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Table of Contents

| Table of Contents | Overview | Meet the Author | Preface | What's New | Feature Summary | Supplement List | Essential Study Partner CD-ROM | PageOut | Reviewer Form | Feedback Form | Market Survey | About the Team |

Chapter 1: A Framework for Human Physiology  1

The Scope of Human Physiology  2

Mechanism and Causality  2

A Society of Cells  3

Cells: The Basic Units of Living Organisms  3

Tissues  4

Organs and Organ Systems  5

The Internal Environment and Homeostasis  5

Body-Fluid Compartments  7

Summary  9

Key Terms  9

Review Questions  9

Part One: Basic Cell Functions

Chapter 2: Chemical Composition of the Body  11

Atoms  12

Atomic Number  12

Atomic Weight  12

Atomic Composition of the Body  13

Molecules  13

Covalent Chemical Bonds  13

Molecular Shape  13

Ions  14

Free Radicals  15

Polar Molecules  16

Hydrogen Bonds  16

Water  17

Solutions  18

Molecular Solubility  18

Concentration  18

Hydrogen Ions and Acidity  20

Classes of Organic Molecules  21

Carbohydrates  21

Lipids  24

Proteins  25

Nucleic Acids  30

Summary  33

Key Terms  35

Review Questions  35

Chapter 3: Cell Structure  37

Microscopic Observations of Cells  38

Membranes  41

Membrane Structure  41

Membrane Junctions  43

Cell Organelles  45

Nucleus  45

Ribosomes  46

Endoplasmic Reticulum  46

Golgi Apparatus  47

Endosomes  48

Mitochondria  48

Lysosomes  49

Peroxisomes  49

Cytoskeleton  49

Summary  51

Key Terms  51

Review Questions  51

Chapter 4: Protein Activity and Cellular Metabolism  53

Section A  Protein Binding Sites  54

Binding Site Characteristics  54

Chemical Specificity  54

Affinity  55

Saturation  56

Competition  57

Regulation of Binding Site Characteristics  57

Allosteric Modulation  57

Covalent Modulation  59

Section A  Summary  59

Section A  Key Terms  60

Section A  Review Questions  60

Section B  Enzymes and Chemical Energy 60

Chemical Reactions  60

Determinants of Reaction Rates  61

Reversible and Irreversible Reactions  61

Law of Mass Action  62

Enzymes  62

Cofactors  63

Regulation of Enzyme-Mediated Reactions  64

Substrate Concentration  64

Enzyme Concentration  64

Enzyme Activity  65

Multienzyme Metabolic Pathways  66

ATP  67

Section B  Summary  69

Section B  Key Terms  69

Section B  Review Questions  70

Section C  Metabolic Pathways  70

Cellular Energy Transfer  70

Glycolysis  70

Krebs Cycle  73

Oxidative Phosphorylation  75

Reactive Oxygen Species  77

Carbohydrate, Fat, and Protein Metabolism  77

Carbohydrate Metabolism  77

Fat Metabolism  80

Protein and Amino Acid Metabolism  82

Fuel Metabolism Summary  84

Essential Nutrients  85

Vitamins  86

Section C  Summary  87

Section C  Key Terms  88

Section C  Review Questions  88

Chapter 4  Thought Questions  88

Chapter 5: Genetic Information and Protein Synthesis  91

Genetic Code  92

Protein Synthesis:  94

Transcription: mRNA Synthesis  94

Translation: Polypeptide Synthesis  96

Regulation of Protein Synthesis  99

Protein Degradation  100

Protein Secretion  100

Replication and Expression of Genetic Information  103

Replication of DNA  103

Cell Division  104

Mutation  107

Cancer  109

Genetic Engineering  110

Summary  112

Key Terms  113

Review Questions  114

Clinical Terms  114

Thought Questions  114

Chapter 6: Movement of Molecules Across Cell Membranes  115

Diffusion  116

Magnitude and Direction of Diffusion  116

Diffusion Rate versus Distance  118

Diffusion through Membranes  118

Mediated-Transport Systems  122

Facilitated Diffusion  124

Active Transport  124

Osmosis  130

Extracellular Osmolarity and Cell Volume  132

Endocytosis and Exocytosis  134

Endocytosis  134

Exocytosis  135

Epithelial Transport  136

Glands  138

Summary  139

Key Terms  140

Review Questions  140

Thought Questions  141

