Neurotransmitters are chemical messengers that transmit signals between neurons. The document discusses the major categories of neurotransmitters including amino acids, biogenic amines, neuropeptides, and others. It describes the processes involved in neurotransmission such as biosynthesis, storage, transport, and receptor binding. The summary focuses on some of the key neurotransmitters and includes:
1. Glutamate and GABA are the major excitatory and inhibitory amino acid neurotransmitters respectively. They act through ionotropic and metabotropic receptors.
2. Dopamine, norepinephrine, and serotonin are examples of biogenic amines that have modulatory functions. Dopamine is involved in reward and motivation while norepinephrine influences
The document discusses neurotransmitters and their role in neurotransmission. It describes the key processes involved, including biosynthesis, storage, transport, release, binding to receptors, and reuptake. It categorizes neurotransmitters and provides examples, such as amino acids like glutamate and GABA, biogenic amines like dopamine and serotonin, and neuropeptides like endorphins. It discusses the different types of receptors, including ionotropic and metabotropic receptors. It then focuses on specific neurotransmitters, describing their functions, pathways, and involvement with various drugs and conditions.
???????? - Dopamine transporter in ADHD & Alcohol intakemothersafe
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Dopamine transporter (DAT) plays a key role in regulating dopamine levels in the brain. DAT is implicated in attention deficit hyperactivity disorder (ADHD) and the mechanisms of ADHD medications in several ways: 1) ADHD medications target DAT to indirectly activate dopamine receptors, 2) DAT gene is associated with ADHD, and 3) abnormal DAT levels have been found in ADHD patients' brains. Understanding the role of DAT may provide insights into the pathophysiology of ADHD and how medications work.
This document discusses antipsychotic/neuroleptic drugs used to treat psychosis and schizophrenia. It covers:
1. The etiology and symptoms of conditions treated, including schizophrenia, psychosis, and bipolar disorder. Positive symptoms respond to treatment while negative symptoms are less responsive.
2. The proposed neurochemical bases involving dopamine, serotonin, and glutamate systems. Antipsychotics work by blocking dopamine D2 receptors in the brain.
3. Details of typical antipsychotics including phenothiazines, butyrophenones, and thioxanthenes. Newer atypical antipsychotics like clozapine, risperidone, and olanzapine are also mentioned
Neurotransmitters are endogenous chemicals that transmit signals between neurons. The major categories are small-molecule neurotransmitters like acetylcholine and amino acids, and large peptides. They act on ligand-gated ion channels or G protein-coupled receptors. After release, they are typically removed from the synapse by reuptake back into the presynaptic neuron or breakdown by enzymes. Examples include acetylcholine, which activates nicotinic and muscarinic receptors, and glutamate, the main excitatory neurotransmitter in the brain. GABA is the primary inhibitory neurotransmitter and binds GABAA/B/C receptors. Neuropeptides are longer amino acid chains that modulate synaptic transmission.
The document discusses neurotransmitters and how psychoactive drugs affect neurons. It describes the major neurotransmitters in the brain and their functions. It explains how drugs can act as agonists or antagonists at neurotransmitter receptors. Psychoactive drugs are divided into those that relieve severe symptoms like schizophrenia and depression, and those that alter consciousness like nicotine, alcohol, and other recreational drugs. Tolerances can develop with repeated drug use as the body and brain adapt.
There are three main categories of cellular receptors discussed in the document:
1) Ionotropic receptors which are ligand-gated ion channels that produce fast responses. Examples include glutamate and GABA receptors.
2) G protein-coupled receptors which signal through secondary messengers and produce slower responses. Examples include neuromodulators.
3) Intracellular receptors which act as transcription factors and influence gene expression.
The document also discusses signaling pathways downstream of receptors including protein kinases, transcription factors, and long-term changes in neuronal function mediated by phosphorylation of proteins like CREB.
Neurotransmitters are chemical messengers that your body can't function without. Their job is to carry chemical signals (“messages”) from one neuron (nerve cell) to the next target cell. The next target cell can be another nerve cell, a muscle cell or a gland.
This lecture introduces the principles of neuropharmacology and the chemical signaling systems of the central nervous system (CNS). The key learning objectives are to understand the importance of neuropharmacology, explain the chemical signaling in the CNS, describe the targets of drug action and the role of the blood brain barrier. It then discusses the major neurotransmitters of the CNS including glutamate, GABA, glycine, noradrenaline, dopamine, serotonin, acetylcholine and histamine. It explains the synthesis, mechanisms and functions of each neurotransmitter and examples of drugs that act on their receptors.
