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[Ergocalciferol Reference Standard (Control 971) of National Institute of Health Sciences].

The raw material for ergocalciferol was examined for preparation of the "Ergocalciferol Reference Standard (Control 971)". Analytical data obtained were as follows: melting point, 116.7 degrees C; UV and infrared spectra, the same as those for JP Cholecalciferol Reference Standard; specific absorbance, E1 cm 1% = 461(265 nm); optical rotation, [alpha]D20 = +102.5 degrees; thin-layer chromatography and high-performance liquid chromatography (HPLC), no impurity was detected; assay, 102.4% by HPLC. Based on the above results, the raw material was authorized as the Ergocalciferol Reference Standard (Control 971) of National Institute of Health Sciences.

Chemical Phenomena↗

[Thiamine Hydrochloride Solution Reference Standard (Control 971) of National Institute of Health Sciences].

The raw material of thiamine hydrochloride solution was examined for the preparation of the "Thiamine Hydrochloride Solution Reference Standard (Control 971)". Analytical data obtained were as follows: assay by HPLC, 100.8%; spectrophotometric assay, 99.8%. Based on the above results, the raw material was authorized to be the Thiamine Hydrochloride Solution Reference Standard of the National Institute of Health Sciences.

Government Agencies↗

[Prednisolone Reference Standard (Control 971) of National Institute of Health Sciences].

The raw material of prednisolone was examined for the preparation of the "Prednisolone Reference Standard (Control 971)". Analytical data obtained were as follows: melting point, 238.4 degrees C (decomposition); infrared spectrum, the same as that of the Prednisolone Reference Standard (Control 911); UV spectrum, lambda max = 243 nm; specific absorbance, E1 cm 1% (243 nm) = 414.8; loss on drying, 0.06%; thin-layer chromatography, one impurity was detected; high-performance liquid chromatography (HPLC), 4 to 5 impurities were detected and the total amount was estimated to be about 0.51%; assay by HPLC, 100.6%. Based on the above results, the raw material was authorized as the Prednisolone Reference Standard (Control 971) of National Institute of Health Sciences.

Government Agencies↗

Enzymatic determination of soluble and insoluble dietary fiber in rice and wheat bran.

The information about dietary fiber presents controversies in many research areas such as in nomenclature, related illnesses, recommended quantities and terminology, mainly because of lack of analytical data. Different needs and interests for the dietary fiber composition of foods and forages have led to a proliferation of methods for its analysis. This research, a further adaptation of the enzymatic method of Asp et al. (1983) for its application is proposed for rice and wheat bran, byproducts of agroindustries in the southern region of Rio Grande do Sul (Brazil). The inclusion of Amyloglucosidase in the proposed methodology contributed to the decrease in the content of residual starch at the end of the experiment, like Prosky et al (1992). To increase the efficiency of the enzyme system in this type of samples, other changes were made with respect to incubation time and proteolytic enzyme concentration. In the final adaptation, a decrease of 51.33% of the starch content was observed in rice bran (RB) and of 52.93% in wheat bran (WB). This decrease was also verified in the model system (MS) (52.08%), which demonstrates the adequacy of the proposed adaptation. With respect to the residual protein, it was verified that the measures adopted provoked a reduction of 42.15% (RB), 52.19% (WB) and 42.11% (MS) as compared to the original method. Then the proposed conditions has been shown to be efficient in decreasing the level of interference (indigestible starch and protein) in the quantification of dietary fiber in rice and wheat bran.

Dietary Fiber↗

Intuition comes of age: workplace applications of intuitive skill for occupational and environmental health nurses.

1. Intuition is an internal experience. It is a way of knowing something directly without an intervening analytic thought. It functions more subjectively than objectively. 2. The subjective nature of intuition makes it challenging to use in the business world yet the value it adds makes it worth the effort. Intuition adds value when making judgment calls, managing unforeseeables, when creativity and innovation are necessary. Intuition is the skill of responding appropriately, in the moment, to specific situations. Intuition "opens the doors" to new possibilities which can then be applied and evaluated analytically. 3. Intuition can be enhanced in the workplace by becoming familiar with some of the ways it is experienced, and facilitate co-workers to express their intuitions more openly. Another way to enhance intuition at work is to ask questions which collect non-analytic data. 4. Making intuitive thinking a regular part of team meetings will improve the productivity of the team and encourage individual use of intuitive skill. Individual intuitive skill can be increased with paying regular attention to physical responses, images, feelings, and synchronicities.

