Citation patterns in the Kuwaiti journal Medical Principles and Practice: The first 12 years, 1989-2000

This study investigates the citation patterns in the journal, Medical Principles and Practice from its inception in 1989 through 2000 (volumes 1-9). The data set includes 4740 references appended to the 221 original research articles. All of the citations were entered into a ProCite database for analysis. Specifically, this study addresses: (1) bibliometric patterns of cited works in terms of publication format, subject scatter, authorship characteristics, age of citations, geographic distribution, and language distribution; (2) productivity of journal titles; (3) the role of self-citation; and (4) how selected bibliometric indicators apply. Some of the findings include: journal articles are most frequently cited; English language publications dominate the literature; there is a trend of multiple authorship; and the pattern of aging is below the norm for medical literature. The results of the study can provide a benchmark to measure the user behavior of a particular group of researchers as well as for the provision of collection development and management decisions. This revised version was published online in August 2006 with corrections to the Cover Date.     

Optimization of square microneedle arrays for increasing drug permeability in skin

Microneedles array is a new transdermal drug delivery technique designed to create holes in the epidermis and penetrate the stratum corneum, thus avoiding the high resistance of this barrier. Microneedles have been shown to increase the skin permeability of drugs with no or little pain. However, the skin permeability of epidermis while using microneedle arrays has yet to be fully studied. In some cases, microneedle and microneedle array designs which were developed based on certain criteria (e.g., material of the microneedles) have to be related to other criteria (e.g., drug permeability in skin, skin thickness, etc.). Therefore, in order to determine the optimum design of the microneedle arrays, the effect of different factors (e.g., number of the microneedle, surface area of the patch, etc.) along with skin permeability by using microneedles should be determined accurately. In this work, an optimization framework for transdermal delivery of high molecular weight drug from microneedle is presented. The outputs of this framework have allowed us to identify the optimum design of various microneedles. Data from this optimization algorithm is then used to predict skin permeability of high molecular weight injected into the skin from a microneedle system. The effect of the optimized microneedles on blood drug concentration has been determined. The outcome of this study is useful to propose an optimum design based on different measurement (e.g., variation of skin thickness) for transdermal delivery of drugs.     

Modelling transdermal delivery of high molecular weight drugs from microneedle systems

In the past few years, a number of microneedle designs have been proposed for transdermal drug delivery of high molecular weight drugs. However, most of them do not increase the drug permeability in skin significantly. In other cases, designs developed based on certain criteria (e.g. strength of the microneedles) have failed to meet other criteria (e.g. drug permeability in skin, throughputs of the drugs, etc.). It is obvious therefore that in order to determine the 'optimum' design of these microneedles, the effect of different factors (e.g. length of the microneedle, surface area of the patch, etc.) along with various transport properties of drug transport behaviour using microneedles should be determined accurately. Appropriate mathematical models for drug transport from these systems into skin have the potential to resolve some of these issues. To address this, a parametric analysis for transdermal delivery of a high molecular weight drug from a microneedle is presented in this paper. The simulations have allowed us to identify the significance of various factors that influence the drug delivery while designing microneedle arrays. A scaling analysis is also done which shows the functional dependence of drug concentration on other variables of skin and microneedle arrays.