Neurotransmitters are chemical messengers that transmit signals between neurons. The document discusses several major neurotransmitters - acetylcholine, serotonin, histamine, glutamate, GABA, glycine, aspartate, dopamine, and norepinephrine. It describes the receptors they act on, whether they are excitatory or inhibitory, their roles in various body systems and mental processes, and how imbalances can relate to conditions like depression, anxiety, and Parkinson's disease. The document also mentions neuropeptides like endorphins that modulate pain, and recent research exploring links between brain and urinary neurotransmitter levels.
CNS introduction and antipsychotics.pptxAmitSherawat2
?
How do you get rid of ulcers on your legs?
occlusive (air- and water-tight) dressings – ulcers heal better when they are covered. These dressings should be changed weekly. compression treatment – boosts internal pressure, using either elasticised bandages or stockings. This is particularly effective if multiple layers are used.
NEUROTRANSMITTERS final presentation-1-1.pptxASHISH KUMAR
?
This document summarizes neurotransmitters implicated in psychiatry. It begins with an introduction to neurotransmitters and their classification. It then discusses individual neurotransmitters in more detail, including dopamine, serotonin, norepinephrine, acetylcholine, glutamate, GABA, and endorphins. For each neurotransmitter, it describes key pathways in the brain, receptor subtypes, and implications for psychiatric conditions such as mood disorders, psychosis, anxiety, and substance use disorder. The document provides an overview of current understanding of how various neurotransmitter systems contribute to major mental illnesses.
This document discusses neurotransmitters and neuromodulators in the central nervous system. It describes how neurotransmitters transmit signals across synapses and provides examples of small molecule and large molecule transmitters. The major neurotransmitters discussed include amino acids like GABA, glycine, and glutamate, acetylcholine, and monoamines like dopamine, norepinephrine, epinephrine, histamine, and serotonin. It outlines the synthesis, storage, release, and termination of these neurotransmitters. Receptor types are also summarized.
The document discusses neurotransmitters and their roles in the nervous system. It outlines the criteria for classifying a molecule as a neurotransmitter, identifies major types of neurotransmitters including amino acids, amines, and peptides. It describes the mechanism of neurotransmitter release and action, and discusses clinical disorders that can arise from disruptions in neurotransmitter metabolism such as Parkinson's disease, schizophrenia, and addiction.
Monoamine neurotransmitters include catecholamines like dopamine, norepinephrine, and epinephrine as well as indoleamines like serotonin. They are produced in different areas of the body and brain and act through a variety of receptors. They are packaged into vesicles and released at synapses before being recycled or broken down. Deficiencies or imbalances of these neurotransmitters can lead to disorders like Parkinson's disease which results from loss of dopamine-producing neurons in the substantia nigra.
This document discusses gamma-aminobutyric acid (GABA), the main inhibitory neurotransmitter in the central nervous system. It describes GABA's discovery in the 19th century and identification as an amino acid in mouse brain in the 20th century. GABA is synthesized from glutamic acid and acts on two main receptor types, GABAA and GABAB. Many sedative drugs such as barbiturates and benzodiazepines activate the GABAA receptor. The document also briefly outlines GABA's functions, storage/release mechanism, and examples of drugs that act on GABA receptors.
Opioid pharmacology - A comprehensive subject seminar on OpioidsRohan Kolla
?
This document provides an outline and overview of opioid pharmacology. It begins with definitions of terms like opioids and opiates. It then discusses the history of opioid use from ancient times through modern drug development. The endogenous opioid system and opioid receptors are described. The pharmacokinetics, pharmacological effects, and clinical uses of various opioids like morphine, fentanyl, methadone, and antagonists are summarized. The document covers both central and peripheral effects of opioids on systems like the nervous, cardiovascular, immune, and gastrointestinal systems. Classification and guidelines for use of opioids in pain management are also mentioned.
The document discusses neurotransmitters in the central nervous system. It defines the central nervous system and peripheral nervous system. Neurotransmitters are chemical messengers that transmit signals between neurons. The major neurotransmitters in the central nervous system are amino acids like glutamate and GABA, and amines like dopamine, serotonin, and acetylcholine. Neurotransmitters are synthesized and stored in neurons, then released into the synaptic cleft to activate receptors on the receiving neuron. This activation can be excitatory or inhibitory. The document discusses the synthesis, receptors, and functions of several important neurotransmitters like GABA, glutamate, dopamine, and acetylcholine.
This document discusses antipsychotic drugs. It provides details on their mechanisms of action, classifications, and side effects. The main points are:
- Antipsychotics work by blocking dopamine D2 receptors in the brain, though some newer atypical antipsychotics also target serotonin receptors.
- They are classified as either typical (first generation) which are highly selective for D2 receptors, or atypical (second generation) which have actions at additional receptor sites like serotonin.
- Side effects of typical antipsychotics include extrapyramidal symptoms like acute dystonias from D2 receptor blockade, as well as potentially irreversible tardive dyskinesia from prolonged use.
