1. Tuberculosis remains a major global health problem, causing millions of deaths each year. New antitubercular agents are needed to combat drug resistance.
2. The document discusses the development of various classes of antitubercular agents, including synthetic drugs like isoniazid and rifampin, and antibiotics such as streptomycin. It covers their mechanisms of action, effectiveness, and toxicity.
3. Classification of antitubercular drugs includes first-line agents that are most effective and least toxic, second-line alternatives for resistant cases, and third-line options that are least effective and most toxic. Developing improved drug combinations remains a priority area in tuberculosis treatment.
-a broad-spectrum antibiotics.
-It is commonly used to treat acne, infection, and other infections caused by bacteria.
-The first of these compounds was chlortetracycline followed by oxytetracycline and tetracycline.
Tetracycline is a broad-spectrum polyketide antibiotic produced by the Streptomyces genus of Actinobacteria, indicated for use against many bacterial infections. It is a protein synthesis inhibitor. It is commonly used to treat acne today, and, more recently, rosacea, and is historically important in reducing the number of deaths from cholera. Tetracycline is marketed under the brand names Sumycin, Tetracyn, and Panmycin, among others. Actisite is a thread-like fiber formulation used in dental applications. It is also used to produce several semisynthetic derivatives, which together are known as the tetracycline antibiotics. The term "tetracycline" is also used to denote the four-ring system of this compound; "tetracyclines" are related substances that contain the same four-ring system.
subscribe the channel :Work&Life Hobbies
watch video:https://www.youtube.com/watch?v=v3rI1lf2TZ8&t=403s
This slide describes the Important Synthesis of Antiviral Drugs
Anti Malarial Drugs of medicinal chemistryPranjal Saxena
This slide contain information about Anti Malarial Drugs and their description with the synthesis of Chloroquine and pamaquine
SAR of quinolines
Miscellaneous agents of anti Malarial
Malignancy is most familiar as a characterization of cancer.Chemotherapy is a category of cancer treatment that uses one or more anti-cancer drugs as part of a standardized chemotherapy regimen
Brief information about Tuberculosis, drugs used for its treatment including recent advances and drug regimen for patients of different categories of TB suggested by WHO (DOTS therapy) including national and international programes for preventing TB.
-a broad-spectrum antibiotics.
-It is commonly used to treat acne, infection, and other infections caused by bacteria.
-The first of these compounds was chlortetracycline followed by oxytetracycline and tetracycline.
Tetracycline is a broad-spectrum polyketide antibiotic produced by the Streptomyces genus of Actinobacteria, indicated for use against many bacterial infections. It is a protein synthesis inhibitor. It is commonly used to treat acne today, and, more recently, rosacea, and is historically important in reducing the number of deaths from cholera. Tetracycline is marketed under the brand names Sumycin, Tetracyn, and Panmycin, among others. Actisite is a thread-like fiber formulation used in dental applications. It is also used to produce several semisynthetic derivatives, which together are known as the tetracycline antibiotics. The term "tetracycline" is also used to denote the four-ring system of this compound; "tetracyclines" are related substances that contain the same four-ring system.
subscribe the channel :Work&Life Hobbies
watch video:https://www.youtube.com/watch?v=v3rI1lf2TZ8&t=403s
This slide describes the Important Synthesis of Antiviral Drugs
Anti Malarial Drugs of medicinal chemistryPranjal Saxena
This slide contain information about Anti Malarial Drugs and their description with the synthesis of Chloroquine and pamaquine
SAR of quinolines
Miscellaneous agents of anti Malarial
Malignancy is most familiar as a characterization of cancer.Chemotherapy is a category of cancer treatment that uses one or more anti-cancer drugs as part of a standardized chemotherapy regimen
Brief information about Tuberculosis, drugs used for its treatment including recent advances and drug regimen for patients of different categories of TB suggested by WHO (DOTS therapy) including national and international programes for preventing TB.
Leprosy
Tuberculosis
TYB pharmacy
Pharmacology semester VI notes
Pharmacology VI semester
Pharmacology notes
Third year B pharmacy pharmacology notes
Pharmacology unit 3 notes
Pharmacology VI semester notes
Tuberculosis is completely curable disease now a days but one should follow the treatment regimens correctly .so for under graduate MBBS students it is clearly explained with animations.Hope you all this will be helpful.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
2. Introduction to Tuberculosis
Tuberculosis (TB) remains the leading cause of death
worldwide from a single infectious disease agent. Indeed
many of the world's population is infected with TB. About
1.5 million people died from TB in 2018. The registered
number of new cases of TB worldwide roughly correlates
with economic conditions: the highest incidences are seen
in those countries of Africa, Asia, and Latin America with
the lowest gross national products. WHO estimates that
eight million people get TB every year, of whom 95% live
in developing countries. An estimated 2 million people die
from TB every year.
