Studies on the development of cassava based reconstituted dry starch sago with modified starch as binder and characterization of its physico-functional properties

Aim: The present study was conducted to investigate the status and diversity of plant species used for rearing of Eri silkworm and their traditional management in the homegardens of Mishing tribe.Methodology: A total of 45 homegardens from three villages were surveyed randomly which were primarily associated with rearing of Eri silkworm. Vegetation was studied using quadrat method. The data on traditional knowledge associated with the management of plants species for rearing of Eri silkworm were collected using semi structured questionnaires. Results: The average size of studied homegardens was 0.35 ha. A total of 243 plant species were recorded from the studied homegardens of which six species were used as food plants for rearing of Eri silkworm and 10 species were used in construction of mountage. Trees related to Eri culture contributed to 37.47% of the total importance value index (IVI) in the studied homegardens. Heteropanax fragrans (Roxb.) Seem and Ricinus communis L. were the primary food plants of Eri silkworm and were found to be dominant in the homegardens. Activities such as land preparation, sowing, pruning, weeding and watering are carried out for the management of Eri silkworm food plant species and were found to vary for different species. Interpretation: There is an urgent need to document the indigenous knowledge and traditional practices associated with the management of host and food plants used in the rearing of Eri silkworm in the present day context as it is a part of their cultural heritage and should be reoriented through integration of modern farming technique.

Painéis de partículas elaborados do mesocarpo do dendê como alternativa ao MDF utilizado na construção civil / Particles panels prepared from dendê mesocarp as an alternative to MDF used in civil construction

RESUMO A escassez dos recursos florestais integrada à necessidade de aquisição de produtos mais ecológicos demanda o uso de outros tipos de biomassa, além da madeira no setor construtivo. Diante disso, o mesocarpo do dendê - resíduo oriundo da agroindústria e com grande potencial de utilização para desenvolvimento de novos materiais - surge como alternativa na elaboração de painéis lignocelulósicos em substituição ao MDF (medium density fiberboard) convencionalmente utilizado. Dessa forma, o presente trabalho demonstrou a viabilidade da produção e a integridade estrutural desse tipo de painel na fabricação de elementos construtivos a serem empregados na construção civil, mediante estudo comparativo entre suas propriedades com as de painéis de MDF. A metodologia consistiu na realização de ensaios de caracterização dos painéis, por meio da determinação de suas propriedades físicas (absorção de água, inchamento e densidade) e mecânicas (resistência à flexão e módulo de elasticidade), além da morfologia dos painéis produzidos, mediante a técnica de microscopia eletrônica de varredura (MEV), análise química (por meio do espectro de infravermelho com transformada de Fourier) e térmica, por meio de curvas termogravimétricas e derivada. Dos resultados obtidos, tem-se que a produção desses painéis sem aglutinantes, obtidos pela incorporação do mesocarpo de dendê, agrega valor à cadeia produtiva do dendê, além de surgir como alternativa aos desafios inerentes à produção tradicional dos painéis de madeira e, consequentemente, como opção de elemento construtivo a ser integrado à construção civil.

ABSTRACT The lack of forest resources integrated with the need of purchasing more environmentally friendly products requires the use of other types of biomass besides wood in the construction sector. Therefore, the dendê mesocarp - waste arising from the agro-industry and with great use potential in developing new materials - is an alternative in the preparation of lignocellulosic panels to replace MDF (Medium Density Fiberboard), that is conventionally used. Thus, this work demonstrated the feasibility of the production and the structural integrity of this type of panel in the manufacture of building blocks to be used in civil construction through a comparative study of their properties with the MDF panels. The methodology consists in performing characterization tests in panels through determining their physical (water absorption, swelling and density) and mechanical (flexion resistance and modulus of elasticity) properties, besides analysing the morphology of the panels produced by the Scanning Electron Microscopy (MEV) technique, performing a chemical (via infrared spectrum Fourier transform) and thermal analysis through derived thermogravimetric curves. The results obtained suggest that the production of these panels without a binder, obtained by the incorporation of dendê mesocarp, adds value to the production chain of dendê, in addition to emerge as an alternative to the challenges inherent to the traditional production of wood panels and, consequently, is considered as an option of a constructive element to be integrated with the construction.

