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Physiology M.Ilker Gelisen MD

Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

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Page 1: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Physiology

M.Ilker Gelisen MD

Page 2: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Agenda

• What is physiology? • •From cell to human (levels of organization) • •A review of the organ systems • •Introduction of the concept of homeostasis • •Themes in Physiology

Page 3: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Physiology– Study of the normal functioning of a living

organism and its component parts • Physiology is the study of the normal function

of cell, tissue, organs, systems and organisms

Page 4: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

• Physiology can be divided into the following specialties:

– Cell physiology – study of cell

– Special physiology - study of specific organ

– Systemic physiology – study of system

– Pathological physiology (Pathophysiology) – study of the effect of disease on cell, tissue, organ and

system.

The Specialties of Physiology

Page 5: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Levels of Organization

BiosphereAtoms Molecules Cells Tissues OrgansOrgan

systems OrganismsPopulations of

one speciesEcosystem of

different species

CHEMISTRY

MOLECULARBIOLOGY

CELLBIOLOGY

PHYSIOLOGYECOLOGY

Page 6: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Levels of Organization

Page 7: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Levels of Organization - Human

Page 8: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Organ Systems in Review

• Integumentary• Musculoskeletal• Respiratory• Digestive• Urinary• Reproductive• Circulatory / Cardiovascular• Nervous • Endocrine• Lymphatic / Immune

Protection from environmental hazards; temperature control

Support, protection of soft tissues; mineral storage; blood formation

Locomotion, support, heat production

Directing immediate responses to stimuli, usually by coordinating the activities of other organ systems

Directing long-term changes in the activities of other organ systems

Internal transport of cells and dissolved materials, including nutrients, wastes, and gases

Defense against infection and disease

Delivery of air to sites where gas exchange can occur between the air and circulating blood

Processing of food and absorption of organic nutrients, minerals, vitamins, and water

Elimination of excess water, salts, and waste products; control of pH

Production of sex cells and hormones

Organ System Major Functions

Integumentary system

Skeletal system

Muscular system

Nervous system

Endocrine system

Cardiovascular system

Lymphatic system

Respiratory system

Digestive system

Urinary system

Reproductive system

Page 9: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Human Body

Page 10: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Interrelationships Among Body Systems

Page 11: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Necessary Life Functions• Maintain boundaries• Movement– Locomotion– Movement of substances

• Responsiveness– Ability to sense changes and react

• Digestion– Break-down and absorption of nutrients

Page 12: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Necessary Life Functions

• Metabolism—chemical reactions within the body– Produces energy– Makes body structures

• Excretion– Eliminates waste from metabolic reactions

Page 13: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Necessary Life Functions

• Reproduction– Produces future generation

• Growth– Increases cell size and number of cells

Page 14: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Survival Needs

• Water– 60 of body weight– Provides for metabolic reaction

• Stable body temperature• Atmospheric pressure – Must be appropriate

Page 15: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Survival Needs

• Nutrients– Chemicals for energy and cell building– Includes carbohydrates, proteins, lipids, vitamins,

and minerals• Oxygen– Required for chemical reactions

Page 16: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Homeostasis X

• Homeostasis—maintenance of a stable internal environment – A dynamic state of equilibrium

• Homeostasis is necessary for normal body functioning and to sustain life

• Homeostatic imbalance– A disturbance in homeostasis resulting in disease

Page 17: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Key Themes in Physiology:

1. Homeostasis (Body systems work together (Integration of function) Internal vs. external failure of homeostasis 2.Communication and movement across cell membranes Vital to integration & homeostasis Cells communicate with other cells, tissues & organs

Page 18: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

• A homeostatic regulatory mechanism consist of :– A receptor – senses an environmental change or

stimuli.– A control center –processes information supplied by

receptor and generates a response (command)– An effector – an organ or cell that responds to the

command of control center.• A variation outside the desired range triggers an

automatic response to correct the situation– Negative feedback

Homeostatic regulation

Page 19: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Maintaining Homeostasis

• The body communicates through neural and hormonal control systems– Receptor• Responds to changes in the environment (stimuli)• Sends information to control center

Page 20: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Maintaining Homeostasis

– Control center• Determines set point• Analyzes information• Determines appropriate response

– Effector• Provides a means for response to the stimulus

Page 21: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Feedback Mechanisms

• Negative feedback– Includes most homeostatic control mechanisms– Shuts off the original stimulus, or reduces its

intensity– Works like a household thermostat

Page 22: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

•In positive feedback an initial stimulus produces a response that enhances the change in the original condition. For instance:

• Damage to blood vessel wall will cause release of chemicals.

• Chemicals will trigger blood clotting

• Clotting process increases release of chemicals

• More chemicals means accelerated clotting

• Accelerated clotting means more chemicals

Page 23: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Homeostasis

Page 24: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Variable(in homeostasis)

Page 25: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Stimulus:Produceschangein variable

Variable(in homeostasis)

Imbalance

Imbalance

Page 26: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Changedetectedby receptor

Stimulus:Produceschangein variable

Receptor (sensor)

Variable(in homeostasis)

Imbalance

Imbalance

Page 27: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Changedetectedby receptor

Stimulus:Produceschangein variable

Input:Informationsent alongafferentpathway to

Receptor (sensor)

Variable(in homeostasis)

Controlcenter

Imbalance

Imbalance

Page 28: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Changedetectedby receptor

Stimulus:Produceschangein variable

Input:Informationsent alongafferentpathway to

Receptor (sensor) Effector

Variable(in homeostasis)

Output:Information sentalong efferentpathway to activate

Controlcenter

Imbalance

Imbalance

Page 29: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Changedetectedby receptor

Stimulus:Produceschangein variable

Input:Informationsent alongafferentpathway to

Receptor (sensor) Effector

Variable(in homeostasis)

Response ofeffector feedsback toinfluencemagnitude ofstimulus andreturns variableto homeostasis

Output:Information sentalong efferentpathway to activate

Controlcenter

Imbalance

Imbalance

Page 30: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Negative Feedback: The Control of Body Temperature

Page 31: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Feedback Mechanisms

• Positive feedback– Increases the original stimulus to push the

variable further– In the body this only occurs in blood clotting and

during the birth of a baby

Page 32: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Function versus Process

• Function explains the “why”– Teleological approach

• Process or mechanism describes the “how”– Mechanistic approach

• Red blood cell example– “Because cells need oxygen and red blood cells

bring it to them.” – “Oxygen binds to hemoglobin molecules

contained in the red blood cells.”

Page 33: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Homeostasis – Most cells contact extracellular fluid– Out out – Out– In– In in

Extracellular fluid:the internal environment

of the body

Intracellularfluid of

most cells

Material entersand leavesthe body

Material entersand leaves

the body

External environmentof the body

Page 34: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Homeostasis and Controls• External or internal change

• Loss of homeostasis– Sensed by

organism• Physiological

attempt to correct

• Negative feedback loop

Page 35: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Homeostasis and Controls• Successful

compensation– Homeostasis

reestablished• Failure to

compensate– Illness– Death

• Study of failure to compensate is pathophysiology

Page 36: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Organism inhomeostasis

Externalchange

Internal changeresults in

loss of homeostasis

Compensation succeedsCompensation fails

WellnessIllness or disease

Organism attemptsto compensate

Internalchange

Homeostasis and Controls

Page 37: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Themes in Physiology

• Homeostasis – Control systems

• Biological energy use• Structure-function relationships– Molecular interactions– Mechanical properties of cells, tissues, and organs

• Communication– Chemical and electrical signals

Page 38: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Themes in Physiology

• A simple control system

Inputsignal

OutputsignalController

Page 39: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Concept Mapping

• Organizational tool for relationships and processes

• Schematic diagram of structure and function– Cells, tissues, and organs

• Flow charts – Diagram processes in sequence

Page 40: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Concept Mapping: Types of MapsPerson workingoutside on a hot,

dry day

Loses body waterby evaporation

Body fluids becomemore concentrated

Thirst pathwaysstimulated

Person seeks outand drinks water

Internal receptorssense change in

internal concentration

Water addedto body fluids

decreases theirconcentration

(b) A process map, or flow chart

Page 41: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Homeostasis

Process of maintaining stable internal environment compatible for life

–Most organ systems contribute to homeostasis

–Exception: reproductive system

Page 42: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Negative Feedback Control in Homeostasis

– Primary mechanism for maintaining homeostasis– External change triggers change in regulated

variable in internal environment triggers reaction to oppose the change and return regulated variable toward normal (set point)

Page 43: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Negative Feedback Mechanisms

– Set point = desired level of regulated variable– Sensors detect level of regulated variable and provide input to

integrating center– Integrating center compares set point to actual level of

regulated variable– Error signal = difference between actual level and set point– Integrating center sends output to effectors to return

regulated variable toward set point

Page 44: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Negative Feedback Control of Car Speed

Page 45: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Negative Feedback Control of Body Temperature

Page 46: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Negative Feedback Loop

Page 47: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Positive Feedback Loop

Positive feedback loops cause a rapid change in a variable.

Page 48: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Thermoregulation

– Homeothermic animals – regulate body temperature within a narrow range

– Poikilothermic animals – do not regulate body temperature

Page 49: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Homeothermic Animals

– Normal body temperature = set point• Differs in animal species• Humans: 37oC (98.6oF)

– Hypothermia = decrease in body temperature– Hyperthermia = increase in body temperature• above 41oC, dangerous• above 43oC, deadly

Page 50: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Mechanisms of Heat Transfer Between Body and External Environment

– Radiation - thermal energy as electromagnetic waves

– Conduction - thermal energy through contact– Evaporation - heat loss through evaporation of

water• insensible water loss• sweating

– Convection - heat transfer by movement of fluid or air

Page 51: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Components of Thermoregulatory System

– Thermoregulatory system maintains core body temperature

– Detectors - thermoreceptors (central and peripheral)

– Integrator - hypothalamus– Effectors - sweat glands, blood vessels in

skin, skeletal muscles

Page 52: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Thermoneutral Zone

Range of outside temperature where alterations in blood flow alone regulates

body temperature

25-30oC– Body temperature increase:• blood flow to skin increases

– Body temperature decrease:• blood flow to skin decreases

Page 53: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Negative Feedback Control of Body Temperature

Page 54: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Thermoregulation

Page 55: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

Fever

– Fever accompanies infections– White blood cells secrete pyrogens– Body temperature set point increases– Fever enhances immune response

Page 56: Physiology M.Ilker Gelisen MD. Agenda What is physiology? From cell to human (levels of organization) A review of the organ systems Introduction of the

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