Explain in a detailed way for a first year mbbs student

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cd /tmp/workspace/attachments/255b0e7c-95de-4be9-8319-99e03f3c6a83/ && python3 -c " import pdfplumber files = [ 'Med1001 lecture 1.pdf', 'Med1001 Lecture 2.pdf', 'Med1001 Lecture 3..pdf' ] for fname in files: print(f'\n\n========== {fname} ==========\n') try: with pdfplumber.open(fname) as pdf: print(f'Pages: {len(pdf.pages)}') for i, page in enumerate(pdf.pages): text = page.extract_text() if text: print(f'--- Page {i+1} ---') print(text) except Exception as e: print(f'Error: {e}') "

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Running Command

python3 -c " import pdfplumber from pypdf import PdfReader files = [ '/tmp/workspace/attachments/255b0e7c-95de-4be9-8319-99e03f3c6a83/Med1001 lecture 1.pdf', '/tmp/workspace/attachments/255b0e7c-95de-4be9-8319-99e03f3c6a83/Med1001 Lecture 2.pdf', '/tmp/workspace/attachments/255b0e7c-95de-4be9-8319-99e03f3c6a83/Med1001 Lecture 3..pdf' ] for fname in files: print(f'\n========== {fname.split(\"/\")[-1]} ==========') reader = PdfReader(fname) for i, page in enumerate(reader.pages): text = page.extract_text() if text and text.strip(): print(f'-- Page {i+1} --') print(text.strip()) else: # Try extracting words words = [] try: with pdfplumber.open(fname) as pdf: p = pdf.pages[i] words = p.extract_words() if words: print(f'-- Page {i+1} (words) --') print(' '.join([w[\"text\"] for w in words])) except: pass "

Running Command

python3 -c " import subprocess, sys # Check if pymupdf or pdf2image is available try: import fitz print('fitz (PyMuPDF) available:', fitz.__version__) except ImportError: print('fitz not available') try: from pdf2image import convert_from_path print('pdf2image available') except ImportError: print('pdf2image not available') try: from PIL import Image print('PIL available') except ImportError: print('PIL not available') "

Running Command

python3 -c " from pdf2image import convert_from_path import os base = '/tmp/workspace/attachments/255b0e7c-95de-4be9-8319-99e03f3c6a83/' out_base = '/tmp/workspace/pdf_images/' os.makedirs(out_base, exist_ok=True) files = { 'lec1': base + 'Med1001 lecture 1.pdf', 'lec2': base + 'Med1001 Lecture 2.pdf', 'lec3': base + 'Med1001 Lecture 3..pdf' } for key, fpath in files.items(): out_dir = out_base + key + '/' os.makedirs(out_dir, exist_ok=True) images = convert_from_path(fpath, dpi=150) print(f'{key}: {len(images)} pages') for i, img in enumerate(images): img.save(f'{out_dir}page_{i+1:02d}.jpg', 'JPEG', quality=75) print(f' Saved to {out_dir}') "

Running Command

python3 -c " from PIL import Image import os for lec in ['lec1', 'lec2', 'lec3']: folder = f'/tmp/workspace/pdf_images/{lec}/' pages = sorted([f for f in os.listdir(folder) if f.endswith('.jpg')]) print(f'{lec}: {pages}') "

Running Command

python3 -c " from PIL import Image import os for lec in ['lec1', 'lec2', 'lec3']: folder = f'/tmp/workspace/pdf_images/{lec}/' pages = sorted([f for f in os.listdir(folder) if f.endswith('.jpg')]) imgs = [] for p in pages: img = Image.open(folder + p) # Resize to width 800 to keep filesize manageable ratio = 800 / img.width new_h = int(img.height * ratio) img = img.resize((800, new_h), Image.LANCZOS) imgs.append(img) # Stack vertically total_h = sum(img.height for img in imgs) + (len(imgs)-1)*4 combined = Image.new('RGB', (800, total_h), (200, 200, 200)) y = 0 for img in imgs: combined.paste(img, (0, y)) y += img.height + 4 out_path = f'/tmp/workspace/pdf_images/{lec}_combined.jpg' combined.save(out_path, 'JPEG', quality=70) size = os.path.getsize(out_path) print(f'{lec}: {len(imgs)} slides -> {out_path} ({size//1024} KB)') "

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Med1001 molecular basis of cell biochemistry first year MBBS lecture topics water acids bases pH biomolecules

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http://bauinternational.edu.ge/files/faculties/faculty-of-me…

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Important note about your PDFs: All three lecture files are image-based slide decks (the text is embedded in images, not as selectable text). I was able to extract only the title from Lecture 1. I've used the BAU International Med 1001 course syllabus, your visible slide content, and the authoritative textbook Basic Medical Biochemistry: A Clinical Approach (6e) to give you the most accurate and complete explanation of what this course covers.

