- The document analyzes the effects of aqueous extracts of Picralima nitida and Rauvolfia vomitoria, alone and in combination, on blood glucose levels and liver enzyme activity in alloxan-induced diabetic rats.
- The extracts were found to contain alkaloids, cardenolides, and saponins. Administration of the extracts significantly reduced blood glucose and liver enzyme levels compared to the diabetic control group.
- The combination of P. nitida and R. vomitoria extracts had a comparable hypoglycemic effect to P. nitida alone and more effectively reduced liver enzyme activity, suggesting it could be an effective treatment for diabetes and its complications.
This document discusses septic shock and its management. It covers:
- The pathophysiology of septic shock including absolute and relative hypovolemia, distributive shock, and impaired oxygen extraction.
- The history of managing septic shock from focusing on normalizing blood pressure in the 1960s to measuring oxygen delivery and consumption in later decades.
- Guidelines for initial resuscitation of septic shock patients, including targeting a MAP ≥65 mmHg, CVP of 8-12 mmHg, and ScvO2 ≥70%.
- Use of fluid challenges to guide fluid resuscitation and options for vasopressors like norepinephrine if needed to support blood pressure.
The document discusses using crowdfunding to send student experiments on suborbital flights. It proposes crowdfunding a pilot flight that would carry student experiments. The main actions would be to crowdfund the pilot flight through an online platform, conduct marketing through social media and emails, run the campaign for 6 weeks with a $3,000 funding goal, and select experiments through a committee of specialists. The results could include democratizing knowledge and giving students equal opportunities to participate in space research.
El documento explica el estado de flujos de efectivo, incluyendo su objetivo de mostrar el efectivo generado y utilizado en las actividades de una empresa. Describe los tipos de actividades (operativas, de inversión y financiación), la metodología para preparar el estado, y principios básicos para la administración del efectivo como incrementar las entradas e ingresos de efectivo y demorar las salidas de efectivo. También cubre conceptos como control interno para el flujo de efectivo.
1) Rv3717 is a novel N-acetylmuramoyl-L-alanine amidase enzyme from Mycobacterium tuberculosis that was determined to have a single-domain structure at 1.7 Angstrom resolution.
2) Unlike other bacterial autolysins, Rv3717 lacks a separate cell-wall binding domain and instead uses its net positive charge for substrate binding.
3) The crystal structure revealed a flexible hairpin turn that partially occludes the active site, which may be involved in autoregulation of enzymatic activity similar to other bacterial amidases.
GI R I KRM is seeking challenging leadership roles and has over 30 years of experience across business operations like administration, finance, procurement, sales, HR, accounting, and more. He is currently the Administration Manager at Vision Tec LLC in Ras Al Khaimah, UAE and is responsible for overseeing factory and office administration, finance and accounts, procurement, and other aspects. He has a diploma in business administration and bachelor's degree in commerce and is proficient in areas like decision making, management, problem solving, planning, budgeting, finance, communication, project management, people management, and information technology.
The document outlines various rules for verb conjugation in English sentences. It provides rules and examples for present simple, present continuous, present perfect, present perfect continuous, past simple, past continuous, past perfect, past perfect continuous, future simple, future continuous, future perfect, and future perfect continuous tenses. The rules specify the combination of auxiliary and main verbs used in each tense structure, along with examples demonstrating the tense forms.
Australian Medical Recognition Services offers coaching courses to help doctors pass the AMC exams and prepare for jobs in Australia. Their courses teach structured approaches for clinical cases to avoid critical errors, help with identifying correct MCQ answers, and provide other services like CV and interview preparation. Register at admin@australianmrs.com.au for a free introductory class on learning how to confidently pass the AMC exams.
This document discusses Microsoft Power BI, a business analytics tool. It highlights that access to business data is vital and Power BI allows users to always be in charge of their data and ask questions of it through interactive reports and dashboards. The document suggests Power BI would most benefit managers, analysts, project managers and sales executives and offers a live demo. It also provides information on technical training and custom data analysis programs available through UrBizEdge.
This document discusses septic shock and its management. It covers:
- The pathophysiology of septic shock including absolute and relative hypovolemia, distributive shock, and impaired oxygen extraction.
- The history of managing septic shock from focusing on normalizing blood pressure in the 1960s to measuring oxygen delivery and consumption in later decades.
- Guidelines for initial resuscitation of septic shock patients, including targeting a MAP ≥65 mmHg, CVP of 8-12 mmHg, and ScvO2 ≥70%.
- Use of fluid challenges to guide fluid resuscitation and options for vasopressors like norepinephrine if needed to support blood pressure.
The document discusses using crowdfunding to send student experiments on suborbital flights. It proposes crowdfunding a pilot flight that would carry student experiments. The main actions would be to crowdfund the pilot flight through an online platform, conduct marketing through social media and emails, run the campaign for 6 weeks with a $3,000 funding goal, and select experiments through a committee of specialists. The results could include democratizing knowledge and giving students equal opportunities to participate in space research.
El documento explica el estado de flujos de efectivo, incluyendo su objetivo de mostrar el efectivo generado y utilizado en las actividades de una empresa. Describe los tipos de actividades (operativas, de inversión y financiación), la metodología para preparar el estado, y principios básicos para la administración del efectivo como incrementar las entradas e ingresos de efectivo y demorar las salidas de efectivo. También cubre conceptos como control interno para el flujo de efectivo.
