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Pharmacodynamic Activity Of Fosfomycin Simulating Urinary Concentrations Achieved After A Single 3 Gram Oral Dose Versus Escherichia Coli Using An In Vitro Model, George G. Zhanel, Kate Parkinson, Sean Higgins, Andrew Denisuik, Heather Adam, Johann Pitout, Ayman Noreddin, James A. Karlowsky Apr 2017

Pharmacodynamic Activity Of Fosfomycin Simulating Urinary Concentrations Achieved After A Single 3 Gram Oral Dose Versus Escherichia Coli Using An In Vitro Model, George G. Zhanel, Kate Parkinson, Sean Higgins, Andrew Denisuik, Heather Adam, Johann Pitout, Ayman Noreddin, James A. Karlowsky

Pharmacy Faculty Articles and Research

We assessed the activity of fosfomycin simulating urinary concentrations achieved after a single 3 gram oral dose against Escherichia coli using an in vitro pharmacodynamic model. Eleven urinary isolates of E. coli were studied. Isolates were ESBL-producing or carbapenemase-producing. The in vitro pharmacodynamic model was inoculated with an inoculum of (~1 × 106 cfu/mL). Fosfomycin was administered to simulate maximum free (ƒ) urine (U) concentrations and a t1/2 obtained after a standard single 3 gram oral dose in healthy volunteers (ƒUmax, 4000 mg/L; t1/2, 6 h). Sampling was performed over 48 h to assess …


Swosu Research And Scholarly Activity Fair 2017, Lisa Appeddu, Cj Smith Apr 2017

Swosu Research And Scholarly Activity Fair 2017, Lisa Appeddu, Cj Smith

SWOSU Research and Scholarly Activity Fair Programs

Welcome to the Twenty-Fourth SWOSU Research and Scholarly Activity Fair! On display today are 158 poster presentations and 11 oral presentations, involving 314 student researchers, writers, presenters, and artists, and 47 faculty sponsors encompassing scholarly activity from the SWOSU Departments of Art, Communication, and Theatre; Biological Sciences; Business & Computer Science; Chemistry and Physics; Engineering Technology; Language & Literature; Music; Pharmaceutical Sciences; Psychology; and Social Sciences; and SWOSU School of Nursing and Allied Health Sciences. In addition, there are poster presentations from the Western Technology Center Biomedical Academy, Francis Tuttle Technology Center, El Reno Public Schools, and BlueSTEM AgriLearning …


Pharmacy Newsletter : April 2017, Pharmacy Department Apr 2017

Pharmacy Newsletter : April 2017, Pharmacy Department

Department of Pharmacy Archives

Content:

  • Antibiotic-Loaded Bone Cement (ALBC)
  • Antimicrobials Induced Mental Changes
  • Parenteral Applications of Ketogenic Diet Therapy


Nephrotoxicity In Patients With Or Without Cystic Fibrosis Treated With Polymyxin B Compared To Colistin, Ryan L. Crass, Wilbur Cliff Rutter, Donna R. Burgess, Craig A. Martin, David S. Burgess Apr 2017

Nephrotoxicity In Patients With Or Without Cystic Fibrosis Treated With Polymyxin B Compared To Colistin, Ryan L. Crass, Wilbur Cliff Rutter, Donna R. Burgess, Craig A. Martin, David S. Burgess

Pharmacy Practice and Science Faculty Publications

Nephrotoxicity is the primary adverse effect of the polymyxins. The relative rates of toxicity of polymyxin B and colistin have not been fully elucidated, especially in patients with cystic fibrosis (CF). A retrospective cohort study of adults treated with polymyxin B or colistin for at least 48 h was conducted. The primary endpoint was the incidence of kidney injury assessed by RIFLE (i.e., risk, injury, failure, loss, end-stage renal disease) criteria. Risk factors for kidney injury were evaluated using multivariate Cox regression. A total of 414 patients were evaluated, 220 of whom had CF. In patients without CF, there was …


Adverse Reactions Of Biological Therapies In Patients With Psoriasis, Maria I. Sârbu, Mircea Tampa, Mădălina I. Mitran, Cristina I. Mitran, Alexandra M. Limbău, Simona R. Georgescu Mar 2017

Adverse Reactions Of Biological Therapies In Patients With Psoriasis, Maria I. Sârbu, Mircea Tampa, Mădălina I. Mitran, Cristina I. Mitran, Alexandra M. Limbău, Simona R. Georgescu

Journal of Mind and Medical Sciences

Psoriasis is a chronic, immune-mediated disorder characterized by well demarcated, erythematous plaques covered by thick, silvery-white scales, most often located on the knees, elbows, sacral area and scalp. It has a significant impact on the patient's quality of life.

