Thursday, November 15, 2012

Some important Medical Term: Part:2


A
ACE
Angiotensin Converting Enzyme. Inhibitors of this enzyme are used in drugs to lower blood pressure.

Acetyl choline
One of the naturally occurring chemicals that transmits impulses from one nerve to another. Particularly important in the brain.

Adrenal glands
A pair of small glands, one located on top of each kidney. The adrenal glands produce hormones (epinephrine, norepinephrine, and steroid hormones) that help control heart rate, blood pressure, the way the body uses food, and other vital functions.

AIDS
Acquired Immune Deficiency Syndrome. An infection due to HIV (Human Immunodeficiency Virus) that severely damages the immune system.

Allergens
Any substance that can trigger an inappropriate immune response, or allergy, in susceptible people. Common allergens include animal fur, dust, pollen and certain foods or medications. 

Allergic reaction
A response, such as rash, hives, itching, asthma, hay fever, etc., to an allergen.
Alzheimer's disease
A form of senile dementia, caused by the build-up of abnormal proteins in the brain.
Ambulatory
Able to walk.
Ameliorate
Make better.

Anaemia
The condition of having less than the normal number of red blood cells or haemoglobin in the blood. Patients can feel tired, fatigue easily, appear pale, develop palpitations, and become short of breath.

Anaesthetic
A substance that causes lack of feeling or awareness. A local anaesthetic causes loss of feeling in a part of the body. A general anesthetic puts the person to sleep.

Antibiotics
Prescription drugs which inhibit growth of bacteria or kill bacteria.

Antibodies
Protein produced by white blood cells which neutralise or destroy foreign proteins in the body (antigens). When infected with virus or bacteria, the body produces antibodies which destroy the invading micro-organisms.

Anticoagulant
Medicine that delays or prevents blood from clotting.

Antifolate
A substance that opposes the action of folic acid or folates in the body.

Antigens
Substances that cause an immune response in the body. The body "sees" the antigens as harmful or foreign. To fight them, the body produces antibodies, which attack and try to eliminate the antigens.Antigens include foreign proteins, bacteria, viruses, pollen and other materials.

Antihypertensive
Medicine used to reduce high blood pressure (hypertension).

Antiseptic
Prevents or retards growth of germs when applied externally; an agent that kills bacteria. Alcohol is a common antiseptic.
Antiserum
Serum containing antibodies.

Antitoxin
A substance that neutralises toxin formed in the body.

Artery
A large blood vessel that carries blood high in oxygen content away from the heart to other parts of the body. Arteries are thicker and have walls that are stronger and more elastic than the walls of veins.

Asthma 
An allergic reaction of the airways leading to the lungs.

Atherosclerosis
Hardening and narrowing of the arteries. Aujesky's disease Inflammation of the brain affecting many species and caused by a herpes virus. The disease is widespread and notifiable, but can be controlled by vaccination or slaughter.
B 
Bacillus
A rod shaped bacterium. Also commonly used to mean any disease-causing bacterium.

Bacteria
One-celled organisms; microscopic germs. Some bacteria contribute to health, others cause disease.

Barbiturate
Compounds, derived from barbitric acid, commonly used as hypnosedatives, or sleeping pills.

Blackleg
Acute infection of cattle or sheep caused by the bacterium Clostridium chauvoei, leading to fever and swelling of infected muscles. Controlled by vaccination.

Bone marrow
The inner, spongy tissue of large bones where red blood cells, white blood cells, and platelets and made.

Bronchiolitis
Inflammation, usually due to infection by the Respiratory Syncytial Virus, of the smallest airways of an infant, when severe leading to failure of oxygen and carbon dioxide exchange and potentially fatal.

BSE
Bovine Spongiform Encephalopathy. A progressive brain disease of cattle thought to be due to a transmissible form of prion protein.
C
CAPD
Continuous ambulatory peritoneal dialysis.

Cardioplegia
Paralysis of the heart.

Cardiovascular
Of the heart and blood vessels.

Chemotherapy
Treatment of (usually malignant) disease with chemicals or drugs, specifically those which are selectively toxic to the diseased cells.

Cholinergic cells
Nerve cells activated by acetyl choline.

Chromatograph
A machine that can chemically separate or analyse gases, liquids or solutions.

Citrated
The addition of citrate.

CJD
Creutzfeldt Jacob Disease. Progressive dementia thought to be due to a transmissible form of prion protein.

Clostridial toxoids
Toxins from any of a group of bacteria called Clostridium, which can cause botulism, gangrene or tetanus, and blackleg in cattle and sheep.

Collagen
Protein found in connective tissues such as skin, bone ligaments and cartilage.

Compound
A chemical made up of more than one element bonded together so they cannot be physically separated.

Congenital
Diseases or deformities dating from birth.

Cornea
The clear covering of the eye.

Cystic fibrosis
A fatal genetic disorder, caused by a defect in the cftr gene, affecting many body systems but principally the respiratory and digestive systems.
D 
Dendrite
Dendrites are the part of the neuron (nerve cell) which communicates with other neurons. Each nerve cell usually has many dendrites, a fine network of branched extensions extending out of the nerve cell body (like long fingers) that receive signals ('impulses') from other nerve cells.

Dendritic cells
Immune cells commonly found in parts of the body that have frequent contact with the environment such as the skin, nose, lungs and stomach.

Dendritic spine
A dendritic spine is a tiny extrusion that protrudes from a dendrite and forms one half of a synapse. Dendritic spines are found on the dendrites of most principal neurons in the brain.

Diabetes
A condition where the pancreas produces insufficient or no insulin, a hormone which controls sugar levels in the blood. Without insulin, the blood cannot absorb sugar into cells for energy and into liver and fat cells for storage.

Diagnosis
Identification of a disease or disorder. Dialysis Technique of removing waste and toxins from the blood, used primarily when the kidneys malfunction or in cases of overdose of a drug.

Diphtheria
A serious bacterial infection which causes a sore throat and fever and may lead to further complications or fatal diseases. Diphtheria is extremely rare in developed countries where there is high uptake of immunisation.

