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    the

    Course of Endocrine and Metabolism

    Atif Hassan Khirelsied, B.Sc., M.Sc., Ph.D.

    Faculty of MedicineInternational University of Africa, Khartoum, Sudan

    Introductory lecture

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    The importance of endocrine system

    Functional coordination of body systems.

    Communication among various parts of the body.

    Conservation of homeostasis.

    Adaptation to environmental changes.

    Course introduction

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    This course provides an overview of the basic

    characteristics of the endocrine system and elaborates

    on the morphology, biochemistry, physiology and

    pathology of various glands associated with the

    common clinical disorders of the endocrine system.

    Introduction

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    Course General Objectives

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    Course Objectives

    Upon successful completion of this course, thestudents should be able to;

    1. Describe the overall organization of the

    endocrine system in the human body, and

    identify the major glands and their locations.

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    Course Objectives

    Upon successful completion of this course, thestudents should be able to;

    2. Outline the role of hormones in the control of

    body functioning and describe the importance

    of hormones in health and diseases.

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    Course Objectives

    Upon successful completion of this course, thestudents should be able to;

    3. Identify different classes of hormones and

    hormone receptors, and describe the principles

    of molecular signaling at cellular level.

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    Course Objectives

    Upon successful completion of this course, thestudents should be able to;

    4. Describe the major metabolic pathways ofcarbohydrates, lipids, proteins and nucleotides

    metabolism, and explain how these pathways

    are coordinately integrated by the endocrine

    system.

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    Course Objectives

    Upon successful completion of this course, thestudents should be able to;

    5. Identify the important clinical conditions

    associated with hormonal and metabolic

    disorders, and learn how to evaluate endocrine

    disorders commonly seen in primary health

    care.

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    Course Objectives

    Upon successful completion of this course, thestudents should be able to;

    6. Describe the important experimental methods

    commonly used in hormonal assays.

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    Course specific Learning Objectives

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    1.Identify the organs and tissues of the endocrine

    system and describe their general morphological and

    functional characteristics.

    2.Define the various forms of cellular communication

    and signaling systems (i.e., endocrine, paracrine,

    autocrine).

    Specific learning objectives

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    3. Describe the various classes of hormones both in

    terms of their structures and physicochemical

    properties as well as mechanisms of action.

    4. Recognize the types of cellular responses to hormones

    and define positive and negative feedback and

    describe their role in regulating blood levels of various

    hormones.

    Specific learning objectives

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    5. Identify the target, representative actions, and secretory

    control of the hormones of the;

    5. hypothalamus,

    6. pituitary gland,7. pancreas,

    8. thyroid gland,

    9. parathyroid glands,

    10. adrenal cortex and medulla,

    11. pineal gland, thymus, ovaries, and testes.

    Specific learning objectives

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    5. Define general principle of genes expression and peptide

    hormone synthesis, and relate these to control of

    hormone synthesis and secretion.

    6. Discuss how hormones coordinate and integrate the

    overall body metabolism.

    Specific learning objectives

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    7. Describe the specific effect of hormones action on the

    major metabolic pathways of carbohydrates, lipid, amino

    acid and nucleotide metabolism.

    8. Define prostaglandins, what are they made of, and what

    are their effects?

    Specific learning objectives

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    9. Recognize the causes of dwarfism, gigantism,

    acromegaly, diabetes insipidus, diabetes mellitus (Type 1

    and Type 2), cretinism, myxedema, Grave's disease,

    simple goiter, and Cushing's syndrome.

    10. Identify the common techniques of hormone assay and

    endocrine function tests.

    Specific learning objectives

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    Specific learning objectives

    11. Recognize the endocrine function of the;

    kidneys

    Gastrointestinal tract

    Heart

    Adipose tissues

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    CoursePBL Sessions

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    1. Sheehan's syndrome

    2. Hypothyroidism.3. Cushings syndrome.4. Diabetes mellitus.5. Primary infertility.

    Problem based Learning Activities

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    1. Students are expected to attend lectures, tutorials and

    practical/study group sessions.

    2. Failure to meet the minimal attendance requirements (75% of

    the course activities )may result in you being deemed ineligible

    for assessment.

    3. Students who miss more than 25% of the course activities

    without excuse will not be allowed to sit for the final exam and

    will be deemed fail.

    Student responsibility

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    Classroom instruction

    Primarily, lectures, problem guided discussions.

    TutorialsTo reinforce learning and assist you discuss any difficultiesthat you might have.

    Demonstrations and practical sessionsLaboratory work, dissection and demonstration

    Lab reports is a part of the continuous assessment.