Neurohumoral Transmission in central nervous systemSONALPANDE5
?
Neurohumoral transmission in the central nervous system involves four main processes:
1) Neurotransmitters transmit signals across synapses. 2) Neuromodulators produce slower pre- or post-synaptic responses. 3) Neuromediators play a role in eliciting post-synaptic responses. 4) Neurotropic factors regulate neuronal growth and morphology.
Dopamine is a key neurotransmitter in the central nervous system. It is synthesized from tyrosine and functions in motor control, reward, and other behaviors. Dopamine receptors are G-protein coupled and include D1-like and D2-like families. Dopamine pathways project from midbrain regions to other areas and are involved in motor control and reward
Glutamate is the major excitatory neurotransmitter in the central nervous system. It is present at approximately 80% of brain synapses, especially at dendritic spines.
Glycine is an inhibitory neurotransmitter in the central nervous system.
GABA (gamma-aminobutyric acid) is the primary inhibitory neurotransmitter in the mammalian central nervous system.
Lecture 6 from a college level neuropharmacology course taught in the spring 2012 semester by Brian J. Piper, Ph.D. (psy391@gmail.com) at Willamette University. Includes neurotransmitter release, reuptake, and inactivation
- The document discusses the physiology of synapses, neurotransmitters, and the neuromuscular junction. It describes the basic structure and function of chemical synapses between neurons.
- The key types of neurotransmitters are described, including acetylcholine, norepinephrine, dopamine, GABA, glycine, glutamate, serotonin, and histamine. Their receptors and effects on excitation or inhibition are summarized.
- The neuromuscular junction is discussed as a specialized chemical synapse, with acetylcholine as the neurotransmitter that binds to nicotinic receptors and causes muscle fiber depolarization.
Neurotransmitters are chemical messengers that help communicate between neurons or neurons and muscles. They are classified based on their composition into small molecule transmitters like acetylcholine, amines such as dopamine and serotonin, amino acids like glutamate and GABA, and peptide or gas transmitters. Receptors are also classified as ionotropic, which allow ion flow when activated by a neurotransmitter, or metabotropic, which initiate intracellular responses. Common excitatory neurotransmitters include glutamate and acetylcholine, while inhibitory ones include GABA and glycine. Together, neurotransmitters and receptors facilitate both excitation and inhibition in the nervous system to regulate functions like movement, mood, and learning.
Our expert team in Fetal Imaging Institute and gynecological care , beyond medical excellence, we offer compassionate counseling and support for prospective parents. We focus on high-quality care for high-risk pregnancies, including early detection of Down syndrome and other conditions.
Top 5 Sexologists in Delhi 2025 | Best Experts in Sexual HealthPawan Kumar
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Looking for the best sexologists in Delhi? Discover the top 5 experts in sexual health for 2025, specializing in erectile dysfunction, premature ejaculation, low libido, and holistic treatments. Get expert guidance and personalized care today!
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Neurotransmitters are chemical messengers that transmit signals between neurons. The document discusses several major neurotransmitters - acetylcholine, serotonin, histamine, glutamate, GABA, glycine, aspartate, dopamine, and norepinephrine. It describes the receptors they act on, whether they are excitatory or inhibitory, their roles in various body systems and mental processes, and how imbalances can relate to conditions like depression, anxiety, and Parkinson's disease. The document also mentions neuropeptides like endorphins that modulate pain, and recent research exploring links between brain and urinary neurotransmitter levels.
CNS introduction and antipsychotics.pptxAmitSherawat2
?
How do you get rid of ulcers on your legs?
occlusive (air- and water-tight) dressings – ulcers heal better when they are covered. These dressings should be changed weekly. compression treatment – boosts internal pressure, using either elasticised bandages or stockings. This is particularly effective if multiple layers are used.
NEUROTRANSMITTERS final presentation-1-1.pptxASHISH KUMAR
?
This document summarizes neurotransmitters implicated in psychiatry. It begins with an introduction to neurotransmitters and their classification. It then discusses individual neurotransmitters in more detail, including dopamine, serotonin, norepinephrine, acetylcholine, glutamate, GABA, and endorphins. For each neurotransmitter, it describes key pathways in the brain, receptor subtypes, and implications for psychiatric conditions such as mood disorders, psychosis, anxiety, and substance use disorder. The document provides an overview of current understanding of how various neurotransmitter systems contribute to major mental illnesses.
This document discusses neurotransmitters and neuromodulators in the central nervous system. It describes how neurotransmitters transmit signals across synapses and provides examples of small molecule and large molecule transmitters. The major neurotransmitters discussed include amino acids like GABA, glycine, and glutamate, acetylcholine, and monoamines like dopamine, norepinephrine, epinephrine, histamine, and serotonin. It outlines the synthesis, storage, release, and termination of these neurotransmitters. Receptor types are also summarized.