Biological therapies revolutionized the treatment of psoriasis vulgaris but there has been concern regarding the use of those agents due to severe adverse reactions reported in patients receiving TNF-α inhibitors for various inflammatory diseases.

The aim of this paper is to review the most important adverse reactions reported in patients receiving biological treatments. The most common and severe side effects associated …


Evaluate The Impact Of Polymerase Chain Reaction (Pcr) Rapid Diagnostic Testing On Time To De-Escalation Of Antibiotic Therapy In Methicillin Sensitive Staphylococcus Aureus (Mssa) Bacteremia, Nydia Rivera-Berrios, Maria Perez Arias, Katia Abaunza, Julie Lamoureux Mar 2017

Evaluate The Impact Of Polymerase Chain Reaction (Pcr) Rapid Diagnostic Testing On Time To De-Escalation Of Antibiotic Therapy In Methicillin Sensitive Staphylococcus Aureus (Mssa) Bacteremia, Nydia Rivera-Berrios, Maria Perez Arias, Katia Abaunza, Julie Lamoureux

All Publications

No abstract provided.


February 2017, Randy Curry, Cindy Brooks Feb 2017

February 2017, Randy Curry, Cindy Brooks

RURAL ROCKS

Rural Rocks, the Rural Health Network newsletter by the SWOSU College of Pharmacy


Nephrotoxicity During Vancomycin Therapy In Combination With Piperacillin-Tazobactam Or Cefepime, Wilbur Cliff Rutter, Jessica N. Cox, Craig A. Martin, Donna R. Burgess, David S. Burgess Feb 2017

Nephrotoxicity During Vancomycin Therapy In Combination With Piperacillin-Tazobactam Or Cefepime, Wilbur Cliff Rutter, Jessica N. Cox, Craig A. Martin, Donna R. Burgess, David S. Burgess

Pharmacy Practice and Science Faculty Publications

Recent reports have demonstrated that vancomycin (VAN) may lead to an increase in the incidence of acute kidney injury (AKI) when it is combined with antipseudomonal beta-lactams. This study compared the incidence of AKI associated with VAN plus piperacillin-tazobactam (TZP) or cefepime (FEP). This was a retrospective, matched cohort study that was conducted at an academic medical center between September 2010 and September 2014 and that included adult patients without severe chronic or structural kidney disease, dialysis, pregnancy, cystic fibrosis, or a hospital transfer receiving TZP-VAN or FEP-VAN for at least 48 h. The primary outcome was the difference in …


Recurrent Pneumonia Among Japanese Adults: Disease Burden And Risk Factors, Tomoko Ishifuji, Eiichiro Sando, Norihiro Kaneko, Motoi Suzuki, Paul E. Kilgore, Koya Ariyoshi, Konosuke Morimoto, Naoto Hosokawa, Makito Yaegashi, Masahiro Aoshima, Adult Pneumonia Study Group - Japan (Apsg-J) Jan 2017

Recurrent Pneumonia Among Japanese Adults: Disease Burden And Risk Factors, Tomoko Ishifuji, Eiichiro Sando, Norihiro Kaneko, Motoi Suzuki, Paul E. Kilgore, Koya Ariyoshi, Konosuke Morimoto, Naoto Hosokawa, Makito Yaegashi, Masahiro Aoshima, Adult Pneumonia Study Group - Japan (Apsg-J)

Department of Pharmacy Practice

Background: In Japan and other societies with rapidly aging populations, recurrent pneumonia (RP) is a major clinical problem yet only limited information exists regarding the burden of this disease.

