Nimesulide is a COX-2 selective drug used to treat acute pain, osteoarthritis, and primary dysmenorrhoea due to its anti-inflammatory and analgesic properties and low toxicity. It works rapidly and is more effective than placebo, but its use should be limited to 15 days at 100 mg twice daily to minimize hepatotoxicity risks. Nimesulide tablets provide pain relief within 15 minutes of intake.
Nimesulide also improves the skin tone and to increase in energy levels. Food, gender and advanced age have negligible effects on Nimesulide pharmacokinetics.
The European Medicines Agency has finished an review of the security and viability of solutions containing Nimesulide (capsules, tablets, suppositories and powder or granules for oral suspension).
Nimesulide (4-nitro-2-phenoxymethanesulfoanilide) may be a selective Cox-2 anti-inflammatory drug. This compound, a by-product of p-nitrophenyl methane series sulfa, is structurally a singular non-steroidal anti-inflammatory drug.
Nimesulide is a COX-2 selective drug used to treat acute pain, osteoarthritis, and primary dysmenorrhoea due to its anti-inflammatory and analgesic properties and low toxicity. It works rapidly and is more effective than placebo, but its use should be limited to 15 days at 100 mg twice daily to minimize hepatotoxicity risks. Nimesulide tablets provide pain relief within 15 minutes of intake.
Nimesulide also improves the skin tone and to increase in energy levels. Food, gender and advanced age have negligible effects on Nimesulide pharmacokinetics.
The European Medicines Agency has finished an review of the security and viability of solutions containing Nimesulide (capsules, tablets, suppositories and powder or granules for oral suspension).
Nimesulide (4-nitro-2-phenoxymethanesulfoanilide) may be a selective Cox-2 anti-inflammatory drug. This compound, a by-product of p-nitrophenyl methane series sulfa, is structurally a singular non-steroidal anti-inflammatory drug.
Nimesulide is generally utilized as a part of the treatment of inflammatory torment which hinders the protein cyclooxygenase-2 (COX-2) and has better gastro-intestinal mediocrity in addition to different NSAIDs in its class.
Non-steroidal anti-inflammatory drug – Nimesulidesonucro
Nimesulide is a non-steroidal anti-inflammatory drug (NSAID) that should only be prescribed as a second line treatment to reduce acute pain and treat conditions like degenerative joint disease and dysmenorrhoea. While it has superior gastrointestinal safety compared to other NSAIDs and helps treat various pains and symptoms, it should only be used for the shortest necessary period based on an assessment of individual patient risk. Nimesulide has a complex mode of action and is available as a gel, powder, or under various brand names in over 50 countries as a pain killer with quick analgesic effects.
This document provides an introduction to diclofenac sodium, including its history, pharmacological properties, mode of action, pharmacokinetics, clinical uses, dosing, contraindications, warnings, and precautions. Diclofenac sodium is a nonsteroidal anti-inflammatory drug (NSAID) that is widely used to treat pain and inflammation. It works by inhibiting cyclooxygenase enzymes and blocking the conversion of arachidonic acid to prostaglandins. Diclofenac sodium is well absorbed orally but undergoes first-pass metabolism, resulting in only about 50% systemic availability. Its half-life is 1-3 hours. Common uses include treatment of rheumatoid arthritis
NSAIDs work by inhibiting the enzyme cyclooxygenase, which prevents the formation of prostaglandins involved in inflammation, pain, and fever. They are metabolized in the liver and their half-lives determine dosing regimens, with longer-acting NSAIDs increasing risks. NSAIDs should be avoided in patients with aspirin sensitivity or asthma, as they inhibit the same enzyme and can cause similar reactions. NSAIDs differ in their selectivity for the COX-1 and COX-2 enzymes, with non-selective NSAIDs inhibiting both and posing greater risks of gastrointestinal and platelet effects.
