000 20611cam a2200469 a 4500
001 7923800
005 20220906184647.0
008 090825s2011 paua b 001 0 eng
010 _a 2009035327
016 7 _a101513815
_2DNLM
020 _a9781416045748 (alk. paper)
020 _a1416045740 (alk. paper)
029 1 _aNLM
_b101513815
029 1 _aAU@
_b000044625747
035 _a(OCoLC)ocn434319356
035 _a(OCoLC)434319356
035 _a(NNC)7923800
040 _aDNLM/DLC
_cDLC
_dNLM
_dC#P
_dYDXCP
_dYBM
_dVAM
_dOrLoB-B
042 _apcc
050 0 0 _aQP34.5
_b.G9 2011
060 1 0 _aQT 104
_bH1767g 2011
082 0 0 _a612
_222
100 1 _aHall, John E.
_q(John Edward),
_d1946-
_93255
245 1 0 _aGuyton and Hall textbook of medical physiology: a South Asian Edition
_cJohn E. Hall.
246 3 0 _aTextbook of medical physiology
250 _a12th ed.
260 _aPhiladelphia, PA :
_bSaunders/Elsevier,
_cc2013.
300 _axix, 1091 p. :
_bill. (chiefly col.) ;
_c29 cm.
500 _aRev. ed. of: Textbook of medical physiology. 11th ed. c2006.
504 _aIncludes bibliographical references and index.
505 0 0 _gUNIT I.
_tIntroduction to Physiology: The Cell and General Physiology --
_gChapter 1.
_tFunctional Organization of the Human Body and Control of the "Internal Environment" --
_tCells as the Living Units of the Body --
_tExtracellular Fluid---The "Internal Environment" --
_t"Homeostatic" Mechanisms of the Major Functional Systems --
_tControl Systems of the Body --
_tSummary---Automaticity of the Body --
_gChapter 2.
_tThe Cell and its Functions --
_tOrganization of the Cell --
_tPhysical Structure of the Cell --
_tComparison of the Animal Cell with Precellular Forms of Life --
_tFunctional Systems of the Cell --
_tLocomotion of Cells --
_gChapter 3.
_tGenetic Control of Protein Synthesis, Cell Function, and Cell Reproduction --
_tGenes in the Cell Nucleus --
_tThe DNA Code in the Cell Nucleus is Transferred to an RNA Code in the Cell Cytoplasm---The Process of Transcription --
_tSynthesis of Other Substances in the Cell --
_tControl of Gene Function and Biochemical Activity in Cells --
_tThe DNA-Genetic System Also Controls Cell Reproduction --
_tCell Differentiation --
_tApoptosis---Programmed Cell Death --
_tCancer --
_gUNIT II.
_tMembrane Physiology, Nerve, and Muscle --
_gChapter 4.
_tTransport of Substances Through Cell Membranes --
_tThe Lipid Barrier of the Cell Membrane and Cell Membrane Transport Proteins --
_tDiffusion --
_t"Active Transport" of Substances Through Membranes --
_gChapter 5.
_tMembrane Potentials and Action Potentials --
_tBasic Physics of Membrane Potentials --
_tMeasuring the Membrane Potential --
_tResting Membrane Potential of Nerves --
_tNerve Action Potential --
_tRoles of Other Ions During the Action Potential --
_tPropagation of the Action Potential --
_tRe-establishing Sodium and Potassium Ionic Gradients After Action Potentials are Completed---Importance of Energy Metabolism --
_tPlateau in Some Action Potentials --
_tRhythmicity of Some Excitable Tissues---Repetitive Discharge --
_tSpecial Characteristics of Signal Transmission in Nerve Trunks --
_tExcitation---The Process of Eliciting the Action Potential --
_tRecording Membrane Potentials and Action Potentials --
_gChapter 6.
_tContraction of Skeletal Muscle --
_tPhysiologic Anatomy of Skeletal Muscle --
_tGeneral Mechanism of Muscle Contraction --
_tMolecular Mechanism of Muscle Contraction --
_tEnergetics of Muscle Contraction --
_tCharacteristics of Whole Muscle Contraction --
_gChapter 7.
