Professional Documents
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oxygenation the essential
organs
A look
inside
the eye
Kidney
function •
explained
BOOK OF
How do our
muscles work?
THE
The evolution
/ ofthehand
Fracture
heaing
process
••
EVERYTHING YOU NEED TO KNOW ABOUT THE HUMAN BODY
Uncover
the science
of DNA
-\
- Explore the
sensory
system
Operating
on the
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How many
bones are in
afoot? Inside a
human heart
Anatomy of
. ...
fill- • '
.. •
THE
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bookazine series
•••••••
PU8LISHINC
010 50 amazing body facts
018 Human cells
020 ruumJnating cells
021 Inside a nucleus
022 Stem cells
024 Bow do we smell?
025 Taste I Taste buds 028\
The power of
026 The tonsils your brain
027 Vocal cords
OJO Brain power 022
1 Whatare
OJ2 Vision and eyesight stem cells?
I
OJ4 Bow ears work
OJ6 All about teeth
oJ8 Anatomy of the neck
040 The human skeleton
042 Bow muscles work
044 Skin colour I Skin grafts
045 Under the skin
046 Rheumatoid arthritis
047 Bone marrow o66 The human ribcage
048 The human spine o68 How the pancreas works
050 Heart attacks 070 How your bladder works
051 Heart bypasses 072 Human pregnancy
052 Blood transfusions 074 Embryo development
053 Strokes I Blood dotting 076 Inside the human stomach
054 Human kidneys 078 Bow does angioplasty work?
056 Kidney transplants o8o The human hand
058 VestigJaJ organs o82 Nails I Knee-jerk reactions
o8J Inside the knee
""'-..
059 Bow the spleen works
010
o6o Human digestion 084 Bow your feet work Your body
explained
o62 Bow the liver works o86 Achil1es' tendon I Smelly feet
064 The small intestine o87 Blisten I Cramp
006
110
Healing bone
--
fractures
/
o8o
The hand
revealed
---165
Explaining eye
adjustment
007
032
Inside the eye
028 010
How 50 fantastic
we think facts about
the body
o8o
The human
hand
025
/
Taste buds
""
0
Q
008
024
How do
we smell?
~
084
How your feet wctrk
050 Heart attacks o6o Human diraestion 076 Inside the human stomach
Why do they happen? How does ood get processed? How does this organ digest food?
051 Heart b~asses 062 How the liver works 078 How does ancftoflasty work?
How are ockages bypassed? The ultimate multitasl<er Inside the me ica procedure
052 Blood transfusions 064 The small intestine o8o The human hand
This vital procedure explained How does this organ work? Our most versatile body part
05) Strokes I Blood dotting o66 The human ribcage 082 Nalls I Knee-jerk reactions
Why do these occur? Offering essential protection A look at fingernails and more
054 Human kidne~s o68 How the ~ancreas works 08) Inside the knee
How do your ki neys function? The body s digestive workhorse See how it allows us to walk
056 Kidney transplants 070 How your bladder works 084 How your feet work
The booy's nafural filters Waste removal facts Feet facts and stats
058 Vestigial orf,ans 072 Human prepancy o86 Achilles' tendon I Smelly feet
Are ttiey real y useless? Nine months of growth explained Are they our weak spot?
059 How the spleen works 074 Embryo development 087 Blisters 1 cramfo
Learn how tt staves off infections The core processes revealed Why do blisters orm?
009
op so body facts
I•U•JW•1!113N•l!i'i> Useless body parts include the appendix the coccyx and w1sdom teeth
Pre-motor cortex
------ -
Frontal lobe . - - - - - - - - - Primary motor cortex
Howdo
l we think?
What are thoughts? This question wUI
The frontal lobe is where )'<lUI'
persmality is, and where )'<lUI'
lhcughts and emolians fonn.
Rem<Mng this or damaging it can
persona.
The primary motor cortex and the primary
somatosensory cortex are the a-eas wljch
receiYe sensory imervations and then
CXHlrdinate )'<lUI' whole r.l:1ge at~
keep scientists, doctors and
philosophers busy for decades to Parietal lobe
The parietal lobe is responsi>le for
come.ll all depends bow you want to
)'<lUI' complex sensory system
define the term 'thoughts'. Scientists
may talk about synapse formation,
pattern recognition and cerebral
activation in response to a stimulus Bloca's - - + -;;.;..;;;
(such as seeing an apple and - Primary auditory
area complex
recognising it as such). Philosophers, Btoca'sareais The primary auditory
andalsomanysdentists, will argue when! lJOU form complex is ri~ next to
that a network of neurons cannot complex words the ear and is where you
possibly explain the many thousands and speech interpret sound waves
of thoughts and emotions that we patterns. into meaningful
must deal with. A sports doctor might infonnation.
state that when you choose to run, you
activate a series of well-trodden Temporal lobe
pathways that lead from your brain to The temporal lobe decides what to Occipital lobe
do with SOl.l1d information and also The occipital lobe is all
your muscles in less than a second.
combines it with visual da
~ta.
