QUESTIONNAIRE-BASED STUDY ON THE ASSESSMENT OF DOCTOR OF PHARMACY INTERNS’ KNOWLEDGE, ATTITUDE, AND PRACTICES REGARDING THE PHARMACOVIGILANCE

Objectives: The present study was contemplated and done to assess the knowledge, attitude, and practices (KAP) toward adverse drug reactions (ADR) reporting and Pharmacovigilance (PV) of the Doctor of Pharmacy Pharm.D interns for the first time in South India, to get an insight into their awareness and reporting culture. Methods: A cross-sectional descriptive KAP questionnaire-based study was conducted for 6 months on Pharm.D interns. Results: A total of 603 Pharm.D interns were participated, among them 578 (95.85%) were considered for the analysis. On an average of 78.25% of the participants had a good knowledge, around 82% were aware that patients’ will be benefited from the ADR reporting. The majority of the participants had a positive attitude. Moreover, 59% had reported the ADRs through different ADR reporting procedures 52% were advised the awareness programs for improving the reporting culture, and 34% had the difficulty in deciding or diagnosing the ADR. Conclusion: The KAP of the Pharm.D interns toward the ADR reporting and PV is appreciable and may reduce the burden on the other healthcare workers and improve patient care

Analysis and reporting of adverse drug reactions at a tertiary care teaching hospital

Objectives: To analyze and report adverse drug reactions (ADRs) in a tertiary care teaching hospital.Methods: This was an observational study, conducted to analyze and communicate the ADRs reported from July 2016 to June 2017 in a south Indian tertiary care teaching hospital. On daily basis, ADRs reported by healthcare professionals (HCPs) were analyzed and the reports that meet pharmacovigilance programme of India (PvPI) reporting criteria were communicated to PvPI through a specified updated Indian Pharmacopoeia Commission (IPC) suspected ADR reporting form. In this study, ADRs were summarised based on demographics, drug, incidence, type of reaction and its outcome. Causality, severity, seriousness, and predictability were assessed through WHO causality assessment scale, Hartwig and Siegel Severity Assessment Scale and PvPI criteria.Results: A total of 254 ADRs communicated to PvPI through specified, updated IPC suspected ADR reporting form. The incidence of ADRs in both males and females was identical. The occurrence of ADRs in adult patients (71.26%) was significantly higher than other age groups. Of total ADRs, most of them were withAntibiotics (24.01%) followed by antipsychotics (11.42%). In causality assessment, a majority of ADRs (48.82%) were considered possibly related to the drug or treatment and 55.12% were mild in severity. Overall, 36.22% patients were recovered from ADRs. Most of the reported ADRs (54.33%) were probably preventable.Conclusions: The results provided an insight to the HCPs on the importance of monitoring and reporting of ADRs. High-quality data gathered through a reporting system, most of the reported ADRs were probably preventable; the proper review of patient history and monitoring by HCPs can reduce the incidence of ADR. Our study results emphasize a need for establishing a pharmacovigilance centre to ensure the safe use of drugs.Keywords: Adverse drug reaction, Pharmacovigilance, Reporting, Causalit

Trace metals in vegetables and fruits cultivated around the surroundings of Tummalapalle uranium mining site, Andhra Pradesh, India

AbstractVegetables (Tomato – Solanum lycopersicum, green chilli – Capsicum annum and bitter gourd – Momordica charantia) and fruits (Banana – Musa acuminata colla, papaya – Carica papaya and mosambi – Citrus limetta) from the cultivated areas around the Tummalapalle uranium mining site were analyzed for trace metals (Al, Cr, Mn, Fe, Ni, Cu, Zn, Pb, Be, V, Co, Cd and U) using inductively coupled plasma-mass spectrometer (ICP-MS). As per the estimated data, the concentrations of trace metals in vegetables and fruits are found in the range of 47.5–7.8 mg/kg for Al, 9.7–1.0 mg/kg for Cr, 3.8–1.0 mg/kg for Mn, 75.5–13.9 mg/kg for Fe, 1.4–0.2 mg/kg for Ni, 2.3–0.8 mg/kg for Cu, 9.2–3.1 mg/kg for Zn, 0.2–1.4 mg/kg for Pb, 19.2–1.9 μg/kg for Be, 96.1–15.8 μg/kg for V, 48.2–12.9 μg/kg for Co, 46.5–2.3 μg/kg for Cd and 16.4–2.7 μg/kg for U. The trace metals observed are compared to the literature reported values. Trace elemental data were subjected to statistical analysis to examine the interrelationship between the investigated trace elements and possible source identification of the trace metal contamination in vegetable and fruits. Daily intake of trace metals through ingestion of vegetables and fruits are also calculated

Pervaporation from a dense membrane: roles of permeant-membrane interactions, Kelvin effect and membrane swelling

Dense polymeric membranes with extremely small pores in the form of free volume are used widely in the pervaporative separation of liquid mixtures. The membrane permeation of a component followed by its vaporization on the opposite face is governed by the solubility and downstream pressure. We measured the evaporative flux of pure methanol and 2-propanol using dense membranes with different free volumes and different affinities (wettabilities and solubilities) for the permeant. Interestingly, the evaporative flux for different membranes vanished substantially (10-75%) below the equilibrium vapor pressure in the bulk. The discrepancy was larger for a smaller pore size and for more wettable membranes (higher positive spreading coefficients). This observation, which cannot be explained by the existing (mostly solution-diffusion type) models of pervaporation, suggests an important role for the membrane-permeant interactions in nanopores that can lower the equilibrium vapor pressure. The pore sizes, as estimated from the positron annihilation, ranged from 0.2 to 0.6 nm for the dry membranes. Solubilities of methanol in different composite membranes were estimated from the Flory-Huggins theory. The interaction parameter was obtained from the surface properties measured by the contact angle goniometry in conjunction with the acid-base theory of polar surface interactions. For the membranes examined, the increase in the "wet" pore volume due to membrane swelling correlates almost linearly with the solubility of methanol in these membranes. Indeed, the observations are found to be consistent with the lowering of the equilibrium vapor pressure on the basis of the Kelvin equation. Thus, a higher solubility or selectivity of a membrane also implies stronger permeant-membrane interactions and a greater retention of the permeant by the membrane, thus decreasing its evaporative flux. This observation has important implications for the interpretation of existing experiments and in the separation of liquid mixtures by pervaporation