The main purpose of Nimesulide tablets is for the treatment of painful inflammatory conditions, back pain, dysmenorrhea, postoperative pain, osteoarthritis, and fever.
pharmacology
Mechanism of anti-inflammatory drugs
summary
Outline the role of anti-inflammatory drugs in ameliorating inflammation due to different mediators.
Nimesulide is a pain reliever used for relief of acute pain, painful osteoarthritis, and period pains. It is prescribed by doctors for those over 12 years old and has superior gastrointestinal safety compared to other nonsteroidal anti-inflammatory drugs (NSAIDs). The usual oral dose is 100mg twice daily for up to 15 days to minimize risk of liver toxicity, and it can also be used as a topical gel for relief of pain from sprains and tendinitis. Studies show nimesulide is as effective as paracetamol in reducing fever and discomfort in children with upper respiratory infections. It should only be prescribed after other options are considered due to potential risks.
1) The temporomandibular joint (TMJ) is a synovial joint that connects the mandible to the temporal bone. It has several parts including the articular eminence, fossa, condyle, capsule, ligaments, synovial fluid, and articular disc.
2) The articular disc sits between the condyle and fossa and divides the joint into two compartments. It allows the condyle to glide forward during opening and back during closing.
3) Four jaw muscles work in coordination to produce movements like opening, closing, protruding, and grinding. The lateral pterygoid muscle plays a key role in pulling the disc as the jaw opens
Tetracyclines,Biological sources,History,Sturctures,SAR,Mechanism of action,Spectrum of activity,Important structural units and the three acidity constants in the tetracycline molucule,amphoteric nature,epimerisation, chelation with metals,toxicity and uses.
This document discusses the evaluation, diagnosis, and treatment of orofacial infections with an emphasis on antibiotic therapy and prophylaxis. It outlines how to assess infections through medical history, exam, and identifying signs of infection. Most oral infections involve both aerobic and anaerobic bacteria. Commonly used antibiotics include penicillin, cephalosporins, metronidazole, and clindamycin. Antibiotics should be used as an adjunct to drainage and are indicated for severe infections, inadequate drainage, or compromised hosts. Prophylactic antibiotics are recommended for high-risk dental procedures in certain patients.
Nonsteroidal anti inflammatory drugs (NSAIDS)abdul waheed
NSAIDs work by inhibiting the cyclooxygenase (COX) enzymes, which prevents the formation of prostaglandins. Aspirin is a nonselective COX inhibitor that irreversibly acetylates both COX-1 and COX-2. It has analgesic, antipyretic and anti-inflammatory effects. Common adverse effects include gastrointestinal irritation and bleeding. Aspirin is metabolized to salicylic acid and excreted by the kidneys. It is used to treat fever, pain, and inflammatory conditions like rheumatoid arthritis, but carries risks in children and those with asthma or prior gastrointestinal issues.
This document discusses antimicrobial agents and antibiotics. It defines antimicrobial agents as chemicals that treat infectious diseases by inhibiting or killing pathogens. Ideal antimicrobial agents kill or inhibit pathogens, are not harmful to the host, cause no allergic reactions, and remain effective after storage and in tissues. The document then discusses different classes of antibiotics based on their source, mechanism of action, and targets, including cell wall synthesis inhibitors like penicillin and vancomycin, protein synthesis inhibitors like tetracyclines and chloramphenicol, and nucleic acid synthesis inhibitors like sulfonamides. It also addresses resistance acquisition through intrinsic, mutational or acquired genetic means.
Its binding conformation and interaction mode were studied with molecular docking experiments. Compound 20f could become a lead compound for further development for potential anti-inflammatory drugs.
1. The document discusses cyclooxygenase (COX) enzymes and their role in mediating prostaglandin formation and inflammation.
2. Nonsteroidal anti-inflammatory drugs (NSAIDs) work by inhibiting COX enzymes, specifically COX-1 and COX-2, which inhibits prostaglandin production and subsequent inflammation.
