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												Methyl Salicylate and Menthol | Memorial Sloan Kettering Cancer Center
PATIENT & CAREGIVER EDUCATION Methyl Salicylate and Menthol This information from Lexicomp® explains what you need to know about this medication, including what it’s used for, how to take it, its side effects, and when to call your healthcare provider. Brand Names: US AMPlify Relief MM [OTC]; BenGay [OTC]; Calypxo HP [OTC]; Capasil [OTC]; Icy Hot [OTC]; Kwan Loong Pain Relieving [OTC]; Precise [OTC]; Salonpas Arthritis Pain [OTC]; Salonpas Jet Spray [OTC]; Salonpas Massage Foam [OTC]; Salonpas Pain Relief Patch [OTC]; Thera-Gesic Plus [OTC]; Thera-Gesic [OTC] What is this drug used for? It is used to ease muscle and joint aches and pain. What do I need to tell my doctor BEFORE I take this drug? If you have an allergy to aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen. If you are allergic to this drug; any part of this drug; or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had. If your skin is damaged or has open wounds. Do not put on damaged skin or open wounds. If you are taking any other NSAID. If you are taking a salicylate drug like aspirin. If you are pregnant, plan to become pregnant, or get pregnant while taking this drug. This drug may cause harm to an unborn baby if taken at 20 weeks or later Methyl Salicylate and Menthol 1/7 in pregnancy. If you are between 20 to 30 weeks of pregnancy, only take this drug if your doctor has told you to. Do not take this drug if you are more than 30 weeks pregnant. - 
												
												Table S1: Sensitivity, Specificity, PPV, NPV, and F1 Score of NLP Vs. ICD for Identification of Symptoms for (A) Biome Developm
Table S1: Sensitivity, specificity, PPV, NPV, and F1 score of NLP vs. ICD for identification of symptoms for (A) BioMe development cohort; (B) BioMe validation cohort; (C) MIMIC-III; (D) 1 year of notes from patients in BioMe calculated using manual chart review. A) Fatigue Nausea and/or vomiting Anxiety Depression NLP (95% ICD (95% CI) P NLP (95% CI) ICD (95% CI) P NLP (95% CI) ICD (95% CI) P NLP (95% CI) ICD (95% CI) P CI) 0.99 (0.93- 0.59 (0.43- <0.00 0.25 (0.12- <0.00 <0.00 0.54 (0.33- Sensitivity 0.99 (0.9 – 1) 0.98 (0.88 -1) 0.3 (0.15-0.5) 0.85 (0.65-96) 0.02 1) 0.73) 1 0.42) 1 1 0.73) 0.57 (0.29- 0.9 (0.68- Specificity 0.89 (0.4-1) 0.75 (0.19-1) 0.68 0.97 (0.77-1) 0.03 0.98 (0.83-1) 0.22 0.81 (0.53-0.9) 0.96 (0.79-1) 0.06 0.82) 0.99) 0.99 (0.92- 0.86 (0.71- 0.94 (0.79- 0.79 (0.59- PPV 0.96 (0.82-1) 0.3 0.95 (0.66-1) 0.02 0.95 (0.66-1) 0.16 0.93 (0.68-1) 0.12 1) 0.95) 0.99) 0.92) 0.13 (0.03- <0.00 0.49 (0.33- <0.00 0.66 (0.48- NPV 0.89 (0.4-1) 0.007 0.94 (0.63-1) 0.34 (0.2-0.51) 0.97 (0.81-1) 0.86 (0.6-0.95) 0.04 0.35) 1 0.65) 1 0.81) <0.00 <0.00 <0.00 F1 Score 0.99 0.83 0.88 0.57 0.95 0.63 0.82 0.79 0.002 1 1 1 Itching Cramp Pain NLP (95% ICD (95% CI) P NLP (95% CI) ICD (95% CI) P NLP (95% CI) ICD (95% CI) P CI) 0.98 (0.86- 0.24 (0.09- <0.00 0.09 (0.01- <0.00 0.52 (0.37- <0.00 Sensitivity 0.98 (0.85-1) 0.99 (0.93-1) 1) 0.45) 1 0.29) 1 0.66) 1 0.89 (0.72- 0.5 (0.37- Specificity 0.96 (0.8-1) 0.98 (0.86-1) 0.68 0.98 (0.88-1) 0.18 0.5 (0-1) 1 0.98) 0.66) 0.88 (0.69- PPV 0.96 (0.8-1) 0.8 (0.54-1) 0.32 0.8 (0.16-1) 0.22 0.99 (0.93-1) 0.98 (0.87-1) NA* 0.97) 0.98 (0.85- 0.57 (0.41- <0.00 0.58 (0.43- <0.00 NPV 0.98 (0.86-1) 0.5 (0-1) 0.02 (0-0.08) NA* 1) 0.72) 1 0.72) 1 <0.00 <0.00 <0.00 F1 Score 0.97 0.56 0.91 0.28 0.99 0.68 1 1 1 *Denotes 95% confidence intervals and P values that could not be calculated due to insufficient cells in 2x2 tables. - 
												
