4.1 Review

Statin intolerance: Now a solved problem

期刊

JOURNAL OF POSTGRADUATE MEDICINE
卷 57, 期 4, 页码 321-328

出版社

WOLTERS KLUWER MEDKNOW PUBLICATIONS
DOI: 10.4103/0022-3859.90085

关键词

Hepatotoxicity; intolerance; management; myopathy; statins

向作者/读者索取更多资源

Statins are the most effective and widely used drugs for treating dyslipidemia, a major risk factor for coronary heart disease. These are one of the safest hypolipidemic drugs but many patients are bound to discontinue statins due to their side effects. Hepatotoxicity, myotoxicity and peripheral neuropathy are important out of them. Discontinuation of statins leads to dylipidemia and its grave consequences. Hence, there should be enough strategies for statin intolerant patients, so that they can be saved from these consequences. These side effects can be avoided by the awareness of certain factors viz. potential drug interactions and dose adjustment according to patho-physiology of the patient. Baseline investigations for liver function and muscle toxicity should be done before initiating statin therapy. Here, we are discussing various options for statin intolerant hyperlipidemic patients such as lower and intermittent dosing of statins, alternate hypolipidemic drugs, red yeast rice, supplementation with coenzyme Q10 and vitamin D. A number of hypolipidemic drugs are in trial phases and hold promise for statin intolerant patients.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.1
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Engineering, Manufacturing

Design and modeling of abrasive flow finishing of freeform surfaces of FDM printed femoral component of knee implant pattern

Abdul Wahab Hashmi, Harlal Singh Mali, Anoj Meena, Kuldeep K. Saxena, Ana Pilar Valerga Puerta, U. Sathish Rao, Dharam Buddhi, Kahtan A. Mohammed

Summary: The design and manufacture of medical implants is an important area of research, and this paper presents an experimental investigation on the post-processing of FDM printed knee implant replicas using AFM. The rheology of the AFM media is optimized to achieve maximum material removal rate, and the effects of the newly prepared AFM media on the FDM printed pattern are studied.

INTERNATIONAL JOURNAL OF INTERACTIVE DESIGN AND MANUFACTURING - IJIDEM (2023)

Article Engineering, Manufacturing

Modelling and simulation of lightweight hollow pins as a substitution for solid shear pins used for assembly joints in aerospace applications

Shivashankar Hiremath, Dundesh S. Chiniwar, Zorawar Singh, Ajit Behera, Kuldeep K. Saxena, H. M. Vishwanatha

Summary: Shear pins are used as a mechanical safeguard in assembly operations to protect other components. Solid shear pins currently used add to the total weight of an assembly, while hollow shear pins can be a suitable alternative. This study presents theoretical and computational analysis of modifying an industrially used solid shear pin into a hollow pin. The feasibility of replacing solid shear pins with hollow shear pins is checked through extensive modeling and simulation. It is found that using hollow un-notched pins is beneficial, but weight savings using hollow notched pins may not be feasible.

INTERNATIONAL JOURNAL OF INTERACTIVE DESIGN AND MANUFACTURING - IJIDEM (2023)

Article Engineering, Manufacturing

Design and optimization of process parameters for hard turning of AISI 304 stainless steel using Taguchi-GRA-PCA

N. J. Rathod, M. K. Chopra, Prem Kumar Chaurasiya, S. H. Pawar, Damodar Tiwari, Rajan Kumar, Kuldeep K. Saxena, Dharam Buddhi

Summary: This study used the Taguchi technique to optimize the parameters for AISI 304 stainless steel material, aiming to increase tool life, shorten production times, and reduce surface roughness.

INTERNATIONAL JOURNAL OF INTERACTIVE DESIGN AND MANUFACTURING - IJIDEM (2023)

Article Engineering, Mechanical

A role of biomaterials in tissue engineering and drug encapsulation

Reeya Agrawal, Sangeeta Singh, Kuldeep K. Saxena, Dharam Buddhi

Summary: This paper provides an introduction to different types of biomaterials, such as metal, ceramic, polymer, and composites, and their applications in repairing or replacing biological tissue. Biomaterials have high mechanical strength, are biocompatible, and take a long time to break down. They have made significant contributions to medical technology development.

