Skip to main content

CR Articles

 

Clinical courses

 

Clinical courses

  • Prescribing Pattern for the Treatment of Dengue in a Tertiary Care Hospital, Bangalore- India.

    About Authors:
    AK Hafeez, MA Akheel, A Ashfaque, NK Meera
    Dept of Pharmacy Practice,
    VIPS,
    Bangalore, India

    Abstract
    Aim
    : To study the prescribing pattern for the treatment of Dengue in tertiary care hospital in Bangalore.
    Methods: A retrospective study was carried on prescribing pattern of drugs for the treatment of dengue in a tertiary care teaching hospital in Bangalore. This study included hundred patients both male and female in the age group of 1 – 70 years, the prescriptions were analysed for the drug therapy given.
    Results:The results show that the most commonly prescribed class of drugs were antipyretic (99%), anti-ulcer (95%), antibiotics (69%) and anti emetic (40%). In addition, supplementary treatment was also observed. 100% of suffered population was treated with IV fluids. Since a specific treatment is not available for Dengue, the patients were treated symptomatically.
    Conclusion:This survey highlights the demands for a more specific treatment, lest it leads to another epidemic break in the country.

  • Natural Anticancer drugs and Recent Developments in it

    About Authors:
    Kaushal Chovatiya, D.R. Mundhada
    Agnihotri College of Pharmacy, Wardha,
    Maharashtra, India.

    Abstract:
    Cancer is the second leading cause of death worldwide. Conventional cancer therapies cause serious side effects and, at best, merely extend the patient’s lifespan by a few years. Cancer control may therefore benefit from the potential that resides in alternative therapies. The demand to utilize alternative concepts or approaches to the treatment of cancer is therefore escalating. There is compelling evidence from epidemiological and experimental studies that highlight the importance of compounds derived from plants “phytochemicals” to reduce the risk of colon cancer and inhibit the development and spread of tumors in experimental animals. More than 25% of drugs used during the last 20 years are directly derived from plants, while the other 25% are chemically altered natural products. Still, only 5-15% of the approximately 250,000 higher plants have ever been investigated for bioactive compounds. The advantage of using such compounds for cancer treatment is their relatively non-toxic nature and availability in an ingestive form. An ideal phytochemical is one that possesses anti-tumor properties with minimal toxicity and has a defined mechanism of action. As compounds that target specific signaling pathways are identified, researchers can envisage novel therapeutic approaches as well as a better understanding of the pathways involved in disease progression. Plant derived compounds have played an important role in the development of several clinically useful anticancer agents. Several anticancer agents including taxol, vinblastine, vincristine and topotecan are in clinical use all over the world. A number of promising agents such as combrestatin, betulinic acid and silvesterol are in clinical or preclinical development.An attempt has been made to review some medicinal plants used for the prevention and treatment of cancer and recent state of development of anticancer drugs regarding Natural Products.

  • A retrospective study of Nosocomial infections in patients admitted in M.I.C.U

    About Authors: Pratham Rathore *[1], Dhaval Patel [1], Vipin Rastogi [2]
    1.  School of Pharmaceutical Sciences,
    Jaipur National University, Jaipur -302025, (Rajasthan.), India
    2.  Nariender Mohan hospital and heart center,
    Ghaziabad, (Uttar Pradesh), India

    ABSTRACT: Inpresent study,the current status of nosocomial infection, rate of infection and distribution of infectionwas analysed in patients admitted in MICU of a multispecialty hospital.Clinical data were collected from patients that presented with symptoms of nosocomial infection in MICU. We examined of 128 patients who were admitted in Nariender mohan hospital, Ghaziabad from August 2010 to May 2011. The research approach adopted in the study was a retrospective method. Incidence of nosocomial infections in M.I.C.U patients was 10.93% (14/128 patients). Urinary tract infection (42.85%) was the most frequent; followed by Lower respiratory infection (14.28%), surgical site infection (14.28%), Gastroenteritis (14.28%), Blood stream infection and Meningitis (7.14%). The nosocomial infection was seen more in the 40 to 60 year of age. The male was more prone to nosocomial infections than the female. Nosocomial infections are common in geriatric patients in the MICU setting. More studies are needed to be carried out in Indian population to plan long term strategies for prevention and management of nosocomial infections.

