Virginia Study Links Teen Accidents With Early School Start Times

Category : Region I

Virginia Study Links Teen Accidents With Early School Start Times

Car crashes are the number one killer of teens in the US, and a new study presented at the American Academy of Sleep Societies suggests an early school day may lead to an increased number of teenage car accidents. Any new insights into this terrible epidemic could save thousands of teenage lives every year.

The study in question compared the 2008 crash rates of high school students in two adjacent Virginia towns. The author of the study was Dr. Robert Vorona, an associate professor of internal medicine in the Division of Sleep Medicine at Eastern Virginia Medical School in Norfolk, VA.

Dr. Vorona relied on the Virginia Department of Motor Vehicles for data on the accident rates among drivers aged 16 to 18 in the two towns. The two Virginia towns, Virginia Beach and Chesapeake, have similar demographics but start high school an hour and twenty minutes apart, 7:20 am and 8:40 am respectively. The study found that Virginia Beach, with its 7:20 am start time, had 65.4 crashes per 1,000 teen drivers compared to Chesapeake’s, with its 8:40 am start time, 46.2 crashes per 1,000 teens. These figures equate out to a 41% difference in teen driver crashes.

Dr. Vorona will not outright make a direct correlation between teenage car crashes and early high school start times. He is quoted as saying, “This study did not prove by any means that early high school start times led to increased rates of car crashes. Instead, it shows an association between early risers and car crashes.”

Dr. Vorona does however believe that when combined with other research, he suggests pushing for later start times, and goes onto to say that, “Early high school start times are problematic.” Speaking on these later start times, Dr. Vorona goes on to say, “Teenagers need over nine hours sleep a night, and it looks like a large number of teens don’t get sufficient sleep…part of that relates to the time that high schools begin.”

Studies done on teen behavior agree with Dr. Vorona. “There are data that demonstrate that lack of sleep has negative consequences for teens,” he said. “And some data show that younger drivers are more likely to have crashes when they have inadequate sleep.”

A leading Kansas City auto accident attorney and Dr. Barbara Phillips, of the University of Kentucky College of Medicine, both agree with Dr. Vorona’s claims. Dr. Phillips believes that teens are “biologically programmed” to become sleepy and wake up later than adults. “They truly can’t help it. They’re just not going to get sleepy at 10 p.m., so it’s hard for them to get the eight to 10 hours of sleep they need to get when they have to catch the 7:30 bus,” she says.

When you combine the lack of sleep with the act of driving, things turn dangerous. “Younger, inexperienced drivers don’t fare well with additional handicaps such as impaired alertness caused by having to get up earlier than is natural for them,” said Dr. Phillips. A leading Kansas City car crash attorney has witnessed first hand the dangerous combination that sleep-deprivation and driving can be.

Much like Dr. Vorona in Virginia, Dr. Phillips co-authored a study comparing car crash rates and the sleep of teen drivers. Hers in 1998 compared the crash rates for teens in Lexington, Kentucky after the school district instituted a later school start with the previous two years before the change in start time. The results of the study were conclusive; crash rates declined 16.5% in a period where teenage crash rates actually increased in the state of Kentucky by 7.8%.

Perhaps more states should listen to the research of Dr. Vorona and Dr. Phillips as well as the observations of Kansas City car crash attorneys and Kansas City auto accident attorneys everywhere and move high school start times back. The argument against doing so is that early start times allow for after school sports; there has to be a compromise because the world cannot afford to lose one more teenager to a car crash before their time.

New Study Finds Drinking Green Tea Promotes Healthy Teeth and Gums

Category : Region V

New Study Finds Drinking Green Tea Promotes Healthy Teeth and Gums

Beverly Hills, California – June 18, 2009 – A healthy and beautiful smile is not just a product of cosmetic dentistry but also of good health and smart nutritional choices.
In recent years, green tea has been validated by multiple research studies for its effect on improving weight loss, and reducing the incidence of heart disease and cancer. New research published in March 2009 suggests a connection between the consumption of green tea and a reduction in the incidence of periodontal disease.

The study was published in the Journal of Periodontology. For the study, 940 men between the ages of 49 and 59 were included and their green tea drinking habits were compared. Those who drank green tea regularly had healthier teeth than those who drank less green tea. The comparisons in dental health were made using three factors normally associated with periodontal disease, including the bleeding of the gum tissue, the depth of the periodontal pocket, and the loss of attachment of gum tissue. The researchers discovered a correlation per glass of green tea consumed and a reduction in those three indicators.

Researchers believe the connection stems from the presence of catechin in green tea. Catechin is an antioxidant which has been shown to fight inflammation in the body. Periodontal disease is a condition marked by ongoing inflammation of the gums which causes the deterioration of gum tissue and supporting bones. By reducing this inflammation, the catechin from the tea may be promoting healthier teeth and gums.

Although not documented in the study, green tea is known to provide other dental benefits. Polyphenols in the tea stop plaque from sticking to the enamel of the teeth thus reducing the risk of cavity development. Green tea can also prevent the growth of bacteria in the mouth which cause bad breath. Some green teas also include fluoride which strengthens teeth.

The American Academy of Periodontology has endorsed many studies suggesting that maintaining healthy gums is critical to the overall health of the body. “The mouth is a mirror providing a reflection of conditions affecting the entire body,” says Dr. Farnoosh. “While green tea is not be a replacement for regular brushing and dental care, it can serve as a supplement to promoting proper periodontal health.”

Dr. Farnoosh is a leader in the field of cosmetic dentistry and aesthetic periodontal surgery. In addition to his 25 years of experience in private dental practice he has been teaching for more than two decades at the University of Southern California. Because of his credentials, he is considered by the Consumer Research Council (CRC), an independent research organization, to be one of “America’s Top Dentists”. His innovative research and pioneering procedures have earned him the recognition of the International Association of Dental Research and the American Academy of Periodontology.