~::;:=----- the way at the back, but
There are some specifics we do know it inlet po ets the light
though-suchaswhlchareasofyour Wernicke's area is where lJOU interpret
.___ signals in )'<lUI' eyes into
brain are responsible for various types L...- the language )IOU hear, and then )IOU
sllapes and pattems.
W11 fonn a response via Broca's area.
of thoughts and decisions.
----- ·-- ~.-------
' S Whycan
: some people
roll their
tongues but
: others can't?
i
!
Do eyeballs
3
Although we're often taught In school that
I tongue rolling Is due to genes, the truth Is
grow like the likely to be more complex. There Is ll.kely
to be an overlap of genetic factors and
rest of the body? envlronmentallnOuence.Studleson
Only a small amount families and twins have shown thalli
~ - hence why babies I
cannot be a case of simple genetic
. inheritance. As!< around- the facttbat
1nthe appear so beautiful, as some people can learn to do It suggests
011
op so body facts
What's my Why do
2Dfield - - - - - - - .
The a-eas from 120 1D 180
dog! ees are seen as 20 as
odi one eye <Uib ibutes, but
we don't really nOOce.
(
l
r.: .. 7
in degrees?
1
field of vision · we burp?
Aburp is a natural
Thehumanfieldofvlslonlsjustaboutt8o release Of gas from
;
the stomach. This gas
~
degrees. The central portion of this
I has either been
(approximatelyuodegrees)is binocular or
30field- - - - -- '
The central 120-degree
0 stereoscopic- ie both eyes contribute.swallowed or is the
portion is the 30 part of
: :!':::;~:~!~~~i~t:d~~O:~~we can 1 result of something
oor vision as both eyes
contribute - this is tt.e part
we use the most •
~ monocular. meaning that there Is no
overlapfromtheothereyesoweseelnzD.
Q
I
you've ingested-such
as a fizzy drink. The
__.....,.......--······---········--·-·--·····-----··--·--,.-...-...-...-.·----·····..·-·--- ~···- ....... - .... ····· ·• sound comes from the
Whatis ! n How fast does I vibration of the
8
of tonsils?
the P.Oint
I
!
! the human body?
bl 00 d t rave roun 1 d oesophageal
. sphincter at the
1·
I
oesophago-gastric
The tonsils are collections of
I
Your total 'circulating volume' Is about five lltres. Each
I red blood cell Within this has to go from your heart.
• junction, which is the
! narrowest part of the
lymphatic tissues which are : down the motorway-Uke arteries, through the
thought to help fight off
pathogens from the upper
I back-road capillary system. and then back through the gastrointestinal tract.
i rush-hour veins to get back to your heart. The process
respiratory tract. However,
they themselves can
j typically takes about a minute. Whenyou're ln a rush
sometimes become Infected-
! and your heart rate shoots up, the time reduces as the
· blood diverts from the less-Important structures (eg
leading to tonsillitis. The ones i large bowel) to the more essential (eg muscles).
you can see at the back of your •
!
throat are just part of the ring
of tonsils. You won't miss them !' L The most ---... 2. Under pressure i
if they're taken out for , important organ Blood is moving fastest
: The bra01 has its own and under the highest
recurrent Infections as the
rest of your immune system i special blood supply pressure as it tea...s the
1
i ara)Qedinaade. heart and enters the
will compensate. !: elastic aorta.
i
i
!
'
~
Howmany
11QWhy does it feel so weird when
~ you hit your funny bone?
I
!
I 13 inches of
hair does the
You're actually hitting the ulnar ne.rve as It wraps around the bony
prominence of the 'humerus' bone, leading to a 'funny' sensation.
Ii 4. The inferior
vena cava
This mas.sNe vein sits
averay~rson
; grow their
Although not so funny as the brain Interprets this sudden trauma betWldtheaorta but is S. lhe
as pain to your forearm and fingers!
i
.:
! no poor relation- furthest point head each year?
i without it, blood These arteries and It's different for everybody-your
l woUdn't get bad< veins are the furthest age, nutrition, health status. genes
!! to )'Ot.l' heart.
-from )'Ot.l' and gender all play a role. In terms
heart. and blood flow
of length, anywhere between
'. 3. The kidneys
! here Is-·As you
grow older, these 0.5-tlnch (1.2-2-5Cm)a month
l Thesedemand a mas.sNe vessels are often the might be considered average,
but don't be surprised if you're
! 25 per cent of the blood first to get blodo!d by ;
t from each heart beat! fatty plaques. outside this range.
