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https://www.readbyqxmd.com/read/29915671/pharmaceutical-quality-assurance-of-local-private-distributors-a-secondary-analysis-in-13-low-income-and-middle-income-countries
#1
Kerlijn Van Assche, Ariadna Nebot Giralt, Jean Michel Caudron, Benedetta Schiavetti, Corinne Pouget, Achilleas Tsoumanis, Bruno Meessen, Raffaella Ravinetto
Introduction: The rapid globalisation of the pharmaceutical production and distribution has not been supported by harmonisation of regulatory systems worldwide. Thus, the supply systems in low-income and middle-income countries (LMICs) remain exposed to the risk of poor-quality medicines. To contribute to estimating this risk in the private sector in LMICs, we assessed the quality assurance system of a convenient sample of local private pharmaceutical distributors. Methods: This descriptive study uses secondary data derived from the audits conducted by the QUAMED group at 60 local private pharmaceutical distributors in 13 LMICs...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29908576/traditional-and-ethnobotanical-dermatology-practices-in-romania-and-other-eastern-european-countries
#2
Marilena Gilca, George Sorin Tiplica, Carmen Maria Salavastru
The geographic and ecologic specificity of Romania and other Eastern European countries has resulted in the development of an exceptional diversity of medicinal plants. The purpose of this study was to provide an overview of the ethnobotanical dermatology practices based on the use of medicinal plants in this region. The indications, ethnopharmacologic activities, parts used, and administration of 106 medicinal plants are provided. We also discuss the relative importance of these species, using two modified indices of quantitative ethnobotany: Use Value Index and Relative Dermatologic Importance, which were calculated on the basis of etic constructions (indications and ethnopharmacologic activities)...
May 2018: Clinics in Dermatology
https://www.readbyqxmd.com/read/29889893/medip-combined-with-in-solution-targeted-enrichment-followed-by-ngs-inter-individual-methylation-variability-of-fetal-specific-biomarkers-and-their-implementation-in-a-proof-of-concept-study-for-nipt
#3
Anna Keravnou, Marios Ioannides, Charalambos Loizides, Kyriakos Tsangaras, Achilleas Achilleos, Petros Mina, Elena Kypri, Michael D Hadjidaniel, Maria Neofytou, Skevi Kyriacou, Carolina Sismani, George Koumbaris, Philippos C Patsalis
DNA methylation is the most characterized epigenetic process exhibiting stochastic variation across different tissues and individuals. In non-invasive prenatal testing (NIPT) fetal specific methylated regions can potentially be used as biomarkers for the accurate detection of fetal aneuploidies. The aim of this study was the investigation of inter-individual methylation variability of previously reported fetal-specific markers and their implementation towards the development of a novel NIPT assay for the detection of trisomies 13, 18, and 21...
2018: PloS One
https://www.readbyqxmd.com/read/29883784/achillea-millefolium-l-hydroethanolic-extract-inhibits-growth-of-human-tumor-cell-lines-by-interfering-with-cell-cycle-and-inducing-apoptosis
#4
Joana M Pereira, Vanessa Peixoto, Alexandra Teixeira, Diana Sousa, Lillian Barros, Isabel C F R Ferreira, M Helena Vasconcelos
The cell growth inhibitory activity of the hydroethanolic extract of Achillea millefolium was studied in human tumor cell lines (NCI-H460 and HCT-15) and its mechanism of action was investigated. The GI50 concentration was determined with the sulforhodamine B assay and cell cycle and apoptosis were analyzed by flow cytometry following incubation with PI or Annexin V FITC/PI, respectively. The expression levels of proteins involved in cell cycle and apoptosis were analyzed by Western blot. The extracts were characterized regarding their phenolic composition by LC-DAD-ESI/MS...
