1. 1-1 Chapter 1 Lecture Outline See PowerPoint Image Slides for all figures and tables pre-inserted into PowerPoint without notes. Copyright (c) The McGraw-Hill Companies, Inc. Permission required for reproduction or display.

2. 1-2 Major Themes of Anatomy and Physiology Form and Function Origins of Biomedical Science Scientific Method

3. 1-3 Human Origins and Adaptations Human Structure Human Function Language of Medicine Major Themes of Anatomy and Physiology 2

4. 1-4 Anatomy - The Study of Form Observation of surface structure Cadaver dissection –cutting and separation of organs to study their relationships Comparative anatomy –study of more than one species to analyze evolutionary trends

5. 1-5 Physical examination –palpation, auscultation, percussion Gross anatomy –visible with naked eye Histology –examination of cells with microscope Anatomy - The Study of Form 2

6. 1-6 Early Medical Illustrations

7. 1-7 Physiology - The Study of Function Study of bodily functions –using methods of experimental science Comparative physiology –study of different species Basis for the development of new drugs and medical procedures

8. 1-8 Beginnings of Medicine Physicians in Mesopotamia and Egypt –3000 years ago used herbal drugs, salts and physical therapy Greek physician Hippocrates –established a code of ethics –urged physicians to seek causes of disease

9. 1-9 Aristotle –called causes for disease physiologi –complex structures are built from simpler parts Galen (physician to the Roman gladiators) – saw science as a method of discovery –did animal dissections since use of cadavers banned –wrote book advising followers to trust their own observation Beginnings of Medicine 2

10. 1-10 Birth of Modern Medicine Middle Ages –little advancement –medicine was taught as dogma with no new ideas Avicenna from Muslim world –supported free inquiry over dogma –wrote The Canon of Medicine, used in medical schools until 16th century Vesalius (1543) –published accurate gross anatomy atlas Harvey (1628) –realized blood flow out from heart and back in

11. 1-11 Leeuwenhoek (1632-1723) –invented a simple microscope (200x) to look at fabrics Hooke (1665) and Zeiss (1860) –developed and improved compound microscope –described plant cell walls in 1665 Schleiden and Schwann (1839) –concluded that all organisms were composed of cells –1 st tenet of cell theory Birth of Modern Medicine 2

12. 1-12 Early Compound Microscopes The first cells seen were plant cell walls in a section of dried cork.

13. 1-13 Living in a Revolution Early pioneers were important –established scientific way of thinking –replaced superstition with natural laws Modern biomedical science –technological enhancement diagnostic ability and life-support strategies Genetic Revolution human genome is finished gene therapy is being used to treat disease

14. 1-14 Scientific Method Bacon (1561-1626) and Descartes (1596-1650) –new habits of scientific thought England and France –academies of science --still exist today Science –produces reliable, objective and testable information about nature

15. 1-15 Inductive Method Philosopher Francis Bacon –observations, generalizations and predictions –anatomy Proof in science –reliable observations –tested repeatedly –not falsified by any credible observation In science, all truth is tentative –“proof beyond a reasonable doubt”

16. 1-16 Hypothetico-Deductive Method Physiological knowledge Test your hypothesis (answer) to a specific question Good hypothesis –consistent with what is already known –testable and falsifiable with evidence Hypotheses are written as If-Then statements

17. 1-17 Proper Experimental Design Sample size – sufficient to prevent chance event Control group and treatment group –identical treatment except for the variable being tested Prevention of psychosomatic effects –use of placebo in control group

18. 1-18 Experimenter bias –prevented with double-blind study Statistical testing –difference between control and test subjects was not random variation –due to the variable being tested Proper Experimental Design 2

19. 1-19 Peer Review Critical evaluation by other experts in the field –done prior to funding or publication –done by using verification and repeatability of results Ensures honesty, objectivity and quality in science

20. 1-20 Facts, Laws and Theories Scientific fact –information independently verified Law of nature –description of the way matter and energy behave –results from inductive reasoning and repeated observations –written as verbal statements or mathematical formulae Theory –summary of conclusions drawn from observable facts –it provides explanations and predictions

21. 1-21 Human Origins and Adaptations Charles Darwin (1809-1882) –On the Origin of Species by Means of Natural Selection (1859) –The Descent of Man (1871) Theory of natural selection –how species originate and change through time –changed view of “our origin, our nature and our place in the universe” –increases understanding of form and function

22. 1-22 Evolution, Selection, and Adaptation Evolution –change in genetic composition of population development of bacterial resistance to antibiotics Adaptations –individuals with hereditary advantages –produce more offspring under given selection pressures (harsh climate, predators) –inheritable characteristics genetic change in the population (evolution)

23. 1-23 Animal Relations Closest relative = chimpanzee –difference of only 1.6% in DNA structure –chimpanzees and gorillas differ by 2.3% Study of evolutionary relationships –chose animals for biomedical research (the animal model) –rats and mice used extensively due to issues involved with using chimpanzees