012
• •• •• •
•
• • • ••
•• Sneeze fast! • Red blood cells •• Hard liVOI'ker •• Liquid
STOP 1
Emotions
While great apes sudlasgorilas, :2
• A sneeze is typically expelled at •
•
• 3 Red bloodoells • also known
•
• 4 Theheartbeatsonaverage
•• s Humans are made up of 70 per
••
as erythrocytes • live on
<J\Ief'age for 120 days. There
••
•
•••
100,000 timE5 per day. Of
co...se this wil greatly vary
••
•••
cent water, which is essential
lor body growth and I'EpiW. The
ltU•JU•11J!3N•IW The overage person breaks wind between 8-16 times per day
Whyare !
14
fi~gerprints
everyone's !
!
different? I.
Your fingerprints are fine ridges of
skin in the tips of your fingers and
toes. They are useful for improving
the detection of small vibrations
and to add friction for better grip.
No two fingerprints are the same
-either on your hands or between
two people-and that's down to
your unique set of genes.
l7 Why do we all
have different
coloured hair?
Most of it Is down to the genes that result
Why do from when your parents come together to
make you. Some hair colours win out
we only (typically the dark ones) whereas some (eg
blonde) are less strong in the genetic race.
remember
some dreams? 1s it possible to
Dreams have fascinated humans
for thousands ofyears. Some
18 keep your eyes
open wtlen you sneeze?
people think they are harmless Your eyes remain shut as a
while others think they are vital to defence mechanism to prevent
our emotional wellbeing. Most the spray and nasal bacteria
people have four to eight dreams entering and infecting your
per night which are influenced by eyes. The urban myth that
stress, anxiety and desires, but your eyes will pop out Uyou
they remember very few of them. keep them open is unlikely
There is research to prove that U to happen- but keeping
you awake from the rapid eye them shut will provide
movement (REM) part of your sleep some protection against
cycle, you're likely to remember nasty bugs and viruses.
1~6Why, as we your dreams more dearly.
~ get older,
does hair growth
become so erratic?
Hair follicles in different parts of your
body are programmed by your genes to
do different things, eg the follicles on
your arm produce hair much slower
than those on your head. Men can go
bald due to a combination of genes and
hormonal changes, which may not
happen in other areas (eg nasal hair).
-
It's different for everybody!
- _.. ...._.................................................-.........................................-
........_................. .............................. .......,_............ ..............,_....................,......
~ , .....................
What gives me
l9 my personality?
Researchers have spent their whole lives trying to
answer this one. Your personality forms in the front
lobes of your brain, and there are clear personality
types. Most of it is your environment- that is, your
upbringing, education, surroundings. However some
ofit Is genetic, although it's unclear how much. The
strongest research in this comes from studying twins
- what influences one set of twins to grow up and be
best friends, yet in another pair, one might become a
professor and the other a murderer.
013
op so body facts
--------------~~-- ----------------------------------------------------
What makes some blood What is a pulled
muscle?
others are universa ?
Your blood type is determined by protein markers known as antigens on the surface ofyour The hamstrings
red blood cells. You can have Aantigens, Bantigens, or none - in which case you're blood type These are a !1'0UP of
Strain
0. However, if you don't have the antigen, yourantlbodleswlll attack foreign blood. if you're A puled rruscle. or
ttree main fT'lJSdes
type Aand you're given B, your anllbodles attack the Bantigens. However, if you're blood type strain, is a tear i1 a 47tJUP
which flex the knee.
AB, you can safely receive any type. Those who are blood group 0 have no antigens so can give at rn.osc:le filres as a
re5lAt of CO\II!<Stretching.
blood to anyone, but they have antibodies to Aand Bso can only receive 0 back!
A
• • YouhaveAantigensandB
• , ~ ., .,.._ an!lbodles. Youcanreceiveblood
• , - • groupsAandO,butcan'trecelveB.
._....
- • •
•
, • • •
YoucandonatetoAandAB.
8
YouhaveBantlgensandA
~ • • ~.,.._ antibodies. You can receive blood
I
• •• • groups Band O, but can't receive
A. You can donate to BandAB.
• • AB
•• You have Aand B antigens and no
• . • •
,
'
. .. .
~ '
• • • .-
, • f
antibodies. You can receive blood
groupsA,B, ABandO(Uiliversal
recipient), and can dooa!e toAB.
0
You have no antigens buthaveAand B Though warming up can belp prevent
;..-- antibodies. Youcanreceivebloodgroup sprains, tlley can happen to anyone.
O, butcan' treceiveA.BorABandcan from walkers to maratbon runners.
donate toall: A. B, ABand 0. PulledmusdesaretreatedwilbRICE:
rest,. lee. compresslonandelEwtlon
... ,_. ·- ·----:-;;::::=:::;
__j ;;:.,
What is the
28 aP.~ndix? I've
heard it has no use
but can kill you••.
The appendix Is useful in cows for
d lgesllng grass and koala bears for
digesting eucalyptus- koalas can have
a 4ffi (tJft)-longappendlxlln humans,
however, the appendix has no useful
function and Is a remnant of our
development. It typically measures
5-tocm (1.9-).9ln), but if it gets blocked it
Which
27 organ
uses up the
cangetlnflamed.lflt Isn't quickly
removed, the appendix can burst and
lead to widespread Infection which can
be lethal.
most oxygen?
