A chronic toxicology study provides inferences about the long-term effect of a test substance in animals, and it may be extrapolated to the human safety of the test substance
This presentation provides a knowledge about Toxicology, its types , definition, regulatory guidelines for conducting toxicological studies, OECD guidelines for GLP. This is an assignment in the subject, Pharmacological & Toxicological Screening Methods - II, 2nd Semester, M.Pharm (Pharmacology)
Study on Intellectual Property Rights (IPRs) and Trade in Traditional Medicin...Kamal Perera
Presented on Symposium at 22nd International conference of College of Medical Administrators of Sri Lanka, 13th March 2015
(Based on WHO/SEARO-Project Report of Study on Intellectual Property Rights (IPRs) and Trade in Traditional Medicines (TM) in Sri Lanka)
Unit I: Plant Drug Cultivation
General introduction to the importance of
Pharmacognosy in herbal drug industry, Indian Council of
Agricultural Research, Current Good Agricultural Practices,
Current Good Cultivation Practices, Current Good Collection
Practices, Conservation of medicinal plants- Ex-situ and Insitu
conservation of medicinal plants.
A chronic toxicology study provides inferences about the long-term effect of a test substance in animals, and it may be extrapolated to the human safety of the test substance
This presentation provides a knowledge about Toxicology, its types , definition, regulatory guidelines for conducting toxicological studies, OECD guidelines for GLP. This is an assignment in the subject, Pharmacological & Toxicological Screening Methods - II, 2nd Semester, M.Pharm (Pharmacology)
Study on Intellectual Property Rights (IPRs) and Trade in Traditional Medicin...Kamal Perera
Presented on Symposium at 22nd International conference of College of Medical Administrators of Sri Lanka, 13th March 2015
(Based on WHO/SEARO-Project Report of Study on Intellectual Property Rights (IPRs) and Trade in Traditional Medicines (TM) in Sri Lanka)
Unit I: Plant Drug Cultivation
General introduction to the importance of
Pharmacognosy in herbal drug industry, Indian Council of
Agricultural Research, Current Good Agricultural Practices,
Current Good Cultivation Practices, Current Good Collection
Practices, Conservation of medicinal plants- Ex-situ and Insitu
conservation of medicinal plants.
Medicinal plants importance,scope and uses.ShekhAlisha
A considerable number of definitions have been proposed for the term 'medicinal plant'. According
to the World Health Organization, "a medicinal plant is any plant which, in one or more of its
organs/parts, contains substances that can be used for therapeutic purposes, or which are precursors for
chemo-pharmaceutical semi synthesis"
The detailed presentation on role of Pharmacist in the health care system. It also explain the theme of pharmacy day for 2022.
Its emphasize the there is change in the scope of pharmacist and challenges ahead to meet the society expectation and tells about how to achieve the same.
Abu Dhabi TCAM Conference: From the field to the pharmacy - 2013Cassandra Quave
This is a presentation given at the UAE Health Authority sponsored TCAM conference in Abu Dhabi in 2013. The title of the talk was: "From the field to the pharmacy: The important role of TCAM to the future of public health"
Abstract:
Ethnobotanical studies concerning knowledge and use of TCAM are critical for laying the groundwork for both pharmaceutical development and public health policy. In this talk, I will review some of the translational aspects of medical ethnobotany research, highlighting the importance of documenting local knowledge of TCAM practices and investigating the efficacy, safety and potential for broader public health applications (i.e. herbal supplements and pharmaceuticals). Methodology for implementation of such studies will be reviewed and potential applications of the data in UAE public health policy and practice will be discussed.
Diabetes mellitus is among the most common disorder in developed and
developing countries, and the disease is increasing rapidly in most parts
of the world. It has been estimated that up to one-third of patients with
diabetes mellitus use some form of complementary and alternative
medicine. Alstonia scholaris is a plant of family Apocynaceae and has a
great medicinal importance. It is widely used by tribal people to treat
various diseases and ailments. The present communication deals with
the organoleptic and preliminary physico-phytochemical studies of the
stem bark of the plant. The organoleptic study was done according to
the W.H.O. guidelines for medicinal plants. Alstonia scholaris is a plant
that has been used in popular medicine for the treatment of the diabetes.