Disease
Malfunctioning of the body or any part of the body resulting from any number of influences, including genetic errors, toxins, infections, nutritional deficiencies, and environmental factors

DNA methylation
A chemical modification where a methyl group is added to a stretch of DNA that codes for a gene. This can 'silence' that gene, ie prevent it being expressed. Methylation is important in regulating cell growth and differentiation.

Dopamine
A naturally occurring chemical in the brain that transmits nerve impulses.

Draize test
A safety test using rabbits to test the irritation of substances to the eye or skin.

Dystrophin
A protein in muscle absent in muscular dystrophy.
E
Egg drop disease
Infection affecting laying and breeding poultry. Causes a severe decrease in egg production and poor shell quality. Eggs may have reduced pigmentation, soft shells or irregular shapes.  
Shell-less eggs may also be seen.

Encephalomyelitis
Inflammation of the brain and spinal cord.

Endotracheal tube
Tube inserted into the trachea (windpipe) to allow breathing with a ventilator.

Epithelial cells/ epithelium
Cells that line the inner and outer surfaces of the body.

Ethical
Judgement that an action is socially and morally acceptable.
F
FDP
Fixed Dose Procedure. An acute toxicity test carried out on animals in regulatory toxicology to assess the safety of medicines and other substances. Developed as a more humane test to replace the LD50.

Foot and mouth disease
An acute infectious disease of cattle caused by an aire-borne virus. Characterised by blistering of the mucous membranes, particularly in the mouth and clefts of the feet. Causes abortion and affects milk yields. Controlled by slaughter or vaccination.
G
GAD
Glutamic acid decarboxylase. Ganglionic blockers Compound that block nerve-to-nerve junctions at swellings called ganglia.

GDNF
A nerve growth factor - glial-cell-line-derived neurotrophic factor.

Gene
The biological units made of DNA that are passed from both parents to a child. Genes determine all of the child's characteristics - for example, hair, eye, and skin color, foot size, height - and whether the child will have an inherited disease.

Gene expression
The process by which the information in a gene is used to create proteins: the gene is a sequence of DNA. It is 'copied' (transcribed into mRNA) and 'read' (translated into a protein) and proteins are made or altered based on the information. If a gene is highly expressed, then a large amount of that protein is made.

Gene therapy
Treatment that alters genes (the basic units of heredity found in all cells in the body). In early studies of gene therapy for cancer, researchers are trying to improve the body's natural ability to fight the disease or to make the tumour more sensitive to other kinds of therapy.

Glutamate
A salt of glutamic acid. Large quantities of glutamate are generated in the brain following a stroke, causing brain damage.

GM foods
Genetically modified foods.
H
Heart bypass
(or coronary artery bypass graft) Surgical replacement of blocked sections of the coronary arteries that supply blood to the heart. They are replaced with vessels from elsewhere in the body, usually the leg or chest.

Heart lung machine
Machine that oxygenates and circulates blood during open-heart surgery.

Hib meningitis
A bacterial form of meningitis caused by Haemophilus influenzae.

HIV
Human Immunodeficiency Virus which can destroy the immune system and lead to AIDS.

Hormone
Chemical substance produced by endocrine glands (thymus, pituitary, thyroid, parathyroid, adrenal, ovaries, testicles, pancreas) that regulates many body functions to maintain homeostasis (a steady state). Hormones travel throughout the body and regulate the activities of systems, tissues, organs, and glands. They play an important role in regulating functions such as growth, reproduction, digestion, and fighting infection.

Huntington's disease
A rare fatal genetic disease affecting the nervous system, which does not appear until middle age. There is no cure, but the gene was discovered in 1993.

Hypertension
Condition in which the blood is pumped through the body under abnormally high pressure; also known as high blood pressure.
I
Immune system
A complex network of organs, cells and specialised substances distributed throughout the body and defending it from foreign invaders such as bacteria, viruses, parasites and fungi that cause infection or disease.

Immunity
State of being resistant to a disease, particularly an infectious one.

Immunosuppression
Drugs that block the body's ability to fight infection or foreign substances that enter the body. A person receiving a kidney or heart transplant is given these drugs to stop the body from rejecting the new organ or tissue.

In vitro
Literally = "in glass" ie in a test-tube. A non-animal method of medical research.

In vivo
Literally = "in life" ie in a living animal or human.

Infectious bursal disease
A disease of young chickens causing suppression of the immune system.

Inhaler
A device used to deliver measured doses of inhaled medicines, eg for asthma.

Insulin
A hormone that helps glucose leave the blood and enter the muscles and other tissues of the body. The beta cells of the pancreas (in areas called the islets of Langerhans) produce insulin. When the body cannot make enough insulin on its own, a person with diabetes must use insulin from human (recombinant DNA origin) or animal (pigs/cows) origin. 

Intravenous : Into a vein.

Islet cells
Cells in the islet of Langerhans in the pancreas, known as beta cells, that produce insulin.

Laughing gas
A common name for nitrous oxide.


LD50
Lethal Dose 50. An acute toxicity test carried out on animals, developed in the 1920s. Although superseded by the more humane FDP, it is still required by some regulatory authorities.

Leishmaniasis
A group of diseases caused by infection by Leishmania parasites.

Leptospirosis
Disease of humans or animals caused by infection with Leptospira bacteria, common in sewage and water. In humans known as Weil's disease.

Leukaemia
A malignant disease of the blood-forming organs that results in the uncontrolled production of abnormal white blood cells.

Levodopa
A precursor of dopamine, used as a medicine to improve mobility in Parkinson's disease.
Louping ill
A disease transmitted by a tick-borne virus, mainly affecting sheep and cattle. Inflammation of the brain and spinal cord affects the nervous system and leads to acute fever. Controlled by vaccination.

Lungworm
Infection of cattle caused by Dictyocaulus viviparus. Affects young stock. Adult worms infest the airways leading to respiratory disease. Also known as husk or parasitic bronchitis.

Lymphoma
A type of cancer that begins in lymphatic tissue and may spread to other areas of the body.
M
Macular degeneration
Deterioration of the macular region of the eye leading to loss of vision.

Malaria
A tropical disease caused by the parasite Plasmodium falciparum, passed on by the mosquito.

