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Background and Objective: A thorough insight into the management of hand injuries can shape the approach of a surgeon in order to achieve optimal outcomes for the patients. The aim of this study was to share our experience in reconstruction of the hand and establishing an algorithm for classification and treatment of hand injuries. Methods: This is a descriptive cross sectional study and was conducted from January 2020 to August 2022 at Burns and Plastic Surgery center, Peshawar. Data was collected from medical records about the patient demographics, mechanism of injury and type of procedures done. Defect size was classified into small (<5cm), medium (5cm to 10 cm) and large (>10cm). The defect site and size was cross tabulated against the method of soft tissue reconstruction in order to make the algorithm for reconstruction of hand injuries. Data was analyzed using SPSS. Results: The study population included 41 (75.9%) male and 13 (24.1%) female patients, mean age 31.56±14.1. Machine injuries (33.3%) and electric burns (24.1%) were the most common cause of hand soft tissue defects. The most commonly performed flap was Posterior introsseous artery (PIA) flap, followed by First dorsal metacarpal artery (FDMA) flap. Flap necrosis was observed in three cases (5.6%). Conclusion: This treatment algorithm for coverage of soft tissue defects in hand injuries will help with the decision making process of hand reconstruction and has didactic value for novice surgeons. It will also form the foundation for further work on this aspect of hand injuries.
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Hibiscus sabdariffa L. (H.S.) plant and its calyces have received much attention from researchers because of their potential medicinal and nutritional values. Calyces are the major source of anthocyanin in this plant. Therefore, a well-developed, efficient, and accurate analytical method is needed to assure proper standardization and control the quality of H.S. plant herbal and nutraceutical products. The objective of this work is to develop a simple, rapid, stability-indicating HPLC-UV method for the quantitative determination of anthocyanin in spray-dried aqueous extract (SDE), oral powder, and compressible lozenges formulations using Delphinidin-3-O-sambubioside (Dp3S) as a marker compound. The chromatographic conditions were optimized using Eclipse plus® C18 column. The mobile phase comprised water acidified with 0.2% formic acid (FA) and acetonitrile (ACN) (90:10, v/v) using a gradient system at a flow rate of 0.8 mL/min. The detection wavelength was 525 nm. The column was maintained at 45 °C, and the injection volume was 15 µL. The developed method was validated according to the international conference of harmonization (ICH) guidelines for linearity, detection and quantitation limits, accuracy, precision, specificity, and robustness. Forced degradation studies under acid, base, oxidation, heat, and U.V light, were performed on the pure compound, extract, and the H.S. developed formulations. Significant degradation of the compound was observed under all tested conditions except U.V. light, where degradation was minimum. There was no interference from impurities, degradation products, or excipients at the retention time of Dp3S 3.2 min indicating the specificity of the method. The developed method was statistically confirmed to be accurate, precise, and reproducible. This simple, rapid, and specific method can be employed efficiently to determine anthocyanin in H.S. plant extract and nutraceutical products.
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CONTEXT: Solution-mediated transformation has been cited as one of the main problems that deteriorate dissolution performances of solid dispersion (SD). This is mainly attributed by the recrystallization tendency of poorly soluble drug. Eventually, it will lead to extensive agglomeration which is a key process in reducing the dissolution performance of SD and offsets the true benefit of SD system. Here, a post-processing treatment is suggested in order to reduce the recrystallization tendency and hence bring forth the dissolution advantage of SD system. OBJECTIVES: The current study investigates the effect of a post processing treatment on dissolution performance of SD in comparison to their performances upon production. METHODS: Two poorly soluble drugs were spray dried into SD using polyvinyl alcohol (PVA) as hydrophilic carrier. The obtained samples were post processing treated by exposure to high humidity, i.e. 75% RH at room temperature. The physical properties and release rate of the SD system were characterized upon production and after the post-processing treatment. RESULTS AND DISCUSSION: XRPD, Infrared and DSC results showed partial crystallinity of the fresh SD systems. Crystallinity of these products was further increased after the post-processing treatment at 75% RH. This may be attributed to the high moisture absorption of the SD system that promotes recrystallization process of the drug. However, dissolution efficiencies of the post-treated systems were higher and more consistent than the fresh SD. The unexpected dissolution trend was further supported by the results intrinsic dissolution and solubility studies. CONCLUSIONS: An increase of crystallinity in a post humidity treated SD did not exert detrimental effect to their dissolution profiles. A more stabilized system with a preferable enhanced dissolution rate was obtained by exposing the SD to a post processing humidity treatment.
