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Captopril, sold under the brand name Capoten among others, is an angiotensin-converting enzyme (ACE) inhibitor used for the treatment of hypertension and some types of congestive heart failure. Captopril was the first oral ACE inhibitor found for the treatment of hypertension. It does not cause fatigue as associated with beta-blockers. Due to the adverse drug event of causing hyperkalemia, as seen with most ACE Inhibitors, the medication is usually paired with a diuretic. Captopril was patented in 1976 and approved for medical use in 1980.
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Levetiracetam, sold under the brand name Keppra among others, is a medication used to treat epilepsy. It is used for partial-onset, myoclonic, or tonic–clonic seizures and is taken either by mouth as an immediate or extended release formulation or by injection into a vein. Common side effects of levetiracetam include sleepiness, dizziness, feeling tired, and aggression. Severe side effects may include psychosis, suicide, and allergic reactions such as Stevens–Johnson syndrome or anaphylaxis. Levetiracetam is the S-enantiomer of etiracetam. Its mechanism of action is not yet clear. Levetiracetam was approved for medical use in the United States in 1999 and is available as a generic medication. In 2021, it was the 101st most commonly prescribed medication in the United States, with more than 6million prescriptions. It is on the World Health Organization's List of Essential Medicines.
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Adverse effects are typically mild to moderate. However, severe, disabling, and potentially irreversible adverse effects sometimes occur, and for this reason it is recommended that use of fluoroquinolones be limited. Prominent among these are adverse effects that became the subject of a black box warning by the FDA in 2016. The FDA wrote: "An FDA safety review has shown that fluoroquinolones when used systemically (i.e. tablets, capsules, and injectable) are associated with disabling and potentially permanent serious adverse effects that can occur together. These adverse effects can involve the tendons, muscles, joints, nerves, and central nervous system." Rarely, tendinitis or tendon rupture may occur due to fluoroquinolone antibiotics, including levofloxacin. Such injuries, including tendon rupture, has been observed up to 6 months after cessation of treatment; higher doses of fluoroquinolones, being elderly, transplant patients, and those with a current or historical corticosteroid use are at elevated risk. The U.S. label for levofloxacin also contains a black box warning for the exacerbation of the symptoms of the neurological disease myasthenia gravis. Similarly, the UK Medicines and Healthcare Products Regulatory Agency recommendations warn of rare but disabling and potentially irreversible adverse effects, and to recommend limiting use of these drugs. Increasing age and corticosteroid use appears to increase the risk of musculoskeletal complications. A wide variety of other uncommon but serious adverse events have been associated with fluoroquinolone use, with varying degrees of evidence supporting causation. These include anaphylaxis, hepatotoxicity, central nervous system effects including seizures and psychiatric effects, prolongation of the QT interval, blood glucose disturbances, and photosensitivity, among others. Levofloxacin may produce fewer of these rare serious adverse effects than other fluoroquinolones. There is some disagreement in the medical literature regarding whether and to what extent levofloxacin and other fluoroquinolones produce serious adverse effects more frequently than other broad spectrum antibacterial drugs. With regard to more usual adverse effects, in pooled results from 7537 patients exposed to levofloxacin in 29 clinical trials, 4.3% discontinued treatment due to adverse drug reactions. The most common adverse reactions leading to discontinuation were gastrointestinal, including nausea, vomiting, and constipation. Overall, 7% of patients experienced nausea, 6% headache, 5% diarrhea, 4% insomnia, along with other adverse reactions experienced at lower rates. Administration of levofloxacin or other broad spectrum antibiotics is associated with Clostridium difficile associated diarrhea which may range in severity from mild diarrhea to fatal colitis. Fluoroquinoline administration may be associated with the acquisition and outgrowth of a particularly virulent Clostridium strain. More research is needed to determine the best dose and length of treatment.
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The volume of distribution of levetiracetam is similar to total body water. Levetiracetam modestly binds to plasma proteins (less than 10%).
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In 1978 the United States banned the use of CFCs such as Freon in aerosol cans, the beginning of a long series of regulatory actions against their use. The critical DuPont manufacturing patent for Freon ("Process for Fluorinating Halohydrocarbons", U.S. Patent #3258500) was set to expire in 1979. In conjunction with other industrial peers DuPont formed a lobbying group, the "Alliance for Responsible CFC Policy", to combat regulations of ozone-depleting compounds. In 1986 DuPont, with new patents in hand, reversed its previous stance and publicly condemned CFCs. DuPont representatives appeared before the Montreal Protocol urging that CFCs be banned worldwide and stated that their new HCFCs would meet the worldwide demand for refrigerants.
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Exemestane is quickly absorbed from the gut, but undergoes a strong first-pass effect in the liver. Highest blood plasma concentrations are reached after 1.2 hours in breast cancer patients and after 2.9 hours in healthy subjects. Maximal aromatase inhibition occurs after two to three days. 90% of the absorbed substance are bound to plasma proteins. The liver enzyme CYP3A4 oxidizes the methylidene group in position 6, and the 17-keto group (on the five-membered ring) is reduced by aldo-keto reductases to an alcohol. Of the resulting metabolites, 40% are excreted via the urine and 40% via the feces within a week. The original substance accounts for only 1% of excretion in the urine. The terminal half-life is 24 hours.
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CO absorbs the ground's thermal radiation mainly at wavelengths between 13 and 17 micron. At this wavelength range, it is almost solely responsible for the attenuation of radiation from the ground. The amount of ground radiation that is transmitted through the atmosphere in each wavelength is related to the optical depth of the atmosphere at this wavelength, OD, by: The optical depth itself is given by Beer–Lambert law: where σ is the absorption cross section of a single CO molecule, and n(y) is the number density of these molecules at altitude y. Due to the high dependence of the cross section in wavelength, the OD changes from around 0.1 at 13 microns to ~10 at 14 microns and even higher beyond 100 at 15 microns, then dropping off to ~10 at 16 microns, ~1 at 17 microns and below 0.1 at 18 microns. Note that the OD depends on the total number of molecules per unit area in the atmosphere, and therefore rises linearly with its CO content. Looked upon from outer space into the atmosphere at a specific wavelength, one would see to different degrees different layers of the atmosphere, but on average one would see down to an altitude such that the part of the atmosphere from this altitude and up has an optical depth of ~1. Earth will therefore radiate at this wavelength approximately according to the temperature of that altitude. The effect of increasing CO atmospheric content means that the optical depth increases, so that the altitude seen from outer space increases; as long as it increases within the troposphere, the radiation temperature drops and the radiation decreases. When it reaches the tropopause, any further increase in CO levels will have no noticeable effect, since the temperature no longer depends there on the altitude. At wavelengths of 14 to 16 microns, even the tropopause, having ~0.12 of the amount of CO of the whole atmosphere, has OD>1. Therefore, at these wavelengths Earth radiates mainly in the tropopause temperature, and addition of CO does not change this. At wavelengths smaller than 13 microns or larger than 18 microns, the atmospheric absorption is negligible, and addition of CO hardly changes this. Therefore, the effect of CO increase on radiation is relevant in wavelengths 13–14 and 16–18 microns, and addition on CO mainly contributes to the opacity of the troposphere, changing the altitude that is effectively seen from outer space within the troposphere.
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Since 1 January 2010, it has been illegal to use newly manufactured HCFCs to service refrigeration and air-conditioning equipment; only reclaimed and recycled HCFCs may be used. In practice this means that the gas has to be removed from the equipment before servicing and replaced afterwards, rather than refilling with new gas. Since 1 January 2015, it has been illegal to use any HCFCs to service refrigeration and air-conditioning equipment; broken equipment that used HCFC refrigerants must be replaced with equipment that does not use them.
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ICOS consists of a network of standardized, long-term, high-precision integrated monitoring of atmospheric greenhouse gas concentrations and fluxes. The infrastructure integrates terrestrial and atmospheric observations at various sites into a single, coherent, highly precise dataset. This data allows a unique regional top-down assessment of fluxes from atmospheric data, and a bottom-up assessment from ecosystem measurements and fossil fuel inventories. Target is a daily mapping of sources and sinks at scales down to about 10 km, as a basis for understanding the exchange processes between the atmosphere, the terrestrial surface and the ocean. ICOS contributes to the implementation of the Integrated Global Carbon Observation System IGCO.
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Lisinopril is typically used for the treatment of high blood pressure, congestive heart failure, and diabetic nephropathy and after acute myocardial infarction (heart attack). Lisinopril is part of the ACE inhibitors drug class. Lisinopril is indicated for the treatment of hypertension, adjunctive therapy for heart failure, and acute myocardial infarction.
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In 2018, the atmospheric concentration of CFC-11 was noted by researchers to be declining more slowly than expected, and it subsequently emerged that it remains in widespread use as a blowing agent for polyurethane foam insulation in the construction industry of China. In 2021, researchers announced that emissions declined by 20,000 U.S. tons from 2018 to 2019, which mostly reversed the previous spike in emissions. In 2022, the European Commission announced an updated regulation that mandates the recovery and prevention of emissions of CFC-11 blowing agents from foam insulation in demolition waste, which is still emitted at significant scale.