The heart is the most
efficient- it extracts
What 3. Vagus nerve
8o per cent of the is the The V"!J..S """"' is stim.Jiated,
014
.,....... 2. Human i:lta:r 3. Human
HEAD2 ~~~~: vscheetah
l.Human
vsgiraffe vsflea
HEAD .'~'1$~! ~
While the mrld rE!C<ll'd The average man In England The men's outdoor high
hoi de( Usain Bolt can run It Is L7m (55ft) tall. The jump wortd (eoo(d is 2.4Sm
ltU•Wi•IIJ!3N•IW Your broin interprets poin from the rest of the body, but doesn't hove ony poin receptors itself
34~~uld
1
Whyarewe
.!
l
!
33=resus
left-handed? surv1ve on
•
vitamins
31ticl<lish? i! One side of the brain is
typically dominant over the alone?
Light touches, by feathers, spiders, insects or other 1
other. Since each hemisphere No, you need a diet
humans, can stimulate fine nerve-endings in the skin
which send impulses to the somatosensory cortex in the
brairL Certain areas are more ticklish - such as the feet -
II
:
of the brain controls the
opposite side (ie the left
balanced in
carbohydrate,
controls the right side of your
which may indicate that it is a defence mechanism ! body), right-handed people protein, fat,
against unexpected predators. It is the unexpected
nature of this stimulus that means you can be tickled.
Although you can give yourself goosebumps through
I have stronger left brain
hemispheres. Occasionally
you'll find an ambidextrous
vitamins and
minerals to survive.
light tickling, you can't make yourself laugh. iI You can't cut one of
person, where hemispheres
..........-·--···..........................- ...- ........- ..- .........................- •••- ....1 are co-dominant, and these these and expect to
! people are equally capable stay healthy.
.! with both right and left hands! However, it's the
I
i
proportions of these
which keep us
!
l healthy and fit. You
' can get these from
I the five major food
groups. Food charts
I
I
f
l
can help with this
balancing act.
..............•••..,.........•••..,...-...'9....,.....,, .. ,,,, 0 0Ooooo_..,.....,.,...,"",-..._o-H-••>•••-••t>H_..no•oo_o_..•..._.., ..
""~•-• •o'9••
Wh dowegeta
when we're ill.
The immune response leads to inflammation and the release of
inflammatory factors into your blood stream. These lead to an
increased heart rate and blood flow, which increases your core body
temperature - as if your body is doing exerdse. This can lead to
increased heat production and thus dehydration; for this reason, it's
important to drink plenty of clear fluids when you're feeling unwell.
015
op so body facts
What triggers
39 the heart and
keeps it beating?
The heart keeps Itself beating. The
sinoatrial node (SAN) is in the wall of the
right atrium of the heart, and is where the
heartbeat starts. These beats occur due to
changes In electrical currents as calcium,
sodium and potassium move across
membranes. The heart can beat at a rate of
6o beats per minute constantly if left alone.
However- we often need it to go faster. The
sympathetic nervous system sends rapid
signals from the brain to stlmulate the
heart to beat faster when we need it to- in
'fight or Olght' scenarios. If the SAN fails, a
pacemaker can send artificial electrical
signaIs to keep the heart going.
L Atrial systole Definitions
The atria are the 2 Ventricular systole 3. Ventricular diastole Systole=oontractlon;
low-pre5Slft- The lll!ntrides contract next, The heart is rcw relaxed a:>d can Diastole= relaxallon
chambers, a:>d are the a:>d they send hql-pre5Slft refill, ready for the next beat.
mt to contract, emptying blood out into the aorta to
supply the body.
I
Why do bn.lises go
40 purple or yellow?
Abruise forms when capillaries under the skin leak and allow .'
I
I
I
41=
cutting
blood to settle in the surrounding tissues. The haemoglobin in J
red blood cells is broken down, and these by-products give a
onions make
dark yellow, brown or purple discolouratlon depending on the ' us cry?
volume of blood and colour of the overlying skin. Despite Onions make your eyes water due to their expulsion of
popular belief, you cannot age a bruise -different people's an irritant gas once cut. This occurs as when an onion
bruises change colour at different rates. is cutwitha knife, many of its internal cells are broken
down, allowing enzymes to break down amino acid
1. Damage to the
3. Discololration
Haemoglobin is then
sulphoxides and generate sulphenic acids. These
sulphenic acids are then rearranged by another
Why do
blood vessels
After trauma such as a faR,
broken down into its
smal~ components, which
j enzyme and, as a direct consequence, syn-
propanethial-5-oxide gas is produced, which is volatile.
more
the small capillaries are
tom and burst
are what giw the dark I
This volatile gas then diffuses in the air surrounding men go bald
discololo'ation of a bruise. i
.the onion, eventually reaching the eyes of the cutter,
than women?
