VITAMIN K SUBSTANCES 1. Exposure Data
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Routine Administration of Vitamin K1 Prophylaxis to the Newborn
Routine Administration of Vitamin K1 Prophylaxis to the Newborn Practice Resource for Health Care Providers July 2016 Practice Resource Guide: ROUTINE ADMINISTRATION OF VITAMIN K1 PROPHYLAXIS TO THE NEWBORN The information attached is the summary of the position statement and the recommendations from the recent CPS evidence-based guideline for routine intramuscular administration of Vitamin K1 prophylaxis to the newborn*: www.cps.ca/documents/position/administration-vitamin-K-newborns Summary Vitamin K deficiency bleeding or VKDB (formerly known as hemorrhagic disease of the newborn or HDNB) is significant bleeding which results from the newborn’s inability to sufficiently activate vitamin K-dependent coagulation factors because of a relative endogenous and exogenous deficiency of vitamin K.1 There are three types of VKDB: 1. Early onset VKDB, which appears within the first 24 hours of life, is associated with maternal medications that interfere with vitamin K metabolism. These include some anticonvulsants, cephalosporins, tuberculostatics and anticoagulants. 2. Classic VKDB appears within the first week of life, but is rarely seen after the administration of vitamin K. 3. Late VKDB appears within three to eight weeks of age and is associated with inadequate intake of vitamin K (exclusive breastfeeding without vitamin K prophylaxis) or malabsorption. The incidence of late VKDB has increased in countries that implemented oral vitamin K rather than intramuscular administration. There are three methods of Vitamin K1 administration: intramuscular, oral and intravenous. The Canadian Paediatric Society (2016)2 and the American Academy of Pediatrics (2009)3 recommend the intramuscular route of vitamin K administration. The intramuscular route of Vitamin K1 has been the preferred method in North America due to its efficacy and high compliance rate. -
Dispensing of Vitamin Products by Retail Pharmacies in South Africa: Implications for Dietitians
South African Journal of Clinical Nutrition 2016; 29(4):133–138 http://dx.doi.org/10.1080/16070658.2016.1219468 SAJCN ISSN 1607-0658 EISSN 2221-1268 Open Access article distributed under the terms of the © 2016 The Author(s) Creative Commons License [CC BY-NC 3.0] http://creativecommons.org/licenses/by-nc/3.0 RESEARCH Dispensing of vitamin products by retail pharmacies in South Africa: Implications for dietitians Ilse Trutera* and Liana Steenkampb a Department of Pharmacy, Drug Utilisation Research Unit (DURU), Nelson Mandela Metropolitan University, Port Elizabeth, South Africa b HIV & AIDS Research Unit, Nelson Mandela Metropolitan University, Port Elizabeth, South Africa *Corresponding author, email: [email protected] Objective: The objective of this study was to analyse the dispensing patterns of vitamins (Anatomical Therapeutic Chemical (ATC) group A11) over a one-year period in a group of community pharmacies in South Africa. Design and setting: A retrospective drug utilisation study was conducted on community pharmacy electronic dispensing records in South Africa recorded in 2013. Outcome measures: All products for ATC subgroup A11 were extracted and analysed. Results: A total of 164 233 vitamin products were dispensed to 84 805 patients (62.64% female patients). Males received on average 2.09 (SD = 2.63) vitamin products per year, compared to 1.84 (SD = 2.13) products for females. Ergocalciferol (A11CC01) was the most often dispensed (37.48% of all vitamin products), followed by plain Vitamin B-complex products (A11EA00) accounting for 32.77%. Ergocalciferol (vitamin D2) is only available on prescription (50 000 IU tablets or 50 000 IU/ml oily drops) in South Africa. -
Vitamin K: Double Bonds Beyond Coagulation Insights Into Differences Between Vitamin K1 and K2 in Health and Disease