Methods: A prospective study of adult pneumonia was conducted to investigate the incidence of RP and potential risk factors. From February 1, 2012 to January 31, 2013, patients aged ≥ 15 years who were diagnosed with pneumonia were prospectively enrolled in a representative community hospital located in central Japan. Patients were followed for one-year to evaluate the recurrence of pneumonia and characteristics associated with RP. Cox proportional hazards models were constructed …


Human Papillomavirus (Hpv): Current Status & Controversies, Ada Jalice Jan 2017

Human Papillomavirus (Hpv): Current Status & Controversies, Ada Jalice

All Publications

No abstract provided.


Modeling And Statistical Issues Related To Salmonella In Low Water Activity Foods, Sofia M. Santillana Farakos, Michelle Danyluk, Donald Schaffner, Régis Pouillot, Linda J. Harris, Bradley P. Marks Jan 2017

Modeling And Statistical Issues Related To Salmonella In Low Water Activity Foods, Sofia M. Santillana Farakos, Michelle Danyluk, Donald Schaffner, Régis Pouillot, Linda J. Harris, Bradley P. Marks

United States Food and Drug Administration: Publications

The presence and survival of Salmonella in low water activity (aw) foods continues to pose a challenge for the food industry. Peer‐reviewed literature data on prevalence and levels of contamination of Salmonella in low water activity foods in the United States are limited. Available published data include those on: Salmonella contamination on nuts and peanuts (Calhoun et al., 2013), almonds (Danyluk et al., 2007; Bansal et al., 2010), pecans (Brar, Strawn, and Danyluk, 2016), and walnuts (Davidson et al., 2015); prevalence and levels of Salmonella on spices (Van Doren et al., 2013); as …


The Value Driven Pharmacist: Basics Of Access, Cost And Quality, Carriann Smith, Annette Mcfarland, Chad Knoderer, Joseph Jordan, Trish Devine, Jessica Wilhoite Jan 2017

The Value Driven Pharmacist: Basics Of Access, Cost And Quality, Carriann Smith, Annette Mcfarland, Chad Knoderer, Joseph Jordan, Trish Devine, Jessica Wilhoite

Butler University Books

No abstract provided.


Microbial Ecology Of Fresh Vegetables, J. Zheng, A. De Jesus, S. Sahu, A. E. Hayford, Y. Luo, A. R. Datta, E. W. Brown, R. Bell Jan 2017

Microbial Ecology Of Fresh Vegetables, J. Zheng, A. De Jesus, S. Sahu, A. E. Hayford, Y. Luo, A. R. Datta, E. W. Brown, R. Bell

United States Food and Drug Administration: Publications

The total consumption of fresh and processed vegetables has exceeded 123 kg per capita in the United States and 118 kg per capita in the European Union (http://www.helgilibrary.com/ indicators/index/vegetable‐consumption‐percapita) in 2009. Changes in lifestyles and consumption trends have prompted the sustained growth of fresh‐cut or minimally processed vegetables that are fresh and ready‐to‐eat (RTE). In 2011, for example, total US fresh‐cut produce sales through both food service and retail channels were estimated to surpass $27 billion (Cook et al., 2012).


Annual Report - 2016-2017, Bill Gatton College Of Pharmacy, East Tennessee State University Jan 2017

Annual Report - 2016-2017, Bill Gatton College Of Pharmacy, East Tennessee State University

GattonRX Magazine

No abstract provided.


College Of Pharmacy And Allied Health Professions, South Dakota State University Jan 2017

College Of Pharmacy And Allied Health Professions, South Dakota State University

Jackrabbits Script and Scope (Formerly called College of Pharmacy and Allied Health Professions Magazine)

[Page] 2 A day in the life—The medical laboratory science program as seen through the eyes of second year student Brittany Kramer.
[Page] 4 What makes MLS special?—After being presented their white lab coats, medical laboratory science students share what drew them to the program.
[Page] 6 Meet the president—Allyson Helms, a P1 student from Waseca, Minnesota, is only the second pharmacy student to serve as president of the Students’ Association.
[Page] 8 Balance—Internationally known professor tells students about his professional achievements and discovering a work/life balance.
[Page] 10 Scholarship planning • Joye Ann Billow—Legacy of pioneering faculty member continues …


Bis(N-Amidinohydrazones) And N-(Amidino)-N'-Aryl-Bishydrazones: New Classes Of Antibacterial/Antifungal Agents, Sanjib K. Shrestha, Liliia M. Kril, Keith D. Green, Stefan Kwiatkowski, Vitaliy M. Sviripa, Justin Robert Nickell, Linda Phyliss Dwoskin, David S. Watt, Sylvie Garneau-Tsodikova Jan 2017

