Tuesday, November 1, 2011

USA College of Medicine Welcomes Dr. Robert A. Stauffer

Dr. Robert A. Stauffer was recently appointed as associate professor of obstetrics and gynecology at the University of South Alabama College of viagra cialis online pharmacy pharmacy.  He will practice in the division of maternal fetal medicine.



Prior to his appointment at USA, Dr. Stauffer was a perinatologist at the Medical Center in Columbus, Ga.



Dr. Stauffer earned his medical degree from the Hershey Medical Center in Hershey, Pa. He completed his internship in medicine and his residency in obstetrics and gynecology at the Medical University of South Carolina in Charleston, S.C.



In addition, he completed a fellowship in perinatology at the University of Louisville in Louisville, Ky.



Dr. Stauffer is board certified in obstetrics and gynecology and maternal fetal medicine. He is now accepting referrals. To contact Dr. Stauffer, call (251) 415-1496.

Saturday, October 29, 2011

More on Histone Deacetylase Inhibitor

University of Notre Dame Press Release Claims Breakthrough





A paper claiming a breakthrough in the fight against Niemann-Pick Disease Type C (NPC) appeared in a recent issue of Proceedings of the National Academy of Sciences (PNAS). The paper, coauthored by Olaf Wiest and Paul Helquist of the University of Notre Dame and Frederick Maxfield of Cornell University, says the use of an unspecified histone deacetylase online pharmacy viagra corrects the damage done by the genetic disorder NPC and allowed once-diseased cells to function normally. Follow this link to view an abstract of this paper at PNAS: http://www.pnas.org/content/early/2011/03/15/1014890108



To help understand the press release issued by Notre Dame on March 21, the NNPDF consulted three respected experts in Niemann-Pick Disease Type C: Dr. Dan Ory of Washington University, Dr. Marc Patterson of Mayo Clinic, and Dr. Denny Porter of the National Institutes of Health. Follow this link to view the Notre Dame press release dated March 21, 2011: http://www.eurekalert.org/pub_releases/2011-03/uond-bin032111.php



Daniel Ory, M.D., Washington University School of Medicine, and Chair of the NNPDF’s Scientific Advisory Board, responded to our inquiry:



The results are promising, but represent an early step in the process of identifying effective compounds for NPC. More cell studies are needed to understand the mechanism [and] mouse studies should be pursued….there is a long history of compounds that are effective in reducing cholesterol in cultured cells but do not have benefits in animal models, so we should be cautious in extrapolating such results to humans.



Marc C. Patterson, M.D., Chair of the Division of Child and Adolescent Neurology at Mayo Clinic, also a member of the NNPDF’s SAB, further cautioned against making premature assumptions:



The work was done in cultured fibroblasts, so one should be very cautious about extrapolating these data to animals or humans. Moreover, the work was done in cells expressing one or two I1061T NPC1 mutations, and may not be relevant to other mutations; it was not effective in an NPC2 mutant cell line. Of note, the late Dick Pagano showed dramatic reversal of trafficking abnormalities and filipin staining in NPC fibroblasts in which rab 7 and 9 were overexpressed, but much more modest results in transgenic mice with NPC1 mutations and rab overexpression.





Mouse studies could certainly be justified, but it would be premature to assume that this approach will be applicable in humans with NPC.



Another of the NNPDF's SAB members, Forbes “Denny” Porter, M.D., Ph.D., of the National Institute of Child Health and Human Development at the National Institutes of Health (NIH), stated, “It is always good news to have a potential new approach to treating NPC. Cells are the starting point, but to translate this to a potential therapy more work needs to be done.”



The paper by Wiest, Helquist and Maxfield does not name the specific histone deacetylase inhibitor. Histone deacetylase inhibitors (referred to as HDAC inhibitors) are a class of compounds that interfere with the function of histone deactylase. HDAC inhibitors have a history of use in psychiatry and neurology as mood stabilizers and anti-epileptics.