Iwhere it proceeds to activate sensory neurons and
2. Blood leaks create a stinging sensation. As such, the eyes then 'Simple' male pattern baldness is due
into the skin
Bk>od settles into the
'
. follow protocol and generate tears from their tear
• glands in order to dilute and remove the lrrlta nt.
to a combination of genetic factors
and hormones. The mostimplicated
! hormone ls testosterone, which men
tissues SUTOU'lding the Interestingly, the volatile gas generated by cutting
vessel. The pressure , onions can be largely mitigated by submerging the have high levels of but women have
from the bruise then onion in water prior to or midway through cutting. low levels of, so they win (or lose?) in
~stem the bleedio~g. this particular hormone contest!
• with the liqtlidabsorbing much of the Irritant
'
-
42:!'ft~e I 4 3 When we're
tria~le sha~ I tired, why do
on the side Of
the ear? ! we get bags under
This Is the tragus. It serves
no major function that we
: our eyes?
Blood doesn't circulate around your body as
knowot butltmayhelpto
efficientlywhen you're asleep so excess water can
reOect sounds Into the ear
to Improve hearing. pool under the eyes, making them pulfy. Fatigue,
nutrition, age and genes also cause bags.
016
The heart is amazing
It stimulates its own heartbeat, beats around 1oo,ooo times a day and pumps
about 2,ooo gallons of blood per day. It's also the most efficient of organs and
extracts the highest ratio of oxygen per unit of blood that it receives. The heart
has its own blood supply too that supplies its muscular wall.
ltU•JU•11J!3N•IW The hyoid is the only bone that isn't connected to another bone - it sits ot the top of your neck
we link?
Blinking helps keep your eyes clean and moist Blinking
spreads secretions from the tear glands (lacrinlal fluids)
over the surface of the eyeball, keeping it moist and also
sweeping away small particles such as dust.
____ .............-~--··-··--······-··-·..................... ____~-·-·-·······-~:
...., ...._
j
ISQWhich muscle produce~ the
1 most_powerful contraction
i relative to its size?
j The gluteus maxinlus is the largest muscle and forms the bulk of your buttocl<. The heart (cardiac muscle) is
! the hardest-working muscle, as itis constantly beatingand clearly can never take a break! However the
! strongest muscle based on weight is the masseter. This is the muscle that clenches the jaw shut- put a
! finger over the lowest, outer part of your jaw and clench your teeth and you'll feel it
I
Myosin head Actin filament
t Actin filament
is pulled
I. c._----=======...
j 1. Taking the first step 2. Preparation
•
! Musclecontract!onslartswithanlmpulserecel\ledfromthe The calcium binds to troponin which Is a receptor on
j nerves supplying the muscle - an action potential. Tbis the actin protein. This binding changes the shape of
j action potential causes calcium Ions to flood across the tropomyosin. another protelnwbich Is bound to actin.
! protein muscle fibres. The musde fibres are formed from two These sbape changes lead to the opening of a series of
key proteins: actin and myosin. bindlngsltes on the actin protein.
017
Cells under the microscope
Cell membrane
St.mxning and "'ippOI ti '!I
each eel is a plasma mea ba-.e
that ""' lb uls ewrything that
entErs and exits.
Nucleus --------~
The nucleus is the cell's 'brain'
ex control centre. Inside the
There are around 75 trillion cells nucleus is DNA infonnation,
which explains how to make
in the human body, but what are the essential proteins needed
to""' the eel.
they and how do they work?
.:*~-
,. Cells are life and cells are
a live. You are here because
every cell inside your body
... has a speclllcfunctlonand a
Ribosomes - - - - - - - - - - - . . .
These tiny structures make proteins and
can be fol.lld either floating in the
cytoplasm or attached ike studs to the
very specialised job to do. There are endoplasmic rt'ticulllll, which is a CO"""Y''"
many different types of cell., each one belt-like membrane that transports proteils
working to keep the body's various around the eel.
systems operating. Asingle cell Is the
smallest unitofliving material In the
body capable of life. When grouped
together In layers or clusters, however,
cells with similar jobs to do form tissue,
such as skin or muscle. To keep these
ceUsworking, therearethousandsof Endoplasmic reticulun - - - -
The - o f folded memblanes (ca>als)
chemical reactions going on all the time. oonnecting the nucleus to the cytoplasm are
All animal cellscontaina nucleus. called the endoplasmic relicuk.m (Ell). If
which acts like a control hub telling the studded witll ribosomes the ER is refeoed to
cell what to do and contains the cell's as "rou!to' ER; if oot it is known as '5mooth'
genetic lnformation (DNA}. Most of the E:R. Both~ transport materials around the
material within a cell is a watery, cell but also haw diffe 0"19 functioos.