Bis(N-Amidinohydrazones) And N-(Amidino)-N'-Aryl-Bishydrazones: New Classes Of Antibacterial/Antifungal Agents, Sanjib K. Shrestha, Liliia M. Kril, Keith D. Green, Stefan Kwiatkowski, Vitaliy M. Sviripa, Justin Robert Nickell, Linda Phyliss Dwoskin, David S. Watt, Sylvie Garneau-Tsodikova

Pharmaceutical Sciences Faculty Publications

The emergence of multidrug-resistant bacterial and fungal strains poses a threat to human health that requires the design and synthesis of new classes of antimicr obial agents. We evaluated bis(N-amidinohydrazones) and N-(amidino)-N'-aryl-bishydrazones for their antibacterial and antifungal activities against panels of Gram-positive/Gram-negative bacteria as well as fungi. We investigated their potential to develop resistance against both bacteria and fungi by a multi-step, resistance-selection method, explored their potential to induce the production of reactive oxygen species, and assessed their toxicity. In summary, we found that these compounds exhibited broad-spectrum antibacterial and antifungal activities against most of …


Infusion Of Essentail Oils In Agarose Gels To Create Antimicrobial Surfaces, Simran Guron Jan 2017

Infusion Of Essentail Oils In Agarose Gels To Create Antimicrobial Surfaces, Simran Guron

Honors College Theses

The current use of antibiotics is very excessive in multiple settings, from treating patients to being present in cleaning products. This overuse of antibiotics is resulting in multiple consequences, ranging from having a negative impact on human health to breeding antibiotic-resistant strains of microorganisms. Antimicrobial surfaces are useful today to aid in sterilization, especially in the medical setting. This would help prevent the spread of infection of microorganisms in these settings. In our research, agarose acts as the antimicrobial surface and essential oils would act as the solution incorporated into the surface that has the antimicrobial properties. Agarose is a …


Evaluating Prescriber Adherence To Guideline-Based Treatment Pathways Of A Newly Initiated Antimicrobial Stewardship Program At A Rehabilitation Hospital, Christie Bertram Jan 2017

Evaluating Prescriber Adherence To Guideline-Based Treatment Pathways Of A Newly Initiated Antimicrobial Stewardship Program At A Rehabilitation Hospital, Christie Bertram

Undergraduate Honors Thesis Collection

Background: Inappropriate use of antimicrobials in the healthcare setting is associated with consequences including antimicrobial resistance, Clostridium difficile infection (CDI), adverse drug reactions, and increased healthcare costs. To combat this, hospitals are creating antimicrobial stewardship programs (ASPs) which seek to optimize antimicrobial utilization. To date, no studies have been done to assess adherence to an ASP in a rehabilitation hospital setting. The objective of this study is to evaluate prescriber compliance to treatment pathways for common infections before and after ASP implementation.

Methods: This was a retrospective cohort study of patients admitted to the Rehabilitation Hospital of Indiana (RHI) who …


Management Of Viral Central Nervous System Infections: A Primer For Clinicians, P Brandon Bookstaver, Phillip L. Mohorn, Ansal Shah, Lauren D. Tesh, April M. Quidley, Ravish Kothari, Christopher M. Bland, Sharon Weissman Jan 2017

Management Of Viral Central Nervous System Infections: A Primer For Clinicians, P Brandon Bookstaver, Phillip L. Mohorn, Ansal Shah, Lauren D. Tesh, April M. Quidley, Ravish Kothari, Christopher M. Bland, Sharon Weissman

Faculty Publications

Viruses are a common cause of central nervous system (CNS) infections with many host, agent, and environmental factors influencing the expression of viral diseases. Viruses can be responsible for CNS disease through a variety of mechanisms including direct infection and replication within the CNS resulting in encephalitis, infection limited to the meninges, or immune-related processes such as acute disseminated encephalomyelitis. Common pathogens including herpes simplex virus, varicella zoster, and enterovirus are responsible for the greatest number of cases in immunocompetent hosts. Other herpes viruses (eg, cytomegalovirus, John Cunningham virus) are more common in immunocompromised hosts. Arboviruses such as Japanese encephalitis …