Clinical Competence↗

Anisylidine pyruvic acid in heterocyclic synthesis

A series of substituted pyran, pyridine, thiin (3), (4), (5) and (6) were prepared from anisylidine pyruvic acid (1a). The indenopyran (7) was also prepared from (1a) via Michael addition reaction. Compound (1a) condensed with o-phenylenediamine and o-aminophenol to give (8) and (9). Reaction of (1a) with thiosemicarbazide afforded (10) which cyclized to give the triazine (11). Compound (1b) was subjected to react with o-phenylenediamine, o-aminophenol and diamino-arylazopyrazole derivatives to yield the Schiff bases (12, 13) and (14) respectively. Addition of malononitrile (1 mole) to (1b) gave (15) while addition of (2 moles) of malononitrile gave (16). Reaction of (1b) with urea yielded the pyrrolopyrimidine (17). The structures of the products were confirmed by their correct analytical data.

Journal Article↗

[Toxic megacolon presenting as Crohn's disease].

We introduce a young patient, without history of inflammatory bowel disease (I.B.D.) who started with an acute gastroenteritis, which in the following days progressed to a toxic megacolon. The patient had come to hospital with nausea, vomiting, fever and liquid, explosive diarrhoea without pathologic products. There was no clinical remission with astringent diet, hydroelectrolitic reposition and antidiarrheic opiates. The patient was admitted in hospital when he had blood in the diarrhoea. This progressed to a toxic megacolon in three days and the patient had to be operated on urgently. The surgeons found perforations in the colon and the pathologists diagnosed Crohn disease. Even without previous E.B.D. history we reached the diagnosis from the clinical and analytical data and the plain abdominal radiology. It was impossible to confirm the diagnosis with a colonoscopy because of the high risk of perforation. In cases like this, early surgery may save the life of the patient.

Adult↗

An in vitro comparison of the hemodynamics of two inferior vena cava filters.

PURPOSE: The effectiveness of an inferior vena cava (IVC) filter in preventing pulmonary embolism while preserving caval flow is significantly affected by its hemodynamic characteristics. Flow fields surrounding two types of IVC filters were compared to assess how the design of a filter may influence performance. METHODS: The 12F Titanium Greenfield and VenaTech LGM inferior vena cava filters were studied in vitro with a noninvasive flow visualization technique, the photochromic flow visualization and measurement technique. Axial velocity profiles and wall shear stress distributions were measured. These results were compared with analytical data corresponding to the flow field in the absence of a filter to determine the relative extent of the flow disturbances. RESULTS: The reductions in near-wall axial velocity and wall shear stress caused by the VenaTech filter were more extensive and severe than those caused by the Greenfield filter. These changes were the consequence of differences in the geometry and dimensions of the struts of the two filters. The measurements showed the flow fields to be laminar, with no evidence of turbulence in both cases. CONCLUSION: Two factors that have been linked to thrombogenesis, near-wall velocity and wall-shear stress, were significantly affected by the larger frontal profile area of the VenaTech filter. Although a larger area may increase clot-trapping efficiency, as shown by previous studies, the reduced near-wall velocities and wall shear stresses may increase the potential for thrombogenesis and, thus, caval occlusion. In contrast to other in vitro flow visualization studies, no turbulence was observed with either filter.

Blood Flow Velocity↗

[Urinary excretion of arsenic and its metabolites in a population of adult males not occupationally exposed in the province of Bari].