It is native to the Indian subcontinent, Indomalaya, Malaysia, and
Australasia. This has been investigated based on amerolative properties
of bioactive compounds of Alstonia scholaris stem bark extract up on
alloxan induced diabetic rats. The blood glucose levels were increased
significantly. Ethanolic stem bark extract of A. scholaris was given to
the diabetic rats in daily dose of 450mg/ kg of body weight (21 days). In
diabetic rats of blood glucose levels decreased highly significant
(p<0.005). The reduction in blood glucose can be used as a marker in
the evaluating the severity of diabetes.
Cultivation and Processing of Selected Medicinal PlantsAjjay Kumar Gupta
Medicinal plants are important for human health. These plants have been used from the prehistoric times to present day. These plants based medicines are consumed in all civilizations. It is believed that the herbal medicine can give good effect to body without causing side effects to human life. Medicinal plants are not only a major resource base for the traditional medicine & herbal industry but also provide livelihood and health security to a large segment of Indian population. Medicinal plants constitute a large segment of the flora, which provide raw materials for use by various industries. They have been used in the country for a long time for their medicinal properties. These plants are staging a comeback and herbal renaissance is happening all over the globe. The herbal medicines today symbolize safety in contrast to the synthetics that are regarded as unsafe to human and environment. Although herbs had been priced for their medicinal, flavoring and aromatic qualities for centuries, the synthetic products of the modern age surpassed their importance, for a while.
2013.
The annual demand of botanical raw drugs in the country has been estimated at 3,19,500 MT for the year 20011-2013.There is global resurgence in traditional and alternative health care systems resulting in world herbal trade which stands at US$ 120 billion and is expected to reach US$ 7 trillion by 2050.
Indian share in the world trade, at present, however, is quite low.In state wise assessment of demand for 10 major states it works out to 33000 tons per State per year totaling to approximately 3.5 lakh tons for the country as a whole. However, individual pharmacy requirement works out to 1292 tons (approx.) annually. Assuming that there are 100 major pharmacies, the country's demand for crude drugs on this basis comes to 1.29 lakh tons per year. Combining the averages of the two sources, the demand estimate is worked out to 2.4 lakh tons of crude drugs per 122 annum.
The present book covers cultivation practices of selected commercially important medicinal plants with their processing details and uses. The book is very resourceful for medicinal plants growers, professionals, researchers, entrepreneurs and agriculture universities.
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CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
3. PART 1
HERBS AS TRADITIONAL
MEDICINE : MARKET
POTENTIAL AND ITS
SAFETY ISSUES
4. FOOD TECHNOLOGY RESEARCH CENTRE
(MARDI)
FOOD SCIENCE &
FOOD SAFETY
-hadijah
-noor fadilah
FOOD
PACKAGING
FOOD
PROCESSING &
PRODUCT
DEVELOPMENT
5. FOOD SCIENCE & FOOD SAFETY
RESEARCH AREAS:
FOOD ANALYSIS
HERBS – MARKER COMPOUND
DETERMINATION, TOXICITY STUDY, EFFICACY STUDY
FUNCTIONAL FOOD/INGREDIENTS – HIGH
ANTIOXIDANT JUICE
POLYSACHARIDE – RESISTANT STARCH
FOOD SAFETY – MICROBIOLOGY,
HACCP,MYCOTOXINS,
ACRYLAMIDE
NUTRITION – BABY FOOD
6. Herb and Herbal Medicine - Definition
•Herb is a general term for a plant that is small and
usually has soft fleshy stems.
•The use of herb is related to the therapeutic properties
that have been claimed from old generations- well
known for it uses as traditional herbal medicine.
•Herbal medicine is a type of medicine that uses roots,
stems, leaves, flowers, or seeds of herbs to improve
health, prevent disease, and treat illness.
•It is also known as botanical medicine, medical
herbalism, herbalogy, and phytotherapy.
7. Market Potential of herbal products
•World Health Organization (WHO) reported
-80% of the world’s population depends on
herbal medicine, so the market potential is
very huge.
•Herbal medicines continue to be a major
market in U.S. pharmacies and constitute a
multi-billion dollar industry. This is due to
strong consumer interest in preventative
medicine, disappointment with allopathic
medicine and the perception that botanicals
are safe and free from side effects.
8. •The global herbal market is valued at USD70
billion (nutraceuticals) and USD20 billion for
phytomedicines. The current estimates for this
market ranges between USD40 to 100 billion-an
average growth rate of 15-20 % annually.
