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Determination of the physical state of drug in microcapsule and microsphere formulations.

Tolnaftate microcapsules and microspheres were prepared by gelatin-acacia coacervation and emulsion-solvent evaporation methods respectively. The physical state of the drug in these formulations was determined by using scanning electron microscopy (SEM), X-ray powder diffractometry, and differential scanning calorimetry (DSC). High pressure liquid chromatographic (HPLC) method was used for stability determination and polymer-drug interactions were evaluated using FTIR. The pros and cons of each method, in the assessment of the physical state of drug in these formulations, were investigated. SEM was found to be useful in obtaining a direct visual evidence of the presence of crystalline drug in the microspheres, but not for the microcapsule formulation. The DSC method was used to determine the physical state of the drug qualitatively in both these formulations. In the case of the microcapsules, accurate quantitation of the crystalline drug content by DSC was not possible because of the interference of thermal events. Powder X-ray diffractometric method was able to demonstrate the presence of crystalline drug and polymorphic changes, if any, in both these formulations. HPLC data revealed that the drug was stable in these formulations for at least 6 months. The FTIR studies indicated the absence of any drug interaction with the polymeric matrix materials, during preparation of these dosage forms.

Antifungal Agents↗

Light insensitive physical developers.

Within the pH range 2.5-6.5 tungstic acid (an isopolyacid) prevents the reduction of silver ions by ascorbic or hydroquinone more effectively than either gum acacia or other protective colloids. The colloid state of tungstic acid can be stabilized with nonionic detergents, especially with Triton X-100. For buffering the system a mixture of acetic acid and sodium acetate is optimal. Physical developers constituted on the basis of these observations are, in contrast to those commonly used in histology, light insensitive, and remain clear for about 30 min at room temperature, 2-5 times as long as the time required for development.

Buffers↗

Decreased absorption of propoxyphene by activated charcoal.

In 1968 we first suggested that activated charcoal (AC) should be administered in the emergency treatment of propoxyphene overdosage. The dramatic increase in recent years of deaths involving propoxyphene has prompted us to again evaluate the efficacy of AC in preventing absorption of propoxyphene from the GI tract. Male rats (100-125 g) were administered propoxyphene hydrochloride (P-HCl, 350 mg/kg) or propoxyphene napsylate (P-N, 825 mg/kg) either dissolved or suspended in 5% acacia in H2O. After 30 min the rats were administered either AC at 10 times the drug dose or water. Surviving rats were sacrificed at 1, 2, 4, 8, 12, and 24 h; the brain, liver, and both kidneys were removed intact, weighed, and stored at -70 degrees C. After lyophilization, the tissues were analyzed for propoxyphene and its metabolite, norpropoxyphene, by GLC. There were significantly less deaths in rats that received P-HCl + AC or P-N + AC than rats that received either P-HCl or P-N alone (9 vs 19, p less than .01 and 5 vs 10, p less than .05 respectively). Tissue levels of propoxyphene and norpropoxyphene were similarly significantly reduced. These studies provide further evidence of the efficacy of AC in propoxyphene overdosage.

Animals↗

Allergic rhinitis in the Middle East.

BACKGROUND: Current military operations in the Middle East involve active duty, National Guard, and reserve troops from all services. Despite common misconceptions, the desert environment in this region has significant aeroallergen seasons that may exacerbate allergic rhinitis. OBJECTIVE: To review perennial and seasonal aeroallergen trends in the Middle East. RESULTS: Most countries have significant grass and weed pollen seasons during April to May and September to October, respectively. Indigenous trees such as date palm, acacia, and mesquite have specific pollen seasons from March to May. Mold allergens are perennial with seasonal peaks, whereas house dust mite is common in humid coastal regions. CONCLUSIONS: Seasonal and perennial allergens observed in the United States are also found in the Middle East. Furthermore, the prevalence of allergic rhinitis in these countries suggests that local aeroallergens exacerbate symptoms. Health care providers should counsel deploying soldiers with allergic rhinitis regarding relevant allergen trends, ensuring that these individuals have appropriate medications.

Counseling↗

Prevalence of allergic sensitization to regional inhalants among allergic patients in Jakarta, Indonesia.