International Journal of Molecular Sciences Review Vitamin K: Double Bonds beyond Coagulation Insights into Differences between Vitamin K1 and K2 in Health and Disease Maurice Halder 1,†, Ploingarm Petsophonsakul 2,†, Asim Cengiz Akbulut 2,†, Angelina Pavlic 2,† , Frode Bohan 3, Eric Anderson 3, Katarzyna Maresz 4, Rafael Kramann 1 and Leon Schurgers 1,2,* 1 Division of Nephrology, RWTH Aachen University, 52074 Aachen, Germany; [email protected] (M.H.); [email protected] (R.K.) 2 Department of Biochemistry, Cardiovascular Research Institute Maastricht, 6200MD Maastricht, The Netherlands; [email protected] (P.P.); [email protected] (A.C.A.); [email protected] (A.P.) 3 NattoPharma ASA, 0283 Oslo, Norway; [email protected] (F.B.); [email protected] (E.A.) 4 International Science & Health Foundation, 30-134 Krakow, Poland; [email protected] * Correspondence: [email protected]; Tel.: +31-43-3881680; Fax: +31-43-3884159 † These authors contributed equally to this work. Received: 24 January 2019; Accepted: 16 February 2019; Published: 19 February 2019 Abstract: Vitamin K is an essential bioactive compound required for optimal body function. Vitamin K can be present in various isoforms, distinguishable by two main structures, namely, phylloquinone (K1) and menaquinones (K2). The difference in structure between K1 and K2 is seen in different absorption rates, tissue distribution, and bioavailability. Although differing in structure, both act as cofactor for the enzyme gamma-glutamylcarboxylase, encompassing both hepatic and extrahepatic activity. Only carboxylated proteins are active and promote a health profile like hemostasis. Furthermore, vitamin K2 in the form of MK-7 has been shown to be a bioactive compound in regulating osteoporosis, atherosclerosis, cancer and inflammatory diseases without risk of negative side effects or overdosing. -
An Abstract of the Thesis Of
AN ABSTRACT OF THE THESIS OF Larry Stanford Merrifield for the M.S. in Food Science (Name) (Degree) (Major) Date thesis is presented June 26, 1964 Titie FACTORS AFFECTING THE ANTIMICROBIAL ACTIVITY OF VITAMIN K 5 Abstract approved (M^jor Tp&Sfesso/) Vitamin K, 4-amino-2-methyl- 1-naphthol hydrochloride, a 5 water soluble analog of vitamin K has been shown to possess an anti- microbial activity toward many bacteria, molds, and yeast. Much of the work reported in the literature is on its use as a food preserva- tive, and it was the purpose of this study to investigate some of the factors which might affect the antimicrobial activity of vitamin K in order to add insight into its more effective use as a food preserva- tive. Pure cultures of Escherichia coli, Bacillus subtilis, Proteus vulgaris, Staphlococcus aureus, and Pseudomonas fluorescens were utilized. The effect of the method of application of vitamin K on Escherichia coli; the effect of purity of vitamin K against Escherichia coli; the bactericidal concentrations required for Escherichia coli, Bacillus subtilis, Proteus vulgaris, Staphlococcus aureus, and Pseudomonas fluorescens; the effect of an absence of oxygen; the effect of contact time with Escherichia coli; the effect of initial count/ml of Escherichia coli; and the synergistic action in combination with propylene glycol were studied. The results demonstrated that air oxidation of vitamin K was 5 necessary to obtain maximum inhibitory activity against Escherichia coli. The use of white, crystalline vitamin K synthesized in the laboratory, as compared to partially oxidized commercial prepara- tions, gave better results against Escherichia coli. -
In Search of a Protein Nucleator of Hydroxyapatite in Bone
IN SEARCH OF A PROTEIN NUCLEATOR OF HYDROXYAPATITE IN BONE Carmel O Domeni cucci A rhesis subrnitted in conformity with the requirements for the degree of Doctor of Philosophy Graduate Department of Biochemistq University of Toronto O Copyright by Canne10 Domenicucci 1997 National Library Bibiiothéque nationale B*m of Canada du Canada Acquisitions and Acquisitions et Bibliographic Services sewices bibliographiques 395 Wellington Street 395. rue Wellington OttawaON K1AON4 OrtawaON KIAON4 Canada Canada Your iVe Vaire rehrefue Our !W Notre referwice The author has granted a non- L'auteur a accordé une licence non exclusive licence allowing the exclusive permettant à la National Library of Canada to Bibliothèque nationale du Canada de reproduce, loan, distribute or seil reproduire, prêter, distribuer ou copies of ths thesis in rnicroform, vendre des copies de cette thèse sous paper or electronic formats. la forme de microfiche/fh, de reproduction sur papier ou sur format électronique. The author retallis ownership of the L'auteur conserve la propriété du copyright in ths thesis. Neither the droit d'auteur qui protège cette thése. thesis nor substantial extracts &om it Ni la thèse ni des extraits substantiels may be printed or otherwise de celle-ci ne doivent être imprimés reproduced without the author's ou autrement reproduits sans son permission. autorisation. Yn Search of a Protein Nucleator of Hydroxyapatite in Bone" Doctor of Philosophy. 1997 Carme10 Domenicucci Department of Biochemistry University of Toronto The formation of mineralized conneciive tissues is characterized by the nucleation of hydroxyapatite crystals that are generated initiaily within the gap region of collagen fibrils. However, the mechanisrn of mineral nuckation has not been resolved. -