Pneumococcal Conjugate Vaccine 13 Coverage In Children, High-Risk Adults 19-64 Years Of Age, And Adults Over 65 Years Of Age In A Commercially Insured U.S. Population, Joseph C. Vanghelof Jan 2017

Pneumococcal Conjugate Vaccine 13 Coverage In Children, High-Risk Adults 19-64 Years Of Age, And Adults Over 65 Years Of Age In A Commercially Insured U.S. Population, Joseph C. Vanghelof

Theses and Dissertations--Pharmacy

This thesis aimed to elucidate the demographic characteristics associated with elevated or reduced rates of pneumococcal conjugate 13 (PCV13) vaccination.

A retrospective cohort study was performed using the Truven Health MarketScan® Database. Three cohorts were created corresponding to populations for which the CDC recommends PCV13 vaccination. Cohort 1: children < 36 months of age. Cohort 2: adults 19-64 years of age with high infection risk. Cohort 3: adults > 65 years of age. Odds of having a PCV13 claim were calculated for each cohort.

For Cohort 1, 78% out of a total of 353,214 subjects had a sufficient number of PCV13 doses to meet CDC recommendations. For Cohort 2, 3.7% out of a total of 673,157 subjects had a PCV13 …


Effects Of In Utero Nicotine Exposure On Immune Cell Disposition After P. Aeruginosa Lung Infection, Nayon Kang Jan 2017

Effects Of In Utero Nicotine Exposure On Immune Cell Disposition After P. Aeruginosa Lung Infection, Nayon Kang

Theses and Dissertations--Pharmacy

Current smoking cessation guidelines recommend nicotine replacement therapy (NRT) to assist pregnant smokers to quit, but this is without strong evidence for effectiveness and safety. Nicotine, the main addictive component of tobacco, is known to exert physiological effects by binding to its receptor, the nicotinic acetylcholine receptor (nAChR). Recent studies have identified the presence of nAChRs in non-neuronal cells, and in macrophages, functional alteration upon stimulation with nicotine has been documented.

To understand the impact of in utero nicotine exposure on various immune cell disposition and function, we designed preliminary studies using an in vivo model of P. aeruginosa infection. …


Assessing Student Perceptions Of The Pharm.D. Degree At A Private Tertiary Medical University In India, Kobi T. Nathan, Kelly Conn, Christine R. Birnie Jan 2017

Assessing Student Perceptions Of The Pharm.D. Degree At A Private Tertiary Medical University In India, Kobi T. Nathan, Kelly Conn, Christine R. Birnie

Pharmacy Faculty/Staff Publications

Background: Pharmacy education in India has expanded to include the Doctorate of Pharmacy degree (Pharm.D.). With clinical practice in early development, job opportunities in India are limited. Graduates often consider pharmacy opportunities abroad.

Aims: This study compares Indian students’ career aspirations related to the Pharm.D. degree before and after beginning their programmes.

Methods: A 5-point Likert scale paper survey with open ended questions was distributed to all Pharm.D. students (Year 1- 6) at a medical university in India.

Results: With a response rate of 83% (144/173), over half of the students’ primary goal was to pursue careers abroad post-graduation (54.2% …


Development Of Phenotypic Drug Discovery Models For Tropical Parasitic Diseases, Surendra Kumar Jain Jan 2017

Development Of Phenotypic Drug Discovery Models For Tropical Parasitic Diseases, Surendra Kumar Jain

Electronic Theses and Dissertations

Malaria and visceral leishmaniasis are major killer parasitic diseases. These diseases though occur primarily in tropical countries; economic burden and overall health impacts of malaria and leishmaniasis are global. The emergence of drug-resistant and more-virulent strains of the pathogens has further amplified the problems. New drug discovery approaches primarily rely on in vitro and in vivo models of the disease. The pathogens causing leishmaniasis and malaria are intracellular. Leishmania parasite grows as amastigotes in macrophages cells, and malaria parasite grows within the hepatocytes or erythrocytes. The intracellular forms of the pathogens are responsible for the pathophysiology of the diseases. New …


Phytochemical Investigation Of Psychoactive Medicinal Plants For The Treatment Of Neurological Disorders, Vedanjali Gogineni Jan 2017

