Introducción al estudio farmacotécnico de la insulina: bases teóricas para su utilización en mezclas parenterales endovenosas

A bibliographic study of pharmacotherapeutic properties of insulin was carried out, paying special attention to the crystalline zinc insuline form, which is most commonly used in solutions for intervenous perfusiono In the same way the methods of evaluating insulin injections were reviewed, comparing them with the classical biological methods of evaluating this hormone.Se realiza un estudio bibliográfico de las propiedades farmacoterapéuticas de la insulina incidiendo especialmente en la forma insulina cristalina cinc que es la habitualmente utilizada en soluciones para perfusión intravenosa. Asimismo, se realiza una revisión de los métodos de valoración de inyectables de insulina comparándolos con los clásicos métodos blológicos de valoración de la hormona

Gaps in the Hepatitis C Continuum of Care among Sex Workers in Vancouver, British Columbia: Implications for Voluntary Hepatitis C Virus Testing, Treatment and Care

BACKGROUND: Hepatitis C virus (HCV) eradication leads to reduced morbidity, mortality and transmission. Despite the disproportionate burden of HCV among sex workers, data regarding the HCV care continuum in this population remain negligible. METHODS: Using baseline data from an ongoing cohort of women sex workers in Vancouver (An Evaluation of Sex Workers’ Health Access, January 2010 to August 2013), the authors assessed HCV prevalence and engagement in the HCV care continuum within the past year. Multivariable logistic regression analyses were used to evaluate associations with recent (ie, in the past year) HCV testing. RESULTS: Among 705 sex workers, 302 (42.8%) were HCV seropositive. Of these, 22.5% were previously unaware of their HCV status, 41.7% had accessed HCV-related care, 13.9% were offered treatment and only 1.0% received treatment. Among 552 HCV-seronegative sex workers, only one-half (52.9%) reported a recent HCV test. In multivariable analysis, women who self-identified as a sexual/gender minority (adjusted OR [aOR] 1.89 [95% CI 1.11 to 3.24]), resided in the inner city drug use epicentre (aOR 3.19 [95%CI 1.78 to 5.73]) and used injection (aOR 2.00 [95% CI 1.19 to 3.34]) or noninjection drugs (aOR 1.95 [95% CI 1.00 to 3.78]) had increased odds of undergoing a recent HCV test, while immigrant participants (aOR 0.24 [95% CI 0.12 to 0.48]) had decreased odds. CONCLUSIONS: Despite a high burden of HCV among sex workers, large gaps in the HCV care continuum remain. Particularly concerning are the low access to HCV testing, with one-fifth of women living with HCV being previously unaware of their status, and the exceptionally low prevalence of HCV treatment. There is a critical need for further research to better understand and address barriers to engage in the HCV continuum for sex workers

The Strongyloides stercoralis-hookworms association as a path to the estimation of the global burden of strongyloidiasis: A systematic review

Soil-transmitted helminths (STH) represent a significant public health problem. However, Strongyloides stercoralis is not yet integrated into the control strategy against STH, given limi- tations to accurately assess its burden. Considering that S. stercoralis shares biological and epidemiological characteristics with hookworms, we describe a new approach for an improved estimation of the burden of infections by S. stercoralis based on the prevalence and burden of hookworms and the relationship between these species. A systematic review of publications reporting prevalence rates for S. stercoralis and hookworms was carried out. The data was classified into two categories: 1) “Community”, with surveys including all age groups, and 2) “SAC”, with surveys limited to school-aged children. The relationship between S. stercoralis and hookworms was characterized in order to estimate the global burden of S. stercoralis infections. The study is registered in PROSPERO (CRD42019131127). Spearman correlation coefficient between S. stercoralis and hookworms was estimated and the global burden of S. stercoralis infections was estimated using a regression model. A total of 119 articles were included, and a significant positive correlation between the burden of S. stercoralis and hook- worms was identified. Spearman’s coefficient for Community surveys was 0.94 and for SAC surveys it was 0.63. Based on the linear model, the global burden of S. stercoralis infections was estimated at 386 million (95%CI 324–449 million) people, including 22 million (95%CI 20–24 million) SAC. The significant relationship between S. stercoralis and hookworms allows an estimation of the global burden of S. stercoralis infections in most epidemiologic settings using hookworm burden and justifies the search of integrated control activities

Ensayos galénicos de formas sólidas orales de acción retardada: Revisión de técnicas y dispositivos

Se estudian los ensayos galénicos a que se someten las formas farmacéuticas de administración oral y acción retardada y, en especial, los de liberación de la sustancia activa "in vitro". Aunque la revisión de las distintas técnicas y dispositivos se realiza con cierto detalle, se presta especial atención a la descripción de un método original para el estudio de la disgregación-disolución de las formas antes aludidas, con un sistema de medida continuo y directo, ya utilizado en el ensayo de formas sólidas de dosificación convencional y aplicado posteriormente en trabajos experimentales a preparados de acción prolongada. Se mencionan asimismo, los ensayos "in vivo" y clínicos con el fin de ofrecer una visión de conjunto sobre el control de las preparaciones sólidas de acción retardada, facilitando el acceso a los trabajes experimentales que sobre el tema puedan desarrollarse

Intentional Cannabis Use to Reduce Crack Cocaine Use in a Canadian Setting: A Longitudinal Analysis

