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I am conducting a study on ethical dilemmas and problems experienced by psychiatric nurses in psychiatric clinics. If psychiatric nurses or nurse educators have stories of ethical dilemmas they have experienced while caring for patients in clinics, I would like to ask them to send me an email/message. Please do not give the names of institutions or people in your stories.
Stories can include the following topics:
- Forced hospitalization,
- Adequacy of the patient,
-Refusal of treatment,
-Suicide attempt,
-Detection and conditions of detection of the patient,
-Use of the patient for drug research,
-Explanation of personality tests,
-Forensic psychiatry,
-Performing ECT on the patient when it is not necessary,
-Keeping or sharing patient information secret,
-Asking for patient information to be shared for non-scientific purposes,
-Discharging patients without treatment for financial reasons,
-Protecting third parties, etc.
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Important project Halil İbrahim Bilkay Wishing you success !
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  • Depending on the statistical power will be the acceptance of a new drug under study.
  • Efficacy and safety clinical trials are the most suitable for investigating new molecules as potential drugs for use in humans.
  • The meta-analysis design, a mathematically summed set of the statistical power of each of the trials, is the strongest if it meets several conditions, including the internal consistency of its calculations in sample size, variances, and weighted alpha and beta values.
  • Items under consideration to calculate the statistical power of a test.
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The clinical trial process is usually very long (to be counted in several years); gaining the statistical power of medical evidence is delayed in 80% of all phases (0-4), because of the usual lack of volunteers.
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The scope of validation of classical formulations in traditional medicine for their effectiveness should be enhanced. the outcome generated through such studies may be utilized for new drug development. the ultimate aim of drug research is the development of the new drugs.
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Yes validation is must
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Within the framework of the purposive sampling phase for a conceptual review on cultural competence in substance use treatment for migrants and ethnic minorities, I'm in search of literature on
- cultural competence
ánd
- substance use treatment
ánd
- aimed at the target group of migrants and ethnic minorities
Thanks in advance for sharing you work!
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Meanwhile, the result of my search has been published in Social Theory and Health, you consult the full article here:
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Dear researchers,
Recently, Researchers have succeeded to capture high resolution image of a molecule showing clearly its shape and chemical bonds through atomic force microscope (AFM)!!! (see attached pic.).
How could such breakthrough atomic-level imaging contribute to boost research at the interface chemistry/biology ?
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It is often the case that a chemical synthesis produces a racemic mixture of products. These can often be separated by chiral chromatography. Perhaps this methodology could be used to decide which fraction has which absolute stereochemistry.
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So recently I have come across these two completely contradictory methods for treating cancer, one solely relying on application of D2R agonists (such as quinpirole) for treatment of lung cancer and the other one (that is recently published) claims the application of D2R antagonists (such as aspimozide and haloperidol) for treatment of pancreatic cancer. It is quite confusing to me how can two totally paradoxic methods have the same effect on the cancerous cells. Can someone guide me on which method is actually useful. 
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This is the way I understand it.
The same chemical that excites a receptor at a low dosage may be considered to block it at a high dosage, potentially. This only works out if the chemical/drug in question has a dopaminergic effect, but less than that produced by the docking of the 'real' dopamine.
If the individual has LOW dopamine, our chemical that fits into the (previously empty) receptor excites it and produces a dopaminergic effect.
If our individual has HIGH dopamine receptor activity, then our chemical can snug into the receptor and prevent dopamine from docking. This decreases the dopaminergic effect, since this chemical has a weaker dopamine-releasing effect than dopamine would have.
Thus a chemical can have opposite effects depending on its dosage.
A second mechanism that may occur is where high doses may desensitize the receptor, leading to an inhibition effect over time. Here's a paper that discusses this in the context of dopamine:
Hope this was helpful!
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I just read news on medscape and found the following status:
The research team is hoping to start trials of a plasminogen activator inhibitor 1 (PAI-1), TM5614, to examine its effects on insulin sensitivity in individuals with type 2 diabetes and obesity.
Knowing that (PAI-1), is a protein involved in blood clotting.
So it is easily to expect bleeding side effect for such drug!!!