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Flutamide is marketed widely throughout the world, including in the United States, Canada, Europe, Australia, New Zealand, South Africa, Central and South America, East and Southeast Asia, India, and the Middle East.
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The concentration of HCFC-142b in the atmosphere grew to over 20 parts per trillion by year 2010. It has an ozone depletion potential (ODP) of 0.07. This is low compared to the ODP=1 of trichlorofluoromethane (CFC-11, R-11), which also grew about ten times more abundant in the atmosphere by year 1985 (prior to introduction of HFC-142b and the Montreal Protocol). HFC-142b is also a minor but potent greenhouse gas. It has an estimated lifetime of about 17 years and a 100-year global warming potential ranging 2300 to 5000. This compares to the GWP=1 of carbon dioxide, which had a much greater atmospheric concentration near 400 parts per million in year 2020.
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Lisinopril is the lysine-analog of enalapril. Unlike other ACE inhibitors, it is not a prodrug, is not metabolized by the liver, and is excreted unchanged in the urine.
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Oxacillin (trade name Bactocill) is a narrow-spectrum beta-lactam antibiotic of the penicillin class developed by Beecham. It was patented in 1960 and approved for medical use in 1962.
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During application, the building is enclosed and filled with the gas for a period of time, usually at least 16–18 hours, sometimes as long as 72 hours. The building must then be ventilated, generally for at least 6 hours, before occupants can return. California regulations are such that the tent will be on for three to five days, which includes ventilation. In the US, sulfuryl fluoride must be transported in a vehicle marked with "Inhalation Hazard 2" placards. Most states require a license or certification for the individual applying the fumigant. The concentration is continuously monitored and maintained at the specified level using electronic equipment. Possible leakages are also checked by low range electronic detectors. Reentry to the home is allowed when the concentration level is at or below 5 ppm. Sulfuryl fluoride is colorless and odorless, however, during the fumigation process, a warning agent called chloropicrin is first released into the building to ensure that no occupants remain. Tent fumigation is the most effective treatment for the extermination of known and unknown infestations of wood-destroying insects. Heat is the only other approved method for whole structure treatment for termites in California. Sulfuryl fluoride provides no protection from future infestations, although heavy re-infestation can take several years since drywood termites have slower growing colonies than ground termites.
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Escitalopram appears to be effective in treating generalized anxiety disorder, with relapse on escitalopram at 20% rather than placebo at 50%, which translates to a number needed to treat of 3.33. Escitalopram appears effective in treating social anxiety disorder as well.
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Flutamide has been used in case reports to decrease the frequency of spontaneous orgasms, for instance in men with post-orgasmic illness syndrome.
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Cefalexin, also spelled cephalexin, is an antibiotic that can treat a number of bacterial infections. It kills gram-positive and some gram-negative bacteria by disrupting the growth of the bacterial cell wall. Cefalexin is a β-lactam antibiotic within the class of first-generation cephalosporins. It works similarly to other agents within this class, including intravenous cefazolin, but can be taken by mouth. Cefalexin can treat certain bacterial infections, including those of the middle ear, bone and joint, skin, and urinary tract. It may also be used for certain types of pneumonia and strep throat and to prevent bacterial endocarditis. Cefalexin is not effective against infections caused by methicillin-resistant Staphylococcus aureus (MRSA), most Enterococcus, or Pseudomonas. Like other antibiotics, cefalexin cannot treat viral infections, such as the flu, common cold or acute bronchitis. Cefalexin can be used in those who have mild or moderate allergies to penicillin. However, it is not recommended in those with severe penicillin allergies. Common side effects include stomach upset and diarrhea. Allergic reactions or infections with Clostridium difficile, a cause of diarrhea, are also possible. Use during pregnancy or breast feeding does not appear to be harmful to the fetus. It can be used in children and those over 65 years of age. Those with kidney problems may require a decrease in dose. Cefalexin was developed in 1967. It was first marketed in 1969 and 1970 under the names Keflex and Ceporex, among others. Generic drug versions are available under other trade names and are inexpensive. It is on the World Health Organization's List of Essential Medicines. In 2021, it was the 96th most commonly prescribed medication in the United States, with more than 7million prescriptions. In Canada, it was the fifth most common antibiotic used in 2013. In Australia, it is one of the top 15 most prescribed medications.
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Dexmedetomidine may enhance the effects of other sedatives and anesthetics when co-administered. Similarly, drugs that lower blood pressure and heart rate, such as beta blockers, may also have enhanced effects when co-administered with dexmedetomidine.
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Its membership in the amphetamine class has made pseudoephedrine a sought-after chemical precursor in the illicit manufacture of methamphetamine and methcathinone. As a result of the increasing regulatory restrictions on the sale and distribution of pseudoephedrine, pharmaceutical firms have reformulated medications to use alternative compounds, particularly phenylephrine, even though its efficacy as an oral decongestant has been demonstrated to be indistinguishable from placebo. In the United States, federal laws control the sale of pseudoephedrine-containing products. Retailers in the US have created corporate policies restricting the sale of pseudoephedrine-containing products. Their policies restrict sales by limiting purchase quantities and requiring a minimum age and government issued photographic identification. These requirements are similar to and sometimes more stringent than existing law. Internationally, pseudoephedrine is listed as a Table I precursor under the United Nations Convention Against Illicit Traffic in Narcotic Drugs and Psychotropic Substances.
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CFC-13like all chlorofluorocarbon compoundscontains atoms of carbon (C), chlorine (Cl), and fluorine (F). It can be prepared by reacting carbon tetrachloride with hydrogen fluoride in the presence of a catalytic amount of antimony pentachloride: CCl + 3HF CClF + 3HCl This reaction can also produce trichlorofluoromethane (CClF), dichlorodifluoromethane (CClF) and tetrafluoromethane (CF).
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Flutamide, sold under the brand name Eulexin among others, is a nonsteroidal antiandrogen (NSAA) which is used primarily to treat prostate cancer. It is also used in the treatment of androgen-dependent conditions like acne, excessive hair growth, and high androgen levels in women. It is taken by mouth, usually three times per day. Side effects in men include breast tenderness and enlargement, feminization, sexual dysfunction, and hot flashes. Conversely, the medication has fewer side effects and is better-tolerated in women with the most common side effect being dry skin. Diarrhea and elevated liver enzymes can occur in both sexes. Rarely, flutamide can cause liver damage, lung disease, sensitivity to light, elevated methemoglobin, elevated sulfhemoglobin, and deficient neutrophils. Numerous cases of liver failure and death have been reported, which has limited the use of flutamide. Flutamide acts as a selective antagonist of the androgen receptor (AR), competing with androgens like testosterone and dihydrotestosterone (DHT) for binding to ARs in tissues like the prostate gland. By doing so, it prevents their effects and stops them from stimulating prostate cancer cells to grow. Flutamide is a prodrug to a more active form. Flutamide and its active form stay in the body for a relatively short time, which makes it necessary to take flutamide multiple times per day. Flutamide was first described in 1967 and was first introduced for medical use in 1983. It became available in the United States in 1989. The medication has largely been replaced by newer and improved NSAAs, namely bicalutamide and enzalutamide, due to their better efficacy, tolerability, safety, and dosing frequency (once per day), and is now relatively little-used. It is on the World Health Organization's List of Essential Medicines.
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The development of Hydrofluoroolefins (HFOs) as replacements for Hydrochlorofluorocarbons and Hydrofluorocarbons began after the Kigali amendment to the Montreal Protocol in 2016, which called for the phase out of high global warming potential (GWP) refrigerants and to replace them with other refrigerants with a lower GWP, closer to that of carbon dioxide. HFOs have an ozone depletion potential of 0.0, compared to the 1.0 of principal CFC-11, and a low GWP which make them environmentally safer alternatives to CFCs, HCFCs and HFCs. Hydrofluoroolefins serve as functional replacements for applications where high GWP hydrofluorocarbons were once used. In April 2022, the EPA signed a pre-published final rule Listing of HFO-1234yf under the Significant New Alternatives Policy (SNAP) Program for Motor Vehicle Air Conditioning in Nonroad Vehicles and Servicing Fittings for Small Refrigerant Cans. This ruling allows HFO-1234yf to take over in applications where ozone depleting CFCs such as R-12, and high GWP HFCs such as R-134a were once used. The phaseout and replacement of CFCs and HFCs in the automotive industry will ultimately reduce the release of these gases to atmosphere and intern have a positive contribution to the mitigation of climate change.