One HDAC inhibitor, valproic acid, was considered as a possible treatment for NPC, but results have not been overly promising.



Yiannis Ioannou, Ph.D., Department of Genetics and Genomic Sciences at Mount Sinai School of Medicine, also a member of the NNPDF’s SAB, made the following statement regarding his recent study of valproic acid and NPC:



We have just concluded our mouse studies on valproic acid and have evaluated its effect on cells from a number of NPC patients and on the NPC mouse. Unfortunately, the results are not great.





• For NPC patient cell lines we have treated six different lines with valproate. Some cells responded positively; i.e., the cholesterol storage was cleared but some lines were completely resistant to the treatment. Upon analysis of our data it became clear that if the patient has a relatively mild mutation then they would respond to valproate, whereas if the mutation is more severe, then the cells don’t respond.





•With respect to the mouse study, we have treated about 25 mice with daily dosing of valproate. We can extend the life of these mice by about 10%. The mice live about 122 days on average vs. 108 days for the untreated mice.





At this point we don’t think that valproic acid would be beneficial for NPC patients.



Some years ago, valproic acid was given to a few NPC patients, including Stacey Vorpahl (1985-2004), the daughter of Gary and Barbara Vorpahl of Fort Atkinson, Wisconsin for the treatment of seizures. Barb, Vice Chair of the NNPDF Board of Directors, recently posted to the NNPDF listserv group about her family’s experience with valproic acid (as Depakote):



We did have Stacey on valproic acid (Depakote) for seizures when she first started having seizures. This was at age seven. Once she started Depakote we saw a rapid decline. One of the side effects is muscle weakness. It can also actually cause seizures at higher doses. She was on Depakote for about a year. She quit talking, needed a wheelchair, could no longer sit up or roll over by herself. We didn’t think she would survive to age 8 at her rate of deterioration. We thought the decline was from NPC but after comparing notes with other parents and seeing strange seizures that their children were also experiencing when doses were increased, we decided to gradually wean her off of Depakote and try another seizure medication. It was like bringing her back from the dead. We saw her strength start coming back, alertness level [sic], her talking never resumed but she did have strength to walk with assistance. I know others have had success with valproic acid but for Stacey it was a very negative experience. I was very surprised when I saw research coming out on valproic acid. It may work in mice but it certainly did not help our daughter even controlling seizures.



This summary was compiled by the NNPDF Central Office staff with thanks to the members of our esteemed Scientific Advisory Board. (March 31, 2011)



The National Niemann-Pick Disease Foundation (NNPDF) does not engage in the practice of medicine. It is not a medical authority nor does it claim to have medical knowledge. This site is an educational service of the National Niemann-Pick Disease Foundation and is not meant to provide diagnostic or treatment advice. Information contained or suggested on this Web site does not constitute medical advice. For all information related to care, medication or treatment, the NNPDF recommends consulting a physician to determine if information presented is applicable. Please review these additional cautions about medical information provided on the Internet.

Monday, May 23, 2011

What did the Stone Tablets look like?

What did the Stone cheap viagra look like?



I am doing some research into the interpretation of the stone cialis which Moses brought down from Sinai, and came across an interesting tangent. Try imagining Moses at and advanced age (or Even Charleton Heston in his prime) walking down a steep mountainside with those two stone whoppers! He then throws them down with enough force to smash them.
We could say that God gave Moses superhuman strength (the text does not indicate such), or we could look for a reasonable interpretation, even if it means relinquishing some of our favourite images.
Writing on stone was very common in Egypt of the late Bronze Age. Hundreds of examples have been found. Papyrus was very expensive, so for scrap paper or scribal excersizes, pottery shards and stone flakes were used instead. Here is but one example, recovered at the Valley of the Kings (Deir el-Medina).

Stone flakes of this size could contain around twenty lines of text on both sides, could be easily carried, and easily broken.

