ABSTRACT
Background: As per GOLD (Global initiative for chronic obstructive lung disease) guidelines bronchodilators are required for symptomatic treatment of chronic obstructive pulmonary disease (COPD) patients. Currently there is no evidence to say about the safety of fixed dose combinations used in COPD patients. Since the drugs are to be taken for longer period, it is essential to know the safety aspects of these drugs. Moreover we don’t have adequate studies and documentation to say that a particular drug combination is better and safer for COPD patients.Methods: Prospective, open labelled, randomized, comparative, interventional clinical study conducted by the Departments of Pharmacology and Pulmonary Medicine of Basaveshwara Medical College and Hospital, Chitradurga in 40 COPD patients.Results: The fixed dose combinations of drugs used in both the treatment groups i.e. salmeterol/fluticasone and tiotropium/formoterol were equally safer and well tolerated. Some side effects noticed during the course of treatment were statistically significant when compared between the 2 groups, however they were milder and predictable adverse drug reactions.Conclusions: Systemic and severe adverse drug reactions were not observed during 8 week treatment period and the local side effects observed were mild in both the treatment groups. Hence the fixed dose combinations of salmeterol or fluticasone and tiotropium or formoterol are found to be safer for maintenance therapy in COPD patients.
ABSTRACT
Pervasive developmental disorders (PDD) is a developmental neurological disorders. PDD consist of Autism, Asperger syndrome, Pervasive developmental disorder not otherwise specified Rett's disorder and childhood di sintegrative disorder. The incidence of the disease has been increased in past one decade when compared to earlier, which is due to increased awareness of the disease. The diagnosis of the PDD mainly by diagnostic and statistical manual of mental disorder(DSM) published by American psychiatric association. DSM V the pervasive development disorders were considered into single autism like spectrum of disorders. Autism spectrum disorder is not completely curable and hence requires lifelong management Educational and behavioral interventions are more successful when compared to medications alone. Early interventions have more positive results. The present review articles describes regarding the Pervasive developmental disorders, prevalence of autism worldwide, individual countries ,their characteristic features, diagnosis by DSM IV and DSM V, causative factors involved and management.
ABSTRACT
Mesenteric ischemia is a rare but serious cause of abdominal pain.We present the case of a man who had symptomatic mesenteric ischemia, secondary to a superior mesenteric artery stenosis in conjunction with a coeliac artery stenosis. He was treated with balloon angioplasty and stent insertion, and showed good symptomatic improvement.