Anticholinergic Toxicity Secondary to Overuse of Topricin Cream, a Homeopathic Medication.

Adverse reactions from over-the-counter medications present a challenge to physicians. Homeopathic medicine is an alternative practice, originating in Germany and gaining popularity in the United States. It utilizes dilute preparations of substances in order to treat and cure disease. Patients may potentially suffer serious effects from the use of these products as the contents and concentrations are often unclear. Here, we describe a case of suspected atropine toxicity due to the overuse of a topical homeopathic cream, Topricin, which contains belladonna, a plant containing atropine

Packet Tracer network simulator

A practical, fast-paced guide that gives you all the information you need to successfully create networks and simulate them using Packet Tracer.Packet Tracer Network Simulator is aimed at students, instructors, and network administrators who wish to use this simulator to learn how to perform networking instead of investing in expensive, specialized hardware. This book assumes that you have a good amount of Cisco networking knowledge, and it will focus more on Packet Tracer rather than networking

Serum Uric Acid as a Biomarker in Patients Admitted with Acute Exacerbation of Chronic Obstructive Pulmonary Disease to a Tertiary Hospital, Kerala

Background: Chronic obstructive pulmonary disease (COPD) is a highly prevalent and debilitating condition worldwide, imposing significant economic and social burdens on societies. Serum uric acid contributes to inflammation and is often used a biomarker. Aims and Objectives: This study aims to assess the potential role of serum uric acid as a cost-effective biomarker in hospitalized patients experiencing acute exacerbation of COPD. Additionally, it aims to investigate the relationship between the severity of airflow obstruction and serum uric acid levels in patients with COPD. Materials and Methods: The study design is a prospective cohort study involving 144 COPD patients admitted for acute exacerbation, excluding those with concurrent chronic comorbidities or receiving medications known to substantially elevate uric acid levels. Results: Our findings demonstrate elevated serum uric acid levels in patients with advanced-stage COPD and severe airflow obstruction. Furthermore, patients with higher levels of serum uric acid exhibit poorer prognosis compared to those with lower levels in COPD. Conclusion: Serum uric acid can serve as a valuable biomarker to prognosticate COPD patients and assess disease severity in patient admitted with exacerbations

A metal-free Petasis reaction towards the synthesis of <i>N</i>-(α-substituted)alkyl sulfoximines/sulfonimidamides

N-(α-Substituted)alkyl sulfoximines/sulfonimidamides have been synthesized as diastereomeric mixtures (almost in a 1 : 1 ratio) via metal-free Petasis reaction in moderate to very good yields.</jats:p