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Dextroamphetamine is also used recreationally as a euphoriant and aphrodisiac, and like other amphetamines is used as a club drug for its energetic and euphoric high. Dextroamphetamine is considered to have a high potential for misuse in a recreational manner since individuals typically report feeling euphoric, more alert, and more energetic after taking the drug. Dextroamphetamine's dopaminergic (rewarding) properties affect the mesocorticolimbic circuit; a group of neural structures responsible for incentive salience (i.e., "wanting"; desire or craving for a reward and motivation), positive reinforcement and positively-valenced emotions, particularly ones involving pleasure. Large recreational doses of dextroamphetamine may produce symptoms of dextroamphetamine overdose. Recreational users sometimes open dexedrine capsules and crush the contents in order to insufflate (snort) it or subsequently dissolve it in water and inject it. Immediate-release formulations have higher potential for abuse via insufflation (snorting) or intravenous injection due to a more favorable pharmacokinetic profile and easy crushability (especially tablets). The reason for using crushed spansules for insufflation and injection methods is evidently due to the "instant-release" forms of the drug seen in tablet preparations often containing a sizable amount of inactive binders and fillers alongside the active d-amphetamine, such as dextrose. Injection into the bloodstream can be dangerous because insoluble fillers within the tablets can block small blood vessels. Chronic overuse of dextroamphetamine can lead to severe drug dependence, resulting in withdrawal symptoms when drug use stops.
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A number of technologies remove greenhouse gases emissions from the atmosphere. Most widely analyzed are those that remove carbon dioxide from the atmosphere, either to geologic formations such as bio-energy with carbon capture and storage and carbon dioxide air capture, or to the soil as in the case with biochar. Many long-term climate scenario models require large-scale human-made negative emissions to avoid serious climate change. Negative emissions approaches are also being studied for atmospheric methane, called atmospheric methane removal.
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The mechanism of action of armodafinil is unknown. Armodafinil (R-(−)-modafinil) has pharmacological properties almost identical to those of modafinil (a mixture of R-(−)- and (S)-(+)-modafinil). The (R)- and (S)-enantiomers have similar pharmacological action in animals. Armodafinil has wake-promoting actions similar to sympathomimetic agents including amphetamine and methylphenidate, although its pharmacologic profile is not identical to that of the sympathomimetic amines. Armodafinil is an indirect dopamine receptor agonist; it binds in vitro to the dopamine transporter (DAT) and inhibits dopamine reuptake. For modafinil, this activity has been associated in vivo with increased extracellular dopamine levels. In genetically engineered mice lacking the dopamine transporter, modafinil lacked wake-promoting activity, suggesting that this activity was DAT-dependent. However, the wake-promoting effects of modafinil, unlike those of amphetamine, were not antagonized by the dopamine receptor antagonist haloperidol in rats. In addition, alpha-methyl-p-tyrosine, an inhibitor of dopamine synthesis, blocks the action of amphetamine but does not block locomotor activity induced by modafinil. In addition to its wake-promoting effects and ability to increase locomotor activity in animals, according to Nuvigil prescribing information from manufacturer Cephalon, armodafinil produces psychoactive and euphoric effects, alterations in mood, perception, thinking, and feelings typical of other central nervous system (CNS) stimulants in humans. Armodafinil, like racemic modafinil, may also possess reinforcing properties, as evidenced by its self-administration in monkeys previously trained to administer cocaine; armodafinil was also partially discriminated as stimulant-like. A Cephalon-founded study in which patients were administered modafinil, methylphenidate, and a placebo found that modafinil produces "psychoactive and euphoric effects and feelings consistent with [methylphenidate]."
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Dexmedetomidine, sold under the trade name Precedex among others, is a drug used in humans for sedation. Veterinarians use dexmedetomidine for similar purposes in treating cats, dogs, and horses. It is also used in humans to treat acute agitation associated with schizophrenia or bipolar I or II disorder. Similar to clonidine, it is a sympatholytic drug that acts as an agonist of α-adrenergic receptors in certain parts of the brain. It was developed by Orion Pharma.
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Several routes exist for the synthesis of Dextromethorphan. Even though many of the syntheses have been known since the middle of the 20th century, researchers are still working today to further develop the synthesis of Dextromethorphan and, for example, to make it more environmentally friendly. This includes the synthesis by means of ionic liquids.
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In the United States, the regulation of F-gases falls under the authority of the Environmental Protection Agency's overall attempts to combat greenhouse gases. The United States has put forward a joint proposal with Mexico and the Federated States of Micronesia for a phase-down of HFCs by 2030. The American Innovation and Manufacturing Act is federal legislation that mandates at 85% reduction in the production and consumption of HFC refrigerants by 2035, in compliance with the Kigali Amendment.
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Novec 649 is a low-temperature heat-transfer fluid. It has been used as a full-immersion fluid in a proof of concept data center cooling system by Intel and SGI. As it boils off easily due to its boiling point, it is used in two-phase immersion cooling system with a condensing loop running cold water. Effects of evaporative cooling was utilized to remove additional heat. Novec 649 is also being considered to be used for cooling silicon photomultiplier (SiPM) sensors to in single-phase configuration as part of Large Hadron Collider’s high luminosity upgrade. Traditional perfluorocarbon (PFC) based compounds used for cooling, such as Fluorinert, display high global warming potentials (GWPs), typically 5,000 to 10,000 times that of CO. Novec 649 was chosen as a good drop-in replacement due to it having similar thermo-physical properties to Fluorinert FC-72 (perfluorohexane, C6F14) while exhibiting a very low global warming potential of 1.
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is a potent greenhouse gas. A ton of HFC-23 in the atmosphere has the same effect as 11,700 tons of carbon dioxide. This equivalency, also called a 100-yr global warming potential, is slightly larger at 14,800 for HFC-23. The atmospheric lifetime is 270 years. HFC-23 was the most abundant HFC in the global atmosphere until around 2001, when the global mean concentration of HFC-134a (1,1,1,2-tetrafluoroethane), the chemical now used extensively in automobile air conditioners, surpassed those of HFC-23. Global emissions of HFC-23 have in the past been dominated by the inadvertent production and release during the manufacture of the refrigerant HCFC-22 (chlorodifluoromethane). Substantial decreases in HFC-23 emissions by developed countries were reported from the 1990s to the 2000s: from 6-8 Gg/yr in the 1990s to 2.8 Gg/yr in 2007. The UNFCCC Clean Development Mechanism provided funding and facilitated the destruction of HFC-23. Developing countries have become the largest producers of HCFC-23 in recent years according to data compiled by the Ozone Secretariat of the World Meteorological Organization. Emissions of all HFCs are included in the UNFCCCs Kyoto Protocol. To mitigate its impact, can be destroyed with electric plasma arc technologies or by high temperature incineration.
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Fluoroalkenes polymerize more exothermically than normal alkenes. Unsaturated fluorocarbons have a driving force towards sp hybridization due to the electronegative fluorine atoms seeking a greater share of bonding electrons with reduced s character in orbitals. The most famous member of this class is tetrafluoroethylene, which is used to manufacture polytetrafluoroethylene (PTFE), better known under the trade name Teflon.
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In 2010, CDP was called "The most powerful green NGO you've never heard of" by the Harvard Business Review. In 2012 it won the Zayed Future Energy Prize.
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Water is the chemical substance with chemical formula ; one molecule of water has two hydrogen atoms covalently bonded to a single oxygen atom. Water is a tasteless, odorless liquid at ambient temperature and pressure. Liquid water has weak absorption bands at wavelengths of around 750 nm which cause it to appear to have a blue color. This can easily be observed in a water-filled bath or wash-basin whose lining is white. Large ice crystals, as in glaciers, also appear blue. Under standard conditions, water is primarily a liquid, unlike other analogous hydrides of the oxygen family, which are generally gaseous. This unique property of water is due to hydrogen bonding. The molecules of water are constantly moving concerning each other, and the hydrogen bonds are continually breaking and reforming at timescales faster than 200 femtoseconds (2 × 10 seconds). However, these bonds are strong enough to create many of the peculiar properties of water, some of which make it integral to life.
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Dexmedetomidine may be useful for the treatment of the negative cardiovascular effects of acute amphetamines and cocaine intoxication and overdose. Dexmedetomidine has also been used as an adjunct to neuroaxial anesthesia for lower limb procedures. It has been successfully used to treat opioid withdrawal symptoms. In 2022 it was approved by the FDA for the treatment of agitation in schizophrenia and bipolar disorder.
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R-22 was mostly phased out in new equipment in the United States by regulatory action by the EPA under the Significant New Alternatives Program (SNAP) by rules 20 and 21 of the program, due to its high global warming potential. The EPA program was consistent with the Montreal Accords, but international agreements must be ratified by the US Senate to have legal effect. A 2017 decision of the US Court of Appeals for the District of Columbia Circuit held that the US EPA lacked authority to regulate the use of R-22 under SNAP. In essence the court ruled the EPA's statutory authority was for ozone reduction, not global warming. The EPA subsequently issued guidance to the effect that the EPA would no longer regulate R-22. A 2018 ruling by the same court held that the EPA failed to conform with required procedure when it issued its guidance pursuant to the 2017 ruling, voiding the guidance, but not the prior ruling that required it. The refrigeration and air conditioning industry had already discontinued production of new R-22 equipment. The practical effect of these rulings is to reduce the cost of imported R-22 to maintain aging equipment, extending its service life, while preventing the use of R-22 in new equipment.
