From Wikipedia, the free encyclopedia Alopecia areatica Classification and external resources Alopecia areata. ICD-10 L63. ICD-9 704.01 OMIM 104000 DiseasesDB 430 MedlinePlus 001450 eMedicine derm/14 MeSH D000506 Alopecia areata (AA) is a condition affecting humans, in which hair is lost from some or all areas of the body, usually from the scalp.[1][2] Because it causes bald spots on the scalp, especially in the first stages, it is sometimes called spot baldness. In 1%–2% of cases, the condition can spread to the entire scalp (Alopecia totalis) or to the entire epidermis (Alopecia universalis). Conditions resembling AA, and having a similar cause, occur also in other species.[3] Contents [hide] • 1 Classification • 2 Signs and symptoms • 3 Causes • 4 Treatment • 5 Prognosis • 6 Epidemiology • 7 See also • 8 References • 9 External links Classification The most common type of alopecia areata involves hair loss in one or more round spots on the scalp.[2][4] • Hair may also be lost more diffusely over the whole scalp, in which case the condition is called diffuse alopecia areata.[2] • Alopecia areata monolocularis describes baldness in only one spot. It may occur anywhere on the head. • Alopecia areata…
Continue reading …It has been suggested that Autoimmune adrenalitis be merged into this article or section. (Discuss) Addison’s disease Classification and external resources ICD-10 E27.1-E27.2 ICD-9 255.4 DiseasesDB 222 MedlinePlus 000378 eMedicine med/42 MeSH D000224 Addison’s disease (also chronic adrenal insufficiency, hypocortisolism, and hypocorticism) is a rare, chronic endocrine disorder wherein the adrenal glands produce insufficient steroid hormones (glucocorticoids and often mineralocorticoids).[1]. Lifelong, continuous treatment with steroid replacement therapy is required, with regular follow-up treatment and monitoring for other health problems.[2] It is generally diagnosed via blood tests and medical imaging.[2] Treatment involves replacing the absent hormones (oral hydrocortisone and fludrocortisone). Addison’s disease is named after Dr. Thomas Addison, the British physician who first described the condition in On the Constitutional and Local Effects of Disease of the Suprarenal Capsules (1849).[3] The adjective “Addisonian” describes features of the condition, and patients suffering Addison’s disease.[2] While Addison’s six patients in 1855 all had adrenal tuberculosis,[4] the term “Addison’s disease” does not imply an underlying disease process. Contents [hide] • 1 Signs and symptoms o 1.1 Symptoms o 1.2 Clinical signs o 1.3 Addisonian crisis • 2 Causes o 2.1 Adrenal dysgenesis o 2.2 Impaired steroidogenesis o 2.3 Adrenal destruction • 3 Diagnosis o…
Continue reading …Biotechnology in one form or another has flourished since prehistoric times. When the first human beings realized that they could plant their own crops and breed their own animals, they learned to use biotechnology. The discovery that fruit juices fermented into wine, or that milk could be converted into cheese or yogurt, or that beer could be made by fermenting solutions of malt and hops began the study of biotechnology. When the first bakers found that they could make a soft, spongy bread rather than a firm, thin cracker, they were acting as fledgling biotechnologists. The first animal breeders, realizing that different physical traits could be either magnified or lost by mating appropriate pairs of animals, engaged in the manipulations of biotechnology. What then is biotechnology? The term brings to mind many different things. Some think of developing new types of animals. Others dream of almost unlimited sources of human therapeutic drugs. Still others envision the possibility of growing crops that are more nutritious and naturally pest-resistant to feed a rapidly growing world population. This question elicits almost as many first-thought responses as there are people to whom the question can be posed. In its purest form, the term “biotechnology”…
Continue reading …Biotechnology is a field of applied biology that involves the use of living organisms and bioprocesses in engineering, technology, medicine and other fields requiring bioproducts. Modern use similar term includes genetic engineering as well as cell- and tissue culture technologies. The concept encompasses a wide range of procedures (and history) for modifying living organisms according to human purposes – going back to domestication of animals, cultivation of plants, and “improvements” to these through breeding programs that employ artificial selection and hybridization. By comparison to biotechnology, bioengineering is generally thought of as a related field with its emphasis more on higher systems approaches (not necessarily altering or using biological materials directly) for interfacing with and utilizing living things. The United Nations Convention on Biological Diversity defines biotechnology as:[1] “Any technological application that uses biological systems, living organisms, or derivatives thereof, to make or modify products or processes for specific use.” Biotechnology draws on the pure biological sciences (genetics, microbiology, animal cell culture, molecular biology, biochemistry, embryology, cell biology) and in many instances is also dependent on knowledge and methods from outside the sphere of biology (chemical engineering, bioprocess engineering, information technology, biorobotics). Conversely, modern biological sciences (including even concepts such as…
Continue reading …Biotechnology is not limited to medical/health applications (unlike Biomedical Engineering, which includes much biotechnology). Although not normally thought of as biotechnology, agriculture clearly fits the broad definition of “using a biotechnological system to make products” such that the cultivation of plants may be viewed as the earliest biotechnological enterprise. Agriculture has been theorized to have become the dominant way of producing food since the Neolithic Revolution. The processes and methods of agriculture have been refined by other mechanical and biological sciences since its inception. Through early biotechnology, farmers were able to select the best suited and crops having the highest yield to produce enough food to support a growing population. Other uses of biotechnology were required as crops and fields became increasingly large and difficult to maintain. Specific organisms and organism by-products were used to fertilize, restore nitrogen, and control pests. Throughout the use of agriculture, farmers have inadvertently altered the genetics of their crops through introducing them to new environments and breeding them with other plants—one of the first forms of biotechnology. Cultures such as those in Mesopotamia, Egypt, and India developed the process of brewing beer. It is still done by the same basic method of using malted…
Continue reading …A rose plant that began as cells grown in a tissue culture Biotechnology has applications in four major industrial areas, including health care (medical), crop production and agriculture, non food (industrial) uses of crops and other products (e.g. biodegradable plastics, vegetable oil, biofuels), and environmental uses. For example, one application of biotechnology is the directed use of organisms for the manufacture of organic products (examples include beer and milk products). Another example is using naturally present bacteria by the mining industry in bioleaching. Biotechnology is also used to recycle, treat waste, clean up sites contaminated by industrial activities (bioremediation), and also to produce biological weapons. A series of derived terms have been coined to identify several branches of biotechnology, for example: Bioinformatics is an interdisciplinary field which addresses biological problems using computational techniques, and makes the rapid organization and analysis of biological data possible. The field may also be referred to as computational biology, and can be defined as, “conceptualizing biology in terms of molecules and then applying informatics techniques to understand and organize the information associated with these molecules, on a large scale.”[7] Bioinformatics plays a key role in various areas, such as functional genomics, structural genomics, and…
Continue reading …DNA Microarray chip – Some can do as many as a million blood tests at once Main article: Pharmacogenomics Pharmacogenomics is the study of how the genetic inheritance of an individual affects his/her body’s response to drugs. It is a coined word derived from the words “pharmacology” and “genomics”. It is hence the study of the relationship between pharmaceuticals and genetics. The vision of pharmacogenomics is to be able to design and produce drugs that are adapted to each person’s genetic makeup.[8] Pharmacogenomics results in the following benefits:[8] Development of tailor-made medicines. Using pharmacogenomics, pharmaceutical companies can create drugs based on the proteins, enzymes and RNA molecules that are associated with specific genes and diseases. These tailor-made drugs promise not only to maximize therapeutic effects but also to decrease damage to nearby healthy cells. More accurate methods of determining appropriate drug dosages. Knowing a patient’s genetics will enable doctors to determine how well his/ her body can process and metabolize a medicine. This will maximize the value of the medicine and decrease the likelihood of overdose. Improvements in the drug discovery and approval process. The discovery of potential therapies will be made easier using genome targets. Genes have been…
Continue reading …Computer-generated image of insulin hexamers highlighting the threefold symmetry, the zinc ions holding it together, and the histidine residues involved in zinc binding. Computer-generated image of insulin hexamers Most traditional pharmaceutical drugs are relatively simple molecules that have been found primarily through trial and error to treat the symptoms of a disease or illness.[citation needed] Biopharmaceuticals are large biological molecules known as proteins and these usually target the underlying mechanisms and pathways of a malady (but not always, as is the case with using insulin to treat type 1 diabetes mellitus, as that treatment merely addresses the symptoms of the disease, not the underlying cause which is autoimmunity); it is a relatively young industry. They can deal with targets in humans that may not be accessible with traditional medicines. A patient typically is dosed with a small molecule via a tablet while a large molecule is typically injected. Small molecules are manufactured by chemistry but larger molecules are created by living cells such as those found in the human body: for example, bacteria cells, yeast cells, animal or plant cells. Modern biotechnology is often associated with the use of genetically altered microorganisms such as E. coli or yeast…
Continue reading …Gel electrophoresis Genetic testing involves the direct examination of the DNA molecule itself. A scientist scans a patient’s DNA sample for mutated sequences. There are two major types of gene tests. In the first type, a researcher may design short pieces of DNA (“probes”) whose sequences are complementary to the mutated sequences. These probes will seek their complement among the base pairs of an individual’s genome. If the mutated sequence is present in the patient’s genome, the probe will bind to it and flag the mutation. In the second type, a researcher may conduct the gene test by comparing the sequence of DNA bases in a patient’s gene to disease in healthy individuals or their progeny. Genetic testing is now used for: Carrier screening, or the identification of unaffected individuals who carry one copy of a gene for a disease that requires two copies for the disease to manifest; Confirmational diagnosis of symptomatic individuals; Determining sex; Forensic/identity testing; Newborn screening; Prenatal diagnostic screening; Presymptomatic testing for estimating the risk of developing adult-onset cancers; Presymptomatic testing for predicting adult-onset disorders. Some genetic tests are already available, although most of them are used in developed countries. The tests currently available can…
Continue reading …Gene therapy using an Adenovirus vector. A new gene is inserted into an adenovirus vector, which is used to introduce the modified DNA into a human cell. If the treatment is successful, the new gene will make a functional protein. Gene therapy may be used for treating, or even curing, genetic and acquired diseases like cancer and AIDS by using normal genes to supplement or replace defective genes or to bolster a normal function such as immunity. It can be used to target somatic (i.e., body) or gametes (i.e., egg and sperm) cells. In somatic gene therapy, the genome of the recipient is changed, but this change is not passed along to the next generation. In contrast, in germline gene therapy, the egg and sperm cells of the parents are changed for the purpose of passing on the changes to their offspring. There are basically two ways of implementing a gene therapy treatment: Ex vivo, which means “outside the body” – Cells from the patient’s blood or bone marrow are removed and grown in the laboratory. They are then exposed to a virus carrying the desired gene. The virus enters the cells, and the desired gene becomes part of the…
Continue reading …DNA Replication image from the Human Genome Project (HGP) The Human Genome Project is an initiative of the U.S. Department of Energy (“DOE”) that aims to generate a high-quality reference sequence for the entire human genome and identify all the human genes. The DOE and its predecessor agencies were assigned by the U.S. Congress to develop new energy resources and technologies and to pursue a deeper understanding of potential health and environmental risks posed by their production and use. In 1986, the DOE announced its Human Genome Initiative. Shortly thereafter, the DOE and National Institutes of Health developed a plan for a joint Human Genome Project (“HGP”), which officially began in 1990. The HGP was originally planned to last 15 years. However, rapid technological advances and worldwide participation accelerated the completion date to 2003 (making it a 13 year project). Already it has enabled gene hunters to pinpoint genes associated with more than 30 disorders.[14]
Continue reading …Cloning involves the removal of the nucleus from one cell and its placement in an unfertilized egg cell whose nucleus has either been deactivated or removed. There are two types of cloning: Reproductive cloning. After a few divisions, the egg cell is placed into a uterus where it is allowed to develop into a fetus that is genetically identical to the donor of the original nucleus. Therapeutic cloning.[15] The egg is placed into a Petri dish where it develops into embryonic stem cells, which have shown potentials for treating several ailments.[16] In February 1997, cloning became the focus of media attention when Ian Wilmut and his colleagues at the Roslin Institute announced the successful cloning of a sheep, named Dolly, from the mammary glands of an adult female. The cloning of Dolly made it apparent to many that the techniques used to produce her could someday be used to clone human beings.[17] This stirred a lot of controversy because of its ethical implications.