About The Total Smile
Located in Los Angeles, California, The Total Smile is a full-service dental office specializing in advanced cosmetic dentistry including dental implants, lip lowering surgery for correcting gummy smiles, gum lightening for the treatment of discolored gums, bone grafting, gum grafting, and the conservative treatment of periodontal disease. Fly-in services are also available for out-of-town patients.

Contact:
The Total Smile
8920 Wilshire Blvd. Suite 517
Beverly Hills, CA 90211
310-657-0503
http://www.thetotalsmile.com

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Study in Robert Gordon University

Category : Pharmacy Students

Study in Robert Gordon University

University of Robert Gordon is U. K’s number one modern university. University of Robert Gordon is among top 10 universities for graduate employment. Most of the courses of University of Robert Gordon are accredited by internationally recognized professional bodies. University of Robert Gordon is rated number one in U.K for graduate employment by Sunday time’s university guide. University of Robert Gordon provides post graduate programmes that provide creative, health, energy & knowledge fields. Post graduate diploma of Human Resource Management of University of Robert Gordon’s accredited by Chartered Institute of Personal & Development (CIPD).This course of University of Robert Gordon provides gateway to membership of CIPD which is highly valued & widely accepted by employers throughout U.K and abroad.

Study in UK’s Information Management of University of Robert Gordon is validated by Charter Institute of Library & Information Professionals (CILIP).Intensive multimedia degree of University of Robert Gordon is accredited by National Council for Training of Journalists. After Completion of course of management from University of Robert Gordon students are eligible to apply for associate membership of Chartered Management Institute. Aberdeen Business School of University of Robert Gordon is accredited by Associations of MBA (AMBA). Online MBA of University of Robert Gordon is ranked as one of the 40th online MBA’s available globally. University of Robert Gordon is the first new university in Scotland to gain AMBA accreditation for its MBA programme. University of Robert Gordon is first university in U.K to provide specialist care for trauma victims and there families with the establishment of Aberdeen Traumatic clinic. Accounting, finance amp; economic department of Aberdeen business school is one of the largest department of University of Robert Gordon. MSc in Physiotherapy of University of Robert Gordon is accredited by Chartered Society of Physiotherapy, Health Professions Council amp; CAPTE. School of Pharmacy amp; Life Sciences of University of Robert Gordon is the second largest university in terms of student numbers. School of Computing of University of Robert Gordon has been recognized as best computer science department among new U.K universities by Good University Times. University of Robert Gordon is major employer in Aberdeen area. Networking modules of school of computing of University of Robert Gordon are taught by CISCO accredited trainers. University of Robert Gordon is a member of Northern Research Partnership in Engineering (NRP).

School of Computing of University of Robert Gordon is known for its applied research. University of Robert Gordon provides integrated library facility to its students. Library of University of Robert Gordon provides electronic resources and internet facilities, as well as collection of books, journals and other learning materials. Aberdeen BusinessSchool of University of Robert Gordon participates in Socrates Erasmus exchange programme. Teaching staff of Law School of University of Robert Gordon are members of ILT and society of legal scholars. They are also members of ALT (Association of Law Teachers) and Law society of Scotland. Department of law of University of Robert Gordon is Scottish coordinator for the U.K Centre for Legal Education (UKCLE). School of Nursing and Midwifery of University of Robert Gordonoffer accreditation of prior learning. This accreditation helps its students to gain credit with in a particular programme. University of Robert Gordon is top university in Scotland for Career Prospects and 3rd in U.K. University of Robert Gordon has job shop. Job shop is the career centre vacancy database. It is the integral part of career system. This career system helps its students in finding graduate employment opportunities, internships, part time job, voluntary work etc. University of Robert Gordon provides counseling services to its students. All consultations are kept confidential.

Study Shows Even Moderate Weight Loss Improves Female Urinary Incontinence

Category : Region V

Study Shows Even Moderate Weight Loss Improves Female Urinary Incontinence

Even a moderate amount of weight loss can go a long way toward relieving symptoms of female urinary incontinence in obese women.

A 2009 study by the University of California, San Francisco showed that women who lost as little as eight percent of their body weight experienced an average 47% reduction in episodes of both stress incontinence and urge incontinence, with some seeing the number of incontinence episodes drop by an astounding 70%.

The study’s findings, which were reported in the New England Journal of Medicine, concluded that reduction in urinary incontinence can be considered among the primary benefits of even moderate weight loss in significantly overweight women.

The study included a group of 338 overweight and obese women between 45 and 60 years of age, all of whom were experiencing at least 10 episodes of urinary incontinence per week. The participants were divided into two groups, one of which was put on an intensive six-month weight loss program that included diet, exercise, and lifestyle modification.

The other group of participants did not take part in any structured weight loss program, but were given educational classes on the importance of weight loss to incontinence management.

At the end of the six months, the participants in the weight loss group had dropped an average of eight percent of their body weight, while the control group showed an average weight loss of just over one percent.

Episodes of urinary incontinence dropped in both groups during the study period, but the difference between the groups was striking. The weight loss group reported 47% fewer episodes on average, while the control group reported 28% fewer episodes. The weight loss group showed a clinically relevant drop in the number of episodes of all types of incontinence, the researchers said, but episodes of stress incontinence showed the most dramatic reduction.

Stress incontinence, which is the involuntary loss of urine caused by seemingly inconsequential actions such as sneezing, coughing, or laughing, or by movement such as exercise or lifting, is one of the most common female health problems in the US. More than 13 million women experience stress incontinence, and it is estimated that one in three women will experience it at some time.

