This document summarizes information about vitamin B1 (thiamine) and the disease beriberi caused by thiamine deficiency. It discusses the properties, sources, and daily requirements of thiamine. It describes how thiamine functions as a coenzyme in cellular energy production. Beriberi presents as different syndromes based on the organ system affected, including wet beriberi impacting the cardiovascular system, dry beriberi causing peripheral neuropathy, and Wernicke-Karsakoff syndrome impacting the brain. Treatment involves thiamine supplementation and a diet rich in vitamin B1 to address the deficiency.
Pellagra is a disease caused by low levels of niacin, also known as vitamin B-3. It's marked by dementia, diarrhea, and dermatitis, also known as “the three Ds”. If left untreated, pellagra can be fatal.
There are two types of pellagra, known as primary pellagra and secondary pellagra.
Primary pellagra is caused by diets low in niacin or tryptophan
Secondary pellagra occurs when your body can’t absorb niacin
A decrease in red blood cells when the body can't absorb enough red blood cells.It is an organ specific autoimmune diseases in which the body’s immune system attacks the lining of the stomach.
It was considered as a deadly disease due to the lack of available treatment.
Pernicious anemia is most common in caucasian persons of north European ancestry than in other racial groups.
B vitamins are a class of water-soluble vitamins that play important roles in cell metabolism. Though these vitamins share similar names, research shows that they are chemically distinct vitamins that often coexist in the same foods. In general, supplements containing all eight are referred to as a vitamin B complex. Individual B vitamin supplements are referred to by the specific name of each vitamin (e.g., B1, B2, B3 etc.).
Megaloblastic anaemia is a type of anaemia characterized by the formation of unusually large, abnormal and immature red blood cells called as megaloblasts by the bone marrow, which are released into the blood. To know more visit here: www.lazoi.com
Megaloblastic anaemia is a red blood cell disorder due to the inhibition of DNA synthesis during erythropioesis.
Mitotically, the inhibition of the DNA synthesis impaires the progression of the cell cycle development from G2 to (M) stage.
Pellagra is a disease caused by low levels of niacin, also known as vitamin B-3. It's marked by dementia, diarrhea, and dermatitis, also known as “the three Ds”. If left untreated, pellagra can be fatal.
There are two types of pellagra, known as primary pellagra and secondary pellagra.
Primary pellagra is caused by diets low in niacin or tryptophan
Secondary pellagra occurs when your body can’t absorb niacin
A decrease in red blood cells when the body can't absorb enough red blood cells.It is an organ specific autoimmune diseases in which the body’s immune system attacks the lining of the stomach.
It was considered as a deadly disease due to the lack of available treatment.
Pernicious anemia is most common in caucasian persons of north European ancestry than in other racial groups.
B vitamins are a class of water-soluble vitamins that play important roles in cell metabolism. Though these vitamins share similar names, research shows that they are chemically distinct vitamins that often coexist in the same foods. In general, supplements containing all eight are referred to as a vitamin B complex. Individual B vitamin supplements are referred to by the specific name of each vitamin (e.g., B1, B2, B3 etc.).
Megaloblastic anaemia is a type of anaemia characterized by the formation of unusually large, abnormal and immature red blood cells called as megaloblasts by the bone marrow, which are released into the blood. To know more visit here: www.lazoi.com
Megaloblastic anaemia is a red blood cell disorder due to the inhibition of DNA synthesis during erythropioesis.
Mitotically, the inhibition of the DNA synthesis impaires the progression of the cell cycle development from G2 to (M) stage.
Phenylketonuria (PKU) is an inborn error of metabolism that results in decreased metabolism of the amino acid phenylalanine. A birth defect that causes an amino acid called phenylalanine to build up in the body.
Newborns should be screened for PKU.
Untreated phenylketonuria can lead to brain damage, intellectual disabilities, behavioural symptoms or seizures.
Treatment includes a strict diet with limited protein.
vitamins in chronic kidney disease and hemodialysis patientsPediatric Nephrology
Vitamins are organic substances that cannot be synthesized by the
human body
Their functions are essential for normal human metabolism
In contrast to well-defined standards for healthy children/To date, there have been no randomized controlled trials examining the intake and/or needs of vitamins and trace elements in pediatric (CKD) or ESRD
Natural dietary sources of water-soluble vitamins and key trace elements are found in foods such as fruits, legumes, red meat, and dairy, all of which may be limited in the ESRD population on dialysis because of high potassium and phosphorus contents
Antimicrobial sensitivity testing (AST) or Antibiotic Sensitivity Testing.