Sensitization towards a panel of eight regional inhalant allergens was evaluated among 107 patients with allergic rhinitis and/or asthma. A total of 32 children (age 5-13 years, mean 9 years; 18 male, 14 female), 75 adolescents and adults (aged 14-66 years, mean 32 years; 21 male, 54 female) and 20 normal control volunteers (aged 16-46, mean 30 years; 4 male, 16 female) were evaluated via skin prick test. A weal response of 3 x 3 mm or greater was taken to be positive. The sensitization rates among individuals to these allergens were: house dust mites, Dermatophagoides pteronyssinus (77.57%), Blomia tropicalis (71.96%), Austroglycyphagus malaysiensis (33.64%), pollen, palm oil Elaeis guineensis (22.43%), Acacia auriculiformis (12.15%), fern spore, resam Dicranopteris spp (11.21%), fungal spores: Curvularia fallax (8.41%) and Exserohilum rostratum (13.08%). There were significantly higher frequencies of sensitization to these allergens among allergic individuals compared to normal controls, and among atopic individuals with two allergy manifestations (rhinitis and asthma) compared to those with only one. No difference was noted between children and adults in the allergic group. In conclusion, the allergic patients were highly sensitized to dust mites and sensitization to regional pollen and spores was also documented. They should be considered as relevant and be included in skin test batteries in Indonesia.

Adolescent↗

Quantification of D-dimer using a new fully automated assay: its application for the diagnosis of deep vein thrombosis.

BACKGROUND AND OBJECTIVE: A D-dimer assay can be helpful to rule out thromboembolism provided it is sensitive, reliable, fast and easy to perform. Tests based on the ELISA methodology have a high diagnostic sensitivity, and are therefore adequate for excluding deep venous thrombosis (DVT). The drawbacks are their long assay times, unsuitability to be run on single samples and cost. New methods have been developed, based either on the same principle, by immunofiltration or by microlatex immunoturbidimetric assays which seem to reach the high sensitivity and negative predictive value (NPV) required, but allowing fast and quantitative single sample analysis. The aim of this work was to evaluate one rapid test, a fully automated quantitative assay (IL Test D-dimer, run on an ACL 7000 coagulation analyzer, Instrumentation Laboratory). DESIGN AND METHODS: We compared the diagnostic value of IL Test for DVT with that of an ELISA (Dimertest Gold EIA Agen Biomedical Limited, Acacia Ridge, Australia). Eighty-six patients (43 men, 43 women, mean age: 61 years) showing DVT symptoms formed the population for this non-randomized controlled trial in a referral center. The diagnosis of DVT based on the clinical history, was confirmed by serial compression ultrasonography (CUS) with Doppler flow in 62 patients. RESULTS: The IL Test D-dimer proved to be rapid, automated and well suited for individual tests with a good reproducibility in three control plasmas with different concentrations of D-dimer (coefficient of variation range 0.54-3. 87%). Its performance was comparable to that of the Dimertest Gold EIA, as indicated by the areas under the receiver operating characteristic curves (Dimertest Gold EIA 0.748; IL Test D-dimer 0.70). On the basis of kappa coefficients, there was a good concordance between the Dimertest Gold EIA and IL Test D-dimer when the receiver operating characteristic (ROC) curves suggested cut-offs were used. The sensitivity (98.3%) and NPV (88.9%) shown by IL Test D-dimer are comparable or even better than those obtained for EIA (95%, 80%, respectively). INTERPRETATION AND CONCLUSIONS: This study shows that the new method can be included in prospective clinical trials to test the utility of D-dimer measurement in combination with other non-invasive diagnostic procedures in the management of DVT diagnosis.

Adolescent↗

Long-term effects of triptolide on spermatogenesis, epididymal sperm function, and fertility in male rats.

