dietary supplements
Overview on supplements
Definition
Facts about Supplements
Should you be taking supplements?
What about protein powders?
Regulation of dietary Supplements
Dietary Supplement and Health Education Act
Dietary Supplements Efficacy, Safety and RegulationsAli Alhammad
The use of dietary supplements increased in the last decade to maintain or improve health or specifically to supplement a vitamin deficiency, lose weight, or support organ function. Mostly, consumers believing them to be more natural, potent or safer than pharmaceutical drugs. However, that it not always the case. The current FDA Dietary Supplement regulations do not require premarketing efficacy and safety studies of any dietary supplement product. I will explore these issues in some details in my lecture.
As defined by Congress in the Dietary Supplement Health and Education Act, which became
law in 1994, adietary supplement is a product (other than tobacco) that
-- is intended to supplement the diet;
-- contains one or more dietary ingredients
(including vitamins; minerals; herbs or
other botanicals; amino
acids; and other substances) or their constituents;
-- is intended to be taken by mouth as a pill, capsule,
tablet, or liquid; and
-- is labeled on
the front panel as being a dietary supplement.
http://ods.od.nih.gov/
Dietary Supplements: What You Need to Know!
In today's society, nutritional supplements is one of the fastest growing industries in the world. More commonly known as the Vitamins, Minerals and Supplements, or VMS group, it produces about a $32 billion in revenue to date. But, why? Do you know what you are really digesting into your body? This presentation will explain all that is relevant to this growing hot topic today!
Development of Nutraceuticals & functional foodsEkta Belwal
“Nutraceuticals” & “Health food” shops has grown enormously, fostered by wide media coverage of their benefits. There has been a boom in their sales as patients rush to self-medicate, either in the hope that these products will be effective in treating diseases unsatisfactorily treated with pharmaceuticals, or that the adverse effects of some pharmaceuticals may be avoided.
Dietary Supplements Efficacy, Safety and RegulationsAli Alhammad
The use of dietary supplements increased in the last decade to maintain or improve health or specifically to supplement a vitamin deficiency, lose weight, or support organ function. Mostly, consumers believing them to be more natural, potent or safer than pharmaceutical drugs. However, that it not always the case. The current FDA Dietary Supplement regulations do not require premarketing efficacy and safety studies of any dietary supplement product. I will explore these issues in some details in my lecture.
As defined by Congress in the Dietary Supplement Health and Education Act, which became
law in 1994, adietary supplement is a product (other than tobacco) that
-- is intended to supplement the diet;
-- contains one or more dietary ingredients
(including vitamins; minerals; herbs or
other botanicals; amino
acids; and other substances) or their constituents;
-- is intended to be taken by mouth as a pill, capsule,
tablet, or liquid; and
-- is labeled on
the front panel as being a dietary supplement.
http://ods.od.nih.gov/
Dietary Supplements: What You Need to Know!
In today's society, nutritional supplements is one of the fastest growing industries in the world. More commonly known as the Vitamins, Minerals and Supplements, or VMS group, it produces about a $32 billion in revenue to date. But, why? Do you know what you are really digesting into your body? This presentation will explain all that is relevant to this growing hot topic today!
Development of Nutraceuticals & functional foodsEkta Belwal
“Nutraceuticals” & “Health food” shops has grown enormously, fostered by wide media coverage of their benefits. There has been a boom in their sales as patients rush to self-medicate, either in the hope that these products will be effective in treating diseases unsatisfactorily treated with pharmaceuticals, or that the adverse effects of some pharmaceuticals may be avoided.
Nutritional supplements and nutraceuticalsTom Dot U
nutraceuticals are substances provides distinct health and medicinal benifits, classification prebiotics.......lycopene.........................................
Presentation gives an overview of the inter-relationship between nutrition and pharmacy. Its importance is an imperative consideration in patient care. The presentation begins with an introduction to both areas but then focuses on specific drug-nutrient interactions with specific drug categories.
presentation about Nutraceutical
The term “nutraceutical” combines the word “nutrient” (a nourishing food or food component) with “pharmaceutical”(a medical drug). The word “nutraceutical” has been used to describe a broad list of products sold under the premise of being dietary supplements (i.e. a food), but for the expressed intent of treatment or prevent of disease.
