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1.
Int J Inj Contr Saf Promot ; 30(1): 79-90, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35972894

RESUMO

Mobile phone distraction is a significant contributor to pedestrian injuries. However, mobile phone engagement among pedestrians has been scarcely explored in a developing country like India. The present study utilized the beliefs-based theory of planned behaviour to examine the association between pedestrian beliefs towards distracted walking (behavioural, normative, and control) and their mobile phone use frequencies. Based on a survey of 560 pedestrians (64.6% males), it was found that the major use of mobile phones was for listening to music (30.7%), followed by receiving a call (25%), making a call (18.9%), texting (9.8%), navigation (8.5%) and internet browsing (7.1%). A series of multivariate ANOVAs and logistic regression models were developed to investigate the relationships between the beliefs and frequencies of mobile phone use in hands-free and hand-held conditions. Significant multivariate differences were found for behavioural and normative beliefs in hands-free conditions and all three types of beliefs in hand-held conditions. The frequency of mobile phone use was significantly predicted by normative beliefs (p < 0.001) in the hands-free condition, and by behavioural (p = 0.041) and normative beliefs (p = 0.004) in the hand-held condition. The findings may assist the road safety countermeasures in addressing the issue of pedestrian distraction.


Assuntos
Uso do Telefone Celular , Telefone Celular , Pedestres , Masculino , Humanos , Feminino , Atenção , Acidentes de Trânsito , Segurança , Caminhada/lesões , Índia
2.
Int J Inj Contr Saf Promot ; 30(1): 68-78, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35976629

RESUMO

In India, over 25,000 pedestrian fatalities occur due to road crashes every year. While several studies have identified possible causative factors that contribute to these fatalities, little is known about how pedestrians perceive their surrounding environment. This study attempts to bridge this gap by analysing the pedestrian perception of the built environment and traffic-related aspects considering urban roads (arterial and sub-arterial). Fourteen parameters were selected to assess pedestrian perception, and four factors were derived through factor analysis. The obtained factor scores were then subjected to two-step cluster analysis to determine whether pedestrian perception is different for people from different socio-economic demographics with varying travel behaviour. Based on the results obtained from the descriptive analysis, the respondents were most satisfied with the 'quality of streetlights at sidewalks' and 'visibility/sight distances', while they were most dissatisfied with 'pedestrian volume at sidewalks' and 'lighting facilities at crossings'. From the cluster analysis, it can be summarized that female pedestrians walk less frequently than males and perceive a higher probability of collision or near-collision incidents against male pedestrians. The study findings can aid the policymakers in the assessment of the pedestrian perception of the existing road infrastructure and suggest improvements to ensure pedestrian safety.


Assuntos
Acidentes de Trânsito , Ambiente Construído , Pedestres , Feminino , Humanos , Masculino , Acidentes de Trânsito/prevenção & controle , Pedestres/psicologia , Pedestres/estatística & dados numéricos , Análise por Conglomerados , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Índia , Criança , Idoso
3.
Int J Inj Contr Saf Promot ; 30(1): 116-131, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35998070

RESUMO

This study conducts a comparative assessment of subjective experience of real-world and simulated world driving for investigating factors leading to simulator sickness. Thirty professional car drivers drove a fixed-base driving simulator in real and simulated worlds under No Time Pressure (NTP) and Time Pressure (TP) driving conditions. Drivers rated their perceptions based on real-world driving and simulator driving experiences after each driving session with respect to three factors: simulator sickness, mental workload, and sense of presence. The structural equation model results revealed that drivers experienced high mental workload due to TP driving conditions (factor loading = 0.90) and repeated exposure to simulated world (factor loading = 0.20) which induced simulator sickness (factor loading = 0.41) and resulted in low sense of presence (factor loading = -0.18). Thus, it can be concluded that lack of experience with virtual reality induced high simulator sickness, increased mental workload, and low sense of presence.