Part Two: Biological Control Systems

Chapter 7: Homeostatic Mechanisms and Cellular Communication  143

Section A  Homeostatic Control Systems 144

General Characteristics  144

Feedforward Regulation  147

Components of Homeostatic Control Systems  147

Reflexes  147

Local Homeostatic Responses  149

Intercellular Chemical Messengers  150

Paracrine/Autocrine Agents  150

Conclusion  152

Processes Related to Homeostasis  152

Acclimatization  152

Biological Rhythms  153

Regulated Cell Death: Apoptosis  154

Aging  155

Balance in the Homeostasis of Chemicals  156

Section A  Summary  157

Section A  Key Terms  158

Section A  Review Questions  158

Section B  Mechanisms by which Chemical Messengers Control Cells 159

Receptors  159

Regulation of Receptors  161

Signal Transduction Pathways  162

Pathways Initiated by Intracellular Receptors  162

Pathways Initiated by Plasma-Membrane Receptors  163

Receptors and Gene Transcription  170

Cessation of Activity in Signal Transduction Pathways  171

Section B  Summary  172

Section B  Key Terms  173

Section B  Review Questions  173

Chapter 7  Clinical Terms  174

Chapter 7  Thought Questions  174

Chapter 8: Neural Control Mechanisms  175

Section A  Neural Tissue  176

Structure and Maintenance of Neurons  176

Functional Classes of Neurons  179

Glial Cells  180

Neural Growth and Regeneration  181

Section A  Summary  182

Section A  Key Terms  182

Section A  Review Questions  182

Section B  Membrane Potentials  182

Basic Principles of Electricity  182

The Resting Membrane Potential  183

Graded Potentials and Action Potentials  188

Graded Potentials  188

Action Potentials  189

Section B  Summary  196

Section B  Key Terms  197

Section B  Review Questions  197

Section C  Synapses  197

Functional Anatomy of Synapses  198

Excitatory Chemical Synapses  199

Inhibitory Chemical Synapses  200

Activation of the Postsynaptic Cell  200

Synaptic Effectiveness  202

Modification of Synaptic Transmission by Drugs and Disease  203

Neurotransmitters and Neuromodulators  204

Acetylcholine  205

Biogenic Amines  205

Amino Acid Neurotransmitters  207

Neuropeptides  207

Miscellaneous  208

Neuroeffector Communication  208

Section C  Summary  208

Section C  Key Terms  209

Section C  Review Questions  209

Section D  Structure of the Nervous System  209

Central Nervous System: Spinal Cord  209

Central Nervous System: Brain  210

Brainstem  212

Cerebellum  212

Forebrain  212

Peripheral Nervous System  215

Autonomic Nervous System  217

Blood Supply, Blood-Brain Barrier Phenomena, and Cerebrospinal Fluid  222

Section D  Summary  223

Section D  Key Terms  224

Section D  Review Questions  224

Chapter 8  Clinical Terms  225

Chapter 8  Thought Questions  225

Chapter 9: The Sensory Systems  227

Section A  General Principles  228

Receptors  228

The Receptor Potential  229

Neural Pathways in Sensory Systems  230

Sensory Units  230

Ascending Pathways  230

Association Cortex and Perceptual Processing  232

Factors That Affect Perception  232

Primary Sensory Coding  233

Stimulus Type  233

Stimulus Intensity  234

Stimulus Location  234

Stimulus Duration  236

Central Control of Afferent Information  237

Section A  Summary  238

Section A  Key Terms  239

Section A  Review Questions  239

Section B  Specific Sensory Systems  239

Somatic Sensation  239

Touch-Pressure  239

Sense of Posture and Movement  240

Temperature  240

Pain  240

Vision  243

Light  243

The Optics of Vision  244

Photoreceptor Cells  246

Neural Pathways of Vision  248

Color Vision  249

Eye Movement  250

Hearing  250

Sound  250

Sound Transmission in the Ear  251

Hair Cells of the Organ of Corti  254

Neural Pathways in Hearing  255

Vestibular System  256

The Semicircular Canals  256

The Utricle and Saccule  257

Vestibular Information and Dysfunction  257