jelly-like substance called cytoplasm
(cyto means cell}, which circulates
around the cell and is held In by a thin
external membrane, which consists of
two layers. Within the cytoplasm Is a
variety of structures ca lied organelles. Smooth - --...J
which aU have different tasks, such as endoplasmic
manufacturl ng proteins- the cell's key
reticulum
chemicals. One vital example of an
organelle Is a ribosome; these numerous
structures can be found either floaU ng
around in the cytoplasm or attached to
Internal membranes. Ribosomes are
crucial in the production of proteins R~h~ic ------------
from amino adds. reticulum (studded
In turn, proteinsareessenUal to with ribosomes)
buildl.ngyourcellsand carrying out the
biochemical reactions the body needs In
order to grow and develop and also to
repair itself and heaL
018
Super cells
Stem cells are self-renewing cells with the potential to become any other
type of cell in the body. Unlike regular cells, they do not have a spedalisation,
such as nerve cells. Experts have discovered that adult stem cells can be
manipulated into other types with the potential to grow replacement organs.
ltU•JU•11J!3N•IW Bacteria ore the simplest living cells and the most widespread life form on Earth
anatomy
,..--- Cytoplasm
Types of human cell
This is the jelly·l ike
substance - made of
So far around 200 different varieties of cell have been
water, amino acids and identified, and they all have a very specific function to
enzymes - found inside
the cell membrane.
perform. Discover the main types and what they do...
Wrthin the cytoplasm are
organelles such as the
NERVE CEliS move.Wecancontrolskeletalmusclesbecausethey
Thecellsthatmakeupthenervous arevoluntary. cardiac muscles, meanwhile, are
nucl~ mitochondria
system and the brain are nerve ceUs Involuntary, which Is fortunate because they
and ribosomes, each of
orneurons. Electrlcalmessages are used to keep your heart beating. Found In
which perfcxms a specific the wails of the heart, these muscles create
pass betweennerveceUsalong
role, causing chemical their own stimuli to contract without Input
longffiarnents caJJed axons. To
reactions in the cross the gaps between nerve from the brain. Smooth muscles, which are
cytoplasm. ceUs (the synapse) that electrical pretty slowand also Involuntary, make up
signal Is converted into a cbernical the llnlngsofhoUowstructuressuchas blood
signal. These ceUs enable us to feel vessels andyour digestive tracL Their
sensations, such as pain, and they also wave-like contraction aids the transport of blood
enable us to move. around the body and the digestion of food.
- - • - • • • o oooo,..ooo ouooooo-uooooo. .._ , _ , , , ,, , _• .,,,..,,,,, ••-••• ' ' ' ''''""'
sugar and amino acid levels. Unlike aU the other cells In your
Around Soper cent of the liver's body. your red blood ceUs(also
mass consists of hepatocytes, known as erythrocytes)do
which are the liver's speciaUsed not contain a nucleus. You
ceUs thatare Involved with the are topped upwtlh
MUSCLE CEll S
production ofproteins and bile.
--
........_..._.... __........... ..-............. -- ..
............_ around 25 trillion red
blood cells- that'sa third
-;;tJ:~~~J- of aUyourceUs, making
There are three types of musde ceU- 1 " them the most
skeletal,cardiacandsmooth- and common ceU In
eachdlfiersdependlngonthe your body. Formed
function It performs and Its location In the bone marrow,
Lysosomes In the body. Skeletal musdes these ceUs are important
This digestive enzyme breaks down contain long fibres that attach to because they carry oxygen to au the
unwanted substances and worn-out bone. When triggered by a nerve tissues In your body. Oxygen Is carried In
organeHes that could hann the cell by signal, the musde contracts and haemoglobin, a pigmented protein that
digesting the product and then pulls the bone with it, making you gives blood cells their red colour.
ejecting it outside the cell.
019
·ng cells glow
uminatin
Find out how GFP and quantum dots are shedding Bioluminescence
light on medical research... in nature
Hundreds of living organisms produce
light, although most do not fluoresce,
For millions of years, the Aequorea track their movement and interaction. Tagging the instead getting their glow from
victoria jellyfish held the secret to HIV virus with GFP, for instance, shows how the chemical reactions. Most of these are
marine creatures and bacteria,
green fluorescent protein (GFP) - a infection spreads.
although terrestrial invertebrates (eg
protein that absorbs the energy from Asimilar effect can be achleved with q uanturn fireflies, inset) and fungi can also
the blue and ultraviolet (UV) range andre-emits it as a dots - nanoscale semi-conductor crystals which glow. Bioluminescence serves a
variety of functions. In many marine
green light Biologists got their hands on the glowing also fluoresce under UV light. The dots can be
animals, it provides camouflage by
jeUyfish in the Sixties, extracting the protein and made in many different colours and bound to aBowing its bearer to blend in with
then uncovering the gene that codes for it. proteins, allowingsdentists to observe complex the surrounding light when viewed
from below. In othet- species it is used
By inserting this sequence into living orga nlsrns, biological interactions.
as a form of convnunication or, like
scientists equip them with the instructions that are Recently, surgeons wearing special goggles the anglerfish, to draw in prey.
required to manufacture GFP, highlighting how identified and removed cancerous cells highlighted Researchers aren't certain what the
Aequorea victoria jellyfish uses its
genes are expressed in everything from bacteria with quantum dots. These goggles could also be
eerie GFP glow for, but some believe
to human cells. Spedfic proteins and cell types used to develop diagnostic tests and therapies for it may be to evade predators.
can be tagged with GFP, allowing researchers to other conditions.
