Toothpastes are substances used with toothbrushes to clean teeth. They can provide cleaning, polishing, stain removal, prevention of tooth decay, and reduction of bad breath. Toothpastes contain abrasives, detergents, water, humectants, thickeners, flavors, sweeteners, preservatives, corrosion inhibitors, colors, bleaches, anti-cavity agents, and anti-tartar agents. The main ingredients are abrasives like silica or calcium carbonate for cleaning, and detergents like sodium lauryl sulfate that help with cleaning. Toothpastes are evaluated based on their composition, homogenity, tube compatibility, abrasiveness, spreadability, fin
Contents
Definition
Purposes
Ingredients
Types of toothpaste
How to choose a toothpaste?
Toxic components of a toothpaste
Caution on toothpaste usage
Definition
A toothpaste or dentifrice is a substance used with a toothbrush for the purpose of cleaning the accessible surfaces of the teeth.
Toothpaste Ingredients
Different types of Toothpastes
ANTI-CARIES AGENTS
Fluoride:
considered to be the most effective caries-inhibiting agent, and almost all toothpastes today contain fluoride in one form or the other
The most common form is sodium fluoride (NaF), but mono-fluoro-phosphate (MFP) and stannous fluoride (SnF) are also used
Fluoride is most beneficial when the mouth is not rinsed with water after tooth brushing. In this way a bigger amount of fluoride is retained in the oral cavity
How do teeth decay?
Tooth decay begins when the outer surface of the tooth is attacked by acid. The acid is produced by bacteria which live on the surfaces of the teeth as a layer called plaque. When foods or drinks containing sugars enter the mouth, the bacteria within the plaque rapidly converts the sugars into acid. The plaque can hold the acid in contact with the tooth surface for up to 2 hours before it is neutralized by saliva.
During the time that the plaque is acidic, some of the calcium and phosphate minerals, of which enamel is largely composed, are dissolved out of the enamel into the plaque. This process is called demineralisation.
Fluoride:
There are three main theories considering the positive action of fluoride in the prevention of caries:
Positive action of fluoride in the prevention of caries:
the most important anti-caries effect is claimed to be due to the formation of calcium fluoride (CaF2) in plaque and on the enamel surface during and after rinsing or brushing with fluoride.
CaF2 serves as a fluoride reservoir.
When the pH drops, fluoride and calcium are released into the plaque fluid.
Fluoride diffuses with the acid from plaque into the enamel pores and forms fluoroapatite (FAP).
FAP incorporated in the enamel surface is more resistant to a subsequent acid attack.
Mouthwashes
A mouthwash is defined as a non-sterile aqueous solution used mostly for its deodorant, refreshing or antiseptic effect.
Mouthwashes or rinses are designed to reduce oral bacteria, remove food particles, temporary reduce bad breathe and provide a pleasant taste.
Mouth rinses are generally classified as either cosmetic or therapeutic or a combination of the two.
Mouthwashes
Therapeutic rinses
often have the benefits of their cosmetic counterparts,
but also contain an added active ingredient, f. ex. fluoride or chlorhexidine, that help protect against some oral diseases.
Contents
Definition
Purposes
Ingredients
Types of toothpaste
How to choose a toothpaste?
Toxic components of a toothpaste
Caution on toothpaste usage
Definition
A toothpaste or dentifrice is a substance used with a toothbrush for the purpose of cleaning the accessible surfaces of the teeth.
Toothpaste Ingredients
Different types of Toothpastes
ANTI-CARIES AGENTS
Fluoride:
considered to be the most effective caries-inhibiting agent, and almost all toothpastes today contain fluoride in one form or the other
The most common form is sodium fluoride (NaF), but mono-fluoro-phosphate (MFP) and stannous fluoride (SnF) are also used
Fluoride is most beneficial when the mouth is not rinsed with water after tooth brushing. In this way a bigger amount of fluoride is retained in the oral cavity
How do teeth decay?
Tooth decay begins when the outer surface of the tooth is attacked by acid. The acid is produced by bacteria which live on the surfaces of the teeth as a layer called plaque. When foods or drinks containing sugars enter the mouth, the bacteria within the plaque rapidly converts the sugars into acid. The plaque can hold the acid in contact with the tooth surface for up to 2 hours before it is neutralized by saliva.
During the time that the plaque is acidic, some of the calcium and phosphate minerals, of which enamel is largely composed, are dissolved out of the enamel into the plaque. This process is called demineralisation.