Malignant
Harmful, tending to become worse, as in cancerous tissue that can grow uncontrollably and spread (metastasise).

Marek's disease
A common fatal disease of chickens caused by herpes virus. Affects the nervous system, can cause paralysis before death. Controlled by vaccination.

Medicine
Substance intended to treat, cure or prevent disease.

Meningitis
Inflammation of the membranes that cover the brain or spinal cord, usually caused by infection.

Meningococcal
Types of bacteria that cause meningitis.

Mesenchymal cells/ mesenchyme
Cells which can become a variety of cells types that make up connective tissue including bone, fat, cartilage, and blood vessels that are derived from embryonic mesoderm.

Metabolite
Any substance produced by physical or chemical processes in the body.

Metastasis
(me-TASS-tah-sis) The migration of cancer cells from the original tumor site through the blood and lymph vessels to establish new tumor sites in other tissues. Metastasis also is the term used for a secondary cancer growing at a distant site. The plural is metastases.

Microarray
A tool for studying how large numbers of genes interact with each other and how a cell's regulatory networks control vast batteries of genes simultaneously. A microarray allows you to see the difference in expression levels of hundreds or thousands of genes at once, so you can see which genes act together.

MicroRNA
miRNAs are short RNA genes which are transcribed from DNA, but are not translated into protein. The function of miRNAs appears to be in gene regulation.

Mortality Rate
The death rate; the number of people who die of a certain disease compared with the total number of people. Mortality is most often stated as deaths per 1,000, per 10,000, or per 100,000 persons.

Motor neurone disease
Also called amyotrophic lateral sclerosis or Lou Gehrig's disease in the USA. A chronic disease in which there is progressive degeneration of the nerve cells which instigate movement, leading to weakness, wasting, and loss of muscle function and death usually within two to three years of onset. Motor neurone disease occurs in both hereditary and sporadic forms but its causes remain unclear.

MPTP
A neurotoxin - 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine.

MRC
Medical Research Council.

Mucous membrane
Membranes lining the body cavities, such as the mouth, nose, throat, vagina and rectum.

Multiple sclerosis
A chronic, usually progressive disease of the nervous system, in which the insulating myelin sheath surrounding nerves in the brain and spinal cord breaks down. Occurs in young or middle adulthood, affects more women than men. Typical symptoms are unsteadiness, loss of muscular coordination, weakness, speech difficulties, and rapid involuntary movements of the eye. Its cause is unknown.

Muscular dystrophy
Any group of inherited chronic muscle disorders marked by weakening and wasting of muscle. Muscle fibres degenerate, to be replaced by fatty tissue, although the nerve supply remains unimpaired. Death occurs in early adult life. The commonest form, Duchenne muscular dystrophy, is inherited and strikes boys.

Myelin
The white fatty substance that forms an insulating sheath around nerves.

Myxomatosis
A highly contagious and fatal disease of rabbits, in which tumour-like tissue grows beneath the skin of the head and body. Controlled by vaccination.
N
Neuromuscular
Pertaining to nerve and muscle.

Neuron (nerve cell)
A unique type of cell found in the brain and body that is specialised to process and transmit information. Each neuron is composed of a cell body containing the nucleus; an axon which conveys electrical signals to other neurons; and dendrites which deliver incoming signals.

Newcastle disease
Acute highly contagious viral disease of chickens, other domestic fowl and wild birds. Affects the digestive system leading to loss of appetite and diarrhoea, breathing and the nervous system. Controlled by vaccination.

Nucleus (pl nuclei) 
An organelle found in cells, which contains the cell's chromosomes (genetic material).

Oestrogen
A female hormone produced by the ovaries, also applied to synthetic versions.

Orf
Infectious viral disease of sheep and goats characterised by vesicle and pustule formation on the skin and mucous membranes, particularly lips, nose and feet. Controlled by vaccination.

Organelle
A structure inside the cell, which has specialised function(s) eg the nucleus.
P
Pancreas
A small organ that lies behind the lower part of the stomach. The pancreas makes insulin needed to convert glucose to energy. The pancreas also makes enzymes that help the body digest food.

Paramyxovirus
A group of viruses causing measles, mumps, croup or viral pneumonia, and including respiratory syncytial virus, the leading cause of hospitalisation of children under two. Other paramyxoviruses cause devastating diseases of wildlife and livestock, such as canine distemper - normally a virus of dogs, but which also ravaged the lion population of the Serengeti Plain - and Newcastle disease of chickens.

Parkinson's disease
A degenerative disease of the brain characterised by a progressive loss of mobility, muscular rigidity, tremor, and speech difficulties, mainly seen in people over 50. Parkinson's disease destroys a group of cells in the brain stem that produce dopamine, essential to control of voluntary movement.

Pasteurella
The name of a group of bacteria causing blood poisoning and lung infections in several species of animals. Pasteurella multocida causes haemorrhagic septicaemia in cattle, characterised by high fever, pneumonia and swelling of the skin. A similar disease affects sheep.

Penicillin
An antibiotic derived from the penicillium mould.

Peptide
Two or more amino acids chained together by a chemical bond called a 'peptide bond'. A protein is a long chain of amino acids joined together in this way, and is sometimes referred to as a 'polypeptide'. Some proteins contain more than one polypeptide chain.

Pertussis
Whooping cough.

Pigeon pox
A mosquito borne viral disease of pigeons and poultry. Damages the skin and mucous membranes.

Plasma
Protein-rich, cell-free blood.

Pneumococcal vaccine
A vaccine which protects against S. Pneumoniae (bacteria that cause pneumonia).

Polio (Poliomyelitis)
A disease caused by virus infection of the central nervous system, leading to muscle paralysis. It used to be known as infantile paralysis. Now largely eradicated by vaccination.

Prion proteins
Proteins which, in a certain form, are thought to transmit brain diseases such as BSE, CJD, scrapie and kuru.

Procedure
An experiment or scientific technique.

Progesterone
A hormone involved in the preparation for, and maintenance of, pregnancy. Progesterone is also used to treat some gynaecological conditions.

Prostate gland
A chestnut shaped organ in males which resides below the bladder and in front of the rectum. The prostate gland produces most of the seminal fluid (the fluid that carries the semen during ejaculation).

