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The Influence Of Division Of Amlodipine Tablets On Their Efficacy And Stability, Brunilda Myftari, Enxhi Andrea, Elton Myftari, Ledjan Malaj 2019 University of Medicine, Tirana

The Influence Of Division Of Amlodipine Tablets On Their Efficacy And Stability, Brunilda Myftari, Enxhi Andrea, Elton Myftari, Ledjan Malaj

International Journal of Business and Technology

Tablet division is a widespread phenomenon nowadays in Albania, because of different factors such as the absence of small dosages in the pharmaceutical market, financial reasons etc. The purpose of this study is to identify the positive and negative aspects of tablets division by patients. It aims to show experimentally if the division affects or not, in a significant way the percentage of the active substance. It was selected Amlodipine as a drug for analysis, because of two reasons. First it is used in chronic therapy and second it is part of the List of Reimbursement of Medicines in the ...


Herniated Lumbar Disc And Nursing Care, Besnik Elshani, Salih Krasniqi, Rexhep Gjyliqi 2019 University Clinical Center of Kosova

Herniated Lumbar Disc And Nursing Care, Besnik Elshani, Salih Krasniqi, Rexhep Gjyliqi

International Journal of Business and Technology

Spinal disc herniation, also known as a slipped disc, is a medical condition affecting the spine in which a tear in the outer, fibrous ring of an intervertebral disc allows the soft, central portion to bulge out beyond the damaged outer rings. Disc herniation is usually due to age-related degeneration of the outer ring, known as the anulus fibrosus, although trauma, lifting injuries, or straining have been implicated as well. Tears are almost always postero-lateral (on the back of the sides) owing to the presence of the posterior longitudinal ligament in the spinal canal. Disc herniations are normally a further ...


Synthesis Of Novel Library Of Cyanopyrrolidinyl Beta-Amino Alcohols And Matrine Alkaloids, Xiaotian Chen 2019 Rowan University

Synthesis Of Novel Library Of Cyanopyrrolidinyl Beta-Amino Alcohols And Matrine Alkaloids, Xiaotian Chen

Theses and Dissertations

Cyanopyrrolidines and beta-Amino alcohols are molecular scaffolds that are highly found in commercially available drugs. We developed a multi-step synthetic method to form a novel library of compounds as inhibitors that share both scaffolds toward potent and selective diabetes therapeutics. Despite the ease for the synthesis of Cyanopyrrolidines, the difficulty of forming high selective beta-Amino alcohols is challenging. We successfully find the best condition for the preference of highly selective mono-alkylation and double-alkylation products and produce them with high yield.

Matrine is an alkaloid found in plants from the genus Sophora and can produce some pharmacological effects such as anti-cancer ...


Jual Obat Aborsi Cod Pekanbaru 082123455673 | Obat Aborsi Asli Pekanbaru, agen obat aborsi asli 3 jam 2019 University of South Carolina - Beaufort

Jual Obat Aborsi Cytotec Jambi 082123455673 | Obat Aborsi Jambi, dr clarinta SpOG 2019 University of California, San Francisco

Jual Obat Aborsi Semarang 082123455673 | Penjual Obat Penggugur Semarang, clarinta 3 2019 University of California, San Francisco

Jual Obat Aborsi Cytotec Tablet Bali 082123455673 | Obat Aborsi Bali, Dr Clarinta spog 2019 University of California, San Francisco

Jual Obat Aborsi Balikpapan 082123455673 | Obat Telat Bulan Di Balikpapan, Dr Clarinta spog 2 2019 University of California, San Francisco

Obat Pelancar Haid Yang Aman Tanpa Efek Samping Sembuh Dengan Cepat, User Id 2019 University of California, San Francisco

Obat Pelancar Haid Yang Aman Tanpa Efek Samping Sembuh Dengan Cepat, User Id

Rizky Herbal

Menstruasi tidak lancar atau menstruasi tidak teratur, adalah kondisi ketika siklus menstruasi menjadi lebih lambat, lebih cepat, lewat beberapa bulan, atau bahkan tidak terjadi sama sekali. Menstruasi adalah proses luruhnya dinding rahim yang disertai dengan perdarahan, biasanya terjadi selama 3-7 hari. Sewajarnya siklus menstruasi terjadi setiap 28-36 hari dan berlangsung sebanyak 11-13 kali dalam satu tahun. Tiap wanita mengalami siklus menstruasi yang berbeda-beda, bisa lebih pendek atau lebih panjang.

Apa yang Menyebabkan Menstruasi Tidak Lancar?

Berikut ini adalah beberapa hal yang bisa menjadi penyebab menstruasi yang tidak lancar atau tidak teratur, antara lain:

  • Menopause. Menjelang menopause, menstruasi bisa menjadi tidak ...