June 5, 2018: Food and Chemical Toxicology
https://www.readbyqxmd.com/read/29866011/comparison-of-triflusal-with-aspirin-in-the-secondary-prevention-of-atherothrombotic-events-%C3%AE-randomised-clinical-trial
#5
Kallirroi I Kalantzi, Ioannis V Ntalas, Vasileios G Chantzichristos, Maria E Tsoumani, Dimitrios Adamopoulos, Christos Asimakopoulos, Adamantios Bourdakis, Petros Darmanis, Alexandra Dimitriadou, Stefanos Gkiokas, Konstantinos Ipeirotis, Kyriaki Kitikidou, Ioannis Klonaris, Aglaia Kostaki, Dimitrios Logothetis, Konstantinos Mainas, Theodoros Mais, Athanasios Maragiannis, Konstantina Martiadou, Konstantinos Mavronasos, Ioannis Michelongonas, Dimitrios Mitropoulos, Georgios Papadimitriou, Achilleas Papadopoulos, Miltiadis Papaioakeim, Kosmas Sofillas, Sotiria Stabola, Emmanouil Stefanakis, Dimitrios Stergiou, Maria Thoma, Alexandros Zenetos, Stergios Zisekas, John A Goudevenos, Demosthenes B Panagiotakos, Alexandros D Tselepis
BACKGROUND: Triflusal has demonstrated an efficacy similar to aspirin in the prevention of vascular events in patients with acute myocardial infarction (ΜΙ) and ischaemic stroke but with less bleeding events. OBJECTIVE: We performed a randomised, multicentre, phase 4 clinical trial to compare the clinical efficacy and safety of triflusal versus aspirin, administered for 12 months in patients eligible to receive a cyclooxygenase-1 (COX-1) inhibitor. METHOD: Patients with stable coronary artery disease or with a history of non-cardioembolic ischaemic stroke were randomly assigned to receive either triflusal 300 mg twice or 600 mg once daily or aspirin 100 mg once daily for 12 months...
June 4, 2018: Current Vascular Pharmacology
https://www.readbyqxmd.com/read/29848843/cytomegalovirus-pneumonitis-in-a-patient-with-homozygous-%C3%AE-thalassemia-and-splenectomy
#6
Konstantinos Fragkiadakis, Petros Ioannou, John A Papadakis, Adam Hatzidakis, Achilleas Gikas, Diamantis P Kofteridis
Cytomegalovirus (CMV) rarely causes disease in immunocompetent individuals but may cause severe disease in immunocompromised patients. We report the case of a multi-transfused, splenectomized young woman due to homozygous β-thalassemia that presented with prolonged fever and respiratory distress. Although broad-spectrum antibiotic therapy had initially been applied, the patient was clinically deteriorated. Serology and molecular blood testing established CMV infection and viremia. Computed tomography of the chest demonstrated pneumonitis and she was successfully treated with 3 weeks ganciclovir...
May 31, 2018: Japanese Journal of Infectious Diseases
https://www.readbyqxmd.com/read/29845049/antibiotic-irrigation-of-pocket-for-implant-based-breast-augmentation-to-prevent-capsular-contracture-a-systematic-review
#7
REVIEW
Osama A Samargandi, Nadim Joukhadar, Sarah Al Youha, Achilleas Thoma, Jason Williams
Background: In vitro and in vivo studies have described a number of different antibiotic solutions for irrigation of the pocket in implant-based breast augmentation in an attempt to prevent the formation of capsular contracture (CC). Our objective was to evaluate the evidence that antibiotic irrigation reduced the rate of CC. Methods: A systematic search of MEDLINE, EMBASE, and CENTRAL was conducted from inception to January 2016. We included studies which examined the use of intraoperative antibiotic irrigation in women undergoing primary breast augmentation...
May 2018: Plastic Surgery
https://www.readbyqxmd.com/read/29842969/serglycin-promotes-breast-cancer-cell-aggressiveness-induction-of-epithelial-to-mesenchymal-transition-proteolytic-activity-and-il-8-signaling
#8
Panagiotis Bouris, Dimitra Manou, Anastasia Sopaki-Valalaki, Anthi Kolokotroni, Aristidis Moustakas, Aastha Kapoor, Renato V Iozzo, Nikos K Karamanos, Achilleas D Theocharis
Serglycin is an intracellular proteoglycan that is expressed and constitutively secreted by numerous malignant cells, especially prominent in the highly-invasive, triple-negative MDA-MB-231 breast carcinoma cells. Notably, de novo expression of serglycin in low aggressive estrogen receptor α (ERα)-positive MCF7 breast cancer cells promotes an aggressive phenotype. In this study, we discovered that serglycin promoted epithelial to mesenchymal transition (EMT) in MCF7 cells as shown by increased expression of mesenchymal markers vimentin, fibronectin and EMT-related transcription factor Snail2...
May 26, 2018: Matrix Biology: Journal of the International Society for Matrix Biology
https://www.readbyqxmd.com/read/29806819/users-guide-to-the-surgical-literature-how-to-assess-a-qualitative-study
#9
Lucas Gallo, Jessica Murphy, Luis H Braga, Forough Farrokhyar, Achilleas Thoma
Qualitative research contributes to the medical literature through the observation, description and interpretation of theories about social interactions and individual experiences as they occur in their natural setting. This type of research has the potential to enhance the understanding of surgeons' and patients' preferences, attitudes and beliefs, as well as assess how these may change with time. To date, there is no widely accepted standard for the methodological assessment of qualitative research. Despite ongoing debate, this article seeks to familiarize surgeons with the basic techniques for the critical appraisal of qualitative studies in the surgical literature...