												Flavored Tobacco Products, Effective As of January 1, 2021
ORDINANCE NO. ______ (CODE AMENDMENT NO. 772) AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF EL MONTE AMENDING CHAPTER 8.10 (RETAIL SALES OF TOBACCO PRODUCTS) OF TITLE 8 (HEALTH AND SAFETY) OF THE EL MONTE MUNICIPAL CODE TO PROHIBIT THE SALE OF FLAVORED TOBACCO PRODUCTS, EFFECTIVE AS OF JANUARY 1, 2021 WHEREAS, the potential failure of tobacco retailers to comply with tobacco control laws, particularly laws prohibiting the sale of tobacco products to minors, presents a threat to the public health, safety, and welfare of the residents of the City of El Monte (the “City”); WHEREAS, the federal Family Smoking Prevention and Tobacco Control Act (Tobacco Control Act), enacted in 2009, prohibited candy- and fruit-flavored cigarettes,i largely because these flavored products were marketed to youth and young adults,ii and younger smokers were more likely than older smokers to have tried these products;iii WHEREAS, although the manufacture and distribution of flavored cigarettes (excluding menthol) are banned by federal law,iv neither federal law nor California law restricts the sale of menthol cigarettes or flavored non-cigarette tobacco products, such as cigars, cigarillos, smokeless tobacco, hookah tobacco, electronic smoking devices, and the solutions used in these devices; WHEREAS, flavored tobacco products are very common in California tobacco retailers as evidenced by the following: • 97.4% of stores that sell cigarettes sell menthol cigarettes;v • 94.5% of stores that sell little cigars sell them in flavored varieties;vi • 84.2% of stores - 
												
												Poison Prevention Packaging: a Guide for Healthcare Professionals
PPooiissoonn PPrreevveennttiioonn PPaacckkaaggiinngg:: AA GGuuiiddee FFoorr HHeeaalltthhccaarree PPrrooffeessssiioonnaallss REVISED 2005 CPSC 384 US. CONSUMER PRODUCT SAFETY COMMISSION, WASHINGTON, D.C. 20207 THIS BROCHURE BROUGHT TO YOU BY: U.S. CONSUMER PRODUCT SAFETY COMMISSION Washington, DC 20207 Web site: www.cpsc.gov Toll-free hotline: 1-800-638-2772 The U.S. Consumer Product Safety Commission (CPSC) is a federal agency that helps keep families and children safe in and around their homes. For more information, call the CPSC’s toll-free hotline at 1-800-638-2772 or visit its website at http://www.cpsc.gov. Poison Prevention Packaging: A Guide For Healthcare Professionals (revised 2005) Preface The U.S. Consumer Product Safety Commission (CPSC) administers the Poison Prevention Packaging Act of 1970 (PPPA), 15 U.S.C. §§ 1471-1476. The PPPA requires special (child-resistant and adult-friendly) packaging of a wide range of hazardous household products including most oral prescription drugs. Healthcare professionals are more directly involved with the regulations dealing with drug products than household chemical products. Over the years that the regulations have been in effect, there have been remarkable declines in reported deaths from ingestions by children of toxic household substances including medications. Despite this reduction in deaths, many children are poisoned or have "near-misses" with medicines and household chemicals each year. Annually, there are about 30 deaths of children under 5 years of age who are unintentionally poisoned. Data from the National Electronic Injury Surveillance System (a CPSC database of emergency room visits) indicate that in 2003, an estimated 78,000 children under 5 years of age were treated for poisonings in hospital emergency rooms in the United States. - 
												
