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As an Intern in Veterans General Hospital-Taipei 1974-1975 As an Internist since 1975 up to now As an Endocrinologist since 1980 Fellow, Division of Endocrinology and Metabolism The Johns Hopkins University School of Medicine, Baltimore, MD, USA July 1982-June 1983 Present Appointment :
(214) 456-5959 www.childrens.com/specialities-services/specialty-centers-andprograms/endocrinology/programs-and-services/genecis-program ● Transgender Health Clinic The Resource Center/Nelson-Tebedo Clinic 4012 Cedar Springs Rd.
Endocrinology and Metabolic Processes Regulation Athletic Success via Biochemical Supplementation ● ● ● Author: Eva Date: 20160130 Rev: 1.2.1 Note : This is a work in progress for my own purposes. It is currently evolving. Resources are listed in brackets with source links at the end of the document. If otherwise not noted/bracketed, the writing is from the author’s own contextual knowledge. Conclusions are bolded where deemed relevant to a topic. A Quick Intro to Endocrinology and Metabolism Prior to getting into any concepts or useful conclusions there are several background terms and elements that the reader should be familiar with. We’ll start with fundamentals and touch on several core elements before introducing the cyclical elements of endocrinology and the metabolic cycle. These terms, concepts, and cycles are essential to understanding how one’s diet and hormonal balances are controlled by diet, which in turn defines how our physical form is capable of performance, growth, decline, and overall change. Fundamental Terms The following terms will come up occasionally throughout this document and, as such, one would benefit from knowing the context around them prior to continuing. Endogenous Originating from within an organism, not attributable to any external or environmental factor. eg: biologically produced estrogen created by the ovaries. Exogenous Originating from outside an organism, caused by an agent or organism outside the body. eg: hormone replacement medication taken by injection. MacroNutrients The combined requirements of base nutrition required to sustain healthy human existence. There are three primary macronutrients: protein, fat, and carbohydrate.  Macronutrients are defined as a class of chemical compounds which humans consume in the largest quantities (must be above a threshold amount) and which provide humans with the bulk of energy.  CNS, The Central Nervous System The central nervous system is composed of the brain and spinal cord. Your brain and spinal cord serve as the main "processing center" for the entire nervous system, and control all the workings of your body. PSN, The Peripheral Nervous System The peripheral nervous system consists of the nerves that branch out from the brain and spinal cord. These nerves form the communication network between the CNS and the body parts. The peripheral nervous system is further subdivided into the somatic nervous system and the autonomic nervous system. The somatic nervous system consists of nerves that go to the skin and muscles and is involved in conscious activities. The autonomic nervous system consists of nerves that connect the CNS to the visceral organs such as the heart, stomach, and intestines. It mediates unconscious activities. Endocrinology A branch of biology and medicine dealing with the endocrine system, its diseases, and its specific secretions known as hormones. It is also concerned with the integration of developmental events proliferation, growth, and differentiation, and the psychological or behavioral activities of metabolism, growth and development, tissue function, sleep, digestion, respiration, excretion, mood, stress, lactation, movement, reproduction, and sensory perception caused by hormones. Metabolism The set of lifesustaining chemical transformations within the cells of living organisms. These enzymecatalyzed reactions allow organisms to grow and reproduce, maintain their structures, and respond to their environments. Pharmacokinetics Sometimes described as what the body does to a drug, refers to the movement of drug into, through, and out of the body the time course of its absorption, bioavailability, tissue distribution, metabolism, and excretion.  Endocrinology: Communication and Message Relays The endocrine system is a collection of glands that secrete hormones directly into the circulatory system to be carried towards distant target organs. The major endocrine glands include the pineal gland, pituitary gland, pancreas, ovaries, testes, thyroid, parathyroid, hypothalamus, gastrointestinal tract, and adrenal glands. The Role of Hormones in Endocrinology Hormones are the body’s signaling molecules that are used to communicate between organs and tissues. They regulate physiological and behavioral activities, such as digestion, metabolism, respiration, tissue function, sensory perception, sleep, excretion, lactation, stress, growth and development, movement, reproduction, and mood. The particulars of each hormone are covered in the section titled “Neurotransmitters, Hormones, and Histamines”. An Overview of Hormonal Biosynthesis Receptors In biochemistry and pharmacology, a receptor is a protein molecule usually found embedded within the plasma membrane surface of a cell that receives chemical signals from outside the cell.