Continue reading …Crop yield Using the techniques of modern biotechnology, one or two genes (Smartstax from Monsanto in collaboration with Dow AgroSciences will use 8, starting in 2010) may be transferred to a highly developed crop variety to impart a new character that would increase its yield.[18] However, while increases in crop yield are the most obvious applications of modern biotechnology in agriculture, it is also the most difficult one. Current genetic engineering techniques work best for effects that are controlled by a single gene. Many of the genetic characteristics associated with yield (e.g., enhanced growth) are controlled by a large number of genes, each of which has a minimal effect on the overall yield.[19] There is, therefore, much scientific work to be done in this area. Reduced vulnerability of crops to environmental stresses Crops containing genes that will enable them to withstand biotic and abiotic stresses may be developed. For example, drought and excessively salty soil are two important limiting factors in crop productivity. Biotechnologists are studying plants that can cope with these extreme conditions in the hope of finding the genes that enable them to do so and eventually transferring these genes to the more desirable crops. One of…
Continue reading …Most of the current commercial applications of modern biotechnology in agriculture are on reducing the dependence of farmers on agrochemicals. For example, Bacillus thuringiensis (Bt) is a soil bacterium that produces a protein with insecticidal qualities. Traditionally, a fermentation process has been used to produce an insecticidal spray from these bacteria. In this form, the Bt toxin occurs as an inactive protoxin, which requires digestion by an insect to be effective. There are several Bt toxins and each one is specific to certain target insects. Crop plants have now been engineered to contain and express the genes for Bt toxin, which they produce in its active form. When a susceptible insect ingests the transgenic crop cultivar expressing the Bt protein, it stops feeding and soon thereafter dies as a result of the Bt toxin binding to its gut wall. Bt corn is now commercially available in a number of countries to control corn borer (a lepidopteran insect), which is otherwise controlled by spraying (a more difficult process). Crops have also been genetically engineered to acquire tolerance to broad-spectrum herbicide. The lack of herbicides with broad-spectrum activity and no crop injury was a consistent limitation in crop weed management. Multiple…
Continue reading …Biotechnology is being applied for novel uses other than food. For example, oilseed can be modified to produce fatty acids for detergents, substitute fuels and petrochemicals. Potatoes, tomatoes, rice tobacco, lettuce, safflowers, and other plants have been genetically engineered to produce insulin and certain vaccines. If future clinical trials prove successful, the advantages of edible vaccines would be enormous, especially for developing countries. The transgenic plants may be grown locally and cheaply. Homegrown vaccines would also avoid logistical and economic problems posed by having to transport traditional preparations over long distances and keeping them cold while in transit. And since they are edible, they will not need syringes, which are not only an additional expense in the traditional vaccine preparations but also a source of infections if contaminated.[28] In the case of insulin grown in transgenic plants, it is well-established that the gastrointestinal system breaks the protein down therefore this could not currently be administered as an edible protein. However, it might be produced at significantly lower cost than insulin produced in costly bioreactors. For example, Calgary, Canada-based SemBioSys Genetics, Inc. reports that its safflower-produced insulin will reduce unit costs by over 25% or more and approximates a reduction…
Continue reading …Biotechnological engineering or biological engineering is a branch of engineering that focuses on biotechnologies and biological science. It includes different disciplines such as biochemical engineering, biomedical engineering, bio-process engineering, biosystem engineering and so on. Because of the novelty of the field, the definition of a bioengineer is still undefined. However, in general it is an integrated approach of fundamental biological sciences and traditional engineering principles. Biotechnologist are often employed to scale up bio processes from the laboratory scale to the manufacturing scale. Moreover, as with most engineers, they often deal with management, economic and legal issues. Since patents and regulation (e.g., U.S. Food and Drug Administration regulation in the U.S.) are very important issues for biotech enterprises, bioengineers are often required to have knowledge related to these issues. The increasing number of biotech enterprises is likely to create a need for bioengineers in the years to come. Many universities throughout the world are now providing programs in bioengineering and biotechnology (as independent programs or specialty programs within more established engineering fields).
Continue reading …Biotechnology regulations The National Institute of Health was the first federal agency to assume regulatory responsibility in the United States. The Recombinant DNA Advisory Committee of the NIH published guidelines for working with recombinant DNA and recombinant organisms in the laboratory. Nowadays, the agencies that are responsible for the biotechnology regulation are: US Department of Agriculture (USDA) that regulates plant pests and medical preparation from living organisms, Environmental Protection Agency (EPA) that regulates pesticides and herbicides, and the Food and Drug Administration (FDA) which ensures that the food and drug products are safe and effective [2] Education In 1988, after prompting from the United States Congress, the National Institute of General Medical Sciences (National Institutes of Health) instituted a funding mechanism for biotechnology training. Universities nationwide compete for these funds to establish Biotechnology Training Programs (BTPs). Each successful application is generally funded for five years then must be competitively renewed. Graduate students in turn compete for acceptance into a BTP; if accepted then stipend, tuition and health insurance support is provided for two or three years during the course of their PhD thesis work. Nineteen institutions offer NIGMS supported BTPs.[34] Biotechnology training is also offered at the undergraduate level and…
Continue reading …Bioremediation and biodegradation Biotechnology is being used to engineer and adapt organisms especially microorganisms in an effort to find sustainable ways to clean up contaminated environments. The elimination of a wide range of pollutants and wastes from the environment is an absolute requirement to promote a sustainable development of our society with low environmental impact. Biological processes play a major role in the removal of contaminants and biotechnology is taking advantage of the astonishing catabolic versatility of microorganisms to degrade/convert such compounds. New methodological breakthroughs in sequencing, genomics, proteomics, bioinformatics and imaging are producing vast amounts of information. In the field of Environmental Microbiology, genome-based global studies open a new era providing unprecedented in silico views of metabolic and regulatory networks, as well as clues to the evolution of degradation pathways and to the molecular adaptation strategies to changing environmental conditions. Functional genomic and metagenomic approaches are increasing our understanding of the relative importance of different pathways and regulatory networks to carbon flux in particular environments and for particular compounds and they will certainly accelerate the development of bioremediation technologies and biotransformation processes.[32] Marine environments are especially vulnerable since oil spills of coastal regions and the open sea are poorly…
Continue reading …Biomedical engineering is the application of engineering principles and techniques to the medical field. This field seeks to close the gap between engineering and medicine. It combines the design and problem solving skills of engineering with medical and biological sciences to improve healthcare diagnosis and treatment.[1] Biomedical engineering has only recently emerged as its own discipline, compared to many other engineering fields; such an evolution is common as a new field transitions from being an interdisciplinary specialization among already-established fields, to being considered a field in itself. Much of the work in biomedical engineering consists of research and development, spanning a broad array of subfields (see below). Prominent biomedical engineering applications include the development of biocompatible prostheses, various diagnostic and therapeutic medical devices ranging from clinical equipment to micro-implants, common imaging equipment such as MRIs and EEGs, biotechnologies such as regenerative tissue growth, and pharmaceutical drugs and biopharmaceuticals. Subdisciplines within biomedical engineering Biomedical engineering is a highly interdisciplinary field, influenced by (and overlapping with) various other engineering and medical fields. This often happens with newer disciplines, as they gradually emerge in their own right after evolving from special applications of extant disciplines. Due to this diversity, it is typical…