3. NSAIDs are commonly used to treat conditions involving pain and inflammation like arthritis, headaches, and menstrual cramps. Their main side effects involve potential risks to the cardiovascular and gastrointestinal systems.
Nimesulide granules is a non-steroidal anti-inflammatory drug used to treat juvenile chronic arthritis, postoperative pain, acute pain after trauma, and primary dysmenorrhea. It contains the active ingredient nimesulide, which is a relatively COX-2 selective NSAID that provides analgesic and antipyretic effects. Nimesulide granules is packaged in 1 gram sacks containing 6 to 10 sacks per pack and is intended for oral consumption by adults only at dosages of 50-100 mg twice daily after meals up to a maximum of 0.2 grams per day, following doctor's instructions.
Apart for the treatment of acute pain, osteoarthritis and primary dysmenorrhoea. Nimesulide is also being widely used for anticancer and antiviral agents.
1) Arachidonic acid is released from cell membranes and converted by COX enzymes into prostaglandins, which mediate pain and inflammation.
2) NSAIDs like aspirin work by inhibiting COX enzymes, reducing prostaglandin production and thus pain and inflammation, but can increase risk of ulcers.
3) COX-2 selective inhibitors like etoricoxib mainly inhibit COX-2, providing anti-inflammatory effects with fewer gastrointestinal side effects than non-selective NSAIDs.
Nimesulide is generally utilized as a part of the treatment of inflammatory torment which hinders the protein cyclooxygenase-2 (COX-2) and has better gastro-intestinal mediocrity in addition to different NSAIDs in its class.
Non-steroidal anti-inflammatory drug – Nimesulidesonucro
Nimesulide is a non-steroidal anti-inflammatory drug (NSAID) that should only be prescribed as a second line treatment to reduce acute pain and treat conditions like degenerative joint disease and dysmenorrhoea. While it has superior gastrointestinal safety compared to other NSAIDs and helps treat various pains and symptoms, it should only be used for the shortest necessary period based on an assessment of individual patient risk. Nimesulide has a complex mode of action and is available as a gel, powder, or under various brand names in over 50 countries as a pain killer with quick analgesic effects.
This document provides an introduction to diclofenac sodium, including its history, pharmacological properties, mode of action, pharmacokinetics, clinical uses, dosing, contraindications, warnings, and precautions. Diclofenac sodium is a nonsteroidal anti-inflammatory drug (NSAID) that is widely used to treat pain and inflammation. It works by inhibiting cyclooxygenase enzymes and blocking the conversion of arachidonic acid to prostaglandins. Diclofenac sodium is well absorbed orally but undergoes first-pass metabolism, resulting in only about 50% systemic availability. Its half-life is 1-3 hours. Common uses include treatment of rheumatoid arthritis
NSAIDs work by inhibiting the enzyme cyclooxygenase, which prevents the formation of prostaglandins involved in inflammation, pain, and fever. They are metabolized in the liver and their half-lives determine dosing regimens, with longer-acting NSAIDs increasing risks. NSAIDs should be avoided in patients with aspirin sensitivity or asthma, as they inhibit the same enzyme and can cause similar reactions. NSAIDs differ in their selectivity for the COX-1 and COX-2 enzymes, with non-selective NSAIDs inhibiting both and posing greater risks of gastrointestinal and platelet effects.
The main purpose of Nimesulide tablets is for the treatment of painful inflammatory conditions, back pain, dysmenorrhea, postoperative pain, osteoarthritis, and fever.
pharmacology
Mechanism of anti-inflammatory drugs
summary
Outline the role of anti-inflammatory drugs in ameliorating inflammation due to different mediators.
Nimesulide is a pain reliever used for relief of acute pain, painful osteoarthritis, and period pains. It is prescribed by doctors for those over 12 years old and has superior gastrointestinal safety compared to other nonsteroidal anti-inflammatory drugs (NSAIDs). The usual oral dose is 100mg twice daily for up to 15 days to minimize risk of liver toxicity, and it can also be used as a topical gel for relief of pain from sprains and tendinitis. Studies show nimesulide is as effective as paracetamol in reducing fever and discomfort in children with upper respiratory infections. It should only be prescribed after other options are considered due to potential risks.