How Can Nurses Drive Technologies Of Healthcare In The Asia-Pacific, Joseph Andrew T. Pepito, Rozzano C. Locsin 2019 University of the Visayas

How Can Nurses Drive Technologies Of Healthcare In The Asia-Pacific, Joseph Andrew T. Pepito, Rozzano C. Locsin

Asian / Pacific Island Nursing Journal

The Asia-Pacific healthcare industry is expected to grow at 11.1% in 2018. This has been considered one of the fastest growing regions in the world. The positive growth occurring in the Asia-Pacific region is due to the increasing adoption of technology. While it is understood that technology drives advances in nursing and the health sciences, would it be possible that nursing can or will also drive technological advancements in human caring? All too often, nurses are employed in health care as simply the end-users of technologies. It is the purpose of this paper to engage a discourse towards advancing ...


Susceptibility To Type 2 Diabetes Mellitus In Hepatitis C Patients: A Systematic Review, Jiani Yu 2019 University of Lynchburg

Susceptibility To Type 2 Diabetes Mellitus In Hepatitis C Patients: A Systematic Review, Jiani Yu

Lynchburg Journal of Medical Science

Importance: Hepatitis C is a disease that leads to many chronic extrahepatic conditions. The establishment of the connection between hepatitis C infection and diabetes mellitus may help to change the current practice protocol and better manage both conditions.

Objective: To investigate the relationship between hepatitis C and diabetes mellitus to establish a correlation to change clinical practice.

Evidence Review: a systematic review of English-language literature on Pub-Med published in the last five years to identify articles related to hepatitis C and diabetes mellitus in adults.

Conclusion and Relevance: Multiple pieces of researches support the linkage between hepatitis C infection and ...


The Evolution Of Next Generation Sequencing In Colorectal Cancer: Advances, Applications, And Outcomes, Maria Wood 2019 Lynchburg University

The Evolution Of Next Generation Sequencing In Colorectal Cancer: Advances, Applications, And Outcomes, Maria Wood

Lynchburg Journal of Medical Science

Colorectal cancer is the second leading cause of cancer death among men and women in the United States, with an estimated 135, 430 new cases diagnosed in 2017. More than 50,260 perished from colorectal cancer in the past year alone. Though it is a highly preventable disease with available screening technologies like colonoscopy and fecal occult blood testing, incidence and prevalence remain high. This leaves the oncology team with the daunting task of disease management, where toxicities have the potential to be as debilitating as the disease. Adjuvant chemotherapy, as indicated by the volume of documented colorectal cancer deaths ...


The Effectiveness Of Tai Chi In Improving Motor And Non-Motor Symptoms Of Parkinson’S Disease: A Narrative Review, Ukeme Umoren 2019 University of Lynchburg, Virginia

The Effectiveness Of Tai Chi In Improving Motor And Non-Motor Symptoms Of Parkinson’S Disease: A Narrative Review, Ukeme Umoren

Lynchburg Journal of Medical Science

Parkinson’s disease (PD) is a progressive neurodegenerative disorder that results in motor and non-motor disability. Without therapy, PD progresses to a stiff, akinetic condition in which patients are not able to care for themselves. Complications of immobility may result in death due to aspiration pneumonia and pulmonary embolism.1 Increasing attention is being paid to the significance of morbidity associated with motor and non-motor dysfunction from Parkinson’s disease and their connection. Practitioners of conventional Western medicine tend to address and typically manage each symptom separately and one at a time. For example, a PD patient may be prescribed ...


Guideline To Sleep Disorder Consultation, Don O. Williams Sr 2019 University of Lynchburg

Guideline To Sleep Disorder Consultation, Don O. Williams Sr

Lynchburg Journal of Medical Science

Is it because of a sleep disorder? Due to the increasing complaints of sleep-related issues and the severe consequences untreated sleep disorders may cause, it is imperative to know how to identify sleep disorders and when to consult a sleep specialist. On average there are 50-70 million adults in the United States that have sleep-related disorders.1 There are several sleep disorders, but the most common are Insomnia and Sleep Disordered Breathing, (Apnea / Hypopnea). The prevalence of common sleep disorders are, Insomnia 10-30%; Sleep Apnea 5%; Restless Leg Syndrome (RLS) 10% and Narcolepsy 0.05%. Most commonly diagnosed disorders of ...


