FOM 1211 Digestion, Nutrition and Metabolism 5 Weeks Course description This course introduces students to structures, their function and molecules involved in digestion, nutrition and metabolism in humans. The processes through which food goes through from the time of obtaining it to the time it is utilized by the human body cells and the laboratory investigations which could be done when thing go wrong. Course Objectives: This course will enable the students to: 1. Describe the anatomy and function of the GIT 2. Describe the metabolism of biomolecules in the cell 3. State the major nutrients, their sources and importance in the human body 4. Describe the functions and optional maintenance of the major nutrients 5. Describe the role of the relevant laboratory investigations Expected outcomes 1. Demonstration of ability to identify and describe the structures of the GIT 2. Appreciation of the function of the GIT structures 3. Appreciation of the molecules involved in metabolism 4. Demonstration of skills in determining blood glucose levels, Content outline: 1. Anatomy • Embryology and histology of GIT • Gross Anatomy of the GIT • Oral cavity • Pharynx • Oesophagus • Stomach • Duodenum, jejunum and Ileum (small intestine) • Colon • Rectum and anal canal Functional Anatomy of associated organs Liver and Biliary system Gall bladder Pancreas 2. Nutrition 1 • • • • • • • • • Proteins Carbohydrates Lipids Micronutrients Vitamins Minerals/Electrolytes (Fe2+, Ca2+, Zinc, Na+, k+, Cl-, phosphates) Energy and Nitrogen balance Dietary standards, food and food consumption Techniques for assessing human nutritional status 3. Physiology • Gastro intestinal hormones • Chewing and swallowing • Movements of the stomach, gastric emptying and anti peristaltic movement • Movements of small intestine • Movement of large intestine • Defecation and passage of flatus • Gases of GIT • Digestive secretions • Saliva • Gastric juice • Pancreatic juice • Bile • Digestion and Absorption of • Carbohydrates • Proteins • Lipids • Vitamin/Electrolytes/Minerals/H2O • Functions of the liver 4. Biochemistry • Carbohydrates metabolism • Glycolysis • TCA cycle • Oxidative Phosphorylation • Gluconeogenesis • Pentose Phosphate pathway • Glycogen metabolism • Glycogen breakdown • Glycogen synthesis Control glycogen metabolism Glycogen storage disease Lipid metabolism • Oxidation of fatty acids • Fatty acid biosynthesis • Regulation of fatty acid synthesis and breakdown • Diseases associated with lipid metabolism 2 • • • • • • • Protein metabolism Amino acid synthesis Catabolism of amino acids Inborn errors of metabolism Metabolism of purines, pyrimidines and porphyrins Diseases of PPP metabolism Thermodynamics - energy conservation and transformation. Assessment methods Students are assessed through formative and summative means. These shall include c) Continuous assessment during the entire problem based learning sessions. This permits immediate fed back to every student. d) An end of course progressive examination consisting of • Extended marching questions items • Multiple choice questions • Short answer questions These two assessments contribute 40% of the final mark for the course c) An end of the block examination (summative) consisting of • Extended marching questions items • Multiple choice questions • Short answer questions • Viva voce • Practical This will contribute 60% of the final mark for the course Methods of delivery Over view lectures, Small tutorial sessions with a tutor, Expert resource seminars, wrap up seminars, clinical exposures, and practical sessions Course duration: 5 weeks, 75 CH Resources and infrastructure available Library (in the department of Anatomy, Physiology ,Biochemistry and Albert Cook ,tutorial rooms, computer services and internet, content experts, patients and teaching hospital, competent guest lecturers. Teaching Staff Name Prof Sam Luboga Prof Gabriel Nzrubara Dr. C.Ibingira Dr. Buwembo William Dr. Ochieng Joseph Dr.Turyabahika Joseph Dr. H. Kiryowa Dr. Kayondo Dr.J. Kasolo Dr. J. Okullo Qualifications PhD M.MED M.MED M.Sc M.Sc M.MED M.Sc BDS M.Sc M.Sc Employer Makerere University Makerere University Makerere University Makerere University Makerere University Makerere University Makerere University Makerere University Makerere University Makerere University 3 Fulltime part time Fulltime Fulltime Fulltime Fulltime Fulltime Fulltime Fulltime Fulltime Fulltime Fulltime Dr. R. Nakiboneka Dr. Ebuku Dr. D.Ntulume Mr.H.Kasozi Mr. A.Lugaajju Prof F.Kironde Dr.J.Haumba M.Sc M.Sc M.Sc M.Sc M.Sc PhD PhD Makerere University Makerere University Makerere University Makerere University Makerere University Makerere University Makerere University 4 Fulltime Fulltime Fulltime Fulltime Fulltime Fulltime Fulltime