


Asunto(s)
Calotropis , Género Justicia , Antioxidantes/farmacología , Bioensayo , Calotropis/química , Género Justicia/química , Monofenol Monooxigenasa , Extractos Vegetales/química , Extractos Vegetales/farmacología , Taninos/farmacología
13.
Ann Acad Med Singap ; 48(5): 150-155, 2019 May.
Artículo en Inglés | MEDLINE | ID: mdl-31210252

RESUMEN

INTRODUCTION: Although drug-eluting stents (DES) have outclassed the use of bare metal stents, the safety and efficacy of DES at long-term follow-up has still been conflicting because of increased occurrence of late or very late restenosis and stent thrombosis after DES implantation. Hence, the present study was aimed to evaluate the 3-year safety and clinical performance of biodegradable polymer-coated ultra-thin (60 µm) sirolimus-eluting stent (SES) in real-world patients with coronary artery disease (CAD). MATERIALS AND METHODS: This was a physician-initiated, retrospective, single-centre, observational study that included 237 consecutive patients who had previously undergone implantation of only Supraflex SES (Sahajanand Medical Technologies Pvt Ltd, Surat, India) for the treatment of CAD. Follow-up was received after 1 year and 3 years of stent implantation. The primary endpoint was major adverse cardiac events (MACE), a composite of cardiac death, myocardial infarction (MI) and target lesion revascularisation (TLR). Stent thrombosis was considered as a safety endpoint. RESULTS: The mean age of patients was 64.1 ± 10.2 years, and 192 (81.0%) patients were male. The average stent length and diameter were 24.4 ± 9.0 mm and 3.1 ± 0.4 mm, respectively. The cumulative MACE rate at 3 years follow-up was 6.5% which included 4 (1.8%) cardiac deaths, 6 (2.8%) MI, and 4 (1.8%) TLR. There were 2 (0.9%) cases of stent thrombosis. CONCLUSION: Treatment of patients with CAD in real-world clinical practice was associated with sustained clinical safety and low rates of restenosis, stent thrombosis and MACE up to 3 years after Supraflex SES implantation.


Asunto(s)
Plásticos Biodegradables/uso terapéutico , Enfermedad de la Arteria Coronaria/cirugía , Reestenosis Coronaria , Stents Liberadores de Fármacos/efectos adversos , Infarto del Miocardio , Intervención Coronaria Percutánea , Sirolimus/uso terapéutico , Anciano , Materiales Biocompatibles Revestidos/uso terapéutico , Enfermedad de la Arteria Coronaria/epidemiología , Reestenosis Coronaria/epidemiología , Reestenosis Coronaria/etiología , Femenino , Humanos , Inmunosupresores/uso terapéutico , India/epidemiología , Masculino , Persona de Mediana Edad , Infarto del Miocardio/epidemiología , Infarto del Miocardio/etiología , Evaluación de Procesos y Resultados en Atención de Salud , Intervención Coronaria Percutánea/efectos adversos , Intervención Coronaria Percutánea/instrumentación , Intervención Coronaria Percutánea/métodos , Diseño de Prótesis , Estudios Retrospectivos , Análisis de Supervivencia
14.
Asian Pac J Trop Biomed ; 2(3): 233-4, 2012 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-23569904

RESUMEN

OBJECTIVE: To detect the prevalence of Helicobacter pylori (H. pylori) in hydatid liver disease. METHODS: A total of 58 patients with hydatid liver disease attending AL-Sadder Teaching Hospital in Al-Najaf and Al-Basrah governorate from February to August, 2008 were included in the study and served as group A. One hundred and twenty 1st degree relative patients (group B) and 20 normal persons including 10 male and 10 female (group C) as control were detected for the presence of H. pylori infection in general population. Chest X-ray was done for the above groups to exclude lung hydrated cyst. The patients were screened by ultrasound to obtain intra abdominal hydrated cyst and enzyme-linked immuno sorbent assay (ELISA) test was utilized to detect the H. pylori infection. RESULTS: Fifty eight patients from group A with hydatid liver disease, 30 male (51.7%) and 28 female (48.3%) were screened for the presence of H. pylori infection by using ELISA test. We found that 28 patients from group A had positive ELISA test including 19 male (32.8%) and 9 female (15.5%) (P<0.01). However, there were no positive results of H. pylori infection in group B and C by chest X-ray, ultrasound and ELISA test. CONCLUSIONS: It can be concluded that there is a strong relationship between hydatid liver disease and presence of H. pylori.


