Although topical preparations like creams, ointments, and gels were used for many years to achieve local or sometimes systemic effects, they have many limitations mostly the inability to control the release of medications. In this research, a new emulgel preparation of loxoprofen sodium was formulated as a suitable alternative possessing the properties of both emulsion and gel preparation making it suitable to prolong the release of the hydrophilic drug. For this reason, five different emulgel formulas were prepared using different percentages of liquid paraffin (5%,10%), tween 80 & span 80 emulsifier mixture (2.5%, 5%), and xanthan gum (1%, 2%). The formulations were evaluated for their physicochemical, rheological, and spread
... Show MoreIn recent decades, global obesity has increased significantly, causing a major health problem with associated complications and major socioeconomic issues. The central nervous system (CNS), particularly the hypothalamus, regulates food intake through sensing the metabolic signals of peripheral organs and modulating feeding behaviors. The hypothalamus interacts with other brain regions such as the brain stem to perform these vital functions. The gut plays a crucial role in controlling food consumption and energy homeostasis. The gut releases orexigenic and anorexigenic hormones that interact directly with the CNS or indirectly through vagal afferent neurons. Gastrointestinal peptides (GIP) including cholecystokinin, peptide YY, Nesf
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Antibiotic treatment of S.typhi is difficult as compared to treatment of acute infection. Antibiotic resistance carried against S.typhi by using 6 kinds of antibiotics from different classes, their results showed that all isolates were high resistance to Ampicillin (99%), Gentamicin (98%), Amikacin (79%) and less resistances Trimethoprim (55%) , Imipenem (60%) and Ceftriaxone(66%) .
The present study focused on the molecular detection of Wzx flippase, Wzy polymerase genes in some Salmonella typhi isolates, Samples were collected from typhoid patients by classical lab work. Antibiotics susceptibilit
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Background: Retinol binding protein 4 (RBP4), an adipokine that participate in a lipid metabolism or insulin resistance through a complex regulatory network. Recently, RBP4 was reported to be associated with many cardiovascular diseases (CVDs) risk factors in patients of type 2 diabetes mellitus (T2DM). This study aims to study the correlation of serum RBP4 with some markers of glycemic control, dyslipidemia, hypertension and obesity in T2DM Iraqi patients.
Subjects and Methods: one hundred fifty participants were enrolled in this coss-sectional study, 120 of participants were T2DM patients and 30 were apparently healthy individuals to serve as control gro
... Show MoreIn this study miconazole nitrate was formulated as topically applied emulgel; different formulas were prepared using sodium carboxymethylcellulose (SCMC) and carboxypolymethylene (carbomer 941) as gelling agents. The influence of type of gelling agent and concentration of both oil phase and emulsifying agent on drug release was studied and compared with commercially available miconazole nitrate cream (Mecozalen®). The results of in vitro release showed that SCMC emulgel bases gave better release than carbomer 941 bases and the release of drug increase from both bases as a function of increasing the concentration of emulisifying agent. The oil phase had retardation effect when
... Show MoreThe plant Papaver rhoeas ,which belongs to family Papaveraceae and known as common poppy is wildly grown in Iraq .It was used in traditional medicine in wide range of diseases including inflammation, diarrhea, sleep disorders, treatment of cough, analgesia, and also to reduce the withdrawal signs of opioid addiction.
The project provide the first comprehensive research done in Iraq to study the phytochemical and the methods of extraction and separation of alkaloids from Papaver rhoeas wildly grown in Iraq .The plant was harvested in April 2019 from Zurbatiya is an Iraqi town located at the northeast of Waist province in Iraq.The collected plant was washed thoroughly, dries under shade, and grounding in a mechani
... Show MoreThe term "inflammatory bowel disease" refers to a group of gastrointestinal tract inflammatory disorders that are considered idiopathic, chronic, and relapsing. The two primary disorders that comprise inflammatory bowel disease are Crohn's disease and ulcerative colitis. Infliximab, a chimeric monoclonal antibody, is a medication used to treat a number of autoimmune diseases such ulcerative colitis, Crohn’s disease, rheumatoid arthritis, and psoriasis. Therapeutic drug monitoring is a tool used in therapeutic decision-making that allows dosage modifications to be made in accordance with clinical and laboratory measures, usually blood concentrations of the drug, in order to achieve the drug exposure linked to the best res
... Show MoreChronic stable angina pectoris (CSAP) is a prevalent heart disease which can be defined as a symptom or a clinical syndrome of stable coronary artery disease (CAD). CAD is usually caused by the presence of atherosclerotic plaques or blood clot within coronary arteries that may lead to ischemia. miRNA 133a is mainly expressed in the muscle and it has a role in apoptosis, angiogenesis, hypertrophy, atherosclerosis and ischemia. MR-proADM is of endothelial origin and produced by different sites in the body mainly by the heart, kidneys, lungs and adrenal medulla. MR-proADM plasma level is thought to be predictive of CAD. The aim of the current study was to detect the serum levels of micr
... Show MoreOne of the innovative approaches to delivering drugs via topical route is nanoemulation (NE), which is easy to manufacture, stable over the long term, and has a potent solubilization property. Pimecrolimus is a low water soluble drug used to treat psoriasis, eczema, atopic dermatitis and vitiligo. This work describes the high-energy ultrasonication technique used to prepare pimecrolimus nanoemulsion. A pseudo-ternary phase diagram was created in order to determine the ideal ratios of oil-surfactant/co-surfactant mixture for the creation of nanoemulsions. Based on pimecrolimus's solubility in various oils, surfactants, and co-surfactants, Tween 80 was chosen as a surfactant, ethanol as a co-surfactant, and benzyl alcohol as an oil phase .
... Show MoreIsradipine is a calcium channel blocker, it’s the drug of choice for oral therapy of severe hypertension and urgent hypertension crises in pediatrics. It belongs to the BCS class II. Its oral bioavailability will be approximately 15 to 24 %.
This study aims to prepare a stable, low-toxic, eco-friendly, surfactant-free oral oil-in-water emulsion of Isradipine for pediatric patients and enhance dosing accuracy. Isradipine surfactants–free emulsions (SFE) were prepared to protect this ester drug from hydrolysis, oxidation, photosensitivity, increasing its solubility and absorption, thereby improving its bioavailabi
... Show MoreNiosomes are bilayer vesicles formed by the self-assembly of non-ionic surfactants, they are receiving increasing attention as a potential oral drug delivery system specifically for poor soluble drugs to enhance its dissolution and ultimately its absorption and oral bioavailability. Axitinib is a tyrosine kinase inhibitor works by blocking the vascular endothelial growth factor receptors (VEGFR), decreasing the development of neovascularization which supress the tumour growth. It is classified as class 11 drug which has low bioavailability due to its poor solubility and absorption. In this study, axitinib (AXT) capsules based niosomes formulated by thin film hydratio
... Show MoreNumerous pharmacological compounds now on the market are ineffective in treating brain disorders ,they are not getting to the brain with the concentration required to have a pharmacological effect. Since there are many barrier as blood brain barrier (BBB), P-glycoprotein (an active efflux transporter), and specific enzymatic activity are some of the mechanisms that protect the brain from harmful circumstances. These systems, in particular BBB hinder therapeutic interventions of many medications . Thus, the majority of the medicine cannot give the desired effect because they cannot penetrate the brain, so they are useless in the treatment of brain illnesses . As a result, numerous Therefore, strategies that could enhance drug delivery to
... Show MoreThe present study aims to facilitate the development of new agents with better properties specifically, we focus on modifying the basic structure of quinolones; by introducing new functionality at its C3 position. For this purpose, a series of new conjugation derivatives (IIa-Vb) were designed and synthesized by esterification of quinolones (ciprofloxacin, gatifloxacin, nalidixic acid and norfloxacin) with two types of antioxidants (a: menthol and b: umbelliferone) at their carboxylic group at the C3 position which was replaced by an ester group through a glycol linker. The synthesized compounds were checked and characterized for their purity and chemical structure by spectral techniques (NMR, ATR-FTIR) also they were examined for their
... Show MoreCOVID-19 disease is a clinical syndrome caused by an envelope RNA virus, called SARS-COV-2., which causes infection with wildly clinical pictures. Through COVID-19 infection several components of humoral and cellular immune response have an important role in the progression of the infection. Chemokines are one of the inflammatory mediators that play an essential role in the immune pathogenesis of COVID-19. It is secreted by respiratory virus-infected cells in the upper respiratory tract, causing stimulation and recruitment of inflammatory cells such as neutrophils, NK, eosinophils, and macrophages from the bloodstream to the site of the infection. This study strives to determine the impact role of inflammatory mediat
... Show MoreThe exact mechanism of action and which rheumatoid arthritis (RA) patients might benefit from Rituximab (RTX) are still questionable. One of the key elements in assessing the performance of a healthcare facility is patient satisfaction, which is a measure of how satisfied a patient is with the medical care he receives. This study aimed to evaluate the health-related quality of life and treatment satisfaction and their association with the responsiveness to RTX in RA patients. A cross-sectional study was conducted at the Center of Rheumatology in Baghdad- Iraq. The study enrolled 90 patients diagnosed with RA and receiving RTX intravenous infusion, for at least six months. The 28-joints disease activity score (DAS28) and clinical disease
... Show MoreMicrobial lipases today occupy a place of prominence among biocatalysts owing to their ability to catalyze awide variety of reactions in aqueous and non- aqueous media, A.baumannii were isolated from different clinical specimens from hospitalized patients from Baghdad hospitals and were detected by biochemical tests and API20E system. The percentage of isolation was (16.6%), A. baumannii is an increasingly multidrug – resistant (MDR), it showed high level of resistant to Ceftriaxon, Colistin, Piperacillin, Co-trimoxazol, Tertracycline, Carbenicillin, Amoxicillin, Penicillin G, Gentamicin and Ceftazidim , wherease the isolates were highly sensitive to Imipenem, Ciprofloxacin, Meropenem, Amikacin, and Cefotaxime.
