Evaluating the Effectiveness of Videos for Teaching Pharmaceutical Calculations to Pharmacy Students.

Performing pharmaceutical calculations accurately is a fundamental aspect of the pharmacy profession, ensuring treatment efficacy and patient safety. Incorporating videos in teaching can enhance visualisation and reinforce learning. The current study utilised videos to teach calculations and assessed how these affected students' performance. Initially, pharmacy students were surveyed at one UK University to identify calculation topics they found most challenging, and then two prototype videos were created based on these topics. Feedback was gathered through a follow-up survey on these prototypes, leading to the development of five additional videos. To evaluate the impact of these videos, students were given quizzes before and after watching them. The data were analysed in Microsoft Excel and included paired t-tests to compare mean scores, with significance set at p < 0.05. The survey was completed by 98/130 (75% response rate), with 58% expressing average or low confidence in calculations. A majority (78%) believed that videos would aid their comprehension of calculation concepts. In the subsequent phase, most respondents (92%, 80/87) agreed that the prototype videos improved their understanding of the two topics, but this increase was not statistically significant. However, quiz performance evaluation revealed a significant increase in average scores. This study affirms that videos can boost students' performance in calculations by allowing them to visualise the relevant practical scenarios.

Cryogenic Media in Biomedical Applications: Current Advances, Challenges, and Future Perspectives.

This paper explores the crucial role of cryogenic mediums in driving breakthroughs within the biomedical sector. The objective was to investigate, critically discuss, and present the current knowledge and state-of-the-art practices, along with the challenges and perspectives of the most common applications. Through an extensive literature review, this work aims to supplement existing research, offering a comprehensive and up-to-date understanding of the subject. Biomedical research involving cryogenic mediums is advancing on multiple fronts, including the development of advanced medical technologies, clinical treatments for life-threatening conditions, high-quality biospecimen preservation, and antimicrobial interventions in industrial food processing. These advances open new horizons and present cutting-edge opportunities for research and the medical community. While the current body of evidence showcases the impressive impact of cryogenic mediums, such as nitrogen, helium, argon, and oxygen, on revolutionary developments, reaching definitive conclusions on their efficiency and safety remains challenging due to process complexity and research scarcity with a moderate certainty of evidence. Knowledge gaps further underline the need for additional studies to facilitate cryogenic research in developing innovative technological processes in biomedicine. These advancements have the potential to reshape the modern world and significantly enhance the quality of life for people worldwide.

Are Community Pharmacists Ready to Deliver Pharmacogenomics Testing Services?

This study assesses the readiness and willingness of community pharmacists in England to deliver the pharmacogenomic (PG) testing service. A survey covering demographics and four key themes including awareness and training, general views and experience, barriers, willingness, and confidence was distributed to community pharmacies in the boroughs of Croydon and Sutton in South London. A total of 51 pharmacists responded to the survey. The study revealed that most respondents had a limited familiarity or understanding of pharmacogenomics (n = 32, 63%). Moreover, on average, around 60% of participants were unable to accurately identify drugs that currently have or could have potentials for PG testing. They indicated that their pharmacogenomic education and training is inadequate, with only 2/51 pharmacists reported receiving relevant training. Time constraints, shortage of staff and lack of knowledge were identified as barriers that could hinder the implementation of PG. Over 60% of respondents expressed willingness to provide PG testing service after receiving adequate training. The study found that currently not all community pharmacists are prepared to provide PG testing services, with newly qualified pharmacists appearing to have an upper hand when it comes to understanding the subject. Therefore, consistent, and uniform training is required to allow community pharmacists with all years of experience to equally contribute to the implementation of PG testing.

The Evolving Role of Cryosurgery in Breast Cancer Management: A Comprehensive Review.