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The racemic parent compound racemorphan was first described in a Swiss and US patent application from Hoffmann-La Roche in 1946 and 1947, respectively; a patent was granted in 1950. A resolution of the two isomers of racemorphan with tartaric acid was published in 1952, and dextromethorphan was successfully tested in 1954 as part of US Navy and CIA-funded research on nonaddictive substitutes for codeine. Dextromethorphan was approved by the FDA in 1958 as an over-the-counter antitussive. As had been initially hoped, dextromethorphan was a solution for some of the problems associated with the use of codeine phosphate as a cough suppressant, such as sedation and opiate dependence, but like the dissociative anesthetics phencyclidine and ketamine, dextromethorphan later became associated with nonmedical use. During the 1960s and 1970s, dextromethorphan became available in an over-the-counter tablet form by the brand name Romilar. In 1973, Romilar was taken off the shelves after a burst in sales because of frequent misuse. A few years later, products with an unpleasant taste were introduced (such as Robitussin, Vicks-44, and Dextrotussion), but later the same manufacturers began producing products with a better taste. The advent of widespread internet access in the 1990s allowed users to rapidly disseminate information about dextromethorphan, and online discussion groups formed around use and acquisition of the drug. As early as 1996, dextromethorphan hydrobromide powder could be purchased in bulk from online retailers, allowing users to avoid consuming dextromethorphan in syrup preparations. FDA panels considered moving dextromethorphan to prescription status due to its potential for abuse, but voted against the recommendation in September 2010, citing lack of evidence that making it prescription-only would curb abuse. Some states have restricted the sale of dextromethorphan to adults or put other restrictions on its purchase in place, similar to those for pseudoephedrine. As of January 1, 2012, dextromethorphan is prohibited for sale to minors in the State of California and in the State of Oregon as of January 1, 2018, except with a doctor's prescription. Several other states have also begun regulating sales of dextromethorphan to minors. In Indonesia, the National Agency of Drug and Food Control (BPOM-RI) prohibited single-component dextromethorphan drug sales with or without prescription. Indonesia is the only country in the world that makes single-component dextromethorphan illegal even by prescription and violators may be prosecuted by law. National Anti-Narcotics Agency (BNN RI) has even threatened to revoke pharmacies and drug stores licenses if they still stock dextromethorphan, and will notify the police for criminal prosecution. As a result of this regulation, 130 medications have been withdrawn from the market, but those containing multicomponent dextromethorphan can still be sold over the counter.
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Earth absorbs some of the radiant energy received from the sun, reflects some of it as light and reflects or radiates the rest back to space as heat. A planets surface temperature depends on this balance between incoming and outgoing energy. When Earths energy balance is shifted, its surface becomes warmer or cooler, leading to a variety of changes in global climate. Radiative forcing is a metric calculated in watts per square meter, which characterizes the impact of an external change in a factor that influences climate. It is calculated as the difference in top-of-atmosphere (TOA) energy balance immediately caused by such an external change A positive forcing, such as from increased concentrations of greenhouse gases, means more energy arriving than leaving at the top-of-atmosphere, which causes additional warming, while negative forcing, like from sulfates forming in the atmosphere from sulfur dioxide, leads to cooling. Within the lower atmosphere, greenhouse gases exchange thermal radiation with the surface and limit radiative heat flow away from it, which reduces the overall rate of upward radiative heat transfer. The increased concentration of greenhouse gases is also cooling the upper atmosphere, as it is much thinner than the lower layers, and any heat re-emitted from greenhouse gases is more likely to travel further to space than to interact with the fewer gas molecules in the upper layers. The upper atmosphere is also shrinking as the result.
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Greenhouse Gases
In sedimentary layers throughout the Arctic basin, a unit reaching at least 8 m in thickness (the bottom of the longest core was not recovered, but it may have reached 20 m+) is discernible. This unit consists of alternating layers; siliceous clastic layers representing the background sedimentation of planktonic organisms, usual to marine sediments, switch with millimetre-thick laminations comprising fossilised Azolla matter. This organic matter can also be detected in the form of a gamma radiation spike, that has been noted throughout the Arctic basin, making the event a useful aid in lining up cores drilled at different locations. Palynological controls and calibration with the high-resolution geomagnetic reversal record allows the duration of the event to be estimated at 800,000 years. The event coincides precisely with a catastrophic decline in carbon dioxide levels, which fell from 3500 ppm in the early Eocene to 650 ppm during this event.
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Greenhouse Gases
LAAM was approved in 1993 by the U.S. Food and Drug Administration for use in the treatment of opioid dependence. In 2001, LAAM was removed from the European market due to reports of life-threatening ventricular rhythm disorders. In 2003, Roxane Laboratories, Inc. discontinued Orlaam in the US.
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Enantiopure drugs
Gestonorone caproate is used in the palliative treatment of benign prostatic hypertrophy and endometrial cancer. It is used at a dose of 100 to 200 mg once a week by intramuscular injection.
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Enantiopure drugs
Lisinopril does not bind to proteins in the blood. It does not distribute as well in people with NYHA Class II–IV heart failure.
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Enantiopure drugs
Unlike alkyl halide refrigerants that contain bromine or chlorine, R-410A (which contains only fluorine) does not contribute to ozone depletion and is therefore becoming more widely used as ozone-depleting refrigerants like R-22 are phased out. However, like methane, its global warming potential (GWP) is appreciably worse than CO for the time it persists. Because R410A is a 50% combination of CHF (HFC-32) and 50% CHFCF (HFC-125), it is not easy to express their combined effects in a single global warming potential (GWP), However, HFC-32 has a 4.9 year lifetime and a 100-year GWP of 675 and HFC-125 has a 29-year lifetime and a 100-year GWP of 3500. The combination has a GWP of 2088, higher than that of R-22 (100-year GWP=1810), and an atmospheric lifetime of nearly 30 years compared with the 12-year lifetime of R-22. Since R-410A allows for higher SEER ratings than an R-22 system by reducing power consumption, the overall impact on global warming of R-410A systems can, in some cases, be lower than that of R-22 systems due to reduced greenhouse gas emissions from power plants. This assumes that the atmospheric leakage will be sufficiently managed. Under the assumption that preventing ozone depletion is more important in the short term than GWP reduction, R-410A is preferable to R-22.
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Greenhouse Gases
It once was a popular solvent in organic chemistry, but because of its adverse health effects, it is rarely used today. It is sometimes useful as a solvent for infrared spectroscopy, because there are no significant absorption bands above 1600 cm. Because carbon tetrachloride does not have any hydrogen atoms, it was historically used in proton NMR spectroscopy. In addition to being toxic, its dissolving power is low. Its use in NMR spectroscopy has been largely superseded by deuterated solvents (mainly deuterochloroform). The use of carbon tetrachloride in the determination of oil has been replaced by various other solvents, such as tetrachloroethylene. Because it has no C–H bonds, carbon tetrachloride does not easily undergo free-radical reactions. It is a useful solvent for halogenations either by the elemental halogen or by a halogenation reagent such as N-bromosuccinimide (these conditions are known as Wohl–Ziegler bromination).
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Greenhouse Gases
Benazepril, sold under the brand name Lotensin among others, is a medication used to treat high blood pressure, heart failure, and diabetic kidney disease. It is a reasonable initial treatment for high blood pressure. It is taken by mouth. Versions are available as the combinations benazepril/hydrochlorothiazide and benazepril/amlodipine. Common side effects include feeling tired, dizziness, cough, and light-headedness with standing. Serious side effects may include kidney problems, low blood pressure, high blood potassium, and angioedema. Use in pregnancy may harm the baby, while use when breastfeeding may be safe. It is an ACE inhibitor and works by decreasing renin-angiotensin-aldosterone system activity. Benazepril was patented in 1981 and came into medical use in 1990. It is available as a generic medication. In 2021, it was the 147th most commonly prescribed medication in the United States, with more than 3million prescriptions.
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Enantiopure drugs
"Amoxicillin" is the International Nonproprietary Name (INN), British Approved Name (BAN), and United States Adopted Name (USAN), while "amoxycillin" is the Australian Approved Name (AAN). Amoxicillin is one of the semisynthetic penicillins discovered by former pharmaceutical company Beecham Group. The patent for amoxicillin has expired, thus amoxicillin and co-amoxiclav preparations are marketed under various brand names across the world.