_tExcitation of Skeletal Muscle: Neuromuscular Transmission and Excitation-Contraction Coupling --
_tTransmission of Impulses from Nerve Endings to Skeletal Muscle Fibers: The Neuromuscular Junction --
_tMolecular Biology of Acetylcholine Formation and Release --
_tDrugs That Enhance or Block Transmission at the Neuromuscular Junction --
_tMyasthenia Gravis Causes Muscle Paralysis --
_tMuscle Action Potential --
_tExcitation-Contraction Coupling --
_gChapter 8.
_tExcitation and Contraction of Smooth Muscle --
_tContraction of Smooth Muscle --
_tNervous and Hormonal Control of Smooth Muscle Contraction --
_gUNIT III.
_tThe Heart --
_gChapter 9.
_tCardiac Muscle; The Heart as a Pump and Function of the Heart Valves --
_tPhysiology of Cardiac Muscle --
_tCardiac Cycle --
_tRelationship of the Heart Sounds to Heart Pumping --
_tWork Output of the Heart --
_tChemical Energy Required for Cardiac Contraction: Oxygen Utilization by the Heart --
_tRegulation of Heart Pumping --
_gChapter 10.
_tRhythmical Excitation of the Heart --
_tSpecialized Excitatory and Conductive System of the Heart --
_tControl of Excitation and Conduction in the Heart --
_gChapter 11.
_tThe Normal Electrocardiogram --
_tCharacteristics of the Normal Electrocardiogram --
_tMethods for Recording Electrocardiograms --
_tFlow of Current Around the Heart during the Cardiac Cycle --
_tElectrocardiographic Leads --
_gChapter 12.
_tElectrocardiographic Interpretation of Cardiac Muscle and Coronary Blood Flow Abnormalities: Vectorial Analysis --
_tPrinciples of Vectorial Analysis of Electrocardiograms --
_tVectorial Analysis of the Normal Electrocardiogram --
_tMean Electrical Axis of the Ventricular QRS---and Its Significance --
_tConditions That Cause Abnormal Voltages of the QRS Complex --
_tProlonged and Bizarre Patterns of the QRS Complex --
_tCurrent of Injury --
_tAbnormalities in the T Wave --
_gChapter 13.
_tCardiac Arrhythmias and Their Electrocardiographic Interpretation --
_tAbnormal Sinus Rhythms --
_tAbnormal Rhythms That Result from Block of Heart Signals Within the Intracardiac Conduction Pathways --
_tPremature Contractions --
_tParoxysmal Tachycardia --
_tVentricular Fibrillation --
_tAtrial Fibrillation --
_tAtrial Flutter --
_tCardiac Arrest --
_gUNIT IV.
_tThe Circulation --
_gChapter 14.
_tOverview of the Circulation; Biophysics of Pressure, Flow, and Resistance --
_tPhysical Characteristics of the Circulation --
_tBasic Principles of Circulatory Function --
_tInterrelationships of Pressure, Flow, and Resistance --
_gChapter 15.
_tVascular Distensibility and Functions of the Arterial and Venous Systems --
_tVascular Distensibility --
_tArterial Pressure Pulsations --
_tVeins and Their Functions --
_gChapter 16.
_tThe Microcirculation and Lymphatic System: Capillary Fluid Exchange, Interstitial Fluid, and Lymph Flow --
_tStructure of the Microcirculation and Capillary System --
_tFlow of Blood in the Capillaries---Vasomotion --
_tExchange of Water, Nutrients, and Other Substances Between the Blood and Interstitial Fluid --
_tInterstitium and Interstitial Fluid --
_tFluid Filtration Across Capillaries is Determined by Hydrostatic and Colloid Osmotic Pressures, as Well as Capillary Filtration Coefficient --
_tLymphatic System --
_gChapter 17.