Continue reading …Biological engineering, biotechnological engineering or bioengineering (including biological systems engineering) is the application of engineering principles to address challenges in the life sciences which includes fields of biology, ecology, and medicine. Biological engineering is a science based discipline founded upon the biological sciences in the same way that chemical engineering, electrical engineering, and mechanical engineering are based upon chemistry, electricity and magnetism, and statics, respectively. [1] Biological Engineering can be differentiated from its roots of pure biology or classical engineering in the following way. Biological studies often follow a reductionist approach in viewing a system on its smallest possible scale which naturally leads toward tools such as functional genomics. Engineering approaches, using classical design perspectives, are constructionist, building new devices, approaches, and technologies from component concepts. Biological engineering utilizes both of these methods in concert relying on reductionist approaches to define the fundamental units which are then commingled to generate something new. [2] Although engineered biological systems have been used to manipulate information, construct materials, process chemicals, produce energy, provide food, and help maintain or enhance human health and our environment, our ability to quickly and reliably engineer biological systems that behave as expected remains less well developed than our…
Continue reading …The term agoraphobia has been widely misunderstood. Its literal definition suggests a fear of “open spaces”. However, this is an incomplete and misleading view. Agoraphobics are not necessarily afraid of open spaces. Rather, they are afraid of having panicky feelings, wherever. these fearful feelings may occur. For many, they happen at home, in houses of worship, or in crowded supermarkets, places that are certainly not “open”. In fact, agoraphobia is a condition which develops when a person begins to avoid spaces or situations associated with anxiety. Typical “phobic situations” might include driving, shopping, crowded places, traveling, standing in line, being alone, meetings and social gatherings. Agoraphobia arises; from an internal anxiety condition that has become so intense that the suffering individual fears going anywhere or doing anything where these feelings of panic have repeatedly occurred before. Once the panic attacks have started, these episodes become the ongoing stress, even when other more obvious pressures have diminished. This sets up a “feedback condition” which generally leads to increased numbers of panic attacks and, for some people, an increase in the situations or events which can produce panicky feelings. Others experience fearful feelings continuously, more a feeling of overall. discomfort, rather than…
Continue reading …Some people with sickle cell disease continue to have blood transfusions to prevent and treat some of the serious health problems caused by their disease. Sickle cell disease is a common and inherited blood disorder that affects 1 in 500 African Americans and 1 in 1000 Hispanic Americans. Although it’s more common in these ethnic groups, sickle cell disease can occur in people of all races. In sickle cell disease, some red blood cells become rigid and crescent (sickle) shaped. These odd-shaped cells have a difficult time moving through blood vessels. They can cause blockages and prevent healthy blood cells from taking oxygen to tissues throughout the body. When the tissue does not get enough oxygen, pain results. How Transfusions Help Sickle Cell Disease Blood transfusions give people more of the healthy red blood cells, which makes them feel better. People with sickle cell disease may receive blood transfusions to relieve pain or symptoms of the disease. They may also receive blood transfusions: • To prevent strokes • To prevent problems with their lungs • Before certain surgeries • To prevent complications during pregnancy 10 Transfusions Put You at Risk Although transfusions can help improve the health of people with…
Continue reading …Bio Availability ادارة مراقبة المخدرات: ملخص القرار 487 لسنة 1985 الخاص بتنظيم تداول الادوية المؤثرة على الحالة النفسية . القواعد العامة 1- تعتبر موادا مؤثرة على الحالة النفسية المواد والمستحضرات المبينة بالجداول المرفقة. 2- يحظر توزيع هذه الاصناف للصيدليات العامة والخاصة الا عن طريق الشركة المصرية لتجارة الادوية. 3- تقوم المستودعات الرئيسية بالشركة المصرية لتجارة الادوية بقيد هذه الاصناف بدفتر معتمد ومرقوم من ادارة الصيدلة بمديرية الشئون الصحية تبين به الكميات الواردة والمنصرفة . 4- يصرح لصيدليات الخدمة الليلية وصيدليات الشركة المصرية لتجارة الادوية بتجاوز الحصص المبينة بالجداول المرفقة بحد أقصى ثلاث مرات حصة الصيدلية العامة. 5- يصرف للمستشفيات الخاصة المرخصة حصة يتم تحديدها كالاتي:بالنسبة للمستشفيات التي ليس لها صيدلية خاصة يتم صرف حصة صيدلية عامة أما بالنسبة للمستشفيات التي بها صيدلية يتم صرف ثلاث مرات حصة الصيدلية العامة وفي حالة المستشفيات الكبرى يتم الرجوع الى الادارة المركزية للشئون الصيدلية في أمرها .ويكون الصرف بناء على خطاب من ادارة الصيدلة بمديرية الشئون الصحية المختصة وفقا للقواعد التي يتم تحديدها وتكون هذه الاصناف عهدة بصيدلية المستشفى. 6- على المؤسسات الصيدلية عند استلام هذه الاصناف من فروع الشركة المصرية لتجارة الادوية أن تقدم طلبا مختوما بخاتم الصيدلية (سموم) موقعا عليه من مدير الصيدلية ويتم الصرف بناء على خطاب من مديرية الشئون الصحية…
Continue reading …1-BASED ON BODY WEIGHT. 2-BASED ON HEIGHT. 3-BASED ON BODY SURFACE AREA (BSA). 4-BASED ON AGE. 1-BASED ON BODY WEIGHT ____________________________________________________________ 1-CLARK”S RULE This can be used to estimate the approprite pediatric dose from the adult dose based on body weight in pound child dose = child’s wieght in pounds/150)X(adult dose ) ________________________________________________________________________________________________________________________ 2- based on height pediatric dose =(child’s hieght in centimeter/174) X (adult dose ) ________________________________________________________________________________________________________________________ 3- Based on body surface area (BSA) pediatric dose =(child’s BS in square meters)/1.73) X (adult dose ) __________________________________________________________________________________________________________________________ 4- Based on age (OTC DRUGS ) A-child dose = (Age in years + 1/ Age in years +7 ) X (adult dose ) __________ YOUG’S rule B- child’s dose = (Age in years /Age +12) X(adult dose )ْ ____________________________________________ Drilling rule child’s rule =( Age in years x adult dose )/ 12 _____________________________________________ Fried’s Rule child dose = (Age in months X adult dose) / 150
Continue reading …URL of this page: http://www.nlm.nih.gov/medlineplus/ency/article/000584.htm Anemia is a condition in which the body does not have enough healthy red blood cells. Red blood cells provide oxygen to body tissues. There are many types of anemia. Iron deficiency anemia is a decrease in the number of red cells in the blood caused by too little iron. See also: Iron deficiency anemia – children Causes Iron deficiency anemia is the most common form of anemia. About 20% of women, 50% of pregnant women, and 3% of men do not have enough iron in their body. Iron is a key part of hemoglobin, the oxygen-carrying protein in the blood. Your body normally gets iron through diet and by recycling iron from old red blood cells. Without iron, the blood cannot carry oxygen effectively. Oxygen is needed for every cell in the body to function normally. The causes of iron deficiency are: • Blood loss • Poor absorption of iron by the body • Too little iron in the diet It can also be related to lead poisoning in children. Anemia develops slowly after the normal iron stores in the body and bone marrow have run out. In general, women have smaller stores of…
Continue reading …Donepezil hydrochloride Treating dementia (eg, impairment of memory, judgment, and abstract thinking; changes in personality) in patients with Alzheimer disease. Current theories on the pathogenesis of the cognitive signs and symptoms of Alzheimer’s Disease attribute some of them to a deficiency of cholinergic neurotransmission. Donepezil hydrochloride is postulated to exert its therapeutic effect by enhancing cholinergic function. This is accomplished by increasing the concentration of acetylcholine through reversible inhibition of its hydrolysis by acetylcholinesterase. There is no evidence that Donepezil alters the course of the underlying dementing process. Donepezil has been assigned to pregnancy category C by the FDA. Animal studies have revealed an increase in stillbirths and decrease in survival through postpartum day four. There are no controlled data in human pregnancy. Donepezil should only be given in pregnancy when benefit outweighs risk. There are no data on the excretion of donepezil into human milk.
Continue reading …ــــــــــــــــ لان نقط الاذن عددها قليل ومكوناتها متاشبهة فدي فرصة ان الواحد يعرفها كلها ويكون بكدة غطى فرع من فروع الصيدلية – نتعرف الاول على اهم المكونات الموجودة فى نقط الاذن لان شطارتك كصيدلى ( مع كثرة الادوية والاسماء التجارية) انك لما تبص للمادة او المواد الفعالة الموجودة على العلبة من برة تعرف على طول الدواء دة بيعالج ايه قطرة الاذن معظمها فى تركيبها لا يخرج عن : 1- مسكن للالم فقط 2 – مسكن للالم ومضاد للالتهاب فى نفس الوقت 3 – مسكن للالم + مضادللميكروبات 4 – مسكن للالم + مضاد حيوى+ كورتيزن اومشتقاتة 5 – مضاد للميكروبات فقط 6 – مزيل او مذيب للشمع 7 – محلول مضاد للفطريات لاحظ : اغلب نقط الاذن تحتوى على قاعدة جلسرين , لذا فاعلبها لزجة وتحتاج للتدفئة قبل الاستعمال هنعرف اشهر المواد الفعالة مرة واحدة , وبعدين نشوفها مجمعة مع بعضها , ونستنتج استعمال القطرة هيكون اية 1 – مسكن للالم فقط اهمهم هو المخدر موضعى مثل: Cinchocaine Benzocaine Tetracaine 2 – مسكنات للالم ومضادات ضعيفة للالتهاب مثل: Phenazone:antipyrine Choline Salicylate ( اقوى ) 3 – مضادات الالتهاب واغلبها كورتيكوستيرويد ( وتساهم فى تخفيف الالم كمردود لتقليل الالتهاب والاديما) مثل : هيدروكوريتزون hydrocortisone ديكساميثازون dexamethasone فلوميثازون flumethasone 4 – مضادات…
Continue reading …مرض يعاني منه حوالي 30 % من الناس أسبابه: هناك صمام يفصل بين المريء والاثنى عشر لا يسمح بعودة الاكل الى الخلف عند ضعف هذا الصمام يرجع الاكل الى المرء مع الحمض والبيبسين مسببا حرقان شديد بالصدر عوامل مساعده: smoking heavy meals fatty meals spicy meals immediate lying after eating العلاج: في الحالات البسيطه: نقلل من العوانل المشاركه and use antacid as rennie or acical or gaviscon after meals في الحالات الوسطى: نستعمل H2 bloker as zantac 1/2 hour before meals + antacid after meals في الحالات الشديده: proton pump inhibitor as pantoprazol 1/2 hour before meals + antacid after meals ملحوظه: عند ترك الحاله لفتره طويله بدون علاج smooth epithelium يتحول الى columnar epithelium مما قد يؤدي لسرطان المريء