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Some coagulation factors are not indispensable for normal hemostasis, such as FXII. I'm not sure for PAI-1, but  it's reported that heterozygote deficiency of PAI-1 has observable side effects. And researchers say Amish people lack the gene of PAI-1, thus they are favorable research subjects...
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This question is specifically asked within the Project called "Treatment of Melanoma Brain Metastases."
Because neurological tissues as well as many forms of skin malignancies will tend to express at least some significant CB1 and CB2 receptors, perhaps using moderate dosing of a safe agonist like Delta 9-THC may be useful?  And consider including evaluation of equivalent to 100-300 mg or oral CBD for humans as well as this is becoming very common among patients.  
I work with both brain cancer patients (mostly Glioblastoma) and many breast cancer patients and they had already chosen to integrate cannabis extracts into their therapies. Because CBD and THC cross the BBB, and does not appear toxic to healthy normal cells, it may be reasonable to consider exploring this with research. I do have one interesting patient who reported using these compounds to treat her ER-PR-HER2+ brain metastases with tremendous success in only 3 months. The Herceptin and Perjeta she was on are too large to cross the BBB, so the situation is dire for her otherwise. Best wishes and thank you for your project!
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OK.  I think it is a good idea.
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I´ve been making a little research about resistance mechanisms in cancer and i got to this question. I thought that maybe this resistance is established by the LD50 of the drug since it would be meaningless to use high concentrations of it if the patients won´t tolerate it or the side effects will overcome the benefits.
I just want to know if there are certain parameters or guidelines to determine if a cell line is resistant to a given drug (e.g. >99% of cell viablity after being exposed to the drug, or something similar).
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In our lab, we follow the protocol in the attached methods article, which includes calculating the fold-resistance. There is a table on page 7 that has cell lines and treatments with a small range of fold-resistance for each which indicates the cells are resistant. Hope this is helpful and good luck with your experiments.
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Such studies for in vitro release are carried out using dialysis membrane. You can use beaker method or Franz diffusion cell
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We conduct drug release study in pure PBS condition. But I have seen people using FBS to do it as well. I am just wondering if I want to mimic the real serum condition to see if my formulation is still stable in that condition, and is able to avoid early release, which concentration of FBS should I use? 
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You can add pen strep in lower concentration..but it may also affect your results of release study because pen strep is simply antibiotic 
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I want to avoid degradation of the substance and increase local effect for experiments with mice.
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I was looking for better spatial distribution control, the drug is 5-MeO-DMT. This drug cross the blood-brain barrier but at low doses without IMAO will not reach their target sites in time to do the desired experimental effect. As we want to evaluate a single dose effect, the i.c.v injection would be more reliable.
I'm willing to start testing different doses in behavioral tests
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We have generated a cell line that is resistant to drug A.  We now want to check for the DRI to compare the parental cell line (sensitive to drug A) to the resistant cell line. I have come across several papers listing DRI=IC50 of resistant/IC50 of sensitive.  Does it matter if the IC50 of parental is achieved at 48 hours, but the resistant cell line at 72 hours?  Example: 1 micromolar of drug A induces 50% growth inhibition 48 hours post-treatment in parental cell line; however, 20 micromolar of drug A induces 50% growth inhibition 72 hours post-treatment in the resistant cell line.  Does that mean that DRI=20? or should the IC50 be obtained at the same timepoint hence, I should increase the concentrations used?
I appreciate your help.
Best,
Patrick 
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DRI needs to be calculated from IC50 values obtained at the same timepoints. Consequently, actual DRI in your example would be higher than 20, because IC50 = 20 uM at 72 hrs in resistant cell line would likely correspond to IC50 > 20 uM at 48 hrs.
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I´m thinking of fentanyl-derivats + methadone or buprenorphine and MDMA, pregabalin + buprenorphin and so on.
The numbers of drug related death are growing again, not only, because of large amounts of relatively cheap heroine, but presumably also because of new psychoactive substances in combination with other drugs and medications. As long as we lean on Immunoassays we even can´t get a solid evaluation on the dimensions of the problem.