Asunto(s)
Equinococosis Hepática , Infecciones por Helicobacter , Helicobacter pylori , Adolescente , Adulto , Anciano , Estudios de Casos y Controles , Equinococosis Hepática/complicaciones , Equinococosis Hepática/epidemiología , Femenino , Infecciones por Helicobacter/complicaciones , Infecciones por Helicobacter/epidemiología , Humanos , Irak/epidemiología , Masculino , Persona de Mediana Edad , Adulto Joven
15.
Stroke ; 40(3): 708-12, 2009 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-19164780

RESUMEN

BACKGROUND AND PURPOSE: Limited data exist on the frequency and outcome of carotid artery disease in Pakistan. Such information would help guide the usefulness of screening for the condition in this low-middle income health care setting. METHODS: A prospective, descriptive study was conducted among 3 large teaching hospitals in Karachi, Pakistan. Patients referred for carotid Doppler ultrasound examination were included if they had experienced a stroke or TIA within the previous month. The severity and morphology of carotid disease were characterized by trained technicians using standardized criteria. Demographic and risk factor data were collected at baseline, and the outcome of patients was assessed at least 6 months later. RESULTS: A total of 672 patients underwent bilateral carotid Doppler ultrasound (1344 carotid examinations). The findings revealed 0% to 50% stenosis in 526 (78%), 51% to 69% stenosis in 57 (8%), 70% to 99% stenosis in 82 (12%), and total occlusion in 7 patients (1%). Potentially surgically correctable disease, defined as 70% to 99% carotid artery stenosis, was present in only 79 (12%) patients, of whom 47 (60%) were ipsilateral symptomatic, 15 (20%) asymptomatic, and 17 (20%) had status unknown. Outcome information at >or=6 months follow-up was available for 36 of the 47 (76%) surgically correctable and only 4 of these patients (12%) had undergone surgical or radiological intervention (carotid endarterectomy in 3 patients and carotid stenting in 1 patient). CONCLUSIONS: The frequency of carotid artery disease of at least moderate severity is very low in patients with recent stroke or TIA and there is low utilization of high-cost, carotid intervention procedures in Pakistan. These data raise questions regarding the applicability and cost-effectiveness of routine carotid ultrasound screening in our country and similar population in Asia. The local socio-economic and clinical data do not support routine carotid Doppler ultrasound in every patient with stroke and TIA in Pakistan. Studies are warranted to determine predictors of significant carotid artery stenosis in stroke/TIA patients of our country to develop reliable stroke guidelines appropriate for local population.


Asunto(s)
Aterosclerosis/epidemiología , Accidente Cerebrovascular/epidemiología , Ultrasonografía Doppler/estadística & datos numéricos , Adulto , Anciano , Anciano de 80 o más Años , Aterosclerosis/diagnóstico por imagen , Aterosclerosis/terapia , Arteria Carótida Interna/diagnóstico por imagen , Análisis Costo-Beneficio , Endarterectomía Carotidea , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Pakistán/epidemiología , Factores de Riesgo , Accidente Cerebrovascular/diagnóstico por imagen , Accidente Cerebrovascular/terapia , Resultado del Tratamiento , Ultrasonografía Doppler/economía , Adulto Joven
16.
J Clin Oncol ; 22(1): 133-42, 2004 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-14638850

RESUMEN

PURPOSE: To evaluate the efficacy and tolerability of gefitinib (ZD1839, Iressa; AstraZeneca, Wilmington, DE), a novel epidermal growth factor receptor tyrosine kinase inhibitor, in patients with recurrent glioblastoma. PATIENTS AND METHODS: This was an open-label, single-center phase II trial. Fifty-seven patients with first recurrence of a glioblastoma who were previously treated with surgical resection, radiation, and usually chemotherapy underwent an open biopsy or resection at evaluation for confirmation of tumor recurrence. Each patient initially received 500 mg of gefitinib orally once daily; dose escalation to 750 mg then 1,000 mg, if a patient received enzyme-inducing antiepileptic drugs or dexamethasone, was allowed within each patient. RESULTS: Although no objective tumor responses were seen among the 53 assessable patients, only 21% of patients (11 of 53 patients) had measurable disease at treatment initiation. Seventeen percent of patients (nine of 53 patients) underwent at least six 4-week cycles, and the 6-month event-free survival (EFS) was 13% (seven of 53 patients). The median EFS time was 8.1 weeks, and the median overall survival (OS) time from treatment initiation was 39.4 weeks. Adverse events were generally mild (grade 1 or 2) and consisted mainly of skin reactions and diarrhea. Drug-related toxicities were more frequent at higher doses. Withdrawal caused by drug-related adverse events occurred in 6% of patients (three of 53 patients). Although the presence of diarrhea positively predicted favorable OS from treatment initiation, epidermal growth factor receptor expression did not correlate with either EFS or OS. CONCLUSION: Gefitinib is well tolerated and has activity in patients with recurrent glioblastoma. Further study of this agent at higher doses is warranted.