Prior studies had suggested that triptolide, a diterpene triepoxide isolated from a Chinese medicinal plant, might be an attractive candidate as a post-testicular male contraceptive agent. Despite the promise that triptolide would not affect testis function, nagging concerns remained that a delayed onset of testicular effect might exist. The objectives of this study were to assess the effects of relatively longer treatment duration of triptolide on fertility, spermatogenesis, and epididymal sperm pathophysiology; and to evaluate the reversibility of these effects after the cessation of treatment. Adult male Sprague-Dawley rats were fed daily with either 30% gum acacia as a vehicle control (n = 12) or 100 microg/kg body weight (BW) of triptolide for 82 days (n = 12) followed by a recovery period of up to 14 weeks (n = 6). At the end of the treatment period, all rats treated with triptolide were sterile. Cauda epididymal sperm content decreased by 84.8% and sperm motility was reduced to zero. In addition, virtually all cauda epididymal sperm in the triptolide-treated group exhibited severe structural abnormalities. The most striking changes observed were head-tail separation, premature chromatin decondensation of sperm nuclei, a complete absence of the plasma membrane of the entire middle and principle pieces, disorganization of the mitochondrial sheath, and aggregation of many sperm tails. Longer treatment duration of triptolide also affected spermatogenesis, with marked variability in the response of individual animals. The degree of damage ranged from apparently normal-looking seminiferous tubules to flattened seminiferous epithelium lined by a single layer of cells consisting of Sertoli cells and a few spermatogonia. Affected tubules exhibited intraepithelial vacuoles of varying sizes, multinucleated giant cells, germ cell exfoliation, and tubular atrophy. Recovery occurred as early as 6 weeks after cessation of treatment. By 14 weeks, 4 out of 6 triptolide-treated males were fertile and the females that were impregnated by 3 out of 4 triptolide-treated male rats produced apparently normal litters. These results suggest that triptolide has 2 phenotypic effects on mature and maturing germ cells. The first action appears earlier and manifests mainly in epididymal sperm. The second action presumably is directly on germ cells in testis and causes a variable impairment of spermatogenesis that may not be completely reversible. It is unclear if the earlier effect is a delayed manifestation of subtle testicular injury or post-testicular action.

Animals↗

Vulnerability to xylem cavitation and the distribution of Sonoran Desert vegetation.

We studied 15 riparian and upland Sonoran desert species to evaluate how the limitation of xylem pressure (Ψ(x)) by cavitation corresponded with plant distribution along a moisture gradient. Riparian species were obligate riparian trees (Fraxinus velutina, Populus fremontii, and Salix gooddingii), native shrubs (Baccharis spp.), and an exotic shrub (Tamarix ramosissima). Upland species were evergreen (Juniperus monosperma, Larrea tridentata), drought-deciduous (Ambrosia dumosa, Encelia farinosa, Fouquieria splendens, Cercidium microphyllum), and winter-deciduous (Acacia spp., Prosopis velutina) trees and shrubs. For each species, we measured the "vulnerability curve" of stem xylem, which shows the decrease in hydraulic conductance from cavitation as a function of Ψ(x) and the Ψ(crit) representing the pressure at complete loss of transport. We also measured minimum in situ Ψ(x)(Ψ(xmin)) during the summer drought. Species in desert upland sites were uniformly less vulnerable to cavitation and exhibited lower Ψ(xmin) than riparian species. Values of Ψ(crit) were correlated with minimum Ψ(x). Safety margins (Ψ(xmin)-Ψ(crit)) tended to increase with decreasing Ψ(xmin) and were small enough that the relatively vulnerable riparian species could not have conducted water at the Ψ(x) experienced in upland habitats (-4 to -10 MPa). Maintenance of positive safety margins in riparian and upland habitats was associated with minimal to no increase in stem cavitation during the summer drought. The absence of less vulnerable species from the riparian zone may have resulted in part from a weak but significant trade-off between decreasing vulnerability to cavitation and conducting efficiency. These data suggest that cavitation vulnerability limits plant distribution by defining maximum drought tolerance across habitats and influencing competitive ability of drought tolerant species in mesic habitats.

Journal Article↗

Fossil legumes from the Middle Eocene (46.0 Ma) Mahenge Flora of Singida, Tanzania.

Middle Eocene age caesalpinioid and mimosoid legume leaves are reported from the Mahenge site in north-central Tanzania. The Mahenge flora complements a sparse Paleogene tropical African fossil plant record, which until now consisted of a single macrobotanical assemblage, limited palynological studies in West Africa and Egypt, and fossil wood studies primarily from poorly dated deposits. Mahenge leaf macrofossils have the potential to add significantly to what is known of the evolutionary history of extant African plant groups and to expand our currently limited knowledge of African Paleogene environments. The site is associated with a kimberlite eruption and demonstrates the potential value of kimberlite-associated lake deposits as much-needed resources for African Paleogene floras. In this report we document a relatively diverse component of the flora consisting of the leaves of at least five species of Leguminosae. A new species of the extant genus Acacia (Mimosoideae), described herein, is represented by a bipinnate leaf. Another taxon is described as a new species of the extant genus Aphanocalyx (Caesalpinioideae), and a third leaf type may be related to the extant genus Cynometra (Caesalpinioideae). Two additional leaf types are less well understood: one appears to be referable to the Caesalpinioideae and subfamily affinities of the other taxon are unknown.