    Instructional methods

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    1.Read and familiarize him/her with the contents of the course

    syllabus.

    2.Participate in course activities via class attendance,

    discussion, and note-taking, seminar preparation and

    presentation.

    3.Study assigned readings prior to being tested over the

    material.

    Student responsibility

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    Course Assessment

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    Final examination (summative):

    accounts for (70%) of the total points

    consists of MCQs (40%), short notes (20%), OSPE (10%)

    The continuous assessments:

    accounts for 30% of the total points

    include mid-course test (10%), lab reports (5%), and PBL

    activities (15%).Formative assessment (two tests):

    to evaluate course progress and identify learning difficulties

    does not contribute to summative assessment

    Student assessment

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    Score 00 49 50 59 60 69 70 79 80 100

    Grade F C B B+ A

    Students scores will be graded according to the following

    scale.

    Student assessment

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    Course evaluation

    Students feed-back (questionnaire).

    Faculty comments and observations.

    Analysis of examination results.

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    Course Timetable

    1st week

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    1st week4:00-6:002:00-4:001:30-2:0011:30-1:1510:00-11:0009:3008:30Time / Day

    Tutorials

    .

    Tutorials

    .

    Review of CHO

    (L)

    Metabolism (1)

    -

    Classification and

    properties of hormones

    .

    Introduction to

    endocrine

    system (L)

    .

    Sunday

    30/12/2012

    Review of CHO (L)

    Metabolism (2)

    -

    Problem 1

    (Phase I)

    .

    Physiology of

    hypothalamus and

    pituitary axis (L)

    Mechanism of

    hormone action

    (1) (L)

    .

    Monday

    31/12/2012

    Tuesday

    01/01/2013

    DR. 1

    (hypothalamus

    and pituitary)

    ()

    .

    DR. 1

    (hypothalamus

    and pituitary)

    ()

    .

    Anatomy of the

    hypothalamus and

    pituitary glands (2) (L)

    .

    Anatomy of the

    hypothalamus

    and pituitary

    glands (1) (L)

    .

    Wednesday

    02/01/2013

    CHO metabolism

    (tutorial)

    .

    ()

    CHO metabolism

    (tutorial)

    .

    Problem 1

    (Phase III)

    .

    Review of lipid

    metabolism (1) (L)

    .

    Pathology of

    hypothalamus

    and pituitary

    glands (L)

    .

    Thursday

    03/01/2013

    2nd week

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    2nd week4:00-6:002:00-4:001:30-

    2:00

    11:30-1:1510:00-11:008:30-9:30Time /

    Day

    Tutorials

    .

    CHO metabolism

    (tutorial)

    .

    Iodine metabolism

    and thyroid

    hormone synthesis

    (L )

    .

    Review of lipid

    metabolism (2) (L)

    .

    Mechanism of

    hormone action

    (2) (L)

    .

    Sunday

    06/01/20

    13

    CHO metabolism

    (tutorial)

    .

    Problem 2 (Phase I)

    .

    Physiology of the

    thyroid gland (L)

    Disorders of

    carbohydrates

    metabolism

    Monday

    07/01/20

    13

    Tuesday

    08/01/20

    13

    DR 2 (Thyroid gland)

    ()

    .

    DR 2 (Thyroid gland)

    ()

    .

    Anatomy of the

    thyroid

    Gland (2) (L)

    .

    Anatomy of the

    thyroid

    Gland (1) (L)

    .

    Wednesda

    y

    09/01/20

    13Lipid metabolism(tutorial) ()

    .

    Lipid metabolism(tutorial)

    ()

    .

    TutorialsProblem 2

    (Phase I)

    .

    Formative

    assessment (1)

    .

    Pathology of

    thyroid

    hormones

    .

    Thursday

    10/01/20

    13

    3rd week

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    3rd week4:00-6:002:00-4:001:30-

    2:00

    11:30-1:1510:00-11:008:30-9:30Time /

    Day

    Proteins

    Biosynthesis

    (Tutorials)

    .

    Tutorials

    .

    Proteins

    Biosynthesis

    .

    Biosynthesis of

    Catecholamines

    .

    Amino acids

    metabolism (1)

    .

    Sunday

    13/01/20

    13

    Amino acids

    metabolism (2)

    .

    Problem 3 (Phase I)

    .

    Physiology of

    adrenal glands

    Nucleotide

    synthesis (1)

    .

    Monday

    14/01/20

    13

    Tuesday

    15/01/20

    13

    DR 3 Anatomy of the

    adrenal glands

    ()

    .

    DR 3 Anatomy of the

    adrenal glands

    ()

    .