Spectator Anion Seems to Alter the Hazard Index Only Marginally. Significant Differences in Asthmagenicity Are Not Observed Betw
STATEMENT OF INTEREST TABLE 1 Hazard indices of common vitamin compounds None declared. Vitamin Molecular mass Da Hazard index REFERENCES All-trans retinoic acid (A) 300.44 0.9329 1 Retinyl palmitate (A) 524.88 0.9974 Sripaiboonkij P, Phanprasit W, Jaakkola MS. Respiratory beta-carotene (provitamin A) 536.89 0.9970 effects of occupational exposures in a milk powder factory. Eur Respir J 2008; 31: 807–814. Ergocalciferol (D2) 396.66 0.9432 2 Drought VJ, Francis HC, Niven RMcL, Burge PS., Cholecalciferol (D3) 384.65 0.9355 Tocopherol acetate (E) 472.76 0.9036 Occupational asthma induced by thiamine in a vitamin Naphthoquinone (K) 158.16 0.1600 supplement for breakfast cereals. Allergy 2005; 60: 1213–1214. 3 Jarvis J, Seed MJ, Elton R, Sawyer L, Agius R. Relationship Phylloquinone (K1) 116.16 0.1157 between chemical structure and the occupational asthma Menaquinone (K2) 168.15 0.2958 Menadione (Provitamin K) 172.19 0.2044 hazard of low molecular weight organic compounds. Occup Environ Med 2005; 62: 243–250. Thiamine (B1) 263.34 0.9400 4 Seed MJ, Agius RM. Prediction of asthma hazard of Thiamine hydrochloride (B1) 338.28 0.9469 thiamine. Allergy 2006; 61: 648. Thiamine mononitrate (B1) 329.38 0.9548 Riboflavin (B2) 376.37 0.9987 DOI: 10.1183/09031936.00065108 Niacin (B3) 123.11 0.9169 Pantothenic acid (B5) 219.24 0.9896 Pyridoxine (B ) 169.18 0.0963 6 From the authors: Pyridoxine hydrochloride (B6) 205.64 0.0948 Biotin (H/B7) 244.31 0.9631 We recently reported results of a cross-sectional study of 167 Folic acid (B9) 441.41 1.0000 milk powder factory workers and 76 office workers from # Cyanocobalamin (B12) 1355.37 Thailand showing that production and packing workers Ascorbic acid (C) 176.13 0.0196 exposed to relatively low concentrations of milk powder experienced significantly increased risk of nasal symptoms #: high molecular weight unsuitable for quantitative structural activity and breathlessness, had clearly increased risk of wheezing and relationship model. -
United States Patent (19) 11) Patent Number: 4,740,373 Kesselman Et Al
United States Patent (19) 11) Patent Number: 4,740,373 Kesselman et al. (45) Date of Patent: Apr. 26, 1988 54 STABILIZATION OF 3,932,634 1/1976 Kardys ................................ 424/237 MULTIVITAMEN/TRACE ELEMENTS 4,228,159 10/1980 MacMillan .......................... 424/145 FORMULATIONS 4,268,529 5/1981 Davis et al............................ 426/72 (75 Inventors: Morris Kesselman, Belmar, N.J.; FOREIGN PATENT DOCUMENTS Abdur R. Purkaystha, Bronx; James 0161915 11/1985 European Pat. Off............. 514/970 Cahill, Riverdale, both of N.Y. 58-198416 11/1983 Japan ................................... 514/970 (73) Assignee: USV Pharmaceutical Corporation 1080626 8/1967 United Kingdom . 21 Appl. No.: 866,842 OTHER PUBLICATIONS 22) Fied: May 27, 1986 Chem. Abst., 99:10856s (1983)-Heidt. Chem. Abst., 105:1 1967h (1986)-Vervloet et al. 51 Int. Cl.' ..................... A61K 33/34; A61K 31/07; The Effects of Ascorbic Acid and Trace Elements on A61K 31/195; A61K 31/44 Vitamin B12 Assays, J. Am. Pharm. Assoc., 43:87-90, (52) U.S. C. ...................................... 424/141; 514/52; 1954. 514/167; 514/168; 514/249; 514/251; 514/276; 514/458; 514/474; 514/499; 514/548; 514/681; Primary Examiner-Douglas W. Robinson 514/905; 514/970 (57) ABSTRACT (58) Field of Search ................. 514/167, 168, 970, 52, 514/905, 251, 276, 458,548, 681, 249, 474, 499; Disclosed are aqueous multivitamin/trace elements 424/141 formulations stabilized by a water soluble, organic acid that contains carbon-to-carbon unsaturation and water 56) References Cited soluble salts thereof selected from the group consisting U.S. PATENT DOCUMENTS of maleic acid, fumaric acid, maleamic acid and acrylic acid. -
