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Related Concept Videos

Hormonal Regulation01:33

Hormonal Regulation

The renin-aldosterone system is an endocrine system which guides the renal absorption of water and electrolytes, thus managing blood pressure and osmoregulation. Activation of the system begins in the kidneys with a small cluster of cells adjacent to the afferent and efferent blood vessels of the renal corpuscle. As the nephrons are filtering blood, juxtaglomerular cells monitor blood pressure. If they detect a decrease in pressure, they release the hormone renin into the bloodstream.
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Hormonal Regulation

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Intracellular Hormone Receptors

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Therapeutic Drug Monitoring: Affecting Factors

Therapeutic Drug Monitoring (TDM) is the clinical practice of measuring specific drug levels in a patient's blood or body tissues to manage and optimize therapy. TDM is crucial for drugs with narrow therapeutic windows, like warfarin and phenytoin, where incorrect doses can lead to treatment failure or severe side effects. This monitoring ensures the dosage administered is within a safe and effective range. The factors affecting therapeutic drug monitoring include:Patient-Specific Factors:a.
Regulation of Hormone Secretion01:19

Regulation of Hormone Secretion

Regulation of hormone secretion is a finely tuned orchestration driven by various types of stimuli, encompassing neural, humoral, and hormonal signals. Environmental cues instigate neural stimuli, where action potentials traverse nerve fibers to reach their designated targets. An illustrative scenario is the body's response to stress, wherein the sympathetic nervous system releases epinephrine from the adrenal glands, inducing the well-known 'fight or flight' reaction.
Humoral stimuli,...
Target Cell Response to Hormones01:22

Target Cell Response to Hormones

Hormones intricately bind to receptors on the surface or within target cells, initiating a cascade of cellular responses.
Notably, the cellular response can be regulated by altering the number of receptors expressed in the cell. For example, prolonged exposure to elevated hormone levels results in a gradual decline or down-regulation in the number of receptors for that specific hormone on the cell surface. Conversely, in response to low hormone levels, cells may use up-regulation, producing an...

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Establishment of Rat Models Mimicking Gender-affirming Hormone Therapies
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Hormone replacement therapy in Denmark, 1995-2004.

Ellen Løkkegaard1, Ojvind Lidegaard, Lisbeth Nørgaard Møller

  • 1Department of Obstetrics & Gynaecology, Rigshospitalet, Copenhagen, Denmark.

Acta Obstetricia Et Gynecologica Scandinavica
|October 27, 2007
PubMed
Summary

Hormone replacement therapy (HRT) use significantly declined in Denmark after 2002, particularly among women aged 50-59. Factors like education, employment, and urban living influenced HRT use, which also correlated with other health medications.

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Area of Science:

  • Reproductive Endocrinology
  • Public Health Policy
  • Pharmaceutical Medicine

Background:

  • Danish National Register of Medicinal Product Statistics (NRM) now accessible for research, enabling individual-level data linkage.
  • Opportunity to analyze hormone usage across the entire Danish female population, focusing on systemic hormone replacement therapy (HRT) regimens and associated factors.

Purpose of the Study:

  • To analyze hormone utilization patterns in the Danish female population.
  • To conduct a detailed evaluation of specific hormone replacement therapy (HRT) regimens.
  • To identify factors associated with systemic HRT use.

Main Methods:

  • Utilized Danish Civil Registration System and NRM for data on 15-70 year old females (1995-2004).
  • Retrieved prescriptions for hormones and medications for diabetes, hypertension, hypercholesterolemia, and heart conditions.
  • Integrated data on habitation, education, employment, and gynecological surgery from national registers.

Main Results:

  • HRT use decreased by 65% after 2002; prevalence was highest in women aged 55-59 (200 DDD/1000 women/day in 2002).
  • Approximately 39% of women aged 50-57 were ever exposed to HRT, with a mean duration of 5 years.
  • HRT use declined significantly, initially cyclic combined therapy, then continuous combined therapy post-2002; associated with education, employment, urban living, and use of antiarrhythmics/antihypertensives; inversely associated with diabetes treatment.

Conclusions:

  • One in five women aged 50-59 used HRT daily; usage declined substantially post-2002.
  • HRT use is linked to the use of other significant health-related medications.
  • Significant shifts in HRT prescribing patterns observed, influenced by various demographic and health factors.