Chemical Senses  258

Taste  258

Smell  258

Section B  Summary  260

Section B  Key Terms  261

Section B  Review Questions  261

Chapter 9  Clinical Terms  261

Chapter 9  Thought Questions  262

Chapter 10: Principles of Hormonal Control Systems  263

Hormone Structures and Synthesis  266

Amine Hormones  266

Peptide Hormones  267

Steroid Hormones  267

Hormone Transport in the Blood  270

Hormone Metabolism and Excretion  270

Mechanisms of Hormone Action  272

Hormone Receptors  272

Events Elicited by Hormone-Receptor Binding  272

Pharmacological Effects of Hormones  273

Inputs That Control Hormone Secretion  271

Control by Plasma Concentrations of Mineral Ions or Organic Nutrients  274

Control by Neurons  274

Control by Other Hormones  275

Control Systems Involving the Hypothalamus and Pituitary  275

Posterior Pituitary Hormones  275

The Hypothalamus and Anterior Pituitary  275

Candidate Hormones  284

Types of Endocrine Disorders  285

Hyposecretion  285

Hypersecretion  285

Hyporesponsiveness and Hyperresponsiveness  286

Summary  286

Key Terms  287

Review Questions  288

Clinical Terms  288

Thought Questions  288

Chapter 11: Muscle  291

Section A  Skeletal Muscle  292

Structure  292

Molecular Mechanisms of Contraction  295

Sliding-Filament Mechanism  295

Roles of Troponin, Tropomyosin, and Calcium in Contraction  301

Excitation-Contraction Coupling  302

Membrane Excitation: The Neuromuscular Junction  305

Mechanics of Single-Fiber Contraction  308

Twitch Contractions  308

Load-Velocity Relation  309

Frequency-Tension Relation  309

Length-Tension Relation  311

Skeletal-Muscle Energy Metabolism  312

Muscle Fatigue  313

Types of Skeletal-Muscle Fibers  314

Whole-Muscle Contraction  316

Control of Muscle Tension  317

Control of Shortening Velocity  318

Muscle Adaptation to Exercise  318

Lever Action of Muscles and Bones  319

Skeletal-Muscle Disease  321

Section A  Summary  322

Section A  Key Terms  323

Section A  Review Questions  324

Section B  Smooth Muscle  324

Structure  325

Contraction and Its Control  325

Cross-Bridge Activation  325

Sources of Cytosolic Calcium  327

Membrane Activation  328

Types of Smooth Muscle  330

Section B  Summary  331

Section B  Key Terms  332

Section B  Review Questions  332

Chapter 11  Clinical Terms  332

Chapter 11  Thought Questions  332

Chapter 12: Control of Body Movement  333

Motor Control Hierarchy  333

Voluntary and Involuntary Actions  336

Local Control of Motor Neurons  337

Interneurons  337

Local Afferent Input  337

The Brain Motor Centers and the Descending Pathways They Control  342

Cerebral Cortex  342

Subcortical and Brainstem Nuclei  343

Cerebellum  344

Descending Pathways  345

Muscle Tone  346

Abnormal Muscle Tone  346

Maintenance of Upright Posture and Balance  347

Walking  349

Summary  349

Key Terms  350

Review Questions  350

Clinical Terms  350

Thought Questions  350

Chapter 13: Consciousness and Behavior  351

States of Consciousness  352

Electroencephalogram  352

The Waking State  353

Sleep  353

Neural Substrates of States of Consciousness  354

Coma and Brain Death  355

Conscious Experiences  357

Directed Attention  357

Neural Mechanisms for Conscious Experiences  358

Motivation and Emotion  360

Motivation  360

Emotion  361

Altered States of Consciousness  362

Schizophrenia  362

The Mood Disorders: Depressions and Bipolar Disorders  363

Psychoactive Substances, Dependence, and Tolerance  363

Learning and Memory  365

Memory  366

The Neural Basis of Learning and Memory  366

Cerebral Dominance and Language  368

Conclusion  370

Summary  370

Key Terms  371

Review Questions  371

Clinical Terms  371

Thought Questions  371

Part Three

Coordinated Body Functions

Chapter 14: Circulation  373

Section A  Blood  374

Plasma  375

The Blood Cells  375

Erythrocytes  375