Tuesday, May 3, 2011

Aspirin

Why is this cheap cialis prescribed?
Prescription aspirin is used to relieve the symptoms of rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), osteoarthritis (arthritis caused by breakdown of the lining of the joints), systemic lupus erythematosus (condition in which the immune system attacks the joints and organs and causes pain and swelling) and certain other rheumatologic conditions (conditions in which the immune system attacks parts of the body). Nonprescription aspirin is used to reduce fever and to relieve mild to moderate pain from headaches, menstrual periods, arthritis, colds, toothaches, and muscle aches. Nonprescription aspirin is also used to prevent heart attacks in people who have had a heart attack in the past or who have angina (chest pain that occurs when the heart does not get enough oxygen). Nonprescription aspirin is also used to reduce the risk of death in people who are experiencing or who have recently experienced a heart attack. Nonprescription aspirin is also used to prevent ischemic strokes (strokes that occur when a blood clot blocks the flow of blood to the brain) or mini-strokes (strokes that occur when the flow of blood to the brain is blocked for a short time) in people who have had this type of stroke or mini-stroke in the past. Aspirin will not prevent hemorrhagic strokes (strokes caused by bleeding in the brain). Aspirin is in a group of medications called salicylates. It works by stopping the production of certain natural substances that cause fever, pain, swelling, and blood clots.
Aspirin is also available in combination with other medications such as antacids, pain relievers, and cough and cold medications. This monograph only includes information about the use of aspirin alone. If you are taking a combination product, read the information on the package or prescription label or ask your doctor or pharmacist for more information.
How should this cheap cialis be used?
Prescription aspirin comes as an extended-release tablet (tablet that releases medication slowly over a period of time). Nonprescription aspirin comes as a regular tablet, an enteric-coated, delayed-release tablet (tablet that first begins to release medication some time after it is taken), a chewable tablet, powder, and a gum to take by mouth and a suppository to use rectally. Prescription aspirin is usually taken two or more times a day. Nonprescription aspirin is usually taken once a day to lower the risk of a heart attack or stroke. Nonprescription aspirin is usually taken every 4 to 6 hours as needed to treat fever or pain. Follow the directions on the package or prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take aspirin exactly as directed. Do not take more or less of it or take it more often than directed by the package label or prescribed by your doctor.
Swallow the extended-release tablets whole with a full glass of water. Do not break, crush, or chew them.
Swallow the tablets with a full glass of water.
Chewable aspirin tablets may be chewed, crushed, or swallowed whole. Drink a full glass of water, immediately after taking these tablets.
Ask a doctor before you give aspirin to your child or teenager. Aspirin may cause Reye's syndrome (a serious condition in which fat builds up on the brain, liver, and other body organs) in children and teenagers, especially if they have a virus such as chicken pox or the flu.
If you have had oral surgery or surgery to remove your tonsils in the last 7 days, talk to your doctor about which types of aspirin are safe for you.
Delayed-release tablets begin to work some time after they are taken. Do not take delayed-release tablets for fever or pain that must be relieved quickly.
Stop taking aspirin and call your doctor if your fever lasts longer than 3 days, if your pain lasts longer than 10 days, or if the part of your body that was painful becomes red or swollen. You may have a condition that must be treated by a doctor.
To insert an aspirin suppository into the rectum, follow these steps:
Remove the wrapper.
Dip the tip of the suppository in water.
Lie down on your left side and raise your right knee to your chest. (If you are left-handed, lie on your right side and raise your left knee.)