Nutraceuticals have been gaining importance to combat the associated life style diseases. That's added a new expansion business of the Pharmaceutical Industry.
Nutritional supplements and nutraceuticalsTom Dot U
nutraceuticals are substances provides distinct health and medicinal benifits, classification prebiotics.......lycopene.........................................
Presentation gives an overview of the inter-relationship between nutrition and pharmacy. Its importance is an imperative consideration in patient care. The presentation begins with an introduction to both areas but then focuses on specific drug-nutrient interactions with specific drug categories.
presentation about Nutraceutical
The term “nutraceutical” combines the word “nutrient” (a nourishing food or food component) with “pharmaceutical”(a medical drug). The word “nutraceutical” has been used to describe a broad list of products sold under the premise of being dietary supplements (i.e. a food), but for the expressed intent of treatment or prevent of disease.
Nutraceuticals have been gaining importance to combat the associated life style diseases. That's added a new expansion business of the Pharmaceutical Industry.
DIETARY SUPPLEMENT
The purpose of dietary supplements, is to enhance or supplement the diet. Even though a product is marketed as a dietary supplement, it is still considered a medicine to the extent that it is meant to treat, diagnose, cure, or prevent diseases.
Tablets, capsules, soft gels, powders, bars, gummies, and liquid supplements are just a few of the many different forms that supplements can take.
It is a product that is intended to supplement the diet that bears or contains one or more of the following dietary ingredients: a vitamin, a mineral, an herb or other botanical, an amino acid.
A dietary substance use by human to supplement the diet by increasing the total daily intake, or a concentrate, metabolite, constituent, extract, or combinations of these ingredients.
FDA Role
Companies can often introduce a dietary supplement to the market without notifying FDA.
FDA’s role in regulating dietary supplements primarily begins after products enter the marketplace.
If a product is found to be unsafe or not otherwise in compliance with the law, FDA can work with the company to bring the product into compliance or possibly remove it from the market.
FDA regulates both finished dietary supplement products and dietary ingredients.
FDA regulates dietary supplements under a different set of regulations than those covering "conventional" foods (edible fruits and vegetables) and drug products.
Role of DSHEA
Manufacturers and distributors of dietary supplements and dietary ingredients are prohibited from marketing products that are adulterated or misbranded.
That means that these firms are responsible for evaluating the safety and labelling of their products before marketing to ensure that they meet all the requirements of the Federal Food, Drug, and Cosmetic Act (FFDCA) as amended by DSHEA and FDA regulations.
FDA has the authority to take action against any adulterated or misbranded dietary supplement product after it reaches the market
The Dietary Supplement Health and Education Act of 1994 was enacted to prohibit
Dietary supplement manufacturers and distributors from making false claims (such as "natural" and "therapeutic," on supplement labels)
The law also prohibits the manufacture and sale of adulterated dietary supplements.
Aim of these act:
To make dietary supplements safer by forbidding manufacturers and distributors from producing and selling mislabelled or adulterated products.
Act requires that the manufacturer of the dietary supplement ensures their product meets DSHEA and FDA regulations.
Table of Contents
Short Title Reference Table Of Contents
Findings
Definitions
Safety of Dietary Supplements and Burden of Proof on FDA
Dietary Supplement Claims
Statements of Nutritional Support
Dietary supplement ingredient labeling and nutrition information labeling
New dietary ingredients
Good manufacturing practices
Conforming amendments
Withdrawal of the regulations and notice
Commission on dietary supplement labels
Preformulation Studies: Introduction to preformulation, goals and objectives, study of
physicochemical characteristics of drug substances.
a. Physical properties: Physical form (crystal & amorphous), particle size, shape, flow
properties, solubility profile (pKa, pH, partition coefficient), polymorphism.
b. Chemical Properties: Hydrolysis, oxidation, reduction, racemisation, polymerization
BCS classification of drugs & its significant
Application of preformulation considerations in the development of solid, liquid oral and
parenteral dosage forms and its impact on stability of dosage forms.