Continue reading …بسم الله الرحمن الرحيم Nuclear Pharmacy الصيدلة النووية هى فرع من فروع الصيدلة المختص بتطوير وتحضير الادوية ذات الاثر المشع radiopharmaceuticals وذلك ليتم استخدامها فى مجال الطب النووى سواء فى العلاج او فى التشخيص. ولكن ومع مرور الوقت تطور هذا الفرع اكثر ليصبح واحدا من الفروع التى تهتم بخدمة المريض اكثر وذلك عن طريق توفير كافة المعلومات الاساسية التى بامكانها المحافظة على وامداد المريض بكافة المعلومات عن الادوية التى تنتمى لهذه المجموعة ، لاننا وكما نعرف حاليا الصيدلة تتجه الى ما يعرف بـ Patient oriented services ومعنى ذلك اعطاء المريض الاهتمام الاول فى كل شئ فى العملية العلاجية وهذا من صميم تخصص الصيدلة الاكلينيكية وتخصص الصيدلى الاكلينيكى فى المستشفى وايضا من تخصص الصيدلى النووى المرخص له بمزاولة هذا العمل Licenced Nuclear Pharmacist History of Nuclear Pharmacy In the early 1970’s several nuclear pharmacy practitioners and educators (not so designated at that time) met at meetings related to nuclear medicine and radiopharmaceuticals. They believed that the need existed for the development of an organization that would allow pharmacy practitioners serving nuclear medicine to come together for the betterment of pharmacists and services to nuclear medicine. Subsequently, a petition was generated requesting the formation of a Section on Nuclear Pharmacy in the…
Continue reading …Definition Poison ivy, oak, and sumac are allergic skin rashes (or Rhus dermatitis) caused by the plants of the same name. All three plants secrete a potent, irritating oil known as urushiol that causes blistering and intense itching once it penetrates the skin. Description The allergic rash of poison ivy, oak, and sumac is characterized by red, weeping blisters and severe itching. The rash usually appears within one to two days of initial contact with the plant oil, although it may take longer to appear in areas where the skin is thicker, and lasts from one to three weeks (longer in severe cases). It starts as itchy, inflamed red patches or streaks, and as the oil penetrates into the skin, blisters and small papules form. Poison plant rash cannot be spread from person to person by contact with the rash itself or fluid from the blisters, and scratching does not spread the rash (although it can cause scarring and potential infection). Only urushiol oil can cause the rash. Transmission Urushiol oil or resin is found in the leaves, roots, and woody parts (i.e., vines and stems) of the poison ivy, oak, and sumac plants. It is a clear substance that…
Continue reading …Patients and Consumers Your Food Allergy Guidelines Questions Answered With guidance from leading expert members, the AAAAI has developed an FAQ sheet and online Food Allergy Library that contains a collection of patient-friendly links and resources. Egg Allergy/Intolerance and the Flu Vaccine Egg allergy versus egg intolerance – it makes a difference when getting the flu vaccine. Search your Symptoms on our Virtual AllergistTM Find out more about your allergy and asthma symptoms with The Virtual Allergist, our interactive symptom checker. Professionals and Members Educating Patients About the Food Allergy Guidelines With guidance from leading expert members, the AAAAI has developed a patient-friendly FAQ sheet. The FAQ is available for you to print and personalize with your contact information. There is also an online Food Allergy Library that contains a collection of patient-friendly links and resources. Administering Influenza Vaccine to Egg Allergic Recipients The 2010 influenza vaccine has incorporated the H1N1 strains, and thus a single TIV is being offered this season. Read more in a special report prepared by AAAAI members Matthew J. Greenhawt, MD, MBA and James T. Li, MD, PhD. Member Benefit – Faculty of 1000 Maximize your member benefits and stay current with new research and…
Continue reading …Published under Health Articles Monday, September 13th, 2010 When we feel stress and are anxious over a new job, an old relationship, or even just the everyday conundrums we all face from time to time, it can be beneficial to the nerves to take some vitamins minerals and added supplements that have proven benefit for relief of stress and anxiety. By adding them to our daily diet we can be assured of eliminating those frayed nerves and feeling calm and self assured. While the stress relieving vitamins are not necessarily miracle workers you will be amazed at how effective they can be. Commonly people worry to the point of becoming physically ill when faced with financial or personal problems beyond control. While popping a pill or two is the most popular way to cope, they can provide only a short term means of relief and many stress reducing sedatives can even become habit forming. Magnesium and other natural ingredients relieve anxiety Magnesium is one of the most effective natural ingredients to calm the nerves while relieving stress. Magnesium is a mineral that cannot be manufactured in the human body yet is extremely valuable to our kidneys, brain, heart, and nervous…
Continue reading …may be seen as the latest ‘issue’; but it isn’t going to just go away. Introduction It has been estimated that up to 30% of the population has atopic allergy and 43% of NHS staff suffer from some sort of skin irritation. Within these groups a latex sensitivity of 10% has been calculated – which is 3% or 1.5 million of the British population who are at risk.(Turner, Occupational Health 1997; 49:2, 57-60) (Bandolier I) The AIDS epidemic of the 1980s prompted a massive increase in the use of latex gloves for healthcare workers who are increasingly at risk due to the increased use of ‘economic’ latex gloves and enhanced sensitivity from other latex products also encountered in daily work. (Packham) (Bandolier I) Sometimes sensitivity is encountered from the chemical accelerators used in the manufacturing process. It should be noted that Glove powder is just a carrier of latex proteins not the primary allergen. Likewise the strength of detergent used in hand washing ‘soap’ is a critical factor – especially if the frequency is high and no emollient or skin aftercare treatments are provided; broken skin may lead to further sensitisation via the ingress of allergens. (Charous) This phenomenon also…
Continue reading …Celiac disease is a digestive disease that damages the small intestine and interferes with absorption of nutrients from food. People who have celiac disease cannot tolerate gluten, a protein in wheat, rye, and barley. Gluten is found mainly in foods but may also be found in everyday products such as medicines, vitamins, and lip balms. The small intestine is shaded above. When people with celiac disease eat foods or use products containing gluten, their immune system responds by damaging or destroying villi—the tiny, fingerlike protrusions lining the small intestine. Villi normally allow nutrients from food to be absorbed through the walls of the small intestine into the bloodstream. Without healthy villi, a person becomes malnourished, no matter how much food one eats. Villi on the lining of the small intestine help absorb nutrients. Celiac disease is both a disease of malabsorption—meaning nutrients are not absorbed properly—and an abnormal immune reaction to gluten. Celiac disease is also known as celiac sprue, nontropical sprue, and gluten-sensitive enteropathy. Celiac disease is genetic, meaning it runs in families. Sometimes the disease is triggered—or becomes active for the first time—after surgery, pregnancy, childbirth, viral infection, or severe emotional stress. What are the symptoms of celiac…
Continue reading …Conjunctivitis, commonly known as pinkeye, is an inflammation of the conjunctiva, the clear membrane that covers the white part of the eye and the inner surface of the eyelids. While pinkeye can be alarming because it may make the eyes extremely red and can spread rapidly, it’s a fairly common condition and usually causes no long-term eye or vision damage. But if your child shows symptoms of pinkeye, it’s important to see a doctor. Some kinds of pinkeye go away on their own, but other types require treatment. Causes Pinkeye can be caused by many of the bacteria and viruses responsible for colds and other infections, — including ear infections, sinus infections, and sore throats — and by the same types of bacteria that cause the sexually transmitted diseases (STDs) chlamydia and gonorrhea. Pinkeye also can be caused by allergies. These cases tend to happen more frequently among kids who also have other allergic conditions, such as hay fever. Triggers of allergic conjunctivitis include grass, ragweed pollen, animal dander, and dust mites. Sometimes a substance in the environment can irritate the eyes and cause pinkeye; for example, chemicals (such as chlorine and soaps) and air pollutants (such as smoke and…
Continue reading …From Wikipedia, the free encyclopedia Jump to: navigation, search For other uses, see Asthma (disambiguation). Asthma Classification and external resources Peak flow meters are used to measure one’s peak expiratory flow rate ICD-10 J45. ICD-9 493 OMIM 600807 DiseasesDB 1006 MedlinePlus 000141 eMedicine article/806890 article/796274 article/800119 article/137501 article/296301 article/1000997 article/353436 article/88849 MeSH allergy&field=entry#TreeC08.127.108 C08.127.108 Asthma (from the Greek άσθμα, ásthma, “panting”) is a common chronic inflammatory disease of the airways characterized by variable and recurring symptoms, reversible airflow obstruction, and bronchospasm.[1] Symptoms include wheezing, coughing, chest tightness, and shortness of breath.[2] Treatment of acute symptoms is usually with an inhaled short-acting beta-2 agonist (such as salbutamol).[3] Symptoms can be prevented by avoiding triggers, such as allergens[4] and irritants, and by inhaling corticosteroids.[5] Leukotriene antagonists are less effective than corticosteroids and thus less preferred.[6] The prevalence of asthma has increased significantly since the 1970s. As of 2009, 300 million people were affected worldwide.[7] In 2009 asthma caused 250,000 deaths globally.[7] Despite this, with proper control of asthma with step down therapy, prognosis is generally good. Contents [hide] • 1 Classification o 1.1 Brittle asthma o 1.2 Asthma attack o 1.3 Status asthmaticus o 1.4 Exercise induced o 1.5 Occupational • 2…