Proteasome
A large complex of cell proteins that degrade damaged or unwanted cellular proteins when they are no longer needed.

Protein
Any of numerous complex molecules that are made of amino acids, the building blocks of cells. Proteins are the fundamental components of the body and are essential to all biological processes. Proteins are needed in the diet; they are broken down into amino acids which are absorbed, and rebuilt to form new proteins in the body.

PRP
A type of protein.

Pyrogen
Bacterial contamination that causes fever.
R
Rabies
An acute viral infection of dogs, wolves and other carnivores, transmitted to humans by the bite of an infected animal.

Radiotherapy
The use of electromagnetic or particulate radiation in the treatment of disease.

Red blood cell
A haemoglobin-containing blood cell, carrying oxygen in the blood from the lungs and supplying it to tissues throughout the body. They are also called red corpuscles.

Remission
A period or state during which the symptoms of a disease subside or decrease.

Renal
Pertaining to the kidneys.

Retina
Light-sensitive layer of tissue located at the back of the eye that transmits visual images to the brain.

Rheumatoid arthritis
Inflammation of the joints; a chronic progressive disease, it begins with pain and stiffness in the small joints of the hands and feet and spreads to involve other joints, often with severe disability and disfigurement. There may also be damage to the eyes, nervous system and other organs.

Rinderpest
Acute, highly contagious and often fatal disease of cattle, characterised by fever and ulceration of the mucous membranes, causing severe diarrhoea and discharges from the mouth, nose and eyes. Also known as cattle plague. Notifiable in the UK and controlled by vaccination.
S
Safety testing
Testing of a substance to protect the safety of humans, animals or the environment.

Schistosomiasis
Infestation by Schistosome parasitic worms, transmitted via water by a complex cycle involving snails as intermediate hosts. Common in the tropics and affecting mostly the bladder and rectum.

Serotonin
Serotonin or 5-hydroxytryptamine (5-HT) is a chemical widely distributed in the body tissues - in the blood platelets, the wall of the intestine and the central nervous system. Believed to be implicated in the inflammatory process and, in the nervous system, it acts as a neurotransmitter, controlling sleep.

Serum
Clear fluid that separates out from clotted blood. Blood plasma with the anticoagulant proteins removed, containing antibodies and other proteins, as well as the fats and sugars of the blood. It can be produced synthetically, and is used to protect against disease.

Sickle-cell anaemia
A hereditary chronic blood disorder common among people of black African descent, characterised by distortion and fragility of the red blood cells (sickling) which contain abnormal haemoglobin.

Stem cell
An immature cell capable of both indefinite proliferation and specialisation into all cell types found in the body, eg in the blood or in the brain.

Streptococcal bacteria
Bacteria that have a tendency to form pairs or chains. Widely distributed in nature living mainly as parasites in the bodies of animals and humans. Some are harmless, but most are implicated in a number of infections, including scarlet fever.

Stroke
A haemorrhage or clot in the brain causing symptoms ranging from transient weakness and numbness to deep coma and death. Damage to the brain is permanent, though some recovery can be made.

Swine erysipelas
Also known as diamond skin disease. Causes blood poisoning, fever, skin rash, arthritis and lameness. Widely controlled by vaccination.

Synapse
The functional connection between a nerve cell axon and target cells, which may be other nerve cells, muscle cells, or gland cells.

T
T cells
T cells are white blood cells, derived from the thymus gland, that participate in a variety of cell-mediated immune reactions and are involved in acquired immunity (the ability to fight off something that the body was previously exposed to). Three fundamentally different types of T cells are recognised.

Thalidomide
Sedative developed in the 1950s for use in morning sickness. When taken in early pregnancy, it caused malformation of the foetus (such as abnormalities in the limbs). It was then withdrawn.

Thrombosis
Formation of a blood clot in a vein or artery, causing loss of circulation to the area served by the vessel. Thrombosis increases the risk of heart attack and stroke. It is treated by surgery and/or anticoagulant drugs.

Toxin
Any poison produced by another living organism (usually a bacterium) that can damage the living body.

Transcriptome
The transcriptome is the set of all messenger RNA (mRNA) molecules, or 'transcripts', produced in one or a population of cells. Because it includes all mRNA transcripts in the cell(s), the transcriptome reflects the genes that are being actively expressed at any given time.

Transgenic
A plant or animal containing a gene or genes from another species. Also refers to plants or animals that have altered genes.

TSE
Transmissible Spongiform Encephalopathy. A group of diseases including BSE, CJD, scrapie and kuru, caused by an infectious form of prion protein.

Tumourigenesis
The formation, growth and development of a tumour, or accumulation of rapidly proliferating cells.
V 
Vaccination
Introduction of modified pathogens (viruses or bacteria) into the body, usually either orally or by a hypodermic syringe, to induce the specific antibody reaction that produces immunity against a particular disease.

Vaccine
Weakened or killed micro-organisms, or parts of micro-organisms, of a specific disease that are introduced into the body to stimulate immunity.

Vein
Blood vessel that returns blood to the heart.

Virulent
Capacity of a harmful organism to cause disease.

Virus
Infectious organism that reproduces in the cells of an infected host. A virus is a microbe which cannot grow or reproduce apart from a living cell. It is smaller in size than a bacterium. Viruses cause most of the common human infections, but are also responsible for causing many rare illnesses. Examples of viral illnesses include the common cold and acquired immunodeficiency disease syndrome (AIDS).

Vivisection
Literally, cutting into living flesh, ie surgery. Commonly used today to mean any experimental use of animals.
W
Warfarin
A drug that prevents circulating blood from clotting by inhibiting the action of vitamin K. It can be taken orally and begins to act several days after the initial dose. It is often given as a preventive measure, to reduce the risk of thrombosis or embolism after major surgery.