Journal Article↗

Hypoglycaemic activity of extracts from soft corals of Andaman and Nicobar coasts in rats.

The ethylacetate extract of soft corals collected from Andaman and Nicobar Coasts were screened for hypoglycaemic activity in fasting rats. Rats were divided into 5 groups. Group I received 0.5 ml of 5% gum acacia suspension (control). Group II received the extract of Cladiella australis (CAS), at a dose of 250 mg/kg. Group III received the extract of Sinularia new species (SNS), at a dose of 75 mg/kg. Group IV received the extract of Lamnalia new species (LNS), at a dose of 400 mg/kg and Group V received the extract of 250MF-CBR-13 at a dose of 250 mg/kg. All extracts were administered orally. Blood samples, collected before the administration of test extracts and also at 2, 4, 6, and 8 hr after treatment, were analysed for glucose content. The percentage blood glucose reduction from that of control was also calculated. A very promising hypoglycaemic activity was observed in rats with CAS at 8 hr (42.3%), with SNS at 4 hr (28.34%) and 6 hr (40.6%), with LNS at 6 hr (32.38%) and with MF-CBR-13 at 6 hr (20.25%).

Animals↗

Litterfall and organic matter decomposition in a seasonal forest of the eastern Chaco (Argentina).

Amazonia and the Gran Chaco are the largest phytogeographic units of the Neotropical Region. The Forest Wedge of the Santa Fe province of Argentina is the southernmost part of the Eastern Chaco, and there are three main types of forest, 1) the mixed dense forests, 2) the Schinopsis balansae "quebrachal" and 3) the Prosopis nigra var. ragonesei forests, distributed along an environmental gradient correlated with topographic elevation. In this paper litterfall and organic matter decomposition of four species were studied in two different microsites in a Schinopsis balansae forest during three years. Litter fall varied along the year following seasonal environmental variation but litterfall variations between years were not significant. Litterfall was not uniform over the whole surface, under close canopy monthly average litterfall amounts 32.67 g/m2, in open gaps 4.47 g/m2 and 15.07 g/m2 under medium density canopy. Organic matter decomposition, like in other forests, was a negative exponential function of time, and the decomposition rate is independent from the microsites where it falls, 0.15 and 0.12 in sunny and shadow microsites respectively for Maytenus vitis-idaea, 0.10 and 0.11 in sunny and shadow microsites respectively for Achatocarpus praecox, 0.04 and 0.03 for Acacia praecox, 0.04 and 0.06 for Schinopsis balansae in sunny and shadow microsites respectively. Shurbs litter was decomposed faster than the tree litter, and the shurbs litter nutrientes level was also higher. Therefore the rate of organic matter decomposition is more correlated with leaf characteristics than with environmental variables.

Argentina↗

[Gambir revisted].

Preparations made from Uncaria gambir or Acacia catechu are called hái-ér-chá, băi-yào-jiān, or a-sen-yaku. Their identification and relation to one another are discussed historically and etymologically. Hái-ér must have been derived from khadira (Sanskrit), khayer (Bengalese), or khair (Hindi). A-sen is supposed to be formed by the combination of er and sen; the latter may be a euphonic transformation from sen, to (--, to decoct).

History of Pharmacy↗

An analysis of skin prick test reactions in asthmatics in a hot climate and desert environment.