(12) United States Patent (10) Patent No.: US 9,149,560 B2 Askari Et Al
USOO9149560B2 (12) United States Patent (10) Patent No.: US 9,149,560 B2 Askari et al. (45) Date of Patent: Oct. 6, 2015 (54) SOLID POLYGLYCOL-BASED 6,149,931 A 11/2000 Schwartz et al. BOCOMPATIBLE PRE-FORMULATION 6,153,211 A 11/2000 Hubbell et al. 6,180,687 B1 1/2001 Hammer et al. 6,207,772 B1 3/2001 Hatsuda et al. (71) Applicant: Medicus Biosciences LLC, San Jose, 6,312,725 B1 1 1/2001 Wallace et al. CA (US) 6,458,889 B1 10/2002 Trollsas et al. 6,475,508 B1 1 1/2002 Schwartz et al. (72) Inventors: Syed H. Askari, San Jose, CA (US); 6,547,714 B1 4/2003 Dailey 6,566,406 B1 5/2003 Pathak et al. Yeon S. Choi, Emeryville, CA (US); 6,605,294 B2 8/2003 Sawhney Paul Yu Jen Wan, Norco, CA (US) 6,624,245 B2 9, 2003 Wallace et al. 6,632.457 B1 10/2003 Sawhney (73) Assignee: Medicus Biosciences LLC, San Jose, 6,703,037 B1 3/2004 Hubbell et al. CA (US) 6,703,378 B1 3/2004 Kunzler et al. 6,818,018 B1 1 1/2004 Sawhney 7,009,343 B2 3/2006 Lim et al. (*) Notice: Subject to any disclaimer, the term of this 7,255,874 B1 8, 2007 Bobo et al. patent is extended or adjusted under 35 7,332,566 B2 2/2008 Pathak et al. U.S.C. 154(b) by 0 days. 7,553,810 B2 6/2009 Gong et al. -
VIEW Open Access Vitamin K Antagonist Use: Evidence of the Difficulty of Achieving and Maintaining Target INR Range and Subsequent Consequences Jeff R
Schein et al. Thrombosis Journal (2016) 14:14 DOI 10.1186/s12959-016-0088-y REVIEW Open Access Vitamin K antagonist use: evidence of the difficulty of achieving and maintaining target INR range and subsequent consequences Jeff R. Schein1, C. Michael White2,3, Winnie W. Nelson1, Jeffrey Kluger3, Elizabeth S. Mearns2 and Craig I. Coleman2,3* Abstract Vitamin K antagonists (VKAs) are effective oral anticoagulants that are titrated to a narrow therapeutic international normalized ratio (INR) range. We reviewed published literature assessing the impact of INR stability - getting into and staying in target INR range - on outcomes including thrombotic events, major bleeding, and treatment costs, as well as key factors that impact INR stability. A time in therapeutic range (TTR) of ≥65 % is commonly accepted as the definition of INR stability. In the real-world setting, this is seldom achieved with standard-of-care management, thus increasing the patients’ risks of thrombotic or major bleeding events. There are many factors associated with poor INR control. Being treated in community settings, newly initiated on a VKA, younger in age, or nonadherent to therapy, as well as having polymorphisms of CYP2C9 or VKORC1, or multiple physical or mental co-morbid disease states have been associated with lower TTR. Clinical prediction tools are available, though they can only explain <10 % of the variance behind poor INR control. Clinicians caring for patients who require anticoagulation are encouraged to intensify diligence in INR management when using VKAs and to consider appropriate use of newer anticoagulants as a therapeutic option. Keywords: Vitamin K antagonists, International normalized ratio, Anticoagulation, Atrial fibrillation, Venous thromboembolism Background (within 72–96 h after dosing) and an anticoagulated Vitamin K antagonists (VKAs) such as warfarin inhibit state. -
Vitamin and Mineral Requirements in Human Nutrition
P000i-00xx 3/12/05 8:54 PM Page i Vitamin and mineral requirements in human nutrition Second edition VITPR 3/12/05 16:50 Page ii WHO Library Cataloguing-in-Publication Data Joint FAO/WHO Expert Consultation on Human Vitamin and Mineral Requirements (1998 : Bangkok, Thailand). Vitamin and mineral requirements in human nutrition : report of a joint FAO/WHO expert consultation, Bangkok, Thailand, 21–30 September 1998. 1.Vitamins — standards 2.Micronutrients — standards 3.Trace elements — standards 4.Deficiency diseases — diet therapy 5.Nutritional requirements I.Title. ISBN 92 4 154612 3 (LC/NLM Classification: QU 145) © World Health Organization and Food and Agriculture Organization of the United Nations 2004 All rights reserved. Publications of the World Health Organization can be obtained from Market- ing and Dissemination, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel: +41 22 791 2476; fax: +41 22 791 4857; e-mail: [email protected]). Requests for permis- sion to reproduce or translate WHO publications — whether for sale or for noncommercial distri- bution — should be addressed to Publications, at the above address (fax: +41 22 791 4806; e-mail: [email protected]), or to Chief, Publishing and Multimedia Service, Information Division, Food and Agriculture Organization of the United Nations, 00100 Rome, Italy. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization and the Food and Agriculture Organization of the United Nations concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. -
