10 May 2009

MATURITY-ONSET DIABETES OF THE YOUNG



MATURITY-ONSET DIABETES OF THE YOUNG
Presentation by:Stefan S. Fajans, MD
University of Michigan

Definition
* Type-2 diabetes mellitus in the young plus
* Autosomal dominant inheritance

Current Definition of MODY
* A heterogeneous disorder due to heterozygous monogenic mutations in one of at least 6 different genes
* Onset of diabetes early in life: childhood, adolescence, young adulthood
* Autosomal dominant inheritance
* Primary defect in insulin secretion

Heterozygous Gene Mutations Identified in MODY

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Overview of carbohydrate metabolism



Overview of carbohydrate metabolism
Presentation by: Dr. Nuran Ercal

GLYCOLYSIS
* Glycolysis occurs in almost every living cell.
* It occurs in cytosol.
* It was the first metabolic sequence to be studied.
* Most of the work done in 1930s by the German biochemist G. Embden Meyerhof Warburg.
* That is why it is also called Embden-Meyerhof pathway.
* It is a greek word.
* Glykos------> sweet
* Lysis-------> loosing
* Glycolysis-----------> loosing or splitting of glucose
* Glc is an important fuel for most organisms.
* Why is Glc chosen?
* 1) Glc is one of the monosaccarides formed formaldehyde
* under prebiotic conditions.
* 2) Glc has a low tendency to glycosylate proteins
* Fermentations provide usable energy in the absence of oxygen
* Why is a relatively inefficient metabolic pathway so extensively
* used?
* Answer: It does not require oxygen
* Obligate anaerobes
* Facultative anaerobes
* 3 of the reactions of glycolysis are irreversible.
* Pyruvate is the end product of glycolysis in tissues with mitochondria.
* This series of 10 reactions called aerobic glycolysis,

Stages of glycolysis

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Fetal distress



Fetal distress
Presentation by:LIN QI DE

Fetal distress is defined as depletion of oxygen and accumulation of carbon dioxide,leading to a state of “hypoxia and acidosis ” during intra-uterine life.

Definition
Maternal factors

* Microvascular ischaemia(PIH)
* Low oxygen carried by RBC(severe anemia)
* Acute bleeding(placenta previa, placental abruption)
* Shock and acute infection
* obstructed of Utero-placental blood flow

Etiology
Placenta umbilical factors
* Obstructed of umbilical blood flow
* Dysfunction of placenta
* Fetal factors
* Malformations of cardiovascular system
* Intrauterine infection

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