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Enantiopure drugs
In persons with normal kidney function, levetiracetam is eliminated from the body primarily by the kidneys with about 66 percent of the original drug passed unchanged into urine. The plasma half-life of levetiracetam in adults is about 6 to 8 hours although the mean CSF half life of approx. 24 hours better reflects levels at site of action.
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Enantiopure drugs
Levofloxacin is used to treat infections including: respiratory tract infections, cellulitis, urinary tract infections, prostatitis, anthrax, endocarditis, meningitis, pelvic inflammatory disease, traveler's diarrhea, tuberculosis, and plague and is available by mouth, intravenously, and in eye drop form. As of 2016, the US Food and Drug Administration (FDA) recommended that "serious side effects associated with fluoroquinolone antibacterial drugs generally outweigh the benefits for patients with acute sinusitis, acute bronchitis, and uncomplicated urinary tract infections who have other treatment options. For patients with these conditions, fluoroquinolones should be reserved for those who do not have alternative treatment options." Levofloxacin is used for the treatment of pneumonia, urinary tract infections, and abdominal infections. As of 2007 the Infectious Disease Society of America (IDSA) and the American Thoracic Society recommended levofloxacin and other respiratory fluoroquinolines as first line treatment for community acquired pneumonia when co-morbidities such as heart, lung, or liver disease are present or when in-patient treatment is required. Levofloxacin also plays an important role in recommended treatment regimens for ventilator-associated and healthcare-associated pneumonia. As of 2010 it was recommended by the IDSA as a first-line treatment option for catheter-associated urinary tract infections in adults. In combination with metronidazole it is recommended as one of several first-line treatment options for adult patients with community-acquired intra-abdominal infections of mild-to-moderate severity. The IDSA also recommends it in combination with rifampicin as a first-line treatment for prosthetic joint infections. The American Urological Association recommends levofloxacin as a first-line treatment to prevent bacterial prostatitis when the prostate is biopsied. and as of 2004 it was recommended to treat bacterial prostatitis by the NIH research network studying the condition. Levofloxacin and other fluoroquinolones have also been widely used for the treatment of uncomplicated community-acquired respiratory and urinary tract infections, indications for which major medical societies generally recommend the use of older, narrower spectrum drugs to avoid fluoroquinolone resistance development. Due to its widespread use, common pathogens such as Escherichia coli and Klebsiella pneumoniae have developed resistance. In many countries as of 2013, resistance rates among healthcare-associated infections with these pathogens exceeded 20%. Levofloxacin is also used as antibiotic eye drops to prevent bacterial infection. Usage of levofloxacin eye drops, along with an antibiotic injection of cefuroxime or penicillin during cataract surgery, has been found to lower the chance of developing endophthalmitis, compared to eye drops or injections alone.
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Enantiopure drugs
The average wholesale price (AWP) for oxacillin products are provided as follows. The prices listed below are intended to serve as reference values and do not represent the pricing determined by any single manufacturer or entity. *Bactocill in Dextrose Intravenous **1 g/50 mL: $20.37 **2 g/50 mL: $32.48 *Oxacillin Sodium Injection **1 g: $17.52 **2 g: $33.99 **10 g: $138.77
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Enantiopure drugs
Since the time history of CFC concentrations in the atmosphere is relatively well known, they have provided an important constraint on ocean circulation. CFCs dissolve in seawater at the ocean surface and are subsequently transported into the ocean interior. Because CFCs are inert, their concentration in the ocean interior reflects simply the convolution of their atmospheric time evolution and ocean circulation and mixing.
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Greenhouse Gases
Amoxicillin is also sometimes used as an antibiotic for animals. The use of amoxicillin for animals intended for human consumption (chickens, cattle, and swine for example) has been approved.
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Enantiopure drugs
Studies suggest dexmedetomidine for sedation in mechanically ventilated adults may reduce time to extubation and ICU stay. Compared with other sedatives, some studies suggest dexmedetomidine may be associated with less delirium. However, this finding is not consistent across multiple studies. At the very least, when aggregating many study results together, use of dexmedetomidine appears to be associated with less neurocognitive dysfunction compared to other sedatives. Whether this observation has a beneficial psychological impact is unclear. From an economic perspective, dexmedetomidine is associated with lower ICU costs, largely due to a shorter time to extubation.
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Enantiopure drugs
The molecule is tetrahedral with C symmetry. The S-O distance is 140.5 pm, S-F is 153.0 pm. As predicted by VSEPR, the O-S-O angle is more open than the F-S-F angle, 124° and 97°, respectively. One synthesis begins with the preparation of potassium fluorosulfite: :SO + KF → KSOF This salt is then chlorinated to give sulfuryl chloride fluoride: :KSOF + Cl → SOClF + KCl Further heating at 180 °C of potassium fluorosulfite with the sulfuryl chloride fluoride gives the desired product: :SOClF + KSOF → SOF + KCl + SO Heating metal fluorosulfonate salts also gives this molecule: :Ba(OSOF) → BaSO + SOF It can be prepared by direct reaction of fluorine with sulfur dioxide: :SO + F → SOF On a laboratory scale, sulfuryl fluoride has been conveniently prepared from 1,1'-sulfonyldiimidazole, in the presence of potassium fluoride and acid. Sulfuryl fluoride is unreactive toward molten sodium metal. Similarly it is slow to hydrolyze, but eventually converts to sulfur trioxide. Sulfuryl fluoride gas is a precursor to fluorosulfates and sulfamoyl fluorides: :SOF + ROH + base → ROSOF + HbaseF
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Greenhouse Gases
Duke University did a study where they dosed a loblolly pine plantation with elevated levels of . The studies showed that the pines did indeed grow faster and stronger. They were also less prone to damage during ice storms, which is a factor that limits loblolly growth farther north. The forest did relatively better during dry years. The hypothesis is that the limiting factors in the growth of the pines are nutrients such as nitrogen, which is in deficit on much of the pine land in the Southeast. In dry years, however, the trees do not bump up against those factors since they are growing more slowly because water is the limiting factor. When rain is plentiful trees reach the limits of the site's nutrients and the extra is not beneficial. Most forest soils in Southeastern region are deficient in nitrogen and phosphorus as well as trace minerals. Pine forests often sit on land that was used for cotton, corn or tobacco. Since these crops depleted originally shallow and infertile soils, tree farmers must work to improve soils.
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Greenhouse Gases
The FDA estimated that in 2011, over 23 million outpatient prescriptions for fluoroquinolones, of which levofloxacin made up 28%, were filled in the United States.
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Enantiopure drugs
In Earth's atmosphere, carbon dioxide is a trace gas that plays an integral part in the greenhouse effect, carbon cycle, photosynthesis and oceanic carbon cycle. It is one of several greenhouse gases in the atmosphere of Earth. The current global average concentration of carbon dioxide (CO) in the atmosphere is 421 ppm as of May 2022 (0.04%). This is an increase of 50% since the start of the Industrial Revolution, up from 280 ppm during the 10,000 years prior to the mid-18th century. The increase is due to human activity. Burning fossil fuels is the main cause of these increased CO concentrations and also the main cause of climate change. Other large sources of CO from human activities include cement production, deforestation, and biomass burning. Carbon dioxide is a greenhouse gas. It absorbs and emits infrared radiation at its two infrared-active vibrational frequencies. The two wavelengths are 4.26 μm (2,347 cm) (asymmetric stretching vibrational mode) and 14.99 μm (667 cm) (bending vibrational mode). CO plays a significant role in influencing Earths surface temperature through the greenhouse effect. Light emission from the Earths surface is most intense in the infrared region between 200 and 2500 cm, as opposed to light emission from the much hotter Sun which is most intense in the visible region. Absorption of infrared light at the vibrational frequencies of atmospheric traps energy near the surface, warming the surface of Earth and its lower atmosphere. Less energy reaches the upper atmosphere, which is therefore cooler because of this absorption. The increase in atmospheric concentrations of and other long-lived greenhouse gases such as methane increase the absorption and emission of infrared radiation by the atmosphere. This has led to a rise in average global temperature and ocean acidification. Another direct effect is the CO fertilization effect. The increase in atmospheric concentrations of causes a range of further effects of climate change on the environment and human living conditions. The present atmospheric concentration of is the highest for 14 million years. Concentrations of in the atmosphere were as high as 4,000 ppm during the Cambrian period about 500 million years ago, and as low as 180 ppm during the Quaternary glaciation of the last two million years. Reconstructed temperature records for the last 420 million years indicate that atmospheric concentrations peaked at approximately 2,000 ppm. This peak happened during the Devonian period (400 million years ago). Another peak occurred in the Triassic period (220–200 million years ago).
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Greenhouse Gases
CDPs climate change program aims to reduce companies greenhouse gas emissions and mitigate climate change risk. CDP requests information on climate risks and low carbon opportunities from the world's largest companies on behalf of over 800 institutional investor signatories with a combined US$100 trillion in assets.