The Scaffolding Protein, Grb2-associated Binder-1, in Skeletal Muscles and Terminal Schwann Cells Regulates Postnatal Neuromuscular Synapse Maturation

The vertebrate neuromuscular junction (NMJ) is considered as a “tripartite synapse” consisting of a motor axon terminal, a muscle endplate, and terminal Schwann cells that envelope the motor axon terminal. The neuregulin 1 (NRG1)-ErbB2 signaling pathway plays an important role in the development of the NMJ. We previously showed that Grb2-associated binder 1 (Gab1), a scaffolding mediator of receptor tyrosine kinase signaling, is required for NRG1-induced peripheral nerve myelination. Here, we determined the role of Gab1 in the development of the NMJ using muscle-specific conditional Gab1 knockout mice. The mutant mice showed delayed postnatal maturation of the NMJ. Furthermore, the selective loss of the gab1 gene in terminal Schwann cells produced delayed synaptic elimination with abnormal morphology of the motor endplate, suggesting that Gab1 in both muscles and terminal Schwann cells is required for proper NMJ development. Gab1 in terminal Schwann cells appeared to regulate the number and process elongation of terminal Schwann cells during synaptic elimination. However, Gab2 knockout mice did not show any defects in the development of the NMJ. Considering the role of Gab1 in postnatal peripheral nerve myelination, our findings suggest that Gab1 is a pleiotropic and important component of NRG1 signals during postnatal development of the peripheral neuromuscular system.

Efficacy and safety of lanthanum carbonate in patients on maintenance hemodialysis:a Meta-analysis / 天津医药

Objective To assess the treatment efficacy and safety of lanthanum carbonate (LC) in patients on maintenance hemodialysis. Methods MEDLINE (1996—2014), Embase (1974—2014.12), Pubmed (1996—2014.12), Cochrane library, Chinese Wanfang database (1996—2014.12) and CNKI (1979—2014.12) were searched. Lanthanum carbonate and hemodialysis were used as Chinese and English search terms respectively, and the articles met the inclusion and exclusion criteria were used as supplements. Quality assessment and data mining were conducted by two independent investigators who performed Meta-analysis using RevMan5.2. Results Nine trials with 2 674 participants were included in this study. The Meta-analysis showed that there were similar blood levels of calcium [WMD=-0.24,95%CI:(-0.61)-0.14, P=0.21], phosphorus [WMD=0.14,95%CI:(-0.02)-0.30,P=0.08] and phosphate control rates (RR=0.91,95%CI:0.70-1.17, P=0.44) between control group and lanthanum carbonate group. There were lower incidence rates of hypercalcemia (RR=0.17, 95%CI:0.06-0.47, P=0.000 7) and blood levels of calcium-phosphorus product [WMD=-2.17,95%CI:(-3.99)-(-0.35), P=0.02], and higher levels of parathyroid hormone (iPTH, WMD=105.69, 95%CI:70.38-141.00, P<0.000 01) and bone-specific alkaline phosphatase (BAP, WMD=6.47, 95%CI:0.43-12.50, P=0.04) in these two groups. There were no significant differences in incidence rates of gastrointestinal adverse events between two groups. Conclusion Lanthanum carbonate should be used as preferred choice of phosphate binders to control serum phosphorus in patients on maintenance hemodialysis.

Isolation and preliminary evaluation of Mulva Neglecta mucilage: a novel tablet binder