020
I•U•JW•1!113N•l!i'i> Ribosomes are responsible for making proteins out of omrno ocrds
• Central command
ns1 eanu eus Take a peek at what's happening inside
the 'brain' of a euk aryot ic cell
0 Nuclear pore
Dissecting the control centre of a cell These channels control the movement or molecules
Surrounded by cytoplasm, the responsible for making proteins out of amino between the nucleus and cytoplasm.
nucleus contains a cell's DNA acids which take care of growth and repair. @ Nuclear envelope
and controls all of its functions Being so important, the nucleus is the Act s as a wall to protect the DNA within the nucleus
and processes such as movement most-protected part of the cell. in animal cells and regulates cytoplasm access.
and reproduction. it is a lways located near its centre and away ~Nucleolus
There are two main types of cell: eukaryotic from the membrane to ensure it has the Made up of protein and RNA, this is the heart of the
and prokaryotic. Eukaryotlc cells contain a maximum cushioning. As well as the jelly-like nucleus which manufactures ribosomes.
nucleus while prokaryotic do not. Some cytoplasm around it, the nucleus itself is filled 0 Nucleoplasm
eul<aryoticcells have more than one nucleus- w ith nucleoplasm, a viscous liquid whjch This semi-liquid, semi-jelly material surrounds the
called multinucleate cells- occurring when maintains its structural integrity. nucleolus and keepS the organelle's structure.
fusion or division creates two or more nuclei. Conversely, in plant cells, the nucleus is more 0 Chromatin
At the heart of a nucleus you'll find the sporadically placed. This is due to the larger Produces chromosomes and aids cell division by
nucleolus; this particular area is essential in vacuole in a plant cell and the added protection condensing DNA molecules.
the formation of ribosomes. Ribosomes are that is granted by a cell wall.
Nucleus in context /
Explore the larger body t hat a nucleus
rules over and meet its 'cellmates•
0
How do cells
survive without
a nucleus?
Double membraned. Prokaryotic cells are much more basic than their
Made up of two separat e this produces energy for eukaryotic counterparts. Up to 100 times
entities, ribosomes make the cell by breaking smaller and mainly comprising species of
proteins to be used both down nutrients via bacteria, prokaryotic cells have fewer functions
than other cells, so they do not require a nucleus
to act as the control centre for the organism.
Instead, these cells have their DNA moving
Golgi apparatus around the cell rather than being housed in a
Named after the Italian Lysosome nucleus. They haye no chloroplasts, no
biologist Camillo Golgi, Small and spherical. membrane-bound organelles and they don't
this organelle contains undertake cell division in the form or mitosis or
digestive enzymes that meiosis like eukaryotic cells do.
Prokaryotic cells divide asexually with DNA
molecules replicating themselyes in a process
known as binary fission.
at are stem ce •
Understand how these building blocks bring new life
Stem cells are incredibly proliferation- while others such as
special because they nerve cells don't divide at all. Cloning cells
have the potential to There are two stem cell types, as Scientists can reprogram
become any kind of cell Professor Paul Fairchild, co-director cells to forget their
in the body, from red blood cells to of the Oxford Stem Cell Institute at current role and become
pluripotent cells again
brain cells. They are essential to life Oxford Martin School explains: - indistinguishable from
and growth, as they repa lr tissues "Adult stem cells are multipotent, early embryonic stem cells. These
and replace dead cells. Skin, for which means they are able to are called induced pluripotent stem
cells (IPSCs) and can be used in areas
example, is constantly replenished produce numerous cells that are of the body where they are needed,
byskinstemcells. loosely related, such as stem cells in taking on the characteristics of
Stem cells begin their life cyc le as the bone marrow can generate cells nearby cells.
IPSCs are more reliable than stem
generic, featureless cells that don't that make up the blood; he says. "In cells grown from a donated embryo
contain tissue-specific structures, contrast, pluripotent stem cells, because the body is ITl()(e likely to
such as the ability to carry oxygen. found within developing embryos, accept stem cells generated by itself.