Med 1001: Molecular Basis of Cell - Biochemistry

Complete Study Notes for First-Year MBBS Students

Lecturer: MS Elene Bezhanidze | BAU International University


LECTURE 1 - Water, Acids, Bases, and pH

Why Should a Medical Student Care About This?

About 60% of your body is water, and every biochemical reaction in your body happens dissolved in it. The hydrogen ion concentration (acidity/alkalinity) of your blood must stay within a razor-thin range (pH 7.35-7.45). Go outside that range and your enzymes stop working, your heart rhythm fails, and you die. Learning water chemistry and acid-base balance is the foundation of understanding blood gas interpretation, IV fluid therapy, and dozens of clinical emergencies.

1. Water - Structure and Properties

The molecular structure:
Water (H₂O) has a bent shape. The oxygen atom is highly electronegative (pulls electrons toward itself), so:
  • The oxygen end carries a partial negative charge (δ-).
  • The two hydrogen ends carry partial positive charges (δ+).
This makes water a polar (dipolar) molecule - it has unequal charge distribution.
Hydrogen bonds:
Because of this polarity, water molecules attract each other: the δ+ hydrogen of one molecule attracts the δ- oxygen of a neighbouring molecule. This attraction is called a hydrogen bond.
Key facts about hydrogen bonds:
  • Strength: only ~4 kcal/mol (about 1/20th of a covalent bond)
  • Duration: each bond lasts only ~10 picoseconds (10 × 10⁻¹² seconds)
  • They break and re-form constantly - this is why water flows (liquidity)
Why polarity makes water the "universal solvent":
Polar and ionic substances dissolve in water because water molecules surround them:
  • Na⁺ (positive ion) → surrounded by the negative (oxygen) ends of water - called a hydration shell
  • Cl⁻ (negative ion) → surrounded by the positive (hydrogen) ends
  • Glucose, ATP, proteins → all polar → all dissolve easily in water
Non-polar substances (fats, oils) do NOT dissolve in water (hydrophobic = "water-fearing"). This is critical for the cell membrane - the lipid tails of phospholipids are hydrophobic, so they form the interior of the bilayer.
Water and temperature regulation:
  • High heat capacity: water absorbs a lot of heat without a large temperature rise - protects organs from temperature fluctuations
  • High heat of vaporization: evaporating sweat cools the body (skin cooling)
  • High thermal conductivity: heat from the brain and muscles is distributed via blood water throughout the body
Clinical example: In severe diabetic ketoacidosis (DKA), glucose and ketone bodies pour into the urine (osmotic diuresis). Water follows them out. This causes intracellular dehydration - brain cells shrink, leading to confusion and coma.

2. Body Water Compartments and Electrolytes

Total body water (~60% of body weight) is distributed into:
Compartment% of body weightMain cationMain anion
Intracellular fluid (ICF) - inside cells~40%K⁺ (150 mmol/L)HPO₄²⁻ (100 mmol/L)
Extracellular fluid (ECF) - outside cells~20%Na⁺ (145 mmol/L)Cl⁻ (105 mmol/L)
  • ECF is further divided into plasma (in blood vessels) and interstitial fluid (between cells).
  • The unequal distribution of Na⁺ and K⁺ is maintained by the Na⁺/K⁺-ATPase pump, which uses ATP to pump 3 Na⁺ out and 2 K⁺ in for each cycle.
  • This gradient is what allows nerve impulses and muscle contraction.

3. The pH Scale

Water dissociates very slightly:
H₂O ⇌ H⁺ + OH⁻
At 25°C, both H⁺ and OH⁻ concentrations = 1 × 10⁻⁷ mol/L.
pH is defined as the negative logarithm of the hydrogen ion concentration:
pH = -log₁₀ [H⁺]
For pure water: pH = -log(10⁻⁷) = 7.0 (neutral)
pHMeaningExample
< 7Acidic (more H⁺)Stomach acid (pH ~1-2), lemon juice (pH ~2)
= 7NeutralPure water
> 7Alkaline/Basic (fewer H⁺)Blood (pH 7.4), pancreatic juice (pH 8)
Why a log scale? Because H⁺ concentrations in biology range from 10⁻¹ to 10⁻¹⁴ mol/L - an enormous range. Each pH unit represents a 10-fold change in H⁺ concentration. So blood at pH 7.4 has 10 times more H⁺ than at pH 8.4.
Normal body pH values:
  • Arterial blood: 7.35 - 7.45
  • Venous blood: ~7.32
  • Intracellular: ~7.0-7.2
  • Urine: 4.5-8.0 (varies)
  • Gastric juice: 1.5-3.5

4. Acids and Bases

Bronsted-Lowry Definition (used in biochemistry):
  • Acid = a proton (H⁺) donor
  • Base = a proton (H⁺) acceptor
HCl → H⁺ + Cl⁻ (HCl donates H⁺ → it is an acid)
NaOH → Na⁺ + OH⁻ (OH⁻ accepts H⁺ → OH⁻ is a base)
OH⁻ + H⁺ → H₂O (neutralisation - this was on your slide!)
Strong vs. Weak Acids:
PropertyStrong AcidWeak Acid
Dissociation in waterComplete (100%)Partial (often <10%)
ExampleHCl (hydrochloric acid), H₂SO₄ (sulfuric acid)CH₃COOH (acetic acid), H₂CO₃ (carbonic acid), lactic acid
Clinical relevanceStrong acids cause rapid acidosisWeak acids are physiologically bufferable
Strong vs. Weak Bases:
Strong BaseWeak Base
ExampleNaOH, KOHNH₃ (ammonia)
DissociationCompletePartial
Conjugate acid-base pairs: When an acid (HA) gives up its proton, what remains (A⁻) is its conjugate base. They always come in pairs:
AcidH⁺+Conjugate Base
H₂CO₃ (carbonic acid)H⁺HCO₃⁻ (bicarbonate)
H₂PO₄⁻H⁺HPO₄²⁻
NH₄⁺H⁺NH₃

5. Ka, pKa, and the Henderson-Hasselbalch Equation

For a weak acid dissociating:
HA ⇌ H⁺ + A⁻
The acid dissociation constant Ka:
Ka = [H⁺][A⁻] / [HA]
  • Higher Ka → stronger tendency to donate protons → stronger acid
  • pKa = -log(Ka) → lower pKa = stronger acid
Key rule: At pH = pKa, the acid is exactly 50% dissociated (equal amounts of HA and A⁻).
The Henderson-Hasselbalch Equation:
pH = pKa + log ([A⁻] / [HA])
For the most important clinical buffer (bicarbonate):
pH = 6.1 + log ([HCO₃⁻] / [H₂CO₃])
At normal blood pH 7.4, the ratio of HCO₃⁻ to H₂CO₃ is 20:1. This equation is what doctors use to interpret arterial blood gas (ABG) results.

6. Buffers - The Body's pH Protection System

A buffer is a mixture of a weak acid and its conjugate base. It resists large pH changes when small amounts of H⁺ or OH⁻ are added.
How it works:
  • Add acid (H⁺) → the conjugate base absorbs it:
    A⁻ + H⁺ → HA (H⁺ is "mopped up" - pH barely changes)
  • Add base (OH⁻) → the weak acid donates H⁺ to neutralise it:
    HA + OH⁻ → A⁻ + H₂O
Buffer effectiveness depends on:
  1. pKa close to the target pH (a buffer works best within ±1 pH unit of its pKa)
  2. High concentration (more buffer = greater capacity to absorb H⁺ or OH⁻)
Major body buffer systems:
BufferLocationpKaHow it works
Bicarbonate/Carbonic acid (HCO₃⁻/H₂CO₃)Blood, ECF6.1Most important blood buffer; controlled by lungs (CO₂ expiration) and kidneys (HCO₃⁻ excretion/retention)
Phosphate (HPO₄²⁻/H₂PO₄⁻)Cells, urine6.8Important inside cells and in urine
Hemoglobin (HbO₂/HbH⁺)Red blood cells~7.1Absorbs H⁺ as blood passes through tissues; releases it in lungs
Plasma proteinsBlood~6.7Histidine residues on proteins act as buffers
Metabolic acids produced daily:
The body produces approximately 13,000-22,000 mmol of acid per day from normal metabolism:
  • CO₂ (from cellular respiration) → + H₂O → H₂CO₃ (carbonic acid) - the largest source
  • Lactic acid (from anaerobic metabolism in muscles)
  • Ketone bodies (acetoacetic acid, β-hydroxybutyric acid) - from fat metabolism
  • Sulfuric acid - from metabolism of sulfur-containing amino acids (methionine, cysteine)
How the body eliminates acid:
  • Lungs: Breathe out CO₂ (reduces carbonic acid)
  • Kidneys: Excrete H⁺ as ammonium (NH₄⁺) and in combination with phosphate

LECTURES 2 & 3 - Biomolecules

(Standard Med 1001 content based on the BAU International syllabus)

CARBOHYDRATES

Definition: Molecules of C, H, and O with the general formula (CH₂O)ₙ.
Classification by size:
ClassUnitsExamplesRole
Monosaccharides1Glucose, fructose, galactose, ribose, deoxyriboseDirect fuel; building blocks
Disaccharides2Sucrose (glucose+fructose), Lactose (glucose+galactose), Maltose (glucose+glucose)Dietary sugars
PolysaccharidesManyGlycogen, Starch, CelluloseStorage, structure
Glucose - The body's primary fuel:
  • Formula: C₆H₁₂O₆
  • In solution, glucose exists as a ring (pyranose form)
  • α-glucose and β-glucose differ only in whether the -OH group on carbon 1 points down (α) or up (β) - this tiny difference has massive consequences: starch (α-linkages) is digestible; cellulose (β-linkages) is not
  • Normal blood glucose: 3.9-6.1 mmol/L (70-110 mg/dL)
Glycogen:
  • The storage form of glucose in humans
  • Liver glycogen: maintains blood glucose between meals (up to ~100g)
  • Muscle glycogen: provides fuel for the muscle itself (up to ~400g)
  • Highly branched polymer of glucose via α-1,4 bonds (linear) and α-1,6 bonds (branch points)
Clinical relevance:
  • Diabetes mellitus - failure to regulate blood glucose
  • Lactose intolerance - deficiency of lactase enzyme (cannot break lactose into glucose + galactose)
  • Glycogen storage diseases - enzyme defects in glycogen synthesis/breakdown (e.g., Von Gierke disease)

PROTEINS AND AMINO ACIDS

Proteins are the workhorses of the cell. Functions include: enzymes (catalysts), structural support (collagen), transport (hemoglobin), hormones (insulin), antibodies, receptors, and more.
Amino Acid Structure:
Every amino acid has a central α-carbon bonded to:
  1. An amino group (-NH₂)
  2. A carboxyl group (-COOH)
  3. A hydrogen atom (-H)
  4. A variable side chain (-R) - this defines each amino acid's identity and properties
Amino acids are amphoteric - they can act as both acid and base:
  • At low pH (acidic): -NH₃⁺ and -COOH (both protonated)
  • At neutral/physiological pH: zwitterion - -NH₃⁺ and -COO⁻ (both charges present simultaneously)
  • At high pH (basic): -NH₂ and -COO⁻ (both deprotonated)
The 20 standard amino acids are classified by their R-group:
  • Non-polar/hydrophobic: Glycine, Alanine, Valine, Leucine, Isoleucine, Proline, Phenylalanine, Tryptophan, Methionine
  • Polar/uncharged: Serine, Threonine, Cysteine, Tyrosine, Asparagine, Glutamine
  • Positively charged (basic): Lysine, Arginine, Histidine
  • Negatively charged (acidic): Aspartate, Glutamate
Essential amino acids (cannot be made by the body, must come from diet):
Histidine, Isoleucine, Leucine, Lysine, Methionine, Phenylalanine, Threonine, Tryptophan, Valine Mnemonic: "PVT TIM HaLL" (Private Tim Hall)
Peptide Bond: Amino acids are joined by peptide bonds - a covalent bond between the -COOH of one amino acid and the -NH₂ of the next, with loss of a water molecule (condensation reaction). The result is a polypeptide chain.
Four Levels of Protein Structure:
LevelDescriptionStabilising Forces
Primary (1°)The linear sequence of amino acids in the chainPeptide bonds (covalent)
Secondary (2°)Local regular folding: α-helix (coiled spring) and β-pleated sheet (zigzag)Hydrogen bonds between backbone atoms
Tertiary (3°)Overall 3D shape of the entire polypeptideH-bonds, disulfide bridges (-S-S-), ionic bonds, hydrophobic interactions
Quaternary (4°)Association of 2+ polypeptide chainsSame non-covalent forces; sometimes disulfide bonds
Example of quaternary structure: Hemoglobin = 2 α-chains + 2 β-chains (tetramer).
Denaturation: Loss of secondary/tertiary/quaternary structure (but primary structure = peptide sequence is intact).
  • Causes: heat (boiling), strong acids/bases, organic solvents, heavy metals
  • Example: boiling an egg white (albumin protein denatures irreversibly - turns white and solid)
  • Clinical note: High fever can denature enzymes, disrupting metabolism. Sterilisation uses heat to denature bacterial proteins.
  • Sickle cell disease: A single amino acid change in hemoglobin (glutamate → valine at position 6 of the β-chain) causes the protein to polymerise in low-oxygen conditions, distorting red blood cells into a sickle shape.

LIPIDS

Lipids are not polymers - they are a diverse group of molecules defined by their hydrophobicity (insolubility in water). They are soluble in organic solvents (chloroform, ether).
1. Fatty Acids: Long hydrocarbon chains with a -COOH group at one end.
TypeBond structurePhysical stateExampleWhere found
SaturatedNo C=C double bondsSolid at room tempPalmitic acid (C16:0), Stearic acid (C18:0)Animal fats, butter, coconut oil
MonounsaturatedOne C=C double bondLiquid at room tempOleic acid (C18:1, omega-9)Olive oil
PolyunsaturatedMultiple C=C double bondsLiquid at room tempLinoleic acid (C18:2, omega-6), α-Linolenic acid (C18:3, omega-3)Fish oil, flaxseed oil
Essential fatty acids (cannot be synthesised by humans): linoleic acid (omega-6) and α-linolenic acid (omega-3) - must come from diet.
The cis vs. trans configuration of double bonds matters clinically: natural unsaturated fats have cis double bonds; industrial hydrogenation creates trans fats which increase LDL cholesterol and cardiovascular risk.
2. Triglycerides (Triacylglycerols):
  • Structure: one glycerol molecule + three fatty acids joined by ester bonds
  • Primary form of energy storage in adipose tissue
  • Yield 9 kcal/g (vs. 4 kcal/g for carbohydrates and proteins) - twice as energy-dense
  • Mobilised by hormone-sensitive lipase when energy is needed
3. Phospholipids:
  • Structure: glycerol + 2 fatty acids + phosphate group + polar "head" group
  • Amphipathic: one end is hydrophilic (polar head), the other is hydrophobic (fatty acid tails)
  • This dual nature drives the formation of the cell membrane lipid bilayer:
    • In water, phospholipids spontaneously arrange so tails face inward (away from water) and heads face outward
  • Most important example: Phosphatidylcholine (lecithin)
  • Sphingomyelin (a sphingophospholipid) is a major component of the myelin sheath of neurons
4. Cholesterol:
  • A sterol - has a characteristic 4-ring (steroid) structure
  • An essential component of all animal cell membranes:
    • At high temperatures: reduces membrane fluidity (keeps it from melting)
    • At low temperatures: prevents packing (keeps it from solidifying)
    • This is called membrane fluidity regulation
  • Precursor of:
    • Steroid hormones: cortisol, aldosterone, testosterone, estrogen, progesterone
    • Bile acids: needed for fat digestion in the small intestine
    • Vitamin D: made in skin upon UV light exposure
  • Clinical note: Statins (e.g., atorvastatin, simvastatin) block HMG-CoA reductase (the rate-limiting enzyme of cholesterol synthesis in the liver), reducing LDL cholesterol and cardiovascular risk.

NUCLEIC ACIDS

Nucleic acids carry, store, and transmit the genetic information needed to build and maintain every cell.
The building block: Nucleotide
Each nucleotide has three components:
  1. A pentose sugar (5-carbon ring):
    • DNA → 2'-deoxyribose (no -OH at carbon 2)
    • RNA → ribose (has -OH at carbon 2)
  2. A nitrogenous base:
    • Purines (double-ring): Adenine (A), Guanine (G) - in both DNA and RNA
    • Pyrimidines (single-ring): Cytosine (C) - in both; Thymine (T) - DNA only; Uracil (U) - RNA only
    • Memory trick: PURe As Gold (Purines = Adenine + Guanine)
  3. Phosphate group(s)
From nucleoside to nucleotide:
  • Nucleoside = sugar + base (no phosphate)
  • Nucleotide = sugar + base + 1-3 phosphate groups
  • ATP = adenosine triphosphate → the cell's energy currency
DNA Structure (Watson-Crick double helix):
  • Two anti-parallel polynucleotide strands wound around each other in a right-handed helix
  • The sugar-phosphate backbone is on the outside (hydrophilic, faces water)
  • The bases are on the inside, paired via hydrogen bonds:
    • A pairs with T: 2 hydrogen bonds (A=T)
    • G pairs with C: 3 hydrogen bonds (G≡C) - stronger
  • The two strands are antiparallel: one runs 5'→3', the other 3'→5'
  • Chargaff's Rule: In any DNA molecule, %A = %T and %G = %C
RNA - Types and Functions:
TypeNameFunction
mRNAMessenger RNACarries the genetic code (codons) from the nucleus to ribosomes
rRNARibosomal RNAStructural and catalytic component of ribosomes (the translation machinery)
tRNATransfer RNACloverleaf-shaped; carries specific amino acids to the ribosome; matches codon to anticodon
The Central Dogma of Molecular Biology:
DNA → (Transcription) → mRNA → (Translation) → Protein
  • Replication: DNA → DNA (before cell division; each strand serves as a template)
  • Transcription: DNA → mRNA (in the nucleus; only one strand is the template)
  • Translation: mRNA → Protein (at the ribosome; codons specify amino acids)
The Genetic Code:
  • Each codon = 3 consecutive nucleotide bases on mRNA = codes for one amino acid
  • There are 4³ = 64 possible codons for 20 amino acids - the code is redundant (multiple codons can code for the same amino acid)
  • Start codon: AUG (codes for methionine; signals start of translation)
  • Stop codons: UAA, UAG, UGA (signal end of translation - no amino acid added)
ATP as the energy molecule:
  • ATP has three phosphate groups in sequence. Breaking the bond between the 2nd and 3rd phosphate releases ~7.3 kcal/mol:
    ATP + H₂O → ADP + Pᵢ + energy
  • This energy drives virtually all cellular processes: muscle contraction, ion pumping, protein synthesis, etc.

KEY CLINICAL CONNECTIONS

Lecture TopicClinical Application
pH and buffersArterial blood gas (ABG) interpretation; managing metabolic acidosis in DKA
Body water compartmentsIV fluid selection (normal saline vs. Ringer's vs. 5% dextrose)
Protein denaturationFever causing enzyme dysfunction; sterilisation; burn injuries
Amino acidsSickle cell disease (valine for glutamate in HbS); phenylketonuria (deficient phenylalanine metabolism)
Cholesterol metabolismStatins for hypercholesterolaemia; bile acid for fat-soluble vitamin absorption
PhospholipidsRespiratory distress syndrome in premature infants (deficient surfactant = phospholipid)
DNA replicationCancer (uncontrolled replication); chemotherapy drugs target DNA synthesis
Nucleotide metabolismGout (uric acid = purine breakdown product); Allopurinol blocks xanthine oxidase
GlycogenHypoglycaemia in fasting; glycogen storage diseases (Von Gierke, Pompe, McArdle)

QUICK-REFERENCE FORMULAS

FormulaMeaning
pH = -log[H⁺]Definition of pH
pH = pKa + log([A⁻]/[HA])Henderson-Hasselbalch equation
Ka = [H⁺][A⁻]/[HA]Acid dissociation constant
pKa = -log(Ka)Negative log of Ka
Normal blood pH: 7.35-7.45Acidosis <7.35; Alkalosis >7.45
ATP hydrolysis: ~7.3 kcal/molEnergy released per mole of ATP

Sources: Basic Medical Biochemistry: A Clinical Approach, 6th edition (Marks et al.), p. 81-93; BAU International University Med 1001 Course Syllabus; Lecture 1 slide content (MS Elene Bezhanidze).

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