ABSTRACT The aim of this study was to evaluate binding potential of Mulva neglecta mucilage (MNM) with subsequent comparison to PVP K30. Eight batches of Diclofenac sodium tablets were prepared by wet granulation technique keeping different concentrations (4, 6, 8 & 10% w/w) of Mulva neglecta mucilage (extracted from leaves of Mulva neglecta) and PVP K30 as standard binder. The granules of formulated batches showed bulk density (g/mL) 0.49 ± 0.00 to 0.57 ± 0.00, tapped density (g/mL) 0.59 ± 0.01 to 0.70 ± 0.01, Carr's index 09.27 ± 0.95 to 19.65 ± 0.59, Hausner's ratio 1.12 ± 0.00 to 1.24 ± 0.01 and angle of repose 30.37 ± 2.90 °C to 36.86 ± 0.94 °C. Tablets were compressed to hardness 7.50 to 7.95 kg/cm2. The tablets showed 0.39 ± 0.02 to 0.39 ± 0.01% friability and 7:20 to 14:00 min disintegration time. Granules and post-compression evaluation revealed that parameters assessed were all found to be within the pharmacopoeial limits. The results (hardness, disintegration and dissolution) proved that Mulva neglecta mucilage has better binding capacity for preparation of uncoated tablet dosage form as compared to PVP K30. Among all the formulations, MN-1 to MN-4 showed slow release as compared to PV-1 to PV-4 and thereby Mulva neglecta mucilage exhibited satisfactory drug release phenomenon tablets of diclofenac sodium.

RESUMO O objetivo deste estudo foi avaliar o potencial de ligação de mucilagem de Mulva neglecta (MNM), com posterior comparação ao PVP K30. Oito lotes de comprimidos de diclofenaco de sódio foram preparados pela técnica de granulação úmida, mantendo diferentes concentrações (4, 6, 8 e 10% w/w) de mucilagem de Mulva neglecta (extraída de folhas de Mulva neglecta) e PVP K30 como ligante padrão. Os grânulos de lotes formulados mostraram densidade aparente (g/mL) 0.49 ± 0.00-0.57 ± 0.00, densidade compactada (g/mL) 0.59 ± 0.01-0.70 ± 0.01, índice de Carr 09.27 ± 0.95-19.65 ± 0.59, a relação de Hausner 1.12 ± 0.00-1.24 ± 0.01 e ângulo de repouso 30.37 ± 2.90 °C a 36.86 ± 0.94 °C. Os comprimidos foram prensados à dureza de 7.50-7.95 kg/cm2. Os comprimidos apresentaram 0.39 ± 0.02-0.39 ± 0.01% friabilidade e 7:20-14:00 min de tempo de desintegração. A avaliação de grânulos e pós-compressão revelou que todos os parâmetros estavam dentro dos limites da farmacopeia. Os resultados (dureza, desintegração e dissolução) provaram que a mucilagem de Mulva neglecta tem maior capacidade de ligação na preparação da forma de dosagem de comprimido não revestido em relação à PVP K30. Entre todas as formulações, MN-1 e MN-4 mostraram liberação lenta em comparação com PV-1 e PV-4 e, assim, a mucilagem de Mulva neglecta exibiu liberação do fármaco satisfatória para os comprimidos de diclofenaco de sódio.

Influencia de los ingredientes de la formulación y de la temperatura sobre las propiedades texturales de un producto en conserva / Influence of the formulation ingredients and temperature on the texture of a canned product / Influência dos ingredientes da formulação e da temperatura sobre as propriedades na textura de um produto em conserva

Se determinó la influencia de los componentes de la receta y la temperatura sobre algunas propiedades de pasta de pescado, obtenida a partir del picadillo de pescado tratado térmicamente. Entre las propiedades estudiadas se encuentran: dureza, representada por el grado de penetración, capacidad de enlace de agua, representada por la pérdida de aguay parámetros sensoriales del producto. También se analizó el efecto de la sustitución de la harina de trigo por otros ligantes como el almidón de yuca y de maíz. Los resultados indican que la elevación del contenido de proteínas y/o carbohidratos provoca un endurecimiento del producto y una disminución de pérdida de agua. El aumento de la temperatura ocasiona, a su vez, endurecimiento de la textura y aumento de pérdida de agua. Los resultados demuestran que existe estrecha correlación entre la dureza y la pérdida de agua. Es posible sustituir la harina de trigo, usada como ligante en la producción de pastas de pescado, por almidón de yuca o de maíz sin cambios significativos en los parámetros físico-químicos y sensoriales del producto analizado.