Leukocytes  379

Platelets  380

Regulation of Blood Cell Production  380

Section A  Summary  382

Section A  Key Terms  382

Section A  Review Questions  382

Section B  Overall Design of the Cardiovascular System  382

Pressure, Flow, and Resistance  384

Section B  Summary  387

Section B  Key Terms  387

Section B  Review Questions  387

Section C  The Heart  387

Anatomy  387

Cardiac Muscle  389

Heartbeat Coordination  390

Sequence of Excitation  390

Cardiac Action Potentials and Excitation of the SA Node  392

The Electrocardiogram  393

Excitation-Contraction Coupling  394

Refractory Period of the Heart  395

Mechanical Events of the Cardiac Cycle  396

Mid-Diastole to Late Diastole  396

Systole  398

Early Diastole  399

Pulmonary Circulation Pressures  399

Heart Sounds  400

The Cardiac Output  400

Control of Heart Rate  400

Control of Stroke Volume  401

Measurement of Cardiac Function  405

Section C  Summary  405

Section C  Key Terms  406

Section C  Review Questions  406

Section D  The Vascular System  407

Arteries  407

Arterial Blood Pressure  407

Measurement of Systemic Arterial Pressure  409

Arterioles  410

Local Controls  411

Extrinsic Controls  413

Endothelial Cells and Vascular Smooth Muscle  414

Arteriolar Control in Specific Organs  415

Capillaries  415

Anatomy of the Capillary Network  417

Velocity of Capillary Blood Flow  417

Diffusion across the Capillary Wall: Exchanges of Nutrients and Metabolic End Products  419

Bulk Flow across the Capillary Wall: Distribution of the Extracellular Fluid  420

Veins  422

Determinants of Venous Pressure  423

The Lymphatic System  424

Mechanism of Lymph Fow  425

Section D  Summary  426

Section D  Key Terms  427

Section D  Review Questions  427

Section E  Integration of Cardiovascular Function: Regulation of Systemic Arterial Presseure  428

Baroreceptor Reflexes  432

Arterial Baroreceptors  432

The Medullary Cardiovascular Center  434

Operation of the Arterial Baroreceptor Reflex  434

Other Baroreceptors  436

Blood Volume and Long-Term Regulation of Arterial Pressure  436

Other Cardiovascular Reflexes and Responses  436

Section E  Summary  438

Section E  Key Terms  438

Section E  Review Questions  438

Section F  Cardiovascular Patterns in Health and Disease  438

Hemorrhage and Other Causes of Hypotension  438

Shock  439

The Upright Posture  441

Exercise  442

Maximal Oxygen Consumption and Training  444

Hypertension  446

Heart Failure  446

Coronary Artery Disease and Heart Attacks  449

Section F  Summary  451

Section F  Key Terms  452

Section F  Review Questions  452

Section G  Hemostasis: The Prevention of Blood Loss  452

Formation of a Platelet Plug  453

Blood Coagulation: Clot Formation  454

Anticlotting Systems  458

Factors That Oppose Clot Formation  458

The Fibrinolytic System  458

Anticlotting Drugs  459

Section G  Summary  460

Section G  Key Terms  461

Section G  Review Questions  461

Chapter 14  Clinical Terms  461

Chapter 14  Thought Questions  461

Chapter 15: Respiration  463

Organization of the Respiratory System  464

The Airways and Blood Vessels  464

Site of Gas Exchange: The Alveoli  466

Relation of the Lungs to the Thoracic (Chest) Wall  467

Ventilation and Lung Mechanics  468

The Stable Balance between Breaths  469

Inspiration  470

Expiration  471

Lung Compliance  471

Airway Resistance  474

Lung Volumes and Capacities  475

Alveolar Ventilation  476

Exchange of Gases in Alveoli and Tissues  478

Partial Pressures of Gases  478

Alveolar Gas Pressures  480

Alveolar-Blood Gas Exchange  482

Matching of Ventilation and Blood Flow in Alveoli  483

Gas Exchange in the Tissues  483

Transport of Oxygen in Blood  483

Effect of PO2 on Hemoglobin Saturation  484

Effects of Blood PCO2, Hð+ Concentration, Temperature, and DPG Concentration on Hemoglobin Saturation  487