1) Rv3717 is a novel N-acetylmuramoyl-L-alanine amidase enzyme from Mycobacterium tuberculosis that was determined to have a single-domain structure at 1.7 Angstrom resolution.
2) Unlike other bacterial autolysins, Rv3717 lacks a separate cell-wall binding domain and instead uses its net positive charge for substrate binding.
3) The crystal structure revealed a flexible hairpin turn that partially occludes the active site, which may be involved in autoregulation of enzymatic activity similar to other bacterial amidases.
GI R I KRM is seeking challenging leadership roles and has over 30 years of experience across business operations like administration, finance, procurement, sales, HR, accounting, and more. He is currently the Administration Manager at Vision Tec LLC in Ras Al Khaimah, UAE and is responsible for overseeing factory and office administration, finance and accounts, procurement, and other aspects. He has a diploma in business administration and bachelor's degree in commerce and is proficient in areas like decision making, management, problem solving, planning, budgeting, finance, communication, project management, people management, and information technology.
The document outlines various rules for verb conjugation in English sentences. It provides rules and examples for present simple, present continuous, present perfect, present perfect continuous, past simple, past continuous, past perfect, past perfect continuous, future simple, future continuous, future perfect, and future perfect continuous tenses. The rules specify the combination of auxiliary and main verbs used in each tense structure, along with examples demonstrating the tense forms.
Australian Medical Recognition Services offers coaching courses to help doctors pass the AMC exams and prepare for jobs in Australia. Their courses teach structured approaches for clinical cases to avoid critical errors, help with identifying correct MCQ answers, and provide other services like CV and interview preparation. Register at admin@australianmrs.com.au for a free introductory class on learning how to confidently pass the AMC exams.
This document discusses Microsoft Power BI, a business analytics tool. It highlights that access to business data is vital and Power BI allows users to always be in charge of their data and ask questions of it through interactive reports and dashboards. The document suggests Power BI would most benefit managers, analysts, project managers and sales executives and offers a live demo. It also provides information on technical training and custom data analysis programs available through UrBizEdge.
Asrt malaysia itm rice bran projects presentationAmr Helal
Rice bran , instead of using as animal feed, was stablized , studied from the phytochemical , pharmacological, toxicological and formulation points of view. It is developed to be used in bakery, nutraceutical, cosmoceutical preparations with soild scientific proof of evidence.
This study investigated the effects of administering aqueous extracts of white grub and white grub waste to diabetic rats over two weeks. Biochemical analysis found that after one week, the extract-treated groups showed improvements in liver and kidney function indices compared to the untreated diabetic group. After two weeks, the white grub extract provided even greater benefits, lowering levels of liver enzymes and improving other liver and kidney parameters. The results suggest that the white grub extract did not harm liver or kidney function in diabetic rats and appeared to have protective effects.
- The document summarizes a preclinical study that evaluated the acute and sub-acute oral toxicity of a multi-targeted polyherbal formulation intended for obesity management.
- In an acute oral toxicity test in rats, no mortality was observed at a dose of 2000mg/kg, establishing the LD50 as greater than 2000mg/kg. Body weight decreased gradually but no clinical signs were observed.
- A 28-day sub-acute oral toxicity study in rats revealed no abnormal signs at doses up to 1000mg/kg but mortality at higher doses of 300mg/kg and 1000mg/kg. Some changes were seen in hematological and biochemical parameters.
- The study concluded the polyherbal formulation is
This is Sumaiya Nahid hail from Chittagong, Bangladesh.It's my M.Pharm (Thesis) presentation slide. This is the total display of my hard works.I tried my best to summarize my one year enthusiastic workings.Any suggestions and corrections will be cordially accepted. Thank you all.
This document contains a case study and assessment for a patient named Kody Springsteen with chronic kidney disease on hemodialysis. It includes lab results showing the patient's values are outside the target range for dialysis patients, especially for phosphorus which is high. The patient's current diet is noted to be high in dairy and potassium-rich fruits, which need to be limited due to his condition. The assessment provides nutrition recommendations for calories, protein, phosphorus, and other aspects. Interventions include educating the patient on following a low phosphorus, low potassium renal diet and monitoring labs and intake to evaluate changes.
1. The patient presented with irritability, headache, visual disturbances, and weakness due to a migraine attack. She has a history of type 2 diabetes, hypertension, and diabetic neuropathy.
2. On examination, she was conscious and oriented but restless. Vital signs were stable. Laboratory tests showed elevated blood sugar and white blood cell count.
3. She was diagnosed with a classic migraine, type 2 diabetes, hypertension, diabetic neuropathy, and akathisia likely induced by levosulpiride. She was treated with medications to control blood pressure, blood sugar, pain, nausea, and neurological symptoms.
This document summarizes a study that investigated the phytochemical composition of Cassia alata leaf extract and its effect on the histology of the pancreas in diabetic rats. Twenty-four rats were divided into diabetic and non-diabetic groups and treated with Cassia alata extract, insulin or saline for 28 days. Results showed Cassia alata contains phytochemicals like saponins, flavonoids, tannins, oxalate and alkaloids. It reduced blood sugar in diabetic rats, regenerated destroyed pancreatic islet cells, and may potentiate beta cell regeneration through its phytochemical composition.