White blood cells
Any of a group of blood cells that have no haemoglobin and migrate into tissues to fight infection and digest cell debris. White blood cells circulate in the blood and lymphatic system and are pooled in the lymph glands and spleen. They are part of the immune system responsible for both directly (T cells and macrophages) and indirectly (B cells producing antibodies) attacking foreign invaders of the body.
X
Xenotransplantation
Transplantation of organs and tissues from animals to humans

Some Important Medical Terms:Part - 1


A
Abscess - An abscess is a collection of pus usually formed due to infection
Adsorption - Adsorption is the accumulation of molecules on the surface of a solid or liquid
Antepartum - Occurring before the onset of labour.
Antibody - A complex protein produced in response to an antigen (or foreign body).
Anti-D immunoglobulin - Anti-D immunoglobulin (IgG) is the antibody formed when an RhD-negative individual is exposed to RhD-positive red blood cells.
Antigen - Substances which stimulate the formation of antibodies. Antigens are often large foreign molecules associated with bacteria or viruses.
Artery - An artery is a blood vessel that carries blood from the heart to the body
Autoimmune disorders - These are disorders in which the immune system becomes active against certain of the body’s own proteins.
B
Bilirubin - Bilirubin is a natural product arising from the normal breakdown of red blood cells in the body and is excreted in the bile, through the actions of the liver.
Blood groups - Blood groups indicate the differences in our blood types. There are four main blood groups: A, B, AB & O. These groups are then either RhD positive or negative meaning that your blood group can be one of eight variations.
C
Carrier - A person who carries the gene for a recessive trait. This trait is not evident in the carrier, but may be passed on to the carrier's children (50:50 chance of passing on the trait).
Centrifugation - Centrifugation is the process of separating substances of different densities using a centrifuge
Chromatography - Chromatography is a process for separating mixtures by virtue of differences in absorbency
Clot - The plug that develops at a bleeding site and stops the flow of blood.
Clotting factors - Blood is made up of a variety of different clotting factors that help the blood to clot when an injury occurs
Coagulation - Coagulation is the process by which we stop bleeding and form clots at the site of an injury
Concentrate - Factor VIII that has been separated from plasma, freeze-dried and presented as a powder. It can be reconstituted with a diluent (sterile water) and administered to people with low levels of factor VIII.
Cryoprecipitate - Particles containing factor VIII that precipitate or settle out when frozen plasma is thawed. Cryoprecipitate was discovered in 1965 by Judith Pool.
D
Depth filtration - Depth filtration has several layers of filtration to remove viruses during the production process
E
Ectopic pregnancy - This refers to pregnancy occurring elsewhere than in the womb. The commonest site is a Fallopian tube but it may also occur in the cervix of the womb or very rarely inside the peritoneal cavity. It may lead to miscarriage or, more seriously, to rupture of the tube, with pain, bleeding, and shock.
External cephalic version - This is a procedure for turning a foetus that is lying in a breech or transverse position so that its head will enter the birth canal first.
F
Factor VIII - A clotting factor protein needed for coagulation. People with haemophilia A have low levels of factor VIII.
Foetus - A foetus in an unborn baby
Fractionation - Fractionation is a process that uses heat to separate a substance into its components


G
Genetic - A genetic condition is usually something that occurs within families and can be inherited
Globulins - A water-soluble, spheroidal class of proteins. Globulins constitute the majority of molecular species of biologically active proteins in living systems such as enzymes and antibodies, and are of four main types (termed alpha 1, alpha 2, beta and gamma).
H
Haemoglobin - Haemoglobin is a protein found in the blood that carries oxygen and small amounts of carbon dioxide
Haemolytic Disease of the Newborn - Haemolytic Disease of the Newborn (HDN) is caused by an incompatibility between the rhesus blood group of the mother and foetus. HDN can be mild but can also lead to jaundice, brain damage or even the death of the child. With further RhD-positive children, the antibody reaction becomes faster and more serious.
Haemophilia - Haemophilia is a disorder of the blood where there is not enough of one of the clotting factors required for blood clots to form. Haemophilia A is the most common form of haemophilia and is a deficiency of clotting factor 8 (VIII). Haemophilia B is a deficiency of clotting factor 9 (IX)
Hepatitis B (HBV) - HBV is a virus which causes inflammation of the liver
Hepatitis C (HCV) - HCV is a virus which causes inflammation of the liver
Hereditary angioedema - Hereditary angioedema (HAE) is a rare, genetic condition that can cause considerable swelling in various body tissues.
Human Immunodeficiency Virus (HIV) - HIV is a virus which attacks the immune system and prevents it from functioning. It can be transferred from human to human via blood and bodily fluids.
I
Immune system - The immune system protects the body against invasion by foreign organisms. The immune system has many parts, but the most important part is played by lymphocytes (white blood cells).
Immunoglobulin - Another name for antibody. There are five major classes: IgA, IgD, IgG, IgM and IgE.
Infusion - Administration of factor replacement concentrate.

Inhibitor - An antibody against a coagulation factor that interferes with coagulation factor function.
Intravenous - Intravenous is the process of giving medication directly into a vein
Ion exchange chromatography - Separates molecules on the basis of their charge. Charged molecules become absorbed to the ion exchange medium and are successively precipitated with increasing ion concentration.
J
Jaundice - Jaundice means the yellow appearance of the skin and whites of the eyes that can occur when the blood contains an excess of the pigment Bilirubin.
K
K - There are currently no definitions used starting with K
L
Low pH Treatment - Low pH treatment in a purification step to destroy viruses during the production process.
M
Monoclonal antibody purification - A process used in the manufacture of factor replacement concentrates in which monoclonal antibodies are used to separate specific proteins (such as factor VIII) from other proteins.
Multipara - (pl multiparae). A woman who has given birth to more than one child.
N
Nanofiltration - This is a method by which material is pumped through a system of hollow fibres with an average pore size of 15nm in order to filter out any viruses that are present.