_tLocal and Humoral Control of Tissue Blood Flow --
_tLocal Control of Blood Flow in Response to Tissue Needs --
_tMechanisms of Blood Flow Control --
_tHumoral Control of the Circulation --
_gChapter 18.
_tNervous Regulation of the Circulation, and Rapid Control of Arterial Pressure --
_tNervous Regulation of the Circulation --
_tRole of the Nervous System in Rapid Control of Arterial Pressure --
_tSpecial Features of Nervous Control of Arterial Pressure --
_gChapter 19.
_tRole of the Kidneys in Long-Term Control of Arterial Pressure and in Hypertension: The Integrated System for Arterial Pressure Regulation --
_tRenal-Body Fluid System for Arterial Pressure Control --
_tThe Renin-Angiotensin System: Its Role in Arterial Pressure Control --
_tSummary of the Integrated, Multifaceted System for Arterial Pressure Regulation --
_gChapter 20.
_tCardiac Output, Venous Return, and Their Regulation --
_tNormal Values for Cardiac Output at Rest and During Activity --
_tControl of Cardiac Output by Venous Return---Role of the Frank-Starling Mechanism of the Heart --
_tPathologically High or Low Cardiac Outputs --
_tMethods for Measuring Cardiac Output --
_gChapter 21.
_tMuscle Blood Flow and Cardiac Output During Exercise; the Coronary Circulation and Ischemic Heart Disease --
_tBlood Flow Regulation in Skeletal Muscle at Rest and During Exercise --
_tCoronary Circulation --
_gChapter 22.
_tCardiac Failure --
_tCirculatory Dynamics in Cardiac Failure --
_tUnilateral Left Heart Failure --
_tLow-Output Cardiac Failure---Cardiogenic Shock --
_tEdema in Patients with Cardiac Failure --
_tCardiac Reserve --
_gChapter 23.
_tHeart Valves and Heart Sounds; Valvular and Congenital Heart Defects --
_tHeart Sounds --
_tAbnormal Circulatory Dynamics in Valvular Heart Disease --
_tAbnormal Circulatory Dynamics in Congenital Heart Defects --
_tUse of Extracorporeal Circulation During Cardiac Surgery --
_tHypertrophy of the Heart in Valvular and Congenital Heart Disease --
_gChapter 24.
_tCirculatory Shock and its Treatment --
_tPhysiologic Causes of Shock --
_tShock Caused by Hypovolemia---Hemorrhagic Shock --
_tNeurogenic Shock---Increased Vascular Capacity --
_tAnaphylactic Shock and Histamine Shock --
_tSeptic Shock --
_tPhysiology of Treatment in Shock --
_tCirculatory Arrest --
_gUNIT V.
_tThe Body Fluids and Kidneys --
_gChapter 25.
_tThe Body Fluid Compartments: Extracellular and Intracellular Fluids; Edema --
_tFluid Intake and Output Are Balanced During Steady-State Conditions --
505 8 0 _tBody Fluid Compartments --
_tExtracellular Fluid Compartment --
_tBlood Volume --
_tConstituents of Extracellular and Intracellular Fluids --
_tMeasurement of Fluid Volumes in the Different Body Fluid Compartments---the Indicator-Dilution Principle --
_tDetermination of Volumes of Specific Body Fluid Compartments --
_tRegulation of Fluid Exchange and Osmotic Equilibrium Between Intracellular and Extracellular Fluid --
_tBasic Principles of Osmosis and Osmotic Pressure --
_tOsmotic Equilibrium Is Maintained Between Intracellular and Extracellular Fluids --
_tVolume and Osmolality of Extracellular and Intracellular Fluids in Abnormal States --
_tGlucose and Other Solutions Administered for Nutritive Purposes --
_tClinical Abnormalities of Fluid Volume Regulation: Hyponatremia and Hypernatremia --
_tEdema: Excess Fluid in the Tissues --
_tFluids in the "Potential Spaces" of the Body --
_gChapter 26.