Using your finger, insert the suppository into the rectum, about 1/2 to 1 inch (1.25 to 2.5 centimeters) in infants and children and 1 inch (2.5 centimeters) in adults. Hold it in place for a few moments.
Do not stand up for at least 15 minutes. Then wash your hands thoroughly and resume your normal activities.
Are there other uses for this medicine?
Aspirin is also sometimes used to treat rheumatic fever (a serious condition that may develop after a strep throat infection and may cause swelling of the heart valves) and Kawasaki disease (an illness that may cause heart problems in children). Aspirin is also sometimes used to lower the risk of blood clots in patients who have artificial heart valves or certain other heart conditions and to prevent certain complications of pregnancy.
Other names
Acuprin®
Alka-Seltzer® (as a combination product containing Aspirin, Citric Acid, Sodium Bicarbonate)
Alka-Seltzer® Extra Strength (as a combination product containing Aspirin, Citric Acid, Sodium Bicarbonate)
Alka-Seltzer® Morning Relief (as a combination product containing Aspirin, Caffeine)
Alka-Seltzer® Plus Flu (as a combination product containing Aspirin, Chlorpheniramine, Dextromethorphan)
Alka-Seltzer® PM (as a combination product containing Aspirin, Diphenhydramine)
Alor® (as a combination product containing Aspirin, Hydrocodone)
Anacin® (as a combination product containing Aspirin, Caffeine)
Anacin® Advanced Headache Formula (as a combination product containing Acetaminophen, Aspirin, Caffeine)
Anacin® Aspirin Regimen
Ascriptin®
Aspergum®
Aspidrox®
Aspircaf® (as a combination product containing Aspirin, Caffeine)
Aspir-Mox®
Aspirtab®
Aspir-trin®
Axotal® (as a combination product containing Aspirin, Butalbital)
Azdone® (as a combination product containing Aspirin, Hydrocodone)
Bayer® Aspirin
Bayer® Aspirin Plus Calcium (as a combination product containing Aspirin, Calcium Carbonate)
Bayer® Aspirin PM (as a combination product containing Aspirin, Diphenhydramine)
Bayer® Back and Body Pain (as a combination product containing Aspirin, Caffeine)
BC Headache (as a combination product containing Aspirin, Caffeine, Salicylamide)
BC Powder (as a combination product containing Aspirin, Caffeine, Salicylamide)
Bufferin®
Buffex®
Damason-P® (as a combination product containing Aspirin, Hydrocodone)
Easprin®
Ecotrin®
Emagrin® (as a combination product containing Aspirin, Caffeine, Salicylamide)
Empirin®
Endodan® (as a combination product containing Aspirin, Oxycodone)
Entaprin®
Entercote®
Equagesic® (as a combination product containing Aspirin, Meprobamate)
Excedrin® (as a combination product containing Acetaminophen, Aspirin, Caffeine)
Excedrin® Back & Body (as a combination product containing Acetaminophen, Aspirin)
Fasprin®
Genacote®
Gennin-FC®
Genprin®
Goody's® Body Pain (as a combination product containing Acetaminophen, Aspirin)
Halfprin®
Levacet® (as a combination product containing Acetaminophen, Aspirin, Caffeine, Salicylamide)
Lortab ASA® (as a combination product containing Aspirin, Hydrocodone)
Magnaprin®
Micrainin® (as a combination product containing Aspirin, Meprobamate)
Miniprin®
Minitabs®
Momentum® (as a combination product containing Aspirin, Phenyltoloxamine)
Norgesic® (as a combination product containing Aspirin, Caffeine, Orphenadrine)
Orphengesic® (as a combination product containing Aspirin, Caffeine, Orphenadrine)
Panasal® (as a combination product containing Aspirin, Hydrocodone)
Percodan® (as a combination product containing Aspirin, Oxycodone)
Ridiprin®
Robaxisal® (as a combination product containing Aspirin, Methocarbamol)
Roxiprin® (as a combination product containing Aspirin, Oxycodone)
Saleto® (as a combination product containing Acetaminophen, Aspirin, Caffeine, Salicylamide)
Sloprin®
Soma® Compound (as a combination product containing Aspirin, Carisoprodol)
Soma® Compound with Codeine (as a combination product containing Aspirin, Carisoprodol, Codeine)
Supac® (as a combination product containing Acetaminophen, Aspirin, Caffeine)
Synalgos-DC® (as a combination product containing Aspirin, Caffeine, Dihydrocodeine)
Talwin® Compound (as a combination product containing Aspirin, Pentazocine)
Uni-Buff®
Uni-Tren®
Valomag®
Vanquish® (as a combination product containing Acetaminophen, Aspirin, Caffeine)
Zorprin®