... Show MoreKetoconazole (KET), an imidazole derivative with well-known antifungal properties, with poor aqueous solubility, therefore its topical clinical use has practical disadvantages. Bilosome plays an important role in topical drug delivery as they can reduce toxicity and modify dermal drug targeting by acting as a drug reservoir that can adjust the drug release rate.
This research aimed to formulate and optimize KET bilosomes to enhance its dissolution and topical antifungal activity.
Ten KET bilosomes formulas were prepared by probe sonication method using two types of non-ionic surfactants (Span 40 or Span 60) along with cholesterol and sodium deoxycholate (SDC) as lipid strengthen and bil
... Show MoreCefdinir (CEF) is classified as a third-generation cephalosporin within class IV of the Biopharmaceutical Classification System (BCS). Consequently, it exhibits limited solubility in water, which might diminished oral bioavailability. This study aimed to compare CEF in different engineered product. Specifically, the CEF was physically mixed with co-former and then processed using different methods such as co-amorphous system formation with curcumin, binary solid dispersion with polyvinylpyrrolidone k30 (PVP) and with soluplus and ternary solid dispersion with curcumin and PVP using solvent evaporation method. The products were subjected to characterization usi
... Show MoreBackground: The main mechanisms thought to be involved in the pathophysiology of acute renal failure with vancomycin treatment are oxidative stress, inflammation and apoptosis. In this study we evaluated the potential effects of sulbutiamine, thiamine, riboflavin and their combinations on vancomycin-induced acute renal failure as well as the underlying mechanisms.
Methods: a model of vancomycin-induced acute renal failure was performed on male rats. Forty-two rats were separated randomly into seven groups: group 1 (a control group), group 2 (induction vancomycin group) given 200mg/kg at 3rd week, group 3 (sulbutiamine + vancomycin), group 4 (thiamine + vanc
... Show MoreMeclizine Hydrochloride (MCZ) is an effective antihistamine for the prevention and treatment of nausea and vomiting, with low oral bioavailability (about 30 to 40%) due to low water solubility. The purpose of the current study was to develop and characterize a thermo-responsive nasal in-situ gel for MCZ. To enhance the solubility of MCZ, an inclusion complex with Hydroxypropyl-β-Cyclodextrin (HP-β-CD) was prepared and characterized. The prepared complex was utilized in the preparation of thermosensitive in situ gels using the cold method. Twelve formulations were developed by employing various concentrations of Poloxamer 407, either alone or in combination with Poloxamer 188. Additionally, hydroxypropyl methylcellulos
... Show MorePsidium guajava) is a compact tropical tree or shrub belonging to the Myrtaceae family. Originally native to tropical America, The literature survey has unveiled the diverse medicinal properties of guava, which have been documented worldwide through ethnobotanical and ethnopharmacological surveys so it is newly cultivated in Iraq, this research is considered the first of its kind to extract essential oil from guava leaves and fatty acid from petroleum ether fraction of guava leaves newly cultivated in Iraq to identify the compounds present and test the cytotoxic activity of petroleum ether fraction on HEPG2 cell line. The extraction of essential oil (EO) from (Guava) leaves was carried out using the hydro distil
... Show MoreCardiovascular disorders are refer to the class of diseases that involve the heart or blood vessels (arteries and veins). While the term technically refers to any disease that affects the cardiovascular system. Cholesterol is classified as a sterol (a contraction of steroid and
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Environmental pollution with heavy metals like lead has become a matter of concern, the accumulation and multi-systemic toxicity of lead affect most body organs and its toxicity is related with many pathological changes, especially on liver. 18 Sprague-Dawley rats weighting 160-250g of both male and female were included; the animals were divided with randomness into three groups, 6 rats each group: 1st group: Rats were orally inoculated with 0.3 ml saline, after 1 hour, intraperitoneal (IP) injection of 100 μl of saline was given (Control). 2nd group: Rats received daily IP injection (20 mg/kg body wt.) of immediately preparation lead acetate for 5 days, the dose and route of admi
... Show MoreBackground: The novel coronavirus disease (COVID-19) is caused by Severe acute respiratory syndrome coronavirus 2 (SARS-Cov2) which utilizes angiotensin converting enzyme2 (ACE2) to invade the host cells. This membrane-bound peptidase is widely distributed in the body; its activity antagonizes the renin-angiotensin-aldosterone system (RAAS). Once SARS-Cov2 enters the cell, it causes downregulation of ACE2, resulting in the unopposed activation of RAAS. The unregulated activity of the RAAS system can deteriorate the prognosis in COVID-19 patients. A soluble form of ACE2 (sACE2) was reported to have a role in the SARS-Cov2 invasion of the susceptible cells.
