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Poisoning – Investigative and Management Protocols
UNIT-1 Management of Common Clinical Poisoning Dr. Pallav Shekhar Asstt. Professor Veterinary Medicine Suspection Common Symptoms exhibited by large no. of animals at a time. ➢ Sudden death ➢ Salivation ➢ Vomition ➢ Neurological signs ➢ Presence of mouldy feeds ➢ Presence of house hold waste and medicaments ➢ Sewage water contamination ➢ Presence of dead rat or rat wait ➢ Spray of insecticides, weedicides. ➢ Use of paint Principal of treatment Prevention of further exposure Alkalis are more dangerous than acids. Acids form insoluble acid proteinates and hence its effect is partially self limiting Alkalis form alkali proteinates along with soaps which will penetrate rapidly into tissues. Inhaled poisons can be eliminated by providing assisted ventilation. Topical applied toxicant can be removed by washing with plenty of water and soap. Skin contact can be eliminated by washing with plenty of water and soap if the poison is water soluble and with organic solvents like Benzene, alcohol if they are fat soluble Conti…. Clipping of hair or wool may be necessary Emesis is of value in dogs, cats and pigs if done within few hours of ingestion. Emesis is contraindicated when ▪ The swallowing reflex is absent ▪ Animal is convulsive ▪ Corrosive agent or volatile hydrocarbons or petroleum product ingested Conti…. Emetics: a) Oral: I. Syrup of ipecac; 10-20ml in dogs II. Hydrogen peroxide: 2ml/kg b) Parenteral: Apomorphine can be used in dogs at dosage of 0.05-0.1mg/kg Conti… Gastric lavage: This is done in mono-gastric animals and 10ml lavage fluid/kg body weight should be given. Potassium permanganate solution This is done with Endotracheal tube and stomach tube Conti… Insertion of stomach tube in cattle for gastric lavage Conti. -
A Case of Attempted Suicide by Cerbera Odollam Seed Ingestion
Hindawi Case Reports in Critical Care Volume 2020, Article ID 7367191, 5 pages https://doi.org/10.1155/2020/7367191 Case Report A Case of Attempted Suicide by Cerbera odollam Seed Ingestion Michelle Bernshteyn , Steven H. Adams, and Kunal Gada SUNY Upstate Medical University, 750 E Adams St., Syracuse, NY 13210, USA Correspondence should be addressed to Michelle Bernshteyn; [email protected] Received 3 March 2020; Revised 2 June 2020; Accepted 4 June 2020; Published 15 June 2020 Academic Editor: Ricardo Jorge Dinis-Oliveira Copyright © 2020 Michelle Bernshteyn et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. We report a case of attempted suicide by Cerbera odollam seed ingestion by a transgender patient who was successfully treated at our hospital. While the C. odollam plant has multiple practical and ornamental functions, its seeds have traditionally been utilized for suicidal and homicidal purposes in many parts of the world. Physicians should be aware of the presentation, diagnosis, and treatment of C. odollam ingestion given the current ease of availability of these seeds in the United States and the increased reports of suicide attempts. 1. Introduction with a junctional rhythm and therefore received a total of 10 vials of Digibind (digoxin immune fab). She denied any head- Indigenous to India and Southeast Asia, Cerbera odollam, ache, visual disturbances, chest pain, palpitations, shortness “ ” also known as pong-pong, or suicide tree, yields highly car- of breath, abdominal tenderness, diarrhea, or constipation. -
Automated Kappa Number Determination of Pulp
Application Note YSI, a Xylem Brand • XA00077 Automated Kappa Number Determination of Pulp PULP & PAPER SERIES Introduction The Kappa number describes the Lignin content of pulp which gives information about the bleaching process of the pulp. The longer the pulp was cooked and bleached the lower the Kappa number is. For the determination of the Kappa number a sample weight adjusted to the expected result is chopped and inserted into a beaker, then 400 ml of water is added. The sample/water mixture is stirred for 10 minutes. Afterwards 50 ml of potassium permanganate (KMnO4, 0.02 mol/L) and 50 ml sulfuric acid (H2SO4, 2 mol/L) are added simultaneously. The mixture is stirred for another 10 minutes. The reaction is stopped by adding 10 ml potassium iodide (KI, 1mol/l). The excess of KMnO4 reacts with Iodide to Iodine, which is titrated with sodium thiosulfate (Na2S2O3, 0.2 mol/L). Chemical Equations: The weight is adjusted to a consumption of about 50% of the MnO4- . - + ➔ - Lignin + MnO4 + 4 H oxidised Lignin + MnO4 (excess) + MnO2 + 2 H2O The reaction is stopped by adding KI. - - + ➔ 2+ 2 MnO4 + 10 I + 16 H 2 Mn + 5 I2 + 8 H2O The formed Iodine is titrated with Na2S2O3. 2- ➔ - 2 S2O3 + I2 S4O6 + 2 I Calculation of the Kappa number: 1. Calculation of the consumed volume Va of KMnO4: 2. Calculation of a correction factor d, which corrects the consumption of permanganate depending on Va to a V1 – V2)c Va = consumption of 50%. 0.1 with d= 100.00093 (2Va – 50) In(10) • 0.00093 (2Va– 50)) V1 = Consumption of Na2S2O3 during blank titration = e V2 = Consumption of Na2S2O3 during sample titration c = Concentration of Na2S2O3 3. -