The condition is caused be weakness in the pelvic floor muscles, including the sphincter muscle that closes off the bladder. Weakness in these muscles can be caused by a number of factors, including pregnancy, childbirth, menopause, certain medical procedures (notably, hysterectomies), and some medications.

Being overweight definitely exacerbates female incontinence by putting extra weight on the abdomen and making the pelvic floor muscles work extra hard. Obesity can actually be a causal factor in female urinary incontinence.

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Four-D College Is Renowned Institute Of Study In Medicine

Category : Pharmacy Students

Four-D College Is Renowned Institute Of Study In Medicine

A school in Southern California that offers extensive study programs for students in building up their career in medicine. Located at Colton , the college has earned good reputation as an institute in study of medicine.

Brief History

Founded in 1992, Four-D College provides careers in medicine for students. Established by Linda L. Smith, a Bachelor of Science in Nursing, she named the school as Four-D basing on the principles of desire, determination, driver, and deliver.

Campus

Located in Colton , California that is a small town in San Bernardino County , Four-D College is one hour drive from Los Angeles . San Diego is a two hour trip down Interstate 15. It is also only an hour away from Joshua Park.

Programs Offered

Dental assistant, medical assistant, medical billing, pharmacy technician, massage therapy, continuous education, and vocational nursing programs are offered by the college.

Extra-curricular Activities

Multiple extracurricular activities are offered for the students by Four-D College including guidance for the students to find the right career path. School counseling program is there to advise students on a range of issues from healthcare to housing. Student council is also available for the students who have a minimum 3.0 grade point average and in addition the college also offers on campus pre-school and child care services.

Accreditation

Four-D College is accredited by the National Accounting Bureau for Health Education and also by the State of California Bureau for Private Postsecondary and Vocational Education. Nursing Program is accredited by the Board of Vocational Nurses and Psychiatric Technicians.

Unique Features

City of San Bernardino Employment and Training Agencies have named Four-D College as school of the year. San Bernardino Private Industry Council offered similar credit to the college.

Admission

Four-D College follows open admission policy. Any student having a high school diploma or GED equivalent can enroll in the college subject to standardized entrance examinations. Students who wish to enroll in Vocational Nursing Program must pass an ability to benefit test. Prospective students must visit the campus to learn about the facilities and ways of enrollment. Last but not the least aspirant students must sign a general health form.

Student Support and Financial Aid

Four-D College offers remedial services, academic and career counseling, PT cost defraying employment, on campus day care and library facilities among others as student support program. Various types of financial aids like federal, state, local, and institutional grants, scholarships, and student loans are also offered the details of which can be viewed on the state university website.

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Study Overseas in Canada

Category : Pharmacy Students

Study Overseas in Canada

Over the years Canada emerged as a preferred study abroad destination for higher education. The most sought after courses by Indian students are media studies and environmental studies for which Canada is world recognized. The research based higher courses for doctoral level courses are also in high demand.

Canada has recently started a program called the SPP ie. Student Partnership Program. This program is applicable in some selected institutions across Canada. Student applying to those colleges/universities where SPP is applicable, will be accessed under new scheme with high visa acceptance rates. Canada policies allow Indian students to gain one year work visa after one year course, in case if the student has studied two years, then he becomes eligible for 3 years of work visa which can lead towards permanent residency in Canada.

The climate is mostly cold but then not bearable as some may assume. Access to overseas education, high life expectancy, and low crime rate make it a perfect study abroad destination for overseas students. University degrees for International students are offered at three successive levels- Bachelors, Master’s, and doctoral with a completion of study abroad degree from the lower level generally a per-requisite for admission to the next.

Admission Procedure for Overseas Education in Canada

Process starts in January and March for admissions in September. The admission deadline varies from institution to institution.

Scholarship for Indians in Canada

There are a few scholarships, that too only for the postgraduate students, which can be availed by the Indian students in Canada, availability of this is scarce and competitive. Canadian commonwealth scholarship plan is the best on offer for the Indian students. It covers all expenses and can be availed for almost all the subjects. Research trainee program fellowships can also be availed by students who have a professional degree in fields like dentistry, medicine, pharmacy etc.

With latest changes in the visa policies Canada is hot among Indian students. While there you can work to support yourself and enjoy adventure sports every other weekend.

Ezyadmissions ( A unit of Foresee Education Consultancy Pvt Ltd.) is a study abroad education portal aimed at providing free information to students aiming to study abroad for their higher education. Ezyadmissions has a database of around 60,000 courses to choose from various universities around the world. Information relating to university, course, visa process is readily available. A student can search for his choice of university/course/overseas destination/study level through a search panel. In case , a students feels that he has a limited budget, then a special provision of searching for his choice of university/course can also be done through a specially designed Budget search bar.

The University page and their relevant course pages are content rich and provides vital information easily without having to search the entire website. A prospective student can compare listed universities and even save them to their very own ‘EzyFolder’ .

A 24 hour counseling assistance facility has been provided thorough a dedicated chat software. Also, in case a student wishes to speak to one of the counselors urgently then the same can also be done via ‘Call a Counselor’ facility. In totality, Ezyadmissions can be defined as a one stop overseas education solution.

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Case Study: Busch Containers Used At Youngstown State University

Category : Region III

Case Study: Busch Containers Used At Youngstown State University

Executive Summary
Youngstown State University began using Busch containers is 2006/2007. This case study will examine how these containers were used over the past four years. It will also look at how these recycling bins will help to achieve the recycling program goals set for 2010.

