This document provides an overview of water soluble vitamins, including their classification, recommended daily allowances, sources, properties, and individual details. It discusses 8 water soluble vitamins - thiamine, riboflavin, niacin, pyridoxine, vitamin C, folic acid, and vitamin B12. For each vitamin, it describes structure, active forms, biochemical functions, causes of deficiency, and deficiency manifestations. The document is intended as an educational reference on essential water soluble vitamins and their roles in human nutrition and health.
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.).
Chemistry of Vitamin K, Biochemical role of Vitamin K, Recommended dietary allowance of Vitamin K, Dietary sources of Vitamin K, Deficiency symptoms of vitamin K, Hypervitaminosis of vitamin K, Toxicity of Vitamin K
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.).
Chemistry of Vitamin K, Biochemical role of Vitamin K, Recommended dietary allowance of Vitamin K, Dietary sources of Vitamin K, Deficiency symptoms of vitamin K, Hypervitaminosis of vitamin K, Toxicity of Vitamin K
Small amounts of vitamins are required in the diet to promote growth, reproduction, and health. Vitamins A, D, E, and K are called the fat-soluble vitamins, because they are soluble in organic solvents and are absorbed and transported in a manner similar to that of fats.
Small amounts of vitamins are required in the diet to promote growth, reproduction, and health. Vitamins A, D, E, and K are called the fat-soluble vitamins, because they are soluble in organic solvents and are absorbed and transported in a manner similar to that of fats.
This is a simple powerpoint presentation about vitamins. Done by year 1 medical students at the University of Science and Technology, Sana'a, Republic of Yemen. (2007/2008)
Natural allergens,photosensitizing agents and fungal toxinPratik Rahate
It is very helpful ppt for B.pharma students.
In this contain information about natural allergens,photosensitizing agents and fungal toxins which are useful in pharmacognosy.
Sulfonamide (also called sulphonamide, sulfa drugs or sulpha drugs) is the basis of several groups of drugs. The original antibacterial sulfonamides are synthetic antimicrobial agents that contain the sulfonamide group.
ALL ABOUT VITAMINS VITAMIN B6, B7, B12 AND FOLIC ACIDSKYFALL
Vitamins are nutrients which are required in micro grams.They are essential for normal function of the body.They act as cofactors and prosthetic groups for enzymes
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.
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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
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
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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
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!
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
2. Lecture Outlines
• Introduction
• Classification
• Recommended Daily Allowance (RDA)
• Sources
• General Properties of Water Soluble Vitamins
• Individual Water Soluble Vitamins
• Structure
• Active forms (coenzymes)
• Biochemical functions
• Causes of Deficiency
• Deficiency manifestations
3. INTRODUCTION
Definition:
Vitamins are organic compounds required in the
diet in small amounts to perform specific
biologic functions for normal maintenance of
optimum growth and health.
The word Vitamin comes from the Greek word
“VITAMINE” which means ‘Vital for Life.’
5. Recommended Daily Allowances (RDA)
The RDA is the average daily dietary intake level
that is sufficient to meet the nutrient
requirements of nearly all (97 – 98%) the
individuals.
The RDA is not the
minimal requirement for
healthy individuals;
rather it is set to provide
a margin of safety for
most individuals.
Vitamin RDA
Thiamine (B1) 1 to 1.5mg per day
Riboflavin (B2) 1 – 2 mg per day
Niacin (B3) 15 – 20 mg per day
Pyridoxine (B6) 1.5 – 2 mg per day.
Ascorbic Acid (Vit. C) 60 – 70 mg per day
Folic Acid 200µg per day
Vitamin B12
3µg per day
6. Sources
Thiamine (B1) Unpolished Rice, Cereals and Whole wheat (brown)
bread.
Riboflavin (B2) All types of food (No deficiency due to diet)
Niacin (B3) Cereals, nuts, milk, meat, fish ( Synthesized
endogenously from Tryptophan)
Pyridoxine (B6) Meat, Fish, Poultry, Cereals, non-citrus fruits,
Potatoes etc.
Ascorbic Acid
(Vit. C)
Citrus Fruits (Lemon and Oranges)
Folic Acid Green Leafy Vegetables.
Vitamin B12
Meat and Meat Products.
7. General Properties of Water Soluble Vitamins
• They are heterogeneous group of compounds
since the differ chemically from each other.
• The only common thing about them is their
solubility in water.
• Excreted in the urine and are non-toxic to the body.
• Not stored in large quantities ( except B12) hence
they must be continuously supplied in the diet.
• The water soluble vitamins form coenzymes ( active
form of the vitamin) that help enzymes to participate
in a variety of biochemical reactions.
8. • Thiamine is also called as
Vitamin B1.
THIAMINE
Structure And Activation
• Thiamine contains a pyrimidine
ring and a thiazole ring.
• The active form of thiamine is the
coenzyme Thiamine Pyrophosphate
(TPP).
• Activation occurs mainly in liver.