												Preparation of Aspirin, Methyl Salicylate and Nylon Experiment #6
Preparation of Aspirin, Methyl Salicylate and Nylon Experiment #6 Objective: To observe the contrasts in appearance and odor of two different esters of salicylic acid, namely aspirin and methyl salicylate. The preparation of nylon will be demonstrated. Introduction Salicylic acid is a phenolic acid, indicating it has two functional groups on the benzene ring, an -OH group and a -COOH group. Aspirin and oil of wintergreen are esters of salicylic acid. Aspirin is the ester of salicylic acid and acetic acid (acetyl salicylic acid), whereas oil of wintergreen is the ester of salicylic acid and methanol (methyl salicylate). The chemical name for aspirin, acetyl salicylic acid, is not easily recognized as the name of an ester. However, the chemical name for oil of wintergreen, methyl salicylate, should readily be recognized as the name of an ester. In the preparation of aspirin the -OH group of salicylic acid reacts with the acetyl group of acetic acid or acetic anhydride to form acetyl salicylic acid. The formation of aspirin will proceed faster if acetic anhydride is used in place of acetic acid. However, acetic anhydride will hydrolyze in the presence of water to form acetic acid, slowing down the reaction. Hence, the reaction vessel must be very DRY to ensure a complete reaction. Sulfuric acid, H2SO4, is used as a dehydrating agent. The aspirin will be isolated by filtration and washed several times with ice cold deionized water to remove the water soluble impurities (acetic acid and sulfuric acid). Aspirin is quite insoluble in ice cold water, but is relatively soluble in warm water (1 g dissolves in 100 mL water at 37EC). - 
												
												Classification of Medicinal Drugs and Driving: Co-Ordination and Synthesis Report
Project No. TREN-05-FP6TR-S07.61320-518404-DRUID DRUID Driving under the Influence of Drugs, Alcohol and Medicines Integrated Project 1.6. Sustainable Development, Global Change and Ecosystem 1.6.2: Sustainable Surface Transport 6th Framework Programme Deliverable 4.4.1 Classification of medicinal drugs and driving: Co-ordination and synthesis report. Due date of deliverable: 21.07.2011 Actual submission date: 21.07.2011 Revision date: 21.07.2011 Start date of project: 15.10.2006 Duration: 48 months Organisation name of lead contractor for this deliverable: UVA Revision 0.0 Project co-funded by the European Commission within the Sixth Framework Programme (2002-2006) Dissemination Level PU Public PP Restricted to other programme participants (including the Commission x Services) RE Restricted to a group specified by the consortium (including the Commission Services) CO Confidential, only for members of the consortium (including the Commission Services) DRUID 6th Framework Programme Deliverable D.4.4.1 Classification of medicinal drugs and driving: Co-ordination and synthesis report. Page 1 of 243 Classification of medicinal drugs and driving: Co-ordination and synthesis report. Authors Trinidad Gómez-Talegón, Inmaculada Fierro, M. Carmen Del Río, F. Javier Álvarez (UVa, University of Valladolid, Spain) Partners - Silvia Ravera, Susana Monteiro, Han de Gier (RUGPha, University of Groningen, the Netherlands) - Gertrude Van der Linden, Sara-Ann Legrand, Kristof Pil, Alain Verstraete (UGent, Ghent University, Belgium) - Michel Mallaret, Charles Mercier-Guyon, Isabelle Mercier-Guyon (UGren, University of Grenoble, Centre Regional de Pharmacovigilance, France) - Katerina Touliou (CERT-HIT, Centre for Research and Technology Hellas, Greece) - Michael Hei βing (BASt, Bundesanstalt für Straßenwesen, Germany). - 
												
												Pre-Validation of an Acute Inhalation Toxicity Assay Using the Epiairway in Vitro Human Airway Model
Pre-Validation of an Acute Inhalation Toxicity Assay Using the EpiAirway In Vitro Human Airway Model George R. Jackson, Jr., Michelle Debatis, Anna G. Maione, Patrick J. Hayden Exposure to potentially dangerous chemicals can occur through inhalation. UNDERSTANDING HUMAN BIOLOGY IN DIMENSIONS3 2 Regulatory systems for classifying the acute inhalation toxicity of chemicals ≤ 0.05 mg/l > 0.05 ≤ 0.5 mg/l > 0.5 ≤ 2 mg/l > 2 mg/l Respirator Use Required 3 Regulatory systems for classifying the acute inhalation toxicity of chemicals 4 OECD 403/436 is the currently accepted test method for determining acute inhalation toxicity OECD Test Guidelines 403/436: In vivo rat LD50 test (dose at which 50% of the animals die) 4 hour exposure 14 Days Examination: - Death -Signs of toxicity -Necropsy should be performed (not always reported) Nose/Head only (preferred) Whole body Repeat stepwise with additional concentrations as necessary 5 Our goal is to develop & validate an in vitro test for acute inhalation toxicity UNDERSTANDING HUMAN BIOLOGY IN DIMENSIONS3 6 The EpiAirway Model EpiAirway is an in vitro 3D organotypic model of human tracheal/bronchial tissue. - Constructed from primary cells - Highly reproducible - Differentiated epithelium at the air-liquid interface - Beating cilia - Mucus secretion - Barrier function - Physiologically relevant & predictive of the human outcome Air Cilia Differentiated epithelium Microporous membrane Media 7 EpiAirwayTM acute inhalation toxicity test method Prepare 4-point dose Apply chemical to Incubate for 3 hours Examination: curve of chemical in the apical surface - Tissue viability (MTT) dH2O or corn oil Advantages of using the in vitro EpiAirway test: 1. - 
												