Background
Youngstown State University (YSU)

Founded in 1908
Started as an Urban Research Institute
14,600 students currently enrolled
First recycling program started in 1990

Busch Systems International

North American leader of waste, compost and recycling containers for the past 25 years
Set the industry standard for the yearly production of new molded bins
Each container is 100% recyclable and North America made with a minimum of 35% recycled content

Recycling Containers

8 Collection Carts (65 Gallon)
50 Recycling & Waste Pails (32 Gallon)
25 Better Than Stone Containers (45 Gallon)
300 Apartment Recycling Bins (6 Gallon)

Analysis
In the 2006/2007 academic year YSU began using Busch containers to enhance their recycling program. That same year Youngstown State became the first college or university in Ohio to compost food waste. The schools recycling program used Busch containers in event locations, athletic facilities, dining halls, parking lots and office/academic buildings. The goal was to help the school reduce their carbon footprint by collecting different recyclables campus wide including:

Paper & Publications
Mixed Beverage Containers
Compost
Cardboard

The new recycling bins made it faster and easier to collect these materials with such features as:

Heavy-duty rubber wheels which make it easy to manoeuvre the Collection Carts
Grip handles which make it easy to recollect the Recycling & Waste Pails into different special events
Side hinges which makes it easy to open the Better Than Stone bin regardless of where it is located
Durable handles and lightweight frame which makes it easy to collect and empty the Apartment Bins

The containers are also helping to achieve the universities current recycling goals. In 2006 the goal was expand on the type of recyclables which could be collected and the areas the containers could be placed. In 2010 some of the goals are to:

Divert 700 tons of recyclables, reusable and compostable materials from landfills
Achieve a 55% waste diversion rate
Consolidate waste receptacles and recycling bins to create waste stations
Expand the current composting program

With the goal of expanding their composting program in 2010 comes the need for more recycling bins. For this new containers could be used. Since 2006 Busch has expanded their product portfolio; introducing containers with improved features for collecting food waste. For example, the new Busch Kitchen Composter (KC5) would be a great addition to their composting program. It is compact and fitted with a carbon filter for better odour filtration.

Youngstown State has set a very ambitious diversion goal for 2010. Thankfully, all of Busch containers are custom designed to divert more materials away from waste baskets and into recycling bins. The containers are fitted with custom labels, openings and lids so that students can clearly and quickly see what the containers are collecting. This ensures that more materials end up recycled and sorted effectively; making the post-collection process easier. At YSU after the recyclables are collected they are:

Transported to the Mahoning County Solid Waste District’s (MCSWD) Recycling Center
At the center the recyclables are emptied into 4 yd, 10 yd and 20 yd dumpsters
Once full,  a waste hauler takes the dumpsters to a designated Materials Recovery Facility
At the factory the materials are separated and prepared for reuse

Conclusion
Overall, the Busch containers have helped Youngstown State University achieve their recycling goals both in previous years and currently. The recycling bins are easy to use and collect, making it ideal for operators and the student body alike. What remains to be seen is how the upcoming changes to their program will shape the use of these containers.

Pharmacokinetic Study of Cyclic Glycolamide Ester Conjugates of Niflumic Acid

Category : Region I

Pharmacokinetic Study of Cyclic Glycolamide Ester Conjugates of Niflumic Acid


PHARMACOKINETIC STUDY OF CYCLIC GLYCOLAMIDE ESTER CONJUGATES OF NIFLUMIC ACID

Kokil Sachin Uttamrao.*1 and Gadad Anadannappa Karsiddappa.2

1Dept.of Pharmaceutical Chemistry Bharati Vidyapeeth College of Pharmacy, Kolhapur,

Maharashtra, India.,

2Pharmacy Programme, Faculty of Medical Sciences, The University of WestIndies, St.Augustine, Champs Fluers, MountHope, Trinidad, WestIndies.

*Author for correspondence:

Kokil Sachin Uttamrao

Bharati Vidyapeeth College of Pharmacy,

Near Chitranagri, Kolhapur.

Maharashtra, India.

Phone: +91(0)9422600264., 9423867464.

Email: sachinkokil@rediffmail

PHARMACOKINETIC STUDY OF CYCLIC GLYCOLAMIDE ESTER CONJUGATES OF NIFLUMIC ACID

ABSTRACT:

A simple synthetic route for the preparation of glycolamide ester conjugates of Niflumic acid is exploited and prepared 2-(???-trifluro-m toluidino) nicotinyl glycolamide esters in good yields and their structures were confirmed by various spectral data.Preliminary evaluation of physicochemical and in vitro reversion properties of various prodrugs is studied which includes solubility, lipophilicity, chemical hydrolysis, pH-hydrolysis, enzymatic hydrolysis, and stability study. Compounds 3, 10, 13, 14 showed solubility increased by 50 to 100 folds, compounds 4 to 7 showed solubility increased by 20 to 35 folds, compounds 8, 9, 11 and 12 showed least solubility than parent drugs indicating in general cyclic glycolamide esters are least soluble compounds in 50 mM phosphate buffer of pH 7.4 except 10 and 13. Similarly compound 3-7 and 14 showed lipophilicity more than 1 and cyclic glycolamide esters showed lesser lipophilicity except compound 10 and 11. These esters were reasonably stable in 50 mM Phosphate buffer, half lives being 0.29–3.23 h among all compounds 6 and 9 showed maximum stability, half lives being 3.23 and 2.33 h respectively. In general cyclic glycolamide esters having six membered ring found to be more stable. Compound 6 and 9 were subjected to hydrolytic studies over pH range 1.2 – 9.0 at 70?C and they showed maximum stability at pH 4.6 and pH 5.0 respectively. At pH 4.6 compound 6 and 9 showed shelf life of 1.37 h and 4.33 h at 20?C as determined from accelerated studies using Arrehenius equation. The glycolamide ester derivatives were quantitatively converted into Niflumic acid very rapidly in human plasma at 37°C and pH 7.4 except compound 8. Comparison with chemical stability data, the intrinsic reactivity of esters has no effect on their enzymatic reactivity. The results from these evaluations demonstrate that the derivatives examined have many of the ideal properties required for potential useful prodrug.