Page 1 of 7 Analyst
Analyst Accepted Manuscript This is an Accepted Manuscript, which has been through the Royal Society of Chemistry peer review process and has been accepted for publication. Accepted Manuscripts are published online shortly after acceptance, before technical editing, formatting and proof reading. Using this free service, authors can make their results available to the community, in citable form, before we publish the edited article. We will replace this Accepted Manuscript with the edited and formatted Advance Article as soon as it is available. You can find more information about Accepted Manuscripts in the Information for Authors. Please note that technical editing may introduce minor changes to the text and/or graphics, which may alter content. The journal’s standard Terms & Conditions and the Ethical guidelines still apply. In no event shall the Royal Society of Chemistry be held responsible for any errors or omissions in this Accepted Manuscript or any consequences arising from the use of any information it contains. www.rsc.org/analyst Page 1 of 7 Analyst 1 2 Analyst RSC Publishing 3 4 5 ARTICLE 6 7 8 9 Enhancing permanganate chemiluminescence 10 detection for the determination of glutathione and 11 Cite this: DOI: 10.1039/x0xx00000x 12 glutathione disulfide in biological matrices 13 14 a a a b 15 Zoe M. Smith, Jessica M. Terry, Neil W. Barnett, Laura J. Gray, Dean J. Received 00th January 2012, Wright c and Paul S. Francis a* 16 Accepted 00th January 2012 17 18 DOI: 10.1039/x0xx00000x Acidic potassium permanganate chemiluminescence enables direct post-column detection of 19 glutathione, but its application to assess the redox state of a wider range of biological fluids www.rsc.org/ 20 and tissues is limited by its sensitivity. -
Phytochemical Analysis, Antioxidant Assay and Antimicrobial Activity in Leaf Extracts of Cerbera Odollam Gaertn
Pharmacogn J. 2018; 10(2): 285-292 A Multifaceted Journal in the field of Natural Products and Pharmacognosy Original Article www.phcogj.com | www.journalonweb.com/pj | www.phcog.net Phytochemical Analysis, Antioxidant Assay and Antimicrobial Activity in Leaf Extracts of Cerbera odollam Gaertn Abinash Sahoo, Thankamani Marar* ABSTRACT Introduction: In the current study, methanol and aqueous extracts of leaf of Cerbera odollam Gaertn were screened for its antibacterial, antifungal, phytochemicals and antioxidant ac- tivities. Phytochemical constituents were investigated both qualitatively and quantitatively. Methods: The leaf extracts of Cerbera odollam Gaertn were prepared by drying and extracted using Soxhlet apparatus into methanol and aqueous media, which were subjected to phyto- chemical screening. Total phenols, tannins, flavanols, alkaloids and its antioxidant activity were determined using spectroscopic techniques. Antimicrobial activity were determined using well diffusion method. Results: Aqueous extract exhibits higher content of phenols, tannins, flavanols and alkaloids, whereas methanol extract exhibits higher content of anthocyanin and cardiac glycoside respectively. Aqueous extract exhibits higher inhibitory concentration (IC %) value for DPPH (2, 2-Diphenyl-1-picrylhydrazyl) and H2O2 radical scavenging assay and reduc- ing power (RP) assay. The methanol extracts exhibited higher inhibitory concentration (IC %) value in SO and NO radical scavenging assay, exhibiting antioxidant properties in five antioxi- dant models that were investigated. The methanol extract showed some antibacterial activity against Bacillus subtilis, Staphylococcus aureus, Salmonella typhi and Escherichia coli with inhibitory zone ranging from 2 mm to 3 mm, whereas the aqueous extract showed no activity. Abinash Sahoo, High antifungal activity was found against Saccharomyces cerevisiae and Candida albicans for methanol extract and moderate for aqueous extract with inhibitory zone ranging from 9mm Thankamani Marar* to 26 mm. -
