Tadalafil entfaltet seine Wirkung über eine selektive Hemmung der PDE5, wodurch die Konzentration von cGMP im glatten Muskelgewebe stabil bleibt. Diese biochemische Modulation resultiert in einer langanhaltenden Relaxation der Gefäßwände. Der Wirkstoff wird nach oraler Einnahme effizient resorbiert, mit einer Bioverfügbarkeit von rund 80 %. Seine Halbwertszeit von bis zu 36 Stunden ist innerhalb dieser Substanzklasse außergewöhnlich. Abgebaut wird er in der Leber, hauptsächlich durch CYP3A4, mit anschließender biliärer Exkretion. Typische unerwünschte Wirkungen entstehen durch eine verstärkte Vasodilatation, etwa Kopfschmerzen oder Flush. Pharmakologisch wird cialis generika vor allem durch die verlängerte Wirkungsdauer charakterisiert.
Microsoft word - dr sharma.doc
Dr. Shri Ram Sharma Name of post- Associate professor in Neurology Name of candidate- Dr.Shri Ram Sharma
F-40, Major Shaitan Singh Colony, Shastri
Present address - B1D, North eastern indira Gandhi regional institute of Health &medical sciences, Shillong, Meghalaya Academic Qualification-
Secondary 88%-1985 K.V.Central, Higher secondary 83%--K V Central, Jaipur-1986 1st Year TDC- 1987 79%GOLD MEDAL –MAHARAJA CollegeJaipur S M S Medical college, Jaipur, (Raj)-1993 M.D (General Medicine) - Rajasthan University (Raj)-1998 D.M (Neurology) — K.G Medical University, Lucknow 2004 SGPGI, Lucknow— 11/2 year experience Post DM (Neurology) experience—working as assistant professor NEUROLOGY ---JAN 15, 2005 to 30 April 2008—SRMSIMS Medical college, U.P
Experience- • As an Assistant Professor in Neurology-NEGRIMS,Shillong 2008
• Post DM (Neurology)experience—working as assistant professor NEUROLOGY ---JAN 15,2005 to 30 April 2008 In SRMSIMS & Medical College, U.P. (India) • Previously- Metro Heart Institute& research centre, New Delhi—6 month post M.D.(Medicine)
• Sir Ganga Ram Hospital, New Delhi—1/2 year post M.D.(Medicine)
• Escort Heart Institute New Delhi—6 month post M.D.(Medicine) Paper Publication- 1. Epalrestat, an ARI in diabetic neuropathy—an Indian perspective- Annals of Indian academy of neurology Journal—Original article--2008 2. Evaluation of role of steroid alone and with steroids in SSECTL—AIAN – Original article --2006 3. GBS with central demyelination—JMSR—case report- 2008 4. Holistic insight into health promotion& healing into YOGA—JDCR- editorial review-2007 5. Migraine like visual hallucinations in occipital lobe neurocysticercosis- Journal of Neuro ophthalmology- Original article- 2002 6. An unusual presentation of acute respiratory distress in pregnancy—rare case CCJ 7. Hyperacute thrombolysis in AIS-an Indian perspective with special reference to Western Utter Pradesh—AIAN- Original article- 2008 8. An adolescent girl with periodic hyper somnolence with megaphagia-an unusual case report –Journal of Pediatrics neurosciences 2009 9. An adolescent boy with acquired epileptic aphasia AIAN, Case report 2009 Paper presentation
1. Guillain barre syndrome with CNS demylination—IAN 2002
2. Role of albendazole in SCG-GOLD MEDAL IN PAPER-Varanasi—NSI 2004
3. Unusual headache- cluster and atypical migraine—Botox—International
4.several paper presented in M.D.(Medicine) INTERNATIONAL CONFERENCES 1. MALAYSIA 2. ALMAGHTY (U.S.SR) 3. MAURITIOUS 4. DUBAI 5. SHANGHI (CHINA) 6. THILAND 7. PARIS (FRANCE) National conference —several during & post M.D.(medicine) 2002- Indian academy of neurology, Lucknow. 2003 International headache conference, Lucknow. 2004. State neurology conference-, Varanasi 2005- Indian academy of neurology, Jaipur 2006-Indian academy of neurology, BANGLORE 2007 IAN- Mumbai 2008 IAN, New Delhi
2009 IAN, Cochin Dissertation
1. For M.D (General medicine)—A study of Glycemic status and lipid profile in
pts of pulmonary tuberculosis during course of ATT.
2. For D M(Neurology)—comparative study of albendazole and steroid in
. HAVING 4 Years of experience in giving TPA in hyper acute stroke,
In giving botox for dystonia At SRMSIMS, Superspeciality hospital &Medical college at U.P
Lashkar-e-Taiba Attacks in Jammu & KashmirA. Mannes2,3, J. Shakarian2, A. Sliva1,2,3,4 and V.S. Subrahmanian1,22Institute for Advanced Computer Studies & 3School of Public Policy4 Northeastern University, Boston, MA 02115. Abstract—Lashkar-e-Taiba (LeT for short) is one of the deadli-a much larger number—over 2,000—of such rules) usingest terrorist groups in the world. With ove
Sermon for Romsey and Lancefield Uniting Churches 27th of September, 2009 Psalm 124 Some parts of the Bible need to come with an “R” rating – they’re full of sex and violence, and are completely unsuitable for children. The Book of Esther is one of those parts. Esther’s an unusual Biblical book. For one thing, it makes no mention of God at all. Despite being Jewish, it