Paracetamol is a commonly used analgesic and antipyretic drug, but at a high dose level, it leads
to deleterious side effects. The need to investigate new hepatoprotective drugs is driven by the
lack of safety and efficiency of existing medications. A newly synthesized compound 2′, 3′-
dihydroxybenzylidene (DHB) was evaluated in the present study for its antioxidant, hepatoprotective and nephroprotective potential compared to ascorbic acid in paracetamol intoxicated rats. DHB and ascorbic acid were evaluated against 2, 2-diphenyl-1-picrylhydrazyl (DPPH)
for assessment of the antioxidant potential. Male albino rats (n = 20) were categorized into 5
groups with 4 rats each and the test compounds were administered for 14 days consecutively. On
day 15th, the rats were anesthetized, and blood was collected through heart puncture for the
evaluation of hematological and serological parameters. Subsequently, the rats were dissected for
the histopathology of liver and kidney. Alanine Transaminase (ALT), Alkaline Phosphatase (ALP),
Serum Bilirubin (SBR), Cholesterol level and Renal Function Tests (RFTs) showed a substantial
increase in the paracetamol treated group. Healing in liver and kidney tissues was observed in the
DHB treated groups compared to paracetamol intoxicated group. The hemoglobin (HB), mean
corpuscular hemoglobin (MCH), RBCs and mean corpuscular hemoglobin concentration (MCHC)
were found to be significantly elevated, while the total leukocyte count (TLC), platelets (PLT) and
neutrophils significantly decreased in the DHB treated group compared to the paracetamol
intoxicated group. It is concluded that DHB possesses antioxidant, hepatoprotective, neuroprotective, and anti-inflammatory potential against paracetamol induced hepatotoxicity and
nephrotoxicity in rats.
TOXICOLOGY ASSESSMENT PPT.pptx of baphia nitida extractArmiyahuAlonigbeja
The document outlines a study that investigated the effects of administering different doses of methanol extract from Baphia nitida stem to rats. The study aimed to determine if the extract had any detrimental effects on liver and kidney function. Results showed that administering doses as high as 2000mg/kg of the Baphia nitida stem extract did not significantly alter serum biomarkers related to liver and kidney function compared to the control group. The conclusion was that the plant extract is safe to use at doses up to 2000mg/kg as it does not negatively impact the liver or kidneys.
The document summarizes a study that evaluated the anti-obesity effects of the methanolic extract of Tricholepis glaberrima in high fat diet and monosodium glutamate induced obesity models in rats. Wistar rats were fed either a high fat diet or administered monosodium glutamate to induce obesity over 28 days. The rats were then treated with 100 or 200 mg/kg doses of the methanolic plant extract or a standard drug (Orlistat). Treatment with the plant extract significantly reduced body weight gain, fat pad weight, cholesterol, triglycerides and liver enzymes in both models, showing anti-obesity effects. Further studies are needed to establish its efficacy and safety for potential use in
This case presentation describes a 20 month old female patient who presented with failure to thrive, anemia, rickets, hepatosplenomegaly, and bilateral nephromegaly. Initial workup found elevated tyrosine levels and further testing confirmed a diagnosis of Tyrosinemia type 1. The patient was started on a low tyrosine/phenylalanine diet and NTBC treatment. Follow up showed improvement in biochemical markers and symptoms, though liver damage remained severe. The case discusses the pathophysiology, presentation, diagnosis and management of Tyrosinemia type 1.
This document contains a case study and renal diet calculation for a patient with chronic kidney failure undergoing hemodialysis. It evaluates the patient's laboratory values compared to goals and assesses their current dietary intake. Recommendations are provided for calorie, protein, phosphorus, potassium, sodium and fluid intake. A sample one-day renal diet is created meeting the recommendations. Two PES statements are written, one in the clinical domain addressing altered laboratory values and one in the behavioral domain addressing undesirable food choices. Interventions, monitoring and evaluations are proposed for each.
Hepatoprotective effects of simvastatin on paracetamol -induced hepatic damag...iosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
This study investigated the hepatoprotective effects of simvastatin on paracetamol-induced liver damage in rats. Paracetamol toxicity decreased total protein and albumin levels and increased liver enzymes ALT, AST, and ALP, indicating liver damage. Pretreatment with simvastatin attenuated these changes and reduced liver damage based on histopathological analysis. Simvastatin's hepatoprotective effects are thought to be due to its anti-inflammatory and antioxidant properties which can inhibit the liver damage caused by paracetamol. The results suggest simvastatin has potential as a protective agent against paracetamol hepatotoxicity.
The document summarizes a study that investigated the antidiabetic effects of Vinca rosea extracts in alloxan-induced diabetic rats. Key findings include:
1) Methanolic extracts of Vinca rosea reduced blood glucose levels in a dose-dependent manner and improved body weight, lipid profiles, and other diabetes-related biomarkers.
2) The extracts showed regeneration of pancreatic beta cells and restoration of cellular population in the islets of Langerhans.
3) The high dose extract (500mg/kg) was more effective than the low dose (300mg/kg) in managing diabetes symptoms after 14 days, showing similar effects to the antidiabetic drug gliben
The liver controls 6 vital functions: it removes toxins, aids digestion, stores energy, purifies blood, manufactures proteins, and processes food. Common liver diseases include hepatitis (inflammation caused by viruses) and cirrhosis (scarring of the liver). Dabur Hepano is launched to support everyday liver health using herbs like Phyllanthus niruri, Tinospora cordifolia, Azadirachta indica, and Andrographis paniculata that have shown hepatoprotective effects in pre-clinical studies against conditions like jaundice and liver damage.
