- •Запорожець т.М., ткаченко о.В.
- •Content module 1: introduction to physiology lesson 1 Physiology subject and tasks. Physiological investigations methods. Excitability. Excitement. Irritation laws.
- •Importance of Chronaxie
- •Materials for auditory self-work.
- •Task 2. To prepare nervous-muscular preparation.
- •Task 3. Nerve and muscle excitability measurement.
- •Task 4. Muscles contractions dependence on single irritations force.
- •Task 5. Draw and analize the curve “force-time”.
- •Literature recommended:
- •Materials for self-control: Control questions:
- •Content module 2: “excitable tissues physiology” lesson 2 Nervous and muscular fibers resting potential and action potential.
- •1. The topic studied actuality.
- •Electrical changes during muscular contraction
- •Resting membrane potential
- •Action potential
- •Repolarization
- •Action potential curve
- •Latent Period
- •Importance of intracellular potassium ions:
- •Action Potential
- •Refractory period
- •Excitability changings (figure of action potentials phases and excitability changings correlation)
- •4.Materials for auditory self-work.
- •Task 1. Galwani’s first experiment.
- •Task 2. Galwani’s second experiment (contraction without metal).
- •Task 3. K.Matteuchi’s experiment.
- •5. Literature recommended:
- •6. Materials for self-control:
- •Lesson 3 Nervous and muscular fibers electrical irritation mechanisms investigation. Electromyography.
- •1. The topic studied actuality.
- •III. Fibrillation and denervation hypersensitivity
- •IV. Myasthenia gravis
- •Emg application in dentistry different branches
- •Emg application in therapeutical dentistry.
- •Emg application in surgical dentistry.
- •Emg application in orthopedical dentistry.
- •Emg application in children dentistry and orthodonthia.
- •3.2. Topic content.
- •Materials for auditory self-work.
- •5. Literature recommended:
- •6. Materials for self-control:
- •Lesson 4 Skeletal muscles contraction mechanisms investigation
- •1. The topic studied actuality.
- •Skeletal Muscle
- •Sarcomere
- •Composition of muscle
- •In Skeletal Muscle
- •Tongue, lips muscles and masticatory muscles contractive types and regimes at conversation.
- •Contractive types and regimens at mastication.
- •Masticatory muscles physiological properties. Masticatory musculature force and work.
- •The new in the world of masticatory muscles physiology and functional anatomy
- •4. Materials for auditory self-work.
- •Task 1. Skeletal muscle contractions curves registration
- •Task 2. Dynamometry
- •Literature recommended:
- •Materials for self-control:
- •Lesson 5 Skeletal and smooth muscles comparative characteristics.
- •Skeletal and smooth muscles comparative characteristics
- •Further events (common for skeletal and smooth muscles) –
- •4.Materials for auditory self-work.
- •4.1. List of study practical tasks necessary to perform at the practical class.
- •Task 1. Frog’s stomach smooth muscles contractions registration
- •Task 2. To compare frog skeletal and smooth muscle to chemicals
- •5. Literature recommended:
- •6.Materials for self-control:
- •Lesson 6 Excitation transmission investigation through nervous fibers and nervous-muscular synapses
- •1. The topic studied actuality.
- •3.2.Topic content.
- •Neuronal theory.
- •Electrical theory.
- •Chemical theory
- •2 Main types:
- •Functions:
- •Functions:
- •Functions:
- •Functions of Myelin Sheath
- •Neurilemma
- •Mechanism of Saltatory Conduction
- •Nervous fibers properties
- •Synapses physiology
- •4 Main mediators groups:
- •Functions of synapse
- •Electrical Synapse or Ephapse
- •Chemical Synapse
- •Mechanism of Development of epsp
- •Properties of epsp
- •Significance of epsp
- •1. Postsynaptic Inhibition
- •Action of gaba—ipsp
- •2.Presynaptic Inhibition
- •3.Renshaw Cell Inhibition
- •Materials for auditory self-work.
- •4.1.List of study practical tasks necessary to perform at the practical class.
- •Task 1. Isolated impulse conducting law (through nervous fibers).
- •Task 2. Two-sized conduction law.
- •Task 3. Physiological integrity law.
- •Task 4. To study fatigue (tiredness) ability in synapse.