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Greenhouse Gases
Fluorocarbons are chemical compounds with carbon-fluorine bonds. Compounds that contain many C-F bonds often have distinctive properties, e.g., enhanced stability, volatility, and hydrophobicity. Several fluorocarbons and their derivatives are commercial polymers, refrigerants, drugs, and anesthetics.
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Greenhouse Gases
Perfluorocarbons dissolve relatively high volumes of gases. The high solubility of gases is attributed to the weak intermolecular interactions in these fluorocarbon fluids. The table shows values for the mole fraction, , of nitrogen dissolved, calculated from the Blood–gas partition coefficient, at 298.15 K (25 °C), 0.101325 MPa.
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Greenhouse Gases
Water vapor is a by-product of respiration in plants and animals. Its contribution to the pressure, increases as its concentration increases. Its partial pressure contribution to air pressure increases, lowering the partial pressure contribution of the other atmospheric gases (Dalton's Law). The total air pressure must remain constant. The presence of water vapor in the air naturally dilutes or displaces the other air components as its concentration increases. This can have an effect on respiration. In very warm air (35 °C) the proportion of water vapor is large enough to give rise to the stuffiness that can be experienced in humid jungle conditions or in poorly ventilated buildings.
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Greenhouse Gases
In placebo-controlled studies, the most commonly observed side effects were headache, xerostomia (dry mouth), nausea, dizziness, and insomnia. Possible side effects also include depression, anxiety, hallucinations, euphoria, extreme increase in activity and talking, anorexia, tremor, thirst, rash, suicidal thoughts, and aggression. Symptoms of an overdose on armodafinil include trouble sleeping, restlessness, confusion, disorientation, feeling excited, mania, hallucinations, nausea, diarrhea, severely increased or decreased heart beat, chest pain, and increased blood pressure. Serious rashes can develop in rare cases, and require immediate medical attention due to the possibility of Steven's-Johnson Syndrome, or other hypersensitivities to armodafinil.
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Enantiopure drugs
Medical uses include: * High blood pressure * Congestive heart failure * Following heart attack in people with evidence of heart failure * People over 55 years at high risk: prevention of heart attack, stroke, cardiovascular death, or in need of revascularization procedures * Prevent the onset and/or delay the progression of diabetic kidney disease, with or without proteinuria. Randomized trial evidence suggests that a maximum tolerable dose prevents cardiovascular events and death in patients with diabetic kidney disease.
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Enantiopure drugs
Amoxicillin is effective for treatment of early cutaneous Lyme borreliosis; the effectiveness and safety of oral amoxicillin is neither better nor worse than common alternatively-used antibiotics.
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Enantiopure drugs
Single doses of up to at least 32-fold (800 mg), as well as continuous therapy with 24-fold (600 mg) the usual daily dose are well tolerated. No life-threatening overdosing is known in humans, but only in animal studies with 2000- to 4000-fold doses (adjusted to body surface area).
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Enantiopure drugs
Piperacillin is generally available in their stable form as crystallized potassium or sodium salt, quickly losing bactericidal activity upon dissolution due to their short half-lives. As the gastrointestinal tract does not absorb piperacillin and tazobactam, they are dissolved in a solution before being administered to a patient, through parenteral means. Excreted through renal mechanisms like glomerular or tubular filtration as a component of urine, uncontrolled dosages of the drug can cause renal dysfunction and competitive inhibition of excretion, delaying piperacillin-tazobactam excretion, and endangering patients to drug exposure. Although the distribution of the drug remained the same, the half-life for elimination increased by three to five folds for patients diagnosed with renal dysfunction. Measured by creatinine clearance (CrCl), patients with less than 30 mL/min of clearance had significantly reduced levels of piperacillin/tazobactam excretion, measuring down to 35% of the initial dosage, while the area under the curve (AUC) for piperacillin increased by about three folds for those with less than 20 mL/min. A reduced dosage or alteration in the interval of administration is recommended for patients lying under 40 mL/min of CrCl, depending on the severity of dysfunction. Renal is the main pathway for drug elimination for both tazobactam and piperacillin in the body. While there are other non-renal means of drug elimination like hepatobiliary excretion, they occur less frequently. A substantial amount (~80%) of piperacillin found in urine when excreted through glomerular and tubular filtration is unmetabolized. Tazobactam renal elimination may be significantly reduced through piperacillin interaction, dropping from 63.7% to 56.8% of the administered dose over a 24-hour period. Piperacillin may be actively diffused through filtration into the biliary tract during renal clearing, indicated by a generally higher concentration of piperacillin than tazobactam in the bile. The metabolites that make up the remaining percentage in the excreted urine are composed of M1 (inactive) and N-desethyl-piperacillin (active), formed from the division of β-lactam rings of both tazobactam and piperacillin respectively. Due to the hydrophilic nature of piperacillin-tazobactam, a volume distribution of ~15 L amounting to various sites (tissues) is desired, as hydrophilic compounds are not able to pass through plasma membranes as easily as hydrophobic compounds. Concentrations often in the range of 90 MIC or above are located in specific areas including the gallbladder, lung, muscle, and skin, making up 16–85% of the plasma concentrations. The concentration of piperacillin-tazobactam is especially lower in fatty tissue, making up less than 10% of the plasma concentrations.
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Enantiopure drugs
Cefuroxime, sold under the brand name Zinacef among others, is a second-generation cephalosporin antibiotic used to treat and prevent a number of bacterial infections. These include pneumonia, meningitis, otitis media, sepsis, urinary tract infections, and Lyme disease. It is used by mouth or by injection into a vein or muscle. Common side effects include nausea, diarrhea, allergic reactions, and pain at the site of injection. Serious side effects may include Clostridium difficile infection, anaphylaxis, and Stevens–Johnson syndrome. Use in pregnancy and breastfeeding is believed to be safe. It is a second-generation cephalosporin and works by interfering with a bacteria's ability to make a cell wall resulting in its death. Cefuroxime was patented in 1971, and approved for medical use in 1977. It is on the World Health Organization's List of Essential Medicines. In 2020, it was the 325th most commonly prescribed medication in the United States, with more than 800thousand prescriptions.
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Enantiopure drugs
CDP recognizes companies with high-quality disclosure in its annual scoring process, with top companies making it onto CDP's so-called A-list. Scores are calculated according to a standardized method which measures whether and how well a company responds to each question. A company goes through four main steps, starting with disclosure of their current position, moving to awareness which looks at whether a company is conscious of its environmental impact, to management, and finally leadership. A high CDP score is supposed to be indicative of a company's environmental awareness, advanced sustainability governance and leadership to address climate change.
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Greenhouse Gases
Fluoroalkenes and fluorinated alkynes are reactive and many are toxic for example perfluoroisobutene. To produce polytetrafluoroethylene various fluorinated surfactants are used, in the process known as Emulsion polymerization, and the surfactant included in the polymer can bioaccumulate.
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Greenhouse Gases
Phenoxymethylpenicillin, also known as penicillin V (PcV) and penicillin VK, is an antibiotic useful for the treatment of a number of bacterial infections. Specifically it is used for the treatment of strep throat, otitis media, and cellulitis. It is also used to prevent rheumatic fever and to prevent infections following removal of the spleen. It is given by mouth. Side effects include diarrhea, nausea, and allergic reactions including anaphylaxis. It is not recommended in those with a history of penicillin allergy. It is relatively safe for use during pregnancy. It is in the penicillin and beta lactam family of medications. It usually results in bacterial death. Phenoxymethylpenicillin was first made in 1948 by Eli Lilly. It is on the World Health Organization's List of Essential Medicines. It is available as a generic medication. In 2021, it was the 256th most commonly prescribed medication in the United States, with more than 1million prescriptions.
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Enantiopure drugs
Haloalkanes are diverse in their properties, making generalizations difficult. Few are acutely toxic, but many pose risks from prolonged exposure. Some problematic aspects include carcinogenicity and liver damage (e.g., carbon tetrachloride). Under certain combustion conditions, chloromethanes convert to phosgene, which is highly toxic.
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Greenhouse Gases
Levorphanol (brand name Levo-Dromoran) is an opioid medication used to treat moderate to severe pain. It is the levorotatory enantiomer of the compound racemorphan. Its dextrorotatory counterpart is dextrorphan. It was first described in Germany in 1946. The drug has been in medical use in the United States since 1953.
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Enantiopure drugs
In its pill form, selegiline is used to treat symptoms of Parkinson's disease. It is most often used as an adjunct to drugs such as levodopa (-DOPA), although it has been used off-label as a monotherapy. The rationale for adding selegiline to levodopa is to decrease the required dose of levodopa and thus reduce the motor complications of levodopa therapy. Selegiline delays the point when levodopa treatment becomes necessary from about 11 months to about 18 months after diagnosis. There is some evidence that selegiline acts as a neuroprotectant and reduces the rate of disease progression, though this is disputed. Selegiline has also been used off-label as a palliative treatment for dementia in Alzheimer's disease.
