The document discusses the basic concepts of physiology and cell biology. It begins by defining physiology and describing the functional organization of the human body across six levels - chemical, cellular, tissue, organ, organ system, and organism. It then explains the concepts of homeostasis, extracellular and intracellular fluids, and how nutrients are obtained and waste removed to maintain homeostasis. Key control systems that regulate homeostasis through negative and positive feedback loops are the nervous, endocrine, immune, and integumentary systems.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
NVBDCP.pptx Nation vector borne disease control program
Basic and cell physiology
1. BASIC AND CELL
PHYSIOLOGY
INTRODUCTION TO PHYSIOLOGY.
FUNCTIONAL ORGANIZATION OF HUMAN BODY.
HOMEOSTASIS.
Dr. Sehrish Mughal
PHARM-D
2. Did you know, What is Physiology?
The science that is concerned with the function of the living organism and its part,
and of the physical and chemical process.
OR
Physiology is the scientific study of functions and mechanisms in a living system. As a
sub-discipline of biology, physiology focuses on how organisms, organ systems,
individual organs, cells, and biomolecules carry out the chemical and physical
functions in a living system
4. Chemical Level
The structural and functional characteristics of all organisms are determined by their chemical makeup. The
chemical level of organization involves how atoms, such as hydrogen and carbon, interact and combine into
molecules. The function of a molecule is intimately related to its structure. For example, collagen molecules
are strong, ropelike fibers that give skin structural strength and flexibility. With old age, the structure of
collagen changes, and the skin becomes fragile and more easily torn.
Cell Level
Cells are the basic structural and functional units of organisms, such as plants and animals. Molecules can
combine to form organelles (or′gă-nelz; little organs), which are the small structures that make up some cells.
For example, the nucleus contains the cell’s hereditary information, and mitochondria manufacture adenosine
triphosphate (ATP), a molecule cells use for a source of energy. Although cell types differ in their structure and
function, they have many characteristics in common.
Tissue Level
A tissue (tish′ū) is a group of similar cells and the materials surrounding them. The characteristics of the cells
and surrounding materials determine the functions of the tissue. The many tissues that make up the body are
classified into four primary types: epithelial, connective, muscle, and nervous.
Organ Level
An organ (ōr′găn; a tool) is composed of two or more tissue types that together perform one or more common
functions. The urinary bladder, skin, stomach, and heart are examples of organs
5. Organ-System Level
An organ system is a group of organs classified as a unit because of a common function or set of functions. For
example, the urinary system consists of the kidneys, ureter, urinary bladder, and urethra. The kidneys produce
urine, which is transported by the ureters to the urinary bladder, where it is stored until eliminated from the
body by passing through the urethra. In this text, we consider eleven major organ systems: integumentary,
skeletal, muscular, lymphatic, respiratory, digestive, nervous, endocrine, cardiovascular, urinary, and
reproductive system.
The coordinated activity of the organ systems is necessary for normal function. For example, the digestive
system takes in and processes food, which is carried by the blood of the cardiovascular system to the cells of the
other systems. These cells use the food and produce waste products that are carried by the blood to the kid-
neys of the urinary system, which removes waste products from the blood. Because the organ systems are so
interrelated, dysfunction in one organ system can have profound effects on other systems. For example, a heart
attack can result in inadequate circulation of blood. Consequently, the organs of other systems, such as the
brain and kidneys, can malfunction.
Organism Level
An organism is any living thing considered as a whole, whether composed of one cell, such as a bacterium, or of
trillions of cells, such as a human. The human organism is a complex of organ systems that are mutually
dependent on one another
6.
7.
8. Extracellular Fluid and Intracellular Fluid:
About 60% of the adult human body is fluid, mainly a water solution of ions and
other substances. Although most of this fluid is inside the cells and is called
intracellular fluid, about one third is in the spaces outside the cells and is called
extracellular fluid.
This extracellular fluid is in constant motion throughout the body. It is transported
rapidly in the circulating blood and then mixed between the blood and the tissue
fluids by diffusion through the capillary walls. In the extracellular fluid are the ions
and nutrients needed by the cells to maintain cell life. Thus, all cells live in
essentially the same environment, the extracellular fluid. For this reason, the
extracellular fluid is also called the internal environment of the body.
9. Differences Between Extracellular and
Intracellular Fluids
Extracellular Fluid
The extracellular fluid contains
large amounts of sodium, chloride,
and bicarbonate ions plus nutrients
for the cells, such as oxygen,
glucose, fatty acids, and amino
acids. It also contains carbon
dioxide that is being transported
from the cells to the lungs to be
excreted, plus other cellular waste
products that are being
transported to the kidneys for
excretion.
Intracellular Fluid
The intracellular fluid differs
significantly from the extracellular
fluid; for example, it contains
large amounts of potassium,
magnesium, and phosphate ions
instead of the sodium and chloride
ions found in the extracellular
fluid. Special mechanisms for
transporting ions through the cell
membranes maintain the ion
concentration.