Pyrimidine
Thiazole
9. Biochemical Functions
• Thiamine pyrophosphate
(TPP) is involved with the
energy releasing reactions
of carbohydrate metabolism.
• DECARBOXYLATION REACTIONS
1. Pyruvate Dehydrogenase (PDH)
2. α Ketoglutarate dehydrogenase.
Pyruvate Acetyl CoA + CO2
(3C) ( 2C)
TPP
10. Causes of Deficiency Manifestation
• Inadequate Diet (polished rice): Thiamine is
present in the outer layer of rice grains.
• Alchoholism:
• Presence of enzyme thiaminase ( in raw fish)
inactivates thiamine by breaking the thiazole ring.
• Pregnancy and lactation: Leads to increase
demand.
11. Deficiency Manifestations of Thiamine
• Mainly seen in those consuming exclusively
polished rise. Deficiency leads to a disease known
as Beri-beri.
• Beri-beri is of three types.
I. Wet Beri-beri: Edema and weak heart muscles
II. Dry Beri-beri: Degeneration of peripheral nerves
and weak muscles.
III. Infantile Beri-beri: Affects infants.
12. • Riboflavin is also known as
Vitamin B2
Structure:
• Isoalloxazine ring attached to
Ribitol.
• Stable to heat but sensitive to light (photosensitive).
When exposed to UV rays it gets destroyed.
RIBOFLAVIN
13. Active Coenzymes of Riboflavin
• FMN: Flavin mononucleotide
• FAD: Flavin adenine dinucleotide
FAD = FMN + AMP
Active forms are formed in the
intestine and liver.
14. Biochemical Functions
• The isoalloxazine ring serves as an acceptor of
two hydrogen atoms (with electrons)
FMN FMNH2
FAD FADH2
• The coenzymes FMN(FMNH2) and FAD(FADH2)
participate in many oxidation reduction reactions
and in the Electron Transport Chain.
15. Causes of Deficiency
• Phototherapy: Riboflavin being light sensitive gets
destroyed.
• Chronic Alcoholics:
• Pregnancy and Lactation: There is increased
demand of Riboflavin.
Deficiency Manifestation
• Glossitis: Smooth and purplish tongue.
• Dermatitis: Inflammation of the facial skin in
particular.
• Cheilosis: Fissures at the corner of the mouth
17. NIACIN
• Niacin (nicotinic acid) is a Pyridine derivative.
• The amide form of niacin is known as Niacinamide
or Nicotinamide
STRUCTURE
• Niacin is also known as Vitamin B3.
“Synthesized endogenously from Tryptophan”.
“60 mg of Tryptophan forms 1mg of Niacin”
Tryptophan Niacin
Vit. B6
18. Active Coenzyme forms of Niacin
• Two active coenzymes: Formed in the Liver
NAD+
= Nicotinamide adenine dinucleotide.
NADP+
= Nicotinamide adenine dinucleotide phosphate
19. • NAD+
and NADP+
are present in oxidized and reduced
forms. They undergo reduction of the pyridine ring by
accepting Hydride ion (hydrogen atom plus electron)
NAD+
NADH + H+
NADP+
NADPH + H+
2H
2H
2H H + H+
e-
20. Biochemical Functions
• The Coenzymes NAD+
(NADH) and NADP+
(NADPH) are
involved in oxidation–reduction reactions in
carbohydrate, lipid and protein metabolisms.
Causes of Niacin Deficiency
• Inadequate Diet: Seen in people whose staple diet
is maize. In maize, niacin is present but in the bound
form and is unavailable.
• Pregnancy and Lactation: Because of increased
demand.
• Chronic Alcoholics:
Therapeutic doses of Niacin ‘lowers blood
cholesterol’ and causes vasodilatation.
• Vitamin B6 deficiency:
21. Deficiency Manifestation
• Deficiency of Niacin leads to the clinical condition
called pellagra(=rough skin)
Pellagra is characterized 3 D’s:
• Dermatitis: Bright red
pigmentation occurs which
later turns dark resulting in
disfiguration of the skin.
• Diarrhea: Mild to sever with blood and mucous.
• Dementia: Involvement of the nervous system.
Irritability, delirium, and poor memory.
22. PYRIDOXINE
• Pyridoxine is also known as Vitamin B6.
• Vitamin B6 is used to collectively represent three
compounds namely pyridoxine, pyridoxal and
pyridoxamine. Structurally they are pyridine derivatives
Active Form
The active Coenzyme form of B6 is Pyridoxal
Phosphate (PLP) which is synthesized in the intestine
from all the three forms.
23. 1. Transamination.
2. Decarboxylation.
3. Heme synthesis.
4. Deamination.
5. Production of Niacin
1
1
2
3
• Pyridoxal Phosphate (PLP) the
active coenzyme form of Vitamin
B6 is closely associated with the
metabolism of Amino acids.
