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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.
- 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.
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.
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!
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 ?
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.
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!!!
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!
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).
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?
I want to avoid degradation of the substance and increase local effect for experiments with mice.
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
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
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
- Is the local effect on hair growth related to the local intracellular blocking of 5Arase resulting in a reduced intracellular availability of DHT?
- 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?
- 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?
- 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?
- 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?
- 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
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 ?
looking for free software or manual equation to find out the combinatorial index of two drugs? Any suggestions??
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.
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.
Are some drugs selectively inhibiting MyD88 and TRIF of TLR4 pathway in "in vivo" experiments?
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??
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.
Simple software for differnt kinetic modles like 1st order, zero order, higuchi model and peppas-korse mayer model etc
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
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?
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.
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.
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.
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?
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.
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!
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?
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?