MATERIALS AND METHODS: Floating tablets were prepared by direct compression using HPMC K100M, sodium-bicarbonate and microcrystalline-cellulose. A 23 factorial-design (RStudio-v4.3.3) was used to optimize microenvironmental pH, floating lag time (FLT) and drug release. Optimized tablets were characterized for micromeritic properties, XRD, SEM, in vitro buoyancy, swelling, drug release, in vitro anti-H. pylori activity and in vivo gastric retention in Sprague-Dawley rats.
RESULTS: The optimized formulation achieved a microenvironmental pH of 7.20 ± 0.26, FLT of 15.84 ± 0.50 s, and total floating time of approximately 12 h. Cumulative AMX release reached 98.49 ± 1.69% over 12 h with non-Fickian kinetics, and XRD/SEM analysis indicated reduced crystallinity and increased amorphous character of AMX within the hydrated matrix. The formulation showed significant in vitro anti-H. pylori activity and prolonged in vivo gastric retention.
CONCLUSION: Alkalizer-based gastroretentive floating AMX tablets combined microenvironmental pH modulation with sustained gastric-retention, supporting their potential as a localized strategy for improved H. pylori eradication.
SUBJECTS/METHODS: The Radimer/Cornell Hunger and Food Insecurity Instrument and the Malaysian Healthy Eating Index (HEI) were used to assess household food security status and diet quality, respectively. Information on socio-demographic characteristics and 24-hour dietary recall data were collected through face-to-face interview, and anthropometric measurements including weight, height, and body mass index (BMI) were obtained from 222 women.
RESULTS: Majority of households (82.9%) experienced different levels of food insecurity: 29.3% household food insecurity, 23.4% individual food insecurity, and 30.2% fell into the child hunger group. The food-secure group had significantly fewer children and smaller household sizes than the food-insecure groups (P < 0.05). The mean household income, income per capita, and food expenditure significantly decreased as food insecurity worsened (P < 0.001). The food-secure group had significantly higher Malaysian HEI scores for grains and cereals (P < 0.01), as well as for meat, poultry, and eggs (P < 0.001), than the food-insecure groups. The child-hunger group had significantly higher fat (P < 0.05) and sodium (P < 0.001) scores than the food-secure and household food-insecure groups. Compared to the individual food-insecure and child-hunger groups, multivariate analysis of covariance showed that the food-secure group was significantly associated with a higher Malaysian HEI score while the household food-insecure group was significantly associated with a higher BMI after controlling for age (P < 0.025).
CONCLUSIONS: The majority of indigenous households faced food insecurity. Food insecurity at the individual and child levels was associated with lower quality of diet, while food insecurity at the household level was associated with higher body weight. Therefore, a substantial effort by all stakeholders is warranted to improve food insecurity among poorer households. The results suggest a pressing need for nutritional interventions to improve dietary intake among low income households.