Toxicological Properties and Chemical Profiling of Native Plants Geographically Distributed in and Around Thrissur District, Kerala, India
ISSN- 2394-5125 VOL 7, ISSUE 15, 2020 TOXICOLOGICAL PROPERTIES AND CHEMICAL PROFILING OF NATIVE PLANTS GEOGRAPHICALLY DISTRIBUTED IN AND AROUND THRISSUR DISTRICT, KERALA, INDIA. Meena K Cheruvathur1, Shafna Jose2 1Assistant Professor, Department of Botany, St. Mary’s College, Thrissur 680 020, Kerala 2Assistant Professor, Department of Chemistry, St. Mary’s College, Thrissur 680 020, Kerala. E mail id: [email protected] Received: 14 March 2020 Revised and Accepted: 8 July 2020 I. INTRODUCTION: Plants are living factories producing thousands of secondary metabolites. We have a general concept that plants and plant products are harmless. However, more than 700 plants produce physiologically active toxic substances, sufficient to cause harmful effects in human beings and animals. In some plants, one part may be edible while another is poisonous. Lack of toxicological evaluation of natural products leads to the false concept that natural products are safe. Even herbal food ingredients may contain some Phyto-constituents known to produce genotoxic or carcinogenic components after prolonged dose depended exposure. Poisonous plants produce several toxic substances at various concentrations at different organs and cause responses ranging from mild nausea to mortality. Certain animal species may have a specific vulnerability to a potentially poisonous plant. Plant toxins belong to different categories. The reviewed plants are classified into nine based on the significant category of poisons: 1. Plants with Anticholinergic (Antimuscarinic) Poisons: Neurotransmitter acetylcholine transmits impulses between nerves in the brain and neuromuscular junctions. Tropane alkaloids present in plants resembles acetylcholine and hence competitively inhibit acetylcholine receptors producing the anticholinergic syndrome. Their reaction may affect the heart rate, respiration and functions of the central nervous system. -
Environmental Significance of Heavy Metals in Leaves and Stems of Kerala Mangroves, SW Coast of India
Indian Journal Journal of Geo-Marine of Marine Sciences Sciences Vol. 43(6), June 2014, pp.1027-10351021-1029 Environmental significance of heavy metals in leaves and stems of Kerala mangroves, SW coast of India A. Badarudeen, " K. Sajan, , Reji Srinivas.? K. Maya? & D. Padmalal" 'Departmentment of Marine Geology and Geophysics, School of Marine Sciences, Cochin University of Science and Technology, Kochi 682 016, India. 2Centre for.Earth Science Studies, Thiruvananthapuram- 695031, Kerala, India [E-Mail: [email protected]] Received 17 December 2012; revised 2 May 2014 Out of the seven heavy metals (Fe, Mn, Co, Pb, Cd, Cu and Zn) studied in the leaves and stems of mangroves and mangrove associates of Veli (9 species), Kochi (5 species) and Kannur (9 species) regions, Cerbera odol/am, a typical mangrove associate that spread in Veti, accounts for the highest contents of Mn and Cd. Other plant species do not show any specific heavy metal enrichment pattern in the coastal segments chosen for the present study. A comparative evaluation of heavy metal contents in the vegetal parts (leaves and stems) with that of the sediment substratum reveals that, almost all metals are concentrated in the former than latter. [Keywords: Coastal sedimentary environments, Mangroves and mangrove associates, Heavy metals, Southwestern coast of India.] Introduction are some of the other adaptations exhibited by mangrove plants to thrive in harmony within the Mangroves, a group of salt-tolerant plant intertidal zone", Studies on the geochemical communities occurring in the land-sea interface, characteristics of mangrove environment show that contribute significant quantities of organic matter and, major, micro and trace nutrient elements to the coastal/ sediments in this zone could sink a substantial quantity nearshore environments-" Many of the world's of toxic contaminants, particularly heavy metals, important mangrove populations are at the verge of without much damage to the vegetation":". -
Effect of Suicide Tree Crude Extract (Cerbera Odollam Gaerth.) on Common Cutworm (Spodoptera Litura Fabricius) Phanatchakon Somsroi1 and Sukanda Chaiyongabstract1