June 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29806586/a-screening-of-growth-inhibitory-activity-of-iranian-medicinal-plants-on-prostate-cancer-cell-lines
#10
Majid Asadi-Samani, Mahmoud Rafieian-Kopaei, Zahra Lorigooini, Hedayatollah Shirzad
BACKGROUND: Prostate cancer has been known as one of the most common malignancy in the men and it is therefore very important to prevent and treat this cancer. In this study, the anticancer effects of 20 species of medicinal plants in Iran, especially those grown in Chaharmahal and Bakhtiari province, were investigated on prostate cancer cell lines to identify potential natural alternatives for the development of prostate cancer anticancer drugs. METHODS: The plants were gathered from Chaharmahal va Bakhtyari and their aerial parts extracted through maceration method using ethanol 70%...
June 2018: BioMedicine
https://www.readbyqxmd.com/read/29780208/the-role-of-the-side-chain-on-the-performance-of-n-type-conjugated-polymers-in-aqueous-electrolytes
#11
Alexander Giovannitti, Iuliana P Maria, David Hanifi, Mary J Donahue, Daniel Bryant, Katrina J Barth, Beatrice E Makdah, Achilleas Savva, Davide Moia, Matyáš Zetek, Piers R F Barnes, Obadiah G Reid, Sahika Inal, Garry Rumbles, George G Malliaras, Jenny Nelson, Jonathan Rivnay, Iain McCulloch
We report a design strategy that allows the preparation of solution processable n-type materials from low boiling point solvents for organic electrochemical transistors (OECTs). The polymer backbone is based on NDI-T2 copolymers where a branched alkyl side chain is gradually exchanged for a linear ethylene glycol-based side chain. A series of random copolymers was prepared with glycol side chain percentages of 0, 10, 25, 50, 75, 90, and 100 with respect to the alkyl side chains. These were characterized to study the influence of the polar side chains on interaction with aqueous electrolytes, their electrochemical redox reactions, and performance in OECTs when operated in aqueous electrolytes...
May 8, 2018: Chemistry of Materials: a Publication of the American Chemical Society
https://www.readbyqxmd.com/read/29779268/variation-in-polyphenolic-profiles-antioxidant-and-antimicrobial-activity-of-different-achillea-species-as-natural-sources-of-antiglycative-compounds
#12
Mahvash Afshari, Mehdi Rahimmalek, Mehran Miroliaei
A comparative study was carried out on the methanolic extracts from six Achillea species and the examined polyphenols from these plants on the formation of advanced glycation end-products (AGE) in vitro. A. pachycephala which was richer in flavonoids (15 mg quercetin/g W) and phenolics (111.10 mg tannic acid/g DW) with substantial antioxidant activity (IC50 = 365.5 μg/ml) presented strong anti-AGE properties. Chlorogenic acid, luteolin, quercetin and caffeic acid were identified as the major polyphenols in the extracts by HPLC...
May 19, 2018: Chemistry & Biodiversity
https://www.readbyqxmd.com/read/29778434/implementation-of-multimodal-infection-control-and-hand-hygiene-strategies-in-acute-care-hospitals-in-greece-a-cross-sectional-benchmarking-survey
#13
Evangelos I Kritsotakis, Eirini Astrinaki, Argyri Messaritaki, Achilleas Gikas
BACKGROUND: In this first attempt to suggest achievable standards for improvement in hospital infection prevention and control (IPC) in Greece, we assessed main IPC structure and process indicators emphasizing hand hygiene. METHODS: Acute-care hospitals across the country participated in a cross-sectional survey by completing the World Health Organization Hand Hygiene Self-assessment Framework (HHSAF) and by providing hospital-level IPC indicators. RESULTS: Seventeen hospitals completed the survey, comprising 14% of the country's public hospitals...
May 16, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29778090/massive-pericardial-effusion-without-cardiac-tamponade-due-to-subclinical-hypothyroidism-hashimoto-s-disease
#14
Panteleimon E Papakonstantinou, Nikolaos Gourniezakis, Christos Skiadas, Alexandros Patrianakos, Achilleas Gikas
CONTEXT: Hypothyroidism is a significant cause of pericardial effusion. However, large pericardial effusions due to hypothyroidism are extremely rare. Hormone replacement therapy is the cornerstone of treatment for hypothyroidism and regular follow-up of patients after initiation of the therapy is indicated. Herein, the case of a 70-year-old woman with a massive pericardial effusion due to Hashimoto's disease is presented. ISSUES: A 70-year-old female from a rural village on the island of Crete, Greece, was admitted to our hospital due to a urinary tract infection...