Thank you
Chaim
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It is well established that oral finasteride (as Propecia with 1mg dose) can help prevent male pattern hair loss by blocking intracellular conversion  of testosterone to DHT by 5alpha reductase. It is also well established that finasteride does not block the intracellular testosterone receptors. Dutasteride should theoretically work better since it is more efficient in blocking the Type 1 5ARase which are prevalent in scalp hair follicles whereas finasteride blocks this only weakly (compared to Type 2 in the prostate), and experimental evidence does help support this. However dutasteride has a plasma half life of approx 8 days whereas finasteride's half life is a few hours, which may be of concern when preventing libido side effects in young males.
A significant proportion of people report sexual dysfunction on finasteride1mg/day. Sometimes this appears long-lasting and may even be permanent, and has been reported as Post-Finasteride Syndrome. Thus, potentially at least, a topical preparation of finasteride or dutasteride is an attractive idea to prevent the systemic side effects. This has been explored with finasteride-0.1%/minoxidil-5% with reasonable results. However there is less published about the use of topical dutasteride, and it is of concern that with such a long half-life one has to be very careful with the dosing to prevent systemic build-up and concomitant sexual dysfunction, especially since plasma DHT levels do drop with topical application of both finasteride and dutasteride
Either way it seems a reasonable working hypothesis that there is a significantly higher local drug concentration with topical application to the scalp so that one can reduce the systemic drug concentrations and the systemic reduction in DHT
This leads to several questions that I hope the readers may be able to help with in examining the local mode of action and the optimal dose
  1. Is the local effect on hair growth related to the local intracellular blocking of 5Arase resulting in a reduced intracellular availability of DHT?   
  2. Does one need reduced levels of circulating DHT to reduce hair loss, or is the local reduction in intracellular DHT the important driver in reduced hair loss?
  3. Bearing in mind the potential build-up of dutasteride, even when applied topically, does anybody have data on the circulating levels of both DHT and dutasteride/finasteride with different concentrations when applied topically?
  4. Bearing in mind that finasteride/dutasteride do not block the testosterone receptor, is there any place for topical use of antiandrogens such as spironolactone or other more potent therapeutic anti-androgens?
  5. what is the efficacy of 17-alpha estradiol since this is used in some anti-hair loss preparations because it has little or no estrogenic activity?
  6. Is there any experimental work in assessing the efficacy of reduced concentration finasteride to say 0.01%?
Some useful references relating to finasteride/dutasteride are included below
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Sir, with all due respect, in my opinion finasteride does not have any effect on sexual function
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I am preparing liposome with hydrophilic drug. my problem is how to measure the amount of the drug that encapsulating in liposome and how to separate from the aqueous solution? as you know if i use centrifuge the liposome will break and that way  we can't separate the drug that were encapsulated then that were in solution. in same time if i use filtration also, liposome will be break when hit the solid surface and lead to the same direction. so, what would  you suggested me to do ?
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Hi Asim,
The gentler way to "clean" the outer buffer of your liposome suspension is dialysis.
make sure to have the same osmomolarity between the dialysis buffer and your drug solution.
there is plenty of dialysis system available i usually use floatalyzer from Sigma Aldrich.
Another way is to use size exclusion chromatography (de-saltling column) but it yield in a small dilution of your sample.
hope it helped
Regards
Etienne
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looking for free software or manual equation to find out the combinatorial index of two drugs? Any suggestions??
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I am a sociologist.  Either of my coauthors who are pharmacologists may be able to answer your question.  Please contact Dr. Glen Hanson at glen.hanson@pharm.utah.edu.  
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i have two oral cancer cell lines and 3 different drug (cisplatin, docetaxol and 5fu)single resistant sublines of both the cell lines.
Please find the attachment
 Now i am confused how to select the right endogenous control. Should it be Common for all as in row1, or drug based or cell line based?? As I see difference in gene expression based on endogenous control selection.
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Why the genes, always the genes...How about DNase low activity?
See HS Taper references long ago also and Daoust R> Tumor  cells that are resistant have lowest DNase activity as well as RNase activity. Papers are accessible through internet at pubmed and J Histochemistry and Cytochemistry>
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Do you know any study about possible behaviour transitions with in-vitro experiments (specially in multicellular spheroids) when a drug, with different concentrations, is applied? That is, I am not asking about the efficacy of a drug, but the possible effects with different drug concentrations.
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Dear Angel,
The attached review entitled " Three-Dimensional Cell Culture Systems
and Their Applications in Drug Discovery and Cell-Based Biosensors" might be helpful.