Foi determinada a influência dos componentes da formulação e da temperatura sobre algumas propriedades da pasta de pescado, obtida de picadinho de pescado, tratado termicamente. Entre as propriedades avaliadas encontram-se: dureza, representada pelo grau de penetração, a capacidade de retenção da água, representada pela perda da água e parâmetros sensoriais do produto. Além, foi analisada a substituição da farinha de trigo por outros agentes de ligação tais como amido de mandioca e amido do milho. Os resultados refletem que a elevação do conteúdo de proteínas e/ou carboidratos provoca um endurecimento do produto e uma redução das perdas da água. O aumento da temperatura provoca o endurecimento da textura e o aumento das perdas de água. Os resultados mostram que existe uma forte correlação entre a dureza e a perda de água. A farinha de trigo, utilizada como agente de ligação na produção da pasta de pescado, pode ser substituída pelo amido de mandioca ou pelo amido do milho, sem alterações significativas nos parâmetros físico-químicos e sensoriais dos produtos analisados.

The influence of the recipe components and the temperature on some fish paste properties obtained from heat treated minced fish was evaluated. Hardness, represented by the degree of penetration, water binding capacity, represented by water loss, and sensory parameters of the product were tested. The replacement of wheat flour by other binders as cassava starch or corn starch was also analyzed. The results indicate that the increase of protein and/or carbohydrates causes hardening of the product and water loss reduction. The increase in the temperature of processing causes hardening of texture and water loss increases. The results show that there is close correlation between hardness and water loss. Replacing the wheat flour used as a binder in the production of fish paste can be performed through cassava starch or corn starch without significant changes in sensory and physico-chemical parameters of the product.

Effect of thermal and chemical modiifcations on the mechanical and release properties of paracetamol tablet formulations containing corn, cassava and sweet potato starches as ifller-binders

Objective:To investigate the effects of acetylation and pregelatinization of cassava and sweet potato starches on the mechanical and release properties of directly compressed paracetamol tablet formulations in comparison with official corn starch. Methods: The native starches were modified by acetylation and pregelatinization. The tablets were assessed using friability (Fr), crushing strength (Cs), disintegration time (Dt) and dissolution parameters. Results: Starch acetylation produced paracetamol tablets that were stronger and had the best balance of mechanical and disintegration properties, while pregelatinization produced tablets that were more friable but had a better overall strength in relation to disintegration than formulations made from natural starches. Correlations mainly existed between Dt and the dissolution parameters t80, t2 and k1 in the formulations. Conclusions:Modification of the experimental starches improved the mechanical and release properties of directly compressed paracetamol tablet formulations. Thus, they can be developed for use as pharmaceutical excipients in specific formulations.

Effect of thermal and chemical modifications on the mechanical and release properties of paracetamol tablet formulations containing corn, cassava and sweet potato starches as filler-binders

Objective: To investigate the effects of acetylation and pregelatinization of cassava and sweet potato starches on the mechanical and release properties of directly compressed paracetamol tablet formulations in comparison with official corn starch. Methods: The native starches were modified by acetylation and pregelatinization. The tablets were assessed using friability (F

Treatment of phosphate retention: The earlier the better?

Over the last 15 years, our knowledge and understanding of the underlying mechanisms involved in the regulation of calcium and phosphate homeostasis in chronic kidney disease have advanced dramatically. Contrary to general opinion in the 20th century that moderate hypercalcemia and hyperphosphatemia were acceptable in treating secondary hyperparathyroidism, the calcium and phosphate load is increasingly perceived to be a major trigger of vascular and soft tissue calcification. The current treatment options are discussed in view of historical developments and the expectations of the foreseeable future, focusing on the early treatment of hyperphosphatemia. At present, we lack in disputable evidence that active intervention using currently available drugs is of benefit to patients in chronic kidney disease stages 3 and 4.

The use of mycotoxin binders in reducing contamination of swine diets by feed borne fusarium mycotoxins and its effects on metabolism and reproduction in first parity gilts.