Breast cancer is the most commonly diagnosed type of cancer, accounting for approximately one in eight cancer diagnoses worldwide. In 2020, there were approximately 2.3 million new cases of breast cancer globally, resulting in around 685,000 deaths. Consequently, there is an ongoing need to develop innovative therapeutic approaches that can improve both clinical outcomes and patient quality of life. The use of ultra-low cryogenic temperatures, facilitated by cryogenic media such as liquid nitrogen, has revolutionized the biomedical field and opened up new possibilities for advanced clinical treatments, including cryosurgery. Cryosurgery has demonstrated its feasibility as a minimally invasive technique for destroying breast tumors and eliciting a significant antitumor immune response in the host. This feature sets cryosurgery apart from other ablative techniques. It has been shown to be well tolerated and effective, offering several advantages such as simplicity, the avoidance of general anesthesia, minimal pain, low morbidity, short recovery time, cost-effectiveness, and notably, improved aesthetic outcomes. The reviewed studies indicate that cryosurgery holds promise in the management of early-stage breast cancer and metastatic disease, especially in triple-negative and Her2-positive molecular subtypes in conjunction with checkpoint inhibitors and anti-Her2 antibodies, respectively. Furthermore, the effectiveness of cryosurgery in the management of ductal carcinoma in situ should be investigated as an alternative modality to surgery or surveillance. The minimally invasive nature of cryosurgery has the potential to significantly enhance the quality of life for patients.

The removal of tetracycline from water using biochar produced from agricultural discarded material.

An issue of significant importance worldwide is the contamination of water with antibiotics giving rise to antibiotic resistance in the environment. Antibiotics such as tetracycline are widely used in agriculture, as such they can pollute water courses, providing a means by which environmental bacteria can evolve antibiotic resistance genes. Biochar can form part of a solution as it is a well-known adsorbent. This material can be efficient in the adsorption of a wide range of pollutants and is inexpensive. An innovative heat pipe reactor was used to produce biochar from excess food and garden materials. This biochar was characterised using scanning electron microscopy with energy dispersive X-ray analyser (SEM-EDAX), Fourier transform infrared (FTIR) spectroscopy and Raman spectroscopy. The biochar produced had an adsorption capacity between 2.98 mg/g and 8.23 mg/g for initial tetracycline concentrations of 20 mg/l and 100 mg/l, respectively. The Freundlich isotherm provided the best fit to the experimental data. Kinetics examination revealed a rapid adsorption of tetracycline during the initial stages. The Elovich equation fitted the experimental data well. This adsorbent could therefore be produced at the site of an agricultural enterprise through the pyrolysis of agriculture waste and then used to reduce the infiltration of antibiotics into the environment.

Seasonal variability of chemical composition and mutagenic effect of organic PM2.5 pollutants collected in the urban area of Wroclaw (Poland).

The objective of the study was the assessment of the mutagenicity of chemical pollutants adsorbed on suspended particulate matter with aerodynamic diameter < 2.5 µm (PM2.5) in the four seasons. Samples were collected from the urban agglomeration of Wroclaw, Poland and evaluated for mutagenicity using two Salmonella typhimurium strains TA98 and TA100 with and without metabolic activation with microsomal fraction S9. The work covered sampling of suspended dusts in four seasons: summer, spring, autumn and winter. The dust samples were collected on glass filters using air aspirator and the organic matter of PM2.5 was extracted using Soxhlet extractor. The levels of polycyclic aromatic hydrocarbon compounds (PAH), nitro-PAH and dinitro-PAH were determined in the extract. Variable degree of air pollution with mutagenic substances was determined at the selected study site. A greater, negative effect of chemical compounds on DNA was determined in dust samples collected in the autumn-winter season in comparison to samples collected in the spring-summer season. In the majority of tests, higher mutagenicity was obtained in analyses conducted on total extracts in comparison to tests conducted in the presence of PAH pollutant fractions. The obtained mutagenic ratio values pointed to the presence of chemical compounds with a character of both promutagens and direct mutagens. Samples collected in the autumn-winter season were observed to have a higher diversity of organic substances absorbed on PM2.5 dusts. Particular samples differed in the total content and percent contribution of particular PAHs, nitro-PAHs, and other organic compounds. In addition, the identified substances included compounds belonging to different chemical classes: aliphatic compounds, cycloalkanes, mono- and bicycling arenes, polycyclic arenes, compounds containing oxygen, nitrogen, and sulphur.

Removal of methylene blue from aqueous solutions by biochar prepared from the pyrolysis of mixed municipal discarded material.