Urinary excretion of total arsenic (AsT) and other relevant arsenic species, i.e. inorganic arsenic (AsI), monomethylarsonic acid (MMA) and dimethylarsinic acid (DMA), was assessed in 5 groups of subjects with different both seafood consumption and smoking habits. All 137 subjects were young (mean age +/- S.D = 21.7 +/- 2.1), without occupationally exposure to arsenic, males living in the province of Bari, South Italy. The separation of arsenic species was achieved by ion exchange chromatography and the eluted fractions were then analysed by means of Hydride generation-AAS. A quality control of the analytical data was performed jointly to a Belgian laboratory. Statistical analysis of collected data showed that the excretion of AsT is increased in the group with regular consumption of fish and shellfish.

Adult↗

[Triamcinolone Acetonide Reference Standard (Control 981) of National Institute of Health Sciences].

The raw material of triamcinolone acetonide was examined for preparation of the "Triamcinolone Acetonide Reference Standard (Control 981)". The analytical data obtained were: melting point, 289 degrees C (decomposition); UV spectrum, lambda max of 238 nm; IR spectrum, same as that of the Triamcinolone Acetonide Reference Standard (Control 834); optical rotation, [alpha]D20 = +106.8 degrees; thin-layer chromatography, no impurities detected; high-performance liquid chromatography, total amount of impurities less than 0.4%; loss on drying, 1.3%; assay by HPLC, 100.1%. Based on the above results, the raw material was authorized as the Triamcinolone Acetonide Reference Standard (Control 981) of the National Institute of Health Sciences.

Government Agencies↗

[Triamcinolone Reference Standard (Control 981) of National Institute of Health Sciences].

The raw material of triamcinolone was examined for preparation of the "Triamcinolone Reference Standard (Control 981)". The analytical data obtained were: melting point, 246 degrees C (decomposition); UV spectrum, lambda max of 239 nm and specific absorbance in methanol at 289 nm of 394; IR spectrum, specific absorptions at 3462, 1716, 1659, 1615, 1604, 1132 and 1061 cm-1; optical rotation, [alpha]D20 = +69.7 degrees; high-performance liquid chromatography, five impurities detected and amount of each impurity estimated to be less than 0.6% and total amount of impurities less than 1.4%; loss on drying, 0.24%. Based on the above results, the raw material was authorized as the Triamcinolone Reference Standard (Control 981) of the National Institute of Health Sciences.

Government Agencies↗

[A comparative immunochemical study of the subtypes of serologic type I of the agent of pseudotuberculosis].

It was shown that Y. pseudotuberculosis strains causing the Far-Eastern scarlatina-like fever in the Primorsk region belonged to subtype IB-ipopolysaccharides of the standard strain of subtype IB and of the local strain were closely affiliated by the analytic data and monosaccharide composition, but differed from the lipopolysaccharide of strains belonging to subtype IA. Living vaccines should be used to obtain the sera against the subtypes IA and IB of the causative agent.

Amino Sugars↗

[Safety of liposomal amphotericin B in patients with high risk of nephrotoxicity].

BACKGROUND: Amphotericin B is the medication of choice in systemic or invasive fungal infections, but its use often is limited by nephrotoxicity. Lipid formulations of amphotericin B have reduced this risk, but it is not known if these medications also prevent the deterioration of kidney function in patients with previous kidney failure or at risk of kidney failure, such as newborns and patients treated with cyclosporine A. METHOD: A retrospective analysis was made of epidemiological, clinical and analytic data collected from the clinical histories of patients with previous renal failure or at high risk of nephrotoxicity who were treated with liposomal amphotericin B at our hospital between January 1991 and January 1997. RESULTS: An analysis was made of 23 patients (15 men and 8 women, mean age 38 years) who met established criteria. All had severe immunosuppression. Twelve patients had been treated previously with conventional amphotericin B, but treatment was interrupted for kidney failure. The other 11 patients in the group received cyclosporine A (9 cases) or were at risk of nephrotoxicity because of their underlying disease or situation (2 cases). No deterioration of kidney function due to liposomal amphotericin B was observed in any patient. In 5 of the 12 patients who had deterioration of kidney function as a result of previous use of conventional amphotericin B and lived more than one week after changing treatment, it was observed that kidney function recovered and baseline creatinine levels were reached. CONCLUSIONS: Our findings suggest that liposomal amphotericin B can be used safely in immunocompromised patients with fungal infection who have failure or high risk of kidney failure.