In an experiment to determine the effects of feed-borne fusarium mycotoxins on metabolism and reproduction in first parity gilts, a total of 36 first parity Yorkshire gilts (3 diets with 12 gilts per diet) were housed in individual stalls for 21 days before farrowing and 21 days after farrowing in the first experiment and a total of 32 first parity gilts (4 diets with 8 gilts per diet) were used in the 2nd experiment. Experimental conditions were similar in the 2 experiments. Diets included a control diet, a diet with contaminated grains and a diet with contaminated grains + 0.2% mycotoxin binder in the 1st experiment. In the 2nd experiment a 4th diet was included. There were no significant (P>0.05) effects of diet on average daily feed intake of gilts during gestation. Weight gain and feed: gain ratios however were reduced by contaminated grains. The percentage of stillbirths was higher and total piglets born were lower for gilts fed contaminated grains compared with those fed contaminated grains plus mycotoxin binders. During lactation, feed intake and weight gain were reduced by diets containing contaminated grains. Blood chemistry, milk composition and piglet weights at weaning were not affected by diet.

Synthesis of Several Novel Symmetrical Amide-Linked Tetra-Benzimidazoles as Promising DNA and/or RNA Binders.

Several symmetrical tetrameric benzimidazoles (dimeric-bisbenzimidazoles) were synthesized efficiently in good yields, characterized physicochemically and also by 1H-NMR 13C-NMR, IR, MS, and elemental analysis. Six tetrameric symmetrical benzimidazole were synthesized by varying the amide linkage between the positions C2 and C5 of the benzimidazoles as the sites for building blocks. The benzimidazole units were coupled using (EDC/HOBt) to afford amide-linked 525L525 and 5L25L52L5 (2 and 5 are related to the numbering on benzimidazole ring while L is related to linkage between benzimidazole units) benzimidazole tetramers. Both symmetric dimers; 1,4-bis-(2-carboxybenzimidazolyl)piperazine and 1,4-bis-(2-aminobenzimidazolyl) piperazine were also prepared via condensation of the bis-(1,2-diamine) system using either trichloroacetimidate or 4- nitrobenzoate activation, followed by hydrolysis and reduction respectively. In parallel to the above syntheses, both 5-aminobenzimidazoles and 5-carboxybenzimidazoles were synthesized. Finally; the first set of tetramers was synthesized via coupling of one equivalent of 1,4-bis-(2-aminobenzimidazolyl) piperazine with two equivalents of monomeric 5-carboxybenzimidazole while the second set was achieved by coupling of one equivalent of 1,4-bis-(2-carboxybenzimidazole) piperazine with two equivalents of monomeric 5- aminobenzimidazole.

A revisit of the mode of interaction of small transcription inhibitors with genomic DNA.

One class of small molecules with therapeutic potential for treatment of cancer functions as transcription inhibitors via interaction with double-stranded DNA. Majority of the studies of the interaction with DNA have so far been reported under conditions nonexistent in vivo. Inside the cell, DNA is present in the nucleus as a complex with proteins known as chromatin. For the last few years we have been studying the interaction of these DNA-binding small molecules at the chromatin level with emphasis on the drug-induced structural alterations in chromatin. Our studies have shown that at the chromatin level these molecules could be classified in two broad categories: single-binding and dual-binding molecules. Single-binding molecules access only DNA in the chromatin, while the dual-binding molecules could bind to both DNA and the associated histone(s). Structural effects of the DNA-binding molecules upon chromatin in light of the above broad categories and the associated biological implications of the two types of binding are discussed.

Brittle Fraction Index (BFI) as a tool in the classification, grouping and ranking of binders in tablet formulation: Paracetamol tablets.