_tUrine Formation by the Kidneys: I. Glomerular Filtration, Renal Blood Flow, and Their Control --
_tMultiple Functions of the Kidneys --
_tPhysiologic Anatomy of the Kidneys --
_tMicturition --
_tPhysiologic Anatomy of the Bladder --
_tTransport of Urine from the Kidney Through the Ureters and into the Bladder --
_tFilling of the Bladder and Bladder Wall Tone; the Cystometrogram --
_tMicturition Reflex --
_tAbnormalities of Micturition --
_tUrine Formation Results from Glomerular Filtration, Tubular Reabsorption, and Tubular Secretion --
_tGlomerular Filtration---The First Step in Urine Formation --
_tDeterminants of the GFR --
_tRenal Blood Flow --
_tPhysiologic Control of Glomerular Filtration and Renal Blood Flow --
_tAutoregulation of GFR and Renal Blood Flow --
_gChapter 27.
_tUrine Formation by the Kidneys: II. Tubular Reabsorption and Secretion --
_tRenal Tubular Reabsorption and Secretion --
_tTubular Reabsorption Includes Passive and Active Mechanisms --
_tReabsorption and Secretion Along Different Parts of the Nephron --
_tRegulation of Tubular Reabsorption --
_tUse of Clearance Methods to Quantify Kidney Function --
_gChapter 28.
_tUrine Concentration and Dilution; Regulation of Extracellular Fluid Osmolarity and Sodium Concentration --
_tKidneys Excrete Excess Water by Forming Dilute Urine --
_tKidneys Conserve Water by Excreting Concentrated Urine --
_tQuantifying Renal Urine Concentration and Dilution: "Free Water" and Osmolar Clearances --
_tDisorders of Urinary Concentrating Ability --
_tControl of Extracellular Fluid Osmolarity and Sodium Concentration --
_tOsmoreceptor-ADH Feedback System --
_tImportance of Thirst in Controlling Extracellular Fluid Osmolarity and Sodium Concentration --
_tSalt-Appetite Mechanism for Controlling Extracellular Fluid Sodium Concentration and Volume --
_gChapter 29.
_tRenal Regulation of Potassium, Calcium, Phosphate, and Magnesium; Integration of Renal Mechanisms for Control of Blood Volume and Extracellular Fluid Volume --
_tRegulation of Extracellular Fluid Potassium Concentration and Potassium Excretion --
_tControl of Renal Calcium Excretion and Extracellular Calcium Ion Concentration --
_tControl of Renal Magnesium Excretion and Extracellular Magnesium Ion Concentration --
_tIntegration of Renal Mechanisms for Control of Extracellular Fluid --
_tImportance of Pressure Natriuresis and Pressure Diuresis in Maintaining Body Sodium and Fluid Balance --
_tDistribution of Extracellular Fluid Between the Interstitial Spaces and Vascular System --
_tNervous and Hormonal Factors Increase the Effectiveness of Renal-Body Fluid Feedback Control --
_tIntegrated Responses to Changes in Sodium Intake --
_tConditions That Cause Large Increases in Blood Volume and Extracellular Fluid Volume --
_tConditions That Cause Large Increases in Extracellular Fluid Volume but with Normal Blood Volume --
_gChapter 30.
_tAcid-Base Regulation --
_tH+ Concentration is Precisely Regulated --
_tAcids and Bases---Their Definitions and Meanings --
_tDefending Against Changes in H+ Concentration: Buffers, Lungs, and Kidneys --
_tBuffering of H+ in the Body Fluids --
_tBicarbonate Buffer System --
_tPhosphate Buffer System --
_tProteins Are Important Intracellular Buffers --
_tRespiratory Regulation of Acid-Base Balance --
_tRenal Control of Acid-Base Balance --
_tSecretion of H+ and Reabsorption of HCO-3 by the Renal Tubules --
_tCombination of Excess H+ with Phosphate and Ammonia Buffers in the Tubule Generates "New" HCO-3 --
_tQuantifying Renal Acid-Base Excretion --
_tRenal Correction of Acidosis---Increased Excretion of H+ and Addition of HCO-3 to the Extracellular Fluid --
_tRenal Correction of Alkalosis---Decreased Tubular Secretion of H+ and Increased Excretion of HCO-3 --
_tClinical Causes of Acid-Base Disorders --
_tTreatment of Acidosis or Alkalosis --
_tClinical Measurements and Analysis of Acid-Base Disorders --
_gChapter 31.