Fluoride:
There are three main theories considering the positive action of fluoride in the prevention of caries:
Positive action of fluoride in the prevention of caries:
the most important anti-caries effect is claimed to be due to the formation of calcium fluoride (CaF2) in plaque and on the enamel surface during and after rinsing or brushing with fluoride.
CaF2 serves as a fluoride reservoir.
When the pH drops, fluoride and calcium are released into the plaque fluid.
Fluoride diffuses with the acid from plaque into the enamel pores and forms fluoroapatite (FAP).
FAP incorporated in the enamel surface is more resistant to a subsequent acid attack.
Mouthwashes
A mouthwash is defined as a non-sterile aqueous solution used mostly for its deodorant, refreshing or antiseptic effect.
Mouthwashes or rinses are designed to reduce oral bacteria, remove food particles, temporary reduce bad breathe and provide a pleasant taste.
Mouth rinses are generally classified as either cosmetic or therapeutic or a combination of the two.
Mouthwashes
Therapeutic rinses
often have the benefits of their cosmetic counterparts,
but also contain an added active ingredient, f. ex. fluoride or chlorhexidine, that help protect against some oral diseases.
What is a Dentifrice?
According to American Dental Association, Council on Dental Therapeutics:-
“ A dentifrices is a substance used with a toothbrush for the purpose of cleaning the accessible surface of the teeth”
“Webster” described the term Dentifrices as derived from “Dens” (tooth ) and “fricare” ( to rub ) .
Function of a dentifrice:-
Forms of dentifrices:-
General Formulation:-
Recent Modifications:-
References
Through this presentation viewers will be able to define Cosmetics, Classify cosmetics on different basis, Explain about various Facial Cosmetics, Such As Face powder, Cold Cream, Vanishing Cream, Cleansing Cream, Lipstick, Various Eye make-up preparations.
Shampoo
Human Hair Structure
Introduction
Shampoo is a hair care product that is used for the removal of oils, dirt, skin particles, dandruff, environmental pollutants and other contaminant particles that gradually build up in hair.
Introduction
Ideal Properties
Functions of Shampoo
Classification
Classification
Based on Appearance:
Powder Shampoos
Liquid Shampoos or Lotion
Gel Shampoos or Solid Cream
Classification
Classification
II. Based on Use or Function:
Conditioning Shampoos
Antidandruff and Therapeutic
Baby
Balancing
Clarifying
Classification
III. Based on Origin:
Compositions
Shampoos are typically composed of 10 to 30 ingredients.
Several types of ingredients are particularly important, including “Surfactants" that aid in cleansing and lathering.
“Conditioners" and “Active ingredients" that affect the hair and scalp.
“Additives" that stabilize the product.
Compositions
Compositions
Compositions
Compositions
Manufacturing Process
Some pearlising agents are waxy solids at ambient temperature and require melting in a drum oven or similar before use.
Demineralised water is most commonly used in order to minimise contamination of the product.
No further processing is required after blending, and the product may be packed off directly from the mixing vessel.
Manufacturing Process
For preparing liquid shampoo,
Triethanalamine lauvyl sulfate,
stearic acid are heated to about 650C.
Water & preservatives are also heated to 650C.
Both the solutions are mixed together and then cooled.
Perfumes are added after that. The shampoo thus prepared is bottled by automatic bottle filling machine.
Quality Control Tests
a)Foam Stability
Cylinder shake method was used for determining foaming ability.
50ml of the 1% shampoo solution was put into a 250ml graduated cylinder and cover the cylinder with hand and shaken for 10 times. The total volumes of the foam contents after 1 minute shaking were recorded. The foam volume was calculated. Foam should retain for atleast 5mins.
Foam Stability = V2-V1
Quality Control Tests
b)Skin – irritation Test:
Draize test in Rabbits where a patch test technique is used on the intact skin of Albino Rabbits.
A set of 6Rabbits used for testing each material.
Shampoos should be tested only for a short duration thatis,not more than(NMT)4hours as these products come in contact with skin only for a short duration.
These preparations are diluted between concentrations of 8 to 10%.
Quality Control Tests
c)Wetting Action:
Canvas disk is used, is one inch in diameter is floated on the surface of a solution and the time required for it to sink is measured accurately.
Quality Control Tests
d)Viscosity:
Is determined using Brookefield Viscometer.
100ml of shampoo is taken in a beaker and spindle is dipped in it for about 5min and then reading is taken.
Quality Control
Introduction.
Types of Herbal hair products.
Advantages and Disadvantages
Storage condition
Formulation and Evaluation of Different herbal hair products.
Result and Conclusion.
Cold cream , vanishing cream , IDEAL PROPERTIES OF VANISHING CREAMS , MAJOR INGREDIENTS USED FOR THE PRODUCTION OF VANISHING CREAMS , FORMULATION OF VANISHING CREAM , IDEAL CHARACTERISTICS OF COLD CREAM , INGREDIENTS USED FOR PREPARATION OF COLD CREAM , FORMULATION OF COLD CREAM
What is a Dentifrice?
According to American Dental Association, Council on Dental Therapeutics:-
“ A dentifrices is a substance used with a toothbrush for the purpose of cleaning the accessible surface of the teeth”
“Webster” described the term Dentifrices as derived from “Dens” (tooth ) and “fricare” ( to rub ) .
Function of a dentifrice:-
Forms of dentifrices:-
General Formulation:-
Recent Modifications:-
References
Through this presentation viewers will be able to define Cosmetics, Classify cosmetics on different basis, Explain about various Facial Cosmetics, Such As Face powder, Cold Cream, Vanishing Cream, Cleansing Cream, Lipstick, Various Eye make-up preparations.
Shampoo
Human Hair Structure
Introduction
Shampoo is a hair care product that is used for the removal of oils, dirt, skin particles, dandruff, environmental pollutants and other contaminant particles that gradually build up in hair.
Introduction
Ideal Properties
Functions of Shampoo
Classification
Classification
Based on Appearance:
Powder Shampoos
Liquid Shampoos or Lotion
Gel Shampoos or Solid Cream
Classification
Classification
II. Based on Use or Function:
Conditioning Shampoos
Antidandruff and Therapeutic
Baby
Balancing
Clarifying
Classification
III. Based on Origin:
Compositions
Shampoos are typically composed of 10 to 30 ingredients.
Several types of ingredients are particularly important, including “Surfactants" that aid in cleansing and lathering.
“Conditioners" and “Active ingredients" that affect the hair and scalp.
“Additives" that stabilize the product.
Compositions
Compositions
Compositions
Compositions
Manufacturing Process
Some pearlising agents are waxy solids at ambient temperature and require melting in a drum oven or similar before use.
Demineralised water is most commonly used in order to minimise contamination of the product.
No further processing is required after blending, and the product may be packed off directly from the mixing vessel.
Manufacturing Process
For preparing liquid shampoo,
Triethanalamine lauvyl sulfate,
stearic acid are heated to about 650C.
Water & preservatives are also heated to 650C.
Both the solutions are mixed together and then cooled.
Perfumes are added after that. The shampoo thus prepared is bottled by automatic bottle filling machine.
Quality Control Tests
a)Foam Stability
Cylinder shake method was used for determining foaming ability.
50ml of the 1% shampoo solution was put into a 250ml graduated cylinder and cover the cylinder with hand and shaken for 10 times. The total volumes of the foam contents after 1 minute shaking were recorded. The foam volume was calculated. Foam should retain for atleast 5mins.
Foam Stability = V2-V1
Quality Control Tests
b)Skin – irritation Test:
Draize test in Rabbits where a patch test technique is used on the intact skin of Albino Rabbits.
A set of 6Rabbits used for testing each material.
Shampoos should be tested only for a short duration thatis,not more than(NMT)4hours as these products come in contact with skin only for a short duration.
These preparations are diluted between concentrations of 8 to 10%.
Quality Control Tests
c)Wetting Action:
Canvas disk is used, is one inch in diameter is floated on the surface of a solution and the time required for it to sink is measured accurately.
Quality Control Tests
d)Viscosity:
Is determined using Brookefield Viscometer.
100ml of shampoo is taken in a beaker and spindle is dipped in it for about 5min and then reading is taken.
Quality Control
Introduction.
Types of Herbal hair products.
Advantages and Disadvantages
Storage condition
Formulation and Evaluation of Different herbal hair products.
Result and Conclusion.
Cold cream , vanishing cream , IDEAL PROPERTIES OF VANISHING CREAMS , MAJOR INGREDIENTS USED FOR THE PRODUCTION OF VANISHING CREAMS , FORMULATION OF VANISHING CREAM , IDEAL CHARACTERISTICS OF COLD CREAM , INGREDIENTS USED FOR PREPARATION OF COLD CREAM , FORMULATION OF COLD CREAM
Dental product is a topic of Pharmaceutical Inorganic Chemistry,for B.Pharmacy First year students.
this ppt is presented with the aim to enable with students to easily grasp unfamiliar,unacquainted & seemingly complicated concepts of Pharmaceutical Inorganic Chemistry so that it helps them to kindle their interest in the subject.
