This document provides an overview of the circulatory system and its components. It discusses:
- The two circuits of circulation - systemic and pulmonary.
- The main components and their functions, including arteries, veins, capillaries and their types.
- Blood flow pathways and pressure differences at different points in the circulatory system.
- Factors that influence blood flow such as vessel size, elasticity and resistance according to principles like Poiseuille's law and Laplace's law.
Regulation of arterial blood pressure (The Guyton and Hall Physiology)Maryam Fida
BLOOD PRESSURE
The pressure exerted by the blood on vessel wall is known as blood pressure.
SYSTOLIC BLOOD PRESSURE
The maximum pressure exerted in the arteries during systole of heart.
Normal systolic pressure: 120 mm Hg.
DIASTOLIC BLOOD PRESSURE
The minimum pressure exerted in the arteries during diastole of heart.
Normal diastolic pressure: 80 mm Hg.
PULSE PRESSURE
The difference between the systolic pressure and diastolic pressure.
Normal pulse pressure: 40 mm Hg (120 – 80 = 40).
MEAN ARTERIAL BLOOD PRESSURE
The average pressure existing in the arteries.
Mean Arterial Blood Pressure = Diastolic Pressure + 1/3 Pulse Pressure
Pulse Pressure = (Systolic – Diastolic)
Mean Arterial Blood Pressure =Diastolic Pressure+1/3(Systolic – Diastolic)
Regulation of arterial blood pressure (The Guyton and Hall Physiology)Maryam Fida
BLOOD PRESSURE
The pressure exerted by the blood on vessel wall is known as blood pressure.
SYSTOLIC BLOOD PRESSURE
The maximum pressure exerted in the arteries during systole of heart.
Normal systolic pressure: 120 mm Hg.
DIASTOLIC BLOOD PRESSURE
The minimum pressure exerted in the arteries during diastole of heart.
Normal diastolic pressure: 80 mm Hg.
PULSE PRESSURE
The difference between the systolic pressure and diastolic pressure.
Normal pulse pressure: 40 mm Hg (120 – 80 = 40).
MEAN ARTERIAL BLOOD PRESSURE
The average pressure existing in the arteries.
Mean Arterial Blood Pressure = Diastolic Pressure + 1/3 Pulse Pressure
Pulse Pressure = (Systolic – Diastolic)
Mean Arterial Blood Pressure =Diastolic Pressure+1/3(Systolic – Diastolic)
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
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Evaluation of antidepressant activity of clitoris ternatea in animals
Hemodynamics of Circulation
1. GENERAL PRINCIPLES OF CIRCULATION
Dr Raghuveer Choudhary
Associate Professor
Dept. of Physiology
Dr. S.N.Medical College, Jodhpur
12/3/2022
1
2. 12/3/2022
2
PARTS OF THE CIRCULATORY SYSTEM
The circulatory system forms two circuits in
series with each other:-
- Systemic circulation (greater circulation)
- Pulmonary circulation (lesser circulation)
6. Arteries are strong, elastic
vessels adapted for carrying
blood away from the heart
under high pressure.
Three distinct layers:
Endothelium – Inner most
layer. Rich in elastic and
collagenous fibers. Called the
tunica interna.
Middle layer – Tunica media.
Smooth muscle fibers, thick
layer of elastic connective
tissue.
Outer layer – Tunica externa.
Attaches the artery to tissues.
Contains vasa vasorum that gives
Rise to capillaries
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9. 21-9
ELASTIC ARTERIES
Largest-diameter arteries have lot of elastic
fibers in tunica media
Help propel blood onward despite ventricular
relaxation (stretch and recoil)
12/3/2022
12. In old age elasticity of these vessels is lost due to degenerative &
atherosclerotic changes. So SBP rises,DBP falls, Pulse Pressure Rises
resulting in defective perfusion in periphery
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13. 21-13
MUSCULAR ARTERIES
Medium-sized arteries with more muscle
than elastic fibers in tunica media
Capable of greater vasoconstriction and
vasodilation to adjust rate of flow
walls are relatively thick
12/3/2022
19. 21-19
TYPES OF CAPILLARIES
Continuous capillaries
gaps between neighboring cells
muscle and lungs
Fenestrated capillaries
plasma membranes have many holes
kidneys, small intestine & endocrine
glands
Sinusoids
very large fenestrations
incomplete basement membrane
liver, bone marrow, & spleen
12/3/2022
20. Hydraulic conductivity of capillaries in
various parts of the body
(Ganong, Medical Physiology 2001)
Organ Conductivity Type of Endothelium
Brain (except CVO) 3
Skin 100
Skeletal muscle 250 Continuous
Lungs 340
Heart 860
GIT (intestinal mucosae) 13,000
Fenestrated
Kidney (glomerulus)
Liver
Bone marrow
Endocrine glands Sinusoidal
Lymphoid tissue
(Marieb, Human Anatomy and Physiology)
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20
22. FLUID MOVEMENT IN THE CAPILLARY
Arteriole side: fluid moves
toward the tissues
Venous side: fluid reenters the
capillary
Overall: for every 1 liter of fluid
entering the tissues, only 0.85 l
reenter the capillary
The remaining 0.15 l is
reabsorbed as lymph by
lymphatic capillaries and
eventually returned back to
blood circulation
When this system fails: Edema
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23. CAUSES OF EDEMA
Increased hydrostatic
blood pressure
- heart failure (left or right),
- excess fluid in the blood
Decreased blood osmotic
pressure
Liver, kidney diseases,
malnutrition (kwashiorkor),
burn injuries
Increased interstitial
hydrostatic pressure
(lymphatic capillary
blockage)
- breast cancer surgery,
elephantiasis
Leaking capillary wall
- histamine release during
allergic reaction
12/3/2022
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25. VEINS
Transport blood
under low pressure.
8x more distensible
than arteries
transport blood
towards the heart
carry deoxygenated
blood.
Great veins
no valves, thin and easily
distended
Venules
no valves, walls slightly
thicker than capillaries
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29. Windkessel vessels: large arteries
Resistance vessels: small arteries
Exchange vessels: formed by a
single layer of endothelial cells
Capacitance vessels: veins
Shunt vessels: Meta-arterioles
12/3/2022
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50. Poiseuille's Law
The biggest surprise in the application of Poiseuille's law to fluid flow is the dramatic effect of changing the radius.
A decrease in radius has an equally dramatic effect, as shown in blood flow examples.
12/3/2022
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52. Blood Flow Examples
Suppose you have an emergency requirement for a five-fold increase in blood volume flowrate
(like being chased by a big dog)? How does your body supply it?
According to Poiseuille's law, a five-fold increase in blood pressure would be required if
the increase were supplied by blood pressure alone!
But the body has a much more potent method for increasing volume flowrate in the
vasodilation of the small vessels called arterioles.
Since the smaller vessels provide most of the resistance to flow, the arterioles in their
position just prior to the capillaries can provide a major controlling influence on the
volume flowrate. This system of small vessels can constrict flow to one part of the body
while enhancing the flow to another to meet changing demands for oxygen and nutrient
12/3/2022
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59. BLOOD FLOW PATTERNS
But how do we know
which way a fluid will flow?
We use an Engineering Trick:
Dimensionless Numbers
12/3/2022
59
60. REYNOLD’S NUMBER
Invented by an Engineer:
Predicts Laminar flow versus Turbulent flow
Low Number means Laminar Flow
High Number means Turbulent Flow
12/3/2022
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61. REYNOLD’S NUMBER
Reynold’s Number is:
The ratio of Inertial forces to Viscous forces
Reynold’s Number = vpL/u
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62. REYNOLD’S NUMBER
Reynold’s Number = vpL/u
p is the weight-density of the fluid
u is the dynamic viscosity of the fluid
v is the velocity of the fluid flow
L the Characteristic Length
12/3/2022
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64. INTRINSIC REGULATION OF BLOOD FLOW
(AUTOREGULATION)
Maintains fairly constant blood flow despite BP
variation
Myogenic control mechanisms occur in some
tissues because vascular smooth muscle
contracts when stretched & relaxes when not
stretched
E.g. decreased arterial pressure causes cerebral
vessels to dilate & vice versa
14-39
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65. INTRINSIC REGULATION OF BLOOD FLOW
(AUTOREGULATION) CONTINUED
Metabolic control mechanism matches
blood flow to local tissue needs
Low O2 or pH or high CO2, adenosine, or
K+ from high metabolism cause
vasodilation which increases blood flow (=
active hyperemia)
14-40
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69. Wall Tension
Pascal's principle requires that the pressure is everywhere the same inside the balloon at equilibrium. But examination
immediately reveals that there are great differences in wall tension on different parts of the balloon. The variation is
described by Laplace's Law.
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70. LaPlace's Law
The larger the vessel radius, the larger the wall tension required to withstand a given
internal fluid pressure.
For a given vessel radius and internal pressure, a spherical vessel will have half the
wall tension of a cylindrical vessel.
Why does the wall tension increase with radius?
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71. Why does wall tension increase with radius?
If the upward part of the fluid pressure remains the same,
then the downward component of the wall tension must
remain the same. But if the curvature is less, then the total
tension must be greater in order to get that same downward
component of tension.
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72. Tension in Arterial Walls
The tension in the walls of arteries and veins in the human body is a classic
example of LaPlace's law. This geometrical law applied to a tube or pipe
says that for a given internal fluid pressure, the wall tension will be
proportional to the radius of the vessel.
The implication of this law for the large arteries, which have comparable
blood pressures, is that the larger arteries must have stronger walls since an
artery of twice the radius must be able to withstand twice the wall tension.
Arteries are reinforced by fibrous bands to strengthen them against the risks
of an aneurysm. The tiny capillaries rely on their small size.
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73. Capillary Walls
The walls of the capillaries of the human circulatory system
are so thin as to appear transparent under a microscope,
yet they withstand a pressure up to about half of the full
blood pressure. LaPlace's law gives insight into how they
are able to withstand such pressures: their small size
implies that the wall tension for a given internal pressure is
much smaller than that of the larger arteries.
Given a peak blood pressure of about 120 mmHg at the
left ventricle, the pressure at the beginning of the capillary
system may be on the order of 50 mmHg. The large radii
of the large arteries imply that for pressures in that range
they must have strong walls to withstand the large
resulting wall tension. The larger arteries provide much
less resistance to flow than the smaller vessels according
to Poiseuille's law, and thus the drop in pressure across
them is only about half the total drop. The capillaries offer
large resistances to flow,but don’t required much strength
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