快樂小藥師 Im pharmacist nichts glücklich

Jonathan Himmelfarb, M.D., and T. Alp Ikizler, M.D.

N Engl J Med 2010; 363:1833-1845

Roger Kurlan, M.D.

N Engl J Med 2010; 363:2332-2338

新增了增加血壓的藥物

智齒，其實是一個已經退化的器官，有一派學說是說擁有智齒的是進化比較慢的人，新進化的人已經沒有智齒了。

不管真相如何，因為演化是需要很多年才會知道的，所以這個論點就交給未來的人去證實了，

但是我因為智齒長歪了，所以就去拔了。

小更新，增加了兩個新藥

還有修改了一下estrogen receptor的位置

tuapa

1994年03月13日「台中市世界聯合保護動物協會(Taichung Universal Animal Protection Association)」向台中市政府社會局合法登記正式動為合法人民團體。政府立案字號：02-05-138號。我們由一群熱心參予的人士籌組而成，幾年來秉持著一份對生命的執著與熱愛，協助無家可歸的同伴動物重新獲得庇護，希望流浪動物將不再流浪。

之前的是線性的解說，現在改成比較跟生理狀態符合的

最近新增一個藥物：Glycopyrrolate

John V. Fahy, M.D., and Burton F. Dickey, M.D.

之前因為電力的關係，usb3.0始終沒有hub可以使用，不過最近市面上開始出現了：

[Micromedex][01] acetylcysteine 適應症整理

[Micromedex][02]Acetylcysteine適應症整理

[Micromedex][03]Acetylcysteine適應症整理

[Micromedex][04]Acetylcysteine 適應症整理

第22～35

[Micromedex][01] acetylcysteine 適應症整理

[Micromedex][02]Acetylcysteine適應症整理

[Micromedex][03]Acetylcysteine適應症整理

第13～第21

今天去誠品剛好看到的，感覺真甜蜜呢！

最近網路進步，你能已經買了有支援802.11n的ap（無線網路基地台），然後也買了一張可以支援的網卡，但是你知道嗎？

如果你只是這樣插上去，是不會啟動802.11n的。

之前也有跟各位提過脊隨注射：

intrathecal 的藥物與用法

Case Presentation

A 61-year-old white man presents with a history of recent lower extremity pain.

The patient was diagnosed with multiple myeloma 26 months before admission and subsequently received multiple rounds of chemotherapy, including neurotoxic bortezomib and vincristine. He reports increasing bilateral lower extremity pain beginning roughly 6 months earlier, described as burning and numbing in nature. He also complains of severe sensitivity of the plantar aspect of his feet, making ambulation difficult. He has been evaluated by a neurologist and underwent an electromyographic (EMG) scan that demonstrates a mixed peripheral neuropathy and lumbar radiculopathy. Spinal magnetic resonance imaging (MRI) demonstrates multilevel lumbar degeneration. The neurosurgical consult states that the patient is not an operative candidate because of his diffuse disease. In addition, he has a history of cardiomyopathy.

接上篇

[Micromedex][01] acetylcysteine 適應症整理

[Micromedex][02]Acetylcysteine適應症整理

[Micromedex][04]Acetylcysteine 適應症整理
[Micromedex][05]Acetylcysteine適應症整理

這次是第7～第12

接著上一次的文章，這次是第2～第6

Acetylcysteine的功能很多，大家如果還有點印象，可以參考這邊：

1. N-Acetyl-L-Cysteine 用於美白 
   
2. N acetylcysteine對Acetaminophen的中毒治療 
   
3. Acetaminophen與Acetylcysteine併用？
4. 老藥新用：Acetylcysteine預防X光照相術顯影劑之腎毒性

之前也幫大家簡單整理過：

認識 N acetylcysteine

這次我就從幾個資料庫挑出他的適應症給大家參考：

Nature Medicine Volume:16,Pages:1194–1195 Year published: (2010) DOI: doi:10.1038/nm1110-1194 Published online 04 November 2010

In Crohn's disease, immune damage to the gut wall is both induced and modified by the gut microflora, challenging researchers to solve the maze of interactions exploitable for therapeutic benefit. Whether these microbial 'guests' are worsening or helping in this scenario is still open to debate. In 'Bench to Bedside', Warren Strober highlights mice studies showing that certain microbes in the gut have a protective role promoting a shift towards an increased regulatory response that protects from recurrence of the disease. In 'Bedside to Bench', Thomas MacDonald examines how human studies using strategies to block soluble proinflammatory cytokines—despite solid supporting data from animal models—have shown disappointing results compared with therapies that neutralize soluble cytokines but also deplete proinflammatory cells, calling into question whether targeting a single soluble cytokine will ever be useful to treat people with Crohn's disease.

Traumatic brain injury (TBI) is an unfortunately common cause of death and disability among people of all ages. In addition to the primary injury to the brain resulting from the initial impact, a variety of secondary injuries contribute to morbidity stemming in part from high intracranial pressure (ICP) and resultant reductions in cerebral perfusion, leading to ischemia. Therapy to minimize this secondary injury includes ICP management, and a recent trial (Bulger et al, 2010) examined whether rapid administration of hypertonic fluids, a well-known measure that reduces ICP, would lead to better outcomes in TBI patients.

Marcel J. Casavant
Chief, Pharmacology-Toxicology, Nationwide Children's Hospital; Medical Director, Central Ohio Poison Center; Clinical Professor, The Ohio State University Colleges of Medicine and Pharmacy
Jill RK Griffith
Clinical Pharmacist, Mount Carmel West Hospital; Clinical Assistant Professor, The Ohio State University College of Pharmacy

也許你會在一兩次打字時，不小心發現蘋果的鍵盤可以打出奇怪的符號，

是的，蘋果的鍵盤本身就內建了一些簡單的符號。

這個藥物之前就被fda密切關注過：

美國食品藥物管理局(FDA)發布有關止痛藥propoxyphene的過量風險警告，這是一般銷售，並且以Darvon和Darvocet品牌名稱銷售。

上次有跟各位介紹過這個產品：Suile速瘉樂試用心得