The document discusses neurotransmitters and their roles in the nervous system. It outlines the criteria for classifying a molecule as a neurotransmitter, identifies major types of neurotransmitters including amino acids, amines, and peptides. It describes the mechanism of neurotransmitter release and action, and discusses clinical disorders that can arise from disruptions in neurotransmitter metabolism such as Parkinson's disease, schizophrenia, and addiction.
Monoamine neurotransmitters include catecholamines like dopamine, norepinephrine, and epinephrine as well as indoleamines like serotonin. They are produced in different areas of the body and brain and act through a variety of receptors. They are packaged into vesicles and released at synapses before being recycled or broken down. Deficiencies or imbalances of these neurotransmitters can lead to disorders like Parkinson's disease which results from loss of dopamine-producing neurons in the substantia nigra.
This document discusses gamma-aminobutyric acid (GABA), the main inhibitory neurotransmitter in the central nervous system. It describes GABA's discovery in the 19th century and identification as an amino acid in mouse brain in the 20th century. GABA is synthesized from glutamic acid and acts on two main receptor types, GABAA and GABAB. Many sedative drugs such as barbiturates and benzodiazepines activate the GABAA receptor. The document also briefly outlines GABA's functions, storage/release mechanism, and examples of drugs that act on GABA receptors.
Opioid pharmacology - A comprehensive subject seminar on OpioidsRohan Kolla
?
This document provides an outline and overview of opioid pharmacology. It begins with definitions of terms like opioids and opiates. It then discusses the history of opioid use from ancient times through modern drug development. The endogenous opioid system and opioid receptors are described. The pharmacokinetics, pharmacological effects, and clinical uses of various opioids like morphine, fentanyl, methadone, and antagonists are summarized. The document covers both central and peripheral effects of opioids on systems like the nervous, cardiovascular, immune, and gastrointestinal systems. Classification and guidelines for use of opioids in pain management are also mentioned.
The document discusses neurotransmitters in the central nervous system. It defines the central nervous system and peripheral nervous system. Neurotransmitters are chemical messengers that transmit signals between neurons. The major neurotransmitters in the central nervous system are amino acids like glutamate and GABA, and amines like dopamine, serotonin, and acetylcholine. Neurotransmitters are synthesized and stored in neurons, then released into the synaptic cleft to activate receptors on the receiving neuron. This activation can be excitatory or inhibitory. The document discusses the synthesis, receptors, and functions of several important neurotransmitters like GABA, glutamate, dopamine, and acetylcholine.
This document discusses antipsychotic drugs. It provides details on their mechanisms of action, classifications, and side effects. The main points are:
- Antipsychotics work by blocking dopamine D2 receptors in the brain, though some newer atypical antipsychotics also target serotonin receptors.
- They are classified as either typical (first generation) which are highly selective for D2 receptors, or atypical (second generation) which have actions at additional receptor sites like serotonin.
- Side effects of typical antipsychotics include extrapyramidal symptoms like acute dystonias from D2 receptor blockade, as well as potentially irreversible tardive dyskinesia from prolonged use.
Neurohumoral Transmission in central nervous systemSONALPANDE5
?
Neurohumoral transmission in the central nervous system involves four main processes:
1) Neurotransmitters transmit signals across synapses. 2) Neuromodulators produce slower pre- or post-synaptic responses. 3) Neuromediators play a role in eliciting post-synaptic responses. 4) Neurotropic factors regulate neuronal growth and morphology.
Dopamine is a key neurotransmitter in the central nervous system. It is synthesized from tyrosine and functions in motor control, reward, and other behaviors. Dopamine receptors are G-protein coupled and include D1-like and D2-like families. Dopamine pathways project from midbrain regions to other areas and are involved in motor control and reward
Glutamate is the major excitatory neurotransmitter in the central nervous system. It is present at approximately 80% of brain synapses, especially at dendritic spines.
Glycine is an inhibitory neurotransmitter in the central nervous system.
GABA (gamma-aminobutyric acid) is the primary inhibitory neurotransmitter in the mammalian central nervous system.
Lecture 6 from a college level neuropharmacology course taught in the spring 2012 semester by Brian J. Piper, Ph.D. (psy391@gmail.com) at Willamette University. Includes neurotransmitter release, reuptake, and inactivation
- The document discusses the physiology of synapses, neurotransmitters, and the neuromuscular junction. It describes the basic structure and function of chemical synapses between neurons.
- The key types of neurotransmitters are described, including acetylcholine, norepinephrine, dopamine, GABA, glycine, glutamate, serotonin, and histamine. Their receptors and effects on excitation or inhibition are summarized.