The Opioid Crisis In America As It Effects Health Care Professionals, Patients, And The Economy, dale russell 2019 University of Lynchburg

The Opioid Crisis In America As It Effects Health Care Professionals, Patients, And The Economy, Dale Russell

Lynchburg Journal of Medical Science

Abstract

There is a growing concern in America over the increasing morbidity and mortality associated

with the use and abuse of opioid pain relievers. This alarming increase has led to the term

“crisis” when referring to these facts. Addressing this crisis is multi-focused. The need to prevent

and treat opioid addiction is on the forefront. These needs are seen in both the prescription of

opioids as well as the illicit use of non-prescription opioids. Overprescribing opioids has led to

an increase of abuse and addiction to these substances. This in turn has led to a rise in street use

of ...


Topical Anesthesia In The Reduction Of Pain Perception In Cosmetic Injections, Michele Rivard 2019 University of Lynchburg

Topical Anesthesia In The Reduction Of Pain Perception In Cosmetic Injections, Michele Rivard

Lynchburg Journal of Medical Science

Background:

In 2017 in the United States, over 7.2 million treatments were performed utilizing botulinum toxin type A injections. Varieties of methods are available to improve pain perception during these procedures with little information available on which is superior or preferred by patients.

Methods:

A randomized controlled study was performed to evaluate if one type of topical anesthesia was superior to another to provide reduction in pain perception for those receiving botulinum toxin type A injections into the lateral canthus region. 45 patients were randomized into 1 of 3 groups. The injection area was treated with: a cold gel ...


“Was It Something I Said?” Patient Adherence And Outcomes Improvement Through Enhancement Of The Patient-Provider Interaction, Veronica Rigler 2019 Lynchburg

“Was It Something I Said?” Patient Adherence And Outcomes Improvement Through Enhancement Of The Patient-Provider Interaction, Veronica Rigler

Lynchburg Journal of Medical Science

Implications of medical nonadherence are far reaching and impact all facets of the health care system. Consequences of nonadherence affect features of financial burden, psychological burden, psychosocial disadvantage, and physical detriment. Patient, provider, and cost should be considered during the development and execution of medical planning on the individual patient level as well as on the grand-scale healthcare performance level. This article is a review of available literature pertaining to initiating improvement aimed at provider dependent barriers to patient adherence. Through gaining an understanding of how a provider could negatively influence the adherence of a patient to a prescribed plan ...


An Intravenous Fluid Primer For Physician Assistants In The Emergency Department, Barry Quesnel 2019 University of Lynchburg

An Intravenous Fluid Primer For Physician Assistants In The Emergency Department, Barry Quesnel

Lynchburg Journal of Medical Science

As more physician assistants (PAs) choose emergency medicine as a new career choice, it is imperative that their ongoing training after graduation continues so that they may learn the importance of knowing how to take care critically ill patients. In many instances, whether it be PAs wanting a change of clinical practice, or newly minted ones wishing a future in Emergency Medicine (EM), all face a challenge of knowing when to utilize intravenous (IV) fluids employing sound clinical knowledge. In EM, that lack of knowledge has proven to affect the clinical outcomes of our patients. The problem is not one ...


Therapeutic Potential Of Fecal Microbiota Transplant In The Treatment Of Obesity, Michelle Petropoulos 2019 University of Lynchburg

Therapeutic Potential Of Fecal Microbiota Transplant In The Treatment Of Obesity, Michelle Petropoulos

Lynchburg Journal of Medical Science

Obesity is a worldwide epidemic with physical, emotional and economic strain. The associated multitude of comorbidities exacerbate the economic burden this disease has on the healthcare system, yet struggle persists in the endeavor to find successful treatment options and understand all facets of metabolism. While it is known that the human microbiome impacts disease, until recently this has not been sufficiently studied. The gut microbiome is further becoming identified as a metabolic organ having a significant impact on host metabolism. Lean individuals harbor a more diverse microbiota, extracting less energy from food sources. In contrast, an obese individuals’ microbiota is ...


The Role Of Curcumin In Inflammatory Pathogenesis And The Benefits In Treatment Of Osteoarthritis, Alena V. Moreno 2019 University of Lynchburg

The Role Of Curcumin In Inflammatory Pathogenesis And The Benefits In Treatment Of Osteoarthritis, Alena V. Moreno

Lynchburg Journal of Medical Science

Curcumin is a perennial herb that originated in India, and its scientific name is Curcuma longa that belongs to the Zingiberaceae family. The active ingredients in turmeric are demethoxycurcumin, bisdemethoxycurcumin, and the particularly important compound is curcumin polyphenols. Curcumin has been recognized as a polyphenolic compound that has antioxidant, anti-inflammatory, anti-tumor, anti-diabetic, immunomodulatory and anti-depressant abilities, and may counteract underlying cellular mechanisms which that frequently lead to oxidative stress and inflammation that plays a significant part in OA pathogenesis. The main factors responsible for cartilage degeneration are interleukin- one (IL-1) and tumor necrosis factor-alpha (TNF-alpha).13 These factors are responsible ...


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