Assuntos
Condução de Veículo , Humanos , Simulação por Computador , Carga de Trabalho
4.
J Safety Res ; 80: 87-96, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-35249631

RESUMO

INTRODUCTION: Pedestrians at high-speed midblock crossings with the intention to cross the road usually face safety risks due to difficulty in judging the available gaps. The risk to pedestrians is high in developing nations like India since priorities are not respected by road users. Moreover, the non-yielding vehicular traffic puts pedestrians at further risk. While crossing the road, pedestrians are clear about rejecting small gaps and accepting the large gaps, however, they experience a dilemma between the small and large gaps. METHOD: This study attempts to model the dilemma zone for pedestrians intending to cross the high-speed roads (posted speed limit of 60 km/h). The field data were collected using high-definition video cameras at two uncontrolled midblock crossings, each in the cities of Mumbai and Kolhapur, located in the southwestern part of India. The variations in the spatial gap acceptance behavior were analyzed for 1,107 pedestrian observations using binary logit models. RESULTS: The findings revealed that the length and the distribution of the dilemma zone were significantly affected by the speed of the approaching vehicle and the distance from it. Moreover, the influence of vehicle type (truck, car, or two-wheeler), pedestrian type (walking alone or in a group), crossing speed, and waiting time also influenced pedestrians' gap acceptance behavior. Interestingly, pedestrians' gender did not play a significant role in their road crossing decisions. CONCLUSIONS: Overall, the study identified the dilemma zone boundaries that will help pedestrians to judge the safe gaps while crossing, and in turn, reduce the probability of pedestrian-vehicle crashes. Practical Application: The proposed dilemma zone intends to protect the pedestrians by assisting in making precise crossing decisions at high-speed midblock crossings.


Assuntos
Pedestres , Acidentes de Trânsito/prevenção & controle , Humanos , Veículos Automotores , Segurança , Caminhada
5.
Travel Behav Soc ; 24: 46-56, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34745888

RESUMO

COVID-19 pandemic has significantly affected the transportation sector across the world. Implementation of lockdown (that includes restricted travel activities) is a prevention strategy executed by various governments to minimize the spread of COVID-19. India went into complete lockdown from 25th March 2020; however, change in commuter's travel behavior was observed from the third week of March (termed as transition to lockdown) due to pandemic fear. In total 1945 participants participated in the travel behaviour survey and their responses with respect to work-based and non-work-based trips during transition period were analysed to understand their adaptation towards COVID-19. The study also attempted to quantify the effects of influencing factors which can explain change in the commuters' travel behaviour. The findings revealed that one-year increment in traveller's age had 2% reduced probability of no travel during transition than pre-transition. For non-work-related travel, chances of lower travel frequency were significantly greater during the transition period as compared to pre-transition. Compared to the non-essential trips, the chances of reduced travel frequency for the essential trips were found to be lower by 92%. By examining these behavioural changes, the present study aims to assist the policymakers in understanding the dynamics of fluctuating travel demand with respect to trip purpose during pandemic situations like COVID-19.

6.
Traffic Inj Prev ; 22(sup1): S134-S136, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34672884

RESUMO

OBJECTIVE: Driving While Intoxicated (DWI) is a significant threat to traffic safety worldwide, but little is known about the motivational factors behind the willingness to drink and drive especially in low- and middle-income countries (LMICs) such as India. The present study applied an extended version of prototype willingness model (PWM) to investigate the factors predicting the willingness to drink and drive. METHODS: One hundred and forty-three participants (77% males) responded to an online survey in India. The survey included the standard PWM constructs such as attitudes, subjective norms, prototype similarity and prototype favourability. Additionally, the measures of traffic fatalism and risk-perceptions were also incorporated to examine their effects on the willingness to drink and drive. RESULTS: The hierarchical regression model showed that the PWM constructs explained 84% of the variance in willingness to drink and drive. When the additional measures (traffic fatalism and risk perception) were included along with the PWM variables, it resulted in an increase of additional 2% of the variance in explaining the willingness, thereby leading to a total of 86%. In both the steps, the variable "attitudes" was found to be the strongest predictor of willingness to drink and drive. CONCLUSIONS: This study is first of its kind to evaluate the effectiveness of PWM model in Indian scenario for understanding the willingness to engage in the act of drunk driving. The study findings may prove useful to the stakeholders of educational and awareness programs, where the focus is required to be aimed at attitudes, subjective norms, prototype similarity and fatalistic beliefs of the drivers.


Assuntos
Acidentes de Trânsito , Condução de Veículo , Acidentes de Trânsito/prevenção & controle , Atitude , Feminino , Humanos , Índia , Masculino , Motivação , Inquéritos e Questionários
7.
Accid Anal Prev ; 157: 106169, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33965845

RESUMO

Braking performance of drivers is a crucial factor in evaluating the collision patterns and implementing road safety measures. Further, alcohol is known to impair driving control. The present study aims to examine the influence of a comprehensive range of Blood Alcohol Concentration (BAC) levels (0%, 0.03 %, 0.05 % and 0.08 %) on brake transition times of drivers. As young drivers show significantly higher crash risks compared to the experienced drivers, fifty-four young Indian drivers in the age group of 21-25 years (forty males and fourteen females) participated in the driving simulator experiments. The study adopted the framework of a within-subjects design, where each driver encountered rural and urban driving scenarios in a counterbalanced order, during experimental driving at each of the four BAC levels. Their brake transition times were estimated with respect to sudden pedestrian crossing events. Weibull Accelerated Failure Time (AFT) models with shared frailty were developed for quantifying the effects of BAC levels along with driver attributes on brake transition time. Preliminary analysis showed significant main effects of BAC (p < 0.001) and driving environment (p = 0.002) on brake transition time; however, their interaction effect was not significant (p = 0.485). The models revealed that 0.03 %, 0.05 % and 0.08 % BACs significantly reduced the brake transition times by 16 %, 28 % and 52 % in rural driving environment, and by 23 %, 37 % and 53 % in urban driving environment, compared to 0% BAC. The study outcomes may find application in assisting collision warning systems which take into account the braking behaviour of drivers.


Assuntos
Condução de Veículo , Pedestres , Acidentes de Trânsito/prevenção & controle , Adulto , Concentração Alcoólica no Sangue , Etanol , Feminino , Humanos , Masculino , Tempo de Reação , Adulto Jovem
8.
Traffic Inj Prev ; 22(5): 343-348, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33979247

RESUMO

OBJECTIVE: Alcohol-impairment of drivers has significant influence on road traffic safety; however, no experimental research has been conducted on the lateral driving control of Indian drivers. Therefore, the present study investigates the effects of different Blood Alcohol Concentration (BAC) levels (0%, 0.03%, 0.05% and 0.08%) and driver attributes on the lane positioning and steering control of Indian drivers. METHOD: A driving simulator experiment was designed where 82 adult licensed drivers (62 males, 20 females) completed driving on the simulated urban arterial road environment under the influence of varying BACs. Lateral driving performance measures associated with lane positioning (lane position variability) and steering control of drivers (steering angle variability and steering reversal rates (SRR)) were analyzed. RESULTS: The findings reported that lane position variability was significantly influenced only at 0.08% BAC (5.8% increment); no significant influence was observed at 0.03% and 0.05% BACs. Compared to 0% BAC, steering angle variability increased by 0.105 degrees or 15.7%, 0.142 degrees or 21.4%, and 0.176 degrees or 25.7% at 0.03%, 0.05% and 0.08% BACs respectively. No significant differences were observed between the sober-state driving and alcohol-impaired driving at 1ο and 5ο SRR. However, 10ο SRR was found to be higher by 36%, 65% and 92% at 0.03%, 0.05% and 0.08% BACs compared to 0% BAC. Among the driver attributes, male drivers displayed higher impairment in lane positioning behavior as compared to female drivers. One-year increase in drivers' age reduced the lane position variability by 0.6%. Drivers who performed regular physical exercise were found to have better lateral control on the vehicle, as observed in their steering angle variability. Prior crash history had negative association with the steering reversal rates, indicating that drivers who have previous experience of crash involvement show better steering control than the drivers without any crash experience. CONCLUSION: In conclusion, the outcomes of this study provide novel insights into the alcohol-impaired lateral vehicle control of Indian drivers which can assist in policy interventions aiming to reduce crashes with alcohol as a major crash causation factor.


Assuntos
Acidentes de Trânsito/psicologia , Consumo de Bebidas Alcoólicas/efeitos adversos , Condução de Veículo/psicologia , Concentração Alcoólica no Sangue , Dirigir sob a Influência/psicologia , Destreza Motora/fisiologia , Adulto , Consumo de Bebidas Alcoólicas/sangue , Povo Asiático , Simulação por Computador , Etanol/sangue , Feminino , Voluntários Saudáveis , Humanos , Masculino , Assunção de Riscos
9.
Traffic Inj Prev ; 22(3): 201-206, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33688753

RESUMO

OBJECTIVE: Speed compliance of drivers plays a significant role in influencing crash risks, and remains a major road safety issue. Majority of the speed compliance behavioral studies have been conducted in the western world; relatively little knowledge is available about the speed compliance of the drivers of developing nations. The present study aims to investigate the speed compliance behavior of Indian drivers in changing driving environment, and to identify the significant predictors influencing their speed compliance. METHOD: The driving scenario (consisting of rural and urban driving environments) representing heterogenous Indian driving conditions was designed on a driving simulator where eighty-two licensed drivers completed the driving task. Driver attributes (demographics and driving characteristics) were recorded with the help of a self-reported questionnaire. Speed compliance of drivers was estimated as an indication of the difference of driving speed from the posted speed limit of a particular driving environment, averaged over the duration of driving. The low speed difference indicated better speed compliance of drivers and vice-versa. A Generalized Linear Model (GLM) was developed using speed difference as the dependent variable along with driving environments and driver attributes as predictor variables. RESULTS: Speed compliance of drivers was found to be better in urban driving environment compared to rural driving environment, indicating that drivers were less able to adapt to the corresponding speed limits in rural environment. Drivers' age was positively associated with the speed compliance. For male drivers, speed compliance was found to be lower than the female drivers. Compared to the drivers who studied till their secondary education, speed compliances of post-graduate and graduate drivers were found to be better. Moreover, driving experience was observed as a negative predictor of speed compliance. Drivers who had prior crash history were found to have better speed compliance compared to the other drivers. Other predictors such as vehicle type and preferred time of driving did not show any significant influence on the speed compliance of drivers. CONCLUSION: This is the first exploratory study which investigated the speed compliance behavior of Indian drivers. Findings of the present study may assist the road safety strategies and policy interventions in reducing the speed-related crashes.


Assuntos
Acidentes de Trânsito/psicologia , Condução de Veículo/psicologia , Assunção de Riscos , Autorrelato , Acidentes de Trânsito/estatística & dados numéricos , Adulto , Condução de Veículo/estatística & dados numéricos , Meio Ambiente , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , População Rural/estatística & dados numéricos , Distribuição por Sexo , Inquéritos e Questionários , Fatores de Tempo
10.
Drug Alcohol Depend ; 213: 108075, 2020 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-32498031

RESUMO

BACKGROUND: Male and female drivers exhibit different degrees of vehicle control while driving under the influence of alcohol. However, this interaction between alcohol and gender is understudied. The present study examined the effects of different alcohol levels on the driving control of male and female drivers with the help of driving simulator experiments in heterogeneous traffic conditions. METHOD: Forty young drivers (20 males and 20 females) completed simulated driving at four Blood Alcohol Concentration (BAC) levels: 0% (control), 0.03%, 0.05% and 0.08%. Driving impairment in vehicle control was measured in terms of average speed, acceleration variability and reaction time of drivers. Repeated-measures ANOVA tests were conducted and regression models were developed for male and female drivers to quantify the effects of BAC levels and driver characteristics on the driving control measures. RESULTS: Significant effects of gender were observed for average speed (p < 0.001) and acceleration variability (p = 0.015) but not for reaction time of drivers (p = 0.891). Further, the effect of BAC was significant in all the three measures of vehicle control (p < 0.001). Driving control improved with increasing age of male drivers while caffeine consumption was observed as an alcohol-antagonizing factor in female drivers. CONCLUSION: The findings suggest that vehicle control of female drivers is more likely to get affected even at low BAC levels, providing evidence that they belong to critical section of driving community in terms of alcohol-related impairment. The findings may help in discouraging drinking and driving among male and female drivers.

11.
Traffic Inj Prev ; 21(4): 288-294, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32364839

RESUMO

Objective: Driving errors contribute to traffic crashes and thus the causal factors associated with driving errors are of great interest to the road safety researchers. The present study attempts to identify and quantify the effects of various risk factors that are likely to influence driving error with the application of structural equation modeling (SEM). These risk factors include blood alcohol concentration (BAC) levels (0%, 0.03%, 0.05%, and 0.08%), different driving environments (rural, urban), and driver attributes (such as age, gender, education).Method: Eighty-two licensed drivers participated in a driving simulator experiment. They completed driving under the influence of 4 BAC levels in the driving environments within the framework of a full-factorial within-subjects design. Driving error was modeled as an unobserved latent variable based on several driving simulator indicators. An SEM approach was utilized to examine the influence of BAC level, driving environment, and driver attributes on the latent variable pertaining to driving error.Results: The findings suggest the suitability of an SEM approach in the investigation of driving error. The results revealed that all 3 positive BACs (0.03%, 0.05%, and 0.08%) had a significant positive influence on driving error compared to 0% BAC, and the tendency toward driving error increased with increasing BAC (factor loadings for 0.03%, 0.05%, and 0.08% BAC were 0.22, 0.31, and 0.37, respectively). Moreover, driving in an urban environment led to more driving errors compared to a rural environment, including sober drivers. Among the driver attributes, gender and awareness about drink and drive laws were the only factors influencing driving error.Conclusion: This study highlights a novel approach to investigate driving error by modeling it as a latent variable instead of modeling individual performance measures. The successful execution of SEM in alcohol impairment research may serve as a significant step in the human factors field moving from piecemeal analysis to a combined analysis where interrelationships among numerous risk factors and driving error can be established. The study outcomes may serve as a reference while developing strategies to enhance road traffic safety where special emphasis can be given to the critical risk factors influencing driving error identified in the study.


Assuntos
Dirigir sob a Influência/psicologia , Adulto , Fatores Etários , Concentração Alcoólica no Sangue , Simulação por Computador , Escolaridade , Planejamento Ambiental/estatística & dados numéricos , Feminino , Humanos , Análise de Classes Latentes , Masculino , Fatores de Risco , Fatores Sexuais , Adulto Jovem
12.
Accid Anal Prev ; 140: 105512, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32234551

RESUMO

Speeding behaviour is known to influence crash risk among alcohol-impaired drivers, but this relationship is scarcely explored. The present study investigated the effects of different Blood Alcohol Concentrations (BAC) levels on driving performance with respect to mean speed of drivers and their ability to avoid crashes during sudden events while driving. Eighty-two drivers participated in the simulation driving experiment at four BAC levels (0%, 0.03 %, 0.05 % and 0.08 % BAC) in rural and urban driving scenarios. Two sudden events (pedestrian crossing and road crossing by parked vehicles (a car and a truck) in the perpendicular direction of traffic) were designed to evaluate the crash probabilities in both the driving scenarios. Generalized linear mixed models were developed to analyse the effects of BAC levels and driver attributes (e.g., age, gender) on mean speeds and crash probabilities. Results for mean speed showed that, compared to sober state, drivers drove 3.5 kmph, 5.76 kmph and 8.78 kmph faster at 0.03 %, 0.05 % and 0.08 % BAC respectively in the rural environment and this increment was 3.6 kmph, 3.69 kmph and 4.13 kmph in the urban environment. The model results for crash probabilities revealed that 0.03 %, 0.05 % and 0.08 % BAC levels increased the crash probabilities by 1.9 times, 2 times and 3 times in case of the rural environment and 2 times, 2.3 times and 3.5 times respectively in the urban driving environment.