  • BRIEF REVIEW ON CLINICAL TRIALS

    About Author:Ratnadeep V. Ghadage.
    Department of Pharmaceutical Chemistry,
    Appasaheb Birnale College of Pharmacy, Sangli,
    Maharashtra, India

    ABSTRACT:
    Any investigation in human subjects intended to discover or verify the clinical, pharmacological and/or other pharmacodynamic effects of an investigational product(s), and/or to identify any adverse reactions to an investigational product(s), and/or to study absorption, distribution, metabolism, and excretion of an investigational product(s) with the object of ascertaining its safety and/or efficacy. The terms clinical trial and clinical study are synonymous. Clinical trials examine the safety and efficacy of interventions, or treatments, in human subjects. This manuscript focuses on pharmaceutical clinical trials. The word subject is used deliberately here, since all participants in clinical trials are subjects, even if they are under the care of a personal physician, and therefore patients in that context, at the time of the trial. The pharmaceutical industry is now a more significant investor in clinical trials, but in addition to these opportunities, it is being challenged by the financial impact of managed care and medicaid regulations on academic medical-center revenues. Besides that, there is growing public concern about our systems for protection of human subjects, along with some conflicts. There are public expectations that clinical research will yield substantial advances in the health of the public. Once clinical research studies are completed and a drug has been approved for marketing by a regulatory agency, reports of the drug’s safety and efficacy will be published in the clinical literature. This dissemination of the results provides clinicians and research scientists with evidence of the beneficial administration of the drug.

  • A Case Report on Comorbidities and Laboratory Abnormalities of Lamivudine in Hepatitis B Patients

    About Authors:Dhaval Patel*[1], Pratham Rathore[1], Prerna Sharma[1], Dr. Pankaj Shah[2]
    1 Department of Pharmacy Practice,
    School of Pharmaceutical Sciences,
    Jaipur National University,
    Jaipur -302025, (Rajasthan), India
    2 Institute of kidney disease and research center,
    civil hospital, Ahmedabad, (Gujarat), India

    Abstract
    Inpresent study, comorbidities and laboratory abnormalities of lamivudine was analysed in hepatitis b patients. Clinical data were collected from hepatitis b patients that presented with laboratory abnormalities to lamivudine. We examined 100 patients of hepatitis b who treated with lamivudine in i.k.d.r.c, civil hospital, Ahmedabad from January 2009 to February 2011. The main laboratory abnormalities were elevation of creatine kinase, elevation of AST, elevation of serum lipase. Hypertension was the major comorbidities with the hepatitis b. The laboratory abnormalities were related to lamivudine, but the biological mechanism of the reaction is not clear.

  • Correlation of Serum Magnesium Level with Increase in Parity and Comparision Among Rural and Urban Pregnant Women

    About Author: Main author: Amar Nagesh Kumar,
    Lecturer, Department of Biochemistry,
    SSR Medical College, Belle Rive, Mauritius
    Co-author: Robby Kumar,
    Lecturer, Department of Biochemistry,
    SSR Medical College, Belle Rive, Mauritius

    Abstract
    Objective: To correlate serum magnesium levels among pregnant women with increasing parity and comparison of magnesium levels in rural and urban areas of Guntur district, Andhra Pradesh, India.

    Materials and Methods: A total of 100 pregnant women with pregnancy duration of 24 weeks and more were enrolled for the study. Blood from the antecubital vein was drawn and serum magnesium levels were estimated by the colorimetric method.

    Results: In all, 48% of the pregnant women had serum levels less than the normal level (1.80 mg/dl). There was a significant decrease in serum magnesium levels with the increase in parity. But no significant decrease of magnesium level in serum was found when compared among rural and urban pregnant women.

  • Memory Enhancing Activity of Methanolic Extract of Selaginella Bryopteris in Swiss Albino Mice

    About Author: Neeraj Kumar Garg*1, Pankaj Khatri1, Sangeeta Gupta2, N. Ganesh2
    1. School of pharmacy, Suresh Gyan Vihar University, Mahal, Jagatpura, Jaipur (Raj.)
    2. Incharge, Department of research, jawahar lal Nehru cancer Hospital and Research centre, Idgah hills Bhopal 462001 (M.P.)

