Date: 08/22/16 Formal Write-Up #2 CC: New OB HPI: YM is a 24 year old G2P1 who presents for New OB Visit at 28 weeks 6 days. Her concerns are the following: 1. Diarrhea – The patient reports traveling to Hawaii approximately 3 weeks ago. She returned home with loose stools. She had a stool sample that showed positive parasites, and was subsequently started on Metronidazole. She finished that course of antibiotics. After that, she continued to have persistent diarrhea. She was worked up for
Schizophrenia is one of the most severe psychiatric disorders that affects both male and females, respectively. This illness is characterized by gradual increase in changes of perception, thinking, social activities, speech, feelings, and motivations. Many studies have shown that there is a clear difference in outcome between genders including symptom severity, age-at-onset and functional outcome (as cited in Gogos, Kwek and van den Buuse, 2011, p. 213). For example, schizophrenia occurs on average
This article presents a study performed to demonstrate the feasibility of designing partial agonists of the human muscarinic M1 receptor that would modulate the receptor in two distinct ways simultaneously. It also explains the signaling behavior of the receptor. The muscarinic M1 receptor was described as the one of five subtypes of the muscarinic G protein-coupled receptors (GPCRs) with the highest expression in the central nervous system. Two downstream effects of activating the M1 receptor were
aorta tissue. The hypothesis is the CRA mechanism will reach max contraction, but higher concentration of agonist is needed to reach max contraction in presence of antagonist, the NCA mechanism will show decrease in max contraction of agonist with presence of antagonist, and physiological antagonism will show relaxation of tissue due to the action of antagonist during presence of agonist. Each agonist
Lysergic Acid Diethlyamide The psychedelic effects of d-Lysergic Acid Diethylamide-25 (LSD) were discovered by Dr. Albert Hoffman by accident in 1938. In the 1950s and 1960s, LSD was used by psychiatrists for analytic psychotherapy. It was thought that the administration of LSD could aid the patient in releasing repressed material. It was also suggested that psychiatrists themselves might develop more insight into the pathology of a diseased mind through self experimentation. 1,2 During the late
-helices that run through the membrane with parts both inside of the cell and outside of the cell (1). The widely accepted model for GPCRs work is outlined in Figure 1 of this paper (2) and is essential for understanding the rest of the paper. An agonist binds to 2AR.Then changes occur to 2AR such that a Gs heterotrimer complex can bind to the 2AR better. The Gs
The short story “ A Good Man is Hard to Find” is a story that quite frankly left me perplexed the first time I read it. The story is written in a third person perspective that follows the road trip of a grandmother and her son Baileys family, which is comprised of Baileys wife whose name is never mentioned in the story and their three children John Wesley, June Star and a baby that’s name is not mentioned either. The story is set mainly in the family car, with a stop at a local diner and ultimately
A 5-HT2A receptor antagonist blocked the social effects of MDMA. A 5-HT2C agonist decreased huddling but did not affect social vocalizations, and a 5-HT1A agonist decreased huddling (Pitts et al., 2017). The researchers concluded that MDMA and its enantiomers increase the frequency of affiliative behaviors and vocalizations in a dose-dependent fashion, and the behavioral
classifications of serotonin receptors, as well as drug classes that act upon serotonergic transmission are discussed below. This includes serotonin (5-HT) agonists, antagonists and medications that modulate 5-HT at the presynaptic level, all of which are of significant clinical relevance. Nuplazid (pimavanserin), is a selective serotonin inverse agonist (SSIA). Pimavanserin is a non-dopaminergic atypical antipsychotic drug with primarily selective inverse agonistic and minor selective inverse agonistic
Types of agonists Receptors can be activated by either endogenous (such as hormones and neurotransmitters) or exogenous (such as drugs) agonists, resulting in a biological response. A physiological agonist is a substance that creates the same bodily responses but does not bind to the same receptor. An endogenous agonist for a particular receptor is a compound naturally produced by the body that binds to and activates that receptor. For example, the endogenous agonist for serotonin receptors is