RT Book, Section A1 Rudolph, Colin D. A1 Rudolph, Abraham M. A1 Lister, George E. A1 First, Lewis R. A1 Gershon, Anne A. SR Print(0) ID 6737737 T1 Chapter 80. Fundamental Concepts of Child Development T2 Rudolph's Pediatrics, 22e YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-149723-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=6737737 RD 2024/09/14 AB No single construct has been more central in the development of the biologic sciences than homeostasis. Although the term homeostasis was coined in the 20th century, its conceptual origin can be traced to the notion of a stable, relatively unchanging internal environment, which was first described by Claude Bernard in the 19th century. Bernard recognized the fragility of life, surrounded as it is by a constantly threatening, aversive, and often pathogenic environment, and he argued that viability in the face of external challenge depends on an organism’s capacity for protecting its internal milieu. In this context, homeostasis is a dynamic, self-regulating process that ensures constancy and permanence in the internal physiologic state through complex, multilevel feedback systems that respond to a deviation in one direction with a countering adjustment in the opposite direction. Thus, the fundamental goal of a homeostatic system is to maintain an inerrant “set point” that assures stable and continuous biologic functioning. The regulation of body temperature, cortisol suppression of adrenocorticotropic hormone (ACTH) secretion, and glycogenolysis during periods of hypoglycemia are all examples of feedback loops that protect the continuity and equilibrium of an organism’s interior.