1989 Specializzazione in Patologia Generale, Università “La Sapienza”, Roma Esperienze professionali ( incarichi ricoperti) 1985-1989 Borsista e Contrattista presso l’Istituto Regina Elena di Roma 1989-1991 Visiting Scientist presso il National Institute of Health, Endocrinology and Reproduction Research Branch, Bethesda,MD, USA.
Marcombes", ClermontFerrand,Francia, 1987 Research Fellow, Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of California, Irvine, USA, Nov.1987- Nov.
Current clinical guidelines published in the Journal of Clinical Endocrinology and Metabolism provide clear recommendations for emergency hydrocortisone treatment for adrenal insufficient patients.
Discerning the relationship between testosterone and status DataBlitz Presentations 9:55am Keiko Ishii, Kobe University A polymorphism of serotonin 2A receptor (5-HT2AR) influences delay discounting 10:05am Rachel Grillot, University of California, Santa Barbara Cortisol as an endocrine signal of opposite-sex attraction 10:15am Joey Cheng, University of Illinois at Urbana-Champaign Prestige in a large-scale social group predicts longitudinal changes in testosterone 10:25am Chance Strenth, University of New Mexico Establishing time course of testosterone using saliva after a sublingual administration 10:35am Tanya Procyshyn, Simon Fraser University The endocrinology of empathy:
CP149719,CP148602 WELL MAN ULTRAVIT Test Result IRON T.I.B.C TRANSFERRIN SATURATION FERRITIN 27.47 66.87 41.08 102 Units Range BIOCHEMISTRY Iron Status umol/L umol/L % ug/L 10.60 41.00 20.00 30.00 mmol/L mmol/L mmol/L mmol/L nmol/L 0.00 0.00 0.90 0.00 0.00 33.54 % 20.00 - 100.00 THYROID STIMULATING HORMONE FREE THYROXINE 3.92 18.2 mIU/L pmol/L 0.27 - 4.20 12.00 - 22.00 PROSTATE SPECIFIC AG(TOTAL) PROSTATE SPECIFIC AG(FREE) FREE:TOTAL RATIO 0.389 0.168 0.43 ug/L ug/L 0.00 - 1.40 0.00 - 0.90 0.19 - 1.00 TESTOSTERONE 12 nmol/L 7.60 - 31.40 VITAMIN B12 FOLATE (SERUM) 25 OH VITAMIN D 158 3.88 54.5 pmol/L ug/L nmol/L 140.00 - 724.00 2.91 - 50.00 50.00 - 200.00 Cholesterol Status TRIGLYCERIDES CHOLESTEROL HDL CHOLESTEROL LDL CHOLESTEROL Non-HDL Cholesterol Heart Disease Risk HDL % OF TOTAL 1.43 4.8 *1.61 2.54 3.19 - – 28.30 77.00 55.00 400.00 2.30 4.99 1.50 3.00 3.99 ENDOCRINOLOGY Thyroid Function Prostate Screen Hormone HAEMATOLOGY Vitamins Interpretation of results:
Kruijver, FP, Zhou, JN, Pool, CW, Hofman, MA, Gooren, LJ, Swaab, DF (2000) ‘Male-to-female transsexuals have female neuron numbers in a limbic nucleus’, Journal of Clinical Endocrinology &
and nurse students, Review session and Lab teaching in University of Alberta Endocrinology, Neuroscience and Cardiovascular Physiology, Pharmacy and M.D.
pediatric orthopedists, oncologists and neurologists and pediatric specialists in pulmonology, endocrinology, cardiology, allergy and immunology, rehabilitation and more.
