** See the General Tips notes in Chapter 30 of this Instructor's Manual.
A chapter on endocrinology is often called "alphabet soup." Lewis does a good job of NOT overwhelming the reader with acronyms. Nevertheless, some students will be overwhelmed anyway. Be careful with your own use of terminology so as not to confuse those who have trouble keeping acronyms straight; something which only comes with practice. And some people are better at it than others.
If you have students who are really interested in hormones, you might suggest that they make a "Hormone Booklet." Such a booklet should include at least 35 hormones. For each hormone, the students should include the chemical nature of the hormone, where it is produced, what triggers its production, what its function is, what its target is, how it performs its function, how it interacts with other structures or substances, what happens when there is an excess or deficit of the hormone, etc.
You might wish to copy and distribute to your students the Overview of Chapter Objectives flowchart found at the beginning of this Instructor's Manual Chapter.
This chapter affords numerous opportunities for outside assignments. Be careful with these, however, because student misinformation about hormones is rampant.
If you are interested in giving your class a non-quiz, here are some possible true or false questions. 1) All hormones are steroids. 2) If it is a hormone, it has something to do with reproductive functions. 3) Pheromones are only found in insects. Of course, these three statements are all false.
The term "homeostasis" can also be applied to items and events outside the animal body. For instance, what happens in nature to maintain an ecological homeostasis?
If you have students who need some help in remembering which feedback is positive and which is negative, try this. The baby is crying. That is a stimulus for you, so you get up and get the baby's bottle. But the baby wasn't crying from hunger, so the response (the bottle) only increases the stimulus. That is positive feedback. The baby really wanted its diaper changed. You change the diaper and the baby stops crying. That is negative feedback, the response decreased the stimulus.
A person (or animal) can survive without the adrenal medulla but not without the adrenal cortex. Ask the students why. Also ask how that could be scientifically demonstrated.
Another interesting question is why in post-menopausal women the problems associated with the adrenal sex hormones usually result from an excess rather than from a deficiency.
Lewis very wisely uses the term usually when stating that type I diabetes usually begins in childhood. This used to be called juvenile onset diabetes. But, age is not a requisite so it is more correct to call it type I diabetes. People of any age can get it. Type II diabetes was formerly called adult onset diabetes. Again, age is not a requisite, even though this condition is far more common in adults.
A few points of interest: Yes, there are subtypes of diabetes mellitus. Causes can also include accidents (or injuries to the pancreas), pathogenic diseases, or medications for other conditions, to name a few. Sometimes the disease is progressive, sometimes it is not. This certainly adds to the statement Lewis makes that diabetes symptoms may develop in several ways.
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