The document discusses the first line anti-tuberculosis (TB) medications including isoniazid (INH), rifampin, pyrazinamide, and ethambutol. It provides details on the pharmacology, mechanisms of action, dosing, drug interactions, and common adverse effects of each medication. Management strategies are described for addressing common side effects like neuropathy, hepatotoxicity, and hyperuricemia in order to optimize patient safety during TB treatment.
A 54-year-old male was admitted to the hospital with complaints of edema, abdominal pain, decreased urine output, and absence of urine. He had a history of diabetes and hypertension. Laboratory tests found increased creatinine, decreased eGFR, and abnormalities in other values indicating chronic kidney disease. He was diagnosed with chronic kidney disease and prescribed various medications to manage his condition, including amlodipine, atorvastatin, prazosin, pantoprazole, clonidine, torsemide, and calcium carbonate with vitamin D3. The patient received counseling on diet, lifestyle modifications, and monitoring of his condition and medications.
buchanania lanzan hepatocarcinoma presentationSrota Dawn
1) The study evaluated the anticancer potential of the ethanolic extract of Buchanania lanzan leaves against diethylnitrosamine (DEN)-induced hepatocellular carcinoma in rats.
2) Administration of the extract at doses of 200 mg/kg and 400 mg/kg reduced serum markers of liver damage and oxidative stress in DEN-treated rats compared to the DEN alone group.
3) Preliminary phytochemical analysis revealed the presence of flavonoids, alkaloids, gallic acid and glycosides in the extract, which may contribute to its chemo preventive effects against liver cancer.
Asrt malaysia itm rice bran projects presentationAmr Helal
Rice bran , instead of using as animal feed, was stablized , studied from the phytochemical , pharmacological, toxicological and formulation points of view. It is developed to be used in bakery, nutraceutical, cosmoceutical preparations with soild scientific proof of evidence.
This study investigated the effects of administering aqueous extracts of white grub and white grub waste to diabetic rats over two weeks. Biochemical analysis found that after one week, the extract-treated groups showed improvements in liver and kidney function indices compared to the untreated diabetic group. After two weeks, the white grub extract provided even greater benefits, lowering levels of liver enzymes and improving other liver and kidney parameters. The results suggest that the white grub extract did not harm liver or kidney function in diabetic rats and appeared to have protective effects.
- The document summarizes a preclinical study that evaluated the acute and sub-acute oral toxicity of a multi-targeted polyherbal formulation intended for obesity management.
- In an acute oral toxicity test in rats, no mortality was observed at a dose of 2000mg/kg, establishing the LD50 as greater than 2000mg/kg. Body weight decreased gradually but no clinical signs were observed.
- A 28-day sub-acute oral toxicity study in rats revealed no abnormal signs at doses up to 1000mg/kg but mortality at higher doses of 300mg/kg and 1000mg/kg. Some changes were seen in hematological and biochemical parameters.
- The study concluded the polyherbal formulation is
This is Sumaiya Nahid hail from Chittagong, Bangladesh.It's my M.Pharm (Thesis) presentation slide. This is the total display of my hard works.I tried my best to summarize my one year enthusiastic workings.Any suggestions and corrections will be cordially accepted. Thank you all.
This document contains a case study and assessment for a patient named Kody Springsteen with chronic kidney disease on hemodialysis. It includes lab results showing the patient's values are outside the target range for dialysis patients, especially for phosphorus which is high. The patient's current diet is noted to be high in dairy and potassium-rich fruits, which need to be limited due to his condition. The assessment provides nutrition recommendations for calories, protein, phosphorus, and other aspects. Interventions include educating the patient on following a low phosphorus, low potassium renal diet and monitoring labs and intake to evaluate changes.
1. The patient presented with irritability, headache, visual disturbances, and weakness due to a migraine attack. She has a history of type 2 diabetes, hypertension, and diabetic neuropathy.
2. On examination, she was conscious and oriented but restless. Vital signs were stable. Laboratory tests showed elevated blood sugar and white blood cell count.
3. She was diagnosed with a classic migraine, type 2 diabetes, hypertension, diabetic neuropathy, and akathisia likely induced by levosulpiride. She was treated with medications to control blood pressure, blood sugar, pain, nausea, and neurological symptoms.
This document summarizes a study that investigated the phytochemical composition of Cassia alata leaf extract and its effect on the histology of the pancreas in diabetic rats. Twenty-four rats were divided into diabetic and non-diabetic groups and treated with Cassia alata extract, insulin or saline for 28 days. Results showed Cassia alata contains phytochemicals like saponins, flavonoids, tannins, oxalate and alkaloids. It reduced blood sugar in diabetic rats, regenerated destroyed pancreatic islet cells, and may potentiate beta cell regeneration through its phytochemical composition.