1) The temporomandibular joint (TMJ) is a synovial joint that connects the mandible to the temporal bone. It has several parts including the articular eminence, fossa, condyle, capsule, ligaments, synovial fluid, and articular disc.
2) The articular disc sits between the condyle and fossa and divides the joint into two compartments. It allows the condyle to glide forward during opening and back during closing.
3) Four jaw muscles work in coordination to produce movements like opening, closing, protruding, and grinding. The lateral pterygoid muscle plays a key role in pulling the disc as the jaw opens
Tetracyclines,Biological sources,History,Sturctures,SAR,Mechanism of action,Spectrum of activity,Important structural units and the three acidity constants in the tetracycline molucule,amphoteric nature,epimerisation, chelation with metals,toxicity and uses.
This document discusses the evaluation, diagnosis, and treatment of orofacial infections with an emphasis on antibiotic therapy and prophylaxis. It outlines how to assess infections through medical history, exam, and identifying signs of infection. Most oral infections involve both aerobic and anaerobic bacteria. Commonly used antibiotics include penicillin, cephalosporins, metronidazole, and clindamycin. Antibiotics should be used as an adjunct to drainage and are indicated for severe infections, inadequate drainage, or compromised hosts. Prophylactic antibiotics are recommended for high-risk dental procedures in certain patients.
Nonsteroidal anti inflammatory drugs (NSAIDS)abdul waheed
NSAIDs work by inhibiting the cyclooxygenase (COX) enzymes, which prevents the formation of prostaglandins. Aspirin is a nonselective COX inhibitor that irreversibly acetylates both COX-1 and COX-2. It has analgesic, antipyretic and anti-inflammatory effects. Common adverse effects include gastrointestinal irritation and bleeding. Aspirin is metabolized to salicylic acid and excreted by the kidneys. It is used to treat fever, pain, and inflammatory conditions like rheumatoid arthritis, but carries risks in children and those with asthma or prior gastrointestinal issues.
This document discusses antimicrobial agents and antibiotics. It defines antimicrobial agents as chemicals that treat infectious diseases by inhibiting or killing pathogens. Ideal antimicrobial agents kill or inhibit pathogens, are not harmful to the host, cause no allergic reactions, and remain effective after storage and in tissues. The document then discusses different classes of antibiotics based on their source, mechanism of action, and targets, including cell wall synthesis inhibitors like penicillin and vancomycin, protein synthesis inhibitors like tetracyclines and chloramphenicol, and nucleic acid synthesis inhibitors like sulfonamides. It also addresses resistance acquisition through intrinsic, mutational or acquired genetic means.
Its binding conformation and interaction mode were studied with molecular docking experiments. Compound 20f could become a lead compound for further development for potential anti-inflammatory drugs.
1. The document discusses cyclooxygenase (COX) enzymes and their role in mediating prostaglandin formation and inflammation.
2. Nonsteroidal anti-inflammatory drugs (NSAIDs) work by inhibiting COX enzymes, specifically COX-1 and COX-2, which inhibits prostaglandin production and subsequent inflammation.
3. NSAIDs are commonly used to treat conditions involving pain and inflammation like arthritis, headaches, and menstrual cramps. Their main side effects involve potential risks to the cardiovascular and gastrointestinal systems.
Nimesulide granules is a non-steroidal anti-inflammatory drug used to treat juvenile chronic arthritis, postoperative pain, acute pain after trauma, and primary dysmenorrhea. It contains the active ingredient nimesulide, which is a relatively COX-2 selective NSAID that provides analgesic and antipyretic effects. Nimesulide granules is packaged in 1 gram sacks containing 6 to 10 sacks per pack and is intended for oral consumption by adults only at dosages of 50-100 mg twice daily after meals up to a maximum of 0.2 grams per day, following doctor's instructions.