Biochemical Functions
1
1
2
3
24. Causes of Deficiency
• Isoniazid: Antituberculous drug which inhibits pyridoxal
phosphate formation.
• Oral Contraceptive Pills: Binds to pyridoxal phosphate and
inactivate it .
Deficiency Manifestation
• Neurological Manifestation:
Convulsions and Demylination of the
nerves
• Dermatological Manifestation:
Pellagra because Niacin is not formed from
Tryptophan.
• Hematological Manifestation:
Hypochromic Microcytic Anemia due to
inhibition of Heme synthesis.
25. Vitamin C
• Vitamin C is also known as Ascorbic Acid
• Structurally vitamin C resembles a carbohydrate
(hexose).
• Heat sensitive and gets
destroyed by cooking. In the
process of cooking 70% of
vitamin C is lost.
• Does not have any active coenzyme form but acts
as a strong reducing agent.
26. Biochemical Functions
• Vitamin C is required for hydroxylation of proline
and lysine. The hydroxyproline and hydroxylysine
formed are essential for the collagen cross-linking
and the strength of the fibre.
• Collagen formation:
27. • Antioxidant Role: Vitamin C acts as an antioxidant
preventing tissue injury due to oxidative damage by free
radicals:
• Fights infection.
• Reduces the risk of cancer and coronary artery
disease.
• Immunological Function: Vitamin C enhances the
synthesis of Immunoglobulins (antibodies) and
increases the phagocytic functions of leukocytes.
28. Deficiency Manifestations
• Hemorrhages under the skin, bone fragility,
joint pain.
• Poor wound healing, frequent infections.
• Spongy and bleeding gums, loosened teeth.
Deficiency is manifested as Scurvy which is
characterized by:
29. Structure and Active Form
• It is composed of three constituents. Pteridine linked
with para-aminobenzoic acid (PABA) is called Pteroic
acid.
• It is then attached to glutamate to form Folic Acid.
Active form is Tetrahydrofolic Acid (THF)
• Folic Acid Deficiency is the most common vitamin
deficiency particularly among pregnant female.
FOLIC ACID
30. Biochemical Functions
• The active coenzyme tetrahydrofolate (THF) is
involved in One Carbon Metabolism.
• THF serves as acceptor or donor of one carbon
units (formyl, methyl etc.) in a variety of reactions
involving amino acid and nucleotide metabolism.
31. • One carbon compound is an organic molecule
that contains only a single carbon
- Methyl ( - CH3 )
- Methenyl ( - CH= )
- Methylene (- CH2- )
- Formyl (- CHO)
Form Different
analogs of THF
32. • C2 and C8 of Purine Incorporated into DNA
• Synthesis of choline: For phospholipids and
Acetylcholine
• Homocysteine Methionine
N5MethylTHF THF
B12
33. Causes of Deficiency
• Pregnancy: Increased requirement because of fast cell
division.
• Diet: Absence of vegetables in the diet.
• B12 deficiency
• Drugs: Methotrexate (anti-cancer drug) inhibits
Dihydrofolate reductase so no active THF formed.
Deficiency Manifestation
• Macrocytic Anemia ( large distorted RBC
with immature nucleus) with megaloblasts
in bone marrow.
• Neural Tube Defects: Folic acid deficiency
during early pregnancy may lead to neural
tube defects (Spina Bifida) in the fetus.
The hematological picture resembles Vitamin B12 deficiency.
34. Structure and Active form
• Cobalamin contains a corrin ring with four pyrolle
rings and COBALT at the centre.
Vitamin B12
• Vitamin B12 is also known as Cobalamin
35. • There are two active coenzyme form:
• Deoxadenosyl Cobalamin:
• Methylcobalamin
Absorption and Storage
• Absorption of Vitamin B12
requires a glycoprotein known
as intrinsic factor produced in
the stomach in presence of
HCL.
• Stored in the liver in the form of
Deoxyadenosyl Cobalamin.
36. Biochemical Functions
1. Synthesis of Methionine from Homocysteine
• Thus B12 deficiency results in decreased THF that leads
to reduced nucleotide and DNA synthesis.
• Homocysteine Methionine
N5MethylTHF THF
B12
2. Isomerization of Methyl malonyl CoA:
Vitamin B12 is Deficient
Abnormal Fatty Acids
Incorporated into cell membrane
(nervous system)
Neurologic manifestations
37. Causes of Deficiency
• Vegetarians: Vitamin B12 is mainly present in animal diet.
• Decreased Absorption: Due to Gastrectomy and
malabsorption diseases.
• Pernicious Anemia: Antibodies are formed against
Intrinsic Factor leading to decreased absorption of Vitamin
B12.
• Pregnancy, lactation and alcoholics:
Deficiency Manifestation
• Megaloblastic Anemia: The peripheral blood shows
Megaloblasts with large immature nucleated RBC.
• Nervous Manifestation: Degeneration of nervous system
due to demyelination.
Megaloblastic anemia should always be treated with both
folic acid and vitamin B12.