EFFECT OF ADDITIVES ON IN-VITRO RELEASE OF ORODISPERSIBLE DOSAGE FORM

Objective: The aim of this investigation was to prepare orodispersible tablets of meloxicam using various concentrations of superdisintegrants like Ac-DI-Sol, crospovidone, sodium starch glycolate by the direct compression method. Methods: Nine formulae of Meloxicam orodispersible tablets were prepared. These tablets were evaluated for their drug content, weight variation, friability, hardness, wetting time, In-vitro disintegration time and drug release.Results: All the formulation exhibited hardness between 4.21–4.55 kg/cm2. The tablets were disintegrating within 8.3 to 21.9 sec. Dissolution studies revealed that formula containing 7.5 % sodium starch glycolate showed 100% of drug release, at the end of six minutes. Among the formulated tablets, formula F9 containing 7.5 % sodium starch glycolate showed superior organoleptic properties along with excellent In-vitro disintegration time and drug release as compared to other formulae. The concentration of superdisintegrants had an effect on disintegration time and In-vitro drug dissolution whereas hardness and friability of resulting tablets were found to be independent of disintegrant concentration. It was concluded that the superdisintegrants addition technique is a useful method for preparing orodispersible tablets by the direct compression method.Â

Analysis and Design of a Wideband Coaxial Transition to Metal and Printed Ridge Gap Waveguide

In this paper, a wideband coaxial to ridge gap transition is proposed and implemented. The transition has a compact size, wide bandwidth, and simple structure. It can be used to excite ridge gap waveguides implemented by the printed circuit board or computer numerical control (CNC) technologies. A similar circuit model for a coax-to-microstrip junction is proposed and used to establish a systematic design procedure for the proposed transition. Perfect electric conductor and perfect magnetic conductor (PMC) boundaries are used to make the procedure independent of the fabrication technology. The PMC is replaced by a bed of nails for ridge gap realized by CNC technology and mushroom-shaped structure in the case of PCB technology. The proposed transition based on the PCB technology is fabricated and measured. There is a good agreement between simulated and measured results which validates the proposed design. The transition has a 59.22% bandwidth with S11−0.5 dB

Ridge Gap Waveguide Beamforming Components and Antennas for Millimeter-Wave Applications

With the improvement of mobile communication technologies and their broad applications, mobile communication will have more impact on our life. Such systems will support a variety of personal communication services with high-data rate and very low latency applications. To achieve such demands, many proposals associated with the development of 5G identify a set of requirements for which different technological directions are independently emerging. One direction is utilizing the millimeter-wave (mm-Wave) frequency bands where more spectrums are available. Millimeter-wave frequencies offer the advantage of physically smaller components that results in cost-effective RF transceivers and feasible large-scale integrated phased arrays. The smart RF transceivers of 5G along with the potential high-frequency innovative designs must satisfy the growing consumer and technology requirements. This implies utilizing the state-of-the-art guiding structures, especially printed ridge gap waveguide (PRGW), that have low loss and minimal dispersion compared with traditional PCB-based structures. The present chapter focuses on the necessary components for a beamforming antenna system which is implemented using PRGW technology. Millimeter wave antennas with different polarizations have been addressed. Power combining and dividing components have been also developed. These components have been used for integration in a complete beamforming antenna system working at an mm-Wave frequency band

A Systematic Design of a Compact Wideband Hybrid Directional Coupler Based on Printed RGW Technology

Printed ridge gap waveguide (PRGW) is considered among the state of art guiding technologies due to its low signal distortion and low loss at Millimeter Wave (mmWave) spectrum, which motivates the research community to use this guiding structure as a host technology for various passive microwave and mmWave components. One of the most important passive components used in antenna beam-switching networks is the quadrature hybrid directional coupler providing signal power division with 90° phase shift. A featured design of a broadband and compact PRGW hybrid coupler is propose in this paper. A novel design methodology, based on mode analysis, is introduced to design the objective coupler. The proposed design is suitable for mmWave applications with small electrical dimensions ( 1.2λo×1.2λo ), low loss, and wide bandwidth. The proposed hybrid coupler is fabricated on Roger/RT 6002 substrate material of thickness 0.762 mm. The measured results highlight that the coupler can provide a good return loss with a bandwidth of 26.5% at 30 GHz and isolation beyond 15 dB. The measured phase difference between the coupler output ports is equal 90∘± 5∘ through the interested operating bandwidth. A clear agreement between the simulated and the measured results over the assigned operating bandwidth has been illustrated