Continue reading …From Wikipedia, the free encyclopedia (Redirected from Anaphylactic shock) Jump to: navigation, search Anaphylaxis Classification and external resources A rash on the back of a person with anaphylaxis. ICD-10 T78.2 DiseasesDB 29153 eMedicine med/128 MeSH D000707 Anaphylaxis is an acute multi-system severe type I hypersensitivity reaction. The term comes from the Greek words ἀνά ana (against) and φύλαξις phylaxis (protection).[1] Due in part to the variety of definitions, between 1% and 15% of the population of the United States can be considered “at risk” for having an anaphylactic reaction if they are exposed to one or more allergens. Of those people who actually experience anaphylaxis, up to 1% may die as a result.[2] Anaphylaxis results in approximately 1,500 deaths per year in the U.S.[3][4] In England, mortality rates for anaphylaxis have been reported as up to 0.05 per 100,000 population, or around 10-20 a year.[5] Anaphylactic reactions requiring hospital treatment appear to be increasing, with authorities in England reporting a threefold increase between 1994 and 2004.[6] Based on the pathophysiology, anaphylaxis can be divided into “true anaphylaxis” and “pseudo-anaphylaxis” or “anaphylactoid reaction.” The symptoms, treatment, and risk of death are the same; however, “true” anaphylaxis is caused by degranulation of…
Continue reading …From Wikipedia, the free encyclopedia (Redirected from Hay fever) Jump to: navigation, search For the play, see Hay Fever. Allergic rhinitis Pollen grains from a variety of common plants can cause hay fever. ICD-10 J30. ICD-9 477 OMIM 607154 DiseasesDB 31140 MedlinePlus 000813 eMedicine ent/194 med/104, ped/2560 MeSH D012221 Allergic rhinitis, pollenosis or hay fever is an allergic inflammation of the nasal airways. It occurs when an allergen such as pollen or dust is inhaled by an individual with a sensitized immune system, and triggers antibody production. The specific antibody is immunoglobulin E (IgE) which binds to mast cells and basophils containing histamine. IgE bound to mast cells are stimulated by pollen and dust, causing the release of inflammatory mediators such as histamine (and other chemicals).[1] This causes itching, swelling, and mucus production. Symptoms vary in severity between individuals. Very sensitive individuals can experience hives or other rashes. Particulate matter in polluted air and chemicals such as chlorine and detergents, which can normally be tolerated, can greatly aggravate the condition. Contents [hide] • 1 Classification • 2 Signs and symptoms • 3 Cause • 4 Management o 4.1 Dietary o 4.2 Antihistamines o 4.3 Steroids o 4.4 Decongestants o 4.5…
Continue reading …TENORMIN DRUG DESCRIPTION What are the possible side effects of atenolol (Tenormin)? Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects: slow or uneven heartbeats; feeling light-headed, fainting; feeling short of breath, even with mild exertion; swelling of your ankles or feet; nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored… Read All Potential Side Effects and See Pictures of Tenormin » TENORMIN® (atenolol), a synthetic, beta1-selective (cardioselective) adrenoreceptor blocking agent, may be chemically described as benzeneacetamide, 4 -[2′-hydroxy-3′-[(1- methylethyl) amino] propoxy]-. The molecular and structural formulas are: C14H22N2O3 Atenolol (free base) has a molecular weight of 266. It is a relatively polar hydrophilic compound with a water solubility of 26.5 mg/ mL at 37°C and a log partition coefficient (octanol/water) of 0.23. It is freely soluble in 1N HCl (300 mg/mL at 25°C) and less soluble in chloroform (3 mg/mL at 25°C). TENORMIN is available as 25, 50 and 100 mg tablets for oral administration. Inactive Ingredients: Magnesium stearate, microcrystalline cellulose, povidone, sodium starch glycolat…
Continue reading …® (azelastine hydrochloride) Nasal Spray, 137 mcg For Intranasal Use Only DRUG DESCRIPTION What are the possible side effects of azelastine nasal (Astelin, Astepro)? Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using azelastine and call your doctor at once if you have any of these serious side effects: bronchospasm (shortness of breath, tightness in chest, wheezing); or fast or uneven heartbeats. Less serious side effects may include: a bitter taste in your… Read All Potential Side Effects and See Pictures of Astelin » Astelin® (azelastine hydrochloride) Nasal Spray, 137 micrograms (mcg), is an antihistamine formulated as a metered-spray solution for intranasal administration. Azelastine hydrochloride occurs as a white, almost odorless, crystalline powder with a bitter taste. It has a molecular weight of 418.37. It is sparingly soluble in water, methanol, and propylene glycol and slightly soluble in ethanol, octanol, and glycerine. It has a melting point of about 225°C and the pH of a saturated solution is between 5.0 and 5.4. Its chemical name is (±)-1-(2H)- phthalazinone,4-[(4-chlorophenyl) methyl]-2-(hexahydro-1- methyl-1H-azepin-4-yl)-, monohydrochloride. Its molecular formula is C22H24CIN3O•HCl with the following chemical structure:…
Continue reading …Aricept Drug Description (donepezil hydrochloride) Tablet DRUG DESCRIPTION What are the possible side effects of donepezil (Aricept, Aricept ODT)? Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using donepezil and call your doctor at once if you have any of these serious side effects: black, bloody, or tarry stools; coughing up blood or vomit that looks like blood or coffee grounds; painful or difficult urination; seizure (black-out or convulsions); Less… Read All Potential Side Effects and See Pictures of Aricept » ARICEPT (donepezil hydrochloride) is a reversible inhibitor of the enzyme acetylcholinesterase, known chemically as (±)-2, 3-dihydro-5, 6-dimethoxy2-[[1-(phenylmethyl)-4-piperidinyl]methyl]-1H-inden-1-one hydrochloride. Donepezil hydrochloride is commonly referred to in the pharmacological literature as E2020. It has an empirical formula of C24H29NO3HCl and a molecular weight of 415.96. Donepezil hydrochloride is a white crystalline powder and is freely soluble in chloroform, soluble in water and in glacial acetic acid, slightly soluble in ethanol and in acetonitrile and practically insoluble in ethyl acetate and in n-hexane. ARICEPT is available for oral administration in film-coated tablets containing 5, 10, or 23 mg of donepezil hydrochloride. Inactive…
Continue reading …سببها الاساسى تكسير كرات الدم الحمراء و دى حاجه طبيعيه تتحول الى: 1-un conjugated billirubin ثم بواسطة انزيم معين فى الكبد يحدث لها 2- conjugation -تخرج من الجسم عن طريق العصاره المرارية الأطفال حديثى الولاده عندهمRBC’S نسبتها عالية جدا تصل الى 60% وكمان عندهم immature liver يعنى مافيش الانزيمات الخاصه بالconjugation لذلك الصفراء عند الاطفال حديثى الولاده مش مرض دى حاجه طبيعيه وتسمى ب الصفراء الفسيولوجية فهى تستمر مدة بعد الولادة ثم تختفى وبيظهر بعد الولادة بأيام في العين وتحت الأظافر او اضغطي بأصبعك عالجلد ولوترك مكان اصفر يعني في صفير ويتم قياس معدلها كل عدة ايام فى المستشفى من خلال جهاز خاص يوضع على جلد الطفل فيعطى قرائة رقمية تدل على نسبة الصفراء التى لايجب ان تزيد عن 18 لو طلع 10 او اقل طبيعي 14 الي 18 خفيف وهو فسيولوجي ويزول لوحده بس لو استمر اكتر من 15يوم لازم نراجع طبيب ولو 25 او اكتر هذا مرضي وخطير ويأثر عالمخ العلاج لمبة النيون photo therapy يتعرض لها الطفل لمدة 24 ساعة في عدة اوضاع مختلفة وهي ليست مثل الاضاءة المنزلية بعض ادوية الفيتامينات ( القطارة ) والجرعه 1/4 قطارة 3 مرات -جلوكوز5% ملعقه صغيره 3مرات عن طريق الفم لانها activate liver الافضل ان يتم عمل تحاليل لمعرفة ان…
Continue reading …هل يشتكي مريضك في الصيدليه من بشرة وجلد جاف ومتهيج ومتشقق؟ قد لا يكون سبب سوء الترطيب وحسب فالجسم يبعث احيانا برسائل خاصة عن بعض المشاكل الصحية عبر الجلد، تقول الطبيبة كيلي كوردرو، أستاذة طب أمراض جلدية مساعدة في جامعة فرجينيا، ” بالرغم من أن كريمات الترطيب توفر حاجزا واقيا ضد العوامل الضارة بالبشرة وتمنع تشققها واصابتها بالبكتيريا والفيروسات والفطريات، إلا أن الترطيب الداخلي هام جدا خصوصا في فترة الشتاء.” أما عن الاسباب العامة التي تؤدي إلى جفاف الجلد فتقول كوردرو: 1. العمر: بينما يتراجع انتاج estrogen في النساء، خصوصاً مع اقترب سن انقطاع الدورة الشهرية يبدأ الجلد بانتاج lipids أقل. وكلما تقدمنا في السن كلما تباطأُت عملية تجديد الخلايا أيضاً، مما يسبب تقشر الجلد السريع. 2. الجينات: بعض الاشخاض مهيئون جينيا للجفاف أكثر من الآخرين. قد يكون الامر متعلقا مثلا بقلة الغدد الدهنية أَو يمكن أن تكون أحد ملايين الاشخاص الذين يعانون من مرض الاكزيما، وهو اضطراب جلدي وراثي في أغلب الأحيان. 3. تغير الطقس: “درجات الحرارة الباردة، الرياح الباردة، الرطوبة المنخفضة، والجفاف الحراري داخل المباني (خصوصاً التكييف) يسبب تبير الماء من الجلد. لذا يجب ان تحرصي على تناول الماء حتى داخل المباني ذات درجات الحرارة المعتدلة. 4. الاستحمام بالماء الساخن لفترة طويلة: الغسيل المفرط للجلد بالماء الساخن يسبب…
Continue reading …اولا : الاقراص المكسوه بغشاء معوى enteric coated tablets امثله : Alphintern Newbezim Ambezim Megalase الماده الفعاله : chymotrypsin Bisadyl Minalax Laxin الماده الفعاله : Bisacodyl امثله متنوعه : Spasmodigestin Indomethacin cap Juspirin tab – Aspirin 81mg جميع الاقراص المكسوه بغشاء معوى صممت بهذا الشكل لكى يحدث تفكك للدواء داخل الامعاء وليس داخل المعده لاحد من السببين التاليين : للحفاظ على فعاليه الدواء وعدم التاثير على نسبه امتصاصه bioavailability او لحمايه المعده من التاثير السلبى للدواء جميع الادويه المكسوه بغشاء معوى تؤخذ قبل الاكل بنصف ساعه الى ساعه او بعد الاكل بساعه الى ساعتين ويجب كذلك عدم شرب اللبن او الحليب عند اخذ هذه الادويه لانه يرفع من درجه حامضيه المعده ph وبالتالى تفكك الدواء داخلها ويبقى ولا كاننا عملنا حاجه ويجب ايضا عمل فارق زمنى بين هذا النوع من الادويه ( من ساعتين الى 3 ساعات ) وبين مضادات الحموضه الفيزيائيه فقط مثل فوار الفواكه على سبيل المثال او اى دواء يحتوى على الالومنيوم او الماغنسيوم او الصوديوم بايكاربونات اما مضادات الحموضه الكيميائيه فلها قصه اخرى ومضادات الحموضه الكيميائيه نوعين H2 blockers Ranitidine Famotidine …. PPIs Omerprazole Pantoprazole …. ولكن هنالك فرق هام بين كلا النوعين النوع الاول يعمل فى خلال ساعه الى ساعتين onset of action اما الثانى…