Transport of Carbon Dioxide in Blood  488

Transport of Hydrogen Ions between Tissues and Lungs  489

Control of Respiration  490

Neural Generation of Rhythmical Breathing  490

Control of Ventilation by PO2, PCO2, and Hð+ Concentration  491

Control of Ventilation during Exercise  495

Other Ventilatory Responses  497

Hypoxia  498

Emphysema  499

Acclimatization to High Altitude  499

Nonrespiratory Functions of the Lungs  500

Summary  500

Key Terms  502

Review Questions  503

Clinical Terms  504

Thought Questions  504

Chapter 16

The Kidneys and Regulation of Water and Inorganic Ions  505

Section A  Basic Principles of Renal Physiology  506

Renal Functions  506

Structure of the Kidneys and Urinary System  507

Basic Renal Processes  510

Glomerular Filtration  512

Tubular Reabsorption  513

Tubular Secretion  515

Metabolism by the Tubules  516

Regulation of Membrane Channels and Transporters  516

"Division of Labor" in the Tubules  516

The Concept of Renal Clearance  516

Micturition  517

Section A  Summary  519

Section A  Key Terms  519

Section A  Review Questions  520

Section B  Regulation of Sodium, Water, and Potassium Balance  520

Total-Body Balance of Sodium and Water  520

Basic Renal Processes for Sodium and Water  521

Primary Active Sodium Reabsorption  521

Coupling of Water Reabsorption to Sodium Reabsorption  521

Urine Concentration: The Countercurrent Multiplier System  523

Renal Sodium Regulation  525

Control of GFR  526

Control of Sodium Reabsorption  526

Renal Water Regulation  530

Baroreceptor Control of Vasopressin Secretion  531

Osmoreceptor Control of Vasopressin Secretion  531

A Summary Example: The Response to Sweating  532

Thirst and Salt Appetite  532

Potassium Regulation  534

Renal Regulation of Potassium  535

Section B  Summary  536

Section B  Key Terms  537

Section B  Review Questions  537

Section C  Calcium Regulation  538

Effector Sites for Calcium Homeostasis  538

Bone  538

Kidneys  539

Gastrointestinal Tract  539

Hormonal Controls  539

Parathyroid Hormone  540

1,25-Dihydroxyvitamin D3  541

Calcitonin  541

Metabolic Bone Diseases  542

Section C  Summary  542

Section C  Key Terms  542

Section C  Review Questions  542

Section D  Hydrogen-Ion Regulation  543

Sources of Hydrogen-Ion Gain or Loss  543

Buffering of Hydrogen Ions in the Body  544

Integration of Homeostatic Controls  544

Renal Mechanisms  544

Bicarbonate Handling  545

Addition of New Bicarbonate to the Plasma  545

Renal Responses to Acidosis and Alkalosis  547

Classification of Acidosis and Alkalosis  547

Section D  Summary  548

Section D  Key Terms  548

Section D  Review Questions  548

Section E  Diuretics and Kidney Disease  549

Diuretics  549

Kidney Disease  549

Hemodialysis, Peritoneal Dialysis, and Transplantation  550

Section E  Summary  551

Chapter 16  Clinical Terms  551

Chapter 16  Thought Questions  551

Chapter 17: The Digestion and Absorption of Food  553

Overview: Functions of the Gastrointestinal Organs  555

Structure of the Gastrointestinal Tract Wall  559

Digestion and Absorption  562

Carbohydrate  562

Protein  562

Fat  563

Vitamins  565

Water and Minerals  565

Regulation of Gastrointestinal Processes  566

Basic Principles  566

Mouth, Pharynx, and Esophagus  569

Stomach  571

Pancreatic Secretions  578

Bile Secretion  579

Small Intestine  581

Large Intestine  583

Pathophysiology of the Gastrointestinal Tract  584

Ulcers  584

Vomiting  585

Gallstones  585

Lactose Intolerance  586

Constipation and Diarrhea  586

Summary  587

Key Terms  590

Review Questions  590

Clinical Terms  591

Thought Questions  591

Chapter 18: Regulation of Organic Metabolism, Growth, and Energy Balance  593

Section A  Control and Integration of Carbohydrate, Protein, and Fat Metabolism  594