Key words: Niflumic acid, glycolamide ester, hydrolysis study, prodrug.

INTRODUCTION:

Non-steroidal anti-inflammatory drugs (NSAID’s) have differing modes of inhibitory activities, with the arachidonic acid cascades, at the level of cycloxygenase. Inhibition of this enzyme at the micromolar concentration by NSAID’s prevents the formation of thromboxanes, prostaglandins and prostacyclins and as a consequence potent anti-inflammatory activity occurs1. NSAID’s due to carboxylic acid function passes into cells of stomach mucosa. The intracellular pH of cells is more basic than that of stomach lumen and NSAID’s become ionized, this results in reverse flow of H+ ions into the cells causing cellular damage2. The direct contact mechanism appears to play a determinant role in the production of gastrointestinal lesions and it is probably a combination of local irritation produced by the free carboxylic acid group of NSAID’s and local inhibition of cytoprotective action of prostaglandines on gastric mucosa. The considerable gastrointestinal distress associated with chronic use of these compounds and their low half-life constitute the main disadvantages in clinical use of NSAID’s3.

Niflumic acid (1) is one of the newly developed non-steroidal anti-inflammatory agent which act as cycloxygenase I inhibitor, indicated in various inflammatory and rheumatic conditions4. In order to supress the gastrointestinal irritation produced by Niflumic acid which is believed to caused mainly by direct contact of acidic group with gastrointestinal mucosa, an alternative approach is to use the promising prodrug concept to mask the carboxylic acid function5.

An ideal prodrug retains the activity of the parent drug while unwanted side effects are eliminated or notably reduced6, to achieve such a pharmacological profile a prodrug should exhibit optimum physicochemical properties. The prodrug should show a good stability in aqueous solutions and in gastrointestinal fluid, it should have suitable water solubility and lipophilicity to ensure absorption by the oral route and it should be readily hydrolysed following gastric absorption to release the parent drug. Since simple alkyl and aryl ester prodrugs donot show the requirements mentioned above as they are not sufficiently labile in vivo to ensure a high rate of prodrug conversion3.

To attempt a new generally ester prodrug types possessing a high enzymatic rate of hydrolysis in plasma or in GIT wall due to esterase enzyme, we recognized the esters of certain 2-hydroxyacetamide (glycolamide) which are chemically highly stable7. The glycolamide ester structure combined with the presence of two substituents on the amide nitrogen atom, such as N,N disubstituted glycolamide esters are found be promising biolabile prodrug8.

The conversion of carboxyl group to glycolamide doesn’t negatively modify the anti-inflammatory activity of synthesized prodrugs of Niflumic acid in vivo, because, the cleavage of glycolamide linkages take place by amide hydrolysing enzymes present in various tissues as well as in plasma9. But it depends on release of Niflumic acid from prodrug.

In the novelty of present work is evaluation of a number of glycolamide esters of Niflumic acid, as potential prodrugs with respect to their solubility, lipophilicity, chemical hydrolysis, pH-hydrolysis, enzymatic hydrolysis and stability study.

MATERIALS AND METHODS:

Substituted 2-chloracetamides required for the synthesis of glycolamide esters of Niflumic acid were prepared according to reported methods10. Chemicals used for the synthesis of various 2-chloroacetamides are obtained from S. D. Fine – Chem Ltd., Mumbai, India. Reagents used for the preparation of the buffers were of analytical grade. Fresh triple distilled water from all glass apparatus was used in the preparation of all the solutions, mobile phase was prepared from HPLC grade methanol obtained from Ranbaxy Fine Chemicals Ltd, S.A.S Nagar, 160055, India. Human plasma was procured from the Mitra Industries Ltd., Haryana, India.

General method for preparation of glycolamide esters of Niflumic acid 3-14.

To a solution of the 2.82 g of Niflumic acid (0.01 mol) in 10ml of N,N dimethylformamide was added 1.52 ml triethylamine (0.011 mol), 0.149 g sodium iodide (0.001 mol) and appropriate 2-chloroactamide (0.011 mol). The mixture was stirred at 90°C for 2 hrs or in some cases stirred at room temperature overnight, poured into water (50 ml) and then extracted with ethyl acetate (2×50 ml). The combined extract were washed with a 2% aqueous solution of sodium thiosulphate, 2% sodium bicarbonate and water. After drying over anhydrous sodium sulphate, ethyl acetate was removed under reduced pressure to give the glycolamide esters which were purified by column chromatography.

HPLC procedure for the analysis of ester prodrugs of Niflumic acid.

The various physicochemical parameters of glycolamide ester prodrugs of Niflumic acid were determined by isocratic reversed phase HPLC procedures using a Milton Roy CDC analytical multiple solvent delivery system with UV variable wavelength detector. A 20 µl loop injection valve and 18 sphereimage OD 52, 5µM, 250 x 4.6 mm C.S chromatography. All solvents were of HPLC grade. The parent drug and the prodrug were subjected to HPLC and retention time was noted down for all the compounds using methanol as a solvent, and was eluted with methanol. The flow column effluent was monitored at 290nm. Quantification of the compounds was carried out by measuring the peak areas or peak heights in relation to those of standards chromatographed under the same conditions.

Determination of solubility

The solubility of prodrugs 3-14 was determined in 50 mM phosphate buffer of pH 7.4 at 25°C. Excess amount of the powdered prodrug was added to 2-5 ml of the buffer in the screw capped test tubes. The suspension was vortexed for 10 min and kept in a shaking incubator maintained at 25°C for 24 hrs. The suspension was transferred to a 10 ml glass syringe maintained at 25°C and filtered through a 0.45µm membrane filter in a warm test tube. After appropriate dilutions in methanol, 20 µl of the solution was injected for HPLC analysis. The concentration of the compound was calculated from standard plot obtained on the same day under similar conditions.