- •Literature recommended:
- •Materials for self-control:
- •Control questions:
- •Lesson 7 Practical experience management on content credit 1,2: “Excitable tissues physiology”
- •Content credit 3: “organism functions nervous regulation” lesson 8 Reflex arc investigation. Receptors physiology.
- •1.The topic studied actuality.
- •3.2. Topic content.
- •1. Somatic Nervous System
- •2. Autonomic Nervous System
- •V.According to receptors localization:
- •VI.According to biological significance:
- •VIII.According to ending result:
- •2. Visceroreceptors:
- •Facial-mandibular region receptors
- •Classification:
- •Significance of Receptor Potential
- •Mechanism of Development of Receptor Potential and Generation of Action Potential in the Nerve Fiber
- •4.Materials for auditory self-work.
- •4.1. List of study practical tasks necessary to perform at the practical class.
- •Task 1. Receptive field definition.
- •Task 2. Reflex arc analysis.
- •Task 3. Gustatory receptors functional mobility determining (before and after eating).
- •5. Literature recommended:
- •6.Materials for self-control:
- •Lesson 9 Excitement processes investigation in cns. Inhibition processes investigation in cns.
- •1. The topic studied actuality.
- •3.2.Topic content.
- •Inhibiting in cns
- •4.Materials for auditory self-work.
- •Task 1. Temporary excitement summation.
- •Task 2. Excitement summation.
- •5. Literature recommended:
- •6.Materials for self-control:
- •Lesson 10 Reflex activity co-ordination mechanisms investigation.
- •1.The topic studied actuality.
- •3.2.Topic content.
- •4.Materials for auditory self-work.
- •4.1.List of study practical tasks necessary to perform at the practical class.
- •Task 1. Excitement irradiation in central nervous system.
- •5.Literature recommended:
- •Materials for self-control:
- •Control questions:
- •Content module 4: “cns role in motor functions regulation”
- •Lesson 11 Spinal cord physiology. Spinal cord role investigation in motor organism functions regulation
- •1.Topic studied actuality:
- •2. Study aims:
- •3.2. Topic content.
- •Internal structures of spinal cord
- •Neurons in Anterior Gray Horn
- •Neurons in Lateral Gray Horn
- •Neurons in Posterior Gray Horn
- •Spinal proper functions:
- •Spine vegetative functions:
- •Spine afferent ways:
- •Efferent ways:
- •Pyramidal tracts
- •Termination
- •Function
- •Effects of Lesion
- •Materials for auditory self-work.
- •Task 1. To investigate muscular tone in human being
- •Task 3. Deep (prophound) spinal reflexes investigation
- •5. Literature recommended:
- •Materials for self-control:
- •Lesson 12 Somato-sensor system investigation (skin and proprioceptive sensitivity, nociceptive sensitivity)
- •1.Topic studied actuality.
- •2 Main reasons:
- •Injured organ oxygen consumption inhibiting
- •Insufficiency in it
- •Pain classification:
- •Conductive ways
- •Visceral pain
- •Referred pain
- •3 Variants of pain theory:
- •Situation
- •Termination
- •Function
- •Situation
- •Termination
- •Function
- •Situation
- •Termination
- •Functions
- •Ascending tracts of spinal cord
- •Descending tracts of spinal cord
- •Sensory pathways
- •Pain projective zones at different teeth diseases
- •Dental pain conductive tracts and central mechanisms
- •4. Materials for auditory self-work.
- •4.1.List of study practical tasks necessary to perform at the practical class.
- •Task 1. To investigate hands and face skin pain sensitivity
- •Task 2. Temperature sensitivity investigation on hand
- •Task 3. Muscular-articular sensitivity investigation
- •Task 4. Pressure and weight sense investigation (Weber-Fechner’s law)
- •Task 5. Complicated sensitivity types investigation.
- •5. Literature recommended:
- •6. Materials for self- control:
- •Lesson 13 Posterior brain physiology. Posterior brain role investigation in motor and sensor functions regulation
- •1. The topic studied actuality.
- •2. Study aims:
- •3.1.Basic knowledge, skills, experiences, necessary for study the topic:
- •3.2. Topic content.
- •Medulla oblongata functions:
- •Pons cerebri
- •4. Materials for auditory self-work.