Phytochemical Investigation Of Psychoactive Medicinal Plants For The Treatment Of Neurological Disorders, Vedanjali Gogineni

Electronic Theses and Dissertations

Neurological disorders include disorders such as migraine, tension-type headaches, Parkinson’s disease (PD), epilepsy, dementia, and Alzheimer’s disease (AD). Globally, PD is the second most comneurodegenerative disorder following AD. In developed countries, PD affects 1% of all population over 60 years of age. The prevalence of PD is increasing over the years and is expected to double by 2030. It is proposed that combination of dopaminergic drugs with monoamine oxidase B (MAO-B) inhibitors, anticholinergics, catechol-O-methyl transferase inhibitors, and other non-dopaminergic drugs can better alleviate levodopa-induced motor complications along with better control of motor symptoms. MAO-B inhibitors play a significant role in …


Synthesis, Chemistry, Biological Evaluation And Structure-Activity Relationships Of Rac- And Chiral 6-Desmethyl-5Β –Hydroxy-D-Secoartemisinin And Analogs, Mohamed Elsideiq Jihan Jan 2017

Synthesis, Chemistry, Biological Evaluation And Structure-Activity Relationships Of Rac- And Chiral 6-Desmethyl-5Β –Hydroxy-D-Secoartemisinin And Analogs, Mohamed Elsideiq Jihan

Electronic Theses and Dissertations

The prevention and cure of malaria is difficult as it thrives under poor socio- and pharmacoeconomic conditions in third world, tropical and subtropical regions. It is a parasitic disease spread through the bite of an infected Anopheles mosquito. In humans, malaria can be caused by several Plasmodium species that include: Plasmodium falciparum, Plasmodium vivax, Plasmodium ovale, Plasmodium malariae and Plasmodium knowlesi. The natural product artemisinin is a sesquiterpene lactone with an endoperoxide bridge isolated from the Chinese annual herb qinghao (Artemisia annua L or sweet wormwood). The relatively stable endoperoxide bridge is essential for their antimalarial activity. The synthesis of …


การประเมินประสิทธิศักย์ของการให้ยาปฏิชีวนะเพื่อป้องกันการติดเชื้อในแผลสุนัขและแมวกัด, พรชนิตว์ หมื่นหน้า Jan 2017

การประเมินประสิทธิศักย์ของการให้ยาปฏิชีวนะเพื่อป้องกันการติดเชื้อในแผลสุนัขและแมวกัด, พรชนิตว์ หมื่นหน้า

Chulalongkorn University Theses and Dissertations (Chula ETD)