Aim of the study: This study aims to inve
... Show MoreThere are obstacles to high levels of hypertension awareness that are embedded in gender, income and lifestyle habits which need to be addressed leading to high levels of undiagnosed and uncontrolled hypertension. This study aimed to explore the various factors which affect hypertension awareness among a hypertensive population in a tertiary care hospital.
A quantitative study was conducted among hypertensive patients at a tertiary care hospital in Selangor, Malaysia. A validated and translated questionnaire was utilised as a data collection tool. Descriptive and inferential statistical analysis was done using SPSS version 25.
A thousand participants (female n=621, male n= 379) were recruited, and their
... Show MoreTo evaluate the efficacy of empagliflozin on the quality of life (QoL) and glycemic index in patients with type 2 diabetes mellitus (T2DM) inadequately controlled with conventional oral anti-diabetic agents (OADs).
A pre-post study involved forty T2DM patients who were on a combination of three OADs (glimepiride + metformin + vildagliptin) with glycated hemoglobin A1c (HbA1c) 7.0% - 12.0%. All patients received empagliflozin (10 mg/day) as add-on therapy for 16 weeks.
Adding empagliflozin showed significant reduction in postprandial plasma glucose (PPG), (HbA1c), body mass index (BMI) and index of central obesity (ICO) (p<0.001). Significant improvements have been shown in the Quality of Life in Iraqi type 2 diabetic pat
... Show More2-amino-4-(4-chloro phenyl)-1,3-thiazole (1) was synthesized by refluxing thiourea with para-chloro phenacyl bromide in absolute methanol. The condensation of amine compound (1) with phenylisothiocyanate in the presence of pyridine will produce 1-(4-(4-chlorophenyl)thiazol-2-yl)-3-phenylthiourea(2), which is upon treatment with 2,4 dinitrophenyl hydrazine by conventional method, afforded 1- ( 4 - ( 4 – chlorophenyl ) thiazol – 2 – yl ) – 3 - phenylhydrazonamide,N' - ( 2 , 4 -dinitrophenyl) ,(3).The characterization of the titled compounds were performed utilizing FTIR spectroscopy, 1HNMR and CHNS elemental analysis, and by me
... Show MoreRecently on the dermatological fields, the serum levels and the roles of Zn, Cu and Mg have been studied especially in acne vulgaris, but the results were controversial. The aim of the present study is to investigate a relationship between the severity of acne and the serum levels of zinc (Zn), copper (Cu) and magnesium (Mg) and to demonstrate the status of serum levels of zinc, copper, and magnesium in Iraqi male patients with acne vulgaris and to compare it with those of healthy controls.This case controlled study was conducted in the Department of Dermatology and Venerology and in the Poisoning Consultation Center of Baghdad Teaching Hospital between May 2009 to January 2010. Forty- five male patients with acne vulgaris, their a
... Show MoreExogenous levothyroxine dose modulation and euthyroidism achievement is a persistent challenge in clinical settings. This study strives to assess the adequacy of treatment and identify the patients’ factors that can be used to estimate the euthyroid levothyroxine dose. A secondary objective was to assess vitamin D supplementation impact on thyroid status.
A review of a prospectively collected information from 142 female patients from Baghdad Center of Nuclear Medicine from June 2019 until March 2020 who were receiving levothyroxine for different causes was done. After a follow-up period, the patients’ thyroid tests were assessed and the euthyroid doses for each cause category were statistically analyzed. Thyroid function was
... Show MoreFlavonoids are known to play a vital role in the management of various liver disorders.They are a large family of compounds synthesized by plants; they belong to a group of natural substances with variable phenolic structures. In this study we aim to scan the types of flavonoids in a newly studied, wild Iraqi plant named Echinops tenuisectus of Compositae family. The medicinal importance of flavonoids on one hand, and the absence of any phytochemical investigation on tenuisectus species of Echinops genus on the other hand, acquired this study itÛ¥s importance. Three flavonoids were identified in the seed,s extract of this plant (Silymarin, Rutin, Quercetin ) by two chromatographic methods, first Thin laye
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