24. 1-24 Primate Adaptations Earliest primates –squirrel-sized, arboreal, insect-eating mammals due to safety, food supply and lack of competition Adaptations for aboreal life style –mobile shoulders –opposable thumbs manipulate small objects –forward-facing eyes (stereoscopic vision) depth perception for leaping and catching prey –color vision distinguish ripe fruit –larger brains and good memory remember food sources

25. 1-25 Walking Upright African forest became grassland –millions of years ago Bipedalism –standing and walking on 2 legs –spot predators, carry food or infants Adaptations for bipedalism –skeletal and muscular modifications

26. 1-26 Australopithecus –gave rise Homo habilis (2.5mya) taller, larger brain volume, speech, tool-making Homo habilis –gave rise to Homo erectus (1.1mya) Homo erectus –gave rise to Homo sapiens (.6 to.2mya?) Diseases and imperfections from our evolutionary past Walking Upright 2

27. 1-27 Primate Phylogeny

28. 1-28 Hierarchy of complexity organism is composed of organ systems organ systems composed of organs organs composed of tissues tissues composed of cells

29. 1-29 Hierarchy of Complexity 2 Cells contain organelles Organelles composed of molecules Molecules composed of atoms

30. 1-30 Anatomical Variation No 2 humans are exactly alike –variable number of organs –variation in organ locations (situs inversus, dextrocardia, situs perversus)

31. 1-31 Characteristics of Life Organization Cellular composition Excretion Metabolism and excretion Responsiveness and movement Homeostasis Development Reproduction Evolution

32. 1-32 Physiological Variation Sex, age, diet, weight, physical activity Typical values –reference man 22 years old, 154 lbs, light physical activity consumes 2800 kcal/day –reference woman same as man except 128 lbs and 2000 kcal/day

33. 1-33 Homeostasis Claude Bernard (1813-78) –stable internal conditions regardless of external conditions Homeostasis –Walter Cannon (1871-1945) coined the term –fluctuates within limited range around a set point Loss causes illness or death

34. 1-34 Negative Feedback Loop Body senses a change and activates mechanisms to reverse it

35. 1-35 Negative Feedback, Set Point Room temperature does not stay at set point of 68 degrees -- it only averages 68 degrees

36. 1-36 Human Thermoregulation Brain senses change in blood temperature –if overheating, vessels dilate in the skin and sweating begins –if too cold, vasoconstriction in the skin and shivering begins

37. 1-37 Control of Blood Pressure Circulatory stretch receptors –detect a rise in BP Cardiac center in brainstem –sends out nerve signals Heart slowed and BP lowered

38. 1-38 Structure of Feedback Loop Receptor = senses change Integrator = control center that responds Effector = structures that restore homeostasis

39. 1-39 Positive Feedback Loops Self-amplifying change –leads to change in the same direction Normal way of producing rapid changes –occurs with childbirth, blood clotting, protein digestion, and generation of nerve signals

40. 1-40 Life-Threatening Fever Temperature > 108 degrees F –increases metabolic rate –body produces heat even faster Cycle continues to reinforce itself Becomes fatal at 113 degrees F

41. 1-41 Anatomical Terminology Medical terms from Greek and Latin roots Naming confusion during the Renaissance –same structures with different names –structures named after people (eponyms) Search for uniform international terminology –1895 Nomina Anatomica (NA) rejected all eponyms each structure = unique Latin name –Terminologia Anatomica was codified in 1998

42. 1-42 Analyzing Medical Terms Terminology based on word elements –lexicon (Appendix C) Scientific terms –one root (stem) with core meaning –combining vowels join roots –prefix modifies core meaning –suffix modifies core meaning –Acronyms first few letters of series of words

43. 1-43 Useful Tables in Textbook

44. 1-44 Review of Major Themes Cell theory –activity of cells determine structure and function Homeostasis –maintaining stable internal conditions Evolution –our body evolved by natural selection Hierarchy of structure –levels of complexity Unity of form and function –physiology is inseparable from anatomy

45. 1-45 Medical Imaging Radiography (x rays) –William Roentgen - 1885 –penetrate soft tissues and darken photographic film –dense tissue remains white Radiopaque substances –injected or swallowed –hollow structures –blood vessels –intestinal tract

46. 1-46 Medical Imaging Computed Tomography (CT scan) –low-intensity X rays and computer analysis slice type image increased sharpness Magnetic Resonance Imaging (MRI) –slice type image –best for soft tissue –Mechanics magnetic field aligns atoms radio waves realign the atoms radio turned off atoms realign to the magnetic field energy given off depending on tissue type

47. 1-47 Medical Imaging Positron Emission Tomography (PET scan) –assesses metabolic state –mechanics inject labeled glucose –positrons and electrons collide –gamma rays given off analyzed by computer –image glucose usage

48. 1-48 Medical Imaging Sonography –mechanics high-frequency sound waves echo back from internal organs –avoids harmful x rays –obstetrics –2 nd most commonly used technique