Prepared by,
Ms. Megha M. Muley
Assistant Professor
This ppt goes out to all the pharmacy students and lecturers. Check my other ppt slides too and do not forget to like and share! :) Thank you for the visit :D
The extraction of morphine from the poppy plant involves several steps. Here is a general outline of the process:
1. Cultivation and Harvesting: Poppy plants (Papaver somniferum) are cultivated and grown in suitable conditions. The plants are typically harvested when the seeds have matured and the capsules contain the highest amount of alkaloids, including morphine.
2. Incision and Latex Collection: The capsules of the poppy plant are carefully incised to create small cuts or "scores." The latex, which contains morphine, begins to ooze out of the cuts. This process is known as latex collection.
3. Scraping and Collection: The latex that has oozed out of the incisions is carefully scraped off the surface of the capsules using a specialized tool. This collected latex contains various alkaloids, including morphine.
4. Alkaloid Extraction: The collected latex is mixed with a solvent, such as ethanol or methanol, to dissolve the alkaloids. This mixture is typically stirred or shaken to ensure thorough extraction. The solvent acts as a carrier for the morphine and other alkaloids.
5. Filtration: The mixture is then filtered to separate the liquid (containing the dissolved alkaloids) from any solid plant matter or impurities. This can be done using filter paper or other filtration methods.
6. Concentration: The filtered liquid, containing the dissolved alkaloids, is subjected to evaporation or other concentration techniques to remove the solvent and obtain a more concentrated alkaloid solution.
7. Purification: The concentrated alkaloid solution may undergo further purification steps to isolate and separate morphine from other alkaloids. This can involve techniques such as chromatography or crystallization.
8. Drying and Solidification: The purified morphine is typically dried to remove any remaining moisture. It is then processed into a solid form, such as a powder or crystalline substance.
It is important to note that the extraction of morphine from the poppy plant is a highly regulated process and is typically carried out by licensed pharmaceutical companies under strict legal controls.
For more detailed information and step-by-step procedures, you can refer to the following information links:
1. "Extraction of Morphine from Opium Poppy": This research article provides a detailed protocol for the extraction of morphine from the poppy plant using various solvents and purification techniques. [Link: https://pubmed.ncbi.nlm.nih.gov/26798156/]
2. "Opium Poppy Cultivation and Opium Production": This document by the United Nations Office on Drugs and Crime provides an overview of opium poppy cultivation, harvesting, and processing, including the extraction of morphine. [Link: https://www.unodc.org/documents/scientific/Opium_Poppy_Cultivation_and_Opium_Production.pdf]
Please note that the extraction and use of morphine are highly regulated due to its potential for misuse and addiction. It is essentihkkklllllllllllllllllll and ethical guidelines
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
These lecture slides, by Dr Sidra Arshad, offer a quick overview of 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 leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
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. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
2. A toothpaste or dentifrice is a substance used with a toothbrush for the
purpose of cleaning the accessible surfaces of the teeth.
Purposes:
• Cleaning
• Polishing
• Removal of stains
• Reduce incidence of tooth decay
• Reduction of oral malodors
3. ADVANTAGES
Delivers active ingredients such as fluoride or xylitol to help prevent
tooth and gum disease.
Recent advances in toothpaste enable high efficacy of oral health
delivery:
Special toothpaste for kids with fluoride and relatively low abrasion
value
Desensitizing toothpaste
Whitening toothpaste
Easy to use, available in collapsible tubes.
Combination of various contents available as to combat different
oral healthcare needs at once.
4. DISADVANTAGES
Extended consumption of large volumes of fluoridated toothpaste can result
in fluorosis. Fluoridated toothpaste can be either acutely toxic if swallowed
in large amounts or chronically toxic if swallowed in any amount
consistently.
Triclosan, an active ingredient in many toothpastes can combine with
chlorine in tap water to form chloroform which is a human carcinogen.
According to some scientists it can leave unborn babies brain damaged.
Although in several studies whitening toothpaste show the ability to
improve tooth color they have side effects. The most significant one is
enamel and dentin abrasion which in turn leads to increased tooth
sensitivity.
6. 1 . Abrasives:
The main component responsible for cleaning the teeth.
Should be abrasive enough to clean the tooth & avoid damage to
tooth surface
Ability depends on particles size, shape, & brittleness of the
material.
EXAMPLES :
hydrated silica
calcium carbonate,
calcium pyrophosphate
dicalcium phosphate dihydrate
7. 2. Detergents:
major contributor to teeth cleaning process
Should be tasteless, nontoxic, nonirritant, producing large
volume of non- gagging foam.