Extraction, isolation and structure elucidation of lignans(podophyllotoxin)Mohammad Khalid
Extraction, isolation and structure elucidation of- Lignans(Podophyllotoxin)
Introduction
Extraction and Isolation
Identification test
Sructure elucidation of Podophyllotoxin
Adverse Effects
Extraction, isolation and structure elucidation of flavonoids: QuercetinMohammad Khalid
Extraction, isolation and structure elucidation of- Flavonoids Quercetin
Introduction
FLAVONOIDS & THEIR EXAMPLES
Quercetin
general isolation method
Extraction and isolation
Extraction from neem leaves
Isolation of Quercetin Methanolic Extract of Azadirachta indica leaves
Structure elucidation of Quercetin
Health benefits
Side Effects of Quercetin
Brief introduction to Agmark, BIS and FSSAI
Introduction (AGMARK)
Objectives of Agmark Scheme
Requirement of Agmark Application Proceedings
Advantages of agmark
Bureau of Indian Standards (B.I.S)
Structure of BIS/ Members of BIS
OBJECTIVES and FUNCTIOS OF BIS
Food Safety and Standards Authority of India (FSSAI)
NEED OF FSSAI
Functions of fssai
FSSAI Structure
Landmark cases with FSSAI
Differences between agmark and fssai
Extraction , Isolation and Structure Elucidation of DigoxinMohammad Khalid
Introduction
Mechanism of Action
Pharmacokinetics
Indication
Administration
Contraindication and Precaution
Use cautiously in
Adverse Effects
Extraction and Isolation of Digoxin
CHEMICAL TESTS
Structure Elucidation
Testing of neutraceuticals and food products
Introduction
Testing of microbial load
Bioburden Test
Total Aerobic Microbial Count
Total combined yeast and molds count
Testing of nutritional value
Laboratory based nutraceutical Analysis
Testing of heavy metals
Calorific Value
Nutraceutical label claim testing
Packaging, Label claims. Regulatory aspects of nutraceutical products in India.Mohammad Khalid
Packaging,
label claims.
regulatory aspects of nutraceutical products in India.
INTRODUCTION (Packaging)
TYPES OF PACKAGING
Objective of Packaging
Consideration for packaging
FUNCTIONS OF PACKAGING
Factors for package design in international market
Introduction (Labelling)
Function of labels
Objective of labeling
Which Information Is Mandatory
Contents in a Nutraceutical label
Definition of Nutrition Claim/s
Definition of Health Claim/s
New FDA Labeling Requirements
Regulation of Nutraceuticals in India
Food Safety and Standards Authority of India (fssai)
Regulatory Requirements in India
Registration Process in India
Functional food & Phytonutrients
Definition
Examples of some functional food worldwide
Functional Food Components
Concept of functional foods
Cereals as functional food
Legumes as functional foods
Vegetables as functional food
Fruits as functional foods
Probiotics as functional food
Functional food and fortification
Phytonutrients
General functions of phytonutrients
Various Phytochemicals
Mechanisms of action of Phytonutrients
Fortified Food
Introduction
enriched food
Who will benefit from fortified foods
Purpose of food fortification
Iodine deficiency disorders
Fortification of flour
Main methods of food fortification
Fortification prevents and treats iron deficiency and nutritional anaemia
Criticism (Side Effect)
Future Challenges of Food Fortification
Reserpine(Structure Elucidation, Extraction and Isolation)Mohammad Khalid
Reserpine(Structure Elucidation, Extraction and Isolation)
Introduction
Constitution of reserpine
Structure of Reserpic acid
Structure of Yobyrine
Synthesis of Yobyrine
Structure of Reserpine
Synthesis of Reserpine
Classification
Extraction
Isolation:
Identification test
Mode of Action
ICH STABILITY TESTING GUIDELINES, Drug Stability, Stability studies are preformed on Drug Stability (DS)
Drug product (DP), TYPE SIZE, NUMBER OF BATCHES (ICH/WHO GUIDELINES), LONG TERM STABILITY STUDIES, ACCELERATED STABILITY STUDIES, PROTECTION AGAINST HYDROLYSIS, PROTECTION AGAINST OXIDATION, Testing scope for solid dosages, Testing scope for liquid form, Testing scope for oral liquid form
Good Laboratory Practices, Protocol, Contents of protocol, Conduct of a non-clinical laboratory study, Reporting of non-clinical laboratory study results,
Schedule T – Good Manufacturing Practice of Indian systems of medicine
Components of GMP (Schedule – T) and its objectives
Infrastructural requirements, working space, storage area, machinery and equipments,
standard operating procedures, health and hygiene, documentation and records.