Paracetamol is a commonly used analgesic and antipyretic drug, but at a high dose level, it leads
to deleterious side effects. The need to investigate new hepatoprotective drugs is driven by the
lack of safety and efficiency of existing medications. A newly synthesized compound 2′, 3′-
dihydroxybenzylidene (DHB) was evaluated in the present study for its antioxidant, hepatoprotective and nephroprotective potential compared to ascorbic acid in paracetamol intoxicated rats. DHB and ascorbic acid were evaluated against 2, 2-diphenyl-1-picrylhydrazyl (DPPH)
for assessment of the antioxidant potential. Male albino rats (n = 20) were categorized into 5
groups with 4 rats each and the test compounds were administered for 14 days consecutively. On
day 15th, the rats were anesthetized, and blood was collected through heart puncture for the
evaluation of hematological and serological parameters. Subsequently, the rats were dissected for
the histopathology of liver and kidney. Alanine Transaminase (ALT), Alkaline Phosphatase (ALP),
Serum Bilirubin (SBR), Cholesterol level and Renal Function Tests (RFTs) showed a substantial
increase in the paracetamol treated group. Healing in liver and kidney tissues was observed in the
DHB treated groups compared to paracetamol intoxicated group. The hemoglobin (HB), mean
corpuscular hemoglobin (MCH), RBCs and mean corpuscular hemoglobin concentration (MCHC)
were found to be significantly elevated, while the total leukocyte count (TLC), platelets (PLT) and
neutrophils significantly decreased in the DHB treated group compared to the paracetamol
intoxicated group. It is concluded that DHB possesses antioxidant, hepatoprotective, neuroprotective, and anti-inflammatory potential against paracetamol induced hepatotoxicity and
nephrotoxicity in rats.
TOXICOLOGY ASSESSMENT PPT.pptx of baphia nitida extractArmiyahuAlonigbeja
The document outlines a study that investigated the effects of administering different doses of methanol extract from Baphia nitida stem to rats. The study aimed to determine if the extract had any detrimental effects on liver and kidney function. Results showed that administering doses as high as 2000mg/kg of the Baphia nitida stem extract did not significantly alter serum biomarkers related to liver and kidney function compared to the control group. The conclusion was that the plant extract is safe to use at doses up to 2000mg/kg as it does not negatively impact the liver or kidneys.
The document summarizes a study that evaluated the anti-obesity effects of the methanolic extract of Tricholepis glaberrima in high fat diet and monosodium glutamate induced obesity models in rats. Wistar rats were fed either a high fat diet or administered monosodium glutamate to induce obesity over 28 days. The rats were then treated with 100 or 200 mg/kg doses of the methanolic plant extract or a standard drug (Orlistat). Treatment with the plant extract significantly reduced body weight gain, fat pad weight, cholesterol, triglycerides and liver enzymes in both models, showing anti-obesity effects. Further studies are needed to establish its efficacy and safety for potential use in
This case presentation describes a 20 month old female patient who presented with failure to thrive, anemia, rickets, hepatosplenomegaly, and bilateral nephromegaly. Initial workup found elevated tyrosine levels and further testing confirmed a diagnosis of Tyrosinemia type 1. The patient was started on a low tyrosine/phenylalanine diet and NTBC treatment. Follow up showed improvement in biochemical markers and symptoms, though liver damage remained severe. The case discusses the pathophysiology, presentation, diagnosis and management of Tyrosinemia type 1.
This document contains a case study and renal diet calculation for a patient with chronic kidney failure undergoing hemodialysis. It evaluates the patient's laboratory values compared to goals and assesses their current dietary intake. Recommendations are provided for calorie, protein, phosphorus, potassium, sodium and fluid intake. A sample one-day renal diet is created meeting the recommendations. Two PES statements are written, one in the clinical domain addressing altered laboratory values and one in the behavioral domain addressing undesirable food choices. Interventions, monitoring and evaluations are proposed for each.
Hepatoprotective effects of simvastatin on paracetamol -induced hepatic damag...iosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
This study investigated the hepatoprotective effects of simvastatin on paracetamol-induced liver damage in rats. Paracetamol toxicity decreased total protein and albumin levels and increased liver enzymes ALT, AST, and ALP, indicating liver damage. Pretreatment with simvastatin attenuated these changes and reduced liver damage based on histopathological analysis. Simvastatin's hepatoprotective effects are thought to be due to its anti-inflammatory and antioxidant properties which can inhibit the liver damage caused by paracetamol. The results suggest simvastatin has potential as a protective agent against paracetamol hepatotoxicity.
The document summarizes a study that investigated the antidiabetic effects of Vinca rosea extracts in alloxan-induced diabetic rats. Key findings include:
1) Methanolic extracts of Vinca rosea reduced blood glucose levels in a dose-dependent manner and improved body weight, lipid profiles, and other diabetes-related biomarkers.
2) The extracts showed regeneration of pancreatic beta cells and restoration of cellular population in the islets of Langerhans.
3) The high dose extract (500mg/kg) was more effective than the low dose (300mg/kg) in managing diabetes symptoms after 14 days, showing similar effects to the antidiabetic drug gliben
The liver controls 6 vital functions: it removes toxins, aids digestion, stores energy, purifies blood, manufactures proteins, and processes food. Common liver diseases include hepatitis (inflammation caused by viruses) and cirrhosis (scarring of the liver). Dabur Hepano is launched to support everyday liver health using herbs like Phyllanthus niruri, Tinospora cordifolia, Azadirachta indica, and Andrographis paniculata that have shown hepatoprotective effects in pre-clinical studies against conditions like jaundice and liver damage.
The document discusses the first line anti-tuberculosis (TB) medications including isoniazid (INH), rifampin, pyrazinamide, and ethambutol. It provides details on the pharmacology, mechanisms of action, dosing, drug interactions, and common adverse effects of each medication. Management strategies are described for addressing common side effects like neuropathy, hepatotoxicity, and hyperuricemia in order to optimize patient safety during TB treatment.