Background: No effective pharmacotherapies exist for the treatment of crack cocaine use disorders. Emerging data suggests that cannabinoids may play a role in reducing cocaine related craving symptoms. This study investigated the intentional use of cannabis to reduce crack use among people who use illicit drugs (PWUD). Methods: Data were drawn from three prospective cohorts of PWUD in Vancouver, Canada. Using data from participants reporting intentional cannabis use to control crack use, we used generalized linear mixed-effects modeling to estimate the independent effect of three predefined intentional cannabis use periods (i.e., before, during and after first reported intentional use to reduce crack use) on frequency of crack use. Results: Between 2012 and 2015, 122 participants reported using cannabis to reduce crack use, contributing a total of 620 observations. In adjusted analyses, compared to before periods, after periods were associated with reduced frequency of crack use (Adjusted Odds Ratio [AOR] = 1.89, 95% Confidence Interval [CI]: 1.02–3.45), but not the intentional use periods (AOR= 0.85, 95% CI: 0.51–1.41). Frequency of cannabis use in after periods was higher than in before periods (AOR = 4.72, 95% CI: 2.47–8.99), and showed a tendency to lower frequency than in intentional cannabis use periods (AOR = 0.56, 95% CI: 0.32–1.01). Conclusions: A period of intentional cannabis use to reduce crack use was associated with decreased frequency of crack use in subsequent periods among PWUD. Further clinical research to assess the potential of cannabinoids for the treatment of crack use disorders is warranted

Acute retroviral syndrome and high baseline viral load are predictors of rapid HIV progression among untreated Argentinean seroconverters

<p>Abstract</p> <p>Background</p> <p>Diagnosis of primary HIV infection (PHI) has important clinical and public health implications. HAART initiation at this stage remains controversial.</p> <p>Methods</p> <p>Our objective was to identify predictors of disease progression among Argentinean seroconverters during the first year of infection, within a multicentre registry of PHI-patients diagnosed between 1997 and 2008. Cox regression was used to analyze predictors of progression (LT-CD4 < 350 cells/mm³, B, C events or death) at 12 months among untreated patients.</p> <p>Results</p> <p>Among 134 subjects, 74% presented with acute retroviral syndrome (ARS). Seven opportunistic infections (one death), nine B events, and 10 non-AIDS defining serious events were observed. Among the 92 untreated patients, 24 (26%) progressed at 12 months versus three (7%) in the treated group (p = 0.01). The 12-month progression rate among untreated patients with ARS was 34% (95% CI 22.5-46.3) versus 13% (95% CI 1.1-24.7) in asymptomatic patients (p = 0.04). In univariate analysis, ARS, baseline LT-CD4 < 350 cells/mm³, and baseline and six-month viral load (VL) > 100,000 copies/mL were associated with progression. In multivariate analysis, only ARS and baseline VL > 100,000 copies/mL remained independently associated; HR: 8.44 (95% CI 0.97-73.42) and 9.44 (95% CI 1.38-64.68), respectively.</p> <p>Conclusions</p> <p>In Argentina, PHI is associated with significant morbidity. HAART should be considered in PHI patients with ARS and high baseline VL to prevent disease progression.</p

Gaining further insight into photo-Fenton treatment of phenolic compounds commonly found in food processing industry

A mixture of eight phenolic compounds, namely 2,4-dinitrophenol, tannic, ellagic, gallic, protocatechuic, vanillic, syringic and sinapic acids, have been treated by means of a photo-Fenton process under simulated and real sunlight. An experimental design methodology, based in Doehlert matrixes, was employed to check the effect of the concentration of Fe(II) and H2O2, as well as pH. Response surfaces show that photo-Fenton can be extended to pH values clearly above 2.8, probably due to complexation of iron with the phenolic substances. Experiments performed under solar irradiation at pH = 3.9 showed that complete removal of the monitored pollutants was achieved in less than 3 min; mineralisation was also efficient, although some organics remained in the solution. Toxicity was monitored according to Pseudokirchneriella subcapitata and Daphnia magna bioassays; Recombinant Yeast Assay (RYA) was employed to assess estrogenic and dioxin-like activities. 2,4-Dinitrophenol was demonstrated to be the major concern and, in general, photo-Fenton resulted in a detoxification of the solution. Finally, excitation emission matrix (EEM) fluorimetry was employed to obtain complementary information on the behaviour of organic matter. Most peaks associated with the parent pollutants disappeared after short irradiation periods and, at 12 min of irradiation chromophores were destroyed, what can be associated with the removal of complex molecules. (C) 2015 Elsevier B.V. All rights reserved.The authors want to thank the financial support of the Spanish Ministerio de Education y Ciencia (CTQ2012-38754-C03-02) and Generalitat Valenciana (GV/2015/074). Sara Garcia-Ballesteros would like to thank Spanish Ministerio de Economia y Competitividad for her fellowship (BES-2013-066201).García Ballesteros, S.; Mora Carbonell, M.; Vicente Candela, R.; Sabater Marco, C.; Castillo López, MÁ.; Arques Sanz, A.; Amat Payá, AM. (2016). Gaining further insight into photo-Fenton treatment of phenolic compounds commonly found in food processing industry. Chemical Engineering Journal. 288:126-136. https://doi.org/10.1016/j.cej.2015.11.031S12613628