INTRODUCTION
Components of GMP
GMP Provisions: Under Schedule-T are grouped
Location and surroundings
Factory Premises
Buildings
Water supply
Containers cleaning
Disposal of Waste
Requirements for the sterile products
store
Working space:
Space requirement for manufacturing of Unani medicine
Health & Hygiene
Machinery and Equipments
Machinery and equipments for maufacturing of ayurveda and siddha medicine
Documentation and Records
Herbs, Herbal Drugs
Present Scope of Herbal Drug Industry
Scope of Herbal Drug Medicine and Industry
Indian Herbal Industry
International Scope of Herbal Medicines
World Wide Herbal Trade
Overview on plant based industries and research institutions in India
List of few herbal drug industries in India
List of few herbal research institution/ centres in India
General Introduction to Herbal Industry
Herbal drugs industry: Present scope and future prospects.
A brief account of plant based industries and institutions involved in work on medicinal and
aromatic plants in India.
Regulations in India (ASU DTAB, ASU DCC), Regulation of
manufacture of ASU drugs - Schedule Z of Drugs & Cosmetics Act for ASU drugs.
Introduction
Regulatory Requirements
Key function of regulatory agencies
Regulation in India
DRUG TECHNICAL ADVISORY BOARD
Drugs Consultative committee-DCC
Schedule Z of Drugs & Cosmetics Act for ASU drugs.
Patenting aspects of traditional knowledge and natural products(curcuma & neem)Mohammad Khalid
Patenting aspects of Traditional Knowledge and Natural Products. Case study of Curcuma
& Neem.
Introduction
Meaning Of Traditional Knowledge
Patents And Traditional Knowledge In India
Traditional Knowledge In Danger
Turmeric Patent
Neem Patent
WHAT INDIA NEEDS TO DO?
Introduction
Concept of Bioprospecting
Why is it needed
Process of Bioprospecting
Who does bioprospecting
Added potential environmental impacts of Bioprospecting
Key issues & challenges
Lack of legal clarity
Greater sector involvement:
A comprehensive bioprospecting policy
Definition of biopiracy
History of biopiracy
Types of Biopiracy
How does it happens?
Famous Cases of biopiracy
Why is There a Need to Stop Biopiracy ?
Actions Taken Against Biopiracy
Conclusion
Good Laboratory Practices: General Provisions, Organization and Personnel, Facilities,
Equipment, Testing Facilities Operation, Test and Control Articles, Protocol for Conduct
of a Nonclinical Laboratory Study, Records and Reports, Disqualification of Testing
Facilities
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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.
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
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
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
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
2. Overview on supplements
Definition
Facts about Supplements
Should you be taking supplements?
What about protein powders?
Regulation of dietary Supplements
Dietary Supplement and Health Education Act
References
Thursday, April 16, 2020 Krishna Pharmacy College 2
3. Overview on supplements
Nutritional supplements are often times referred to as “dietary
supplements.”
“A dietary supplement is a product intended for ingestion that
contains a “dietary ingredient” intended to add further
nutritional value to (supplement) the diet. (www.fda.gov)
Often time the ingredient will include one or more of the
following substances:
minerals, vitamins, herb, a concentrate (metabolite, constituent,
or extract), an amino acid.
Supplements are found in forms such as capsules, gelcaps,
liquids, tablets, or powders.
Supplements can help you get adequate dietary intake of
essential nutrients and help reduce your risk of disease.
Thursday, April 16, 2020 Krishna Pharmacy College 3
4. Continue….
The word “supplement” means a nutrient or
group of nutrients that are meant to
supplement.
This does not mean it is meant to substitute
a healthy diet you can eat on a regular basis.
Do you view supplements as an “easy way out” in
regards to healthy eating and living?
Thursday, April 16, 2020 Krishna Pharmacy College 4
5. Definition
A dietary supplement, also known as food supplement or nutritional
supplement, is a preparation intended to supplement the diet and
provide nutrients, such as vitamins, minerals, fiber, fatty acids, or
amino acids, that may be missing or may not be consumed in
sufficient quantities in a person's diet.