O
On-demand treatment - The practice of administering factor replacement concentrate in response to a bleeding episode.
P
Partitioning - Partitioning is the act of dividing or separating
Passive immunisation - This is the application of antibodies from an immune individual to the non-immune patient. This treatment is used when an individual has been, or probably will be, exposed to an infectious disease and there is insufficient time for active immunisation.
Pasteurisation - The process by which a substance is partially sterilised at a temperature that destroys harmful micro organisms
Pathogens - Pathogens are bacteria that cause infection, disease and illness
Pharmacovigilance - Pharmacovigliance is the science relating to the detection, assessment, understand and prevention of adverse effects of medicine
Plasma - Plasma is the portion of the blood that remains after red cells, white blood cells and platelets are removed. Plasma consists of water, salts (electrolytes), and proteins, including coagulation factors.
Plasmapheresis - Plasmapheresis is the process by which plasma is separated from whole blood using a plasmapheresis device. The automated process separates the plasma and then returns the remaining components of the blood to the donor.
Platelets - A minute disc-shaped cell fragment in mammalian blood. They play an important role in blood clotting and release serotonin, which causes a chain of events leading to the formation of a plug of platelets at the site of the damage, thus preventing further blood loss.
Postpartum - Relating to the period of a few days immediately after birth.
Precipitation - Precipitation is the formation of a solid in a solution during a chemical reaction
Primary Immunodeficiency Disease - People with primary immunodeficiency disease (PID) are born with an immune system that doesn’t produce enough antibodies in the blood to fight infection. Primary immunodeficiency disorders are caused by inherent, often genetic, defects in the cells of the immune system.
Primipara - (pl primiparae). A woman who is bearing a child or has given birth to a child for the first time.

Prion - A prion is an infectious protein particle which is similar to a virus
Prophylaxis - The practice of giving treatment as a preventative measure rather than after a problem has occurred. For example Anti-D immunoglobulin
Prothrombin complex concentrates (PCCs) - Low-purity factor replacement products that contain factor IX and coagulation factors II, VII and X. PCCs may be used in patients who have developed inhibitors to factor VIII.
Q
Q - There are currently no definitions used starting with Q
R
Recombinant Plasma - Plasma formed by recombining genetic material to product the necessary coagulation factors.
Recovered plasma - Recovered plasma is plasma taken from whole blood donations
Rhesus Blood Group - People can belong to one of four blood groups, A, B, AB and O which are carried on the red blood cells. The other important difference in people’s blood is called rhesus factor, which is also found in the red blood cells. People who are rhesus positive have a substance known as D antigen on the surface of their red blood cells. People who are rhesus negative do not have the D antigen on their blood cells.
Rhesus factors - Rhesus factors are proteins attached to the surface of red blood cells (erythrocytes) that are part of the system that determines a person’s blood group.
Rhesus sensitisation - When the blood cells from a RhD-positive baby get into the blood of a RhD-negative woman, she will react to the D antigen in the baby’s blood as though it is a foreign substance and will produce antibodies. This is called ‘rhesus sensitisation’.
S
Secondary Immunodeficiency - Secondary immunodeficiency is a problem with the immune system that is acquired and may be the result of other serious disorders such as cancer or following a bone marrow transplantation.
Serology - Serology is the scientific study of blood serum

Solvent/detergent Treatment - Solvent/detergent treatment destroys viruses during the production process
Source Plasma - Source plasma is when plasma is taken directly from a donor via a process known as plasmapheresis.
Stroke - A stroke is a brain injury caused by a sudden interruption of blood flow
T
None - None
U
U - There are currently no definitions used starting with U
V
Vitamin K - Vitamin K is a fat-soluble vitamin that helps in the clotting of blood
Von Willebrand Disease - People with von Willebrand Disease (VWD) have a problem with one of the clotting factors in the blood; this particular clotting factor is known as von Willebrand factor (VWF).
von Willebrand factor - A protein in plasma, platelets, and endothelial cells that serves to anchor platelets to a damaged blood vessel and to carry coagulation factor VIII in the plasma. The von Willebrand factor binds to factor VIII.
W
Warfarin: - an anticoagulation medication that prevents blood clots from forming.

Monday, November 12, 2012

Various route of Drug administration


Various route of administration

The path taken by the drug to get into the body is known as the route of drug administration. A drug may be in ionized or unionized form.

Classification:
1. Enteral route
2. Parenteral route
3. Inhalation
4. Topical

1. Enteral Route:
Enteral route is through the alimentary canal. It might be:
A. Oral
B. Sublingual
C. Per rectum

A. Oral Route:
Oral route is the most common route of drug administration. It is mostly used for the neutral drugs. It may be in the form of tablets, capsules, syrup, emulsions or powders.

First Pass Effect:
First pass effect is the term used for hepatic metabolism of drug when absorbed and delivered through portal blood. Greater the first pass effect, less amounts of the drug reach the systemic circulation.
B. Sublingual Route:
Sublingual route involves tablets placed under the tongue or between cheeks or Gingiva. The drug should be lipid soluble and small.
Examples of drugs given by this route include nitroglycerin, isoprenaline and oxytocin. Nifedipine used for the treatment of hypertension in emergency is given by sublingual route. 
C. Rectal Route:
Drugs in solid forms such as suppositories or in liquid forms such as enema are given by this route. This route is mostly used in old patients. Drugs may have local or systemic actions after absorption.
Systemic acting drugs include Indomethacin (anti-inflammatory) and aminophyllin (bronchodilator). Retention enema is diagnostic and is used for finding the pathology of lower intestines. Drugs given by rectal route have 50% first pass metabolism.
Parenteral Route:
Parenteral route includes:
Injections:
1. Intra muscular
2. Intra venous
3. Intra-arterial
4. Intra-cardiac
5. Intra-thecal
6. Intraosseous- into bone marrow
7. Intrapleural
8. Intraperitoneal
9. Intra-articular
10. Intradermal (Intracutaneous)
11. Subcutaneous route (Hypodermic)
Site of Release:
Site of release may be intradermal, intraperitoneal, intrapleural, intracardiac, intra-arterial, intrathecal (into meninges of spinal cord), intra-articular (into joint cavity).
A. Subcutaneous: (under the skin)
Subcutaneous route might be used for the arm, forearm, thigh and subscapular space. The volume used is 2 ml. Insoluble suspensions like insulin and solids might be applied by this route. 
Examples of drugs given by subcutaneous route include insulin, adrenaline and Norplant. 
Hypospray/Jet Injection:
This method is needleless and is subcutaneous done by applying pressure over the skin. The drug solution is retained under pressure in a container called ‘gun’. It is held with nozzle against the skin. Pressure on the nozzle allows a fine jet of solution to emerge with great force. The solution can penetrate the skin and subcutaneous tissue to a variable depth as determined by the pressure. Mass inoculation is possible but the method is expensive, definite skills are required and cuts might result.
B. Intramuscular route:

Intramuscular route might be applied to the buttock, thigh and deltoid. The volume used is 3 ml. For example: Many vaccines, antibiotics, and long-term psychoactive agents. Recreationally the colloquial term 'muscling' is used.
 