Apart for the treatment of acute pain, osteoarthritis and primary dysmenorrhoea. Nimesulide is also being widely used for anticancer and antiviral agents.
1) Arachidonic acid is released from cell membranes and converted by COX enzymes into prostaglandins, which mediate pain and inflammation.
2) NSAIDs like aspirin work by inhibiting COX enzymes, reducing prostaglandin production and thus pain and inflammation, but can increase risk of ulcers.
3) COX-2 selective inhibitors like etoricoxib mainly inhibit COX-2, providing anti-inflammatory effects with fewer gastrointestinal side effects than non-selective NSAIDs.
Nimesulide tablets are used to treat painful inflammatory conditions, back pain, dysmenorrhea, postoperative pain, osteoarthritis, and fever. The usual adult dose is 100mg twice a day, while the child dose is 5mg/kg of body weight divided 2-3 times a day. Nimesulide has superior gastrointestinal safety compared to other NSAIDs and its multifactorial mode of action gives it a broad anti-inflammatory effect.
This document provides an overview of non-narcotic analgesics, also known as nonsteroidal anti-inflammatory drugs (NSAIDs). It discusses the mechanisms of action and pharmacological properties of various classes of NSAIDs, including salicylates, para-aminophenol derivatives, propionic acid derivatives, acetic acid derivatives, pyrazolone derivatives, and oxicam derivatives. The document also covers preferential and selective COX-2 inhibitors as well as factors to consider when choosing an appropriate NSAID for different pain conditions.
The document provides an overview of non-steroidal anti-inflammatory drugs (NSAIDs). It discusses that NSAIDs are widely used to treat minor pain, edema, and tissue damage from inflammation. Their main mechanism of action is inhibiting cyclooxygenase (COX) enzymes, which reduces the formation of prostaglandins. Most NSAIDs inhibit both COX-1 and COX-2, though some have greater selectivity for one or the other. Inhibition of COX enzymes contributes to the therapeutic effects as well as some toxicities like gastrointestinal irritation. The document reviews several classes of NSAIDs and provides details on their structures, mechanisms of action, absorption, metabolism, and elimination.
NSAIDs have an extremely safe profile when used for acute dental pain.
Within a group they tend to have similar characteristics & tolerability. There is little difference in clinical efficacy among the NSAIDs when used at equivalent doses.
Rather, differences among compounds usually relate to dosing regimens (related to compound’s elimination half –life), route of administration, & tolerability profile.
So, clinician should have a thorough knowledge of mechanism of action, pharmacokinetics, pharmacodynamics, dosage & adverse effects of each drug before prescribing the same.
This document provides information on analgesics and anti-inflammatory drugs. It begins by defining analgesics as drugs that relieve pain without altering consciousness, and anaesthesia as loss of sensation. It then classifies analgesics into two main groups - opioid analgesics like morphine and non-opioid analgesics like NSAIDs. The document goes on to describe various opioid and non-opioid analgesics in detail, their mechanisms of action, uses, and adverse effects. It focuses on the role of prostaglandins in pain and inflammation, and how different NSAIDs work by inhibiting prostaglandin synthesis.
NSAIDs- Nimesulide, is the first line pharmacological approaches to postoperative headache.
It is also used for the treatment of acute musculoskeletal disorders including tendonitis, tenosynovitis, sprains, strains and low back pain, ear, nose and throat disorders, acute pain, osteoarthritis, primarydysmenorrhoea.
Dosage & When it is to be taken :
The usual dose is 100mg twice a day.
Children: 5mg/kg of body weight in 2 or 3 divided doses.
Neostigmine is a medication used to treat myasthenia gravis and other conditions by inhibiting the enzyme acetylcholinesterase. This allows more acetylcholine to attach to receptors and improve muscle strength. It works by slowing the breakdown of acetylcholine at nerve endings. Common side effects include nausea, vomiting, and reduced heart rate. It is often given with atropine to prevent side effects from excess acetylcholine build up.