- The neuromuscular junction is discussed as a specialized chemical synapse, with acetylcholine as the neurotransmitter that binds to nicotinic receptors and causes muscle fiber depolarization.
Neurotransmitters are chemical messengers that help communicate between neurons or neurons and muscles. They are classified based on their composition into small molecule transmitters like acetylcholine, amines such as dopamine and serotonin, amino acids like glutamate and GABA, and peptide or gas transmitters. Receptors are also classified as ionotropic, which allow ion flow when activated by a neurotransmitter, or metabotropic, which initiate intracellular responses. Common excitatory neurotransmitters include glutamate and acetylcholine, while inhibitory ones include GABA and glycine. Together, neurotransmitters and receptors facilitate both excitation and inhibition in the nervous system to regulate functions like movement, mood, and learning.
Our expert team in Fetal Imaging Institute and gynecological care , beyond medical excellence, we offer compassionate counseling and support for prospective parents. We focus on high-quality care for high-risk pregnancies, including early detection of Down syndrome and other conditions.
Top 5 Sexologists in Delhi 2025 | Best Experts in Sexual HealthPawan Kumar
?
Looking for the best sexologists in Delhi? Discover the top 5 experts in sexual health for 2025, specializing in erectile dysfunction, premature ejaculation, low libido, and holistic treatments. Get expert guidance and personalized care today!
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2. 留信认证对就业的好处
提高竞争力:通过留信认证,尤其是对你所学专业的认证,可以大大提高你在国内求职时的竞争力。许多公司对留学生背景和所学专业有很高的要求,认证后的信息能够帮助公司快速识别符合条件的候选人。
增强信任度:公司往往会对没有认证的学历背景产生疑虑,而留信认证为你的学历背景提供了第三方权威机构的背书,增强了雇主的信任。
At #MWC2025, we presented "Local Rural Practices of the Future", a visionary project designed to enhance healthcare access in rural areas through telemedicine, AI, telemonitoring, and point-of-care (PoC) analysis. By integrating these digital health solutions, we aim to improve patient care, reduce unnecessary travel, and support healthcare professionals in remote settings.
Tran Quoc Bao: The Visionary Healthcare Leader Redefining Industry StandardsIgnite Capital
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Tran Quoc Bao is a name that resonates powerfully within the healthcare industry, known not only for his leadership but also for his ability to harness the power of social media to drive change. As the Best and Most Influential Healthcare Leader in Vietnam, Bao’s career is a testament to the idea that innovation and compassion can coexist in the healthcare sector, creating lasting impact for both businesses and patients alike.
With a Social Selling Index (SSI) of 60 on LinkedIn, Bao demonstrates a mastery of digital engagement that sets him apart in an industry often slow to adopt change. His score, a reflection of his strong personal brand, is not just about numbers—it represents a deeper commitment to connecting with others, building meaningful relationships, and leveraging those relationships to drive real-world results. In an age where online networking is key to success, Bao has made social selling a cornerstone of his leadership approach.
His journey began with a passion for improving healthcare systems and a deep desire to help those in need. Over the years, he built a reputation as someone who combines sharp business acumen with a profound understanding of patient care. But it wasn’t just about providing exceptional services—it was about making healthcare accessible and sustainable for the communities he served. Bao’s innovative solutions have made a significant difference in countless lives, and his forward-thinking strategies have reshaped the way healthcare leaders engage with both their teams and their patients.
What makes Bao particularly influential is his ability to engage authentically with a global audience. His LinkedIn presence is not just filled with industry insights but also genuine discussions on leadership, technology, and human-centered care. Bao’s influence is growing exponentially, showing that in today’s world, leadership is as much about connection as it is about expertise.
Tran Quoc Bao is more than just a healthcare leader. He is a trailblazer, a digital strategist, and, most importantly, a catalyst for change in an industry that desperately needs it. His story is one of determination, vision, and the power of meaningful connections.
MALARIA - Pharm D III year Therap .pptxAyesha Fatima
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Malaria is a life-threatening disease. Its typically transmitted through the bite of an infected Anopheles mosquito. Infected mosquitoes carry the Plasmodium parasite. When this mosquito bites you, the parasite is released into your blood stream.
Phylum : Protozoa
Subphylum : Apicomplexa (Sporozoa)
Class : Telosporea
Genus : Plasmodium
Species : vivax
Plasmodium is one of the most harmful parasites of man.
It is a digenetic, intracellular parasite that lives in the liver cells and RBC of man. (It is extracellular in mosquito).
Its primary host is the female Anopheles mosquito and the secondary host is man. Reservoir host is monkey.
The infective stage is sickle shaped sporozoite and the mode of infection is inoculation.
Four species of Plasmodium cause four types of malaria in man.