Continue reading …أولا المشروبات ——————— القرفه و الزعتر والمريميه والبردقوش والجنزبيل والحلبه وذلك لانهم قابضين للرحم بالرغم من استحباب الحلبه اثناء فترة الرضاعه لانها مدره للحليب الشاي بكثره وخصوصا الاحمر لتكسيره للحديد والذي يسبب انيميا الحليب غير المبستر لاحتمال احتوائه على السالمونيلا لبيبسى — والكولا– والسفن — والاسبرايت — وكل جميع المشروبات الغازيه تعمل على تقليل نسبة الكالسيوم شرب البقدونس لانه يسبب ارتخاء عضلات الرحم النباتات الملينه مثل السنامكي شرب القهوه بكثره ثانيا المأكولات غير المستحبه ——————————– الفريز لكثرة الجراثيم به — الاكلات السريعه الدليفرى لتعرضها لاشعه الميكرويف وكثرة الميكروبات بها وعدم ضمان نظافتها —- اكل اللانشون والبسطرمه والسوسيس والهامبورجر —- اكل سمك التونه والسمك الزبيدى والماكريل — اكل الاسماك المملحه مثل الرنجه والفسيخ والملوحه والانشوجه — اكل الاجبان المصنعه من عجائن طريه وذلك لانها تحتوى على نسبه عاليه من البكتيريا —- الشيبسى و البفك والرهش والبسكوت — الايس كريم — المايونيز — الاناناس اكله بكثرة يسبب الاجهاض — الجنسنج — الحبه السوداء –الشوكولاته —الزعتر — البهارات وخصوصا الكمون — الاكثار من كميات الملح والبهار فى الطعام — المخللات — اللحوم والاجبان المدخنه تقلل من نسبه وصول الاكسجين فى الدم للام ومن ثم الجنين — الجزر والكبده بانواعها اكلهم بكثرة ممنوعه لانهم يحتو على نسب عااليه من فيتامين الف الذى يسبب…
Continue reading …1-Daktacort cream المادة الفعالة: Miconazole + hydrocortisone جميع قطرات العين اللي تحتوي علي2 Chloramphenicol مادة – سواء بمفرده او مع اي مادة اخري مثل قطرة كورتيفين – ايزوبتوفينيكول – ميفينيكول – اوبتوسيتين-ايزوميفينيكول spersadeoxline-orchadeoxikine-spersacet 3-Synacthen Amp المادة الفعالة : Tetracosactrin 4-Clopixol Amp – 100, 200 mg المادة الفعالة : Zuclopenthixol 5-Miacalcic Amp & nasal spray وجميع الحقن المحتوية علي مادة ال6ـ الـ Calcitonin الانسولين بجميع انواعه7 مثل Insulin mixtard و insulitard penfil جميع انواع اللقاحات والامصال8 لقاح التيتانوس والانفلونزا جميع انواع حقن الـ9 Interferon حقن ال10ـ Methergin حقن ال11ـ succinyl choline حقن12 zoladex حقن الـ13 Fostimon المادة الفعالة: Urofollitrophin حقن الـ14 Puregon بتركيزاتها المادة الفعالة: alpha Follitrophin حقن ال15ـ Merional المادة الفعالة: FSH + LH 16-Human Albumin حقن الـ17- Clexan بتركيزاتها المختلفة المادة الفعالة : Enoxaparin 17-methotrexate vials 18-cerebrolysin amp
Continue reading …مادة الهيدروكينون هي الماده الاساسيه الموجوده الآن في اغلب الكريمات وقد حلت محل الزئبق بعد اكتشاف انه يسبب اتلاف للجلد والمخ ويؤدي للسرطان وبالرغم من ذلك فان الهيدروكينون ليس افضل منه بكثير كانت النسبه المسموح بها هي 2% الا ان بريطانيا قد منعتها تماما في يناير 2001 يعمل الهيدرو كينون من خلال وقف انتاج الميلانين وهي ماده موجوده في الجلد والتي تعطيه اللون الاسمر عند بداية استخدام الكريم الحاوي علي الهيدروكينون يشعر المستخدم ان البشره قد تفتحت بالفعل الا انه عند التعرض للشمس يعطي مفعولا عكسيا مؤديا الي زياده في الاسمرار والبقع السوداء مما يدفع المستخدم لزيادة الاستخدام الاستخدام لفترات طويله يؤدي الي حدوث بقع داكنه وآلام والتهابات بالجلد وظهور حب الشباب بالضافه الي امكانية حدوث سرطان الجلد علي المدي الطويل كما تحدث اضطرابات في الكبد نتيجة امتصاص الماده من الجلد وفي حين ان الدول الاوربيه قد منعت استخدام الهيدروكينون الا انها مازالت تصدره لدول افريقيا وآسيا كما ان الكريمات المحتويه علي الهيدروكينون تدعي ان النسبه هي 2% الا ان بالتحليل المعملي وجد انها تفوق ذلك بكثير وقد تصل للضعف احيانا ثم ان كثير من الكريمات المفتحه للبشره لا يعلن من الاصل عن وجود هيدروكينون ويدعي احتوائه علي مادة ال(Allantoin) الحاميه ضد اشعة الشمس الضاره في حين ان هذه الماده…
Continue reading …************************* * التغذية العلاجية لمرضى السكر: – لا نستطيع الجزم بأن النظام الغذائى وحده كفيل بضمان جودة حياة مريض السكر وإنما ممارسة نشاط رياضى هام للصحة بشكل عام. إلى جانب عنصر آخر هام هو التعاون والتنسيق من جانب القائمين على رعايته الطبية والمنزلية ومن جانب المريض أيضاً مع الوضع فى الاعتبار سنه ونوعه وحالته الصحية. * الهدف من اتباع “علاج الغذاء الطبى” التغذية العلاجية لمريض السكر: – المحافظة على معدلات الجلوكوز فى الدم. – تحسين معدلات الدهون فى الدم. – خفض ضغط الدم. – منع أو علاج تداعيات مرض السكر ومنها أمراض القلب، العين، الأعصاب، الكلى. – الارتفاع بمستوى الصحة العام من خلال اختيارات صحية للغذاء وممارسة نشاط رياضى. – مقابلة المتطلبات الغذائية لكل مريض. * تقييم النظام الغذائى لمريض السكر يتم وفقاً لـ: – التاريخ النفسى والتعليمى ونمط الحياة بما فيها التعليمات الخاصة بنظام غذائى سابق. – النظام الغذائى الحالى لمرض السكر. – نتائج التحاليل الدورية. – الوزن الحالى، الطول، مؤشر الوزن المثالى ((BMI، قياس الخصر/الحوض. – المعدل الحالى لما يتناوله مريض السكر من الأطعمة. – الحالة الشعورية تجاه ما يتناوله المريض من أطعمة. – مشاكل خاصة مثل الوزن، اضطرابات الطعام، نقص معدلات السكر. * لابد وأن يحتوى النظام الغذائى لمريض السكر على المعلومات التالية: 1- الهرم الغذائى. 2-…
Continue reading …* قد تزيد ال eisonophils مع وجود حساسيه بالجسم * قد تزيد ال lymphocytes مع الالتهابات الفيروسيه * تزيد ال neutrophils مع الالتهابات البكتيري هيموجلوبين Hemoglobin النسبه الطبيعيه لشخص بالغ normal value ( adult ) 12 -16 g/dl النسبه الطبيعيه للأطفال normal value ( child ) 11.5 – 15.5 g/dl النسبه الطبيعيه للأطفال حديثى الولاده normal value ( newborn ) 14 – 20 /dl كرات الدم البيضاء WBC النسبه الطبيعيه لشخص بالغ normal value ( adult ) 3.8 – 10.8 thousand /mcl النسبه الطبيعيه للأطفال normal value ( child ) 4 – 12 thousand /mcl النسبه الطبيعيه للأطفال حديثى الولاده normal value ( newborn ) 10- 28 thousand /mcl كرات الدم االحمراء RBC النسبه الطبيعيه لشخص بالغ normal value ( adult ) 4 – 5.2 million /mcl النسبه الطبيعيه للأطفال normal value ( child ) 4 – 5.2 million /mcl النسبه الطبيعيه للأطفال حديثى الولاده normal value ( newborn ) 4 – 5.2 million /mcl الصفائح الدمويه platlets النسبه الطبيعيه لشخص بالغ normal value ( adult ) 150 – 400 thousnads /mcl النسبه الطبيعيه للأطفال normal value ( child ) 150 – 400 thousnads /mcl النسبه الطبيعيه للأطفال حديثى الولاده normal value ( newborn ) 150 – 400 thousnads /mcl…
Continue reading …G6PD deficiency is an inherited condition in which the body doesn’t have enough of the enzyme glucose-6-phosphate dehydrogenase, or G6PD, which helps red blood cells (RBCs) function normally. This deficiency can cause hemolytic anemia, usually after exposure to certain medications, foods, or even infections. Most people with G6PD deficiency don’t have any symptoms, while others develop symptoms of anemia only after RBCs have been destroyed, a condition called hemolysis. In these cases, the symptoms disappear once the cause, or trigger, is removed. In rare cases, G6PD deficiency leads to chronic anemia. Causes of G6PD Deficiency G6PD deficiency is passed along in genes from one or both parents to a child. The gene responsible for this deficiency is on the X chromosome. G6PD deficiency is most common in African-American males. Many African-American females are carriers of G6PD deficiency, meaning they can pass the gene for the deficiency to their children but do not have symptoms; only a few are actually affected by G6PD deficiency. G6PD Deficiency Symptom Triggers Kids with G6PD deficiency typically do not show any symptoms of the disorder until their red blood cells are exposed to certain triggers, which can be: * illness, such as bacterial and viral…
Continue reading …many types of hair loss but the predominant is the androgenic hair loss MEN Hair Loss: CAUSE OF HAIR LOSS IN MEN: hair follicles with a genetic sensitivity to Dihydrotestosterone (DHT). Hair follicles that are sensitive to DHT begin to miniaturize, shortening the lifespan of each hair follicle affected. Eventually, these affected follicles stop producing cosmetically acceptable hair. Dihydrotestosterone (DHT) is a derivative or by-product of testosterone. Testosterone converts to DHT with the aid of the enzyme Type II 5-alpha-reductace, which is held in the hair follicle’s oil glands TREATMENTTTTTTTTT: Only 2 drugs approved by American hair loss association: 1-Finasteride, Proscar/Propecia Finasteride’s hair-raising success is due to its ability to specifically inhibit Type II 5-alpha-reductace, the enzyme that converts testosterone into a more potent androgen dihydrotestosterone (DHT). Propecia’s 1 mg dose of finasteride can effectively lower DHT levels by as much as 60% when taken daily. It is DHT that shrinks or miniaturizes the hair follicle, which eventually leads to baldness .This 60% reduction in DHT has proven to stop the progression of hair loss in 86% of men taking it the drug during clinical trials. 65% of trial participants experienced what was considered a substantial increase of hair growth….
Continue reading …Antivert User Reviews >> Drug Description Antivert Drug Description ANTIVERT® (meclizine HCl) Tablets/12.5 mg ANTIVERT®/25 (meclizine HCl) Tablets/25 mg ANTIVERT®/50 (meclizine HCl) Tablets/50 mg DRUG DESCRIPTION What are the possible side effects of meclizine (Antivert, Bonine, Dramamine II, D-Vert)? Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Less serious side effects may include: blurred vision; dry mouth; constipation; or dizziness, drowsiness. This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side… Read All Potential Side Effects and See Pictures of Antivert » Chemically, Antivert® (meclizine HCl) is 1-(p-chloro-α-phenylbenzyl)-4-(m-methylbenzyl) piperazine dihydrochloride monohydrate. Inert ingredients for the tablets are: dibasic calcium phosphate; magnesium stearate; polyethylene glycol; starch; sucrose. The 12.5 mg tablets also contain: Blue 1. The 25 mg tablets also contain: Yellow 6 Lake; Yellow 10 Lake. The 50 mg tablets also contain: Blue 1 Lake; Yellow 10 Lake INDICATIONS Based on a review of this drug by the National Academy of Sciences – National Research Council and/or other information, FDA has classified…