COX inhibitors have been known to cause platelet inhibition by inhibiting thromboxane A2 production. Aspirin causes irreversible inhibition of COX, and therefore, the duration of platelet inhibition lasts until 7 to 10 days after drug discontinuation.
A type of drug that is used to treat inflammation and pain, and is being studied in the prevention and treatment of cancer. COX inhibitors belong to the family of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Also called cyclooxygenase inhibitor.
NSAIDs are a class of drugs that reduce pain, fever, and inflammation by blocking prostaglandin production. They include aspirin, ibuprofen, and naproxen which are available over-the-counter. NSAIDs work by inhibiting the COX enzymes involved in prostaglandin synthesis. They can cause side effects like ulcers and bleeds from their effects on COX-1. COX-2 selective NSAIDs aim to reduce inflammation while sparing the stomach lining by selectively inhibiting COX-2. Paracetamol is considered separately due to its different mechanism of action, providing analgesia and antipyresis through central COX inhibition in the brain.
This document discusses inflammation, non-steroidal anti-inflammatory drugs (NSAIDs), and ibuprofen specifically. It notes that inflammation is a normal process initiated by stimuli like injury to facilitate tissue repair. NSAIDs are commonly prescribed and over-the-counter drugs that work by decreasing prostaglandin production through inhibiting cyclooxygenase enzymes. Ibuprofen is one of the most frequently used NSAIDs, introduced over-the-counter in 1985, and used for fever reduction and pain relief in both adults and children due to its longer duration than acetaminophen.
Rheumatic arthritis is an autoimmune disease where the immune system mistakenly attacks the lining of joints, causing inflammation and permanent joint destruction over time. It is caused by a combination of genetic and environmental factors. Symptoms include symmetrical joint pain, swelling, stiffness, and loss of function. Treatment aims to relieve pain, prevent further joint damage, and maintain normal life activities. Treatment options include non-pharmacological therapies like exercise and diet changes as well as disease-modifying drugs and corticosteroids to slow disease progression and manage symptoms.
It has superior gastrointestinal safety as compared to other NSAIDs. It is an analgesic and antipyretic in action, other than its anti inflammatory action.
The safety of Nimesulide has been reported before as well. In conclusion, Nimesulide has better antipyretic effect in children in the doses used in the study and appears to be safe for use in them.
Clinical studies have been carried out in a wide variety of acute inflammatory and painful conditions with the aim of evaluating the analgesic activity of nimesulide in comparison to placebo and to some of the most common NSAIDs.
Nimesulide belongs to a class of medications called non-steroidal anti-inflammatory drugs (NSAIDs) which works by blocking the production of prostaglandins (a chemical associated with pain) thereby relieving pain and inflammation
Nimesulide is a recently developed analgesic, antipyretic and anti-inflammatory agent that differs from conventional nonsteroidal anti-inflammatory drugs both in structure and pharmacological profile.
Nimesulide is a non-steroidal anti-inflammatory drug that specifically targets cyclooxygenase-2. Its solubility increases significantly when dissolved in semi-polar solvents, non-ionic surfactants, or mixtures of polyethylene glycol 300 and 400. Quick dissolving tablets of Nimesulide contain superdisintegrants that help the tablets break down rapidly in aqueous environments to improve solubility. Nimesulide has low solubility in aqueous buffers but dissolving it first in ethanol before diluting with buffer increases its solubility to around 200 micrograms per milliliter in a 10% DMSO-PBS solution.
Nimesulide is sparingly soluble in aqueous buffers. For maximum solubility in aqueous buffers, Nimesulide should first be dissolved in ethanol and then diluted with the aqueous buffer of choice. Nimesulide has a solubility of approximately
<200 μg/ml in a 10% DMSO in PBS (pH 7.2) solution using this method.