Low Loss and Ultra Flat Rectangular Waveguide Harmonic Coupler

Recently, communication networks are evolving dramatically to meet the human dynamic needs as well as provide the required support for the massive expansion in future applications. This fosters the research in the mm-wave components to create a new infrastructure for these applications. As a result, the electrical characteristics of the designed components in terms of the bandwidth and the linearity have to be evaluated in an accurate way. The linearity of the mm-wave components is evaluated through the assessment of the inter-modulation of these components, especially at the second harmonic band. In this paper, a −17-dB harmonic coupler is designed to pick a strong sample at the second harmonic, while suppressing the fundamental signal at the coupled port. A design procedure for the proposed harmonic coupler is presented and illustrated. The fabricated unit is silver plated to minimize the losses, where the measured coupling at the second harmonic band shows an excellent agreement with the simulated ones. In addition, the measured coupling level at the fundamental band is below −75 dB

Printed Ridge Gap Waveguide 3-dB Coupler: Analysis and Design Procedure

Communication systems are witnessing an outstanding revolution that has a clear impact on all aspects of life. The world technology is drifting towards high frequency and data rate solutions to accommodate the future expansion in applications such as 5G communications. The 5G technology will offer advanced features in the mm-Wave frequency band which requires intelligent subsystems such as beam switching. Therefore, the microwave components, especially couplers, still need a significant improvement to follow the rapid variations in future technologies. One of the most recent and promising guiding technologies for mm-Wave applications is the printed ridge gap waveguide (PRGW). In this paper, a design of 3-dB planar quadrature hybrid coupler based on PRGW is presented. The proposed design has superior characteristics such as compactness, low loss, and low dispersion device. The prototype of the proposed coupler is fabricated and tested, where the measured and simulated results show an excellent agreement

BIOINFORMATICS: INFLAMMATORY CYTOKINES AND ATTENUATION OF DIABETES HYPERCHOLESTEROLEMIA-INDUCED RENAL INJURY USING MORNING GLORY AND NECKLACE POD EXTRACTS

  Objective: The present research in bioinformatics focuses on pharmacological effects of morning glory and necklace pod ethanolic extracts (MGE and NPE) on some biochemical parameters in high fat diet-induced hypercholesterolemia and streptozotocin-induced hyperglycemia in rats.Methods: Compared to atorvastatin; an anti-hypercholesterolemic (HC) and glibenclamide; an antidiabetic drug. Endothelium activation markers of soluble vascular cell adhesion molecule (VCAM)-1 and intercellular adhesion molecule (ICAM)-1 were determined using enzyme-linked immunosorbent assay. Creatinine, urea, and inflammatory biomarkers; C-reactive protein (CRP) and pro-inflammatory cytokines including tumor necrosis factor alpha (TNF-α) and interleukin (IL)-10 levels were also measured in serum of different therapeutic groups.Results: Significant decrease in ICAM-1 level with MGE and NPE supplemented to normal rats as compared to untreated control with percentages decrease 17.80 and 12.00% was observed. Insignificant change was detected in VCAM-1 level. Profound amelioration in CRP, total urea and creatinine levels by NPE treatment. Creatinine, urea, CRP, and TNF-α level were significantly increased in hyperglycemic (HG)-HC rats. However, IL-10 level showed a significant decrease. Meanwhile, histopathological investigation of the kidney and heart was carried out. Image recognition system for kidney and heart images was developed to diagnose their diseases. Tested extract attenuated creatinine, urea, CRP, and TNF-α level. Hyperglycemia and hypercholesterolemia linked kidney disorders were relieved.Conclusion: In vivo oral administration with each extract declared suppression of cytokines mediated inflammation, vascular function leading to infiltration reduction of renal macrophage together with lowering in kidney indices and ameliorate renal tissues architectures in HG-HC rats

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication