Search

Objectives: This study aimed to investigate the effectiveness of pharmacist intervention in reducing and preventing prescribing errors of investigational drugs for cancer patients. Materials and methods: A retrospective study was conducted during two periods: a baseline period from December 2015 to June 2016 and an intervention period from July 2016 to February 2017. The investigational drug service (IDS) pharmacists performed active interventions during the intervention period. Results: Among 12,387 investigational drug orders, 395 (6.1%) prescribing errors were detected in 6477 orders at the baseline period, and 278 errors (4.7%) were detected in 5,910 orders at the intervention period. To identify factors that affect prescribing errors, three models were constructed for the multivariate analysis. Among factors affecting prescribing errors, sponsor initiated trial (SIT) was the strongest factor (AOR: 4.16, 95% CI: 3.31–5.23). Pharmacist intervention reduced prescribing errors by at least 25% in all constructed models after adjusting for confounding variables. Prescribing errors were 1.3 times higher when dealing with intravenous medications than when dealing with oral medications. There were 60% fewer prescribing errors in the blinded study than in the open study. SIT and multi-center/multi-nation studies had 4.2 and 2.4 times more frequent prescribing errors than in investigator-initiated trials (IIT) and single-center/single-nation studies, respectively. Fewer errors occurred in phase 2 and trials covering both phase 1 and phase 2 (phase 1/2) than in phase 3 trials. Conclusions: The IDS pharmacist intervention in cancer clinical trials was associated with significant reductions in prescribing errors and may lead to increased medication safety. [ABSTRACT FROM AUTHOR]

Abstract: Cu-doped Mg0.2Zn0.8O thin films were synthesized by sol–gel spin coating. We investigated the microstructural and optical characteristics of the Cu-doped Mg0.2Zn0.8O thin films. By increasing the Cu content of the source, Cu-doped Mg0.2Zn0.8O thin films were phase-separated into Cu-rich and Cu-poor areas, which could be a result of the limited Cu solubility in the Mg0.2Zn0.8O lattice. As the annealing temperature increased, the crystallinity of the Cu-doped Mg0.2Zn0.8O thin films improved. Cu doping in Mg0.2Zn0.8O thin films resulted in a decrease of both intensities for UV and visible emissions without a shift of the peak positions in the photoluminescence spectrum. [Copyright &y& Elsevier]

Abstract: The dependence of the MgO sputtering power on the structural and optical properties of epitaxially grown MgZnO thin films on GaN/sapphire substrates by radio-frequency magnetron sputtering was investigated. The photoluminescence investigation showed blue shift of 170 meV in MgZnO film grown at the MgO power of 300 W, compared with the ZnO films grown at the MgO power of 0 W, which was attributed to the enhancement of the Mg incorporation at higher power. In addition, increase in Mg mole fraction with increase in sputtering power of MgO was observed from the PL results, and a maximum of 6.6 at.% Mg was obtained at the MgO power of 300 W. The high-resolution X-ray diffraction and transmission electron microscopy (TEM) investigations revealed that the threading dislocation density in the MgZnO thin films increased with increase in sputtering power. Furthermore, microstructural analysis performed by TEM revealed formation of a thin cubic-like phase in the interface between GaN template and MgZnO thin film, together with increased thickness of the interfacial layer with sputtering power. [Copyright &y& Elsevier]

Abstract: This is a report on the effect of a ZnO buffer layer on the microstructures and optical properties of MgZnO thin films grown on Si (100) substrates by radio frequency magnetron sputtering. For the sample without the ZnO buffer layer, the microstructural analyses carried out by X-ray diffraction (XRD) and transmission electron microscopy (TEM) revealed the formation of Mg2Si in the interface between the Si substrate and the MgZnO thin film. Mg2Si induced the random oriented polycrystalline MgZnO thin film. For the sample with the ZnO buffer layer, a few Mg2Si were observed. An epitaxial relationship between the Si substrate and the MgZnO thin film was formed. In both samples, the photoluminescence (PL) investigation showed a small blue shift of the emission peak, which was owing to the incorporation of Mg atoms in ZnO by co-sputtering the MgO and ZnO targets. In addition, the sample with the ZnO buffer layer showed the enhanced PL intensity, when compared with the sample without the buffer layer. [Copyright &y& Elsevier]

Black soybeans with green cotyledon have long been widely consumed in the East due to their high content of health-promoting anthocyanins and lutein. However, major anti-nutritional and allergenic components such as lectin, Kunitz trypsin inhibitor (KTI), P34, lipoxygenase, and stachyose are contained in mature seed. The objective of this research is to breed a soybean line with a black seed coat, a green cotyledon, and the penta null genotype (lele-titi-p34p34-lox1lox1lox2lox2lox3lox3-rs2rs2) for all five components. The F2 plant strain with penta null genotype for lectin, KTI, P34, lipoxygenase, and stachyose components was developed. The breeding line has purple flower, determinate growth habit, brown pod, black seed coat and green cotyledon. The stem height of the breeding line was 57.0 cm and 100 seed weight was 31.5 g. This is the first soybean breeding line with black seed coat, green cotyledon and penta null genotypes for lectin, KTI, P34, lipoxygenase, and stachyose factors. This line will be used as parent to improve a black soybean cultivar with green cotyledon that have significantly reduced anti-nutritional and allergenic traits. [ABSTRACT FROM AUTHOR]

Free myo‐inositol is a bioavailable form of a cyclitol having various health‐promoting activities. The impact of cultivar and home‐cooking practice on the content of free myo‐inositol in sweet potatoes (12 cultivars grown in 2 different locations) was studied. A GC–MS/MS method following in situ trimethylsilylation was established and validated to determine free myo‐inositol. The established analytical method was sensitive, precise, and accurate. It was found that free myo‐inositol content in sweet potato varied greatly (sevenfolds) with cultivar, ranging from 377.1 to 2628.3 mg/kg dw. A cultivar Poongwon‐mi was found to be an exceptionally rich source of free myo‐inositol (2628.3 mg/kg dw). Home‐cooking practice markedly increased free myo‐inositol content (maximum 240%). Baking showed the highest impact on the increase in free myo‐inositol, followed by steaming, microwave cooking, and boiling, in decreasing order. This represents the first report of the remarkably high impact of cultivar and home‐cooking practice on the free myo‐inositol content in sweet potato. Practical Application: The free myo‐inositol content in sweet potato varied greatly with the cultivars. Poongwon‐mi contained a surprisingly high content of free myo‐inositol. Home‐cooking dramatically increased the free myo‐inositol content. [ABSTRACT FROM AUTHOR]

Background: Adjuvant radiation therapy improves the overall survival and loco-regional control in patients with breast cancer. However, radiation-induced heart disease, which occurs after treatment from incidental radiation exposure to the cardiac organ, is an emerging challenge. This study aimed to generate synthetic contrast-enhanced computed tomography (SCECT) from non-contrast CT (NCT) using deep learning (DL) and investigate its role in contouring cardiac substructures. We also aimed to determine its applicability for a retrospective study on the substructure volume-dose relationship for predicting radiation-induced heart disease.Methods: We prepared NCT-CECT cardiac scan pairs of 59 patients. Of these, 35, 4, and 20 pairs were used for training, validation, and testing, respectively. We adopted conditional generative adversarial network as a framework to generate SCECT. SCECT was validated in the following three stages: (1) The similarity between SCECT and CECT was evaluated; (2) Manual contouring was performed on SCECT and CECT with sufficient intervals and based on this, the geometric similarity of cardiac substructures was measured between them; (3) The treatment plan was quantitatively analyzed based on the contours of SCECT and CECT.Results: While the mean values (± standard deviation) of the mean absolute error, peak signal-to-noise ratio, and structural similarity index measure between SCECT and CECT were 20.66 ± 5.29, 21.57 ± 1.85, and 0.77 ± 0.06, those were 23.95 ± 6.98, 20.67 ± 2.34, and 0.76 ± 0.07 between NCT and CECT, respectively. The Dice similarity coefficients and mean surface distance between the contours of SCECT and CECT were 0.81 ± 0.06 and 2.44 ± 0.72, respectively. The dosimetry analysis displayed error rates of 0.13 ± 0.27 Gy and 0.71 ± 1.34% for the mean heart dose and V5Gy, respectively.Conclusion: Our findings displayed the feasibility of SCECT generation from NCT and its potential for cardiac substructure delineation in patients who underwent breast radiation therapy. [ABSTRACT FROM AUTHOR]

Abstract: In our previous study we demonstrated that acupuncture at Shenmen (HT7) points suppressed a decrease of accumbal dopamine (DA) release in ethanol-withdrawn rats. Furthermore, here we found that it inhibited behavioral withdrawal signs of ethanol. In an effort to better understand the mechanisms underlying this inhibition, the potential role of GABA receptor system in acupuncture was investigated. Male Sprague–Dawley rats were treated with 3g/kg/day of ethanol (20%, w/v) or saline by intraperitoneal injection for 21 days. Following 48 or 72h of ethanol withdrawal, acupuncture was applied at bilateral HT7 for 1min. The selective GABAA antagonist bicuculline and the selective GABAB antagonist SCH 50911 were injected intraperitoneally 20min before acupuncture, respectively. Importantly, suppressive effects of acupuncture on DA deficiency were completely abolished by SCH 50911, but not by bicuculline, whereas ameliorating effects of acupuncture on ethanol withdrawal syndrome were completely blocked either by SCH 50911 or bicuculline. These results suggest that acupuncture at specific acupoint HT7 may normalize the DA release in the mesolimbic system and attenuate withdrawal syndrome through the GABAB receptor system in ethanol-withdrawn rats. [Copyright &y& Elsevier]

Contribution of cytotoxic T lymphocytes (CTL) to experimental autoimmune thyroiditis (EAT) was well defined (Speidel et al., Eur. J. Immunol. 1997, 27, 2391-2399, Ref. 7). The native porcine thyroglobulin (pTg) showed high sensitivity to endo-Β-N-acetylglucosaminidase F (Endo F) and its molecular weights, corresponding to about 330 kDa as a monomer and 660 kDa as a dimer, were reduced to smaller molecular weight forms by Endo F and trifluoromethanesulfonic acid (TMSF). Deglycosylated porcine Tg (dgpTg) and native pTg were injected i.v. into CBA/J mice, without the aid of adjuvants. Both lymphocytic infiltrations of the thyroid glands and levels of Tg-specific CTL were similar to those found in conventional EAT induced by Tg and adjuvants. In contrast, proliferative responses in native pTg and dgpTg-injected mice could not be detected, and titers of antibodies to pTg and dgpTg were 20 times and 30 times lower than that of pTg and adjuvants, respectively. The EAT-inducer CTL belonged to the CD8+ cell subset and exerted their thyroiditogenic potential through release of IFN-γ. It was concluded that dgpTg-induced EAT is mediated by type 1 cytotoxic T cells (Tcl). Also, results that EAT induction of the glycosylated pTg (gpTg) was much lower than that of dgpTg, suggested that the abberant and incomplete glycosylation of the thyroglobulin is responsible for the induction of autoimmune thyroiditis. [ABSTRACT FROM AUTHOR]

Purpose: Although several studies have examined tyrosine kinase inhibitor (TKI)-induced hepatotoxicity, the majority of patients in those studies displayed low-grade (grade I–II) hepatotoxicity. The purpose of this study was to investigate factors affecting high-grade (grade III–IV) hepatotoxicity of TKIs. Methods: This multi-center, retrospective study used individual patient data from five studies that examined factors affecting hepatotoxicity by TKIs (crizotinib, erlotinib, gefitinib, imatinib, and lapatinib). Odds ratio (OR) and adjusted OR (AOR) were estimated from univariate and multivariate analyses, respectively. Results: Data from 1279 patients treated with TKIs were analyzed. The rate of patients who experienced high-grade hepatotoxicity after TKI administration was 5.5%. In multivariable analysis, H2 blockers and CYP3A4 inducers increased high-grade hepatotoxicity 2.2- (95% CI 1.255–3.944) and 3.3-fold (95% CI 1.260–8.698), respectively. Patients with liver metastasis revealed a 3.4-fold (95% CI 1.561–7.466) higher risk of high-grade hepatotoxicity. Among underlying malignancies, pancreatic cancer and other cancers including acute lymphoblastic leukemia increased the risk of high-grade hepatotoxicity by 2.6- and 24.3-fold, respectively, whereas breast cancer decreased the risk (AOR 0.3, 95% CI 0.106–0.852), compared to non-small cell lung cancer. In patients who administrated TKIs which form reactive metabolites, use of CYP3A4 inducers and liver metastasis increased incidence of high-grade hepatotoxicity by 3.0- and 2.3-fold, respectively. In patients with EGFR mutation, exon 19 deletion and use of proton pump inhibitors were risk factors for high-grade hepatotoxicity in addition to liver metastasis and use of H2 blockers. Conclusion: The use of H2 blockers, presence of liver metastasis, and CYP3A4 inducers were associated with high-grade hepatotoxicity of TKIs. In subgroup analyses, presence of exon 19 deletion, and/or proton pump inhibitors, was additional risk factors for high-grade hepatotoxicity in special patients and use of specific TKIs. Close liver function monitoring is recommended, especially in patients with liver metastasis or using H2 blockers or CYP3A4 inducers. [ABSTRACT FROM AUTHOR]

Amomum tsao-ko Crevost et Lemaire, used as a spice in Asia, is an important source of Chinese cuisine and traditional Chinese medicines. A. tsao-ko is reported to exert a variety of biological and pharmacological activities, including anti-proliferative, anti-oxidative and neuroprotective effects. In this study, NNMBS227, consisting of the ethanol extract of A. tsao-ko, exhibited potent anti-inflammatory activities in RAW264.7 macrophages. We investigated the effect of NNMBS227 in the suppression of pro-inflammatory mediators, including pro-inflammatory enzymes (inducible nitric oxide synthase and cyclooxygenase-2) and cytokines (tumor necrosis factor-α and interleukin-1β) in LPS stimulated macrophages. NNMBS227 also inhibited the phosphorylation and degradation of IκB-α, as well as the nuclear translocation of nuclear factor kappa B (NF-κB) p65 caused by stimulation with LPS. In addition, NNMBS227 induced heme oxygenase (HO)-1 expression through the nuclear translocation of nuclear factor E2-related factor 2 (Nrf2) in macrophages. Using tin protoporphyrin (SnPP), an HO activity inhibitor, we confirmed an association between the anti-inflammatory effects of NNMBS227 and the up-regulation of HO-1. These findings suggest that Nrf2-dependent increases in the expression of HO-1 induced by NNMBS227 conferred anti-inflammatory activities in LPS stimulated RAW264.7 macrophages. [ABSTRACT FROM AUTHOR]

Abstract: In-doped ZnO films with low mole fraction (0.1, 0.3, 0.6 at.%) were prepared on p-Si (111) at 600 °C by the pulsed laser deposition (PLD). The effect of composition on structures, optical and electrical properties was studied by X-ray diffraction, atomic force microscopy, photoluminescence, and the Hall Effect measurement system. In-doped ZnO film has (101) preferred orientation and UV emissions of ZnO:In films were red shift with increasing In contents and there are no deep-level emissions. The lowest resistivity of 5.6×10−2 Ωcm and highest mobility of 33.1 cm2/Vs was observed at the In content of 0.3 at.%. [Copyright &y& Elsevier]

Abstract: The mast cell-mediated immediate-type allergic reaction is involved in many allergic diseases such as asthma, allergic rhinitis and sinusitis. Stimulation of mast cells starts the process of degranulation resulting in release of mediators such as histamine and an array of inflammatory cytokines. In this report, we investigated the effect of aqueous extract of Amomum xanthiodes (Zingiberaceae) (AXE) on the mast cell-mediated allergy model and studied its possible mechanisms of action. AXE inhibited compound 48/80-induced systemic reactions and serum histamine release in mice. AXE decreased immunoglobulin E (IgE)-mediated passive cutaneous anaphylaxis reaction. AXE reduced histamine release and intracellular calcium from rat peritoneal mast cells activated by compound 48/80. Furthermore, AXE decreased the activation of p38 mitogen-activated protein kinase (MAPK) but not extracellular signal-regulated kinase and c-jun N-terminal kinase, and downstream tumor necrosis factor (TNF)-α production in phorbol 12-myristate 13-acetate and calcium ionophore A23187-stimulated human mast cells. Our findings provide evidence that AXE inhibits mast cell-derived allergic reactions, and that intracellular calcium, TNF-α, and p38 MAPK are involved in these effects. [Copyright &y& Elsevier]