May 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29755562/investigation-of-%C3%AE-sitosterol-and-prangol-extracted-from-achillea-tenoifolia-along-with-whole-root-extract-on-isolated-rat-pancreatic-islets
#15
Mahban Rahimifard, Azadeh Manayi, Maryam Baeeri, Mahdi Gholami, Soodabeh Saeidnia, Mohammad Abdollahi
The genus Achillea (Asteraceae) consisting of important medicinal species, growing wildly in Iran, of which A. tenuifolia is found in Iran-o-Turan regions. Regarding the traditional use of Achillea species for treatment of diabetes and also lack of information on phyto-constituents of A. tenuifolia underground parts, in this study anti-diabetic activity of the plant have been reported. In order to find the main active components, underground parts of the plant were extracted with water and fractioned by hexane, ethyl acetate, and methanol and the separation of the main compounds were carried out via medium pressure liquid chromatography (MPLC)...
2018: Iranian Journal of Pharmaceutical Research: IJPR
https://www.readbyqxmd.com/read/29742650/murine-typhus-mimicking-kawasaki-disease-in-a-pre-adolescent-girl
#16
Maria A Karalexi, Marina Mitrogiorgou, Erato Atsali, Antonios Theodorakopoulos, Achilleas Attilakos, Vasileios Tsagris
We report the case of an 11-year-old pre-adolescent girl presenting with prolonged fever, lymphadenitis, non-purulent conjuctivitis, a generalized maculopapular rash, erythematous lips and edema of hands/feet. Although major diagnostic criteria for Kawasaki disease were met, local epidemiologic data suggested a possible vector-borne etiology. Treatment with doxycycline was initiated and defervescence occurred. Laboratory investigation confirmed the diagnosis of Rikettsia typhi infection.
May 4, 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29731432/investigation-of-the-effects-of-achillea-millefolium-extract-in-diabetic-rats-with-second-degree-burns
#17
Tulay Diken Allahverdi, Ertugrul Allahverdi, Pınar Aksu Kilicle, Hasan Ozen
Our aim was to investigate the effects of Achillea millefolium on wound healing in second-degree burns formed in diabetic rats. This study was conducted at the Kafkas University Experimental Research Center. 20 Sprague Dawley rats were divided into 2 groups. Group I (n=10 rats) was the Control group and contained the diabetic rats with burn injury. Group II (n=10 rats) was the group where burn injury was created and Achillea millefolium was administered to diabetic rats. The backs of the rats were shaved so as to include 30% of the body area...
May 2018: Pakistan Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/29718094/yes-size-does-matter
#18
Achilleas Thoma, Felmont F Eaves
No abstract text is available yet for this article.
April 27, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29716876/screening-and-characterization-of-selected-drugs-having-antibacterial-potential
#19
Hina Javed, Sobia Tabassum, Shazia Erum, Iram Murtaza, Aish Muhammad, Farhana Amin, Muhammad Farrukh Nisar
Due to ever increasing antibiotic resistance offered by pathogenic bacterial strains and side effects of synthetic antibiotics, thereof, there is a need to explore the effective phytochemicals from natural resources. In order to help overcoming the problem of effective natural drug and the side effects posed by the use of the synthetic drugs, five different plants namely Thymus vulgaris, Lavandula angustifolia, Rosmarinus officinalis, Cymbopogon citratus and Achillea millefolium were selected to study their antibacterial potential...
May 2018: Pakistan Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/29709007/chikungunya-virus-infection-in-aruba-diagnosis-clinical-features-and-predictors-of-post-chikungunya-chronic-polyarthralgia
#20
Ralph Huits, Jaclyn De Kort, Riemsdijk Van Den Berg, Luis Chong, Achilleas Tsoumanis, Kaat Eggermont, Koen Bartholomeeusen, Kevin K Ariën, Jan Jacobs, Marjan Van Esbroeck, Emmanuel Bottieau, Lieselotte Cnops
BACKGROUND: Chikungunya virus (CHIKV) emerged in Aruba for the first time in 2014. We studied the clinical presentation of acute CHIKV infection and the contribution of serologic and molecular assays to its diagnosis. In a cohort of confirmed CHIKV cases, we analysed the frequency, duration and predictors of post-chikungunya chronic polyarthralgia (pCHIK-CPA), defined as joint pains lasting longer than 6 weeks or longer than 1 year. METHODOLOGY: Patient sera obtained within 10 days of symptom onset were tested for CHIKV, using an indirect immunofluorescence test for the detection of CHIKV-specific Immunoglobulin M (IgM) and post-hoc, by reverse-transcription polymerase chain reaction (RT-PCR)...
2018: PloS One
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