PROCEEDINGS OF THE INSTITUTION OF MECHANICAL ENGINEERS PART E-JOURNAL OF PROCESS MECHANICAL ENGINEERING (2023)

Article Chemistry, Physical

A HYBRID ENSEMBLE LEARNING MODEL FOR EVALUATING THE SURFACE ROUGHNESS OF AZ91 ALLOY DURING THE END MILLING OPERATION

Panchanand Jha, G. Shaikshavali, M. Gowri Shankar, M. Dinesh Sai Ram, Din Bandhu, Kuldeep K. Saxena, Dharam Buddhi, Manoj Kumar Agrawal

Summary: In metal-cutting operations, the surface roughness of the end product is important for both aesthetic appearance and long-term performance. Surface finish affects the endurance limits and stresses of the product during mechanical operations. Surface roughness depends on machining factors, and predicting it can help reduce costs and increase product life. This study evaluates the surface roughness of AZ91 alloy during end milling using ensemble learning models, and proposes a hybrid ensemble model that combines random forest, gradient boosting, and a deep multi-layered neural network. Comparative analysis shows that the proposed hybrid model has the lowest error for surface roughness.

SURFACE REVIEW AND LETTERS (2023)

Article Chemistry, Physical

EXPERIMENTAL STUDY ON THE SURFACE ROUGHNESS AND OPTIMIZATION OF CUTTING PARAMETERS IN THE HARD TURNING USING BIOCOMPATIBLE TiAlN-COATED AND UNCOATED CARBIDE INSERTS

Mithilesh K. K. Dikshit, Vimal K. K. Pathak, Reeya Agrawal, Kuldeep K. K. Saxena, Dharam Buddhi, Vinayak Malik

Summary: This research investigates the effect of TiAlN-coated and uncoated carbide inserts, as well as cutting parameters, on surface roughness in the hard turning of M2 tool steel. The study uses a central composite design and ANOVA to analyze the data. The results show that feed and rotational speed are the most significant parameters and TiAlN-coated carbide inserts provide better surface roughness.

SURFACE REVIEW AND LETTERS (2023)

Review Engineering, Manufacturing

A comprehensive comparative review: welding and additive manufacturing

Tejendra Singh Singhal, Jinesh Kumar Jain, Manoj Kumar, Vishal Bhojak, Kuldeep Kumar Saxena, Dharam Buddhi, Chander Prakash

Summary: Conventional welding heat sources are used in metal additive manufacturing, but additive manufacturing allows for the production of higher-resolution components using CNC technologies. By comparing the two processes, this paper explores how the knowledge obtained in welding science can be applied to the emerging field of metal additive manufacturing.

INTERNATIONAL JOURNAL OF INTERACTIVE DESIGN AND MANUFACTURING - IJIDEM (2023)

Review Engineering, Manufacturing

Advancement and influence of designing of ECAP on deformation and microstructure properties of the AA5083 under thermal effects

Nagendra Singh, Manoj Kumar Agrawal, Kuldeep K. Saxena, Sandeep Kumar, Chander Prakash

Summary: The goal of the ECAP method is to estimate the size of the thermal effect in an AA5083 system during deformation. This was achieved by analyzing the mechanical and physical characteristics of the metal during upsetting and its temperature using the Gleeble 3500 physical modelling complex. A database was created based on the results for modelling in the Deform-3D system. The ECAP process was modelled and the thermal fields and stress-strain state were examined.

INTERNATIONAL JOURNAL OF INTERACTIVE DESIGN AND MANUFACTURING - IJIDEM (2023)

Article Engineering, Manufacturing

Prediction of thermal and residual stress distributions in SS304 materials for nuclear application using finite element analysis

Harinadh Vemanaboina, Suresh Akella, Ramesh Kumar Buddu, Balram Yelamasetti, Mohan Babu Matam, Karrar Hazim Salem, Kuldeep K. Saxena, Chander Prakash, Dharam Buddhi

Summary: The welding process for nuclear vessels is important for temperature and residual stress. In this study, stainless steel material was used to simulate weldability by reaching melting at the Fusion zone with different weld input power and process time. Static thermoelastic process simulation was conducted using ANSYS, and isotherms in the transverse weld bead area were used to identify melting and phase change points in Fusion and HAZ. The distributions in Fusion, HAZ, and base material were evaluated in different directions. The residual stress along the transverse direction was compared with yield strength to evaluate weldability. The transverse analysis provided an understanding of structural stability. A single-pass weld process limit was obtained based on a feasible time and power source, and the thermoelastic distributions were studied.

INTERNATIONAL JOURNAL OF INTERACTIVE DESIGN AND MANUFACTURING - IJIDEM (2023)

Review Materials Science, Multidisciplinary

Innovative high-performance metal reinforced polymers composites for 3D printing applications: a review

Nishant Ranjan, Ranvijay Kumar, Sandeep Kumar, Deepak Kumar, Kuldeep K. Saxena

Summary: Innovative high-performance composite materials are required for modern manufacturing techniques like 3D printing, which need lightweight materials with high mechanical and thermal properties. Metal-reinforced polymer composites have emerged as a promising source for 3D printing applications in various sectors. The study determines the best suitability of materials for high-performance applications and discusses the potential applications of metals like Ag, Al, Cu, and Au in various industries.