Continue reading …B1 (thiamin) Supports energy metabolism and nerve function spinach, green peas, tomato juice, watermelon, sunflower seeds, lean ham, lean pork chops, soy milk B2 (riboflavin) Supports energy metabolism, normal vision and skin health spinach, broccoli, mushrooms, eggs, milk, liver, oysters, clams B3 (niacin) Supports energy metabolism, skin health, nervous system and digestive system spinach, potatoes, tomato juice, lean ground beef, chicken breast, tuna (canned in water), liver, shrimp Biotin Energy metabolism, fat synthesis, amino acid metabolism, glycogen synthesis widespread in foods Pantothenic Acid Supports energy metabolism widespread in foods B6 (pyridoxine) Amino acid and fatty acid metabolism, red blood cell production bananas, watermelon, tomato juice, broccoli, spinach, acorn squash, potatoes, white rice, chicken breast Folate Supports DNA synthesis and new cell formation tomato juice, green beans, broccoli, spinach, asparagus, okra, black-eyed peas, lentils, navy, pinto and garbanzo beans B12 Used in new cell synthesis, helps break down fatty acids and amino acids, supports nerve cell maintenance meats, poultry, fish, shellfish, milk, eggs C (ascorbic acid) Collagen synthesis, amino acid metabolism, helps iron absorption, immunity, antioxidant spinach, broccoli, red bell peppers, snow peas, tomato juice, kiwi, mango, orange, grapefruit juice, strawberries A (retinol) Supports vision, skin, bone and tooth growth, immunity…
Continue reading …Gout is a disease that results from an overload of uric acid in the body. This overload of uric acid leads to the formation of tiny crystals of urate that deposit in tissues of the body, especially the joints. cause: precipitation of uric acid crystals as byproduct of purine which present in high amount in some foods These foods include anchovies, herring, kidney, liver, mackerel, meat extracts, mincemeat, mussels, sardines, and yeast What are symptoms and signs of gout? The small joint at the base of the big toe is the most common site of an acute gout attack of arthritis. An acute attack of gouty arthritis at the base of the big toe. Other joints that are commonly affected include the ankles, knees, wrists, fingers, and elbows How is gout treated? 1- analgesic as roxonin 2-colchicine tab (colmeditin) 1tab at day 3- allopurinol which prevent conversion of purine to uric acid (no uric) 300 mg once daily 4- uralyt u eff in sever cases: URALYT U :(K Na Hydrogen citrate) Mechanism: by its buffer action it make alkalinisation of urine to PH 6.2to 6.8 which is suitable for dissolving uric acid crystals dose: 1 tea spoonful at morning 1…
Continue reading …When the fertilized egg implants, the placenta starts developing and begins to release hormone human chorionic gonadotropin hCG into the blood. Some of this hCG is also found in the urine.Implantation needs to occur before hCG is produced which generally happens between 6-12 days post ovulation. In the first few weeks of pregnancy, the amount of hCG in the urine rises rapidly, doubling every 2 to 3 days. so pregnancy test cannot be used before 6 days of implantation so can be used if period is delayed about its time اختبار الحمل يقوم بالكشف عن هورمون يفرز في البول والدم يسمى كوريونيك جونادوتروفين الذي يفرز بعد حدوث التبويض من 6 -10 ايام والذي تتضاعف كميته في البول كل ثلثة ايام حتى يقل تدريجيا قبل الولاده ويستخدم الكاشف اذا ما تاخرت الدوره عن موعدها ولو يوم واحد ولكن يفضل الانتظار حوالي ثلاثة ايام عن تاخير الدوره Best results are obtained if the test is performed with the early morning specimen . This is because the urine has accumulated in your bladder overnight and subsequently has more HCG hormone in it افضل استخدام لكشف الحمل في الصباح وذلك لتخزين البول في المثانه على مدار الليل فيكون تركيز الهورمون في البول في الصباح…
Continue reading …ُEVRA PATCHES AS CONTRACEPTIVE: How Does it Work? The Patch is worn on the body, preventing pregnancy by delivering continuous levels of hormones (progestin and estrogen, respectively) into the bloodstream through the skin. Following this process, the Patch works the same way that pills do: by preventing ovulation. This means that the ovary does not release an egg to be fertilized. It also thickens the cervical mucus, which makes it more difficult for sperm to enter the uterus, and it changes the endometrium, which is the mucus membrane that lines the uterus, to reduce the chance of implantation.. It is important to know that you will be exposed to about 60% more estrogen if you use ORTHO EVRA® than if you use a typical birth control pill containing 35 micrograms of estrogen. In general, increased estrogen may increase the risk of side effects. The risk of venous thromboembolic events (blood clots in the legs and/or the lungs) may be increased with ORTHO EVRA® use compared with use of birth control pills. Studies examined the risk of these serious blood clots in women who used either ORTHO EVRA® or birth control pills containing one of two progestins (levonorgestrel or norgestimate) and…
Continue reading …تم كتابة المقال بواسطة دكتور ايهاب احمد حماد الادوية المسموحة والممنوعة للالم الحامل والمرضع ——————————————————————————– تقسيم الحمل إلى ثلاثة فصول مدة كل فصل ثلاثة شهور تقريبا وهي كالتالي:- يعتبر استخدام الدواء أثناء الحمل ضروريا في كثير من الأحيان بالرغم من بعض مخاطر الدواء على الحامل أو جنينها في حال استخدم دواء ضار خلال الحمل ولذلك يجب علاج الأمراض التي تصيب الحامل بأقــل الأدوية ضررا عليها وعلى جنينها كما يجب عدم حرمانها من العلاج الضروري بسبب الخوف من الأعراض الجانبيـة حيث أن إهمال علاجها قد يؤدي إلى تعريضها لمضاعفات خطيرة والى حدوث تشوهات أو إجهاض للجنين بالرغم من الخطر المحتمل على الجنين والأم بسبب الدواء إلا أن الدراسات الطبية أثبتت أنه في كثير من الأمراض لا يجب تأخير العلاج اللازم لأمراض مثل الضغط والسكري والربو وقصور القلب والتهابات الجهاز التنفسي و البولي كما يجب تخفيف معاناة الحامل من مشاكل الحمل المعتادة مثل الغثيان والإمساك وفقر الدم والضعف العام. الفصل الأول (هي الثلاثة شهور الأولى من الحمل) : وهي أكثر الفترات حرجا حيث أنها فترة تكوين الأعضاء, وفيها تتكون اغلب حالات التشوهات لذلك يفضل عدم استخدام الأدوية في هذه الفترة باستثناء الأدوية التي ثبتت مأمونيتها خلال هذه الفترة الفصل الثاني (من 3 إلى 6 شهور) وهي أقل الفترات حرجا ولكن يجب تجنب…
Continue reading …® (amoxicillin) Capsules, Tablets, Chewable Tablets, and Powder for Oral Suspension To reduce the development of drug-resistant bacteria and maintain the effectiveness of AMOXIL (amoxicillin) and other antibacterial drugs, AMOXIL should be used only to treat or prevent infections that are proven or strongly suspected to be caused by bacteria. DRUG DESCRIPTION What are the possible side effects of amoxicillin (Amoxil, Amoxil Pediatric Drops, Moxatag, Trimox)? Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects: fever, sore throat, and headache with a severe blistering, peeling, and red skin rash; nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or… Read All Potential Side Effects and See Pictures of Amoxil » Formulations of AMOXIL contain amoxicillin, a semisynthetic antibiotic, an analog of ampicillin, with a broad spectrum of bactericidal activity against many gram-positive and gram-negative microorganisms. Chemically, it is (2S,5R,6R)-6-[(R)-(-)-2-amino-2-(phydroxyphenyl)acetamido]-3,3-dimethyl-7-oxo-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid trihydrate. It may be represented structurally as: The amoxicillin molecular formula is C16H19N3O5S• 3H2O, and the molecular weight is…
Continue reading …Potential Side Effects of OTC Medicines in Adults by Dr.Mahmoud Pharm تم كتابةالمقال بواسطة الدكتور محمود فارم While OTC medicines have a low risk of side effects when used occasionally by healthy adults, they can pose risks for very young children, the elderly, people with kidney problems and people taking more than one medicine. These people have an increased risk of side effects when they take OTC medicines. Potential side effects are described below. Aspirin and NSAIDs The main side effect associated with aspirin and other NSAIDs is gastrointestinal (GI) problems. These problems can range from upset stomach to GI bleeding, a serious event that is most likely to occur in older people. The chances of experiencing GI problems from NSAIDs or aspirin increase the larger the dose you take and the longer you take them. NSAIDs can cause a variety of side effects related to kidney function. These side effects range from reversible inflammation to permanent kidney damage. Aspirin and NSAIDs may make high blood pressure worse or interfere with blood pressure medicines. High doses of aspirin pose a risk of liver damage for people who have liver disease, juvenile arthritis or rheumatic fever. Acetaminophen Although safe in the…
Continue reading …Definition Reye’s syndrome is a disorder that primarily affects the liver and brain. It attacks the nervous system very quickly and can cause death Description Reye’s syndrome primarily affects children and teenagers. In almost all cases, it follows a viral illness, such as a cold (see common cold entry), the flu (see influenza entry), or chickenpox (see chickenpox entry). The disorder can affect any organ in the body, but its most serious effects occur in the brain and the liver. As the disorder develops, it attacks the body’s nervous system. It produces symptoms such as listlessness, confusion, seizures, and coma. In extreme cases, it can lead to death. Reye’s syndrome is a rare disorder. It was first discovered in the early 1970s. The number of cases of Reye’s syndrome rose slowly until 1980. In that year, 555 cases of the disorder were diagnosed. Researchers had learned at that point that children who are given aspirin are at risk for Reye’s syndrome. Doctors began to warn parents against the use of aspirin with sick children. As a result of those warnings, the number of cases of Reye’s syndrome began to fall. By the late 1990s the condition was very rare in…
Continue reading …What is hepatitis C? Hepatitis (HEP-ah-TY-tis) makes your liver swell and stops it from working right. You need a healthy liver. The liver does many things to keep you alive. The liver fights infections and stops bleeding. It removes drugs and other poisons from your blood. The liver also stores energy for when you need it. What causes hepatitis C? Hepatitis C is caused by a virus. A virus is a germ that causes sickness. (For example, the flu is caused by a virus.) People can pass viruses to each other. The virus that causes hepatitis C is called the hepatitis C virus. How could I get hepatitis C? Hepatitis C is spread by contact with an infected person’s blood. You could get hepatitis C (la Qdar allah) by : # sharing drug needles # getting pricked with a needle that has infected blood on it (hospital workers can get hepatitis C this way) # having sex with an infected person, especially if you or your partner has other sexually transmitted diseases # being born to a mother with hepatitis C. # Using blood tools as in case of detection of BGL [blood glucose level] MAY transmit Hepatits C virus…