												Medications in Pregnancy & Lactation.Xlsx
Commonly Used Medications in Pregnancy and Lactation Breastfeeding Medications: Indication & Side Notes Comments Acne: Over the counter acne medications are low risk. Acne ● Benzoyl Peroxide products Acne Low risk Clindamycin topical Acne Low risk Erythromycin topical Acne Low risk *Finacea topical Acne Not recommended Proactiv Acne Low risk Salicylic Acid products Acne Low risk Allergies: Actifed (after 13 weeks) Nasal Congestion, Allergies Low risk Afrin Nasal Spray (only for 3 days) Nasal Congestion Low risk Low risk (may ↓ milk Alavert (Loratadine) Allergies supply) Low risk (may ↓ milk Benadryl (Diphenhydramine) Allergies & Nasal Congestion supply) Low risk (may ↓ milk Clarinex Allergies supply) Low risk (may ↓ milk Claritin (Loratadine) Allergies supply) Low risk (may ↓ milk Claritin D (after 13 weeks) Allergies & Nasal Congestion supply) Low risk (may ↓ milk Chlor-Trimeton Allergies supply) Flonase Rhinitis, Seasonal Allergies Low risk Phenylephrine (after 13 weeks) Nasal Congestion use caution Ocean’s Nasal Spray Allergies & Nasal Congestion Low risk Low risk (may ↓ milk Sudafed (Pseudoephedrine) (after 13 weeks) Nasal Congestion supply) Low risk (may ↓ milk Tavist (Clemastine) Allergies supply) ● Please Contact Your Pediatrician concerning use in breast feeding. * Prescription medications Low risk (may ↓ milk Zyrtec Allergies supply) Antibiotics: *Amoxicillin Infection Low risk *Ampicillin Infection Low risk *Augmentin Infection Low risk *Keflex (Cephalexin) Infection Low risk *Cefuroxime Infection Low risk *Duricef (Cefadroxil) - 
												
												Focuson MOUTHRINSES
v16F_mouthrinsetable_Layout 1 3/28/14 11:04 AM Page 30 FOCUSonMOUTHRINSES This informative table provides details about the therapeutic and cosmetic mouthrinses currently available. Do patients truly understand how mouthrinses work? Some may think of them as “magic bullets” that will cure their dental ailments with just a swish and spit. Oral health professionals, however, know that this is not the case. Patients still need advice on the proper usage and selection of mouthrinses, and the best resource for mouthrinse information is you—their dental hygienist. As the dental team member whose focus is prevention, your knowledge of mouthrinses is paramount to providing excellent patient care. With so many different mouthrinses on the market today, keeping up to date on the prod- ucts available is challenging. This Dimensions of Dental Hygiene mouthrinse guide is intended to help you sort through both the therapeutic and cosmetic mouthrinse options. When consider- ing over-the-counter therapeutic mouthrinses, noting which products have received the American Dental Association’s Seal of Acceptance is also helpful, as they have been evaluated for safety and efficacy. We hope you find this guide useful when making product recommen- dations to patients who wish to add rinsing to their daily oral care regimens. —Jill Rethman, RDH, BA Editor in Chief Note: Mouthrinse manufacturers in the United States were invited to submit information for this table. This list includes those companies that responded to our request for information. There may be inadvertent - 
												