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Enantiopure drugs
While a verdant Arctic Ocean is a viable working model, skeptical scientists point out that it would be possible for Azolla colonies in river deltas or freshwater lagoons to be swept into the Arctic Ocean by strong currents, removing the necessity for a freshwater layer.
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Greenhouse Gases
Dexmedetomidine, under the trade name Dexdomitor (Orion Corporation), was approved in the European Union in for use in cats and dogs in 2002, for sedation and induction of general anesthesia. The FDA approved dexmedetomidine for use in dogs in 2006 and cats in 2007. In 2015, the European Medicines Agency and the FDA approved an oromucosal gel form of dexmedetomidine marketed as Sileo (Zoetis) for use in dogs for relief of noise aversion.
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Enantiopure drugs
According to Plumb's Veterinary Medication Guides, cefalexin can be used in treating skin, respiratory tract, and urinary tract infections. Specifically, it can be used to treat pyoderma in dogs. The U.S. Food and Drug Administration (FDA) has approved it for use in humans and dogs but not for other species. Like other drugs approved for human use, cefalexin may be prescribed by veterinarians for animals in certain situations.
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Enantiopure drugs
Enalapril has an L-proline moiety as a part of the molecule which is responsible for the oral bioavailability of the drug. It is a pro-drug, which means that it exerts its function after being metabolized. The "-OCH2CH3" part of the molecule will split during the metabolism and at the carbon will be a carboxylate, which then interacts with the Zn+2 site of the ACE enzyme. This structural feature and mechanism of metabolism that must occur before the drug can inhibit the enzyme explains why it has a greater duration of action than another similar drug used for the same indication, Captopril. Duration of effect is dose-related; at recommended doses, antihypertensive and haemodynamic effects have been shown to be maintained for at least 24 hours. Enalapril has a slower onset of action than Captopril but a greater duration of action. However, unlike Captopril, Enalapril does not have a thiol moiety.
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Enantiopure drugs
Sedative hypnotic drugs including eszopiclone are more commonly prescribed to the elderly than to younger patients despite benefits of medication being generally unimpressive. In 2015, the American Geriatrics Society reviewed the safety information about eszopiclone and similar drugs and concluded that the "nonbenzodiazepine, benzodiazepine receptor agonist hypnotics (eszopiclone, zaleplon, zolpidem) are to be avoided without consideration of duration of use because of their association with harms balanced with their minimal efficacy in treating insomnia." The review made this determination both because of the relatively large dangers to elderly individuals from zolpidem and other "z-drugs" together with the fact the drugs have "minimal efficacy in treating insomnia." This was a change from the 2012 AGS recommendation, which suggested limiting use to 90 days or less. The review stated: "the 90‐day‐use caveat [was] removed from nonbenzodiazepine, benzodiazepine receptor agonist hypnotics, resulting in an unambiguous avoid statement (without caveats) because of the increase in the evidence of harm in this area since the 2012 update." An extensive review of the medical literature regarding the management of insomnia and the elderly found that there is considerable evidence of the effectiveness and durability of non-drug treatments for insomnia in adults of all ages and that these interventions are underutilized. Compared with the benzodiazepines, the nonbenzodiazepine sedative-hypnotics, including eszopiclone appeared to offer few, if any, significant clinical advantages in efficacy or tolerability in elderly persons. It was found that newer agents with novel mechanisms of action and improved safety profiles, such as the melatonin receptor agonists, hold promise for the management of chronic insomnia in elderly people. Long-term use of sedative-hypnotics for insomnia lacks an evidence base and has traditionally been discouraged for reasons that include concerns about such potential adverse drug effects as cognitive impairment (anterograde amnesia), daytime sedation, motor incoordination, and increased risk of motor vehicle accidents and falls. In addition, the effectiveness and safety of long-term use of these agents remain to be determined. It was concluded that more research is needed to evaluate the long-term effects of treatment and the most appropriate management strategy for elderly persons with chronic insomnia. A 2009 meta-analysis found a higher rate of infections.
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Enantiopure drugs
As of November 2019, arketamine is under development for the treatment of depression under the developmental code names PCN-101 by Perception Neuroscience in the United States and HR-071603 by Jiangsu Hengrui Medicine in China.
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Enantiopure drugs
These have been no reports of serious adverse effects with overdose of drospirenone. Symptoms that may occur in the event of an overdose may include nausea, vomiting, and vaginal bleeding. There is no antidote for overdose of drospirenone and treatment of overdose should be based on symptoms. Since drospirenone has antimineralocorticoid activity, levels of potassium and sodium should be measured and signs of metabolic acidosis should be monitored.
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Enantiopure drugs
The use of oxacillin is contraindicated in individuals that have experienced a hypersensitivity reaction to any medication in the penicillin family of antibiotics. Cross-allergenicity has been documented in individuals taking oxacillin that experienced a previous hypersensitivity reaction when given cephalosporins and cephamycins.
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Enantiopure drugs
Amoxicillin is used in the treatment of a number of infections, including acute otitis media, streptococcal pharyngitis, pneumonia, skin infections, urinary tract infections, Salmonella infections, Lyme disease, and chlamydia infections.
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Enantiopure drugs
The principal components of volcanic gases are water vapor (HO), carbon dioxide (CO), sulfur either as sulfur dioxide (SO) (high-temperature volcanic gases) or hydrogen sulfide (HS) (low-temperature volcanic gases), nitrogen, argon, helium, neon, methane, carbon monoxide and hydrogen. Other compounds detected in volcanic gases are oxygen (meteoric), hydrogen chloride, hydrogen fluoride, hydrogen bromide, sulfur hexafluoride, carbonyl sulfide, and organic compounds. Exotic trace compounds include mercury, halocarbons (including CFCs), and halogen oxide radicals. The abundance of gases varies considerably from volcano to volcano, with volcanic activity and with tectonic setting. Water vapour is consistently the most abundant volcanic gas, normally comprising more than 60% of total emissions. Carbon dioxide typically accounts for 10 to 40% of emissions. Volcanoes located at convergent plate boundaries emit more water vapor and chlorine than volcanoes at hot spots or divergent plate boundaries. This is caused by the addition of seawater into magmas formed at subduction zones. Convergent plate boundary volcanoes also have higher HO/H, HO/CO, CO/He and N/He ratios than hot spot or divergent plate boundary volcanoes.
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Greenhouse Gases
The OCO-2 satellite was built by Orbital Sciences Corporation, based around the LEOStar-2 bus. The spacecraft is being used to study carbon dioxide concentrations and distributions in the atmosphere. OCO-2 was ordered after the original OCO spacecraft failed to achieve orbit. During the first satellite's launch atop a Taurus-XL in February 2009, the payload fairing failed to separate from around the spacecraft and the rocket did not have sufficient power to enter orbit with its additional mass. Although a Taurus launch was initially contracted for the reflight, the launch contract was cancelled after the same malfunction occurred on the launch of the Glory satellite two years later. United Launch Alliance launched OCO-2 using a Delta II rocket at the beginning of a 30-second launch window at 09:56 UTC (2:56 PDT) on 2 July 2014. Flying in the 7320-10C configuration, the rocket launched from Space Launch Complex 2W at Vandenberg Air Force Base. The initial launch attempt on 1 July at 09:56:44 UTC was scrubbed at 46 seconds on the countdown clock due to a faulty valve on the water suppression system, used to flow water on the launch pad to dampen the acoustic energy during launch. OCO-2 joined the A-train satellite constellation, becoming the sixth satellite in the group. Members of the A-train fly very close together in Sun-synchronous orbit, to make nearly simultaneous measurements of Earth. A particularly short launch window of 30 seconds was necessary to achieve a proper position in the train. As of it was in an orbit with a perigee of , an apogee of and a 98.2° inclination. The mission is expected to cost , including design, development, launch and operations.
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Greenhouse Gases
Illicit diversion of pseudoephedrine in Australia has caused significant changes to the way the products are regulated. , all products containing pseudoephedrine have been rescheduled as either "Pharmacist Only Medicines" (Schedule 3) or "Prescription Only Medicines" (Schedule 4), depending on the amount of pseudoephedrine in the product. A Pharmacist Only Medicine may only be sold to the public if a pharmacist is directly involved in the transaction. These medicines must be kept behind the counter, away from public access. Pharmacists are also encouraged (and in some states required) to log purchases with the online database Project STOP. As a result, some pharmacies no longer stock Sudafed, the common brand of pseudoephedrine cold/sinus tablets, opting instead to sell Sudafed PE, a phenylephrine product that has not been proven effective in clinical trials.
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Enantiopure drugs
EPA's analysis indicated the amount of existing inventory was between 22,700t and 45,400t. In 2012 the EPA reduced the amount of R-22 by 45%, causing the price to rise by more than 300%. For 2013, the EPA has reduced the amount of R-22 by 29%.