วัตถุประสงค์: เปรียบเทียบอุบัติการณ์การเกิดแผลติดเชื้อในผู้ที่ได้รับยา amoxicillin และ amoxicillin-clavulanic acid เพื่อป้องการการติดเชื้อจากสุนัขและแมวกัด/ข่วน และศึกษาปัจจัยที่เกี่ยวข้องกับการเกิดแผลติดเชื้อ
วิธีการดำเนินการวิจัย: การวิจัยเชิงทดลองแท้จริงและใช้วิธีการปกปิดแบบทางเดียว ศึกษาในผู้ป่วยที่เกิดแผลจากสุนัขหรือแมวกัด/ข่วนที่มีระดับการสัมผัสโรคพิษสุนัขบ้าระดับ 3 และเข้ารับการรักษาภายใน 24 ชั่วโมง ณ แผนกฉุกเฉิน โรงพยาบาลบ้านบึง จังหวัดชลบุรี ระหว่างเดือนกุมภาพันธ์ พ.ศ. 2561 ถึงเดือนพฤษภาคม พ.ศ. 2561 โดยการสุ่มแบบบล็อกให้ผู้ป่วยได้รับยา amoxicillin หรือยา amoxicillin-clavulanic acid เป็นระยะเวลา 5 วัน และประเมินผลการเกิดแผลติดเชื้อในวันที่ 3 และ 7 หลังจากได้รับยาปฏิชีวนะ
ผลการวิจัย: ผู้ป่วยทั้งหมด 236 คน เข้ารับบริการที่โรงพยาบาลด้วยสาเหตุสุนัขกัด แมวกัดและแมวข่วนร้อยละ 75, 18.2 และ 6.8 ตามลำดับ อุบัติการณ์การเกิดแผลติดเชื้อระหว่างกลุ่มที่ได้รับยา amoxicillin (ร้อยละ 1.7) กับยา amoxicillin-clavulanic acid (ร้อยละ 4.2) ไม่มีความแตกต่างกันอย่างมีนัยสำคัญทางสถิติ (p=0.447) ผู้ป่วยที่ได้รับยา amoxicillin-clavulanic acid เกิดอาการไม่พึงประสงค์มากกว่ากลุ่มที่ได้รับยา amoxicillin ร้อยละ 17.5 และ 10.3 ตามลำดับ (p=0.113) แผลบริเวณเท้าจากสุนัขกัดและแผลเจาะจากแมวกัดมีความสัมพันธ์กับการติดเชื้ออย่างมีนัยสำคัญทางสถิติ (p=0.048 และ p=0.029 ตามลำดับ)
สรุปผลการวิจัย : ยา amoxicillin สามารถใช้เป็นยาปฏิชีวนะเพื่อป้องกันการเกิดแผลติดเชื้อจากสุนัขและแมวกัดได้ โดยไม่มีความแตกต่างของอุบัติการณ์การเกิดแผลติดเชื้อระหว่างกลุ่มที่ได้รับยา amoxicillin กับยา amoxicillin-clavulanic acid โดยการเกิดแผลบริเวณเท้าจากสุนัขกัดและการมีแผลเจาะจากแมวกัดอาจเพิ่มความเสี่ยงต่อการเกิดแผลติดเชื้อ


Bioactive Compounds From Dendrobium Infundibulum, Salinee Na Ranong Jan 2017

Bioactive Compounds From Dendrobium Infundibulum, Salinee Na Ranong

Chulalongkorn University Theses and Dissertations (Chula ETD)

Phytochemical study of the methanol extract from Dendrobium infundibulum (Orchidaceae) led to isolation of nine pure compounds including two new compounds (dendroinfundin A and dendroinfundin B) and seven known compounds (ephemeranthol A, moscatilin, aloifol I, batatasin III, 3,3'-dihydroxy-4,5-dimethoxybibenzyl, 3,4'-dihydroxy-3',4,5-trimethoxybibenzyl and dendrosinen B). Their structures were determined from their spectroscopic data. All compounds were then examined for their lipase and alpha-glucosidase inhibitory activities. Dendrosinen B (IC50 = 295.0±37.9 µM) showed moderate inhibitory activity against lipase when compared with orlistat (IC50 = 31.4±0.6 nM). Strong anti alpha-glucosidase agents were batatasin III (IC50 = 148.8±8.4 µM) and dendrosinen B (IC50 = 213.9±2.4 µM), …


ประสิทธิศักย์และความปลอดภัยของยาทาโครลิมัสรูปแบบออกฤทธิ์นานเปรียบเทียบกับรูปแบบออกฤทธิ์ทันทีในผู้ได้รับการปลูกถ่ายไต : อภิวิเคราะห์, วรางคณา แสงราม Jan 2017

ประสิทธิศักย์และความปลอดภัยของยาทาโครลิมัสรูปแบบออกฤทธิ์นานเปรียบเทียบกับรูปแบบออกฤทธิ์ทันทีในผู้ได้รับการปลูกถ่ายไต : อภิวิเคราะห์, วรางคณา แสงราม

Chulalongkorn University Theses and Dissertations (Chula ETD)