Title 16. Crimes and Offenses Chapter 13. Controlled Substances Article 1
TITLE 16. CRIMES AND OFFENSES CHAPTER 13. CONTROLLED SUBSTANCES ARTICLE 1. GENERAL PROVISIONS § 16-13-1. Drug related objects (a) As used in this Code section, the term: (1) "Controlled substance" shall have the same meaning as defined in Article 2 of this chapter, relating to controlled substances. For the purposes of this Code section, the term "controlled substance" shall include marijuana as defined by paragraph (16) of Code Section 16-13-21. (2) "Dangerous drug" shall have the same meaning as defined in Article 3 of this chapter, relating to dangerous drugs. (3) "Drug related object" means any machine, instrument, tool, equipment, contrivance, or device which an average person would reasonably conclude is intended to be used for one or more of the following purposes: (A) To introduce into the human body any dangerous drug or controlled substance under circumstances in violation of the laws of this state; (B) To enhance the effect on the human body of any dangerous drug or controlled substance under circumstances in violation of the laws of this state; (C) To conceal any quantity of any dangerous drug or controlled substance under circumstances in violation of the laws of this state; or (D) To test the strength, effectiveness, or purity of any dangerous drug or controlled substance under circumstances in violation of the laws of this state. (4) "Knowingly" means having general knowledge that a machine, instrument, tool, item of equipment, contrivance, or device is a drug related object or having reasonable grounds to believe that any such object is or may, to an average person, appear to be a drug related object. -
A Computational Approach for Identifying Plant-Based Foods for Addressing Vitamin Deficiency Diseases
University of Vermont ScholarWorks @ UVM UVM Honors College Senior Theses Undergraduate Theses 2015 A Computational Approach for Identifying Plant-Based Foods for Addressing Vitamin Deficiency Diseases Christina Yu University of Vermont Indra Neil Sarkar University of Vermont Follow this and additional works at: https://scholarworks.uvm.edu/hcoltheses Recommended Citation Yu, Christina and Sarkar, Indra Neil, "A Computational Approach for Identifying Plant-Based Foods for Addressing Vitamin Deficiency Diseases" (2015). UVM Honors College Senior Theses. 212. https://scholarworks.uvm.edu/hcoltheses/212 This Honors College Thesis is brought to you for free and open access by the Undergraduate Theses at ScholarWorks @ UVM. It has been accepted for inclusion in UVM Honors College Senior Theses by an authorized administrator of ScholarWorks @ UVM. For more information, please contact [email protected]. A Computational Approach for Identifying Plant-Based Foods for Addressing Vitamin Deficiency Diseases Christina Yu1 and Indra Neil Sarkar2,3 Key words: computing methodologies, vitamin deficiency diseases, vegetarian diet 1 Undergraduate Program in Biochemistry, University of Vermont, Burlington, VT 2 Department of Microbiology and Molecular Genetics, University of Vermont, Burlington, VT 3 Center for Clinical and Translational Science, University of Vermont, Burlington, VT 1 ABSTRACT Vitamins are nutrients that are essential to human health, and deficiencies have been shown to cause severe diseases. In this study, a computational approach was used to identify vitamin deficiency diseases and plant-based foods with vitamin content. Data from the United States Department of Agriculture Standard Reference (SR27), National Library of Medicine's Medical Subject Headings and MEDLINE, and Wikipedia were combined to identify vitamin deficiency diseases and vitamin content of plant-based foods.