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Greenhouse Gases
Some people experience persistent sexual side effects when taking SSRIs or after discontinuing them. Symptoms of medication-induced sexual dysfunction from antidepressants include difficulty with orgasm, erection, or ejaculation. Other symptoms may be genital anesthesia, anhedonia, decreased libido, vaginal lubrication issues, and nipple insensitivity in women. Rates are unknown, and there is no established treatment.
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Enantiopure drugs
Armodafinil is readily absorbed after oral administration. The absolute oral bioavailability was not determined due to the aqueous insolubility of armodafinil, which precluded intravenous administration. Peak plasma concentrations are attained at approximately 2 hours in the fasted state. Food effect on the overall bioavailability of armodafinil is considered minimal; however, time to reach peak concentration may be delayed 2–4 hours in the fed state. Since the delay in T is also associated with elevated plasma concentration later in time, food can potentially affect the onset and time course of pharmacologic action of armodafinil.
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Enantiopure drugs
Kidney impairment decreases the rate of elimination of levetiracetam from the body. Individuals with reduced kidney function may require dose adjustments. Kidney function can be estimated from the rate of creatinine clearance. Dose adjustment of levetiracetam is not necessary in liver impairment.
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Enantiopure drugs
Levonorgestrel can be taken by mouth as a form of emergency birth control. The typical dosage is either 1.5 mg taken once or 0.75 mg taken 12–24 hours apart. The effectiveness in both methods is similar. The most widely used form of oral emergency contraception is the progestin-only pill, which contains a 1.5 mg dosage of levonorgestrel. Levonorgestrel-only emergency contraceptive pills are reported to have an 89% effectiveness rate if taken within the recommended 72 hours after sex. The efficacy of the drug decreases by 50% for each 12-hour delay in taking the dose after the emergency contraceptive regimen has been started.
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Enantiopure drugs
It is a gaseous mixture of 60-80% tetrafluoroethane (R-134a), 10-30% pentafluoroethane (R-125) and 10-30% carbon dioxide (CO). Its physical properties are similar to those of Halon 1301.
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Greenhouse Gases
Mecillinam is used in the treatment of infections due to susceptible gram-negative bacteria, especially urinary tract infections which are most commonly caused by Escherichia coli. Mecillinam is active against most pathogenic Gram-negative bacteria, except Pseudomonas aeruginosa and some species of Proteus. Several studies have also found it to be as effective as other antibiotics for treating Staphylococcus saprophyticus infection, though it is Gram-positive, possibly because mecillinam reaches very high concentrations in urine. Worldwide resistance to mecillinam in bacteria causing urinary tract infection has remained very low since its introduction; a 2003 study conducted in 16 European countries and Canada found resistance to range from 1.2% (Escherichia coli) to 5.2% (Proteus mirabilis). Another large study conducted in Europe and Brazil obtained similar results — 95.9% of E. coli strains, for instance, were sensitive to mecillinam.
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Enantiopure drugs
Pseudoephedrine is a stimulant, but it is well known for shrinking swollen nasal mucous membranes, so it is often used as a decongestant. It reduces tissue hyperemia, edema, and nasal congestion commonly associated with colds or allergies. Other beneficial effects may include increasing the drainage of sinus secretions, and opening of obstructed Eustachian tubes. The same vasoconstriction action can also result in hypertension, which is a noted side effect of pseudoephedrine. Pseudoephedrine can be used either as oral or as topical decongestant. Due to its stimulating qualities, however, the oral preparation is more likely to cause adverse effects, including urinary retention. According to one study, pseudoephedrine may show effectiveness as an antitussive drug (suppression of cough). Pseudoephedrine is indicated for the treatment of nasal congestion, sinus congestion, and Eustachian tube congestion. Pseudoephedrine is also indicated for vasomotor rhinitis, and as an adjunct to other agents in the optimum treatment of allergic rhinitis, croup, sinusitis, otitis media, and tracheobronchitis. Pseudoephedrine is also used as a first-line prophylactic for recurrent priapism. Erection is largely a parasympathetic response, so the sympathetic action of pseudoephedrine may serve to relieve this condition. Treatment for urinary incontinence is an off-label use ("unlabeled use") for these medications.
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Enantiopure drugs
Fluoroform is weakly acidic with a pK = 25–28 and quite inert. Attempted deprotonation results in defluorination to generate and difluorocarbene (). Some organocopper and organocadmium compounds have been developed as trifluoromethylation reagents. Fluoroform is a precursor of the Ruppert-Prakash reagent Trifluoromethyltrimethylsilane|, which is a source of the nucleophilic anion.
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Greenhouse Gases
1,1-Difluoroethane, or DFE, is an organofluorine compound with the chemical formula CHF. This colorless gas is used as a refrigerant, where it is often listed as R-152a (refrigerant-152a) or HFC-152a (hydrofluorocarbon-152a). It is also used as a propellant for aerosol sprays and in gas duster products. As an alternative to chlorofluorocarbons, it has an ozone depletion potential of zero, a lower global warming potential (124) and a shorter atmospheric lifetime (1.4 years).
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Greenhouse Gases
Gestonorone caproate, also known as norhydroxyprogesterone caproate, 17α-hydroxy-19-norprogesterone 17α-hexanoate, or 17α-hydroxy-19-norpregn-4-ene-3,20-dione 17α-hexanoate, is a synthetic norpregnane steroid and a derivative of progesterone. It is specifically a combined derivative of 17α-hydroxyprogesterone and 19-norprogesterone, or of gestronol (17α-hydroxy-19-norprogesterone), with a hexanoate (caproate) ester at the C17α position. Analogues and derivatives of gestonorone caproate include algestone acetophenide (dihydroxyprogesterone acetophenide), demegestone, nomegestrol acetate, norgestomet, and segesterone acetate, as well as 18-methylsegesterone acetate and the caproate esters chlormadinone caproate, hydroxyprogesterone caproate, medroxyprogesterone caproate, megestrol caproate, and methenmadinone caproate.
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Enantiopure drugs
Esomeprazole, sold under the brand name Nexium [or Neksium] among others, is a medication which reduces stomach acid. It is used to treat gastroesophageal reflux disease, peptic ulcer disease, and Zollinger–Ellison syndrome. Its effectiveness is similar to that of other proton pump inhibitors (PPIs). It is taken by mouth or injection into a vein. Common side effects include headache, constipation, dry mouth, and abdominal pain. Serious side effects may include angioedema, Clostridium difficile infection, and pneumonia. Use in pregnancy appears to be safe, while safety during breastfeeding is unclear. Esomeprazole is the (S)-(−)-enantiomer (or less specifically the S-isomer) of omeprazole. It works by blocking H/K-ATPase in the parietal cells of the stomach. It was patented in 1993 and approved for medical use in 2000. It is available as a generic medication and sold over the counter in a number of countries. In 2021, it was the 125th most commonly prescribed medication in the United States, with more than 4million prescriptions. It is also available in lower dose formulations without a prescription in the United States, the United Kingdom as well as Australia, Canada, and New Zealand.
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Enantiopure drugs
Carbon tetrachloride was discovered along with chloromethane and chloroform in oceans, marine algae and volcanoes. The natural emissions of carbon tetrachloride are too little compared to those from anthropogenic sources; for example, the Momotombo Volcano in Nicaragua emits carbon tetrachloride at a flux of 82 grams per year while the global industrial emissions were at 2 × 10 grams per year. Carbon tetrachloride was found in Red algae Asparagopsis taxiformis and Asparagopsis armata. It was detected in Southern California ecosystems, salt lakes of Kalmykian Steppe and a common liverwort in Czechia.
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Greenhouse Gases
Acinetobacter anitratus, Acinetobacter calcoaceticus, Actinomyces odontolyticus, Aeromonas hydrophila, Bacteroides distasonis, Bacteroides uniformis, and Clostridium perfringens are generally susceptible to imipenem, while Acinetobacter baumannii, some Acinetobacter spp., Bacteroides fragilis, and Enterococcus faecalis have developed resistance to imipenem to varying degrees. Not many species are resistant to imipenem except Pseudomonas aeruginosa (Oman) and Stenotrophomonas maltophilia.
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Enantiopure drugs
Penicillamine is a trifunctional organic compound, consisting of a thiol, an amine, and a carboxylic acid. It is an amino acid structurally similar to cysteine, but with geminal dimethyl substituents α to the thiol. Like most amino acids, it is a colorless solid that exists in the zwitterionic form at physiological pH. Penicillamine is a chiral drug with one stereogenic center and exist as a pair of enantiomers. Refer the image for the structure of penicillamine enantiomers. The (S)-enantiomer, the eutomer, is antiarthritic while the distomer (R)-penicillamine is extremely toxic. Of its two enantiomers, -penicillamine (having R absolute configuration) is toxic because it inhibits the action of pyridoxine (also known as vitamin B). That enantiomer is a metabolite of penicillin but has no antibiotic properties itself. A variety of penicillamine–copper complex structures are known.
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Enantiopure drugs