Rafik
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Are some drugs selectively inhibiting MyD88 and TRIF of TLR4 pathway in "in vivo" experiments?
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Anitbody neutralization assays have been quite extensively used in cell biology or biochemistry experiments. You may check if any works in animals have been attempted with anti-TLR antibodies. Since immunotherapies exist and since TLRs are located on surface (before activation and internalization), this neutralization strategy in principle should work. 
There is a chemical (peptide based) inhibitor against MyD88, by Invivogen. But they may take long time to synthesize and the compound was out of stock when I inquired them like a year ago. 
You can ask a chemical synthesis company to make the peptide for you instead, since the sequence is known. 
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I am studying efficacy of TB drugs to disseminate in  various organs after drug administration either orally or via IV route. Main aim is to study how much concentration actually reaches the organs after administration for prevention of pulmonary and extra pulmonary TB. Can anyone suggest some good protocols??
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Thanks sir for your valuable information
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Preparation and in vitro, in vivo characterization of elastic liposomes encapsulating cyclodextrin-colchicine complexes for topical delivery of colchicine. Hardevinder Pal Singh, Ashok Kumar Tiwary, Subheet JainDepartment of Pharmaceutical Sciences and Drug Research, Punjabi University, India.
Why are we not using it. Dermatologist use it for keratosis.
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I would not recommend it in gout attacks due to delayed onset if i m not wrong about cyclodextrine function
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Simple software for differnt kinetic modles like 1st order, zero order, higuchi model and peppas-korse mayer model etc
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herewith am attaching the excel file having equation of all model fill the reading of dissolution (drug release) and check the model followed by particular
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I need to study the difference in drug response in mice at different age groups like young, adult and aged. But I found varied classification of this age groups so I need correct classification ....help in this 
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Dear Shamprasad,
In classification methods, knowing the form of the data helps to choose a right classification methods. Since we usually have few information about that, I propose you to check each classifier method on your problem. A software called Weka is created for this purpose. You can download it from below link:
Based on this software, you can test many classifier methods on your dataset, to find the fittest on your problem.
best regards,
Hamid
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The correlation between ADHD and substance use is well known. A few studies and anecdotal evidence suggests that some persons are using cannabis to help manage adhd, e.g. hyperactive and impulsive behaviors. The outcome of a search on pubmed, cannabis-med und google scholar was quiete poor. Can anybody provide consolidated knowledge about this topic?
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By the way, in Germany ADHD is in the TOP 5 diagnoses refer to permissions to buy medical marijuana
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I would be very grateful for any advice on relating drug flux across skin and the permeability co-efficient (Kp).  I find some of the literature data to calculate the Kp confusing to follow.  Many thanks.
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For permeability coefficient calculation, please read the following articles:
Stadelmann 1966. Methods Cell Physiol. 2: 143-216.
Stadelmann 1969. Annu. Rev. Plant Physiol. 20: 585-606.
Stadelmann and Lee-stadelmann 1989. Methods Enzymol. 174:246-266.
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I am performing cytotoxic evaluation of several novel compounds in vitro. Because I am using 4 different cell lines, I am looking for a way to compare response drug compound between cell types. The correct statistical analysis will tell me if compound is more effective in one cell type compared to another.
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You must give more details on your experimental design to allow us to give you the more suited answer. Do you follow the cell count in time or not? Do you start from the same cell culture for all concentrations of your drug or not? How many replicates, in which conditions, and so on...
If you have enough different concentrations for each drug, my guess would be to fit a sigmoidal dose-response model (but if cell count is small, it may not be suited due to the inherent discreteness of the results...) --- the exact method to do this fit will depend on the answers to the above questions, and to complete details about your experiment ---. You can then compare parameters of these curves to have your answer.
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Patients who fail to respond to the atypical anti-psychotics are described in psychiatric orthodoxy as treatment resistant. Is this a failure to understand the alternative diagnoses and drug metabolism? Complex PTSD is an alternative to schizophrenia and many of the symptoms of CPTSD resemble the classic psychoses. These symptoms respond to drug treatments, in particular to 5-HT receptor antagonists. It is therefore reasonable to suggest that failure to respond is due to an incorrect appraisal of the patients illness. Similarly where a patient does not 'respond' to treatment a possibility is their inability to metabolise the drug, rather than the illness itself being treatment resistant.