BACKGROUND: Studies have shown that allergens are very important sensitizing agents in patients with asthma. Respiratory disorders such as asthma and allergic rhinitis are common in the United Arab Emirates, (UAE). OBJECTIVES: The aim of this study was to investigate the relationship between allergen specific IgE antibodies and skin test reactivity in patients with asthma in hot climate and desert Arabian country. DESIGN: A hospital-based prospective study conducted. SETTING: Tawam Teaching Hospital, Al-Ain, UAE. PATIENTS: 327 adult patients recruited with respiratory, dermatologic and ophthalmologic diseases of suspected allergic origin who attended Tawam Teaching Hospital of Faculty of Medicine, Al Ain, UAE, during three years from 1996 to 1998. METHODS: Skin Prick Test (SPT) and radioallegosorbent tests (RAST) were performed on 327 patients for common allergens. The blood sample was taken for measuring specific IgE concentration. RESULTS: There were 327 UAE patients of whom 117 (35.8%) were males and 210 (64.2%) were females. The population sample had a higher prevalence of diagnosed asthma among females (48.1%) than in males (36.7%). Skin prick testing showed that 244 patients (74.6%) had positive results, and 83 patients (25.4%) were found to be skin test negative. 44% had a positive family history of asthma. The twelve most common reactions in the United Arab Emirates were: Mesquite (45.5%), Grass Mix (40.7%). Cottonwood (33.1%), Bermuda Grass (31.3%), Kochi (25.8%), Acacia (25.6%), Alfalfa (22.9%), Chenopodium (19.6%), Date palm (13.8%), Cockroach (14.7%), house dust (11.9) and Dust mite (9.5%). Total IgE level (> 100 kU/l) was strongly associated with history of wheeze (p = 0.019), asthma (p = 0.01) and allergic rhinitis (p < 0.0001), atopy (p < 0.0001) and the presence of specific IgE antibodies to grass pollen (p < 0.0001), mite (p = 0.008) and cockroaches (p = 0.025). CONCLUSION: The present study revealed that hypersensitivity to pollens, house dust, dust mite and cockroach was common. The family history, environment, and airborne allergens are identified to be risk factors for asthma and other allergic diseases in Arabian Gulf Countries.

Adolescent↗

Sustaining pattern of phenformin hydrochloride using various polymers and waxes.

The present study was carried out to formulate matrix tablets of phenformin hydrochloride. Granules of phenformin HCl were prepared by using ethyl cellulose, eudragit RS 100, gum acacia, carnauba wax, stearyl alcohol, glyceryl monostearate and triethanol amine. Thus the granules were compressed and fourteen tablets formulations were prepared. All the physical parameters of granules and matrix tablets were studied including compatibility study. One commercial timed disintegration capsule was also included for study and comparison. The results of in vitro studies showed that sustained release matrix tablet might be prepared using carnauba wax, stearyl alcohol, triethanol amine and magnesium stearate.

Chemical Phenomena↗

Anthelminthic efficacy of traditional herbs on Ascaris lumbricoides.

The ascaricidal efficacy of six commonly used traditional herbs. Artemesia santonica, Inula helenium, Cassia abutnsifolla, Albizzia lebbek, Acacia auriculoformis and oil of Apium graveolens, was tested in vitro against the eggs and larvae of Ascaris lumbricoides. Aqueous extracts of 1% Artemesia and 5% of Albizzia and Inula were effective in killing both the infective larvae ill less than 40 days and eggs in 20 days. The results showed that Artemesia, Albizzia and to less extent Inula were promising antihelmintics against Ascaris lumbricoides. Extracts of the other tested herbs were less or no value.

Animals↗

Carcinogenesis Bioassay of Gum Arabic (CAS No. 9000-01-5) in F344 Rats and B6C3F1 Mice (Feed Study).

A carcinogenesis bioassay of gum arabic (81-86% pure), a widely used food stabilizer, was conducted by feeding diets containing 25,000 or 50,000 ppm of the test substance to 50 F344 rats and 50 B6C3F1 mice of each sex for 103 weeks. Groups of untreated rats and mice of each sex served as controls. Throughout most of the study, mean body weights of dosed male and female mice and of dosed male rats were comparable with those of the controls; mean body weights of the dosed female rats were slightly lower than those of the controls. No other compound-related clinical signs or effects on survival were observed. Mean daily feed consumption by high-dose rats and mice of either sex was 85% to 94% that of the controls. The high dose (50,000 ppm) used in this bioassay is the maximum concentration (5%) currently used in feed studies. Statistically significant (P<0.05) increasing trends were observed for the number of female mice with hepatocellular carcinomas (1/49, 2/50, 6/50), and with total liver tumors (4/49, 2/50, 10/50). No statistically significant differences were obtained when comparing the control rates with those observed in the treated groups. These observations were not considered to be clearly associated with the dietary administration of gum arabic. Thus, no compound-related neoplastic or nonneoplastic lesions were found in rats or mice of either sex. Under the conditions of this bioassay, gum arabic was not carcinogenic for F344 rats or B6C3F1 mice of either sex. Levels of Evidence of Carcinogenicity: Male Rats: Negative Female Rats: Negative Male Mice: Negative Female Mice: Negative Synonym: gum acacia

Journal Article↗

Vernal keratoconjunctivitis in Thailand.