    Abstract
    Alzheimer disease (AD) is a neurodegenerative disorder currently without an effective treatment. Impairment of memory is the initial and most significant symptom of Alzheimer disease (AD). The present study was under taken to investigate the effect of Selaginella bryopteris (popularly known as sanjeevani, Family: Selaginellaceae) on learning and memory. Two doses (250 and 500 mg/kg p.o.) of methanolic extract of Selaginella bryopteris were administered for 7 successive days in separate group of animals. The dose of 500 mg/kg p.o. of the methanolic extract of Selaginella bryopteris significantly improved learning and memory of mice. Antioxidant property of Selaginella bryopteris may be contributing favourably to the memory enhancement effect. However, further studies are necessitated to identify the exact mechanism of action. In the present investigation of Selaginella bryopteris have shown promising memory enhancing agent in the entire laboratory models employed.

  • The Unknown Mystery of Death - Risk Factor for Development of Cancer Cervix in Indian Women.

    About Author: Rinki Verma (Research fellow)
    Institute of Medical science (CEMS)
    Banaras Hindu University
    Varanasi - 221005

  • Prescription Monitoring of Antihypertensive Drug Utilization for Uncomplicated Hypertension Patients in a Tertiary Hospital: A Cross Sectional Study in the Inpatient Wards

    About Authors: N. V. R. Praveen Kumar. T, Mohanta. G. P, Sudarshan. S# and Parimalakrishnan. S.
    Department of Pharmacy, Annamalai University,
    Annamalai Nagar – 608002.Tamil Nadu, India.
    # Department of Medicine, Rajah Muhtiah Medical College and Hospital, Annamalai University,
    Annamalai Nagar – 608002.Tamil Nadu, India.

    Reference ID: PHARMATUTOR-ART-1079

    Abstract
    Objective
    The study was conducted to identify and evaluate the Prescription Monitoring of Antihypertensive Drug Utilization for Uncomplicated Hypertension Patients.

    Methodology
    This was a prospective observational study and was approved by IRB.  The study was conducted in tertiary care teaching hospital, which is located at southern part of India having 1210 beds.  Totally 1262 prescriptions were studied.

    Results
    Total distribution of patients with respect to age group showed that highest number of patients was found in the age group of 60-69 years (31.3%) and least was found between 20-29 years age group (1.1%). Majority of males in the study population (43.29%) were found to have both the habits of smoking and alcohol. Among concomitant diseases that were related to hypertension Coronary artery disease was highest (67.78%) and giddiness was least (1.7%). In case of diseases unrelated to hypertension Type II diabetes mellitus was observed as highest (38.7%) and acute gastroenteritis was recorded least (5.68%). Overall 43.5% patients were treated with single antihypertensive drug and 53.8% were treated with antihypertensive drug combinations.

    (adsbygoogle = window.adsbygoogle || []).push({});
  • PHARMACOVIGILANCE AN OVERVIEW

    About Authors: * Ryali. Jithendra, Dinesh Kumar. Pandurangan, Bandaru. Sowjanya1, Vijayaraj Kumar. Perumal2
    1Department of Biotechnology, Acharya Nagarjuna University, Guntur – 522 510, India,
    *1-Department of Pharmaceutics, Rahul Institute of Pharmaceutical Science & Research, Chirala-523157, Andhra Pradesh, India.
    2-School of Pharmacy, University College Sadaya International,Kuala Lumpur, Malaysia.

    ABSTRACT:
    Pharmacovigilance is an important and integral part of clinical research. Pharmacovigilance is “defined as the pharmacological science relating to the detection, assessment, understanding and prevention of adverse effects, particularly long term and short term adverse effects of medicines. This addresses what exactly is pharmacovigilance?  What do we know of its benefits and risks, challenges and the future hold for pharmacovigilance in Indian medicine. Here the main focus on the aims and role of pharmacovigilance in medicines regulation and their Partners. This article describes and discusses the National programme of pharmacovigilance and centre in India. There role in collecting the reports ADRs of medicines. Further effectiveness and risk assessments of therapies are been discussed. The important role played by health care professional, pharmaceutical industries, media, and programmes carried by WHO. Finally the conclusion describes the major challenges and achievements for the future pharmacovigilance programme.

Subscribe to CR Articles