•According to World Bank, the global market for
herbal products is estimated to US$200 billion
(2008) and will be achieved to US$5 trillion
(RM18.25tril) by 2050.
9. Government of Malaysia encourages :
• Alternative medicine / complementary medicine and
herbal products has the potential to be develop as a
new industry and should be explored (one of the
component in Biotech. Policy)
• Herbal industry in Malaysia is estimated to
be RM8 billion and growing at 10% per
Year. Research in herbs can tap the estimated about
RM380 bil. global pharmaceutical market (Bussines
Times, 3 January, 2006)
HERBAL SCENARIO IN MALAYSIA
10. WHO have highlighted that :
•The use of TM is increasing rapidly in developed countries.
In many parts of the world, policy-makers, health
professionals and the public are wrestling with questions
about the safety, quality, availability, preservation and further
development of this type of health care.
•Although many TM therapies have promising potential, and
are increasingly used, many of them are untested and their
use not monitored. As a result, knowledge of their potential
side-effects is limited.
•This makes identification of the safest and most effective
therapies, and promotion of their rational use more difficult.
(WHO Traditional Medicine Strategy 2002-2005)
SAFETY ISSUES
11. Adverse effects of herbs
• Contamination – heavy metals,alfatoxins
• Adulteration – other chemicals
• Actions of herb itself – toxic compounds such
as
alkaloid
• Herb-drug interaction
– Interference with anesthesia
– Interference with clinical effects of drugs
- Interference with CYP 450 (metabolism enzyme
in liver)
12. If TM is to be promoted as a source of healthcare,
efforts must be made to promote its rational use, and
identification of the safest and most effective therapies
will be crucial.’
TOXICOLOGY
TESTING
PHARMACEUTICALS/
DRUGS
GMO PRODUCTS
FOOD ADDICTIVES
HERBS/HERBAL
PRODUCTS
13. HERBS-WHY TOXICOLOGY STUDY?
•Acute renal failure is one of the most serious complications
resulting from the use of traditional remedies in Africa (Luyckx et
al. 2002).
•Some herbs used as alternative medicines also may be
hepatotoxic (Lin et al. 2003; Shad 1999).
•Antinutritional and toxic compounds are also present in many
plants (Guil et al. 1997).
•Several substances in plants express cytotoxic and show
correlation with the incidence of tumors (Ames, 1983).
•Ur-Rahman & Zaman (1989) reported that a number of highly
toxic compounds have been isolated from plants.
14. The safety study also will increase the acceptability
and commercial viability of local herbs. `We need
more research, documentation and validation’
(opening address, Minister of Health, WHAT Medicine
Conference, 28th
July 2006)
•Research to resolve safety and effectiveness issue of
herbal products in Malaysia.
•To capitalize on biodiversity (Mlsia:one of the 12
countries in the world with mega diversity) and
commercialize discoveries in health-related natural
and bio-generic drugs.
NST 18/08/2006
Our Aim
15. •Our government also support the traditional herbal
medicine is to be optimally integrated into the
Malaysian healthcare system (allocation funding of
RM1.5 mil) in order to achieve a holistic approach
towards enhancing health and the quality of life.
•Currently, 3 hospitals have been identified which are
Hospital Putrajaya, Hospital Kepala Batas (Kedah)
and Hospital Sultan Ismail (Johor).
Understanding the health benefits and the potential
toxicity of medicinal plants is very important. Although
most of the herbs have been used for many generations
and are considered safe, scientific toxicological trials are
still necessary.
16.
17.
18.
19. Standard Requirements - For Marketing of Herbal
Products
•The manufacturer should meet the requirements set by most of countries
before the products can be exported. A lot of documents need to be prepared
to fulfill the requirements
Example : Common documents needed for export market (based on Phytes Biotek
Sdn Bhd experiences):
•Product Registration Certicate
•Copy of GMP Certificate
•Free Sales Certicate
•Label which complied to legal requirements
•Master Formula
•Heavy Metal Test report
•Pesticide Residues Test Report
•Microbial Limit Test Report
•Acute Toxicity test Report
•Long Term Toxicity Test Report
•Local Toxicity Test Report
•Shelf Life Studies
•Clinical Studies
•Production Flow Chart
•Product Origin Certificate/ Product Declaration Document