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Before any drugs or even diagnosis it would be wonderful to see a few simple things eliminated... parasites (especially toxoplasmosis), Lymes disease, Pyroluria, Porphyria, heavy metal exposure, medical and other drug reactions, dental and other infections, sleep deprivation, dehydration, nutritional deficiency and changes such as recent vaccines, nicotine patch use, exposure to toxins or sudden life changes. Three days of rest, safety, talk, sleep, hydration and nutrition before any diagnosis. Then 3 more if positive changes are evident.... During this time blood sugar imbalance, over or under thyroid production, faulty methylation, B vitamin deficiency, histamine excess, adrenal imbalance, acetylcholine imbalance and food allergies can be explored.
What if diagnosis and treatment locks in the symptoms along with life long stigma and loss of hope? Perhaps its all a diagnostic error.... There are many areas of resistance to the psychiatric model of treatment and perhaps for good reason. Common sense has to come back into medicine for it to hold its credibility in an age when patients self diagnose via the internet and the lack of real physical evidence of mental illness continues to elude science.
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One of the effects of exposing in vitro tumour cell lines to chemotherapy drugs is for them to simply pump them out of the cell following signalling from adjacent cells. Is the signalling mechanism related to the chemical structure of the drug or the apoptosis of the signalling cell, or both?
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Depending on the chemical structure of the drug (cationic/anionic) and the specific substrates for the transporters (though not too much is known regarding selectivity and specificities) the activation happens.
Since increased expression levels of apoptosis protein expressions in efflux transporter's activation had been positively correlated so apoptotic signaling mechanisms seem to be related in efflux transport activation. Could be both the structure of the chemical substrate/drug and the apoptotic signaling work synergistically.
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I am using 2% curcumin gel to treat experimental periodontitis. I wanted to assess the acute toxicity and chronic toxicity of this gel used to apply subgingivally in rat model. Please let me know the answer.
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Thank you Mr. Gulam Husain. I am doing the study following OECD guidelines now.
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I plan to test the effect of the invasion with one drug, I just know the transwell and scratch assay, is there other method? Because this drug will inhibit the proliferation of the cells, so how can I avoid this affect when I do transwell assay?
Thanks!
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For transwell assays one usually tries to have non-proliferating cells, so usually it is the best yo use Mitomycic C as written by Ashley Haluck-Kangas or just by serum starvation. I usually serum starve cells overnight before the assay so the proliferation is drastically decreased. Of course, You need to check before with the simple proliferative assay if it works. So, serum starve Your cells or treat them with Mitomycin C, plant them into wells with some space to spare and add Your chemical to some wells, then You will see if it works.
And for the methods - check these books:
the first two are a little older but give a good overwiev of the metodology which does need a very complicated equipment (mostly)
Cell Migration: Developmental Methods and Protocols, ed. Jun-Lin Guan, Methods in Molecular Biology vol. 294
and
Methods in Cell-Matrix Adhesion, ed. Josephine C. Adams, Methods in Cell Biology, vol. 69
and some newer methodology (but needing, e.g., confocal microscope):
Extracellular Matrix Protocols, ed. Aharona Even-Ram, Vira V. Artym, Methods in Molecular Biology vol. 522
Adhesion Protein Protocols, ed. Amanda S. Coutts, Methods in Molecular Biology vol. 1046 (very good chapter about the use of xCELLigence system)
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How does one change a compound of drugs designed to be able to design new compounds to be better than our earlier designed of proteins binding? In other words, what are the criteria that must be considered?
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Thanks
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Many times it is desired to use Brine shrimp toxicity assay for the evaluation of toxicity for any plant extract or drug formulation. What is its utility in place of conventional animal toxicological studies?
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Dear Dr Sachan, some paper suggest that there is correlation between cytotoxicity and brine shrimp lethality in plant extracts. But is better using both bioassays
simultaneously as quality control. Other animal models very useful for toxicity in vitro testing are zebrafish and Caenorhabditis elegans, used for measure liver and kidney toxicity in zebrafish embryos. Such as aquatic toxicity testing. With best regards