_tDiuretics, Kidney Diseases --
_tDiuretics and Their Mechanisms of Action --
_tKidney Diseases --
_tAcute Renal Failure --
_tChronic Renal Failure: An Irreversible Decrease in the Number of Functional Nephrons --
_tSpecific Tubular Disorders --
_tTreatment of Renal Failure by Transplantation or by Dialysis with an Artificial Kidney --
_gUNIT VI.
_tBlood Cells, Immunity, and Blood Coagulation --
_gChapter 32.
_tRed Blood Cells, Anemia, and Polycythemia --
_tRed Blood Cells (Erythrocytes) --
_tAnemias --
_tPolycythemia --
_gChapter 33.
_tResistance of the Body to Infection: I. Leukocytes, Granulocytes, the Monocyte-Macrophage System, and Inflammation --
_tLeukocytes (White Blood Cells) --
_tNeutrophils and Macrophages Defend Against Infections --
_tMonocyte-Macrophage Cell System (Reticuloendothelial System) --
_tInflammation: Role of Neutrophils and Macrophages --
_tEosinophils --
_tBasophils --
_tLeukopenia --
_tLeukemias --
_gChapter 34.
_tResistance of the Body to Infection: II. Immunity and Allergy Innate Immunity --
_tAcquired (Adaptive) Immunity --
_tAllergy and Hypersensitivity --
_gChapter 35.
_tBlood Types; Transfusion; Tissue and Organ Transplantation --
_tAntigenicity Causes Immune Reactions of Blood --
_tO-A-B Blood Types --
_tRh Blood Types --
_tTransplantation of Tissues and Organs --
_gChapter 36.
_tHemostasis and Blood Coagulation --
_tEvents in Hemostasis --
_tVascular Constriction --
_tMechanism of Blood Coagulation --
_tConditions That Cause Excessive Bleeding in Humans --
_tThromboembolic Conditions in the Human Being --
_tAnticoagulants for Clinical Use --
_tBlood Coagulation Tests --
_gUNIT VII.
_tRespiration --
_gChapter 37.
_tPulmonary Ventilation --
_tMechanics of Pulmonary Ventilation --
_tPulmonary Volumes and Capacities --
_tMinute Respiratory Volume Equals Respiratory Rate Times Tidal Volume --
_tAlveolar Ventilation --
_tFunctions of the Respiratory Passageways --
_gChapter 38.
_tPulmonary Circulation, Pulmonary Edema, Pleural Fluid --
_tPhysiologic Anatomy of the Pulmonary Circulatory System --
_tPressures in the Pulmonary System --
_tBlood Volume of the Lungs --
_tBlood Flow Through the Lungs and Its Distribution --
_tEffect of Hydrostatic Pressure Gradients in the Lungs on Regional Pulmonary Blood Flow --
_tPulmonary Capillary Dynamics --
_tFluid in the Pleural Cavity --
_gChapter 39.
_tPhysical Principles of Gas Exchange; Diffusion of Oxygen and Carbon Dioxide Through the Respiratory Membrane --
_tPhysics of Gas Diffusion and Gas Partial Pressures --
_tCompositions of Alveolar Air and Atmospheric Air Are Different --
_tDiffusion of Gases Through the Respiratory Membrane --
_tEffect of the Ventilation-Perfusion Ratio on Alveolar Gas Concentration --
_gChapter 40.
_tTransport of Oxygen and Carbon Dioxide in Blood and Tissue Fluids --
_tTransport of Oxygen from the Lungs to the Body Tissues --
_tTransport of Carbon Dioxide in the Blood --
_tRespiratory Exchange Ratio --
_gChapter 41.