- •Task 1. Trigeminal nerve (V-th pair investigation)
- •Task 2. Facial nerve (VII-th pair) investigation
- •Task 3. Glossopharyngeal nerve (IX-th pair) investigation
- •Task 4. Accessory nerve (XI-th pair) investigation
- •Task 5. Hypoglossal nerve (XII-th pair) investigation
- •5. Literature recommended:
- •6. Materials for self- control:
- •Lesson 14 Midbrain physiology. Midbrain role investigation in motor and sensor functions regulation
- •1. The topic studied actuality.
- •3.2. Topic content.
- •Superior Colliculus
- •Red Nucleus
- •Connections of Red Nucleus
- •Task 2. Stato-kinetic human reflexes.
- •Task 3. Investigate static and stato-kinetic reflexes in guinea pig.
- •5. Literature recommended:
- •Control questions:
- •Lesson 15 Cerebellum, diencephalon, subcortex nuclei physiology, their role in organism motor functions regulation
- •1. The topic studied actuality.
- •Structural organization of a cerebellum.
- •Functions of cerebellum
- •Cerebellum and its connections
- •Signs of a cerebellum lesion
- •Signs of a pallidum lesion.
- •Signs of a striate body lesion. Striatic syndrome.
- •2. Study aims:
- •3.2.Topic content.
- •Intermediate brain physiology
- •Functions:
- •Functions
- •1. Secretion of posterior pituitary hormones
- •2. Control of anterior pituitary
- •3. Control of adrenal cortex
- •4. Control of adrenal medulla
- •5. Regulation of body temperature
- •10. Regulation of water balance
- •11. Regulation of sleep and wakefulness
- •12. Role in behavior and emotional changes
- •13. Regulation of sexual function
- •14. Regulation of response to smell
- •15. Role in circadian rhythm
- •Cerebellum physiology
- •Interneuronal activity in cerebellum
- •Components and connections of functional divisions of cerebellum
- •Corticocerebellum (neocerebellum)
- •Functions of cerebellum
- •Connections of basal ganglia
- •1. Control of voluntary motor activity
- •2. Control of muscle tone
- •3. Control of reflex muscular activity
- •4. Control of automatic associated movements
- •5. Role in arousal (excitive) mechanism
- •4.Materials for auditory self-work.
- •4.1.List of study practical tasks necessary to perform at the practical class.
- •Task 1. To investigate movement co-ordination
- •Task 2. Asynergy investigation
- •Task 3. Dynamic ataxy investigation
- •Task 4. To put the attention to:
- •1. Literature recommended:
- •Materials for self-control:
- •Lesson 16 Practical experiences management on content credit 4: “cns role in motor functions regulation”
- •1. The topic studied actuality.
- •2. Study aims:
- •Topic content.
- •Ans is divided into 3 main parts:
- •Vegetative and somatic nervous system comparative characteristics
- •Ans mediator mechanisms
- •Organs with monosympathetic innervation:
- •Organs with monoparasympathetic innervation:
- •Vegetative ganglii features:
- •Effects of autonomic nervous system of selected organs
- •Metasympathetic nervous system (mns)
- •Mns functions:
- •2. Materials for auditory self-work.
- •Task 1. To perform pupils investigation
- •Task 2. Reflex to eyes convergence
- •Task 3. Vasomotor skin functions investigation
- •Task 4. Dermographism
- •Task 5. Erben’s reflex
- •Task 6. Abrams’ reflex
- •Literature recommended:
- •Materials for self-control:
- •Control questions:
- •Hormones synthesis, secretion and releasing. Hormones classification (according to their chemical structure):
- •Interrelations between nervous and humoral mechanisms in physiological functions regulation.
- •6. Materials for self-control:
- •Control questions:
- •Lesson 19 Hormones role in psychical and physical development, linear body growth, adaptation, homeostasis regulation.
- •1. The topic studied actuality.
- •2.Study aims:
- •Corticotropine main effects:
- •Thyreotropine main effects:
- •Gonadotropines main effects:
- •Oxytocine main effects:
- •Vasopressine main effects:
- •Glucocorticoids effects-1
- •Glucocorticoids effects-2
- •Glucocorticoids effects-3
- •Vascular effects:
- •Glucocorticoids metabolic effects
- •Mineralocorticoids main effects:
- •Adrenaline main effects:
- •Adrenaline metabolic effects;
- •Somatotropine main effects:
- •Prolactine main effects:
- •Male sexual hormones
- •Inhibine
- •Progesterone functions:
- •Stress, general adaptation syndrome.