The aim of this work was to explore the possibility of utilizing BFI as a tool for classifying, grouping and ranking binders based on performance in ameliorating capping and lamination in paracetamol tablets. Binders from different origins (starches, celluloses, natural gums, and synthetic gums) were used via wet granulation at concentrations ranging from 1.0 - 12.5% w/w to make paracetamol tablets with and without centre holes at a compression pressure of 7.5 arbitrary units. Requisite quality control tests were conducted on the tablets. The BFI values of the tablets were computed and statistically analyzed using Friedman’s test and regression analysis. The analyses revealed significant differences between the BFI values of the formulations (p < 0.05), projected BFI as a useful tool in grouping and ranking binders based on effectiveness in ameliorating capping and lamination in paracetamol tablets, but failed to be useful in classifying the binders based on nature or origin. Furthermore, with the exception of some of the tablets formulated with the celluloses or starches, others met the official requirements for good quality and those formulated with plant gums or PVP released up to 70% of drug in 15min at low binder concentrations. The present findings may serve as a guide to formulators since they may enable quick and easy selection of the best and most economic binder(s) from an array of available binders for the conversion of paracetamol or related powders into good quality tablets.

Physicochemical and dissolution profile characterization of pellets containing different binders obtained by the extrusion-spheronization process

With the purpose of evaluating the behavior of different polymers employed as binders in small-diameter pellets for oral administration, we prepared formulations containing paracetamol and one of the following polymers: PVP, PEG 1500, hydroxypropylmethylcellulose and methylcellulose, and we evaluated their different binding properties. The pellets were obtained by the extrusion/spheronization process and were subsequently subjected to fluid bed drying. In order to assess drug delivery, the United States Pharmacopeia (USP) apparatus 3 (Bio-Dis) was employed, in conjunction with the method described by the same pharmacopeia for the dissolution of paracetamol tablets (apparatus 1). The pellets were also evaluated for granulometry, friability, true density and drug content. The results indicate that the different binders used are capable of affecting production in different ways, and some of the physicochemical characteristics of the pellets, as well as the dissolution test, revealed that the formulations acted like immediate-release products. The pellets obtained presented favorable release characteristics for orally disintegrating tablets. USP apparatus 3 seems to be more adequate for discriminating among formulations than the basket method.

Com a finalidade de se avaliar o comportamento de diferentes polímeros empregados como aglutinantes em pellets de pequeno diâmetro para uso oral foram preparadas formulações contendo paracetamol e um dos seguintes polímeros: PVP, PEG 1500, hidroxipropilmetilcelulose e metilcelulose por apresentarem diferentes propriedades aglutinantes. Os pellets foram obtidos pelo processo de extrusão/esferonização e secagem em leito fluidizado. Para avaliar a liberação do fármaco, empregou-se o método 3 da Farmacopeia Americana, também conhecido como Bio-Dis e o método preconizado pela mesma farmacopeia para comprimidos de paracetamol. Os pellets foram avaliados, ainda, com relação à granulometria, friabilidade, densidade verdadeira e teor. Os resultados indicaram que os diferentes aglutinantes empregados são capazes de afetar a produção e algumas das características físico-químicas dos pellets e o ensaio de dissolução revelou que as formulações comportam-se como produtos de liberação imediata. Os pellets obtidos apresentaram características de liberação favoráveis para a obtenção de comprimidos de liberação instantânea. O aparato 3 da Farmacopeia Americana demonstrou ser um método com melhor capacidade discriminatória entre as formulações, quando comparado com o método da cesta.

Use of anhydrous calcium phosphate and selected binders in the tablet formulation of a deliquescent crude plant extract: Vernonia galamensis (Asteraceae).

In this study, the effect of anhydrous calcium phosphate, an efflorescent pharmaceutical powder of reduced moisture content, ideal for moisture-sensitive materials; and the comparative binding effects of maize starch, polyvinylpyrrolidone and gelatin were investigated in the tablet formulation of the deliquescent crude extract of the leaves of Vernonia galamensis (Asteraceae). Materials used include; anhydrous calcium phosphate (BDH chemicals Ltd. Poole, England), maize starch and gelatin (May and Baker, Germany). Granule and tablet analyses were carried out according to standard procedures in the BP 2007. Preparations of the binders at varying concentrations of 2.5, 5.0 and 7.5% w/v were used to produce the granules by wet granulation method and compressed into tablets at 26.25KN. The mechanical strengths and drug release properties of the designed tablets were assessed using the crushing strengthfriability, disintegration time ratio (CSFR:DT) and dissolution rate. An increase in binder concentration led to an increase in crushing strength, decrease in friability and increase in disintegration time of the tablets. Anhydrous calcium phosphate used as diluent along with polyvinylpyrrolidone as binder produced the best quality tablets in terms of the CSFR: DT ratio and dissolution rate as compared to the diluent used with maize starch and gelatin as binders.