Determination of lipophilicity

The apparent partition coefficient (P) of the ester derivatives of Niflumic acid were determined in octanol-buffer system at 25°C. The aqueous phase was a 50 mM Phosphate buffer of pH 7.4. The buffer solution and octanol were mutually saturated before use. The traditional shake flask method11 was used, and concentrations were determined by HPLC to afford rapid evaluation and buffer reliability12-13. The compounds were dissolved in octanol (2ml) in 10 ml screw-capped test tube. After addition of buffer (5ml), two phases were mixed on shaking waterbath maintained at 25°C for 8 h. The tubes were centrifuged at 3000 rpm for 30 min. The octanol layer (1ml) was removed and properly diluted. Then injected into the HPLC column and the peak area was measured (AUCoct). The buffer solution was also removed and properly diluted, 20µl of this solution was injected and corresponding peak area was obtained (AUC buffer). The partition coefficient (P) was determined from the following expression.

P = (AUC oct/AUC buffer) x dilution factor (1)

The lipophilicity of these prodrug derivatives was also evaluated by means of reversed phase HPLC. In this method, the capacity factor (k’)14 of a solute was taken as a measure of the relative lipophilicity and was calculated as;

k’ = (tR-tO) / tO (2)

Where tR is the retention time of the solute and tO denotes elution time of the solvent. The k’ values were determined using methanol as a mobile phase. The flow rate was maintained at 1.2ml/min and column effluent was monitored at 290 nm.

Determination of chemical hydrolysis

Chemical hydrolysis of ester produrgs of Niflumic acid was studied under near physiological conditions at pH 7.4 in 50 mM phosphate buffer at 37°C. The reaction was initiated by adding 50-100 µl of stock solution (in methanol) of the ester to 20 ml of preheated buffer solution in screw capped test tubes. The final concentration of the compounds was in the range of 1.8 x 10-6 – 2.0 x 10-5 M. The solutions were kept in a water bath at constant temperature and at appropriate intervals samples were withdrawn and chromatographed. Pseudo first order rate constants for the hydrolysis of the derivatives were determined from the slopes of linear plots of the logarithms of residual derivative against time.

The pH hydrolysis of 6 and 9 was determined over the pH range 1.2 – 9.0 to determine the pH of maximum stability. The buffers used were hydrochloric acid, acetate, phosphate and carbonate buffers. A constant ionic strength of 0.5 was maintained for each buffer by adding a calculated amount of potassium chloride. Temperature accelerated studies for the same esters 6 and 9 were also performed at 80-90°C at pH of high stability to predict the shelf life at 20°C.

Determination of enzymatic hydrolysis

The enzymatic hydrolysis of the ester prodrugs of Niflumic acid having solubility of more than 5µg/ml was studied in human plasma diluted to 80% with 50 mM phosphate buffer at pH 7.4 at 37°C. The reaction was initiated by adding 20-50 µl of the stock solution of ester in methanol to 2-5 ml of preheated plasma being 4.2 x 10-5 – 1 x 10-4 M. The solution was kept in waterbath at 37°C. At appropriate time intervals samples of 100-250 µl were withdrawn and added to 1000-5000 µl of cold methanol in order to deproteinize the plasma. After immediate mixing and centrifugation for 5 min at 7000 rpm, 20 µl of the clear supernant was analyzed by HPLC for remaining ester prodrugs and the values of rate constants and half lives were calculated as described above.

RESULTS AND DISCUSSION:

Solubility and lipophilicity evaluation

It is recognized that the solubility and lipophilicity play an important role in governing the overall biological performance of drugs. For oral administration of drug it is mentioned that the drugs having octanol – water partition coefficient log P ? 2 are well absorbed provided they have minimum solubility of 10µg/ml15. To assess this potential, the solubility of the ester prodrugs 3-14 was determined in 50 mM phosphate buffer at pH 7.4 (25°C). The values are listed in Table I.

Compounds 3,10,13,14 showed solubility increased by 50 to 100 folds, compounds 4 to 7 showed solubility increased by 20 to 35 folds and compounds 8, 9, 11 and 12 showed least solubility than parent drug indicating in general cyclic glycolamide esters are least soluble compounds in 50 mM phosphate buffer of pH 7.4. The apparent partition coefficient (P) were determined between octanol and 50mM phosphate buffer of pH 7.4. The log P values obtained are listed in Table I. Compound 3 to 7 and 14 showed lipophilicy (log p) more than 1 and cyclic glycolamide esters showed lesser lipophilicity except compounds 10 and 11.

The lipophilicity of the ester derivatives was also evaluated by means of reversed phase HPLC capacity factor (k’) in methanol as mobile phase. The k’ values are listed in Table I. As has been observed with many different types of compounds a linear relationship existed between log k’ and log P16-17.

log P=5.063 log k’ + 3.7632 (3)

This relationship would very likely allow extrapolation to other esters in the series. So majority of compounds possess minimum physiochemical properties required for oral absorption.

Chemical hydrolysis Evaluation

Prodrug derivatives should be sufficiently stable so that they can be formulated in a stable dosage form. To assess stability, hydrolysis of the ester derivatives 3 to 14 was studied in 50 mM phosphate buffer of pH 7.4 at 37°C. The degradation of glycolamide ester prodrugs displayed strict pseudo first order kinetics over several half lives. Figure 1 and Figure 2 represents pseudo first order cleavage of 3 to 7 and 8 to 12 respectively. For all the compounds parent Niflumic acid was found in stoichiometric amounts.