    Anatomy of the

    adrenal glands (2)

    (L)

    .

    Anatomy of the

    adrenal glands

    (1) (L)

    .

    Wednesda

    y

    16/01/20

    13

    Amino acidsmetabolism

    (tutorial) ()

    .

    Amino acidsmetabolism

    (tutorial) ()

    .

    Problem 3 (Phase III)

    .

    Biosynthesis of

    steroid hormones

    .

    Pathology of

    adrenal glands

    .

    Thursday

    17/10/20

    13

    4th week

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    4th week4:00-6:002:00-4:001:30-

    2:00

    11:30-1:1510:00-11:008:30-9:30Time /

    Day

    Tutorials

    .

    Tutorials

    .

    Disorders of lipid

    (1) metabolism

    Hormonal control

    of metabolism (1)

    .

    Drugs acting on

    the endocrine

    system (1)

    Sunday

    20/01/20

    13

    Tutorials

    .

    Problem 4

    (Phase I)

    .

    Physiology of the

    pancreas

    Nucleotide

    degradation (2

    .

    Monday

    21/01/20

    13

    Tuesday

    22/01/20

    13

    DR 4 Anatomy of

    the pancreas

    ()

    .

    DR 4 Anatomy of

    the pancreas ()

    .

    Anatomy of the

    pancreas (2) (L)

    .

    Anatomy of the

    pancreas (1) (L)

    .

    Wednesd

    ay

    23/01/20

    13

    Biochemistry Lab.

    ()

    .

    Biochemistry Lab.

    ()

    .

    Problem 4

    (Phase III)

    .

    TestPathology of the

    pancreas

    .

    Thursday

    24/01/20

    13

    5th week

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    5th week4:00-6:002:00-4:001:30-

    2:00

    11:30-1:1510:00-11:008:30-9:30Time /

    Day

    Tutorials

    .

    Tutorials

    .

    Gonadal hormones

    .

    Disorders of

    amino acidmetabolism

    .

    Hormonal

    control ofmetabolism (2)

    .

    Sunday

    27/01/2013

    Tutorials

    .

    Problem 5 (Phase I)

    .

    The endocrine

    system

    Disorders of

    lipoprotein

    metabolism

    .

    Monday

    28/01/20

    13

    Tuesday

    29/01/20

    13

    DR. 5 Anatomy of

    the gonads ( (

    .

    DR. 5 Anatomy of

    the gonads ( (

    .

    Anatomy of the

    gonads (2)

    .

    Anatomy of the

    gonads (1)

    .

    Wednesd

    ay

    30/01/20

    13 Biochemistry Lab.()

    .

    Biochemistry Lab.()

    .

    Problem 5 (Phase

    III)

    .

    Integration of

    metabolism (1)

    .

    Pathology of the

    endocrine

    system (review)

    .

    Thursday

    31/01/20

    13

    6th week

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    6th week4:00-6:002:00-4:001:30-2:0011:30-1:1510:00-11:008:30-9:30Time / Day

    Physiology of the

    endocrine system

    (tutorials)

    .

    Endocrine changes

    during pregnancy

    .

    Regulation of

    gene expression

    (1)

    .

    Drugs acting on the

    endocrine system

    (1)

    Sunday

    03/02/2013

    Hormonal regulation

    of female reproductive

    system

    .

    Regulation of gene

    expression (2)

    .

    The endocrine

    system

    Integration of

    metabolism (2)

    .

    Monday

    04/02/2013

    Tuesday

    05/02/2013

    DR 6 Anatomy of the

    endocrine system

    (Revision)

    .

    DR 6 Anatomy of the

    endocrine system

    (Revision)

    .

    Anatomy of the

    endocrine system

    (Review)

    .

    Anatomy of the

    endocrine system

    (Review)

    .

    Wednesday

    06/02/2013

    Student feedback and

    course assessment()

    .

    Student feedback and

    course assessment()

    .

    Course Examination (OSPE)Thursday

    07/02/2013

    Course Examination (WRITTEN) Saturday

    09/02/2013

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    Text books and resources:

    Harpers Illustrated Biochemistry, 28th edition (2009). Robert K. Murray, Victor W.

    Rodwell, David Bender, Kathleen M. Botham, P. Anthony Weil, Peter J. Kennelly. LANGEBasic Science, McGraw-Hill.Review of Medical Physiology, 22nd Edition (2005). William F. Ganong. LANGE Basic

    Science, McGraw-Hill.

    McMinn's Color Atlas of Human Anatomy, 4th edition (1998). P. H. Abrahams, R. T.

    Hutchings, S. C. Marks. Mosby-Year Book.