Effect of binders on 500mg metformin hydrochloride tablets produced by wet granulation

Metformin hydrochloride (MH) is an oral hypoglycemic agent and a high-dose drug that has poor flow and compression properties. In this study, the feasibility of developing adequate, low cost 500mg tablets of metformin hydrochloride by wet granulation was tested with several binders (Starch / PVP K30®; Starch1500® /PVP K30®, PVP K30® and PVP K90®) in a simple tablet press of the type used in small pharmaceutical laboratories. The drug powder was tested for ability to flow, by determining Carr?s Index (CI) and the Hausner ratio (HR). Differential scanning calorimetry and thermogravimetric analysis were carried out on isolated MH and 1:1 (w/w) binary mixtures with the excipients. The size distribution, friability, flow properties and drug content of the granules were analyzed, as were the hardness, friability, disintegration, dissolution and uniformity of the dosage form. The drug powder showed CI > 22% and HR > 1.25, characteristic of a poor flow powder, and no significant incompatibilities with the excipients. All the granules showed adequate flow properties and were suitable for pressing into tablets, all of which complied with pharmacopeial specifications. The starch /PVP K30® and starch 1500®/PVP K30® mixtures were best for producing 500 mg MH tablets.

Cloridrato de metformina é um fármaco hipoglicemiante oral que apresenta propriedades pobres de fluxo e compressibilidade. Este trabalho teve como objetivo o desenvolvimento de comprimidos de baixo custo,após granulação por via úmida, contendo 500 mg de cloridrato de metformina e diferentes aglutinantes (F1-amido / PVP K30®; F2- Starch 1500® / PVP K30®, F3-PVP K30®, F4- PVP K90®) em máquinas de compressão de baixo desempenho usadas em laboratórios farmacêuticos de pequeno porte. As propriedades defluxo do fármaco foram analisadas através do índice de Carr (IC) e fator de Hausner (FH). Cloridrato de metformina e suas misturas binárias com os excipientes na relação 1:1 (m/m) foram analisadas por calorimetria diferencial por varredura e análise termogravimétrica. Os granulados foram analisados quanto a distribuição granulométrica, friabilidade, propriedades de fluxo e teor e os comprimidos em relação à dureza, friabilidade, desintegração, dissolução e uniformidade de conteúdo.O cloridrato de metformina apresentou IC > 22% e FH> 1,25, característicos de fluxo pobre e não apresentou incompatibilidades com os outros excipientes. Todos os granulados demonstraram adequadas propriedades de fluxo e facilidade no processo de compressão. Os comprimidos apresentaram conformidade com as especificações farmacopeicas. As misturas amido / PVPK30® e Starch 1500® / PVP K30® foram mais adequadas para produzir comprimidos de cloridrato de metformina 500 mg.

Dieta e quelantes como ferramentas para o manuseio do hiperparatireoidismo secundário / Diet and phosphate binders in the management of secondary hyperparathyroidism