The pseudo first order rate constants and half lives observed for hydrolysis at pH 7.4 and 37°C are listed in Table II. It can be seen from Table II that these esters were reasonably stable in 50 mM phosphate buffer, half lives being 0.29-3.23 h, among all compounds 6 and 9 showed maximum stability, half lives being 3.23 and 2.33 h respectively. In general cyclic glycolamide esters having six membered ring found to be more stable. The lower reactivity of N,N disubstituted glycolamide ester prodrugs compared to N-monosubstituted glycolamide esters may be due to increased steric hinderance to nucleophile OH- in the case of former. Among the disubstitued and cyclic derivatives compound 6 and 9 showed maximum stability. The stability of compounds 6 and 9 was further investigated over the pH range 1.2 – 9.0 at 70° to evaluate the effect of pH on degradation rate and to determine the pH of maximum stability.

The influence of pH on the rate of hydrolysis of 6 and 9 at 70°C is shown in Figure 3 and Figure 4 respectively, in which the logarithms of the observed pseudo first order rate constants (k) are plotted against pH. The U shaped pH rate profile indicates the occurance of specific acid catalysed (KH), neutral or water catalyzed (KO) and specific base catalyzed (KOH) processes according to the following rate expression.

Kobs = KH a H + KO + KOH a OH (4)

Where aH and aOH are the hydrogen ion and hydroxide ion activities respectively at reaction temperature18. The later was calculated from the measured pH at 70°C according to the equation.

log a OH = pH – 12.82 (70°C) (5)

Values of the second order rate constants KH and KOH were determined from the straight line portions of the pH rate profile at low and high pH values after adjusting the slope to –1 and +1 respectively. The values for the first order rate constant for spontaneous hydrolysis (KO) was obtained from Equation 4. In Figure 3 and Figure 4 the points shown are the log Kobs values and the solid curve is constructed from the derived rate constants using Equation 4.

The pH where the rate of hydrolysis is minimum (pH min) was found by differentiating Equation 4 and setting the derivative equal to zero. The pH min and values for rate constants at 70°C are given below

KH = 05.90 M-1h-1 (for compound 6)

KOH = 35.40 M-1h-1 (for compound 6)

pHmin= 4.66 (for compound 6)

KH = 01.28 M-1h-1 (for compound 9)

KOH = 14.90 M-1h-1 (for compound 9)

pHmin= 5.00 (for compound 9)

KO = 0.074 h-1

The effect of temperature (80-90°C) on rate of hydrolysis of 6 and 9 was also studied at pH 4.6 (stable range) to determine shelf life of the compound at 20°C. The rate constant obtained at different temperatures were plotted according to Arrhenius equation19.

log k = log A – Ea/2.303 RT (6)

Where ‘Ea’ is the energy of activation, ‘A’ denotes the frequency factor, ‘R’ is gas constant and ‘T’ represents absolute temperature.

On the basis of Equation 6, shelf life of 6 and 9 was found to be 1.37 h and 4.33 h at 20°C respectively.

Enzymatic hydrolysis evaluation

In order to be useful as prodrugs of Niflumic acid, the ester derivatives should be readily converted to parent drug in vivo. To assess the bioavailability the hydrolysis of ester prodrugs of Niflumic acid was studied in 80% human plasma pH 7.4 at 37°C. The progress of hydrolysis of all ester followed strict first order kinects over several half lives as illustrated in Figure 5 and Figure 6 for ester prodrugs 3 to 7 and 8 to 12 respectively.

The half lives and pseudo first order rate constants are given in Table II. Under the conditions all esters were quantitatively hydrolyzed to Niflumic acid as revealed by HPLC analysis. The glycolamide ester derivatives are quantitatively converted into Niflumic acid very rapidly in human plasma at 37°C and pH 7.4 except compound 8. Comparison with chemical stability data, the intrinsic reactivity of ester has no effect on their enzymatic reactivity. The rapid rate of hydrolysis observed in plasma is important in view of the slow rate of hydrolysis in the absence of plasma under similar conditions in buffer solutions of pH 7.4 at 37°C.

CONCLUSION:

Preparation of glycolamide esters of Niflumic acid was achieved in good yields by a simple synthetic route, various in-vitro experiments were carried out to evaluate glycolamide esters of Niflumic acid as a potential prodrugs. They are chemically stable to be presented in a proper dosage form, at the same time they get rapidly cleaved to parent drug Niflumic acid in 80% human plasma. Compounds 3,10,13,14 showed solubility increased by 50 to 100 folds and compounds 4 to 7 showed solubility increased by 20 to 35 folds than parent drug. Similarly compounds 3 to 7 and 14 showed lipophilicity more that 1 and cyclic glycolamide esters showed lesser lipophilicity except compounds 10 and 11. So majority of compounds showed optimum physiochemical properties required for oral absorption. These prodrugs are stable at gastric pH, so they possess the potential to avoid Niflumic acid mediated direct gastric damage while maintaining their efficacy via the systemic action of active metabolite Niflumic acid. It is concluded that esterification of Niflumic acid with substituted acetamide is useful in improving physiochemical properties as potential prodrugs, however further modification of these molecules required to achieve better solubility, shelf life, chemical stability, lipophilicity and release of more Niflumic acid from prodrugs.

1 2

Compound R1 R2

3 H CH2CH2OH

4 H CH3

5 H C2H5

6 C2H5 C2H5

7 CH3 CH3

8 -CH2CH2CH2CH2-

9 -CH2CH2CH2CH2CH2-

10 -CH2CH2CH2CH2CH2-

|

C2H5

11 -CH2CH2-CH2CH2-CH2-

| |

CH3 CH3

12 -CH2CH2-O-CH2-CH2-

13 -CH2 CH2-N-CH2 CH2-

|

CH2 CH2 OH

14 H2

Table I. Solubilities (S), Partition coefficients (P) and chromatographic capacity factors (k’) for Niflumic acid ester produgs.

