Drug utilization study in schizophrenia patients in outpatient department of psychiatry: an observational prospective study

Background: A mental disorder or psychiatry disorder is a behavioural or mental pattern that causes significant distress or impairment of personal functioning. Schizophrenia is one of the most common psychiatric disorders. Aim of the study is to study drug utilization pattern in schizophrenia patients in outpatient department of psychiatry.Methods: A prospective and observational study was conducted in psychiatry outpatient department between May 2018 to October 2018 at Government Medical College and Hospital Aurangabad. Approval from ethics committee was taken. Data collected was of age, sex, final diagnosis, drugs prescribed to patients from case report form. The data obtained was then analyzed in Microsoft excel.Results: Total prescriptions of 129 patients were analyzed. Out of 129 patients 99 (76.74%) were male, while 30 (23.26%) were female. The mean age of the patients admitted in Psychiatry OPD was 36.71±11.76 years. Number of drugs prescribed per patient being 3.40±1.12 (mean±SD). The most common drugs used were olanzapine (66.6%), trihexyphenidyl (51.9%), lorazepam (44.9%), risperidone (39.5%), trifluoperazine (27.9%).Conclusions: Our study shows that atypical antipsychotics were the most common drugs prescribed in patients. Olanzapine was the most common medication used followed by risperidone. Our prospective study is carried out to get a more comprehensive data so that we can improve the drug utilization in our hospital.

Drug utilization study in medicine intensive care unit in tertiary care hospital

Background: The medical intensive care unit (MICU) is a setting were patients who are critically ill are admitted and thus usually receive a large number of drugs of different pharmacological classes due to life threatening illnesses which may be fatal. The various drugs used in MICU and there clinical outcome was investigated in this study.Methods: Patients admitted between January 2017 to June 2018 in Medicine ICU of GMC Aurangabad were included in this study.Results: Total of 351 prescriptions was analyzed from the medicine intensive care unit. Out of 351 patients 243 (69.23%) were male, while 108 (30.77%) were female. The mean age of the patients admitted in MICU was 42.78�.14 years. The most common type of patients admitted in MICU have the diagnosis of organophosphorous poisoning (25.36%), followed by cerebrovascular accident (15.95%), pneumonitis (10.26%), snake bite (7.12%), chronic kidney disease (5.98%), diabetic ketoacidosis (5.70%) and seizure disorder (3.42%). The most common drugs used were ranitidine (99.71%) and ondansetron (99.43%). Among antibiotics cephalosporins were most commonly used, ceftriaxone (39.03%), cefotaxim (40.46%), cefoperazone and sulbactum (24.22%). Other antibiotics most commonly used were metronidazole (61.25%), amoxicillin and potassium clavulanate (26.78%), piperacillin and tazobactum (11.68%), meropenem (11.40%).Conclusions: In conclusion, we found that in MICU utilization rate of gastroprotective (ranitidine), antiemetic (ondansetron) and antibiotics (cephalosporins) was high. The present study provides valuable insight about the overall pattern of drugs used in medicine intensive care unit.

Anorectal Malformation with Associated Duodenal Obstruction and Uterus Didelphys / Malformación anorrectal asociada con obstrucción duodenal y útero didelfo

ABSTRACT Anorectal malformations have long been associated with multiple other anomalies, commonly referred to as the VACTERL complex. We present a case of a newborn baby girl with an unusually high number of associated anomalies, including the rarely encountered condition of uterus didelphys.

RESUMEN Las malformaciones anorrectales se han asociado por mucho tiempo con otras anomalías, conocidas comúnmente como asociación VACTERL. Presentamos el caso de una niña recién nacida con un número inusualmente alto de anomalías asociadas, incluyendo una condición raramente encontrada conocida como útero didelfo.

An Evaluation of the Effects of Marginal Design, Die Spacer, and Seating Force on the Marginal Fit of Cast Metal Crowns after Luting – An Invitro.