Assuntos
Acidentes de Trânsito , Concentração Alcoólica no Sangue , Dirigir sob a Influência , Probabilidade , Adulto , Feminino , Humanos , Masculino , População Rural , População Urbana
13.
Traffic Inj Prev ; 21(2): i-v, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31906719

RESUMO

We, the Editor and Publisher of Traffic Injury Prevention, have retracted the following article:Ankit Kumar Yadav. Psychological predictors behind the intention to drink and drive among female drivers: Application of extended theory of planned behavior. Traffic Injury Prevention. 2020. https://doi.org/10.1080/15389588.2019.1703961.The author has requested the retraction of his article due to an error in one of the collected psychological measures. During data extraction, the responses for 'attitude' and 'intention' measures were switched and may have influenced the findings from the developed regression model and its results. As a result, the Editor and Publisher have agreed to retract the article in full.We have investigated and have been informed in our decision-making by our policy on publishing ethics and integrity and the COPE guidelines on retractions.The retracted article will remain online to maintain the scholarly record, but it will be digitally watermarked on each page as "Retracted".

14.
Transp Res Interdiscip Perspect ; 7: 100203, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34173467

RESUMO

The outbreak of COVID-19 pandemic has resulted in change in both commute and personal travel patterns. Though, in India, lockdown was implemented from 25th March 2020, due to self-awareness and pandemic risk perception, change in commuter behavior was observed from the beginning of March 2020. The period from 15th to 24th March 2020 is considered as the transition phase of COVID-19 outbreak in India (i.e., between no lockdown and lockdown period). This study attempts to use a decision tree approach to investigate the modal preference of 1542 commuters in association with socio-economic and travel characteristics, and safety perceptions with respect to public and private modes during transition to lockdown due to COVID-19 in India. About 41% of commuters stopped traveling during the transition to lockdown phase, 51.3% were using the same mode of transport and 5.3% of commuters shifted from public to private mode. The study findings reported different interactions of factors influencing the decision to use public or private modes of transport for daily commuting during pandemic situations like COVID-19. Interestingly, safety perceptions (associated with personal health) of commuters did not play a significant role in their mode choice behavior during the transition phase. Though people perceived public transportation as unsafe over personal vehicle use, the actual commute patterns did not validate this due to a possible reason that commuters do not have enough alternative modes. Given the uncertainties in the decision making of the commuters regarding their travel behavior due to physical distancing, the insights from this study are important to policymakers and local transport authorities to understand the change in travel patterns.

15.
Assay Drug Dev Technol ; 18(1): 11-33, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31268345

RESUMO

The aim of present study was to introduce the role of quality by design to produce curcumin crystals with enhanced dissolution rate and bioavailability. The liquid antisolvent method was used to produce crystals. The crystal growth was controlled using the Box-Behnken design. The variables used in the crystallization process included the ratio of pyrocatechol to polyethylene glycol (PEG) 1500, solvent addition rate, stirring time, and stirring speed. Combination of these variables was found to yield curcumin crystals of 2.45 ± 0.56 µm size and 0.321 polydispersity index that exhibited enhanced solubility, dissolution rate, product yield, and compressibility. The optimized curcumin crystals were characterized by Fourier-transform infrared spectrophotometer (FT-IR), nuclear magnetic resonance, differential scanning calorimetry, X-ray powder diffraction, and scanning electron microscopy. The dissolution rate and oral bioavailability of optimized curcumin crystals were found to be 2.66- and 7.08-folds higher than its unprocessed form. The optimized crystals were found stable for 6 months under accelerated temperature of 40°C and 75% relative humidity as there was no significant difference observed in the crystal size and dissolution profile.


Assuntos
Curcumina/química , Curcumina/farmacocinética , Disponibilidade Biológica , Catecóis/química , Cristalização , Tamanho da Partícula , Polietilenoglicóis/química , Solubilidade , Propriedades de Superfície , Temperatura
16.
Curr Diabetes Rev ; 16(4): 340-356, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31438829