ที่มาและความสำคัญ: ทาโครลิมัสเป็นยาในกลุ่ม calcineurin inhibitor ที่ได้รับการแนะนำให้ใช้เป็นตัวเลือกแรกในผู้ได้รับการปลูกถ่ายไต ปัจจุบันมียา 2 รูปแบบคือ รูปแบบออกฤทธิ์ทันทีที่รับประทานวันละ 2 ครั้ง และรูปแบบออกฤทธิ์นานที่รับประทานวันละ 1 ครั้ง เพื่อเพิ่มความร่วมมือในการใช้ยาของผู้ป่วย การศึกษานี้มีวัตถุประสงค์เพื่อเปรียบเทียบประสิทธิศักย์และความปลอดภัยของยาทาโครลิมัสรูปแบบออกฤทธิ์นานเปรียบเทียบกับรูปแบบออกฤทธิ์ทันที วิธีการศึกษา: เป็นการอภิวิเคราะห์โดยสืบค้นข้อมูลงานวิจัยที่เป็นการทดลองแบบสุ่มและมีกลุ่มควบคุมที่เปรียบเทียบผลลัพธ์ทางการรักษาระหว่างยาทาโครลิมัสรูปแบบออกฤทธิ์นานกับรูปแบบออกฤทธิ์ทันที โดยสืบค้นงานวิจัยจนถึงวันที่ 20 เมษายน พ.ศ. 2561 ในฐานข้อมูล ได้แก่ PubMed, EMBASE, Cochrane Register of Controlled Trials, Scopus, Web of Science และ CINAHL โดยไม่มีการจำกัดภาษาในการตีพิมพ์ ทั้งนี้มีผู้วิจัยสองคนคัดเลือกงานวิจัย สกัดข้อมูลและประเมินความเสี่ยงของอคติอย่างเป็นอิสระต่อกัน ผลการศึกษา: พบงานวิจัยที่ผ่านเกณฑ์การคัดเลือกจำนวน 13 การศึกษา จำนวนประชากรรวม 3,101 ราย ผลการศึกษาไม่พบความแตกต่างของอัตราการปฏิเสธไตเฉียบพลันระหว่างการได้รับยาทั้งสองรูปแบบที่ระยะเวลาภายใน 6 เดือนและ 12 เดือนหลังจากได้รับยา (RR 1.04 [0.83, 1.29] และ RR 1.09 [0.86, 1.37] ตามลำดับ) ไม่พบความแตกต่างของทั้งอัตราการรอดของไต การรอดชีวิตของผู้ป่วยและค่าการทำงานของไต (eGFR) ที่ระยะเวลาภายใน 6 เดือนและ 12 เดือนหลังจากได้รับยา นอกจากนี้ผลการศึกษาในระยะยาวมากกว่า 1 ปี ไม่พบความแตกต่างของอัตราการรอดของไตและอัตราการรอดชีวิตของผู้ป่วยเช่นเดียวกัน สรุปผลการศึกษา: ยาทาโครลิมัสรูปแบบออกฤทธิ์นานมีประสิทธิศักย์และความปลอดภัยเทียบเคียงกับยาทาโครลิมัสรูปแบบออกฤทธิ์ทันทีทั้งการศึกษาในระยะสั้นและในระยะยาว


Healthcare Professionals Knowledge And Attitudes Regarding Biosimilars In Northern Mississippi, Amanda Seals Jan 2017

Healthcare Professionals Knowledge And Attitudes Regarding Biosimilars In Northern Mississippi, Amanda Seals

Honors Theses

The emergence of biologics over the past the past few decades has led to a new interest in the production of a classification of drugs known as biosimilars. The vast complexity involved in the discovery, development, and manufacturing of biologics and biosimilars has made researching the knowledge and perceptions among healthcare professionals important. Healthcare professionals must have an understanding of biologics, as these medications are used for some of the most rare diseases. Healthcare professionals in northern Mississippi were surveyed on their knowledge of and attitudes towards biologics and biosimilars in order to gain insight on the current status of …


Pharmacists' Perceptions Of Rapid Diagnostic Testing In Community Pharmacies In Mississippi: A Diffusion Of Innovations Approach, Erin Ann Hoevelmann Jan 2017

Pharmacists' Perceptions Of Rapid Diagnostic Testing In Community Pharmacies In Mississippi: A Diffusion Of Innovations Approach, Erin Ann Hoevelmann

Honors Theses

Objectives: The broad purpose of this study is to describe community pharmacists' perceptions of rapid diagnostic tests (RDTs) in community pharmacies in Mississippi. The focused goal of this study is to determine the correlation between Everett M. Rogers' attributes of the diffusion of innovations (including relative advantage, compatibility, complexity, trialability, and observability) and the willingness of community pharmacists to offer RDTs in community pharmacies in Mississippi. Methods: This study was approved by the University of Mississippi IRB. A list of licensed pharmacists was obtained from the Mississippi Board of Pharmacy. An email with study details and a link to the …