The marginal adaptation of cast metal crowns is essential for the success of cast restoration. The marginal design, die spacer and the seating force are considered as important factors effecting the marginal fit of cast metal crowns. Aims and Objectives; The aim and objectives of the present study is to evaluate the marginal fit of cast metal crowns 1.With three different marginal designs that are shoulder, shoulder with bevel and chamfer 2.With and without die spacer 3.Under seating forces 100N and 300N. METHODOLOGY: The study was done using 3 brass dies of 6mm height 10o taper with three different marginal designs shoulder, shoulder with 45o bevel and chamfer . 20 impressions of each metal die were made and casts were poured. 10 specimens of each group were coated with die spacer while the other 10 specimens were to serve as control group. Cementation done with GIC under two different seating forces (100N and 300N). The marginal discrepancy is determined by measuring the crown height before and after cementation. From this study it was concluded that specimen with combination of chamfer marginal design with die spacer under 300N seating force exhibited superior marginal adaptation.

Drugs in pregnancy and lactation.

Drug use during pregnancy and lactation is an almost inevitable event. Some of the drugs may have adverse effects on the baby on exposure. It is therefore necessary for the physician to be aware of the changes in pharmacokinetics and pharmacodynamics during pregnancy. Knowledge about the known teratogens and drugs safe to be used during pregnancy is essential on the part of the prescribing physician. There are many factors affecting drug passage into the milk and thus affecting the child in some cases. There are also some drugs affecting lactation. All this data needs to be carefully studied by the physician.

Zirconia: A Creditable Restorative Material - A Review.

Advanced ceramic materials such as Zirconia have great potential as substitutes for traditional materials in many biomedical applications. Since the end of 1990’s, the form of partially stabilized zirconia has been promoted as suitable for dental use due to its excellent strength and superior fracture resistance as a result of its inherent transformation toughening. The purpose of this review is to know the evolution of zirconia as a biomaterial, to explore the materials physical, chemical, biological and optical properties of the material.

Formulation and evaluation of etoricoxib tablets employing cyclodextrin- poloxamer 407 - PVPK30 inclusion complexes.

Etoricoxib, a widely prescribed anti-inflammatory drug belongs to class IΙ under BCS and exhibit low and variable oral bioavailability due to its poor aqueous solubility. Its oral absorption is dissolution rate limited and it requires enhancement in the solubility and dissolution rate for increasing its oral bioavailability. The objective of the study is to evaluate the feasibility of formulating etoricoxib – CD (βCD/ HPβCD) – Poloxamer 407 and etoricoxib – CD (βCD/ HPβCD) –PVP K30 inclusion complexes into tablets and to evaluate the effects of CDs, Poloxamer 407 and PVP K30 on the dissolution rate of etoricoxib tablets. A comparative evaluation of wet granulation and direct compression methods was made for the preparation of tablets employing drug – CD –Poloxamer 407 / PVP K30 inclusion complexes. Drug – CD- Poloxamer 407 / PVP K30 inclusion complexes were prepared by kneading method. Tablets each containing 60 mg of etoricoxib were prepared by wet granulation and direct compression methods employing various CD complexes and the tablets were evaluated for dissolution rate and other physical properties. toricoxib tablets made by direct compression method disintegrated rapidly when compared to those made by wet granulation method. Tablets formulated employing βCD complexes disintegrated relatively more rapidly than those formulated employing HPβCD complexes. Etoricoxib dissolution was rapid and higher from the tablets formulated employing drug- CD- Poloxamer 407/ PVP K30 inclusion complexes when compared to the tablets containing etoricoxib alone and drug – CD complexes in both wet granulation and direct compression methods. In both the methods tablets formulated employing βCD complexes gave higher dissolution rates (K1) and DE30 values when compared to those formulated employing HPβCD complexes. Tablets formulated employing dug – βCD – Poloxamer 407 and drug – βCD – PVP K30 complexes and prepared by direct compression method gave higher dissolution rates, 0.0539 and 0.0459 min-1 respectively when compared to plain tablets (0.0124 min-1 ) as well as tablets containing drug – βCD complexes (0.0417 min-1). Hence a combination of βCD with Poloxamer 407 or PVP K30 is recommended to enhance the dissolution rate of etoricoxib tablets.