_tRegulation of Respiration --
_tRespiratory Center --
_tChemical Control of Respiration --
_tPeripheral Chemoreceptor System for Control of Respiratory Activity---Role of Oxygen in Respiratory Control --
_tRegulation of Respiration During Exercise --
_tOther Factors That Affect Respiration --
_gChapter 42.
_tRespiratory Insufficiency---Pathophysiology, Diagnosis, Oxygen Therapy --
505 8 0 _tUseful Methods for Studying Respiratory Abnormalities --
_tPathophysiology of Specific Pulmonary Abnormalities --
_tHypoxia and Oxygen Therapy --
_tHypercapnia---Excess Carbon Dioxide in the Body Fluids --
_tArtificial Respiration --
_gUNIT VIII.
_tAviation, Space, and Deep-Sea Diving Physiology --
_gChapter 43.
_tAviation, High-Altitude, and Space Physiology --
_tEffects of Low Oxygen Pressure on the Body --
_tEffects of Acceleratory Forces on the Body in Aviation and Space Physiology --
_t"Artificial Climate" in the Sealed Spacecraft --
_tWeightlessness in Space --
_gChapter 44.
_tPhysiology of Deep-Sea Diving and Other Hyperbaric Conditions --
_tEffect of High Partial Pressures of Individual Gases on the Body --
_tScuba (Self-Contained Underwater Breathing Apparatus) Diving --
_tSpecial Physiologic Problems in Submarines --
_tHyperbaric Oxygen Therapy --
_gUNIT IX.
_tThe Nervous System: A. General Principles and Sensory Physiology --
_gChapter 45.
_tOrganization of the Nervous System, Basic Functions of Synapses, and Neurotransmitters --
_tGeneral Design of the Nervous System --
_tMajor Levels of Central Nervous System Function --
_tComparison of the Nervous System with a Computer --
_tCentral Nervous System Synapses --
_tSome Special Characteristics of Synaptic Transmission --
_gChapter 46.
_tSensory Receptors, Neuronal Circuits for Processing Information --
_tTypes of Sensory Receptors and the Stimuli They Detect --
_tTransduction of Sensory Stimuli into Nerve Impulses --
_tNerve Fibers That Transmit Different Types of Signals and Their Physiologic Classification --
_tTransmission of Signals of Different Intensity in Nerve Tracts---Spatial and Temporal Summation --
_tTransmission and Processing of Signals in Neuronal Pools --
_tInstability and Stability of Neuronal Circuits --
_gChapter 47.
_tSomatic Sensations: I. General Organization, the Tactile and Position Senses --
_tClassification of Somatic Senses --
_tDetection and Transmission of Tactile Sensations --
_tSensory Pathways for Transmitting Somatic Signals into the Central Nervous System --
_tTransmission in the Dorsal Column-Medial Lemniscal System --
_tTransmission of Less Critical Sensory Signals in the Anterolateral Pathway --
_tSome Special Aspects of Somatosensory Function --
_gChapter 48.
_tSomatic Sensations: II. Pain, Headache, and Thermal Sensations --
_tTypes of Pain and Their Qualities---Fast Pain and Slow Pain --
_tPain Receptors and Their Stimulation --
_tDual Pathways for Transmission of Pain Signals into the Central Nervous System --
_tPain Suppression ("Analgesia") System in the Brain and Spinal Cord --
_tReferred Pain --
_tVisceral Pain --
_tSome Clinical Abnormalities of Pain and Other Somatic Sensations.
650 0 _aHuman physiology.
_93256
650 0 _aPhysiology, Pathological.
_93257
650 1 2 _aPhysiological Phenomena.
_93258
700 1 _aGuyton, Arthur C.
_93259
730 0 _aTextbook of medical physiology.
_93260
856 _uhttp://nhrc.org.np/contact
_yVisit NHRC Library
900 _bTOC
942 _2NLM
_cBK
999 _c2202
_d2202