A 54-year-old male was admitted to the hospital with complaints of edema, abdominal pain, decreased urine output, and absence of urine. He had a history of diabetes and hypertension. Laboratory tests found increased creatinine, decreased eGFR, and abnormalities in other values indicating chronic kidney disease. He was diagnosed with chronic kidney disease and prescribed various medications to manage his condition, including amlodipine, atorvastatin, prazosin, pantoprazole, clonidine, torsemide, and calcium carbonate with vitamin D3. The patient received counseling on diet, lifestyle modifications, and monitoring of his condition and medications.
buchanania lanzan hepatocarcinoma presentationSrota Dawn
1) The study evaluated the anticancer potential of the ethanolic extract of Buchanania lanzan leaves against diethylnitrosamine (DEN)-induced hepatocellular carcinoma in rats.
2) Administration of the extract at doses of 200 mg/kg and 400 mg/kg reduced serum markers of liver damage and oxidative stress in DEN-treated rats compared to the DEN alone group.
3) Preliminary phytochemical analysis revealed the presence of flavonoids, alkaloids, gallic acid and glycosides in the extract, which may contribute to its chemo preventive effects against liver cancer.
2. • Diabetes mellitus is a group of metabolic diseases characterized
by high blood sugar (glucose) level that result from defects in
insulin secretion or action.
• An ideal oral treatment for diabetes would be a drug
(glibenclamide) which controls glycemic level and development
of complications.
• Alloxan induces diabetes in experimental animals through beta
cells destruction (Singh and Gupta, 2007).
• (AST & ALT) aminotransaminases are liver enzymes, their high
activity in the plasma indicate the damage of the liver.
• Herbal medicine is the oldest form of healthcare known to
mankind and herbs had been used to cure all form of diseases or
ailments (Rawat, 2003).
• Picralima nitida is a monotypic plant exploited for it mood and
equally employed as an arrow in fish poison (Omino, 2002). It
belongs to the family apocynaceae in East Africa and studies have
shown that it have some opioid analgesics activities (Menzies et
al., 1998), some hypoglycemic effects (Inya-Agha, 1999), and
antimicrobial properties (Fakeye et al., 2004).
3. • Rauvolfia vomitoria has been investigated for alkaloid
content, especially for those with hypotensive and anti-
inflammatory properties (Chatterjee and Bandyopadhyay,
1979; Amer and Court, 1980; Kweifio-Okai, 1991).
AIMS OF RESEARCH
The objectives of this work include:
• To determine the presence of alkaloids, cardenolides,
anthraquinones, saponins, tannins, and phenols
• To determine the biochemical effect of aqueous extract of
picralima nitida and rauvolfia vomitoria on plasma and liver
(AST &ALT) aminotransferase of an alloxan induced male
albino rats.
4. • Fifty-five male albino rats were bought and feed with food and
water ad libitum for four weeks. Forty of the rats were induced
with diabetes with alloxan monohydrate. The rats were grouped
into eleven groups, which include:
• Grp 1 No diabetes, No treatment
• Grp 2 No diabetes + 300mg/kgPn
• Grp 3 No diabetes 300kgPn+Rv
• Grp 4 Diabetes, No treatment
• Grp 5 Diabetes + 150mg/kgStandard drug
• Grp 6 Diabetes +100mg/kgPn
• Grp 7 Diabetes +200mg/kgPn
• Grp 8 Diabetes +300mg/kgPn
• Grp 9 Diabetes +100mg/kgPn+Rv
• Grp 10 Diabetes +200mg/kgPn+Rv
• Grp 11 Diabetes +300mg/kgPn+Rv
5. • The seeds and roots of Picralima nitida and Rauvolfia
vomitoria were extracted using an aqueous solution after
been milled into a fine form.
• The extracts were administered orally at different
concentration for 7 days and their blood glucose were
monitored.
• The animals were sacrificed after the 8th
day and whole blood
was collected through cardiac puncture into an heparinized
tube, which was centrifuge at 4000rpm for 10minutes to
obtain plasma.
• The organs were harvested and washed in 0.9g normal saline
solution, the liver was homogenized in 0.25M of sucrose
solution and the homogenates and plasma (AST & ALT)
were assayed for using commercial assay test kit.
6. Table 1: Result of phytochemical screening of Picralima nitida and
Rauvolfia vomitoria
Test Results
Picralima nitida
Alkaloids test +ve
Cardennolides test +ve
Saponins +ve
Rauvolfia vomitoria
Alkaloids test +ve
Cardenolides test +ve
Saponins +ve
7. DAY 0 DAY 1 DAY3 DAY 8
Cn Nodiab, no
treat
105.00±21.01ab
83.40±9.37ab
77.60±14.46a
77.20±6.79abc
Cn No diab+Pn 86.75±9.03ab
88.25±10.90ab
73.50±4.43a
66.50±5.80ab
Cn Diab,notreat 67.40±9.52a
368.20±195.66cd
337.80±26.86cde
300.00±43.58d
Diab +Gibb 72.80±5.21ab
277.60±206.86bcd
313.50±37.74bcd
157.24±136.06bc
Diab+100mgPn 80.00±3.00ab
61.00±8.00a
464.00±74.00ef
88.67±40.50abc
Diab+200mgPn 68.33±13.20a
447.00±103.00d
504.33±105.15f
166.67±40.50abc
Diab+300mgPn 68.67±17.03a
376.33±167.15cd
398.00±89.26def
94.75±55.30abc
Table 2: Effect of Picralima nitida extracts on blood glucose.