2
3. TB is an ancient infectious disease caused by
Mycobacterium tuberculosis.
It has been known since 1000 B.C., so it not a new
disease. Since TB is a disease of respiratory
transmission, optimal conditions for transmission
include:
Overcrowding
poor personal hygiene
poor public hygiene
3
4. • Mycobacterium referred as acid fast organism, to family
Mycobacteriaceae, include organism of TB and Leprosy.
• Test for detection are 14C, antigenic assay, ELISA, DNA
probes.
• Mycosides are glycolipids and peptidoglycolipids.
They have common terminal saccharide group with
Rhamnoses (O-methylated deoxy sugar) at different
positions.
• They are of two groups
i. phenolic glycolipids ii. Peptidoglucolipids
Mycobectins are also of three types:
i. Mycobactin P ii. Mycobactin S and iii. Mycobactin M
4
5.
6. Sulfanilamide had weak bacteriostatic properties, later
sulfone derivative dapsone was investigated clinically,
which is still considered one of the most effective drugs
for the treatment of leprosy and also has useful
antimalarial properties, was considered too toxic
because of the high dosages used.
The discovery of the antitubercular activity of the
aminoglycoside antibiotic streptomycin was a modern
era, followed by discoveries of the antitubercular
properties of p-aminosalicylic acid (PAS) first and then,
in 1952, of isoniazid.
Later, the usefulness of the synthetic drug ethambutol
and, eventually, of the semisynthetic antibiotic rifampin
was discovered
7. Combination therapy, with the use of two or more
antitubercular drugs, has been well documented.
The choice of antitubercular combination depends on
various factors, including the location of the disease
(pulmonary, urogenital, gastrointestinal, or neural).
For some time, a combination of isoniazid and
ethambutol, with or without streptomycin, was the
preferred choice of treatment.
The synthetic drug pyrazinamide, because of its
sterilizing ability, is also considered a first-line agent
and is frequently used in place of ethambutol in
combination therapy.
8. Second-line agents for tuberculosis include the
antibiotics cycloserine, kanamycin, and capreomycin
and the synthetic compounds ethionamide and PAS.
Clinical studies indicated that when rifampin is
included in the regimen, particularly in combination
with isoniazid and ethambutol (or pyrazinamide), the
period required for successful therapy is shortened
significantly.
Previous treatment schedules without rifampin
required maintenance therapy for at least 2 years,
whereas those based on the isoniazid– rifampin
combination achieved equal or better results in 6 to 9
months.
9. Classification:
• Synthetic anti tubercular agents:
Isoniazid (INH), Ethionamide, Ethambutol, Pyrazinamide,
Para amino salicylic acid.
Anti tubercular antibiotics:
Rifampicin, Rifabutin, Cycloserine, Streptomycine,
Capreomycin sulphate.
9
10. Isonicotinic acid hydrazide, isonicotinyl hydrazide, or INH
(Nydrazid), It is prepared by reacting the methyl ester of
isonicotinic acid with hydrazine.
It is not, however, uniformly effective against all forms of the
disease.
Its action, which is considered bactericidal, is to cause the bacilli
to lose lipid content by a mechanism.
The most generally accepted theory suggests that the principal
effect of isoniazid is to inhibit the synthesis of mycolic acids,
high–molecular-weight, branched –hydroxy fatty acids that
constitute important components of the cell walls of
mycobacteria.
A mycobacterial catalase–peroxidase enzyme complex is required
for the bioactivation of isoniazid, A reactive species, generated
through the action of these enzymes on the drug, is believed to
attack a critical enzyme required for mycolic acid synthesis in
mycobacteria.
11. • The target for the action of INH has recently been
identified as an enzyme that catalyzes the NADH-
specific reduction of 2-trans-enoylacyl carrier
protein, an essential step in fatty acid elongation.
• This enzyme is encoded by a specific gene, inhA, in
M. tuberculosis.
• Coadministration of pyridoxine is reported to
prevent the
• symptoms of peripheral neuritis, suggesting that this
adverse effect may result from antagonism of a
coenzyme action of pyridoxal phosphate.