They are
i) Plasmodium vivax – benign tertian malaria
ii) Plasmodium falciparum – malignant tertian malaria
iii) Plasmodium ovale – mild tertian malaria
iv) Plasmodium malariae – quartan malaria
Of all these four species, Plasmodium vivax is the most common and most widely distributed malaria parasite.
OBJECTIVES AND USE OF ANTIMALARIAL DRUGS
The aims of using drugs in relation to malarial infection are:
(i) To prevent clinical attack of malaria (prophylactic).
(ii) To treat clinical attack of malaria (clinical curative).
(iii) To completely eradicate the parasite from the patient’s body (radical curative).
(iv) To cutdown human-to-mosquito transmission (gametocidal).
These are achieved by attacking the parasite at its various stages of life cycle in the human host .
Antimalarials that act on erythrocytic schizogony are called erythrocytic schizontocides
Antimalarials that act on pre erythrocytic as well as exoerythrocytic (P. vivax) stages in liver are called tissue schizontocides,
Antimalarials which kill gametocytes in blood are called gametocides.
Severe and complicated falciparum malaria
This includes P. falciparum infection attended by any one or more of—
Hyperparasitaemia,
Hyperpyrexia,
Fluid and electrolyte imbalance,
Acidosis,
Hypoglycaemia,
Prostration,
Cardiovascular collapse,
Jaundice,
Severe anaemia,
Spontaneous bleeding,
Pulmonary edema,
Haemoglobinuria,
Black water fever,
Renal failure
Cerebral malaria.
Artesunate: 2.4 mg/kg i.v. or i.m., followed by 2.4 mg/kg after 12 and 24 hours, and then once daily for 7 days. Switchover to 3 day oral ACT in between whenever the patient can take and tolerate oral medication.
or
Artemether: 3.2 mg/kg i.m. on the 1st day, followed by 1.6 mg/kg daily for 7 days. Switchover to 3 day oral ACT in between whenever the patient is able to take oral medication.
or
Arteether: 3.2 mg/kg i.m. on the 1st day, followed by 1.6 mg/kg daily for the next 4 days. Switchover to 3 day oral ACT inbetween whenever the patient is able to take oral medication.
or
Quinine diHCI: 20 mg/kg (loading dose) diluted in 10 ml/kg 5% dextrose/dextrose-saline and infused i.v. over 4 hours, followed by 10 mg/kg.
Caring dalam keperawatan dan hubungan antara pasien dan perawat, mempengaruhi dalam proses kesembuhan pasien selama masa perawatan. Proses perawatan yang baik dan hubungan perawat pasien yang baik akan mendukung proses penyembuhan pasien.
Alana Song, a recent healthcare graduate from the Island of Hawaii, is dedicated to making a meaningful impact. Holding a Certificate in Nursing Assistant Training from the Healthcare School of Hawaii, she is equipped to provide excellent care. At Maui Medical Group, she honed her skills in medication administration, vital sign monitoring, and electronic record-keeping. Her commitment to a clean and safe environment underscores her dedication to patient safety. Fluent in English and Spanish, she excels in communication and compliance. Alana also supports patients with counseling after traumatic injuries, demonstrating her commitment to comprehensive healthcare.
City International Hospital Expands into Fertility Care, Positioning Vietnam ...Vietnam Health & Wealth
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City International Hospital in Vietnam with over 11 years of experience is expanding into fertility sector with the opening of its City IVF Center on March 1, 2025. The aims to provide world-class fertility services, attracting international patients and preventing the outflow of Vietnamese seeking IVF treatments abroad. CIH serves over 5,000 patients annually and focuses on making Vietnam a hub for medical tourism, particularly in IVF and wellness. The hospital offers specialized care plans, language support, and accommodation assistance. CIH's partnerships with the Medical Tourism Association (MTA) further elevates its commitments to global healthcare standards. Mr. Tran Quoc Bao, an Asian Hospital & Healthcare Management Advisor, replies Voice of America and envisages that CIH as a leader in transforming Vietnam into a top destination for fertility and wellness care in Vietnam.