C. Intravenous injections:
Intravenous injections might be applied to the cubital, basilic and cephalic veins.
For example: Many drugs, total parenteral nutrition.
 
D. Intraarterial route:
This method is used for chemotherapy in cases of malignant tumors and in angiography. 
For example: Vasodilator drugs in the treatment of vasospasm and thrombolytic drugs for treatment of embolism.
 
E. Intradermal route: (into the skin itself)
This route is mostly used for diagnostic purposes and is involved in:
Schick test for Diphtheria
Dick test for Scarlet fever
Vaccines include DBT, BCG and polios skin.
Sensitivity is to penicillin
for skin testing some allergens, and also for mantoux test for Tuberculosis.
 
F. Intracardiac  route(into the heart)
Injection can be applied to the left ventricle in case of cardiac arrest. 
For example: Adrenaline during cardiopulmonary resuscitation (no longer commonly performed)
 
G. Intrathecal route:
Intrathecal route involves the subarachnoid space. Injection may be applied for the lumbar puncture, for spinal anesthesia and for diagnostic purposes. This technique requires special precautions. For example: Spinal anesthesia and chemotherapy.
 
H. Intra-articular route: (into an artery)
Intra-articular route involves injection into the joint cavity. Corticosteroids may be injected by this route in acute arthritis. For example:  Vasodilator drugs in the treatment of vasospasm and thrombolytic drugs for treatment of embolism.
 
I. Intraperitoneal route (infusion or injection into the peritoneum):
Intraperitoneal route may be used for peritoneal dialysis. For example: Peritoneal dialysis.
 
J. Intrapleural route:
Penicillin may be injected in cases of lung empyma by intrapleural route.
 
K. Injection into bone marrow
This route may be used for diagnostic or therapeutic purposes.
 

3. Inhalation:

Inhalation may be the route of choice to avoid the systemic effects. In this way drugs can pass directly to the lungs. Drugs used involve volatile drugs and gases. Examples include aerosols like salbutamol; steam inhalations include tincture and Benzoin

4. Topical route:
Drugs may be applied to the external surfaces, the skin and the mucous membranes. Topical route includes:
A. Enepidermic route
When the drug is applied to the outer skin, it is called enepidermic route of drug administration. Examples include poultices, plasters, creams and ointments.

B. Epidermic route (Innunition):
When the drug is rubbed into the skin, it is known as epidermic route. Examples include different oils.

C. Insufflations:
When drug in finely powdered form is blown into the body cavities or spaces with special nebulizer, the method is known as insufflations.

D. Instillation
Liquids may be poured into the body by a dropper into the conjunctival sac, ear, nose and wounds. Solids may also be administered.

E. Irrigation or Douching
This method is used for washing a cavity e.g. urinary bladder, uterus, vagina and urethra. It is also used for application of antiseptic drugs.

F. Painting/Swabbing
Drugs are simply applied in the form of lotion on cutaneous or mucosal surfaces of buccal, nasal cavity and other internal organs.

 



Sunday, November 11, 2012

Stability


Stability is define as the extent to which a product retain, within specified limits, and throughout its period of storage and use (i.e., it’s shelf-life), the same properties and characteristic that it possessed at the time of its manufacture.
In other word, Stability is the capability of sample material to retain the initial property of a measure constituent for a period of time within specified limits when the simple is stored under define condition
Stability of a drug also can be define as the time from the date of manufacture and packaging of the formulation until it’s chemical or biological activity is not less than a predetermined level of labeled potency & its physical characteristics have not changed appreciably or deleteriously. Although there are exceptions, 90% of labeled potency generally is recognized as the minimum acceptable potency level. Expiration dating then is defined as the time in which the preparation will remain stable when stored under recommended conditions.     

Criteria for Acceptable Levels of Stability


Type of
Stability
Conditions Maintained Throughout the
Shelf Life of the Drug Product
Chemical
Each active ingredient retains its chemical integrity and labeled potency, within the specified limits.
Physical
The original physical properties, including appearance, palatability, uniformity, dissolution, and suspendability, are retained.
Microbiological
Sterility or resistance to microbial growth is retained according to the specified requirements. Antimicrobial agents that are present retain effectiveness within the specified limits.
Therapeutic
The therapeutic effect remains unchanged.
Toxicological
No significant increase in toxicity occurs.

Factors Affecting Product Stability
Each ingredient, whether therapeutically active or pharmaceutically necessary, can affect the stability of drug substances and dosage forms. The primary environmental factors that can reduce stability include exposure to adverse temperatures, light, humidity, oxygen, and carbon dioxide. The major dosage form factors that influence drug stability include particle size (especially in emulsions and suspensions), pH, solvent system composition (i.e., percentage of “free” water and overall polarity), compatibility of anions and cations, solution ionic strength, primary container, specific chemical additives, and molecular binding and diffusion of drugs and excipients. In dosage forms, the following reactions usually cause loss of active drug content, and they usually do not provide obvious visual or olfactory evidence of their occurrence.
Hydrolysis- Esters and beta-lactams are the chemical bonds that are most likely to hydrolyze in the presence of water. For example, the acetyl ester in aspirin is hydrolyzed to acetic acid and salicylic acid in the presence of moisture, but in a dry environment the hydrolysis of aspirin is negligible. The aspirin hydrolysis rate increases in direct proportion to the water vapor pressure in an environment.
The amide bond also hydrolyzes, though generally at a slower rate than comparable esters. For example, procaine (an ester) will hydrolyze upon autoclaving, but procainamide will not. The amide or peptide bond in peptides and proteins varies in the lability to hydrolysis.
The lactam and azomethine (or imine) bonds in benzodiazepines are also labile to hydrolysis. The major chemical accelerators or catalysts of hydrolysis are adverse pH and specific chemicals (e.g., dextrose and copper in the case of ampicillin hydrolysis).
Epimerization- Members of the tetracycline family are most likely to incur epimerization. This reaction occurs rapidly when the dissolved drug is exposed to a pH of an intermediate range (higher than 3), and it results in the steric rearrangement of the dimethylamino group. The epimer of tetracycline, epitetracycline, has little or no antibacterial activity.
Decarboxylation- Some dissolved carboxylic acids, such as p-aminosalicylic acid, lose carbon dioxide from the carboxyl group when heated. The resulting product has reduced pharmacological potency.
betahttp://www.pharmacopeia.cn/v29240/images/chars/beta.gif-Keto decarboxylation can occur in some solid antibiotics that have a carbonyl group on the http://www.pharmacopeia.cn/v29240/images/chars/beta.gifbeta-carbon of a carboxylic acid or a carboxylate anion. Such decarboxylations will occur in the following antibiotics: carbenicillin sodium, carbenicillin free acid, ticarcillin sodium, and ticarcillin free acid.
Dehydration- Acid-catalyzed dehydration of tetracycline forms epianhydrotetracycline, a product that both lacks antibacterial activity and causes toxicity.