- •General adaptational syndrome morphological features.
- •Stress-inducing and stress-limiting systems. Diseases of adaptation
- •Stress-triggers or stressors:
- •4. Materials for auditory self-work.
- •Task 1. To investigate adrenaline influence on pupil width
- •Task 2. To observe pituitrine action to melanoforme cells
- •Task 3. To observe insuline action on white mice
- •Task 4. Spermatozoid reaction of Gally-Maininy
- •5. Literature recommended:
- •6. Materials for self-control:
- •Credit control on module 1: “general physiology”. Questions list for credit module control module 1
- •Content module 5. Autonomic nervous system role in visceral functions regulation.
- •Content module 6.
- •Visceral functions humoral regulation and endocrine glands role in regulation.
- •Tests for self-control:
- •Tasks for self-control
- •1. Introduction.
- •3. Ending aims of studying the subject “Normal Physiology”.
- •4. Module 1: General physiology
- •4.3. The student self-work types
- •4.4. Individual tasks list:
- •4.5. Credit modules assessment methodics.
- •4.6. Theoretical questions list for students preparing to credit module control
- •4.7. Practical tasks and works list to the credit module control Module 1: General Physiology Practical skills on excitive structures physiology.
- •Practical skills on organism functions nervous regulation physiology and cns role in motor functions regulation.
- •4.8. Literature recommended on the subject “Normal Physiology”.
- •Literature recommended
4.Materials for auditory self-work.
4.1.List of study practical tasks necessary to perform at the practical class.
Materials and methods: current source, electrodes, preparating plank, glass plate, kymograph, current source, metronome, cotton wool, napkin, sodium chloridum, 0,5% solution of sulfuric acid.
Investigation object: frog.
Task 1. Excitement irradiation in central nervous system.
The experiment should be performed in spinal frog. Chemical or mechanical stimulus is performed for irritation. The students must irritate spinal frog’s leg by nipping with tweezers or sulfuric acid solution. The animal must jerk only one of his leg back (the stimulus must be weak). Then it’s necessary to increase the irritation force.
To compare the answer reactions. To make the conclusion.
5.Literature recommended:
1. Lecture course.
2 Mistchenko V.P., Tkachenko E.V. Methodical instructions for medical students (short lecture course).-Poltava, 2005.-P. 14.
3. Mistchenko V.P., Tkachenko E.V. Methodical instructions on Normal Physiology on practical classes for dental and medical students.-Poltava, 2005.-P.34-35.
4. Ganong W.F. Review of Medical Physiology.-21st ed.-2003.-Section II.
5. Guyton A.C. Textbook of Medical Physiology.-NY, 1992.-P. 562-571.
Materials for self-control:
Control questions:
Interaction between excitement and inhibiting processes as a base of reflexes co-ordination.
Irradiation (elective, diffused) and divergence.
General ending way principle.
Convergence and concentration.
Dominanta. Dominant locus features.
Feed-back binding or reverse afferentation principle.
Synergic and antagonistic reflexes.
Content module 4: “cns role in motor functions regulation”
First of all, we would like to tell few words about new investigative methods used in neurology and neurophysiology for nervous system functions assessment.
Method of surgical extirpations. It includes different brain structures removal, their mechanical destruction or coagulation with constant current anode. Brain structures functional switching off is achieved by their cooling or anodic polarization. This method disadvantage is expressed in haemorrhagias in the injury zone and further irritation with forming scared tissue. This method separate type is brain tissue local extirpation through injected canules.
Method of different brain structures electrical and chemical irritation. It includes naked brain structures irritation. German investigators G.Frich and E.Gitzig were the first who have performed brain cortex direct irritation. This method is also non-exact and rough. It is accompanied by cerebral sheathes section, intracerebral pressure disorders and others.
Stereotaxic method of irritating electrodes introducing got wide distribution. It is performed in brain definite points through trepanative foramens in skull.