Values expressed as MEAN± SD. Values within the same column
with different superscripts are significantly different at p 0.05.˂
8. GROUPS PLASMA ALT (U/l)
Cn.No Diab. No treat
Cn. Pn
Cn. Diab.No treat
Cn. Diab+glib
Ts. 100mgPn
Ts. 200mgPn
Ts. 300mgPn
2.91±0.51a
8.00±0.916b
7.40±1.25b
15.73±3.50e
31.00±1.00f
13.15±0.85de
9.26±1.75bc
TABLE 4: EFFECT OF AQUEOUS EXTRACT OF Picralima nitida ON ALT
PLASMA IN ALBINO RATS
Values expressed as MEAN± SD. Values within the same column with different
superscripts are significantly different at p 0.05.˂
9. GROUPS PLASMA ALT (U/l)
Cn.No Diab. No treat
Cn. Pn+Rv
Cn. Diab.No treat
Cn. Diab+glib
Ts. 100mgPn+Rv
Ts. 200mgPn+Rv
Ts. 300mgPn+Rv
2.91±0.51a
11.35±1.30cd
7.40±1.24b
15.73±3.50e
14.36±1.50de
16.03±1.81e
13.10±2.60de
TABLE 5: EFFECT OF COMBINED THERAPHY OF AQUEOUS EXTRACT OF
Picralima nitida AND Rauvolfia vomitoria ON ALT PLASMA IN ALBINO RATS
Values expressed as MEAN± SD. Values within the same column with different
superscripts are significantly different at p 0.05.˂
10. GROUPS LIVER ALT (U/l)
Cn.No Diab. No treat
Cn. Pn
Cn. Diab.No treat
Cn. Diab+glib
Ts. 100mgPn
Ts. 200mgPn
Ts. 300mgPn
5.43±0.63ab
7.46±1.35b
35.03±1.04e
6.40±1.10b
6.80±1.00b
53.80±1.00f
12.80±1.00cd
TABLE 6: EFFECT OF AQUEOUS EXTRACT OF Picralima nitida ON ALT
LIVER IN ALBINO RATS
Values expressed as MEAN± SD. Values within the same column with different
superscripts are significantly different at p 0.05˂
11. GROUPS LIVER ALT (U/l)
Cn.No Diab. No treat
Cn. Pn+Rv
Cn. Diab.No treat
Cn. Diab+glib
Ts. 100mgPn+Rv
Ts. 200mgPn+Rv
Ts. 300mgPn+Rv
5.43±0.63ab
14.27±2.14d
35.03±1.04e
6.40±1.10b
4.26±1.20a
4.30±0.30a
11.27±0.60c
TABLE 7: EFFECT OF COMBINED THERAPHY OF AQUEOUS EXTRACT
OF Picralima nitida AND Rauvolfia vomitoria ON ALT LIVER IN ALBINO
RATS
Values expressed as MEAN± SD. Values within the same column with different
superscripts are significantly different at p 0.05˂
12. GROUPS PLASMA AST (U/l)
Cn.No Diab. No treat
Cn. Pn
Cn. Diab.No treat
Cn. Diab+glib
Ts. 100mgPn
Ts. 200mgPn
Ts. 300mgPn
45.20±11.83a
40.06±7.04a
27.56±11.50a
119.03±14.77b
137.33±21.35b
66.50±1.00a
128.70±43.69b
TABLE 8: EFFECT OF AQUEOUS EXTRACT OF Picralima nitida ON AST
PLASMA IN ALBINO RATS
Values expressed as MEAN± SD. Values within the same column with
different superscripts are significantly different at p 0.05˂
13. GROUPS PLASMA AST (U/l)
Cn.No Diab. No treat
Cn. Pn+Rv
Cn. Diab.No treat
Cn. Diab+glib
Ts. 100mgPn+Rv
Ts. 200mgPn+Rv
Ts. 300mgPn+Rv
45.20±11.83a
25.03±5.21a
27.56±11.50a
119.03±14.77b
238.77±29.15f
115.13±32.02b
189.20±42.70c
TABLE 9: EFFECT OF COMBINED THERAPHY OF AQUEOUS EXTRACT
OF Picralima nitida AND Rauvolfia vomitoria ON AST PLASMA IN ALBINO
RATS
Values expressed as MEAN± SD. Values within the same column with
different superscripts are significantly different at p 0.05˂
14. GROUPS LIVER AST (U/l)
Cn.No
DiabNotreat
Cn. Pn
Cn. Diab.No treat
Cn. Diab+glib
Ts. 100mgPn
Ts. 200mgPn
Ts. 300mgPn
62.00±3.01bc
48.00±1.00b
107.30±1.00de
12.20±2.30a
166.80±1.00f
355.80±1.00g
122.00±1.00e
TABLE 10: EFFECT OF AQUEOUS EXTRACT OF Picralima nitida ON AST
LIVER IN ALBINO RATS
Values expressed as MEAN± SD. Values within the same column with different
superscripts are significantly different at p 0.05.˂
15. GROUPS LIVER AST (U/l)
Cn.No Diab. No treat
Cn. Pn+Rv
Cn. Diab.No treat
Cn. Diab+glib
Ts. 100mgPn+Rv
Ts. 200mgPn+Rv
Ts. 300mgPn+Rv
62.00±3.01bc
161.17±57.75f
107.30±1.00de
12.20±2.30a
48.16±14.18b
87.50±1.00cd
50.30±20.05b
TABLE 11: EFFECT OF COMBINED THERAPHY OF AQUEOUS EXTRACT
OF Picralima nitida AND Rauvolfia vomitoria ON AST LIVER IN ALBINO RATS
Values expressed as MEAN± SD. Values within the same column with different
superscripts are significantly different at p 0.05.˂
16. GROUPS DAY 0 DAY 1 DAY3 DAY 8
No diab,no treat 105.00±21.01ab
83.40±9.37ab