Oxidation- The molecular structures most likely to oxidize are those with a hydroxyl group directly bonded to an aromatic ring (e.g., phenol derivatives such as catecholamines and morphine), conjugated dienes (e.g., vitamin A and unsaturated free fatty acids), heterocyclic aromatic rings, nitroso and nitrite derivatives, and aldehydes (e.g., flavorings). Products of oxidation usually lack therapeutic activity. Visual identification of oxidation, for example, the change from colorless epinephrine to its amber colored products, may not be visible in some dilutions or to some eyes.
Oxidation is catalyzed by pH values that are higher than optimum, polyvalent heavy metal ions (e.g., copper and iron), and exposure to oxygen and UV illumination. The latter two causes of oxidation justify the use of antioxidant chemicals, nitrogen atmospheres during ampul and vial filling, opaque external packaging, and transparent amber glass or plastic containers.
Photochemical Decomposition- Exposure to, primarily, UV illumination may cause oxidation (photo-oxidation) and scission (photolysis) of covalent bonds. Nifedipine, nitroprusside, riboflavin, and phenothiazines are very labile to photo-oxidation. In susceptible compounds, photochemical energy creates free radical intermediates, which can perpetuate chain reactions.
Ionic Strength- The effect of the total concentration of dissolved electrolytes on the rate of hydrolysis reactions results from the influence of ionic strength on interionic attraction. In general, the hydrolysis rate constant is inversely proportional to the ionic strength with oppositely charged ions (e.g., drug cation and excipient anions) and directly proportional to the ionic strength with ions of like charge. A reaction that produces an ion of opposite charge to the original drug ion because of the increasing ionic strength can increase the drug hydrolysis rate as the reaction proceeds. High ionic strength of inorganic salts can also reduce the solubility of some other drugs.
pH Effect- The degradation of many drugs in solution accelerates or decelerates exponentially as the pH is decreased or increased over a specific range of pH values. Improper pH ranks with exposure to elevated temperature as a factor most likely to cause a clinically significant loss of drug, resulting from hydrolysis and oxidation reactions. A drug solution or suspension, for example, may be stable for days, weeks, or even years in its original formulation, but when mixed with another liquid that changes the pH, it degrades in minutes or days. It is possible that a pH change of only 1 unit (e.g., from 4 to 3 or 8 to 9) could decrease drug stability by a factor of 10 or greater.
A pH buffer system, which is usually a weak acid or base and its salt, is a common excipient used in liquid preparations to maintain the pH in a range that minimizes the drug degradation rate. The pH of drug solutions may also be either buffered or adjusted to achieve drug solubility. For example, pH in relation to pKa controls the fractions of the usually more soluble ionized and less soluble nonionized species of weak organic electrolytes.
The influence of pH on the physical stability of two phase systems, especially emulsions, is also important. For example, intravenous fat emulsion is destabilized by acidic pH.
Interionic (IonN+–IonN–) Compatibility- The compatibility or solubility of oppositely charged ions depends mainly on the number of charges per ion and the molecular size of the ions. In general, polyvalent ions of opposite charge are more likely to be incompatible. Thus, an incompatibility is likely to occur upon the addition of a large ion with a charge opposite to that of the drug.
Solid State Stability- Solid state reactions are relatively slow; thus, stability of drugs in the solid state is rarely a dispensing concern. The degradation rate of dry solids is usually characterized by first-order kinetics or a sigmoid curve. Therefore, solid drugs with lower melting point temperatures should not be combined with other chemicals that would form a eutectic mixture.
When moisture is present, the solid drug decomposition may change to zero-order chemical kinetics because the rate is controlled by the relatively small fraction of the drug that exists in a saturated solution, which is located (usually imperceptibly) at the surface or in the bulk of the solid drug product.
Temperature- In general, the rate of a chemical reaction increases exponentially for each 10http://www.pharmacopeia.cn/v29240/images/chars/deg.gifC increase in temperature. This relationship has been observed for nearly all drug hydrolysis and some drug oxidation reactions. The actual factor of rate increase depends on the activation energy of the particular reaction. The activation energy is a function of the specific reactive bond and the drug formulation (e.g., solvent, pH, additives). As an example, consider a hydrolyzable drug that is exposed to a 20http://www.pharmacopeia.cn/v29240/images/chars/deg.gifC increase in temperature, such as that from cold to controlled room temperature (see General Notices and Requirements). The shelf life of the drug at controlled room temperature should be expected to decrease to one-fourth to one-twenty-fifth of its shelf life under refrigeration.
The pharmacist should also be aware that inappropriately cold temperatures may cause harm. For example, refrigeration may cause extreme viscosity in some liquid drugs and cause super saturation in others. Freezing may either break or cause a large increase in the droplet size of emulsions; it can denature proteins; and in rare cases, it can cause less soluble polymorphic states of some drugs to form.