RESUMO

BACKGROUND: Diabetes is a multifactorial disease and a major cause for many microvascular and macrovascular complications. The disease will ultimately lead to high rate mortality if it is not managed properly. Treatment of diabetes without any side effects has always remained a major challenge for health care practitioners. INTRODUCTION: The current review discusses the various conventional drugs, herbal drugs, combination therapy and the use of nutraceuticals for the effective management of diabetes mellitus. The biotechnological aspects of various antidiabetic drugs are also discussed. METHODS: Structured search of bibliographic databases for previously published peer-reviewed research papers was explored and data was sorted in terms of various approaches that are used for the treatment of diabetes. RESULTS: More than 170 papers including both research and review articles, were included in this review in order to produce a comprehensive and easily understandable article. A series of herbal and synthetic drugs have been discussed along with their current status of treatment in terms of dose, mechanism of action and possible side effects. The article also focuses on combination therapies containing synthetic as well as herbal drugs to treat the disease. The role of pre and probiotics in the management of diabetes is also highlighted. CONCLUSION: Oral antihyperglycemics which are used to treat diabetes can cause many adverse effects and if given in combination, can lead to drug-drug interactions. The combination of various phytochemicals with synthetic drugs can overcome the challenge faced by the synthetic drug treatment. Herbal and nutraceuticals therapy and the use of probiotics and prebiotics are a more holistic therapy due to their natural origin and traditional use.


Assuntos
Diabetes Mellitus/tratamento farmacológico , Hipoglicemiantes/uso terapêutico , Fitoterapia , Medicamentos Sintéticos/uso terapêutico , Administração Oral , Suplementos Nutricionais , Interações Medicamentosas , Quimioterapia Combinada , Humanos , Hipoglicemiantes/administração & dosagem , Hipoglicemiantes/efeitos adversos , Probióticos/uso terapêutico , Medicamentos Sintéticos/administração & dosagem , Medicamentos Sintéticos/efeitos adversos
17.
Adv Colloid Interface Sci ; 274: 102037, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31655366

RESUMO

In recent years, gold nanoparticles have emerged as unique non-invasive drug carriers for targeting drugs to their site of action. Their site specificity has helped in increasing drugs' efficacy at lower dose as well as reduction in their side effects. Moreover, their excellent optical properties and small size offer their utilization as diagnostic tools to diagnose tumors as well as other diseases. This review focuses on various approaches that have been used in last several years for preparation of gold nanoparticles, their characterization techniques and theranostic applications. Their toxicity related aspects are also highlighted. Gold nanoparticles are useful as theranostic agents, owing to their small size, biocompatible nature, size dependent physical, chemical and optical properties etc. However, the challenges associated with these nanoparticles such as scale up, cost, low drug payload, toxicity and stability have been the major impediments in their commercialization. The review looks into all these critical issues and identifies the possibilities to overcome these challenges for successful positioning of metallic nanoparticles in market.

18.
Drug Alcohol Depend ; 205: 107630, 2019 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-31648105

RESUMO

BACKGROUND: Alcohol-impaired driving is a critical factor leading to traffic crashes worldwide. Since decades, researchers from the developed nations have been investigating the effects of alcohol intoxication on their drivers. However, alcohol effects on the drivers of developing counties remain understudied. The extent of alcohol impairment may vary among the drivers of developed and developing nations due to the differences in drivers' physiology, driving conditions, drinking habits, policy enforcement and driving attitude. METHODS: This study examined the effects of different Blood Alcohol Concentration (BAC) levels (0%, 0.03%, 0.05%, and 0.08%) on 75 licensed Indian drivers (56 males and 19 females) with the help of a fixed-base driving simulator. Subjects completed driving simulations for all the BAC levels in a driving environment representing heterogeneous traffic conditions. Performance measures included longitudinal and lateral driving control indicators (obtained from simulator) along with the self-reported physiological changes in the drivers (obtained from questionnaire) with varying BAC levels. RESULTS: Mean speed was the only performance measure significantly affected at 0.03% BAC. At 0.05% BAC, mean speed and mean steering wheel angle were the two significantly impaired measures. At 0.08% BAC, all the driving performance measures showed significant impairment except steering wheel angle variability. Physiological characteristics of drivers deteriorated with rising BAC levels. CONCLUSIONS: Alcohol significantly impaired the physiology of Indian drivers resulting in impairment in their driving performance. Mean speed was the only performance measure significantly affected by all the BAC levels, making it a suitable parameter to detect the alcohol-impaired state of the drivers.