ADVANCES IN MATERIALS AND PROCESSING TECHNOLOGIES (2023)

Article Materials Science, Multidisciplinary

Effect of EN ratio on bead profile and mechanical properties of MC 600 steel in submerged arc welding

Ajit Kumar Naik, Rakesh Roshan, Nuha Hadi Jasim Al Hasan, Kuldeep Kumar Saxena, Manoj Kumar Agrawal, Kahtan A. Mohammed, Chander Prakash

Summary: The effect of electrode negative (EN) ratio on bead cross-section, mechanical properties, and microstructure was analyzed in this study. Welding was performed on MC-600 steel of 12.5 mm thickness using two passes in butt configuration at three different EN ratios ranging from 0.25 to 0.75. The penetration depth and bead width decreased, while the reinforcement height increased with an increase in EN ratio. The yield strength was not significantly affected, but the ultimate tensile strength slightly increased with an increase in EN ratio. Vickers hardness of the weld at the lowest and highest EN ratios was similar and slightly higher than that of the middle one. The impact toughness improved at all three locations with an increase in EN ratio.

ADVANCES IN MATERIALS AND PROCESSING TECHNOLOGIES (2023)

Article Materials Science, Multidisciplinary

Preparation and characterisation of pure and Ni doped ZnO nanorods

Zahraa Thabet Abdulameer, Nuha Hadi Jasim Al Hasan, Amer N. Jarad, Karrar Hazim Salem, Mohammed Ayad Alkhafaji, Rahman S. Zabibah, Kahtan A. Mohammed, Kuldeep K. Saxena, Harish Kumar, Chander Prakash, Manoj Kumar Agrawal

Summary: One-dimensional pure and Ni-doped zinc oxide nanorods were synthesized using a chemical bath technique. The optical, morphological, and structural properties of the nanorods were investigated. XRD analysis revealed that the crystal structure of both pure and Ni-doped nanorods was hexagonal, with slight shifts in diffraction angles. EDX testing confirmed the presence of Ni atoms in the ZnO, indicating successful doping. SEM analysis showed that the prepared materials had a nanorod morphology. Doping with Ni resulted in a red shift in the absorption spectrum and a decrease in the band gap from 3.72 eV for ZnO to 3.5 eV for ZnO:Ni.

ADVANCES IN MATERIALS AND PROCESSING TECHNOLOGIES (2023)

Review Engineering, Multidisciplinary

Friction Stir Process: A Comprehensive Review on Material and Methodology

Vishal Bhojak, Jinesh Kumar Jain, Kuldeep Kr Saxena, Bharat Singh, Kahtan A. Mohammed

Summary: Friction stir process (FSP) is a surface modification and composites fabrication process with no fumes generation and low energy requirement, making it a green technology. This review paper provides a brief overview of FSP and discusses the influence of key process parameters on microstructure and mechanical properties. A case study on process parameter optimization is conducted to reduce defects and improve material properties.

INDIAN JOURNAL OF ENGINEERING AND MATERIALS SCIENCES (2023)

Review Engineering, Multidisciplinary

Optimization on Manufacturing Processes at Indian Industries Using TOPSIS

Satbir Singh, Vivek Agrawal, Kuldeep Kr Saxena, Kahtan A. Mohammed

Summary: This study explores the context, reasons, and advantages of using TOPSIS in the materials science and engineering field. It presents a conceptual framework and finds that TOPSIS has been successfully applied in eleven industries in India, with comparable results to other more complex MCDM methods.

INDIAN JOURNAL OF ENGINEERING AND MATERIALS SCIENCES (2023)

Article Engineering, Mechanical

Mechanical and tribological properties of nano clay/PMMA composites extruded with a twin-screw extruder

Aneesh Paul, Sujeet Kesharvani, Anjali Agrawal, Gaurav Dwivedi, Vishal Singh, Kuldeep K. Saxena

Summary: This article discusses the synthesis of nano clay or PMMA nanocomposites using a twin-screw extruder and analyzes their strength and wear. A compatibilizer is added during the synthesis process to improve the bonding between the clay and matrix. Tensile and flexural tests are conducted, and the wear resistance of the composites is assessed. The results show that increasing the filler content in the composite reduces its strength but improves its wear resistance.

PROCEEDINGS OF THE INSTITUTION OF MECHANICAL ENGINEERS PART E-JOURNAL OF PROCESS MECHANICAL ENGINEERING (2023)

暂无数据