Events of the Absorptive and Postabsorptive States  594

Absorptive State  594

Postabsorptive State  597

Endocrine and Neural Control of the Absorptive and Postabsorptive States  599

Insulin  600

Glucagon  603

Epinephrine and Sympathetic Nerves to Liver and Adipose Tissue  604

Other Hormones  604

Summary of Hormonal Controls  606

Fuel Homeostasis in Exercise and Stress  606

Diabetes Mellitus  607

Hypoglycemia as a Cause of Symptoms  610

Regulation of Plasma Cholesterol  610

Section A  Summary  612

Section A  Key Terms  613

Section A  Review Questions  613

Section B  Control of Growth  613

Bone Growth  613

Environmental Factors Influencing Growth  613

Hormonal Influences on Growth  613

Growth Hormone and Insulin-like Growth Factors  615

Thyroid Hormones  616

Insulin  616

Sex Hormones  617

Cortisol  617

Compensatory Growth  618

Section B  Summary  618

Section B  Key Terms  618

Section B  Review Questions  618

Section C  Regulation of Total-Body Energy Balance and Temperature  619

Basic Concepts of Energy Expenditure  619

Metabolic Rate  619

Regulation of Total-Body Energy Stores  621

Control of Food Intake  622

Overweight and Obesity  623

Eating Disorders: Anorexia Nervosa and Bulimia  625

What Should We Eat?  625

Regulation of Body Temperature  626

Mechanisms of Heat Loss or Gain  626

Temperature-Regulating Reflexes  627

Temperature Acclimatization  630

Fever and Hyperthermia  630

Section C  Summary  632

Section C  Key Terms  633

Section C  Review Questions  633

Chapter 18  Clinical Terms  633

Chapter 18  Thought Questions  634

Chapter 19: Reproduction  635

Section A  General Terminology and Concepts  636

General Principles of Gametogenesis  637

Section A  Summary  639

Section A  Key Terms  639

Section A  Review Question  639

Section B  Male Reproductive Physiology  639

Anatomy  639

Spermatogenesis  641

Transport of Sperm  644

Erection  644

Ejaculation  646

Hormonal Control of Male Reproductive Functions  646

Control of the Testes  646

Testosterone  647

Section B  Summary  648

Section B  Key Terms  648

Section B  Review Questions  649

Section C  Female Reproductive Physiology  649

Anatomy  649

Ovarian Function  651

Oogenesis  651

Follicle Growth  652

Formation of the Corpus Luteum  653

Sites of Secretion of Ovarian Hormones  654

Control of Ovarian Function  654

Follicle Development and Estrogen Secretion during the Early and Middle Follicular Phases  656

LH Surge and Ovulation  657

The Luteal Phase  658

Uterine Changes in the Menstrual Cycle  659

Other Effects of Estrogen and Progesterone  661

Androgens in Women  662

Female Sexual Response  663

Pregnancy  663

Egg Transport  663

Sperm Transport and Capacitation  663

Fertilization  664

Early Development, Implantation, and Placentation  665

Hormonal and Other Changes during Pregnancy  668

Parturition  669

Lactation  673

Contraception  677

Infertility  677

Section C  Summary  678

Section C  Key Terms  679

Section C  Review Questions  679

Section D  The Chronology of Reproductive Function  680

Sex Determination  680

Sex Differentiation  680

Differentiation of the Gonads  680

Differentiation of Internal and External Genitalia  681

Sexual Differentiation of the Central Nervous System and Homosexuality  681

Puberty  681

Menopause  683

Section D  Summary  684

Section D  Key Terms  684

Section D  Review Questions  685

Chapter 19  Clinical Terms  685

Chapter 19  Thought Questions  685

Chapter 20: Defense Mechanisms of the Body  687

Section A  Immunology: Defenses Against Foreign Matter  688

Cells Mediating Immune Defenses  688

Cytokines  690

Nonspecific Immune Defenses  690

Defenses at Body Surfaces  691

Inflammation  691

Interferons  695

Specific Immune Defenses  696

Overview  696

Lymphoid Organs and Lymphocyte Origins  697

Functions of B Cells and T Cells  698

Lymphocyte Receptors  701

Antigen Presentation to T Cells  702

NK Cells  704

Development of Immune Tolerance  704

Antibody-Mediated Immune Responses: Defenses against Bacteria, Extracellular Viruses, and Toxins  705

Defenses against Virus-Infected Cells and Cancer Cells  710

Systemic Manifestations of Infection  712

Factors That Alter the Body's Resistance to Infection  714

Acquired Immune Deficiency Syndrome (AIDS)  715

Antibiotics  716

Harmful Immune Responses  716

Graft Rejection  716

Transfusion Reactions  717

Allergy (Hypersensitivity)  718

Autoimmune Disease  720

Excessive Inflammatory Responses  720

Section A  Summary  722

Section A  Key Terms  724

Section A  Review Questions  725

Section B  Toxicology: The Metabolism of Environmental Chemicals  725

Absorption  727

Storage Sites  727

Excretion  727

Biotransformation  727

Section B  Summary  728

Section B  Key Terms  728

Section B  Review Questions  728

Section C  Resistance to Stress  728

Functions of Cortisol in Stress  729

Functions of the Sympathetic Nervous System in Stress  730

Other Hormones Released During Stress  730

Psychological Stress and Disease  731

Section C  Summary  731

Section C  Key Terms  731

Section C  Review Questions  732

Chapter 20  Clinical Terms  732

Chapter 20  Thought Questions  732

Appendix A

Answers to Thought Questions  733

Appendix B

Glossary  743

Appendix C

English and Metric Units  776

Appendix D

Electrophysiology Equations  777

Appendix E

Outline of Exercise Physiology  778

Credits  779

References for Figure Adaptations  780

Index  781


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