10. HOMEOSTASIS:
The term homeostasis is used by physiologists to mean
maintenance of nearly constant conditions in the internal
environment. Essentially all organs and tissues of the body
perform functions that help maintain these relatively
constant conditions. For instance, the lungs provide
oxygen to the extracellular fluid to replenish the oxygen
used by the cells, the kidneys maintain constant ion
concentrations, and the gastrointestinal system provides
nutrients.
11. Extracellular Fluid Transport and Mixing
System—The Blood Circulatory System
Extracellular fluid is transported through all parts of
the body in two stages. The first stage is movement of
blood through the body in the blood vessels, and the
second is movement of fluid between the blood
capillaries and the intercellular spaces between the
tissue cells.
As blood passes through the blood capillaries, continual
exchange of extracellular fluid also occurs between the
plasma portion of the blood and the interstitial fluid
that fills the intercellular spaces.
The walls of the capillaries are permeable to most
molecules in the plasma of the blood, with the
exception of plasma protein molecules, which are too
large to readily pass through the capillaries. Therefore,
large amounts of fluid and its dissolved constituents
diffuse back and forth between the blood and the
tissue spaces.
12. This process of diffusion is caused by kinetic motion of the molecules in both the
plasma and the interstitial fluid. That is, the fluid and dissolved molecules are
continually moving and bouncing in all directions within the plasma and the fluid
in the intercellular spaces, as well as through the capillary pores.
13. Origin of Nutrients in the Extracellular Fluid
1. Respiratory System: Each time the blood passes through the body, it also flows through the lungs.
The blood picks up oxygen in the alveoli, thus acquiring the oxygen needed by the cells. The
membrane between the alveoli and the lumen of the pulmonary capillaries, the alveolar
membrane, is only 0.4 to 2.0 micrometers thick, and oxygen rapidly diffuses by molecular motion
through this membrane into the blood.
2. Gastrointestinal Tract: A large portion of the blood pumped by the heart also passes through the
walls of the gastrointestinal tract. Here different dissolved nutrients, including carbohydrates,
fatty acids, and amino acids, are absorbed from the ingested food into the extracellular fluid of the
blood.
3. Liver and Other Organs That Perform Primarily Metabolic Functions: The liver changes the
chemical compositions of many of these substances to more usable forms, and other tissues of the
body—fat cells, gastrointestinal mucosa, kidneys, and endocrine glands—help modify the absorbed
substances or store them until they are needed. The liver also eliminates certain waste products
produced in the body and toxic substances that are ingested.
4. Musculoskeletal System: The musculoskeletal system also provides motility for protection against
adverse surroundings, without which the entire body, along with its homeostatic mechanisms, could
be destroyed instantaneously
14. Removal of Metabolic End Products:
1. Removal of Carbon Dioxide by the Lungs Blood picks up oxygen in the lungs, carbon dioxide is
released from the blood into the lung alveoli; the respiratory movement of air into and out of
the lungs carries the carbon dioxide to the atmosphere. Carbon dioxide is the most abundant
of all the end products of metabolism.
2. Kidneys: These substances include different end products of cellular metabolism, such as urea
and uric acid; they also include excesses of ions and water from the food that might have
accumulated in the extracellular fluid. The kidneys perform their function by first filtering
large quantities of plasma through the glomeruli into the tubules and then reabsorbing into the
blood those substances needed by the body, such as glucose, amino acids, appropriate amounts
of water, and many of the ions. Most of the other substances that are not needed by the body,
especially the metabolic end products such as urea, are reabsorbed poorly and pass through
the renal tubules into the urine.
3. Gastrointestinal Tract. Undigested material that enters the gastrointestinal tract and some
waste products of metabolism are eliminated in the feces.
4. Liver. Among the functions of the liver is the detoxification or removal of many drugs and
chemicals that are ingested. The liver secretes many of these wastes into the bile to be
eventually eliminated in the feces.
15. Regulation of Body Functions
1. Nervous System The nervous system is composed of three major parts: the sensory input portion,
the central nervous system (or integrative portion), and the motor output portion. Sensory
receptors detect the state of the body or the state of the surroundings. For instance, receptors in
the skin apprise one whenever an object touches the skin at any point. The eyes are sensory organs
that give one a visual image of the surrounding area. The ears are also sensory organs. The central
nervous system is composed of the brain and spinal cord. The brain can store information, generate
thoughts, create ambition, and determine reactions that the body performs in response to the
sensations. Appropriate signals are then transmitted through the motor output portion of the
nervous system to carry out one’s desires. An important segment of the nervous system is called the
autonomic system. It operates at a subconscious level and controls many functions of the internal
organs, including the level of pumping activity by the heart, movements of the gastrointestinal
tract, and secretion by many of the body’s glands.
2. Hormone Systems. Located in the body are eight major endocrine glands that secrete chemical
substances called hormones. Hormones are transported in the extracellular fluid to all parts of the
body to help regulate cellular function. For instance, thyroid hormone increases the rates of most
chemical reactions in all cells, thus helping to set the tempo of bodily activity. Insulin controls
glucose metabolism; adrenocortical hormones control sodium ion, potassium ion, and protein
metabolism; and parathyroid hormone controls bone calcium and phosphate. Thus, the hormones
provide a system for regulation that complements the nervous system. The nervous system
regulates many muscular and secretory activities of the body, whereas the hormonal system
regulates many metabolic functions.
16. Protection of the Body
1. Immune System:The immune system consists of the white blood cells, tissue cells derived from
white blood cells, the thymus, lymph nodes, and lymph vessels that protect the body from
pathogens such as bacteria, viruses, parasites, and fungi. The immune system provides a mechanism
for the body to (1) distinguish its own cells from foreign cells and substances and (2) destroy the
invader by phagocytosis or by producing sensitized lymphocytes or specialized proteins (e.g.,
antibodies) that either destroy or neutralize the invader.
2. Integumentary System: The skin and its various appendages, including the hair, nails, glands, and
other structures, cover, cushion, and protect the deeper tissues and organs of the body and
generally provide a boundary between the body’s internal environment and the outside world. The
integumentary system is also important for temperature regulation and excretion of wastes and it
provides a sensory interface between the body and the external environment. The skin generally
comprises about 12 to 15 percent of body weight.
17. Control Systems of the Body
1. Regulation of Oxygen and Carbon Dioxide Concentrations in the Extracellular Fluid.
This mechanism depends principally on the chemical characteristics of hemoglobin, which is present in
all red blood cells. Hemoglobin combines with oxygen as the blood passes through the lungs. Then, as
the blood passes through the tissue capillaries, hemoglobin, because of its own strong chemical affinity
for oxygen, does not release oxygen into the tissue fluid if too much oxygen is already there. But if the
oxygen concentration in the tissue fluid is too low, sufficient oxygen is released to re-establish an
adequate concentration. Thus, regulation of oxygen concentration in the tissues is vested principally in
the chemical characteristics of hemoglobin itself. This regulation is called the oxygen-buffering
function of hemoglobin.
Carbon dioxide concentration in the extracellular fluid is regulated in a much different way. Carbon
dioxide is a major end product of the oxidative reactions in cells. If all the carbon dioxide formed in the
cells continued to accumulate in the tissue fluids, all energy-giving reactions of the cells would cease.
Fortunately, a higher than normal carbon dioxide concentration in the blood excites the respiratory
center, causing a person to breathe rapidly and deeply. This increases expiration of carbon dioxide and,
therefore, removes excess carbon dioxide from the blood and tissue fluids.
18. Negative Feedback
Def: A negative feedback loop is a reaction that
causes a decrease in function. It occurs in response
to some kind of stimulus.
Example: Human body temperature - The
hypothalamus of a human reacts to temperature
fluctuations and responds accordingly. If the
temperature drops, the body shivers to bring up the
temperature and if it is too warm, the body will
sweat to cool down due to evaporation.
19. Positive feed back:
Def: Positive feedback is a process in which the end
products of an action cause more of that action to
occur in a feedback loop
Example: When a part of the body is injured, it
releases chemicals that activate blood platelets.
Platelets are responsible for stopping bleeding by
forming clots. An activated platelet in turn
activates more platelets, which group together to
form a blood clot. (In individuals with hemophilia,
the blood lacks enough blood-clotting proteins,
causing excessive bleeding after an injury.
20. Negative feed back of control system:
In the regulation of carbon dioxide concentration, a
high concentration of carbon dioxide in the
extracellular fluid increases pulmonary ventilation.
This, in turn, decreases the extracellular fluid
carbon dioxide concentration because the lungs
expire greater amounts of carbon dioxide from the
body. In other words, the high concentration of
carbon dioxide initiates events that decrease the
concentration toward normal, which is negative to
the initiating stimulus. Conversely, if the carbon
dioxide concentration falls too low, this causes
feedback to increase the concentration. This
response is also negative to the initiating stimulus.
21. Positive Feedback Can Sometimes Cause
Vicious Cycles and Death
The pumping effectiveness of the heart, showing that the
heart of a healthy human being pumps about 5 liters of
blood per minute. If the person is suddenly bled 2 liters, the
amount of blood in the body is decreased to such a low level
that not enough blood is available for the heart to pump
effectively. As a result, the arterial pressure falls and the
flow of blood to the heart muscle through the coronary
vessels diminishes. This results in weakening of the heart,
further diminished pumping, a further decrease in coronary
blood flow, and still more weakness of the heart; the cycle
repeats itself again and again until death occurs. Note that
each cycle in the feedback results in further weakening of
the heart. In other words, the initiating stimulus causes
more of the same, which is positive feedback. Positive
feedback is better known as a “vicious cycle,”
If it were bled only 1 liter instead of 2 liters, the normal
negative feedback mechanisms for controlling cardiac
output and arterial pressure would overbalance the positive
feedback and the person would recover, as shown by the
dashed curve.