A prospective, cross-sectional and randomized cross-over study was conducted to study the clinical features and treatment outcome among Thai patients with vernal keratoconjunctivitis (VKC). History-taking and eye examinations were performed. Mild cases of VKC were given topical antihistamine four times daily. Moderate and severe cases of VKC were treated with topical lodoxamide four times a day. Severe cases of VKC were given topical corticosteroids. Moderate and severe cases of VKC, which were refractory to treatment with either corticosteroids or a mast cell stabilizer had topical cyclosporine 0.5% instilled four times daily. Five patients were exposed to two different treatment regimens in sequence. As main outcome measures, itching, foreign body sensation, photophobia, conjunctival injection, papillae and chemosis were evaluated weekly. The patients with the palpebral type of VKC had daily symptoms, which were more severe and triggered by house-dust with a significant difference among the groups. Limbal VKC was associated with allergic rhinitis more commonly than palpebral VKC. Positive results of skin prick testing to acacia, careless weed, mold, Johnson grass and cow's milk were significantly more common in patients with palpebral VKC. The most common symptoms and signs were found in the mixed type of VKC. Purulent discharge, pannus and lid erythema were found in the palpebral type. Levocabastine hydrochloride was sufficient for mild cases of limbal VKC; lodoxamide for the limbal and mixed types. Prednisolone acetate was the drug of choice in severe cases of any type but only for a short period of time. The success rate of topical cyclosporine in the palpebral type was lower than in the limbal type due to an intolerable burning sensation. Topical cyclosporine used in 4 patients with limbal and palpebral type had a success rate of 100% which was greater than in the lodoxamide group (66.7%, 0%). Compared with topical corticosteroid-treated eyes in one patient, the success rate in topical cyclosporine-treated eyes was not success. Grading the severity of each type of VKC is crucial to obtain good response of any medication and compliance. Topical cyclosporine 0.5% can be an alternative drug to relieve symptoms and signs of VKC in order to avoid steroid-induced glaucoma.

Adolescent↗

[Contact dermatitis by Frullania dilatata (L) Dum].

The Bordeles School of Le Coulant described in 1966, a contact dermatitis produced by "hepatics" of the Frullania genus. The hepatics together with the mosses and sphagnus form the group of Bryophytes. Only the hepatics with leaves or Jungermaniales have a capacity to cause sensitivity. They grow in dark colour plates on the bark of different trees such as the chestnut-tree, acacias, poplar-trees, beech-trees,and in particular, the oak-trees and evergreen oak-trees. The conifers are rarely affected by these epiphytes. The Frullania lives in the most adverse climates, growing not only on trees, but also on surfaces such as rocks, prefering humid sites. Cases of allergy to Frullania dilatata have been registered in France by Foussereau and Maleville and by De Graciansky. In British Columbia, Mitchel has described cases of contact dermatitis by another species of Frullania, the F. tamarisci subsp. nisquallensis. There are described six cases of contact dermatitis induced by Frullania dilatata that have been studied in the last five years. The indicated growth, because it is epiphyte on forest species, sensitizes those people who through their profession or way of life, come into contact with trees or wood. All our cases were men who had some sort of contact with oak-trees. The lesions fundamentely affected the face, hands and genitales; the diagnostic was established through a patch test with the plant itself. The lesions were of acute eczema so much macroscopic as well as mircoscopic. It has been proved that the responsible substance of the sensitization belongs to the group of sesquiterpenics lactons and that it is also responsible for the contact dermatitis produced by the chrysanthemum, ragweed, pyrstrum, etc. In one of the cases reported, a positive contact test was obtained using extract of chrysanthemum, and in the other case a hyposensitization was tried but it gave negative results.

Adult↗