Examples:
Sodium lauryl sulfate (SLS),
Sodium lauryl sarcosinate
9. 4. Thickening Agents:
Needed to maintain the stability of high-solid dispersion
Affect the dispersibility ,foam character, and mouth feel
Examples:
Sodium carboxymethylcellulose (interacts with cationic antimicrobials),
Hydroxypropyl methyl cellulose (HPMC)
hydroxyethyl cellulose (nonionic),
Xanthan gum,
carbomer
10. 5. Flavor :
Influence consumer acceptance
Leaves a fresh clean feeling after brushing
Considered highest cost ingredient in the toothpaste formulation
Examples : Peppermint, spearmint, menthol, wintergreen, cinnamon,…
11. 6. Sweeteners :
Most flavor oils have bitter taste leaving the toothpaste
formulation unpalatable without sweeteners
Artificial sweeteners are used (non cariogenic effect like natural
sugar)
Examples :
Saccharin, sodium saccharin
potassium acesulfame
12. 7. Preservatives :
Rarely used nowadays due to safety concerns
Proper formulation ingredient selection can result in preservative
free toothpaste
8. Corrosion inhibitors: :
Used to avoid corrosion of the aluminum tubes (e.g. sodium
silicate)
Not needed nowadays due to the use of plastic tubes
13. 9. Anticaries Actives :
Fluoride ions reduce the incidence of carious lesion by reducing
the acid solubility of tooth enamel
Examples :
Sodium fluoride
sodium monofluorophosphate
stannous fluoride
FDA recommends levels of soluble fluoride ion between 850-
1150ppm
14. 10. Anticalculus Agents :
Examples:
zinc chloride,
zinc citrate (Crest)
tetra sodium pyrophosphate,
disodium pyrophosphate (used more than zinc salts, and it has
antiplaque activity)
15. 11. Desensitizing Agent :
Potassium Nitrate(5%)
Compatible with fluoride, and has salty taste
Ex. Sensodyne toothpastes
12. Antibacterial/Antiplaque/antigingivitis:
Triclosan, Chlorhexidine, Zinc citrate.
16. GENERAL METHOD OF PREPARATION
The preparations are preferably made in stainless steel mixer container
for large scale manufacture filled with slowly rotating blades .
It can be done for in planetary mixer or similar mixer used for semisolid
preparations. Small scale batch can be made in glass container.
The gum is mixed with suitable quantity of humectant without any water
proper dispersion.
Chloroform and alc. Can also be used for dispersion of binding agent.
Other colloid may be disperse in water.
Methyl cellulose should be mixed with cold water, but ethyl cellulose
should be disperse in warm water.
Other powder ingredient are shifted together and added gradually to
mucilaginous mixture with continue Gentle stirring.
17. Then aq. Media is mixed and stirred to get a product.
Flavour and detergent added at the last.
Formula 1
Calcium carbonate 56.0 g
Na.lauryl sulphate 1.0 g
Glycerin 22.0 g
Gum tragacanth 1.5 g
Water 19.4 g
Saccharine 0.1 g
Flavour q.s.
Preservative q.s.
18. Anti-cavity Agents:
(a) Sodium Monofluorophosphate (Na2PO3F)
(b) Sodium Fluoride (NaF)
(c) Organo (amine) Fluorides
(d) Stannous Fluoride (SnF2)
Anti-tartar Toothpastes:
(a) Tetra sodium pyrophosphate (TSPP)
(b) Tetra potassium pyrophosphate (TKPP)
(c) Disodium dihydrogen pyrophosphate
Clinical studies have shown that, starting from a clean mouth, toothpastes
containing 3.3% pyrophosphate ion can inhibit the growth of tartar by
approximately 30% after three months of regular use.
19.
20. EVALUATION OF TOOTHPASTE
1. Composition
2. Homogenecity
3. Tube inertness
4. Determination of sharp and edge abrasive particles
5. Determination of spreadability
6. Determination of fineness
7. pH determination
8. Determination of lead
9. Determination of arsenic
10. Foaming power
11. Determination of fluoride ion
12. Stability
13. Determination of moisture and volatile matter
21. REFERENCES
1. Harry’s Cosmeticology, Volume 1 of 2, 8th edition, Published by
chemical publishing Co. Inc. New york.
2. Haward I. Maibach’s Handbook of Cosmetic Science and
Technology, third edition, Published by Informa Healthcare USA
Inc. New york- 10017
3. www.google.com