Assuntos
Consumo de Bebidas Alcoólicas/sangue , Consumo de Bebidas Alcoólicas/psicologia , Concentração Alcoólica no Sangue , Dirigir sob a Influência/psicologia , Etanol/efeitos adversos , Adulto , Relação Dose-Resposta a Droga , Feminino , Humanos , Masculino , Inquéritos e Questionários , Adulto Jovem
19.
Chem Asian J ; 14(20): 3736-3741, 2019 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-31479203

RESUMO

Here, we report two novel water-stable amine-functionalized MOFs, namely IISERP-MOF26 ([NH2 (CH3 )2 ][Cu2 O(Ad)(BDC)]⋅(H2 O)2 (DMA), 1) and IISERP-MOF27 ([NH2 (CH3 )2 ]1/2 [Zn4 O(Ad)3 (BDC)2 ]⋅(H2 O)2 (DMF)1/2 , 2), which show selective CO2 capture capabilities. They are made by combining inexpensive and readily available terephthalic acid and N-rich adenine with Cu and Zn, respectively. They possess 1D channels decorated by the free amine group from the adenine and the polarizing oxygen atoms from the terephthalate units. Even more, there are dimethyl ammonium (DMA+ ) cations in the pore rendering an electrostatic environment within the channels. The activated Cu- and Zn-MOFs physisorb about 2.7 and 2.2 mmol g-1 of CO2 , respectively, with high CO2 /N2 and moderate CO2 /CH4 selectivity. The calculated heat of adsorption (HOA=21-23 kJ mol-1 ) for the CO2 in both MOFs suggest optimal physical interactions which corroborate well with their facile on-off cycling of CO2 . Notably, both MOFs retain their crystallinity and porosity even after soaking in water for 24 hours as well as upon exposure to steam over 24 hours. The exceptional thermal and chemical stability, favorable CO2 uptakes and selectivity and low HOA make these MOFs promising sorbents for selective CO2 capture applications. However, the MOF's low heat of adsorption despite having a highly CO2 -loving groups lined walls is quite intriguing.

20.
Assay Drug Dev Technol ; 17(4): 201-221, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31100018

RESUMO

An attempt has been made to prepare solid self-nanoemulsifying drug delivery system (SNEDDS) of polypeptide-k (PPK) and curcumin (CRM) using Labrafil M1944 CS as oil, Tween-80 as surfactant, Transcutol P as cosurfactant and Aerosil-200 (A-200) as porous hydrophobic carrier for improving their antidiabetic potential through oral delivery. Box-Behnken Design was used to optimize the liquid formulation based on the results of the mean droplet size, polydispersity index, percentage drug loading, and zeta potential. The formulation was adsorbed on Aerosil-200 through spray drying. The formulation showed desirable micromeritic, disintegration, and dissolution properties. About fivefold rise in the dissolution and permeation rate for drugs was observed from formulations vis a vis their unprocessed forms. The formulation was found to be stable with variation in pH, dilution, and temperature. The individual solid SNEDDS formulation of PPK and CRM and their combination were evaluated for antidiabetic potential and the results were compared with their naive forms on streptozotocin-induced diabetic rats. The results revealed better control of serum glucose level and other biochemical tests, such as liver parameters, lipid profiles, and antioxidant levels, as well as histological evaluation of pancreatic tissues in all the solid SNEDDS formulation as compared with their naive forms.


Assuntos
Curcumina , Diabetes Mellitus Experimental/tratamento farmacológico , Sistemas de Liberação de Medicamentos , Hipoglicemiantes , Nanopartículas/química , Peptídeos , Administração Oral , Animais , Curcumina/administração & dosagem , Curcumina/farmacocinética , Curcumina/uso terapêutico , Diabetes Mellitus Experimental/induzido quimicamente , Diabetes Mellitus Experimental/patologia , Composição de Medicamentos , Emulsões/química , Concentração de Íons de Hidrogênio , Hipoglicemiantes/administração & dosagem , Hipoglicemiantes/farmacocinética , Hipoglicemiantes/uso terapêutico , Tamanho da Partícula , Peptídeos/administração & dosagem , Peptídeos/farmacocinética , Peptídeos/uso terapêutico , Ratos , Solubilidade , Estreptozocina , Propriedades de Superfície , Comprimidos , Termodinâmica
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