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Fulltext Perception and practices of community pharmacists towards antimicrobial stewardship in Lahore, Pakistan

Akbar Z, Saleem Z, Shaukat A, Farrukh MJ

J Glob Antimicrob Resist, 2021 06;25:157-161.
PMID: 33789207 DOI: 10.1016/j.jgar.2021.03.013

OBJECTIVES: Antimicrobial resistance is a major health concern worldwide. Community pharmacists can play an important role in rational antibiotic use. This study aimed to evaluate the perception and practices of community pharmacists regarding antimicrobial stewardship (AMS) in Lahore, Pakistan.
METHODS: A descriptive cross-sectional study was conducted among community pharmacists in Lahore from 1 November 2017 to 31 December 2017. A self-administered questionnaire was used for data collection. Non-probability convenience sampling was performed to select community pharmacists. Descriptive statistics were applied and Mann-Whitney U-tests and Kruskal-Wallis tests were performed to compare independent groups using SPSS v.20.0. A P-value of <0.05 was considered statistically significant. Perception and practice scores were determined to access community pharmacist knowledge regarding AMS. A score of 0.5-1 was considered to be very good.
RESULTS: The overall response rate was 70.9%. Sex, age, work experience and education level did not significantly influence the perception and practices of community pharmacists. Experienced pharmacists showed a better response to AMS. The majority of pharmacists strongly agreed that they educate patients on the use of antimicrobials and resistance-related issues.
CONCLUSION: It was concluded that community pharmacists in Lahore have good perception regarding AMS and they are practicing it well. But there are several gaps in their practices that must be filled, such as dispensing without a prescription and dispensing for a longer duration than prescribed. Additionally, there should be strict implementation of guidelines for dispensing antibiotics in order to rationalise antibiotic use and decrease antimicrobial resistance.
Magnetic nanoadsorbents' potential route for heavy metals removal-a review

Khan FSA, Mubarak NM, Khalid M, Walvekar R, Abdullah EC, Mazari SA, et al.

Environ Sci Pollut Res Int, 2020 Jul;27(19):24342-24356.
PMID: 32306264 DOI: 10.1007/s11356-020-08711-6

Due to the rapid growth in the heavy metal-based industries, their effluent and local dumping have created significant environmental issues. In the past, typically, removal of heavy metals was handled by reverse osmosis and ion exchange techniques, but these methods have many disadvantages. Therefore, extensive work into the development of improved techniques has increased, especially for heavy metal removal. Many countries are currently researching new materials and techniques based on nanotechnology for various applications that involve extracting heavy metals from different water sources such as wastewater, groundwater, drinking water and surface water. Nanotechnology provides the possibility of enhancing existing techniques to tackle problems more efficiently. The development in nanotechnology has led to the discovery of many new materials such as magnetic nanoparticles. These nanoparticles demonstrate excellent properties such as surface-volume ratio, higher surface area, low toxicity and easy separation. Besides, magnetic nanoparticles can be easily and efficiently recovered after adsorption compared with other typical adsorbents. This review mainly emphasises on the efficiency of heavy metal removal using magnetic nanoadsorbent from aqueous solution. In addition, an in-depth analysis of the synthesis, characterisation and modification approaches of magnetic nanoparticles is systematically presented. Furthermore, future opportunities and challenges of using magnetic particles as an adsorbent for the removal of heavy metals are also discussed.
Triazinoindole analogs as potent inhibitors of α-glucosidase: synthesis, biological evaluation and molecular docking studies

Rahim F, Ullah K, Ullah H, Wadood A, Taha M, Ur Rehman A, et al.

Bioorg Chem, 2015 Feb;58:81-7.
PMID: 25528720 DOI: 10.1016/j.bioorg.2014.12.001

A new series of triazinoindole analogs 1-11 were synthesized, characterized by EI-MS and (1)H NMR, evaluated for α-glucosidase inhibitory potential. All eleven (11) analogs showed different range of α-glucosidase inhibitory potential with IC50 value ranging between 2.46±0.008 and 312.79±0.06 μM when compared with the standard acarbose (IC50, 38.25±0.12 μM). Among the series, compounds 1, 3, 4, 5, 7, 8, and 11 showed excellent inhibitory potential with IC50 values 2.46±0.008, 37.78±0.05, 28.91±0.0, 38.12±0.04, 37.43±0.03, 36.89±0.06 and 37.11±0.05 μM respectively. All other compounds also showed good enzyme inhibition. The binding modes of these analogs were confirmed through molecular docking.
Synthesis, in vitro evaluation and molecular docking studies of thiazole derivatives as new inhibitors of α-glucosidase

Rahim F, Ullah H, Javid MT, Wadood A, Taha M, Ashraf M, et al.

Bioorg Chem, 2015 Oct;62:15-21.
PMID: 26162519 DOI: 10.1016/j.bioorg.2015.06.006

A series of thiazole derivatives 1-21 were prepared, characterized by EI-MS and (1)H NMR and evaluated for α-glucosidase inhibitory potential. All twenty one derivatives showed good α-glucosidase inhibitory activity with IC50 value ranging between 18.23±0.03 and 424.41±0.94μM when compared with the standard acarbose (IC50, 38.25±0.12μM). Compound (8) (IC50, 18.23±0.03μM) and compound (7) (IC50=36.75±0.05μM) exhibited outstanding inhibitory potential much better than the standard acarbose (IC50, 38.25±0.12μM). All other analogs also showed good to moderate enzyme inhibition. Molecular docking studies were carried out in order to find the binding affinity of thiazole derivatives with enzyme. Studies showed these thiazole analogs as a new class of α-glucosidase inhibitors.