What special precautions should I follow?
Before taking aspirin,
tell your doctor and pharmacist if you are allergic to aspirin, other medications for pain or fever, tartrazine dye, or any other medications.
tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: acetazolamide (Diamox); angiotensin-converting enzyme (ACE) inhibitors such as benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril, (Aceon), quinapril (Accupril), ramipril (Altace), and trandolapril (Mavik); anticoagulants ('blood thinners') such as warfarin (Coumadin) and heparin; beta blockers such as atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), and propranolol (Inderal); diuretics ('water pills'); medications for diabetes or arthritis; medications for gout such as probenecid and sulfinpyrazone (Anturane); methotrexate (Trexall); other nonsteroidal anti-inflammatory drugs (NSAIDs) such as naproxen (Aleve, Naprosyn); phenytoin (Dilantin); and valproic acid (Depakene, Depakote). Your doctor may need to change the doses of your medications or monitor you more carefully for side effects.
if you are taking aspirin on a regular basis to prevent heart attack or stroke, do not take ibuprofen (Advil, Motrin) to treat pain or fever without talking to your doctor. Your doctor will probably tell you to allow some time to pass between taking your daily dose of aspirin and taking a dose of ibuprofen.
tell your doctor if you have or have ever had asthma, frequent stuffed or runny nose, or nasal polyps (growths on the linings of the nose). If you have these conditions, there is a risk that you will have an allergic reaction to aspirin. Your doctor may tell you that you should not take aspirin.
tell your doctor if you often have heartburn, upset stomach, or stomach pain and if you have or have ever had ulcers, anemia, bleeding problems such as hemophilia, or kidney or liver disease.
tell your doctor if you are pregnant, especially if you are in the last few months of your pregnancy, you plan to become pregnant, or you are breast-feeding. If you become pregnant while taking aspirin, call your doctor. Aspirin may harm the fetus and cause problems with delivery if it is taken during the last few months of pregnancy.
if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking aspirin.
if you drink three or more alcoholic drinks every day, ask your doctor if you should take aspirin or other medications for pain and fever.
What special dietary instructions should I follow?
Unless your doctor tells you otherwise, continue your normal diet.


What side effects can this medication cause?
Aspirin may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
nausea
vomiting
stomach pain
heartburn
Some side effects can be serious. If you experience any of the following symptoms, call your doctor immediately:
hives
rash
swelling of the eyes, face, lips, tongue, or throat
wheezing or difficulty breathing
hoarseness
fast heartbeat
fast breathing
cold, clammy skin
ringing in the ears
loss of hearing
bloody vomit
vomit that looks like coffee grounds
bright red blood in stools
black or tarry stools
Aspirin may cause other side effects. Call your doctor if you experience any unusual problems while you are taking this medication.
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at http://www.fda.gov/Safety/MedWatch] or by phone [1-800-332-1088].
What should I do if I forget to take a dose?
If your doctor has told you to take aspirin on a regular basis and you miss a dose, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
What should I do in case of overdose?
In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.
Symptoms of overdose may include:
burning pain in the throat or stomach
vomiting
decreased urination
fever
restlessness
irritability
talking a lot and saying things that do not make sense
fear or nervousness
dizziness
double vision
uncontrollable shaking of a part of the body
confusion
abnormally excited mood
hallucination (seeing things or hearing voices that are not there)
seizures
drowsiness
loss of consciousness for a period of time
What storage conditions are needed for this medication?
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Store aspirin suppositories in a cool place or in a refrigerator. Throw away any medication that is outdated or no longer needed and any tablets that have a strong vinegar smell. Talk to your pharmacist about the proper disposal of your medication.
What other information should I know?
Keep all appointments with your doctor.
If you are taking prescription aspirin, do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

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