Continue reading …الصيدلة ::: في العربية من الصندلة ،( الإنجليزيهـ : Pharmacy) من الإغريقية φάρμακον = الدواء) هي أحد اختصاصات العلوم الصحيه شديد الصلة بالكميااااااااء و علم الأحياااااااااء ..البيولوجى … بفروعه (قديما كان اهتمام الصلة يركز على علم النباااااات ..البوتانى .. كون النباتات كانت تعتبر المصدر الأساسي للشفاء)، تهتم الصيدلة بكل نواحي اكتشاف و تصنيع و صرف و استخدام الموااااااد الدوائيه . قديما كانت مهمة الصيدلى بشكل أساسي تركب و صرف العلاج الطبى ، إضافة لإعطاء التوجيهات و نصائح الاستخدام للمرضى مما يدخل ضمن حقل الرعاااااااايه الصحيه ، هذا الموضوع تطور مؤخرا ليشمل الاهتمام السريري بالمرضى ضمن المشتشفيات في ما يدعى صيدله سريريه او اكلينيكيه حيث تتضمن مهمتهم مراعاة التنافرات الوائية و حساب الجرعات الدوائية للمرضى المزمنين بأمراض مختلفة. صناعةأشكال الجرعات الصيدلانيه تطور أيضا ليتم ضمن إطار المصانع و الشركات الضخمة و أصبح موضوع تطوير صيغ التركيب للجرعات لتأمين تجانس و ملائمة الجرعات للمرضى ، و أيضا دراسات الحركيااااااات الدواااااااااائيه و الديناميكية الدوائية لتأمين توافر حيوى أفضل من اختصاصات الصيادلة في إطار ما يعرف بالصيدلانياااااااااااااااااات . في مجال آخر : تفرع اختصاص جديد يجمع الصيدلو الكيمياء معا يعنى بمحاولات اكتشاف أدوية و مواد فعالة ديدة ، محاولة تحسين فعالية المواد الدوائية أو تقليل سميتها أو آثارها الجانبية ، ما يعرف حال باسم…
Continue reading …بسم الله الرحمن الرحيم ماذا يعني مرض التوحد عند الأطفال؟ ـ التوحد هو حالة من الانطواء على الذات ويؤدي الى اضطرابات كبيرة في حياة الطفل الاجتماعية والدراسية والعائلية. ويبلغ معدل حدوث التوحد نحو طفل واحد في كل ألف. وهذا المعدل بارتفاع مطرد حسب احدث الدراسات، وفي جميع الاجناس والاعراق، وليس له علاقة بالحالة المعيشية أو الاقتصادية للبلد أو الاسرة. كما ان معدل حدوثه في الذكور اكثر بنحو ثلاث الى أربع مرات منه في الاناث. ويعاني المصابون بالتوحد من انعدام القدرة على التأقلم مع الآخرين أو المحيط والظروف، وعدم القابلية على التواصل الاجتماعي بالكلام أو غيره، أو تكوين صداقات مع الآخرين.وعدم المشاركه في اي تفاعل اجتماعي او ما يسمي بالمبادره,يعني لو انت شفتو وهو عارفك جداا عمرو ما يجي يسال او يسلم عليك حتي الام….باختصار انسان بلامشاعر او احساس قريب جداا للرجل الالي > هل التوحد مرض عضوي أم نفسي؟ ـ التوحد عبارة عن اضطراب معقد في وظائف الدماغ المسؤولة عن التعامل والتواصل الاجتماعي، وهذا الاضطراب ينتج عن اختلال العلاقة بين مراكز الدماغ المختلفة المسؤولة عن هذه الوظائف. ولا يعرف السبب بالتحديد، لكن هناك نظريات تقول بوجود اسباب عضوية لها علاقة بالنواقل العصبية التي تنقل التعليمات الدماغية داخل مراكز الدماغ المختلفة. وهناك نظريات اخرى تفترض وجود سبب نفسي. وعليه فإن الطب…
Continue reading …All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome when using Acne Treatment Cream: Dryness; feeling of warmth; irritation; itching; peeling; redness; stinging; swelling of the skin. Seek medical attention right away if any of these SEVERE side effects occur when using Acne Treatment Cream: Severe allergic reactions (rash; hives; itching; dizziness; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); excessive burning, itching, redness, or tenderness of your skin; extreme dryness; swelling
Continue reading …الاختصار a.a : المعنى : of each كل الاختصار : .a.c المعنى : before meals قبل وجبات الطعام الاختصار : ad المعنى : up to ; to make حتى الاختصار : .a.d المعنى : right ear الاذن اليمنى الاختصار : .admin المعنى : administer يدير الاختصار : .a.m المعنى : morning الصباح الاختصار : .amp المعنى : ampul امبوله الاختصار : .aq المعنى : water ماء الاختصار : .a.s المعنى : left ear الاذن اليسرى الاختصار : ASA المعنى : aspirin اسبرين الاختصار : ATC المعنى : around the clock حول الساعه الاختصار : .a.u المعنى : each ear كل الآذن الاختصار : .b.i.d المعنى : twice a day مرتين في اليوم الاختصار : BMD المعنى : bone mineral density كثافه العظام المعدنية الاختصار : BM المعنى : bowel movement حركة الامعاء الاختصار : BP المعنى : blood pressure ضغط الدم الاختصار : BS المعنى : blood sugar سكر الدم الاختصار : BSA المعنى : body surface area هيئة المساحه الاختصار : .cap المعنى : capsule كبسوله الاختصار :c .c المعنى : cubic centimeter مكعب السنتيمتر المعنى : CHD الاختصار : coronary heart disease مرض القلب التاجي الاختصار : CHF المعنى : congestive heart failure ازدحامي القلب الفشل الاختصار :…
Continue reading …كثير من الأدوية التي تؤخذ عن طريق الفم يمكن أن تؤثر في العدسات اللاصقة وتشمل التالي: حبوب منع الحمل وخاصة التي تحتوى على محتوى عالي من الاستروجين المهدئات والمنومات ومضادات الحساسية وباسطات العضلات الأدوية التي تقلل إفراز الدموع مثل مضادات الهيستامين …و الفينوثيازين مغلقات مستقبلات البيتا مدرات البول مضادات الاكتئاب وأيضا الأدوية التي تزيد إفراز الدموع مثل الافيدرين والهيدرالازين .. الايزوتريتنوين والذي يستخدم لعلاج حب الشباب يمكن أن يؤدى إلى التهابات في القرنية بريميدون يسبب اوديما في جفن العين الاسبرين حيث يظهر حمض الساليسيلك وهو أحد شقي الاسبرين في الدموع ويمكن امتصاصه بواسطة العدسات اللاصقة مما يؤدى إلى حدوث التهابات ورغبة في الحكة بعض الأدوية التي تغير لون العدسات مثل الريفامبسين والسالفاسالازين
Continue reading …الحمرة او الـ Erysipelas – تنطق بضم حرف الحاء – هي احد الامراض المنتشرة والتي تسببها البكتريا اشهر انواع البكتريا المسببة لهذا المرض هي بكتريا من النوع Streptococcus pyogenes حيث تصيب الجلد بالعدوي كما هو واضح في الصورة السابقة .. وتكون الصورة الظاهرة من هذا المرض هو وجود جزء ملتهب له لون احمر مميز علي الجلد يشعر المريض بالالم عند لمسه … ويصاحب ذلك ارتفاع في درجه الحرارة يصيب هذا النوع من البكتريا اماكن معينة من الجلد اشهرها الوجه – وبالاخص منطقة الخدود – وكذلك القدمين والذراعين حيث تكون الانسجة الدهنية fat tissues الموجوده تحت الجلد هي انسب الاماكن التي تنمو وتتكاثر فيها البكتريا تصل البكتريا الي الجلد عن طريق الجروح الملوثة .. العمليات الجراحيه .. عن طريق الـ minor trauma او وجود ulcer علي الجلد حيث تجد البكتريا الفرصه للنمو والتكاثر … ويكثر هذا المرض في الاشخاص الذين لديهم مناعه ضعيفة وفي مرضي السكر وفي حالات الـ fungal infections Diagnosis :gara7: يتم تشخيص هذه العدوي البكتيرية عن الطرق الشكل واللون المميزين للعدوي وطبيعي جدا ان تحليل الـ ASO ونسبة كرات الدم البيضاء تكون مرتفعه Treatment يتم علاج الـ Erysipelas عن طريق استخدام penicillinase resistant antibiotics مثل الـ salbactam مع الـ ampicillin والمعروف تجاريا…
Continue reading …الطاعون مرض معدٍ قديم تسبب فى كثير من الأوبئة التى حصدت الملايين فى العصور القديمة والوسطى، وكان يسمى بالموت الأسود نظراً لانتشار بقع نزفية منتشرة تحت الجلد من ضمن ما يحدثه من أعراض، ومع ظهور أى وباء جديد قاتل مثل الإيدز يطلقون عليه «طاعون العصر» إشارة لما يمكن أن يسببه من خسائر فى الأرواح، وسبب الطاعون نوع من البكتيريا تسمى «يرسينيا بستس yersenia pestis» نسبة إلى مكتشفها الأول «أليكساندر بستس»، وهذه البكتيريا تحتفظ بها القوارض مثل الفئران، وتتكاثر بداخلها وتنمو، وتنتقل عدواها إلى الإنسان عن طريق البراغيث التي تلدغ الفأر المعدِى ثم تلدغ الإنسان، أو نتيجة عض الفئران المعدية للإنسان بشكل مباشر، أو من إنسان إلى آخر بشكل مباشر أيضاً عن طريق الرذاذ والكحة والعطس في حالة الطاعون الرئوي. وفترة الحضانة ما بين التقاط العدوى وظهور الأعراض المرضية تتراوح ما بين 2 – 6 أيام حسب نوع الطاعون، وهناك ثلاثة أنواع معروفة من الطاعون: 1 – طاعون الغدد الليمفاوية Bubonic plague: ويمثل حوالي 84% من الإصابات بالطاعون، ويحدث عندما يلدغ البرغوث المعدي الإنسان بعد أن يلدغ الفأر المصاب بالعدوى، فينقل إليه عدوى بكتيريا الطاعون، التي تتكاثر وتنتشر في مكان اللدغة، ثم تنتشر عن طريق السائل الليمفاوى إلى الغدد الليمفاوية (الحيل) الموجودة فى هذه المنطقة، ثم الموجودة فى الجسم كله، مما…
Continue reading …اول تحليل..كل مستشفى وعياده لابد وان تعمل هذا التحليل,,تحليل أساااااااسي..لأي مريض سواء حضر للإسعاف او ادخل للتنويم في المستشفى..وقبل دخوله غرفة العمليات وحتى لو أراد الشخص التبرع بالدم يقومون بعمل هذا التحليل له وللمرأة الحامل..وتسمعون هذا المصطلح كثير.. هذا التحليل اسمه سي بي سي اختصارا (Complete Blood Count) C.B.C وترجمته تعني (عد الدم الكامل)..يعطينا صوره كامله للدم ومكوناته… يعني هذا التحليل يشمل قياس مكونات الدم اللي تشمل: R.B.C أوErythrocytes تعني كريات الدم الحمراء W.B.C أو Leukocytes تعني كريات الدم البيضاء Platelets تعني الصفائح الدمويه Hgb أو Hbتعني الهيموجلوبين طبعا في مصطلحات أخرى في هذا التحليل..لكن التي ذكرت هي الأهم والأبرز.. طبعا هذا التحليل نستفيد منه في معرفة حالة دم المريض من فقر الدم..نزيف..عدوى او حساسية مثلا حسب ارتفاع كل مكون من مكونات الدم او انخفاضه.. يستخدم كتشخيص مبدأي للطبيب وعلى أساسه يطلب الطبيب تحاليل أخرى عشان يشخص صح.. ============================== = 2. E.S.R (Erythrocyte Sedimentation Rate) يعني سرعة ترسب الكريات الحمراء..او سرعة ترسب الدم.. هذا التحليل تزيد قيمته في حالات الحمل والدوره الشهريه..والالتهابات مثل السل وامراض المناعه وتقل قيمته في حالات الانيميا المنجليه.. وهذا التحليل لايطلب دائما..وبإلامكان الاستغناء عنه لو استطاع الطبيب التشخيص بدونه.. ============================== 3. BT (Bleeding Time)APTT و PTهذه التحاليل السابقه كلها تقيس وقت تجلط الدم.. يعني تفيد في…
Continue reading …الكلية عضو هام من أعضاء الجسم، وهى تخلص الدم وتنقيه من المواد السامة والمواد الضارة الناتجة من عمليات التمثيل الداخلي وما يزيد على حاجة الجسم من الماء والأملاح ومجموعة هذه المواد يسمى البول. تركيب الجهاز البولي.. ويتكون الجهاز البولي من كليتين، توجد كل منهما فى الجزء العلوي الخلفي من تجويف البطن، يخرج من كل واحدة منها حالب يتجه إلى أسفل، كل حالب ينتهي فى المثانة البولية ويصب فيها البول، وتخرج من المثانة قناة البول التي تنتهي إلى الخارج بفتحة البول. العمل الوظيفي للجهاز البولي النسيج الكلوي مجهز لعملية الاحتفاظ بالمواد المفيدة للجسم والتخلص وإخراج المواد التي قد تؤدي إلى ضرر الجسم مثل.. البولينا وحمض البوليك وغيرها من المواد والأملاح الزائدة مع ضبط كميات المياه فى الجسم، ويخرج الإنسان كمية من البول يومياً تقدر بحوالي 1.5 لتر تقريباً ، وهذه الكمية من البول نتيجة ترشيح حوالي 180 لتراً من السوائل داخل الكلى. وعملية الترشيح تلك تحتاج إلى كمية هائلة من الدم، ولذلك فإن حوالي 20% من الدم الخارج من القلب يتجه إلى داخل النسيج الكلوي، وتعتمد عملية الترشيح على كفاءة الوظيفة. ما هى خطورة أمراض الكلى؟ تكمن خطورة أمراض الكلى أو الجهاز البولي فى تأخر اكتشاف وتشخيص قصورها الوظيفي، وللأسف حتى مع شكوى الإنسان فى بعض الحالات، ولذلك يجب دائماً أن…
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