13. • Ethionamide-2-Ethylthioisonicotinamide,
• This nicotinamide has weak bacteriostatic activity in vitro
but, because of its lipid solubility, is effective in vivo.
• 2-substitution enhances activity in the thioisonicotinamide
series.
• Ethionamide is considered a secondary drug for the
treatment of tuberculosis. Low Potency and Highest
tolerated Dose.
• Pyrazinamide:
• Its antitubercular properties were discovered as a result of
an investigation of heterocyclic analogs of nicotinic acid,
with which it is isosteric.
• Bioactivation of pyrazinamide to pyrazinoic acid by an
amidase present in mycobacteria 13
14. • Ethambutol: EMB
• EMB is active only against dividing mycobacteria. Its
selective toxicity related to the inhibition of the
incorporation of mycolic acids into the cell walls of these
organisms.
• Compound is remarkably stereospecific. The dextro
isomer is 16 times as active as the meso isomer.
• The length of the alkylene chain, the nature of the
branching of the alkyl substituents on the nitrogens, and
the extent of N-alkylation all have a pronounced effect
on the activity.
• Aminosalicylic Acid – PAS
• The mechanism of antibacterial action of PAS is similar
to that of the sulfonamides. 14
15. • Thus, it is believed to prevent the incorporation of p-
aminobenzoic acid (PABA) into the dihydrofolic acid
molecule catalyzed by the enzyme dihydrofolate
synthetase.
• Structure–activity studies have shown that the amino
and carboxyl groups must be para to each other and
free; thus, esters and amides must readily undergo
hydrolysis in vivo to be effective. The hydroxyl group
may be ortho or meta to the carboxyl group, but optimal
activity is seen in the former.
15
16. Isoniazid
Rifampin
CLASSIFICATION OF DRUGS
3 Groups depending upon the degree of effectiveness and
potential side effects
First Line: (Primary agents)
are the most effective and have lowest toxicity.
17. Second Line:
Less effective and more toxic effects
p-amino salicylic acid (PAS)
Streptomycin
Ethambutol
17
18. Third Line
are least effective and most toxic.
Amikacin
Kanamycin
Capreomycin
Viomycin
Kanamycin
Cycloserine
18
20. Rifamycin
• All of the rifamycins (A, B, C, D, and E) are biologically
active.
• Some of the semisynthetic derivatives of rifamycin B are the
most potent known inhibitors of DNAdirected RNA
polymerase in bacteria.
• Their net effect is to inhibit the formation of the virus particle,
apparently by preventing a specific polypeptide conversion.
• Rifamycins bind to the subunit of bacterial DNA-dependent
RNA polymerases to prevent chain initiation.
• Rifampin: Most active, highly active against staphylococci
and used with the combination only.
• Hepatotoxicity was significantly higher when rifampin was
combined with isoniazid. 20
21. • Combination with ethambutol, are less toxic.
• Rifampin is a powerful inducer of hepatic cytochrome
P450 oxygenases.
• When it is used in the treatment of leprosy, rifampin should
be combined with dapsone or some other leprostatic agent
to minimize the emergence of resistant strains of M. leprae.
• Rifampin has its primary metabolite, deacetylrifampin,
which is also biologically active and get reabsorbed. The
concentration of drug remain long time in body.
• It can also give reddish orange discoloration of the urine,
stool, saliva, tears.
• Dose is 600mg and available in parentral form also.
21
22. • Rifabutin: Rifabutin, the spiroimidazopiperidyl derivative of
rifamycin B.
• Rifabutin is a very lipophilic compound with a high affinity
for tissues.
• Cycloserine: 4-Amino-3-isoxazolidinone (Seromycin), both
isomers D and L are active.
• Cycloserine is presumed to exert its antibacterial action by
preventing the synthesis of cross-linking peptide in the
formation of bacterial cell walls.
• it is an antimetabolite for alanine and alanine racemase.
• Irreversible inactivation of the enzyme thereby deprives the
cell of the D-alanine required for the synthesis of the cross-
linking peptide.
22
23. • Capreomycin Sulfate: Four capreomycins, designated IA,
IB, IIA, and IIB, have been isolated, clinical agent
contains primarily IA and IB.
• It is useful in resistant or treatment failure TB when
given with ethambutol or INH.
• Common side effect is hearing loss, rashes and fever.
23