O fósforo é um elemento fundamental no metabolismo celular e sua homeostase é mantida pelo sistema digestivo, remodelação óssea e rins. Uma dasprincipais alterações no metabolismo do fósforo, a hiperfosfatemia, pode se tornar uma situação de grave morbidade para pacientes com doença renalcrônica (DRC), sendo considerada atualmente uma responsável indireta pela alta taxa de mortalidade dessa população. Cerca de 60% dos pacientes em diálise apresentam níveis de fósforo elevados. O excesso de ingestão de fósforo, o uso inadequado de seus quelantes intestinais, a inadequação dialítica e o status da remodelação óssea compõem o caráter multifatorial da hiperfosfatemia, tornando seu tratamento um dilema ao nefrologista. Na fase não-dialítica, a restrição de fósforo é mais facilmente implementada já que normalmente os pacientes são orientados a ingerir reduzida quantidade de proteína, o que, conseqüentemente, acarreta uma diminuição no conteúdo de fósforo. Na fase dialítica, em função da elevada necessidade protéica, a restrição significativa de fósforo quase nunca pode ser empregada, o que na maioria das vezes, implica na utilização de quelantes de fósforo. Os quelantes devem ser ingeridos junto com a alimentação, de forma a permitir a melhor mistura com os alimentos. Dentre os tipos mais comumente utilizados estão os quelantes à base decálcio ou aqueles livres de cálcio ou metal, como o sevelamer. A dose de cálcio elementar proveniente de quelantes não deve exceder a 1500 mg/dia ou 2000 mg/dia, se considerado o cálcio da dieta. Pacientes com hipercalcemia não devem utilizar quelantes que contêm cálcio. Finalmente, é importanteressaltar que o sucesso do tratamento da hiperfosfatemia da DRC requer o envolvimento de toda a equipe multiprofissional, particularmente do nutricionista.

Phosphorus, an essential element for cell metabolism, has its homeostasis maintained in the body by the integrated actions of intestine, bone and kidneys.Hyperphosphatemia, mainly due to derangements in phosphorus metabolism, is a serious complication of chronic kidney disease (CKD) responsible for thehigh rates of mortality in this population. Elevated serum phosphorus is found in about 60% of the patients on maintenance dialysis. Several factors can contribute to hyperphosphatemia, including high phosphorus intake, inappropriate use of phosphate binders, poor dialysis efficiency and the bone turnover condition. For these reasons the treatment of hyperphosphatemia is still a challenge for nephrologists. In CKD stages 2 to 4 a low phosphorus intake is often achieved since dietary protein restriction, with consequent phosphorus reduction content is usually employed for these patients. In contrast, considering the elevated protein requirement of patients on dialysis it is not possible to reduce phosphorus intake in a significant manner without harmful consequences inthe nutritional status. Thus, the use of phosphate binders is always necessary for these patients. For better results, however, the binders must be takentogether with the meals to guarantee a satisfactory mixture with food. Calcium based phosphate binders or those binders free of calcium or metals such assevelamer are among the most used ones. Calcium intake provided by phosphate binders should not exceed 1500 mg/day or 2000 mg/day, considering the calcium provided by the diet. However, for patients with hypercalcemia, calcium based phosphate binders should be avoided. Finally, it is important to address that the success of the treatment relies on the involvement of all members of health care team in particular the nutritionist.

Simple Correction Method of Binder`s Syndrome

Binder`s syndrome(maxillonasal dysplasia) is a disorder characterized by midface hypoplasia, flattened nose, convex upper lip, broad philtrum, crescent-shaped nostrils, acute nasolabial angle, absent anterior nasal spine and Class III malocclusion. Three defects(short maxilla, perialar flattening, and the hypoplastic nose) should be considered for appropriate correction method. A 25 years old man visited for correction of saddle nose deformity. The authors designed simple method for correction by using a silicone rubber and porous high density polyethylene sheet, Medpor(R), for nasal dorsal augmentation and the result was excellent. The most important part of Binder's syndrome correction seemed to be the correctioning the hypoplastic nose and it was highly effective only by simple correction of nasal augmentation with implants.

A study of combination therapy for hyperphosphatemia with calcium-containing phosphate binders and low-calcium dialysate in hemodialysis patients / 中国实用内科杂志

1.78 mmol/L,intact parothyroid(iPTH)2.37 mmol/L,calcium dose was 1 000 mg/d;if serum Ca~ 2+ was0.05].After low-calcium dialysis(1.25 mmol/L Ca~ 2+ dialysate)for 6 months:the serum Ca~ 2+ level had no change[(2.37?0.26)mmol/L to (2.41?0.24)mmol/L];the serum P level had decreased significantly from[(2.60?0.47)mmol/L to (2.29?0.58)mmol/L];the iPTH had increased significantly from[(130.7?84.6)pg?mL~ -1 to (169.2?105.8)pg?mL~ -1 ,P