7. Ionotropic Receptors
1. Work very fast; important role in fast neurotransmission
2. Each is made of several subunits (together form the complete receptor)
3. At center of receptors is channel or pore to allow flow of neurotransmitter
4. At rest - receptor channels is closed
5. When neurotransmitter bind -- channel immediately opens
6. When ligand leaves binding site -- channel quickly closes
8. Metabotropic Receptors
1. Work more slowly than ionotropic receptors
2. Though it takes longer for postsynapic cell to respond, response is
somewhat longer-lasting
3. Comprise a single protein subunit, winding back-and-forth through cell
membrane seven times (transmembrane domains)
4. They do not possess a channel or pore
10. Theory of Drug Action
Emil Fischer’s ‘Lock and Key’ Hypothesis (1890)
? Every ‘lock’ has its own ‘key’
? If the ‘key’ is not precise, the ‘lock’ does not open
? The ‘drug’ is the key that has to fit the target specifically and
productively
11. Theory of Drug Action
Corollary of ‘Lock & Key’ Hypothesis
? Does not explain why some ‘keys’ open doors partially? …… e.g., partial agonists or
antagonists
O
O
O
H O
OH
12. Theory of Drug Action
Daniel Koshland’s ‘Induced-Fit’ Hypothesis (1958)
? At least two steps …… step 1 is initial binding and step 2 is a
change in structure of the receptor (and/or drug)
? Receptor is flexible! …… can wrap around the drug
14. Drugs Associated with Neurotransmitters
Why do people have “drugs of choice”?
? Dopamine - amphetamines, cocaine, ETOH
? Serotonin - LSD, ETOH
? Endorphins - opioids, ETOH
? GABA - benzodiazepines, ETOH
? Glutamate –ETOH
? Acetylcholine - nicotine, ETOH
? Anandamide – Marijuana
15. Amino Acid NTs
? High concentration in brain (micromolar)
? Circuits
– Cortico-cortical
– Sensory-motor
? Point-to-point communication
? Consistently excitatory or inhibitory
– Mainly ionotropic receptors but do have metabotropic receptors
? Fast acting, short duration (1-5 ms)
? Examples: Glutamate, Aspartate, GABA, Glycine
16. GABA and Glutamate
.
? Because they are
structurally very similar,
various drugs affect the
presence of GLU and
GABA in the synaptic gap
and increase or decrease
action potentials.
17. Glutamate
? Principal excitatory NT
? Biosynthesized as byproduct of cell metabolism
? Removed by reuptake
? Elevated levels ? neurotoxic
? 4 receptor types
– NMDA
– AMPA
– Kainate
– mGluR - Metabotropic
Ionotropic
18. NMDA Binding Sites
? 4 outside cell
– Glutamate
– Glycine
? Obligatory co-agonist
? Inhibitory NT at its “own” receptor
– Zinc (inverse agonist)
– Polyamine (indirect agonist)
? 2 inside cell
– Magnesium (inverse agonist)
– PCP (inverse agonist)
“The specific subunit composition of each receptor
determines its overall pharmacological properties”
19. GABA (Gamma Aminobutyric Acid)
? Principal Inhibitory NT
? Biosynthesis:
? Removed by reuptake
? 2 receptor types
? GABAA GABAC (ionotropic; Cl- channel)
? GABAB (metabotropic; K+ channel)
Glu GABA
Glutamic Acid
Decarboxylase (GAD)
and B6
20. GABAa Binding Sites
? GABA
? Benzodiazepine (indirect agonist)
– Probably also site for alcohol
– Endogenous inverse agonist binds here
? Barbiturate (indirect agonist)
? Steroid (indirect agonist)
? Picrotoxin (inverse agonist)
Phosphate groups attach to the receptor inside
the cell and regulate receptor sensitivity (via
phosphorylation) to agents such as alcohol
21. GABAergic Drugs
Ro15-4513, a GABAa antagonist
(indirect for GABA, direct for alcohol)
reverses alcohol intoxication
? Agonists (anti-anxiety)
? Benzodiazepines
? Barbiturates
? Ethyl alcohol (ETOH)
? Antagonists
? Picrotoxin
? Inverse agonist
? Ro 15-4513
22. Biogenic Amines
? Medium concentration in brain (nanomolar)
? Circuits
– Single-source divergent projections
– Mainly midbrain to cortex
? Modulatory functions
– Excitatory or inhibitory as a function of receptor
? More metabotropic receptors than ionotropic, but plenty
of both
? Slow acting, long duration (10-1000 ms)
? Examples: Acetylcholine, Epinephrine, Norepinephrine,
Dopamine, Serotonin
23. Acetylcholine
? Mostly excitatory effects
Removal
Acetyl CoA
+
Choline
CoA
+
ACh
Choline Acetyltransferase
(ChAT)
Ach
Acetate
+
Choline
Acetylcholine
Esterase (AChE)
? 2 receptor types
? Nicotinic (ionotropic)
? Muscarinic (metabotropic)
Synthesis
26. Monoamines
? Catecholamines
Dopamine - DA
– Dopaminergic
Norepinephrine - NE
– Noradrenergic
Epinephrine - E
– Adrenergic ~
? Indolamines
Serotonin - 5-HT
– Serotonergic
27. Monoamines (DA, NE, 5-HT)
? Modulatory (can have both
excitatory and inhibitory
effects- varies by receptor)
? Recycled by reuptake
transporter
? Excess NT in terminal broken