												Effect of Capsaicin and Other Thermo-TRP Agonists on Thermoregulatory Processes in the American Cockroach
Article Effect of Capsaicin and Other Thermo-TRP Agonists on Thermoregulatory Processes in the American Cockroach Justyna Maliszewska 1,*, Milena Jankowska 2, Hanna Kletkiewicz 1, Maria Stankiewicz 2 and Justyna Rogalska 1 1 Department of Animal Physiology, Faculty of Biology and Environmental Protection, Nicolaus Copernicus University, 87-100 Toruń, Poland; [email protected] (H.K.); [email protected] (J.R.) 2 Department of Biophysics, Faculty of Biology and Environmental Protection, Nicolaus Copernicus University, 87-100 Toruń, Poland; [email protected] (M.J.); [email protected] (M.S.) * Correspondence: [email protected]; Tel.: +48-56611-44-63 Academic Editor: Pin Ju Chueh Received: 5 November 2018; Accepted: 17 December 2018; Published: 18 December 2018 Abstract: Capsaicin is known to activate heat receptor TRPV1 and induce changes in thermoregulatory processes of mammals. However, the mechanism by which capsaicin induces thermoregulatory responses in invertebrates is unknown. Insect thermoreceptors belong to the TRP receptors family, and are known to be activated not only by temperature, but also by other stimuli. In the following study, we evaluated the effects of different ligands that have been shown to activate (allyl isothiocyanate) or inhibit (camphor) heat receptors, as well as, activate (camphor) or inhibit (menthol and thymol) cold receptors in insects. Moreover, we decided to determine the effect of agonist (capsaicin) and antagonist (capsazepine) of mammalian heat receptor on the American cockroach’s thermoregulatory processes. We observed that capsaicin induced the decrease of the head temperature of immobilized cockroaches. Moreover, the examined ligands induced preference for colder environments, when insects were allowed to choose the ambient temperature. - 
												
												Topical Analgesics: Expensive and Avoidable
TOPICAL ANALGESICS: EXPENSIVE AND AVOIDABLE FAST FOCUS Some very expensive topical creams and gels are creeping into the workers’ compensation Close management of custom compounds prescription files. Previously, the issue of custom compounds was highlighted and the has decreased their prevalence in workers’ attention to these prescriptions has resulted in a decrease in the number of prescriptions compensation. But private-label topicals and homeopathic products have filled the void. seen. However, the price of these compounds has increased significantly. Neither is FDA-approved. Both warrant close monitoring because of their high costs and In addition to the compounds that are still being prescribed, other topical products are lack of proven efficacy. increasingly seen in the workers’ compensation setting. In this article, a spotlight is turned on to expose more expensive topicals — private-label analgesics and homeopathic products. 24 | RxInformer FALL 2013 SUMMARY OF PRIMARY ISSUES Issue Custom Compounds Private-Label Analgesics Homeopathic Products NDCs Available FDA-approved Proven clinical benefit Prepared by compounding — — pharmacy for a specific patient Contain high levels of NSAIDs — — Contain 2-3x the FDA-approved concentration of methyl salicylate — and/or menthol Can cause skin burns — Prescribers unaware of compound ingredients Prescribers unaware of high costs Expiration dating required — — TOPICAL PRIVATE-LABEL PRODUCTS FINANCIAL CONCERNS There are private-label companies marketing products similar to inexpensive, over- When compared with comparable over-the- the-counter products, but with catchy names, inflated claims and prices. Private-label counter (OTC) preparations, the private-label topical compounds are products containing OTC ingredients such as high-potency products’ prices are stunning. - 
												
												SAMHSA DTAB Minutes
Department of Health and Human Services (HHS) Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Substance Abuse Prevention (CSAP) Drug Testing Advisory Board June 11-12, 2019 Minutes – Open Session SAMHSA’s CSAP Drug Testing Advisory Board (DTAB) convened on June 11-12, 2019. In accordance with the provisions of Public Law 92-463, the meeting was open to the public from 9:30 a.m. to 4:30 p.m. A final presentation/discussion on Regulatory Program Requirements was scheduled for the open session on June 12, 2019 and is included herein. Table of Contents Board Members in Attendance ................................................................................................1 Call to Order ............................................................................................................................2 Welcome and Introductory Remarks ........................................................................................ 2 Department of Transportation (DOT) Update ........................................................................... 3 Nuclear Regulatory Commission 10 CFR Part 26 Fitness for Duty Program Update, .............. 5 Department of Defense Drug Testing Update .......................................................................... 7 Program Updates by DWP (Urine, Oral Fluid, and Hair Mandatory Guidelines) ....................... 8 Update on Emerging Marijuana Legalization ........................................................................... 9 Drug Testing Index (DTI) Data: