Focus on
PHARMACOLOGY
ESSENTIALS FOR HEALTH PROFESSIONALS
CHAPTER
Drugs Used to Treat Endocrine Conditions
25
Focus on Pharmacology: Essentials for Health Professionals, Second Edition
Jahangir Moini
Multimedia Directory
Slide 5 Endocrine System Animation
Slide 35 Diabetes Video
Slide 40 Insulin Video
*
Focus on Pharmacology: Essentials for Health Professionals, Second Edition
Jahangir Moini
Endocrine SystemSecretes hormones that control body by maintaining internal environment (homeostasis)
*
Focus on Pharmacology: Essentials for Health Professionals, Second Edition
Jahangir Moini
Endocrine SystemSome examples of hormones:
Corticotropin-releasing hormone (CRH)
Growth hormone-releasing hormone (GHRH)
Gonadotropin-release hormone (GnRH)
Thyrotropin-releasing hormone (TRH)
Anterior pituitary hormones
*
Focus on Pharmacology: Essentials for Health Professionals, Second Edition
Jahangir Moini
Endocrine System Animation
Click on the screenshot to view an animation showing the endocrine system. The animation may take a moment before playing.
Back to Directory
*
Focus on Pharmacology: Essentials for Health Professionals, Second Edition
Jahangir Moini
Figure 25-1 Primary glands of the endocrine system.
*
Focus on Pharmacology: Essentials for Health Professionals, Second Edition
Jahangir Moini
Table 25-1 Endocrine Glands and Their functions
*
Focus on Pharmacology: Essentials for Health Professionals, Second Edition
Jahangir Moini
Table 25-1 (continue) Endocrine Glands and Their functions
*
Focus on Pharmacology: Essentials for Health Professionals, Second Edition
Jahangir Moini
Figure 25-2 Pituitary hormones and their target cells, tissues, and organs.
*
Focus on Pharmacology: Essentials for Health Professionals, Second Edition
Jahangir Moini
Growth HormoneGH (somatotropin)Causes increase in weight and length of bodyIrregularities: gigantism or acromegaly
*
Focus on Pharmacology: Essentials for Health Professionals, Second Edition
Jahangir Moini
Thyroid-Stimulating HormoneTSHControls secretion of thyroid hormoneImportant for growth and function of thyroid glandStimulates uptake of iodine and increases synthesis and release of thyroid hormonesAbnormalities: hypothyroidism or hyperthyroidism (Graves’ disease)
*
Focus on Pharmacology: Essentials for Health Professionals, Second Edition
Jahangir Moini
Adrenocorticotropic HormoneACTHReleased by anterior lobe of pituitary glandStimulates growth of adrenal gland cortex and secretion of corticosteroidsHypersecretion: Cushing’s syndrome
*
Focus on Pharmacology: Essentials for Health Professionals, Second Edition
Jahangir Moini
Gonadotropic HormonesFollicle-stimulating hormone (FSH)Luteinizing hormone (LH)Produced by pituitary glandAffect gonadal tissue in men and women
In men: spermatogenesis
In women: gametogenesis and follicular development
*
Focus on Pharmacology: Essentials for Health Professionals, Second Edition
Jaha ...
Focus onPHARMACOLOGYESSENTIALS FOR HEALTH PROFESSIONALS.docx
1. Focus on
PHARMACOLOGY
ESSENTIALS FOR HEALTH PROFESSIONALS
CHAPTER
Drugs Used to Treat Endocrine Conditions
25
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Multimedia Directory
Slide 5 Endocrine System Animation
Slide 35 Diabetes Video
Slide 40 Insulin Video
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Endocrine SystemSecretes hormones that control body by
maintaining internal environment (homeostasis)
2. *
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Endocrine SystemSome examples of hormones:
Corticotropin-releasing hormone (CRH)
Growth hormone-releasing hormone (GHRH)
Gonadotropin-release hormone (GnRH)
Thyrotropin-releasing hormone (TRH)
Anterior pituitary hormones
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Endocrine System Animation
Click on the screenshot to view an animation showing the
endocrine system. The animation may take a moment before
playing.
Back to Directory
*
Focus on Pharmacology: Essentials for Health Professionals,
3. Second Edition
Jahangir Moini
Figure 25-1 Primary glands of the endocrine system.
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Table 25-1 Endocrine Glands and Their functions
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Table 25-1 (continue) Endocrine Glands and Their functions
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
4. Jahangir Moini
Figure 25-2 Pituitary hormones and their target cells, tissues,
and organs.
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Growth HormoneGH (somatotropin)Causes increase in weight
and length of bodyIrregularities: gigantism or acromegaly
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Thyroid-Stimulating HormoneTSHControls secretion of thyroid
hormoneImportant for growth and function of thyroid
glandStimulates uptake of iodine and increases synthesis and
release of thyroid hormonesAbnormalities: hypothyroidism or
hyperthyroidism (Graves’ disease)
*
5. Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Adrenocorticotropic HormoneACTHReleased by anterior lobe of
pituitary glandStimulates growth of adrenal gland cortex and
secretion of corticosteroidsHypersecretion: Cushing’s syndrome
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Gonadotropic HormonesFollicle-stimulating hormone
(FSH)Luteinizing hormone (LH)Produced by pituitary
glandAffect gonadal tissue in men and women
In men: spermatogenesis
In women: gametogenesis and follicular development
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
ProlactinPWith estrogens, progesterone, hydrocortisone, and
insulin, stimulates breast developmentStimulates milk secretion
6. by mammary glandsIncreases testicular steroidogenesis and
development of male accessory sex organs
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
VasopressinAntidiuretic hormone (ADH)Stimulates water
reabsorption from nephronsLack of ADH causes diabetes
insipidus
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
OxytocinStimulates contraction of smooth muscle in the:
Uterus
Alveoli of lactating breast
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
7. Jahangir Moini
Table 25-2 Relationships Among Hypothalamic, Anterior
Pituitary, and Target Organ Hormones
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Thyroid HormonesThyroxine (T4)Triiodothyronine
(T3)Calcitonin: calcium homeostasis
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Myxedema ComaAssociated with severe hypothyroidismMedical
emergency manifested by diminished level of
consciousnessSymptoms: hypothermia, hypoventilation,
hypotension, hypoglycemia
*
8. Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Congenital HypothyroidismCongenital hypothyroidism is
absence of thyroid tissue during fetal development.Absence of
thyroid occurs more often in female infants.
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Congenital HypothyroidismThyroid hormone is essential for
embryonic growth, particularly of brain tissue; infant will be
mentally retarded if no thyroxine is available during fetal life.
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Table 25-3 Common Thyroid and Antithyroid Agents
9. *
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Potassium IodideUses: hyperthyroidism; with other drugs for
thyrotoxic crisisAdverse effects: possible irregular heartbeat,
mental confusion, pulmonary edemaContraindications:
hypothyroidism, hyperkalemia, acute bronchitis
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Potassium IodidePatient information: iodine is present in
shellfish, iodized salt and some OTC cough preparations
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
MethimazoleUses: hyperthyroidismAdverse effects:
hypothyroidism, pancytopenia, aplastic anemia, arthralgia,
10. peripheral neuropathyContraindications: pregnancy and
lactationPatient Information: take before breakfast
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
PropylthiouracilUses: hyperthyroidism, iodine-induced
thyrotoxicosisAdverse effects: agranulocytosis, hypothyroidism,
bradycardiaContraindications: last trimester of pregnancy and
during lactation
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
PropylthiouracilPatient information: instruct patients to report
agranulocytosis symptoms, avoid foods that inhibit thyroid
secretion, and take early in day
*
Focus on Pharmacology: Essentials for Health Professionals,
11. Second Edition
Jahangir Moini
LevothyroxineUses: hypothyroidismAdverse effects:
hyperthyroidism (high levels), chest pain, rapid or irregular
heartbeatContraindications: allergies to povidone-iodine or
tartrazineMany interactions with other drugs
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
LevothyroxinePatient information: instruct patients to get
frequent blood tests, take on empty stomach, and immediately
report chest pain or irregular heartbeat
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Parathyroid Hormone (PTH)Acts to restore calcium
concentrationHypoparathyroidism: rare disorder in which body
produces little or no parathyroid hormone, resulting in
hypocalcemia
12. *
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Pancreatic HormonesGlucagon: secreted by islets of Langerhans
in pancreas when blood glucose levels are low
Functions to maintain adequate levels of glucose in blood
Insulin: secreted by pancreatic beta cells
Promotes use of glucose in cells
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Diabetes MellitusSerious endocrine disorder
Hyperglycemia
Results from deficient insulin secretion or decreased sensitivity
of insulin receptors on target cells
Affects 17 million Americans
Type 1: 10% of cases; caused by lack of insulin secretion by
pancreas
Type 2: 90% of cases; caused by resistance of insulin receptors
to insulin
*
13. Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Figure 25-3A Diabetes mellitus can be caused by dysregulation
of beta-cell function.
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Figure 25-3B Interaction of blood glucose levels, insulin, and
glucagon.
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Diabetes Video
Click on the screenshot to view a video on the topic of diabetes.
Back to Directory
*
14. Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Diabetes in ChildrenChronic pathological conditions resulting
from diabetes mellitus in children include:
Diabetic neuropathy
Retinopathy
Nephropathy
Stroke
Coronary artery disease
Infection
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Diabetes and ObesityObesity: major cause of type 2
diabetesType 2 diabetes usually affects people older than age
40.African-Americans have highest rates of obesity and diabetes
compared to other racial/ethnic groups.30 minutes of moderate
physical activity most days are recommended to treat obesity.
*
15. Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Table 25-4 Classifications of Insulin
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Table 25-4 (continued) Classifications of Insulin
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Insulin Video
Click on the screenshot to view a video on the topic of insulin.
Back to Directory
*
16. Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Insulin TherapyInsulin controls the level of blood glucose.It
does not cure diabetes.Insulin therapy is required long term.
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Rapid-acting InsulinUses: treatment of type 2 diabetesAdverse
effects: hypoglycemiaContraindications: cautious use in
hyperthyroidism and hypothyroidism, renal or hepatic
impairment, lactation and pregnancy, and older adultsPatient
information: instruct patients in proper diet and symptoms of
hypoglycemia
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Short-acting InsulinsUses: emergency treatment of diabetic
ketoacidosis or coma, to initiate therapy in type 1 diabetes, and
in combination with other insulinsAdverse effects:
17. hypoglycemic reactionsContraindications: cautious use in
pregnancy and lactation, in patients with kidney or liver
impairment
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Intermediate-acting InsulinsUses: to control
hyperglycemiaAdverse effects: rareContraindications: during
hypoglycemia; cautious in insulin-resistant patients,
hyperthyroidism or hypothyroidism, renal or hepatic
impairment, pregnancy or lactation, older adults, children
younger than 3 years
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Intermediate-acting InsulinsPatient information: teach patients
to check blood glucose levels and maintain well-balanced diet
*
18. Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Long-acting InsulinUses: type 1 and 2 diabetesAdverse effects:
hypoglycemia and hypokalemiaContraindications: cautious use
in patient with renal or hepatic impairment, during pregnancy or
lactation, and in children younger than 6 years
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Long-acting InsulinPatient information: advise patients to carry
source of glucose
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Insulin in Zinc SuspensionUses: type 1 diabetesAdverse effects:
similar to those of rapid-actingContraindications:
hypoglycemiaPatient information: instruct patients about
hypoglycemic symptoms and to use orange juice and sugar-
containing foods to treat hypoglycemic reactions
19. *
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Table 25-5 Common Oral Antidiabetic Drugs
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Table 25-5 (continued) Common Oral Antidiabetic Drugs
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
SulfonylureasUses: treatment of mild to moderate type 2
20. diabetesAdverse effects: hypoglycemia, fainting, confusion,
blurred vision, bone-marrow depressionContraindications:
severe infections; acidosis; severe renal, hepatic, or thyroid
dysfunction
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
SulfonylureasPatient information: teach patients to avoid
alcohol
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
BiguanidesUses: type 2 diabetes when no response to
sulfonylureas occursAdverse effects: anorexia, GI upset, lactic
acidosisContraindications: renal disease, alcoholism, hepatic
disease, chronic cardiopulmonary dysfunction
*
21. Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
ThiazolidinedionesUses: adjuncts to treatment of type 2
diabetesAdverse effects: edema, anemia, headache, back pain,
fatigue, weight gain, hypoglycemiaContraindications: active
liver impairment, pregnancy, lactation, in children younger than
18 years
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
ThiazolidinedionesPatient information: advise patients to report
symptoms of hepatic dysfunction
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
22. Alpha-glucosidase InhibitorsUses: monotherapy or combination
therapy for type 2 diabetesAdverse effects: GI effects,
hypoglycemiaContraindications: inflammatory bowel disease or
other GI conditions, renal impairment
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Alpha-glucosidase InhibitorsPatient information: instruct
patients that insulin may be needed in times of infection, stress,
or surgery
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Table 25-6 Adrenocortical Hormones and Their Effects
*
23. Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
Table 25-7 Major Adrenal Corticosteroids (Glucocorticoids)
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
GlucocorticoidsUses: replacement therapy in adrenal
insufficiency; rheumatic, inflammatory, allergic, neoplastic, and
other disordersAdverse effects: insomnia, behavioral changes,
acute peptic ulcer disease
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
GlucocorticoidsContraindications: peptic ulcer, heart disease,
hypertension infectious illnesses, psychoses, diabetes,
osteoporosis, glaucomaPatient information: advise patients not
to stop abruptly, to not have immunizations, and to take drugs
24. with food
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
MineralocorticoidsUses: primary and secondary adrenocortical
deficiencyAdverse effects: edema, hypertension, heart failure,
hypokalemia, muscular weakness, headacheContraindications:
patients with systemic fungal infections; cautious use in
Addison’s disease, pregnancy, and lactation
*
Focus on Pharmacology: Essentials for Health Professionals,
Second Edition
Jahangir Moini
MineralocorticoidsPatient information: advise patients to
maintain a low-sodium, high-potassium diet, and to recognize
symptoms of edema, hypertension, and heart failure
*
25. ITS 832 CHAPTER 8
VALUE SENSITIVE DESIGN OF COMPLEX PRODUCT
SYSTEMS
INFORMATION TECHNOLOGY IN A GLOBAL ECONOMY
DR. JORDON SHAW
INTRODUCTION
• Complex Technology
• Smart Meters in the Netherlands
• Smart Meters as Complex Products
• Values in the Design of Technical Artifacts
• Conclusion
COMPLEX TECHNOLOGY
• Common in today’s society
• Many basic service infrastructures
• Collection of many smaller systems
• Technology is more than hardware and software
• Implementing technology always has impact
26. • To the surrounding environment
• Many stakeholders
• Tech development driven by stakeholder needs
• Value sensitive design (VSD)
• Incorporates impact on stakeholders
SMART METERS IN THE NETHERLANDS
SMART METERS IN THE NETHERLANDS
• Early smart meters were developed in the 1980s and 1990s
• The Netherlands identified benefits
• Energy savings
• Lower utility bills
• Consumers were not included in research
• Consumer concerns were not taken into account
• Public resistance led to a long delay
• Required modification and marketing
SMART METERS AS COMPLEX PRODUCTS
• Complex system characteristics
• Systematic
• Multiple interactions
• Nondecomposable
27. • Competing standards
• Actor or Stakeholder analysis
• Networks of stakeholders
• Standards organizations
VALUES IN THE DESIGN OF TECHNICAL ARTIFACTS
• Smart meters and Home Energy Management Systems (HEMS)
• Overlapping technologies
• Some shared development milestones
• Value drives development and acceptance
• Value sensitive design (VSD)
• Focus is moral and political implications
• VSD in Smart meter design
SUMMARY
• Complex systems
• Implementation impacts society
• Stakeholders are often unable to appreciate full impact
• Ignoring all stakeholders can delay implementation
• Smart meters in the Netherlands is a classic example
ITS 832 CHAPTER 7
28. COMPARATIVE ANALYSIS OF TOOLS AND
TECHNOLOGIES FOR POLICY MAKING
INFORMATION TECHNOLOGY IN A GLOBAL ECONOMY
DR. JORDON SHAW
INTRODUCTION
• Policy making
• Assessment methodology
• Tools summary
• Conclusion
POLICY MAKING
• Political visions -> programs and actions
• Purpose is to change the real world
• Multidisciplinary field
• ICT offers opportunities to modernize policy making
• Goals
• Better understand reality
• Increase stakeholder engagement
• Respond within tighter timeframes
• Provide higher quality deliverables
ASSESSMENT METHODOLOGY
29. • Identification
• Initial search - targeted
• Expanded search - general
• Select and read scholarly papers
• Follow references from scholarly papers
• Categorization
• 11 logical groups
• Comparative analysis
• Conceptualization
TOOLS CATEGORIES
• Visualization
• Argumentation
• eParticipation
• Opinion mining
• Simulation
• Serious games
• Tools specifically designed for policy makers
• Persuasive
• Social network analysis (SNA)
• Big data analytics
• Semantics and linked data
SUMMARY
• Examined 75 tools grouped into 11 categories
• Focus on 3 main areas of policy making
• Main activities
30. • Stage of the policy cycle
• Stakeholder types
• Appendix
• Links to many tools discussed in the paper
• Takeaway
• Research methods employed
You have to write a short research paper for a peer-reviewed
research paper that pertains to the week’s assigned reading
(Chapters 7 & 8). This will be a detailed summary of the
research paper and what you gained from the research. If you
have a difficult time, Google Scholar is a wonderful location to
find these types of articles:
https://scholar.google.com/
Once you find the article, you will simply read it and then write
a review of it. Think of it as an article review where you
submit a short overview of the article.
Chapter 7 and 8 attached in the attachments.
Chapter 7 - Tools for Policy Making (pdf)
Chapter 8 - Value Sensitive Design (pdf)
Deliverability:
Pages – 1 (350 words)
Please provide a substantive response to the above question
API Format.
No Plagiarism. .
As a reminder, you must list every reference that you used to
build your response then cite every reference within every
sentence that you used it with a properly APA formatted
citation (ABC, 2019).
Must check Citation years in the discussion as well in the
reference too. (They should match)