1. Carbohydrates are classified as monosaccharides, disaccharides, oligosaccharides, or polysaccharides depending on their size. Monosaccharides include glucose and fructose.
2. Important carbohydrates include starch, glycogen, cellulose, and dietary sugars like sucrose, lactose, and glucose. Starch is the storage form of carbohydrates in plants while glycogen serves this function in animals.
3. Carbohydrates have several important functions in the body including energy storage, structural roles, and serving as precursors for other biomolecules. They exhibit properties like being water-soluble and capable of undergoing chemical reactions like reduction and oxidation.
This explains the complex carbohydrates and chemistry of heterpolysaccharides. composition, distribution and its function is explained for each GAGs. brief notes on blood group ag is available. difference between proteoglycan and glycoprotein is explained in a essay way to understand. clinical importance is also added.
This ppt explains the properties of monosaccharides, polysaccharides. the properties like mutarotation, reduction, optical activity, caramerlization, osazone is given in the ppt. Also the determination of ring size of the monosaccharide is explained/
This explains the complex carbohydrates and chemistry of heterpolysaccharides. composition, distribution and its function is explained for each GAGs. brief notes on blood group ag is available. difference between proteoglycan and glycoprotein is explained in a essay way to understand. clinical importance is also added.
This ppt explains the properties of monosaccharides, polysaccharides. the properties like mutarotation, reduction, optical activity, caramerlization, osazone is given in the ppt. Also the determination of ring size of the monosaccharide is explained/
presentation includes chemistry, classification of carbohydrates, monosaccharides, oligosaccharides and polysaccharides. It also includes properties of carbohydrates such as epimerism, cyclization of sugars, anomerism and mutarotation. Numerous biochemical, industrial and medical functions of various carbohydrates have been described.
Introduction to protein , Structure of Amino acid, Asymmetric carbon, Nomenclature of amino acid, Classification of amino acid, Properties & functions of amino acids, Definition of protein, Peptide bond
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
2. DefinitionDefinition
Aldehyde (-CHO) or ketone (-C=O)
derivatives of polyhydric alcohol or the
compounds which produce these derivatives
on hydrolysis
2
3. ClassificationClassification
3
Monosaccharid
e
Disacch. Oligosacch. Polysacch.
The simplest form
of carbohydrates
that can’t be
hydrolyzed into
further simpler
form
Carbohydrate
produced by
condensation
of 2
monosacch.
units by
glycosidic
bond
Carbohydrate
produced by
condensation of
3 - 10
monosacch.
units by
glycosidic bond
Polymer of
monosacch
composed of
>10
monosacch.
units
connected by
glycosidic
bondExample:
Glucose,
Fructose ,
Galactose etc
Example:
Maltose,
Sucrose,
Lactose
Example:
Maltotriose,
Raffinose
Example:
Starch,
Cellulose,
Glycogen
6. 1. Monosaccharide / Simple sugar1. Monosaccharide / Simple sugar
Three to nine carbon compounds
Serves as building block of all carbohydrates
General formula: Cn (H2O)n
6
7. Classification of monosaccharides based on no. ofClassification of monosaccharides based on no. of
carbon & the functional group they containcarbon & the functional group they contain
7
Generic name Number
of
carbon
Aldose
(-CHO)
Ketose
(-C=O)
Triose 3 Glyceraldehyde Dihydroxy
acetone
Tetrose 4 Erythrose Erythrulose
Pentose 5 Ribose Ribulose
Hexose 6 Glucose Fructose
15. 04/27/18Footer Text 15
Importance (Functions)
of Glucose
Acts as :
Chief source of energy
Storage form of energy (as
glycogen)
Protein & fat sparer
Precursor for synthesis of
lipids, AA, glycoprotein &
proteoglycans
Helps in :
Protein & Fat metabolism
Nucleic acid synthesis (by
providing ribose)
Constitute
structural component
of :
Biological
membrane
Intracellular ground
substance
Biological lubricant
Involved in
detoxification of toxic
substance in liver by
providing glucuronic
acid
16. 2. Disaccharide2. Disaccharide
Here, two molecules of same / different
monosaccharides are produced on hydrolysis
General formula: Cn (H2O)n-1
16
20. Two types of polysaccharidesTwo types of polysaccharides
20
Homo polysaccharide /
Homoglycan
Polymer of similar type of
monosaccharide units,
connected by glycosidic
bond.
Example:
Starch
Glycogen
Cellulose etc
Hetero
polysaccharide /
Heteroglycan
Polymer of different
types of monosaccharide
units / their derivatives,
connected by glycosidic
bond.
Example:
MPS or GAG
Carbohydrate part of
glycoprotein
22. 22
Homo
polysacch
Mono-
mer unit
Source Other features
Starch:
Storage form
of carboh. in
plant
2 types
a) Amylose
b)Amylopectin
α-D-
glucose
Entirely
plant
Amylose: Straight
chain structure,
Sparingly water
soluble
Amylopectin:
Branched chain
structure, Water
insolubleGlycogen/
Animal starch:
Storage form
of carboh. in
animal &
human
α-D-
glucose
Entirely
animal:
Liver
glycogen,
Muscle
glycogen
Resembles
Amylopectin:
Branched chain
structure, no. of
branches
>Amylopectin.
23. 23
Homo
polysacch
Mono-
mer
unit
Source Other features
Dextrin α-D-
glucose
Produced
by partial
break down
(hydrolysis)
of starch
Glycosidic bonds in
starch are randomly
broken down by α-
amylase & produces
these oligosacch.
fragments
Dextran α-D-
glucose
Formed by
microbes
(bacteria,
yeast etc)
Branched structure,
non digestible,
colloidal in nature.
Clinically used as
plasma expander to
prevent
Hypovolemic shock
during major
surgery / fluid-losing
24. 24
Homo
polysacch
Mono-
mer
unit
Source Other features
Cellulose β-D-
glucose
Plant
source like
vegetables,
fruits etc
Straight chain
structure, Non
digestible in human,
so gives no energy
Inulin Fructose Onion,
garlic etc
Water soluble, LMW,
used for
measurement of
GFR.
No dietary
importance
25. 04/27/18Footer Text 25
Importance (Functions) of Cellulose
Importance:
Maintains regular bowel
habit , prevents constipation
Facilitates cholesterol
excretion, keeps serum
cholesterol low & reduces
risk of CAD
Prevents risk of
obesity
DM
Colonic cancer
Disadvantage:
Prevents intestinal
absorption of
minerals
26. Amylose vs. AmylopectinAmylose vs. Amylopectin
26
Amylose Amylopectin
Represent 10 – 20% of
starch
Represent 80 – 90% of
starch
LMW HMW
Has 200 – 1000 glucose
molecules
Has few thousands of
glucose molecules
Sparingly water soluble Water insoluble
Straight chain, unbranched Highly branched
Gives blue color with dilute
iodine solution
Gives reddish violet color
with dilute iodine solution
27. Glycogen vs. StarchGlycogen vs. Starch
27
Starch Glycogen
Plant source Animal source
Amylose: Unbranched
Amylopectin: Less branched
Highly branched structure
MW: About 5 lac MW: 10 – 40 lac
Gives reddish violet color
with iodine solution
Gives deep red color with
iodine solution
Main dietary carbohydrate in
human
Storage form of
carbohydrate in human
29. 04/27/18Footer Text 29
GAGs / MPS
Long chain hetero
polysaccharide, mostly
unbranched
Consists of repeating
disaccharides made of
amino sugar e.g.
Glucosamine
&
acidic sugar e.g.
glucuronic acid
Contain uronic acid
(glucuronic acid) but no
sialic acid
Glycoprotein
Short chain hetero
polysaccharide, mostly
branched
Consists of
hexoses & their
acetylated amino
derivatives
pentoses
&
sialic acid
Contain sialic acid but no
uronic acid
30. 30
Types of MPS /
GAGs
Possible site
Hyaluronic acid Connective tissues, synovial
fluid etc
Chondroitin SO4 - A Cartilage, bone, tendon etc
Chondroitin SO4 – B
(Dermatan SO4)
Skin, blood vessels etc
Chondroitin SO4 - C Cartilage, bone, tendon etc
Keratan SO4 Cartilage, cornea etc
Heparan SO4 Cell surface, basement
membrane
Heparin Mast cells
31. 04/27/18Footer Text 31
Importance (Functions)
of GAGs / MPS
Component of
extracellular matrix,
synovial fluid, vitreous
humor, mucus etc
Act as:
Biological lubricant
providing protection
against microbial injury /
invasion
Importance (Functions)
of Glycoprotein
Component of
extracellular matrix
Act as :
Biological lubricant
providing protection
against microbial injury /
invasion
Cell surface receptor
cell surface antigen
Cellular recognition &
cell to cell interaction
32. Properties of CarbohydratesProperties of Carbohydrates
32
Physical
properties
Water soluble
Crystalline
Sweet in taste
Optically active
Chemical properties
Reducing agent in alkaline
media
Oxidizes to sugar acid
Reduces to alcohol
Formation of :
Osazone with phenyl
hydrazine
Glycoside by condensation
with alcoholic group of
another substance
35. What is isomerism?What is isomerism?
It is the process of formation of isomers
Isomers:
Substances having same molecular /
chemical formula
but
different structures or
different spatial configuration around 1/more
carbon atom
35
36. 36
1. Structural isomers:
Different in structural
form
2. Stereo / Space isomer:
Different in
arrangement of atoms / groups
around 1/more carbons in
relation to space
a) Geometric isomer: Restricted rotation of C = C double
bonds. e.g. Cis / Trans configuration
b) Optical isomer: Chiral centre & diff. optical activity.
e.g. D-L isomerism, α-β anomerism
37. Sucrose : Invert sugarSucrose : Invert sugar
37
Dextrorotatory optical character of sucrose on
hydrolysis is inverted to levorotatory
character.