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Course Sheet Academic Year of enrolment:
Professor and Collaborators:
Hours of classroom activity:
Prerequisites:
Physiology is an integrative discipline that - to be successfully followed and learned in class
(and successfully studied for passing the exam) requires that the student has acquired basic knowledge of Chemistry, Biochemistry, Physics, Histology, and Anatomy.
For the aforementioned reasons - before being admitted to the exam of Human Physiology - the student must have passed the exam of Human Anatomy.
Objectives
Contents 1. Introduction to Physiology.
2. Neuron and generation of electrical signals.
3. Skeletal Muscle: structure and function.
4. Smooth Muscle: structure and function.
5.Cardicac Muscle: structure and function.
6. Physiology of the Cardiovascular System.
7. Physiology of the Respiratory System.
Extended Syllabus Introduction to Physiology.
1.1 Definition of Physiology and its areas of interest; concept of internal and external environment for the cell and for the organism; concept of homeostasis.
1.2 General characteristics of plasma membranes; fluid mosaic model; integral and associated membrane proteins; receptors and transport proteins; difference between carriers and channels.
1.3 The movement of substances through membranes and epithelia; concept of simple or mediated diffusion through membranes; active transport; concept of uniport, symport, and antiport: the examples of Na+/K+ pump and of the Na + -glucose symport; transport by vesicles: exocytosis, endocytosis and transcytosis.
1.4 Distribution of solutes in the different liquid compartments of the organism (schematic drawing); resting membrane potential; equilibrium potentials of Na+ and K+.
2. Neuron physiology and generation of electrical signals.
2.1 Nervous system’s functional anatomy organization: central and peripheral nervous system2.2Structure of the neuron (schematic drawing of its different parts); glial cells; myelin sheath; axonal transport.
2.3 Resting membrane potential of neurons; changes in membrane potential and generation of signals; concept of depolarization and hyperpolarization; the generation of graduated potentials (graph); concept of subthreshold and suprathreshold potential (graph); spatial and temporal summation of graduated potentials; action potential (graph); absolute and relative refractory periods (graph);
2.4 Communication between neurons: chemical synapses (schematic drawing of its different parts) and electrical synapses; mechanisms of release and inactivation of neurotransmitters in chemical synapses; concept of convergence and divergence of the signal; concept of stimulus intensity: how the discharge frequency/pattern of neuron influence the release of the neuro-transmitters.
3. Skeletal Muscle: structure and function.
3.1 The three types of muscle in our body: skeletal, cardiac and smooth; general structure of skeletal muscle fibers: myofibrils, sarcomeres, and membrane systems.
3.2 The excitation-contraction (EC) coupling
mechanism and the transduction of the electrical into a chemical signal; transversal tubules and sarcoplasmic reticulum; the voltage sensor (DHPR); the Ca2+-release channel of the sarcoplasmic reticulum (RYR); the triad or calcium release unit (schematic drawing of its different parts); differences between skeletal and cardiac EC coupling.
3.3 The sarcomere (schematic drawing of the organization of filaments, lines, and bands); the main sarcomeric proteins: contractile, regulatory and accessory; role of troponin and tropomyosin in the activation of the contraction; myosin head cycle; tension-length regulation curve of the sarcomere (graph); concept of motor unit and recruitment.
3.4 Classification of muscle fibers based on metabolism and speed of contraction ;classification of fibers in red and white; functional differences between slow, intermediate and fast fibers;
3.5 Contraction mechanics: relationship between electrical and mechanical events; simple twitch (graph), summation mechanism (graph), incomplete and complete tetanus (graphs); definition of fatigue (graph); isometric and isotonic contractions (and role of elastic and contractile components).