Compound S(µg / ml) Log P Log k’

1 10.89a 1.32b -

3 499.95 1.09 -0.632

4 182.16 1.49 -0.115

5 262.95 1.56 -0.149

6 270.07 1.04 -0.074

7 346.42 1.33 -0.083

8 Neg 0.40 -0.560

9 41.98 0.24 -0.066

10 495.20 1.48 0.199

11 92.81 1.14 -0.007

12 22.35 0.07 -0.144

13 985.09 0.24 -0.698

14 842.44 1.21 -0.176

(S) Solubility in 50 mM phosphate buffer of pH 7.4 at 25ºC, (P) apparent partition coefficient in octanol – 50mM phosphate buffer of pH 7.4, (k’) capacity factor.

a. Solubility in 100 mM HCl solution.

b. Partition coefficient in octanol – 100 mM HCl system

Table II. Rate data for the hydrolysis of various ester prodrugs of Niflumic acid in 50 mM phosphate buffer solution and 80% human plasma at 37ºC and pH 7.4.

Compound First order rate constants Half lives

Buffer(h-1) 80% human plasma (S-1) Buffer(h) 80% human plasma (S)

3 0.10 x10-2 5.43×10-2 0.34 25

4 0.16×10-2 3.98×10-3 0.83 173

5 2.69×10-2 1.76×10-2 0.57 78

6 4.46×10-3 6.60×10-3 3.23 210

7 4.32 x 10-2 1.12 x 10-2 0.53 123

8 0.11 x 10-2 4.21 x 10-4 0.29 1643

9 2.03 x 10-2 3.74 x 10-2 2.33 74

10 5.04×10-3 2.97 x 10-2 1.15 46

11 1.01 x 10-2 5.60 x 10-3 1.15 123

12 5.22 x 10-2 1.03x 10-3 1.32 227

13 5.02 x 10-2 3.56 x 10-2 1.32 38

14 7.58 x 10-3 5.28 x 10-3 1.66 130

REFERENCES:

1. N.Dogu, A.Gul and G. Hankan, Synthesis and in vitro anti-inflammatory activities of some new diaryl amine derivatives as prodrug of Diclofenac, J Fac Pharma Gazi. 10(1) (1993) 69-81.

2. K.Vijay, M. Milind , C. Michael and K. Mansoor, Synthesis and evaluation of morpholinoalkyl ester prodrug of Indomethacin and Naproxen, Pharma Res.10(8) (1992) 1191-1199.

3. D. Paolo, P. Francesco, B.Franco, M.Lucia, D.Michele and R. Francesio, Synthesis and pharmacological evaluation of oligoethylene ester derivatives as indomethacin oral prodrugs, J Pharm Sci. 83 (11) (1994) 1578-1581.

4. Maritinadale, The extra pharmacopoeia, 29th ed., Pharmaceutical press, London, pp. 72-73.

5. W.Lalitkumar, D.Pritam. Glycolamide esters of 6-methoxy-2-naphthylacetic acid as potential prodrugs – physicochemical properties, chemical stability and enzymatic hydrolysis, Int J Pharma.118 (1995) 118 31-39.

6. H.Bundgaard, Design of prodrug, bioreversible derivatives for various functional groups and chemical entities, Elsevier, Amsterdam pp. 1-92.

7. H.Bundgaard, N. Nielsen, Esters of N,N disubstituted 2-hydroxyacetamides as a novel highly biolable prodrug type for carboxylic acid agents, J Med Chem. 30 (1987) 451-453.

8. H.Bundgaard, N.Nielsen, Glycolamide ester a novel biolabile prodrug type for non-steroidal anti-inflammatory carboxylic acid drugs,Int J Pharma. 43 (1988) 101-110.

9. H. Bundgaard, M. Johansen, N-mannich bases as novel prodrug candidates for amides, imides, urea derivatives, amines and other NH-acidic compounds, kinetics and mechanism of decomposition and structure reactivity relationships,Arch Pharm Chem Sci. 8 (1980) 29-52.

10. A. Speziale, P.Hamm, Preparation of some new 2-chloroacetamides, J Am Chem Soc.78 (1981) 2556-2559.

11. A.Leo, C. Hansch and D. Elikins, Partition coefficients and their uses, Chem Rev. 21 (1971) 525-616.

12. P.Hairsine, Direct measurement of partition coefficient by shake flask technique and gradient elution HPLC, Lab Practice. 38 (1989) 73 –75.

13. D.Stopher, S. Meclean, An improved method for the determination of distribution coefficients, J Pharm Pharmacol. 42 (1990) 144.

14. J. Chou, P.Jurs, Computation of partition coefficients from molecular structures by fragment addition method, In Yalkowsky, Sinkula SH, Valvani SC, Physical Chemical Properties of drugs, Dekker, New York ,1980, pp.199-463.

15. K.Wakita, M.Yoshimoto, S.Miyamoto and H. Watanabe, A method for calculation of the aqueous solubility of organic compounds by using new fragment solubility constants, Chem Pham Bull.34 (1986) 4663-4681.

16. T. Hafkenscheid, E. Tomlinson, Correlations between alkane – water and octanol – water distribution coefficients and isocratic reversed phase liquid chromatographic capacity factors of acids, base and neutrals, Int J Pharm. 16 (1983) 225-239.

17. J.Fort, A.Mitra, Physicochemical properties and chromatographic behaviour of a homologous series of methotrexate ?,?-dialkyl ester prodrugs, Int J Pharm.36 (1987) 7-16.

18. K.Connors, G. Aanidon , and V. Stella, Chemical stability of pharmaceutical, 2nd ed,Wiley, New York PP. 32-62.

19. A.Martin, J.Swarbrick, A.Cammaruta, Physical Pharmacy, 3rd ed, Lea and Febiger, Philadelphia,pp. 371-372.