Thompson2, Amir Eslami Shahr Babaki6, Aida Tabrizi1, Mansoure Togha*1 1 Iranian Center of Neurological Research, Neuroscience Research Institute, Tehran University of Medical Sciences, Tehran, Iran 2 Imaging Genetics Center, USC Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, University of Southern California, Marina del Rey, CA 90292, United States of America 3 Medical Informatics Laboratory, School of Computing, Queen’s University, Kingston, ON K7L2N8, Canada 4 Department of Neurology, Buffalo Neuroimaging Analysis Center, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY 14203, United States of America 5 Translational Imaging Center, Clinical and Translational Science Institute, University at Buffalo, Buffalo, NY 14203, United States of America 6 Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran * Corresponding author:
Traumatology Rehabilitation Otorhinolaryngology Paediatrics Anatomical Pathology Chemical Pathology Clinical Microbiology and Infection Forensic Pathology Haematology Immunology Pathology Cardiology Clinical Pharmacology and Therapeutics Critical Care Medicine Dermatology and Venereology Endocrinology, Diabetes and Metabolism Gastroenterology and Hepatology Geriatric Medicine Haematology and Haematological Oncology Immunology and Allergy Infectious Disease Internal Medicine Medical Oncology Nephrology Neurology Respiratory Medicine C:\education\quotable qualifications and specialists titles.doc 專科 麻醉科 危重病學 行政醫學 社會醫學 職業醫學 公共衞生醫學 急症科 家庭醫學 婦科腫瘤科 婦產科 生殖醫學科 泌尿婦科 眼科 骨科 復康科 耳鼻喉科 兒科 解剖病理學 化學病理學 臨床微生物及感染學 法醫病理學 血液學 免疫學 病理學 心臟科 臨床藥理學 深切治療科 皮膚及性病科 內分泌及糖尿科 腸胃肝臟科 老人科 血液及血液腫瘤科 免疫及過敏病科 感染及傳染病科 內科 內科腫瘤科 腎病科 腦神經科 呼吸系統科 3 College Physicians Physicians/Radiologists Psychiatrists Radiologists Radiologists Radiologists Surgeons Surgeons Surgeons Surgeons Surgeons Surgeons Specialty Rheumatology Palliative Medicine Psychiatry Clinical Oncology Nuclear Medicine Radiology Cardio-thoracic Surgery General Surgery Neurosurgery Paediatric Surgery Plastic Surgery Urology 專科 風濕病科 紓緩醫學科 精神科 臨床腫瘤科 核子醫學科 放射科 心胸肺外科 外科 腦外科 小兒外科 整形外科 泌尿外科 Examples of quoting Academy/College Fellowships and Specialists Titles An Academy Fellow who is under the College of:
Kinase Urinary system Stem cell Neuroscience Apoptosis Cancer Innate immunity Endocrinology Development Immunomodulator Infectious Diseases Hematology Cardiovascular disease Globulins Autoimmunity Hypersensitivity 2 www.elabscience.cn www.elabscience.com Focus on Lab Research, Service for Life Science.
Tinga, who is a biologist, wants Netherlands to implement a law that charges a deposit fee for half-liter drink bottles.” [Link to the Surfer Today article] 10th September 2016, Plastic chemicals could ruin your children's teeth A study presented at the European Congress of Endocrinology focused on c ow some chemicals from plastic or fungicides affect tooth enamel, the tough outer layer of the teeth to protect them from harm.
THE MODERN VIEW OF TMD TREATMENT IS BASED ON GNATHOLOGIC PRINCIPLES (DENTAL BASED) Contemporary TMD treatment has moved away from a historic, mechanical, dental-based model, no longer involving occlusal modification or jaw-repositioning protocols.50,65,66 The current evidence-based view of TMD treatment is now a biopsychosocial model.51-64 Dworkin76 stated that ‘‘the biopsychosocial model remains the best approach to gaining an understanding for how to integrate the host of biologic, clinical and behavior factors that may account for the onset, maintenance and remission of TMD, as well as for understanding how to make rational choices for treat- Rinchuse and Kandasamy 323 ment.’’ Genetics related to pain and imaging of the pain-involved brain, central brain processing of thinking and emotions, endocrinology, and so on, are the exciting future.