down by
– monoamine oxidase (MAOA/B)
– catechol-O-methyltranferase -
COMT
? Axonal varicosities (bead-like
swellings) with both targeted
and diffuse release
29. Major DA Pathways
? Nigrostriatral (Substantia Nigra ? Striatum) [Motor movement]
? Mesolimbic (VTA ? limbic system) [Reinforcement and Addiction]
? Mesocortical (VTA ? prefrontal cortex) [Working memory and planning]
? Tuberoinfundibular tract (hypothalamus ? pituitary) [neuroendocrine
regulation]
30. Norepinephrine
? Generally excitatory behavioral effects
? Biosynthesis:
DA NE
Dopamine
Beta-hydroxylase
? Many receptor types
(metabotropic)
? ?1, ?1-2 (postsynaptic, excitatory)
? ?2 (autoreceptor, inhibitory)
31. Major NE Pathway
? Locus Coeruleus ? throughout brain [vigilance and attentiveness]
32. Serotonin
? Varying excitatory and inhibitory
behavioral effects
? Biosynthesis:
Tryptophan 5-HTP 5-HT
Tryptophan
Hydroxylase
5-HT
Decarboxylase
? At least 14 receptor types, all metabotropic and
postsynaptic except:
? 5-HT1A,B,D (autoreceptors) – found in CNS
? 5-HT3 (inhibitory, ionotropic) – found in the intestines
36. Neuropeptides
? Low concentration in brain (picomolar)
? Large vesicles
? Co-localized with other transmitters
? Circuits
– Interneuronal
? Modulatory functions
? Mostly inhibitory
? Virtually all metabotropic
? Slow acting, long duration (10-1000 ms)
? Examples: Enkephalins, Endorphins, Oxytocin,
Vasopressin, Opioids
37. Opioids
? ?-endorphin
– made from proopiomelanocortin (POMC)
– produced in pituitary gland, hypothalamus, brain stem
? Enkephalin
– made from proenkephalin (PENK)
– produced throughout brain and spinal cord
? Dynorphin
– made from prodynorphin (PDYN)
– produced throughout brain and spinal cord
38. Opioids Receptors
Receptor High affinity ligands
mu ?-endorphin, enkephalins
delta enkephalins
kappa dynorphins
? Opioids act at all opioid receptors, but with
different affinities
? Distributed throughout brain and spinal
cord, especially in limbic areas
? Some overlap but quite distinct localizations
39. Opioid Receptors (cont.)
? Metabotropic, with either
– moderately fast indirect action on ion channels
– long-term action via changes in gene expression
? Most analgesic effects from mu receptor action
? Some analgesic effects from delta
? Many negative side effects from kappa
40. Endorphins
? Morphine and heroin are agonists that bind to
receptor sites, thereby increasing endorphin
activity
41. An Evolutionary Perspective
Nesse and Berridge, 1997
? An electrochemical brain
– Neurotransmitters have retained function for millions
of years and are found in many species - from
invertebrates to humans
? Maximization of Darwinian fitness
– Evolution created many chemically-mediated adaptive
and self-regulatory mechanisms to control emotion
and behavior
? Mismatch between ancient chemical mechanisms
and modern environments
“The problem is rooted in the fundamental design of the human nervous system”
42. Darwinian Fitness
– DA and opioids are part of chemically-mediated incentive
mechanisms that act as signals (motivation/reward) for a
fitness benefit
? you “like” something (opioids) or
? you “want” something (dopamine)
– Furthermore, DA plays a role in drawing
attention/highlighting significant or surprising stimuli
? Mechanisms for greater control? As a means to prioritize likes?
for anticipatory processing? facilitates learning?
– These functions become susceptible to disruption and
addiction from external chemical signals
43. Mismatch
– Technological inventions such as the hypodermic needle,
synthetic psychoactive drugs, video games, snacks etc are
evolutionarily novel features that create specific ecological
pressures
? They can be inherently pathogenic because they bypass the adaptive
mechanisms and act directly on neurotransmitter systems
– positive emotions are signals to approach
? drugs that artificially induce positive emotions give a false signal of a
fitness benefit
? under some circumstances this could be beneficial (increase
empathy)
– negative emotions are signals to avoid
? drugs that block negative emotions can impair useful defenses
? is there utility to anxiety? jealousy? low mood and depression
(decrease the tendency for behaviors that are dangerous or useless?
embarrassment and guilt (regulating the individual’s hierarchical role
in a group?
44. Drug Effects
? External drugs hijack these evolved incentive
mechanisms and most likely impair adaptation
– When exposed to drugs the wanting system motivates
persistent pursuit of drugs that no longer give pleasure
– a core feature of addiction.
– Drugs produce sensitization of incentive mechanisms