NSAID drug NImesulide has proven benefits in the treatment of Acute (short term) pain, Painful osteoarthritis (Swelling in the joints) and Primary dysmennorhea (Period Pains).
Nimesulide is available in various forms like Nimesulide Tablets, Nimesulide Powder, Nimesulide Gell, suppositories etc.
Nimesulide is soluble in organic solvents such as ethanol, DMSO, and dimethyl formamide (DMF).
Nimesulide tablets are the first line pharmacological treatment for postoperative headache. Postoperative headache can be caused by hypoglycemia, dehydration, caffeine withdrawal, anxiety, or preexisting migraines. Nimesulide provides rapid pain relief for many hours and is ideal for postoperative headaches, as it has no contraindications. In addition to postoperative headaches, nimesulide is used to treat acute musculoskeletal disorders, ear/nose/throat disorders, acute pain, osteoarthritis, and primary dysmenorrhea. The usual adult dosage is 100mg twice a day, and the maximum treatment duration is 15 days.
It is recommended to use the dosage of 20mg. Over dosage may cause certain side effects like headaches, insomnia, diarrhoea, nausea and abdominal pain.
Omez is a tablet used for short-term treatment of pet dukhna, ulcers, hyperacidity, indigestion, and other stomach issues. It works by reducing the amount of acid produced in the stomach and helps relieve conditions like acid reflux, ulcers, and gastritis. Long-term use of Omez has been associated with increased frequency of gastric glandular cysts, which results from the drug's pronounced inhibition of gastric acid secretion.
Nimesulide also improves the skin tone and to increase in energy levels. Food, gender and advanced age have negligible effects on Nimesulide pharmacokinetics.
Unlike, other NSAIDs, the chemical structure of nimesulide does not contain a carboxylic group but a sulfonanilide moiety as the acidic group.
The abilities of NSAID’s drug Nimesulide to inhibit COX-2 preferentially and to exert other novel anti-inflammatory actions are consistent with good efficacy and safety with highly effective in reducing pain, inflammation and also helps in better penetration of the antibiotics.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Our backs are like superheroes, holding us up and helping us move around. But sometimes, even superheroes can get hurt. That’s where slip discs come in.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Hiranandani Hospital in Powai, Mumbai, is a premier healthcare institution that has been serving the community with exceptional medical care since its establishment. As a part of the renowned Hiranandani Group, the hospital is committed to delivering world-class healthcare services across a wide range of specialties, including kidney transplantation. With its state-of-the-art facilities, advanced medical technology, and a team of highly skilled healthcare professionals, Hiranandani Hospital has earned a reputation as a trusted name in the healthcare industry. The hospital's patient-centric approach, coupled with its focus on innovation and excellence, ensures that patients receive the highest standard of care in a compassionate and supportive environment.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
1. Nimesulide drug interactions
Nimesulide is analgesic, antipyretic and anti-inflammatory agent that differs from
conventional nonsteroidal anti-inflammatory drugs both in structure and pharmacological
profile.
It inhibits prostaglandin synthetase/cyclooxygenase, which limits prostaglandin production.
Its cyclooxygenase inhibiting potency is intermediate, but is relatively selective for the
cyclo-oxygenase-2 (COX-2) thus the potential for gastric injury and intolerance is less. It is
also a free radical scavenger, and helps protect against the tissue damage that occurs
during inflammation.
Since nimesulide may be prescribed for patients receiving concomitant medication, the
propensity for drug interactions exists.
Major interactions involving interference with drug metabolism have not been described
with Nimesulide.
Its main purpose is to treat acute pain, the symptomatic treatment of osteoarthritis and
primary dysmenorrhoea .
Nimesulide Tablet shows the result from pain within 15min from the drug intake
Nimesulide is available in the from of tablet, capsule and gel with the dosage of 100mg
Nimesulide is preffered for the shortest duration to minimize the risk of hepatotoxicity.