Contents:
1. Need of AST
2. Bacterial Resistance
3. Preperation of test: selection of antibiotic and bacteria
4. Types of tests
5. Process of tests
Interaction between drug API and various excipients used in formulation.Different methods of Interaction between them.Mechanism of interaction between them. Excipient Compatibility Studies. Analytical Techniques for Drug Excipents Compatibility Studies.
Pharmaceutical Validation, its scope and types. Validation Team. validation Master plan. Validation protocols. Elements of Validation. Approaches of Validation. Dosage form Validation along with example of Validation of Tablet Dosage form.
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
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NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
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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
Identification and nursing management of congenital malformations .pptx
Vitamin b1(thiamine) and beriberi
1. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Atul Adhikari
Second Semester, B. Pharm.
School of Health and Allied Sciences
Pokhara University, Dhungepatan, Lekhnath-12,
Kaski , Nepal
Vitamin B1(THIAMINE) AND
BERIBERI
2. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Contents
• Thiamine
• Thiamine pyrophosphate
• Clinical indications of thiamine
• Debilities of beriberi
- dry beriberi
- wet beriberi
- Wernicke-Karsakoff syndrome
- GI tract disorders
• Treatment
• Conclusion
• References
Pharmaceutical Seminar I 2
3. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Thiamine
Properties:
It is water soluble vitamin
Also soluble in methanol and glycerol
Insoluble in acetone, ether, chloroform and benzene
Colorless compound
Molecular formula: C12H17N4CS
Source:
Foods that are rich in Thiamine: whole wheat bread
and unhusked rice, nuts, milk, yeast, pork, beef, liver,
chicken, and legumes, such as peas.
4. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Pharmaceutical Seminar I 4
Daily RequirementPopulation Age Allowance, mg/d
Recommended Dietary Allowances (RDAs)
Boys 9-13 y 0.9
Men >14 y 1.2
Girls 9-13 y 0.9
Women 14-18 y 1.0
Women >19 y 1.1
Pregnant/Lactating Women . . . 1.4
Children 1-3 y 0.5
Children 4-8 y 0.6
Adequate Intakes (AIs)
Infant 0-6 mo 0.2
Infant 7-12 mo 0.3
5. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Structure of thiamine
Two different groups are attached:
Thiazolium heterocycle
- methyl group
-2 hydroxy group
-substituted methyl group
Pyridine heterocycle
-amino group
-methyl group
Two groups are linked from pyridine heterocycle
by methyl bridge to nitrogen of thiazole group.
Fig: Thiamine
6. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
• Tissue distribution:
• about 20-30 mg of thiamine is stored in skeletal muscle,
heart, liver, brain, kidneys,
• thiamine present in plasma, milk, CSF
• Absorption and transport:
• released by action of phosphatase and pyrophosphatase in
upper small intestine
• At low concentration transport is carrier mediated
• At high concentration by passive diffusion
• Excretion:
• thiamine and its acid metabolits are released principally in
urine.
Pharmaceutical Seminar I 6
7. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Pharmaceutical Seminar I 7
Thiamine pyrophosphate(TPP)
Biologically most active form of vitamin B1(thiamine)
Formed by transfer of pyrophosphate group from adenosine
triphosphate (ATP) to thiamine
The small intestine is where phosphorylation of thiamine takes
place.
Serves as coenzyme in formation or degradation of α-ketols and
oxidative decarboxylation of α-keto acids.
8. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Pharmaceutical Seminar I 8
Clinical indications of thiamine
• Plays key role as coenzyme in
-oxidative decarboxylation of pyruvate and α-
ketoglutarate of TCA cycle
-transketolation reaction of HMP stunt pathway
• role in energy metabolism of most cells particularly
important in tissues of nervous system
• In thiamine deficiency, the activity of these two
dehydrogenase catalysed reaction is decreased,
resulting in decreased production of ATP
--thus result in impaired cellular function
10. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Pharmaceutical Seminar I 10
Fig: tca cycle
11. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Pharmaceutical Seminar I 11
Fig: HMP stunt Pathway
12. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Pharmaceutical Seminar I 12
Beriberi
• Beriberi is a nutritional disorder caused by a deficiency of vitamin B1 or
thiamine in the diet
• it is characterized by damage to nerves and heart with fatal outcomes
• Causes:
-Persons may become deficient in thiamine either by not ingesting enough
vitamin B-1 through the diet
- chronic alcoholism may cause decreased absorption of thiamine
- Prolonged diarrhea may impair the body's ability to absorb vitamin B1
-severe liver disease impairs its use
- infants nourishing from mother whose mother’s diet is inadequate in
thiamine
- rarely inherited
13. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Pharmaceutical Seminar I 13
Debilities of Beriberi
• Major target are peripheral nerves, heart, brain and
GI tract
• It gives 4 major syndromes:
1. Wet beriberi
2. Dry beriberi
3. Wernicke-Karsakoff syndrome
4. GI tract disorders
14. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Pharmaceutical Seminar I 14
1. Wet Beriberi
• Cardiovascular syndrome
• Beriberi heart disease
• Associated with peripheral vasodilation, leading to more rapid
arteriovenous shunting of blood, cardiac failure, pheripheral
edema
• Cardiac failure may be due to weaken cardiac muscle
• As a result of decreased release of metabolic energy in tissue
local vasodilation may occur
• Due to which the venous return of blood to heart may
increase to as much as two times.
15. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Pharmaceutical Seminar I 15
Vitamin B1 deficiency
Decreased metabolic energy in tissue
Local vasodilation
results
in
increased venous
return of blood
cause stunning of blood
Weaken cardiac muscle
results in cardiac failure
and peripheral edema
16. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Pharmaceutical Seminar I 16
2. Dry beriberi
• Polyneuropathy
• Usually symmetric and cause effects mainly in peripheral
nervous system
• Myelin degeneration and disruptions of axons involving
motor, sensory and reflex arcs resulting in progressive
sensory loss
• Lesions in peripheral nerves frequently cause them to
become extremely irritable, resulting in polyneuritis
• Serve cases can cause paralysis, muscle atropy, wrist and foot
drop and serve weakness
17. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Pharmaceutical Seminar I 17
3. Wernicke-Karsakoff syndrome
• Brain disorder
• Target system is central nervous system
• Encountered mostly in case of chronic alcoholism due to
-decreased absorption of thiamine from intestine
-less intake of diet
-liver storage is decreased
• CNS normally depends entirely on metabolism of carbohydrates for
its energy
• Utilization of glucose by nervous tissue may be decreased to 50-
60% and is replaced by utilization of ketone bodies derived from
fat metabolism.
18. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Pharmaceutical Seminar I 18
Wernicke-Karsakoff syndrome contd.
• Due to this the neuronal cells of CNS show chromatolysis i.e.;
dispersal or disintegration of microscopic structures within
nerve cells that normally produces protein. This is part of cells
response to injury.
• These changes may disrupt communication in many portions
of CNS
• This results in various neurological symptoms like psychosis,
confusion and hallucination
21. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Pharmaceutical Seminar I 21
4. GI tract disorders
• Due to lack of thiamine, smooth muscles and glands
of GI tract fail to derive sufficient energy from
carbohydrate metabolism
• This results in indigestion, serve constipation,
anorexia, and hypochlorhydria
22. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Treatment
• External thiamine supplements
• Taking diet rich in vitamin B1
Pharmaceutical Seminar I 22
23. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Conclusion
• Thiamine content of food may be lost due to
-polishing of rice
- overcooked food
-long preservation
• Lack of thiamine can be caused by
- malnutrition
- diet high in thiaminase rich food and food rich in anti-
thiamine factors
-chronic disease state like alcoholism, GI disease, persistent
vomiting
Pharmaceutical Seminar I 23
24. Department of Pharmacy
Pokhara University
School of Health and Allied Sciences
Pharmaceutical Seminar I 24
• REFERENCES
• Park K (2000) Textbook of Preventive and Social
Medicine, M/s Banarsidas Bhanot Publishes,
Jabalpur, pp 412-13.
• Harvey R and Ferrier D (2011) Biochemistry, Wolters
Kluwer Pvt. Ltd., New Delhi, pp 378-79.
• URL:
http//www.bettermedicine.com/article/beriberi
• URL:http://emedicine.medscape.com/article/116930