77.60±14.46a
77.20±6.79abc
No diab Pn+Rv 76.40±14.25ab
75.40±8.20ab
69.9±8.35a
66.00±7.17ab
Diab +no treat 67.40±9.52a
368.20±195.66cd
337.80±26.86cde
300.00±43.58d
Diab +gilbb 72.80±5.21ab
277.60±206.86bcd
313.50±37.74bcd
157.24±136.06bc
Diab+100mgPn+Rv 110.00±62.83b
300.00±2.00cd
310.25±181.59bcd
58.00±2.44a
Diab+200mgPn+Rv 68.50±12.97a
234.75±166.74abc
214.00±138.268cd
75.00±27.71abc
Diab+300mgPn+Rv 78.33±13.20ab
258.67±30.50abcd
190.67±69.51ab
70.33±2.51abc
TABLE 3: EFFECT OF MIXTURE OF Picralima nitida AND Rauvolfia
vomitoria ON THE BLOOD
Values expressed as MEAN± SD. Values within the same column with
different superscripts are significantly different at p 0.05˂
17. • In this study, the phytochemical screening of Picralima nitida and Rauvolfia
vomitoria indicates the presence of alkaloids, cardenolides, and saponins. The
herbs containing some secondary metabolites have become inevitable due to
significant correlation between their traditional medical and their extractives
(Fatope, 1995)
• In this research, hypoglycemic effect of P. nitida on alloxan induced diabetic
rats was confirmed as it reduced the hyperglycemic effect of diabetic rats
(inya et al., 2006)
• The mixture of the extracts of P. nitida and R. vomitoria have a significant
hypoglycemic effect on alloxan-induced diabetes comparable to that of the P.
nitida, and could serve as an effective adjunct in the management of diabetes
mellitus.
• The mixture of the extracts reduced the increased activity of AST and ALT in
the liver and plasma compared to the rats given Picralima nitida extracts
which also reduced (AST &ALT activity) but not significant to the control
group), which was markedly elevated as a result of exposure to drugs or
plants extracts that are toxic to the liver (Bass, 1996)
18. • Bass NM, Ockner BA. (1996). Drug-induced liver disease, Hepatology: a
textbook of liver disease, 3rd
eds. Philadelphia: WB Saunders; 962-1017
• Fakeye TO, Itiola OA, George AO, Odetola HA (2004). Antimicrobial Property
of Picralima nitida Stem Bark Extract in Cream Formulations. Pharmacol. Biol.
42(4-5): 274-279.
• Fatope, M.O. (1995) . Phytocompounds: their Bioassay and Diversity. Discov.
Inov. 7(3):229-236.
• Inya-Agha SI., Ezea SC., and Odukoya OA. (2006). Evaluation of Picralima
nitida: Hypoglycemic activity, Toxicology and Analytical Standards.
International Journal of Pharmacology 2 (5) 576-580.
• Inya-Agha SI (1999). The Hypoglycemic Properties of Picralima nitida. Niger. J.
Nat. Prod. Med. 3: 66-67. Katsumat
• Menzies JRN, Paterson SJ, Duwiejua M, Corbett AD. (1998 ). Opioid activity of
alkaloids extracted from Picralima nitida (fam. Apocynaceae). European Journal
of Pharmacology. ;350(1):101-8.
• Paul, T., Giboney, M.D. Mildly Elevated Liver Transaminase levels in
Asymptomatic Patient, (2007). American Family Physician.
• Singh N, Gupta M (2007). Effects of ethanolic extract of Syzygium cumini
(Linn) seed powder on pancreatic islets of alloxan diabetic rats, Indian J Exp
Biol. 45(10): 861-867
19. • Bass NM, Ockner BA. Drug-induced liver disease, Hepatology: a
textbook of liver disease, 3rd
eds. Philadelphia: WB Saunders, 1996; 962-
1017
• Fatope, M.O. (1995) . Phytocompounds: their Bioassay and Diversity.
Discov. Inov. 7(3):229-236.
• Menzies JRW, Paterson SJ, Duwiejua M, Corbett AD. Opioid activity of
alkaloids extracted from Picralima nitida (fam. Apocynaceae). European
Journal of Pharmacology. 1998 May 29;350(1):101-8.
N. A. Trivedi, B. Mazumdar, J. D. Bhatt, K. G. Hemavathi .(2004).
Effect of shilajit on blood glucose and lipid profile in alloxan-
induced diabetic rats. Department of Pharmacology,
MedicalCollege, Baroda -390001, India.
• Paul, T., Giboney, M.D. Mildly Elevated Liver Transaminase levels in
Asymptomatic Patient, (2007). American Family Physician.
•