4. Smooth muscle: structure and function
4.1 Ultrastructure of smooth muscle
4.2 Activation of smooth muscle contruction: role of phosphorylation and calcium
5. Cardiac muscle: structure and function
5.1 Ultrastructure of cardiomyocite: role of intercalated discs
5.2 The excitation-contraction (EC) coupling: calcium release induced by calcium
6. Physiology of the Cardiovascular System.
6.1 Introduction to the cardiovascular system: anatomy and general functions.
6.2 The heart : pacemaker and contractile tissues; contractile myocardial cells and intercalated disks (schematic drawing); the conduction system (schematic drawing of its various components); the action potential of pacemaker cells (graph); the action potential of contractile cells (graph); the cardiac cycle explained with the 5 phases; the cardiac cycle explained with the pressure-volume curve of the left ventricle (graph); cardiac output (formula); Frank-Starling's law (graph).
6.3 Large and small circulation; arterial pressure and its measurement (concept of systolic and diastolic pressure); mean arterial pressure and factors affecting it; structure contractile components).
7. Physiology of the Respiratory System.
7.1 Introduction to the respiratory system: anatomy and general functions; the reasons for an internalized respiratory system; upper and lower airways; structure of the lung and alveoli; the pleurae and their role in ventilation; inspiratory and expiratory muscles; concepts of lung compliance and elasticity; concept of instability of the alveoli; the four phases of external respiration.
7.2 Ventilation (inhalation and exhalation) and air exchange be; the laws of gases; muscles involved in ventilation at rest and under stress; ventilation mechanics; spirometry and measurement of pulmonary volumes and capacities (graph); concept of pulmonary and alveolar ventilation (formulas); gas exchange between alveoli and blood; hyperventilation and hypoventilation curve (graph).
7.3 Transport of gasses in the blood and gas exchange blood-tissues; transport of O2; hemoglobin/ O2 dissociation curve (graph);
effects of pH (Bohr effect) and temperature on the hemoglobin/ O2 dissociation curve; blood transport of CO2 and its effect on blood pH.
7.4 Reflex control of breathing (schematic drawing of its functioning); respiratory centers of medulla oblongata and pons Varolii; dorsal and ventral respiratory groups; central and peripheral chemoreceptors.
Recommended Bibliography The student will find and study the topics covered in class (listed in detail in the extended program, see below) in several books of Human Physiology available on the market. Following some of the text books among which the student could choose:
1. Human Physiology (or Physiology): an integrated approach. Author: Dee Unglaub Silverthorn.
2. VANDER- Physiology. Second edition; Authors: Eric P. Widmaier, Hershel Raff, Kevin T. Strang.
3.Human Physiology: from cells to systems. Author: Lauralee Sherwood.
4. Fundamentals of Human Physiology. Author: Lauralee Sherwood
Teaching Methods Teaching is structured in 20 hours of frontal teaching (for a total amount of 2 CFU), divided into 10 lessons of 2 hours each according to the educational calendar. The frontal teaching will be supported by the projection of slides (prepared by the teacher) and movie-animations related to the topics covered. Attendance is recommended, and in any case must respect the maximum number of absences established by the University, with the exam being the same for everyone
Evaluation methods Verification of learning:
REFERED TO UNIVERSITY DIDATTICAL GUIDELINES Art. 32 Exams and profit tests
The exam will consist of an oral test. If the exams will not be completed in one day due to excessive numbers of students, the exam will be completed the first available day.
The final grade of the C.I. will be the result of the weighted average on the number of CFU of the final marks obtained in the individual modules.
More specifically:
1. the vote of the single module is multiplied by its value in CFU;
2. all the results obtained are added;
3. the credits of the C.I. (6 CFU);
4. divide the result obtained from the calculation in point 2. for the result obtained from the calculation referred to in point 3.
Example: Physiology: 2 CFU, 30/30 General Pathology: 3 CFU, 22/30 Clinical Pathology: 1 CFU, 30/30
The weighted average is calculated as follows: (30 * 2) + (22 * 3) + (30 * 1) /6=26/30.
Rounding rules: the final vote will be rounded down if the decimal place is less than or equal to 4.
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