Asunto(s)
Neoplasias Encefálicas/tratamiento farmacológico , Inhibidores Enzimáticos/uso terapéutico , Glioblastoma/tratamiento farmacológico , Recurrencia Local de Neoplasia/tratamiento farmacológico , Quinazolinas/uso terapéutico , Adulto , Anciano , Neoplasias Encefálicas/patología , Supervivencia sin Enfermedad , Relación Dosis-Respuesta a Droga , Inhibidores Enzimáticos/administración & dosificación , Inhibidores Enzimáticos/efectos adversos , Factor de Crecimiento Epidérmico/antagonistas & inhibidores , Femenino , Gefitinib , Glioblastoma/patología , Humanos , Masculino , Persona de Mediana Edad , Recurrencia Local de Neoplasia/patología , Proteínas Tirosina Quinasas/antagonistas & inhibidores , Quinazolinas/administración & dosificación , Quinazolinas/efectos adversos , Resultado del Tratamiento
18.
J Neuropathol Exp Neurol ; 55(5): 540-8, 1996 May.
Artículo en Inglés | MEDLINE | ID: mdl-8627345

RESUMEN

Childhood ependymomas exhibit epidemiologic, anatomic, histologic, and biologic features and distinguish them from other gliomas. Because of their propensity to grow in functionally sensitive regions of the brain, adequate tumor sampling for basic and therapeutic research is limited. We have established xenografts in both subcutaneous and intracranial nude mouse systems (D528 EP-X, D612 EP-X) from the ependymomas of two nonrelated children. Median subcutaneous growth rates (reported in days to grow from 200 mm3 to 1000 mm3) are 82 days for D528 EP-X (n = 10) and 50 days for D612 EP-X (n = 10). D528 EP-X grows intracranially with a median postimplantation survival of 85 days (n = 10); D612 EP produces a median postimplantation survival of 72.5 days (n = 10). Both xenografts grow as well-formed masses with no evidence of infiltration into either brain or subcutaneous tissues. While perivascular pseudopalisading is found in both xenografts, true ependymal rosette formation is absent. Ultrastructurally, neither xenograft exhibits cilia, but both produce abundant intermediate filaments. By light microscopy, the neoplastic cells are immunoreactive for the intermediate filaments glial fibrillary acidic protein, vimentin, and nestin. Karyotypically D528 EP exhibits 46,XX,del(6)(q22q26)/46,XX while D612 EP exhibits 50,XX, +X,t(1;8)(p11;q11),t(1;8)(p11;q11), +1,-4, der(5)t(4;5)(q12;q35), +der(5)t(4;5)(q12;q35),-6, +9, +9,-16, +der(17)t(6;17)(p11;p11), +mar. Restriction fragment length polymorphism studies comparing the primary brain tumor tissue from each patient against multiple passages of the resulting xenografts confirm the origin of both xenografts. These xenografts represent models on which future studies into the oncogenesis, progression and therapy of ependymomas can be performed.


Asunto(s)
Neoplasias Cerebelosas/patología , Ángulo Pontocerebeloso , Neoplasias del Ventrículo Cerebral/patología , Ependimoma/patología , Trasplante de Neoplasias , Trasplante Heterólogo , Animales , Preescolar , Femenino , Humanos , Lactante , Cariotipificación , Masculino , Ratones , Ratones Endogámicos BALB C , Ratones Desnudos , Microscopía Electrónica , Proteínas del Tejido Nervioso/genética , Polimorfismo de Longitud del Fragmento de Restricción , Irradiación Corporal Total
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