Adult↗

[Digoxin Reference Standard (Control 991) of National Institute of Health Sciences].

The raw material of digoxin was examined to prepare a "Digoxin Reference Standard". The analytical data obtained were: optical rotation, [alpha](20)D = + 11.7 degree; loss on drying, 0.008%, infrared spectrum, the same as that of the Digoxin Reference Standard (Control 807); high-performance liquid chromatography, several impurities detected and the total amount estimated to be about 0.31%, assay by spectrophotometry, 100.1%. Based on the above results, the candidate material was authorized as the Digoxin Reference Standard (Control 991) of the National Institute of Health Sciences.

Digoxin↗

[Lanatoside C Reference Standard (Control 981) of National Institute of Health Sciences].

The raw material of lanatoside C was examined for preparation of the "Lanatoside C Reference Standard". The analytical data obtained were: melting point, 247.4 degree C; optical rotation, [alpha]20(D) = + 34.0 degree, loss on drying, 6.93%; infrared spectrum, the same as that of the Lanatoside C Reference Standard (Control 784); thin-layer chromatography, two impurities detected; high-performance liquid chromatography, several impurities detected and the total amount estimated to be about 1.26%; assay by spectrophotometry, 103.0%. Based on the above results, the candidate material was authorized as the Lanatoside C Reference Standard (Control 981) of the National Institute of Health Sciences.

Government Agencies↗

[Glycyrrhizic Acid Reference Standard (Control 991) of National Institute of Health Sciences].

The raw material of glycyrrhizic acid examined for preparation of the "Glycyrrhizic Acid Reference Standard". The analytical data obtained were: UV spectrum: Lambda max, 251 nm; specific absorbance (E (1%) 1cm) in ethanol at 251 nm, 146; IR spectrum, specific absorptions at 1716,1656, 1215, and 1170 cm-1; and the spectrum of raw material was consistent with that of Standard (Control 941). Also, thin-layer chromatography, no impurities detected; high-performance liquid chromatography, three impurities detected. The amount of each impurity was estimated at less than 0.1%, and the total amount of impurities was less than 0.2%. Based on the above results, the candidate material was authorized as the Glycyrrhizic Acid Reference Standard (Control 991) of the National Institute of Health Sciences.

Glycyrrhizic Acid↗

[Tocopherol Succinate Reference Standard (Control 981) of National Institute of Health Sciences].

The raw material of tocopherol succinate was tested for preparation of the "Tocopherol Succinate Reference Standard (Control 981)". The analytical data obtained were: infrared spectrum same as that of the Tocopherol Succinate Reference Standard (Control 8510); specific absorbance, E(1%)1 cm (286 nm) = 40.7; thin-layer chromatography, no impurities detected until 50.0 microgram; high-performance liquid chromatography (HPLC),three impurities detected and amount of tocopherol succinate estimated to be 98.2%, loss on drying, 0.19%, assay by HPLC, 101.7%. Based on the above results, the raw material was authorized as the Japanese Pharmacopoeia Reference Standard (Control 981).

Government Agencies↗

[Fluocinolone Acetonide Reference Standard (Control 981) of National Institute of Health Sciences].

The raw material of fluocinolone acetonide was examined for preparation of the "Fluocinolone Acetonide Reference Standard (Control 981)". The analytical data obtained were: melting point, 271.5 degree C; UV spectrum, Lambda max of 237.0 nm and specific absorbance in ethanol at 237 nm of 359.3; IR spectrum, same as that of the Fluocinolone Acetonide Reference Standard (Control 904); optical rotation, [alpha]20(D) = + 102.8; thin-layer chromatography, no impurities detected; high-performance liquid chromatography, one impurity detected and total amount estimated to be about 0.17%; loss on drying, 0.29%; assay by HPLC, 100.9%. Based on the above results, the raw material was authorized as the Fluocinolone Acetonide Reference Standard (Control 981) of the National Institute of Health Sciences.

Fluocinolone Acetonide↗