การเกษตรราชภัฏ RAJABHAT AGRIC. 15 (1) : 16-21 (2016) Effect of Suicide Tree Crude Extract (Cerbera odollam Gaerth.) on Common Cutworm (Spodoptera litura Fabricius) Phanatchakon Somsroi1 and Sukanda ChaiyongAbstract1 Common cutworm (Spodoptera litula Fabricius) is an insect pest which widely spread and damaged the many important crops in Thailand. The purpose of this research was to study the effect of crude extract from Suicide Tree (Cerbera odollam Gaerth.) on control of the third instar larva of common cutworm. The insecticidal efficacy against common cutworm larva was tested using Leaf dipping method and Topical application method. The result showed that at 30% (w/v) of Suicide Tree fruit crude extract displayed strong antifeedant activity, whereas the lower concentration and Suicide Tree leaf crude extract had no effect. In addition, the percentage of mortality from the Suicide Tree fruit crude extract at the concentration of 1, 5, 10 and 30% were 13.33, 80.00, 93.33 and 100% respectively, with LC50 value at 24 hour was 2.68+0.37%. From our results, it was interesting to note that the Suicide Tree fruit crude extract has a strong insecticidal efficiency and should be applied further for control of insect pest. Keywords : Anti-insect property, Cerbera odollam Gaertn., Common Cutworm 1 Faculty of Science, Chandrakasam Rajabhat University,Bangkok, 10900 ,Thailand 17 Preparation of crude extract Introduction The C.odollam leaf and fruit were collected from Chandrakasem Rajabhat University, Bangkok, Thailand. The identification Cerbera odollam Gaertn. is a mangrove of the plant species was confirmed and plant belonging to the Apocynaceae family and deposited in the Forest Herbarium (BKF. -
Assessment at the Single-Cell Level Identifies Neuronal Glutathione Depletion As Both a Cause and Effect of Ischemia-Reperfusion Oxidative Stress
The Journal of Neuroscience, May 6, 2015 • 35(18):7143–7152 • 7143 Neurobiology of Disease Assessment at the Single-Cell Level Identifies Neuronal Glutathione Depletion As Both a Cause and Effect of Ischemia-Reperfusion Oxidative Stress Seok Joon Won,1,2 Ji-Eun Kim,1,2 XGiordano Fabricio Cittolin-Santos,1,2 and XRaymond A. Swanson1 Departments of 1Neurology, University of California San Francisco, and 2Neurology Service, San Francisco Veterans Affairs Medical Center (SFVAMC), San Francisco, California 94121 Oxidative stress contributes to neuronal death in brain ischemia-reperfusion. Tissue levels of the endogenous antioxidant glutathione (GSH) are depleted during ischemia-reperfusion, but it is unknown whether this depletion is a cause or an effect of oxidative stress, and whether it occurs in neurons or other cell types. We used immunohistochemical methods to evaluate glutathione, superoxide, and oxidative stress in mouse hippocampal neurons after transient forebrain ischemia. GSH levels in CA1 pyramidal neurons were normally high relative to surrounding neuropil, and exhibited a time-dependent decrease during the first few hours of reperfusion. Colabeling for superoxide in the neurons showed a concurrent increase in detectable superoxide over this interval. To identify cause–effect relation- ships between these changes, we independently manipulated superoxide production and GSH metabolism during reperfusion. Mice in which NADPH oxidase activity was blocked to prevent superoxide production showed preservation of neuronal GSH content, thus demonstrating that neuronal GSH depletion is result of oxidative stress. Conversely, mice in which neuronal GSH levels were maintained by N-acetyl cysteine treatment during reperfusion showed less neuronal superoxide signal, oxidative stress, and neuronal death. -
An Unusual Case of Cardiac Glycoside Toxicity
International Journal of Cardiology 170 (2014) 434–444 Contents lists available at ScienceDirect International Journal of Cardiology journal homepage: www.elsevier.com/locate/ijcard Letters to the Editor An unusual case of cardiac glycoside toxicity David Kassop a,⁎,1, Michael S. Donovan a,1, Brian M. Cohee b,1, Donovan L. Mabe c,1, Erich F. Wedam a,1, John E. Atwood a,1 a Cardiovascular Disease Service, Department of Medicine, Walter Reed National Military Medical Center, Bethesda, MD, United States b Pulmonary Disease and Critical Care Service, Department of Medicine, Walter Reed National Military Medical Center, Bethesda, MD, United States c Internal Medicine Service, Department of Medicine, Walter Reed National Military Medical Center, Bethesda, MD, United States article info Her heart rate was 30 beats per minute (bpm) and blood pressure 90/60 mm Hg. An electrocardiogram (ECG) demonstrated atrial Article history: flutter(AFl) with variable atrioventricular (AV) block and slow Received 10 September 2013 ventricular response, diffuse ST-segment depressions, shortened QT Accepted 2 November 2013 interval, and peaked T-waves (Fig. 1A). Laboratory studies were Available online 13 November 2013 significant for a serum potassium level of 7.5 mmol/L (normal: 3.5–5.1), Keywords: calcium of 10.9 mg/dL (normal 8.6–10.2), and creatinine of 2.6 mg/dL Cardiac glycoside toxicity (normal: 0.7–1.2). Cardiac enzymes were mildly elevated with a troponin Cerbera odollam T level of 0.07 ng/mL (normal: b0.03). Comprehensive serum and urine Pong-pong Poisoning toxicology screens were unremarkable. A digoxin concentration level was Dysrhythmia undetectable (b0.3 ng/mL). -