In the United States, a dietary supplement is defined under the
Dietary Supplement Health and Education Act of 1994 (DSHEA) as
a product that is intended to supplement the diet and contains any of
the following dietary ingredients:
- a vitamin
- a mineral
- a herb or other botanical (excluding tobacco)
- an amino acid
- a concentrate, metabolite, constituent, extract, or combination of any of the above
- a substance historically used by humans to supplement the diet
Thursday, April 16,
2020
Krishna Pharmacy College 5
6. Continue…..
It must also conform to the following criteria:
Intended for ingestion in pill, capsule, tablet,
powder or liquid form
Not represented for use as a conventional food
or as the sole item of a meal or diet
Labeled as a "dietary supplement"
Thursday, April 16,
2020
Krishna Pharmacy College 6
7. Facts about Supplements
More than 1000 new supplements are developed each year.
Large and small companies produce supplements.
Supplements have been touted to treat almost every
condition known to man.
Claims by those who market supplements frequently have
no basis in science.
People take supplements for a variety of reasons.
Only about a third of dietary supplements have scientific
evidence of safety and effectiveness.
Supplements can interact with medications.
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8. Should you be taking supplements?
IF you are eating a reasonable variety of fruits,
vegetables, proteins, carbohydrates, and healthy
fats you probably do not need a general vitamin-
mineral supplement.
Often time they way you eat and what you eat will
play a key role in how you feel physically and
mentally. If you are physically tired from a poor
diet, a supplement will not add extra energy. Only
better nutrition can help you.
Supplements can NEVER make up for poor eating
habits.
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9. That being said….
Because of food allergies, the inability to obtain needed nutrients, or
medical conditions, some people do need specific supplements.
Calcium, Iron, Vitamin C, and Folate are some examples of vitamins
that are often times supplemented along with a healthy diet. It is
always encouraged that you try your best to get these vitamins
strictly from food. But if you find you are lacking in certain areas,
then it is best to add a vitamin along with your healthy eating.
IF you fall into any of the following groups, you may require
supplements. Of course always talk to your Doctor before starting a
supplement!
Pregnant women
Nursing mothers
Strict vegetarians
People with food allergies
Senior Citizens
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10. What about protein powders?
People spend so much money on protein supplements
hoping it will help build muscle fast! However this
just isn’t the case.
When you take a high level of protein it is actually
converted to fats and carbohydrates in the body.
Excess protein can cause too much burden on your
kidneys, cause calcium loss and dehydration.
By simply increasing protein in your diet slightly,
you can meet your protein needs.
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11. Regulation of dietary Supplements
The U.S. Federal Trade Commission has primary
responsibility for regulating advertisement and
labeling.
Aside from advertising, regulation is by the Food
and Drug Administration.
FDA regulation is hampered by the fact that
supplements are usually treated as foods, not drugs.
FDA does not analyze the content of supplements
and cannot insure the ingredients or their amounts
listed on the label are accurate.
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12. Dietary Supplement and Health Education Act
Governs federal regulation of dietary supplements.
Limits FDA ability to regulate supplements.
Prohibits the FDA from banning suspicious
ingredients.
Allows label statements about effects on the structure
or functioning of the body if they contain a
disclaimer statement.
Expanded the types of products that can be marketed
as supplements.
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13. References
www.fda.gov
"What Is a Dietary Supplement?" What Is a Dietary Supplement? N.p., 29
Apr Web. 19 May 2015.
The Health Professional’s Guide to Popular Dietary Supplements, by
Allison Sarubin.
"Nutrition Supplements." Nutrition Supplements. N.p., n.d. Web. 19 May
2015.
https://www.slideserve.com/susan/chapter-7-dietary-supplements
https://www.researchgate.net/profile/Anthony_Fardet2/publication/256443294_C
omplex_foods_vs_supplements_influence_of_the_food_matrix_on_the_nutritiona
l_effects_of_vitamins_minerals_trace_elements_and_other_biofactors_in_human
s/links/53ef77340cf23733e812d4c4/Complex-foods-vs-supplements-influence-of-
the-food-matrix-on-the-nutritional-effects-of-vitamins-minerals-trace-elements-
and-other-biofactors-in-humans.pdf
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