This paper investigates the adsorption of organic compounds in aqueous solution to biochar adsorbent, using methylene blue as an indicator for adsorption. Biochar was produced by the pyrolysis of mixed municipal discarded material in an innovative heat pipe reactor, the pyrolysis temperature was held at 300°C for 12 h. Biochar produced under these conditions was found to have oxygen containing functional groups that are beneficial to the adsorption of methylene blue as well as graphitic structures suggesting potential sites for π-π interactions with methylene blue. Methylene Blue followed the pseudo second order kinetic model with higher R2 values than both the pseudo first order kinetic and intraparticle diffusion models. The adsorption also closely fit the Langmuir isotherm rather than the Freundlich model, suggesting monolayer adsorption rather than multilayer adsorption. Maximum adsorption capacity was observed at 7.2 mg/g for initial concentration of 100 mg/l Methylene blue in aqueous solution. The amount of Methylene blue adsorbed increased with increasing initial concentration as expected. The adsorption mechanisms are likely π-π interactions between methylene blue and the graphitic structures in the biochar which are shown to be present in Raman spectroscopy, as well as electrostatic attraction and ionic bonding between negatively charged surface sites on the char and the positive charge on the dissolved methylene blue molecules. The results show that biochar obtained from mixed waste could be employed as a low-cost and effective tool in water treatment for the removal of basic dyes and potentially other organic impurities.

Removal of copper ions from aqueous solution using low temperature biochar derived from the pyrolysis of municipal solid waste.

Sustainable methods to produce filter materials are needed to remove a variety of pollutants found in water including organic compounds, heavy metals, and other harmful inorganic and biological contaminants. This study focuses on the removal of Cu(II) from copper aqueous solutions using non-activated char derived from the pyrolysis of mixed municipal discarded materials (MMDM) using a new heat pipe-based pyrolysis reactor. Adsorption experiments were conducted by adding the char to copper solutions of varying concentration (50-250 mg/L) at a constant temperature of 30 °C. The effect of pH on copper adsorption onto the char was also investigated in the range of pH 3 to 6. Copper removal using the char was found to be heavily dependent on pH, adsorption was observed to decrease below a pH of 4.5. However, the initial copper concentration had a little effect on the sorption of copper at high concentration solutions (above 100 mg/L). Overall, the biochar showed an effective copper adsorption capacity (4-5 mg/g) when using copper solutions with a concentration below100 mg/L and pH >4.5. Copper removal using the char tended to follow the pseudo second order kinetic model. Langmuir isothermal model was shown to be the closest fitting isotherm using the linearized Langmuir equation. However, the variety of feedstock used to produce the char led to a variation in results compared to other studies of more specific feedstocks.

Patients' and prescribers' perception of contact lenses as a potential ocular drug delivery system.

Contact lenses (CLs) designed to deliver medication gradually to the eye are being developed and investigated for the use in ocular drug delivery. The aim of the current research is to determine patients' acceptance of the use of lenses for ocular drug delivery. In addition, the study aimed to seek the views and perceptions of healthcare professionals (HCPs) on CLs as a method of ocular drug delivery and whether it will be prescribed to treat ocular conditions. This was a cross-sectional survey targeted at patients and HCPs. Two separate questionnaires were created with open-closed ended and multiple response questions, gauging the perceptions and acceptance of CLs as drug delivery tool. The patients' survey was distributed in John Radcliffe (JR), Oxford and Moorfields eye hospital (MEH), London, UK. The HCPs' questionnaire was manually distributed and was also devised on Survey Monkey and sent by email to ophthalmologists, optometrists, opticians, GPs and hospital and community pharmacists. The data were analysed using SPSS statistical software and Excel. Over 60% (92/151) of patients would accept the use of CLs for their ocular treatment with the highest acceptance being reported by patients in the age group of 30-49 years old. The most frequently used conventional treatment formulation was eye drops as indicated by 87% (131/151) of the responses. More than half of eye drop users (57%, 75/131) indicated that they would accept using CLs expecting them to reduce the frequency of application of the medicine and be less time consuming. Interestingly, half of HCPs were not aware of CLs as an ocular drug delivery method; nevertheless, a total of 65 HCPs out of the 112 surveyed stated that they would prescribe/dispense CLs to treat ocular disease.

Surface water filtration using granular media and membranes: A review.

Significant growth of the human population is expected in the future. Hence, the pressure on the already scarce natural water resources is continuously increasing. This work is an overview of membrane and filtration methods for the removal of pollutants such as bacteria, viruses and heavy metals from surface water. Microfiltration/Ultrafiltration (MF/UF) can be highly effective in eliminating bacteria and/or act as pre-treatment before Nanofiltration/Reverse Osmosis (NF/RO) to reduce the possibility of fouling. However, MF/UF membranes are produced through relatively intensive procedures. Moreover, they can be modified with chemical additives to improve their performance. Therefore, MF/UF applicability in less developed countries can be limited. NF shows high removal capability of certain contaminants (e.g. pharmaceutically active compounds and ionic compounds). RO is necessary for desalination purposes in areas where sea water is used for drinking/sanitation. Nevertheless, NF/RO systems require pre-treatment of the influent, increased electrical supply and high level of technical expertise. Thus, they are often a highly costly addition for countries under development. Slow Sand Filtration (SSF) is a simple and easy-to-operate process for the retention of solids, microorganisms and heavy metals; land use is a limiting factor, though. Rapid Sand Filtration (RSF) is an alternative responding to the need for optimized land use. However, it requires prior and post treatment stages to prevent fouling. Especially after coating with metal-based additives, sand filtration can constitute an efficient and sustainable treatment option for developing countries. Granular activated carbon (GAC) adsorbs organic compounds that were not filtered in previous treatment stages. It can be used in conjunction with other methods (e.g. MF and SSF) to face pollution that results from potentially outdated water network (especially in less developed areas) and, hence, produce water of acceptable drinking quality. Future research can focus on the potential of GAC production from alternative sources (e.g. municipal waste). Given the high production/operation/maintenance cost of the NF/RO systems, more cost-effective but equally effective alternatives can be implemented: e.g. (electro)coagulation/flocculation followed by MF/UF, SSF before/after MF/UF, MF/UF before GAC.

The impact of food components on the intrinsic dissolution rate of ketoconazole.

To accurately predict the in vivo performance of drugs from an in vitro dissolution test, the dissolution conditions used are supposed to be similar to those present in the gastrointestinal milieu. Post-prandial gastric fluid contains partially digested food mixtures consisting of fat, protein and carbohydrate. Despite this, the compendia dissolution medium recommended to simulate the gastric fluid is still composed of a simple solution of hydrochloric acid and sodium chloride with or without the addition of pepsin. Therefore, in this investigation, biorelevant dissolution media were developed to evaluate the impact of food constituents; milk with different fat contents, egg albumin, gelatin, casein, gluten, carbohydrates and amino acids on the intrinsic dissolution behavior of ketoconazole. Most of the food additives that were evaluated enhanced the apparent solubility of the drug but to different extents. The greatest enhancement in dissolution was observed in media containing either neutral amino acids or media based on milk mixtures. The formation of complexes between the drug and the additives most likely accounted for the solubilizing effect and in milk-containing media, the effect was attributed to the whole complex structure of milk rather than simply its fat content. These results highlight the potential effect of the type of ingested meal on drug dissolution and subsequent bioavailability.

In vitro evaluation of the dissolution behaviour of itraconazole in bio-relevant media.

Drugs in the gastrointestinal tract are exposed to a medium of partially digested food, comprising mixtures of fat, protein and carbohydrate. The dissolution behaviour of itraconazole was evaluated in bio-relevant media which were developed to take this into account. Media containing milk with different fat contents, protein (albumin, casein, gluten and gelatin), carbohydrates (glucose, lactose and starch) and amino acids (lysine, glycine, alanine and aspartic acid) to mimic a digested meal and bile components (sodium taurocholate and lecithin) to represent a key endogenous digestive material were investigated. The effect of medium composition on the intrinsic dissolution rate of itraconazole was evaluated as this drug has extremely poor solubility and its bioavailability is affected by food. Dissolution tests were carried out in simple compendial media based on dilute solutions of hydrochloric acid or neutral solutions of phosphate buffer and in more complex media containing the dietary components. The data obtained showed that most of the dietary components enhanced the solubility compared to simulated gastric fluid (SGF) but to differing extents. The greatest increase in dissolution was observed with the addition of milk and albumin although an increase was also seen with other proteins, amino acids and simulated gastrointestinal fluids.