Poisonous Plants of the Salem District of Tamilnadu, Southern India
C. Alagesaboopathi / Journal of Pharmacy Research 2012,5(10),5039-5042 Research Article Available online through ISSN: 0974-6943 http://jprsolutions.info Poisonous Plants of the Salem District of Tamilnadu, Southern India C. Alagesaboopathi Department of Botany, Government Arts College (Autonomous), Salem – 636007, Tamilnadu, India Received on:12-06-2012; Revised on: 17-07-2012; Accepted on:26-08-2012 ABSTRACT The present investigation was carried out in the Salem district of Tamilnadu, India, to document the poisonous plants. A total of 33 species belonging to 28 genera and 20 families have been reported. Information on poisonous plants is significant as some of them are used in medication. The poisonous activities due to toxic substances namely, tannins, glycosides, saponins, alkaloids, amines, proteins, amino acids, mycotoxins, picrotoxins, resins, chelating poisons, etc. a record of 33 poisonous plants occurring on the Salem district of Tamilnadu has been presented. The knowledge on the poisonous plant species has been collected from the tribals, village dwellers, the herbal medicine practitioners and other traditional healers during ethnomedicinal field survey. The poisonous plant species are arranged in alphabetical order. Each plant is followed by its family, vernacular name (Tamil), poisonous plant part(s) and poisonous symptoms. The investigation recommends that tribals and common people are not only knowing of such poisonous plants and their detrimental causes, but also utilize them judiciously for manage of mosquitoes, bugs, ticks, grasshoppers, moth, insect-pests and several other hurtful organisms. Key words: Poisonous plants, Ethnomedicine, Malayali, Salem, Tamilnadu. INTRODUCTION Literally thousands of plants contain various quantities of poisonous al., 2006; Alagesaboopathi, 2009; Sankaranarayanan, et al., 2010; Parthipan substances. -
SDC 1. Supplementary Notes to Methods Settings Groote Schuur
Mouton JP, Njuguna C, Kramer N, Stewart A, Mehta U, Blockman M, et al. Adverse drug reactions causing admission to medical wards: a cross-sectional survey at four hospitals in South Africa. Supplemental Digital Content SDC 1. Supplementary notes to Methods Settings Groote Schuur Hospital is a 975-bed urban academic hospital situated in Cape Town, in the Western Cape province, which provides secondary and tertiary level care, serves as a referral centre for approximately half of the province’s population (2011 population: 5.8 million)1 and is associated with the University of Cape Town. At this hospital we surveyed the general medical wards during May and June 2013. We did not survey the sub-speciality wards (dermatology, neurology, cardiology, respiratory medicine and nephrology), the oncology wards, or the high care / intensive care units. Restricting the survey to general medical wards was done partly due to resource limitations but also to allow the patients at this site to be reasonably comparable to those at other sites, which did not have sub-specialist wards. In 2009, the crude inpatient mortality in the medical wards of Groote Schuur Hospital was shown to be 573/3465 patients (17%)2 and the 12-month post-discharge mortality to be 145/415 (35%).3 Edendale Hospital is a 900-bed peri-urban regional teaching hospital situated near Pietermaritzburg, in the KwaZulu-Natal province (2011 population: 10.3 million).1 It provides care to the peri-urban community and serves as a referral centre for several district hospitals in the surrounding rural area. It is located at the epicentre of the HIV, tuberculosis and multidrug resistant tuberculosis epidemics in South Africa: a post-mortem study in 2008-2009 found that 94% of decedents in the medical wards of Edendale Hospital were HIV-seropositive, 50% had culture-positive tuberculosis at the time of death and 17% of these cultures were resistant to isoniazid and rifampicin.4 At Edendale Hospital, we surveyed the medical wards over 30 days during July and August of 2013.