Animal head under narcosis is fixated in stereotaxic device with fixators injected in auricular meatuses, for orbitae inferior limbs or maxillae. Stereotaxic atlases for definite animals are used for electrodes orientation in brain. Brain serial cuttings in frontal, horizontal and sagittal planes are represented in them. The counting is performed from zero planes. In cats, for example, frontal zero plane passes through external acoustic meatuses. Horizontal zero plane – 10 mm higher than external acoustic meatuses. Zero sagittal plane coincides to sagittal suture. Frontal plane is chosen for electrodes putting because necessary structure is the most distinctly visual here (for example, numerals for hypothalamus are equal to: F=12 mm, L=2 mm, H=12 mm).
Introduced electrode is fixated in electrode holder. First of all, holder should be located so that electrode end was located above frontal plane. Than electrode holder must be putted 12 mm forward and 2 mm laterally. Foramen must be drilled in the point in skull bone. Electrode is putted in 12 mm in depth. X-ray-scopy controls additionally electrodes ends location in brain.
Stereotaxises for human being with special atlases are performed for clinical aims.
Brain structures irritation can be made (except ends) with isolated bipolar electrodes (distance between their ends are 0,5 mm and less) or unipolarly when indifferent electrode is located above nasal sinus or in muscle.
Canules-chemotrodes are used for brain structures chemical stimulation. Brain irritation can be performed by contact or by telestimulation.
Method of functional degeneration. One can see degeneration of synapses and neurons of brain parts located below at axons cutting for example of brain cortex pyramidal neurons.
Method of horseradish peroxidase. Horseradish peroxidase injection in brain definite parts causes reaction in neighboring brain locuses.
Strichnin neuronography. Strichnin application to definite brain locuses leads to spike activity not only in application point but also in brain structures connected with them.
Chemicals application, microionophoresis. Synaptic transmission blockators or activator application can be performed directly to brain cortex or by way of their giving through electrodes (chemotrodes) to different deep brain structures. Substances can be applicated to the separate brain neurons through microcanules by charges electrical pushing away – microionophoresis.
Microdialysis. It is performed by liquids microdoses taking from brain definite structures at experimental animals definite states with special micropumps.
Method of caused potentials. Caused potentials are registrated in different subcortical structures at singular irritations applying to the peripheral receptors or afferent nervous fibers in cortex projectional zones.
Caused potentials in cortex projectional zones have following phases:
primary positive potential – it occurs due to axo-somatic synapses excitement on neurons of the 3rd-4th cortex layer;
primary negative potential - it occurs due to axo-somatic synapses excitement on neurons of the 3rd-4th cortex layer inhibiting;
secondary potentials – are determined by axo-dendrite synapses excitement.
Different distribution maps are observed at different narcosis types for instance of somato-sensor caused potentials through brain cortex which indicates to different drugs selective action to brain synaptic structures.
Microelectrode investigations. Metallic or glass electrodes filled with sodium chloride are used for separate neurons electrical activity investigation. Microelectrodes ends diameter is fluctuated from 1 to 0,5 mcm. Methods of extracellular and intracellular biopotentials leading are applied in microelectrode investigations.
Magneto-resonance tomography. Brain liquids (for example, water molecules) dipoles acquire the direction of irradiating field at brain irradiation with electrical-magnetic field. Dipoles are returned to their initial position at external magnetic field switching off. Magnetic signal are appeared at this which is percepted by special devices and are registrated as graphic in computer. As external magnetic field can be made plane, than brain can be “cutted” layer by layer. This method allows tumors and brain circulation zones detection in brain.
Positrone-emission tomography. This investigation is based on positrons-irradiating short-lived isotopes injection to brain circulation. Data about radioactivity distribution in brain are calculated for definite time periods in computer and then are reconstructed in three-dimensioned image. This method gives an opportunity to see excitement focuses in different brain parts at investigated people mental activity.
Brain functions modeling with computer. It became widely-spread during the latest years. Nervous nets models were built performing separate brain functions. “Intellect detector” has been made giving an opportunity to determine individual features of human psychical activity systemic organization different stages.
Brain electrical activity registration. Biopotentials registration from head surface or skull is known as electroencephalogram. It reflects spontaneous activity of such brain structures as: neurons, synapses, glia and intercellular substance. You will get acquainted with this method while chapter “Highest nervous activity and brain functions” study.