IPSCs can treat degenerative
Stem cells become specialised are able to make any one of the conditions such as Parkinson's
through a process called estimated 210 cell types that make disease and baldness, which are
differentiation. This Is triggered by up the human body." caused by cells dying without being
replaced. The IPSCs fill those gaps,
signals inside and outside the cell. This fascinating ability to restoring the body's systems.
lntemal signa Is come from strands transform and divide bas made Professor Fairchild says IPSCs could
of DNA that carry information for a II stem cells a rich source for medical help find a cure for certain disorders:
"By deriving these cells from
cellular structures, while extema I research. Once their true potential individuals with rare conditions, we
signals include chemicals from has been harnessed, they could be are able to model the condition in the
nearby cells. Stem cells can used to treat a huge range of laboratory and investigate the effects
of new drugs on that disease."
replicate many times - known as diseases and disabilities.
022
Answer:
STRANGE VVhathappensifyou FlatWOI'ms have the ability to (egenefate ofgans.
which is an Invaluable skill fOf' Sllr'Vfvat. Thetefon~.
BUT TRUE halve a flatwor1n? If you cut one in half. Its pluripotent stem cells
activate and create two flatworms. We'd father
A LIFE DIVIDED A It dies B It becomes two flatwonns you didn't try this, though!
C One half lives while the other dies
I•U•Jtl•I!JirW•ll,.!JP Stem cells have been used to restore the sight of patients suffering from certain forms of blindness
Bone marrow
The bone marrow contains both active cells
and stem cells that are waiting to develop.
__ l
Eosinophils and
I Myeloid Lymphoid
neutrophils progenitor cells progenitor cells
These are essential for These are the stem cells These are the stem cells that
stopping infections from that become red blood tum into white blood cells,
spreading in the body. ceUs, among others. responsible for battling disease.
023
umonsme/1
Olfactory bulb
This area ol the brain is where si!Jlals are
~and smel ispercei\led. Othe<
animals......., a much larger area as they
can pe ceNe wider ra M}bd 511 ds and
use their sense ol smel more.
_
.... ......._.,_
cjaphragm~
••••• ~ halhowndwlWOit••
Olfactory epithelium +--+-......_~ ~Mr-M.,.-..;;;;
~only·-- This is where the olfactory
neow cells are located. In a
Smell affects taste
2 human. this area is around
-
Ththuman-loacbllllvlho
malnorpnl_ ln_...,. !Ocm squared.
-ra~abucll ... onl)l
-......-. ......
ondsall.~ oiM
1*00..... _ _ _
Cells smell
]==can'
.....,..___ t_
It's • CCNii illCW' rnrth lhlt t61d
The patch ofsensory cells located in the nasal
cavity are made up ofseveral different parts
.........
__ Hotwv«.tNshM
and_ ... _....
M~ --------------------------------~~\
-lholoct. Mucosa lines the epitheiun inside the nasal cavity and catches the
oclol.r particles to be sensed by the receptor lli!U'Oil cells.
At_....,.._.,_
•• ctJ:1::3
.a:~ ....... _~~~~~. Olfactory receptor neli"'O1 eels -----------,
--
sn
5 Saase
·.~....,- ·
of su el
These a r e - - e e l s thatarestinUatedbythe
eiia. They then send .,...._ ll'rough to the brain.
_.,_.. __
ie ..uwes~
----·-
thedi!y
tlwlinttw-.. ...
,_ Olfactory ciia
These sense the particles in <W. There are S.20ol these
-----------tlif\1
on each olfactory ner\1! cell which line the epitheilm.
024
•• •• •• ••
• • •• ••
Around 2501.> of ~le •• Otl..,.. factors ••• Taste buds are not •• You can lose yoar •• Butterflies taste
STOP 1
are 'supertasters' •• contribute to flavour
•:2 • only on the tongue
:• 3 •
• sense of taste
4 •s
• with their feet
FACTS
TASTE
Things taste different to some
because they are supertasters
and experience taste
signiftcantly more intensely
than 'nOI'TTlal' people.
•
•
tt's not all about just taste buds.
••
•••
Factors such as temperature.
smell and even hearing can
contribute to a thing's flavour
•
•
•
•
•
••
As wt>ll as having around 8,000 :
taste bods on the human
tongue, h~Snans also have
•
•
••
them on the rod of their mooth •
•
tf you happentosuffer a serious
head injury, neurological cisorder •
rx E'\'en dental problems. then
these can severely affect~
ability to taste things property. •
•
•
••
•• Not all species taste things in
the sameWiJY as humans.
Butterlles' taste sensors. for
example. are actually located
in their feet!
alongside taste. and oesophagus.
• •
Howdo e:$
work?
Discover how we distinguish
between flavours
Taste buds are sensory organs that are found in the little
bumps (or papillae) on the tongue. The tongue contains
about 8,ooo taste buds and they're replaced approximately
every two weeks. Sensitive microscopic hairs on the taste
buds (microvilli) pic!< up dissolved chemicals from food and send
electrical signals to the brain that distinguishes between five different
tastes: sweet, bitter, savoury (umami), salty and sour. Varying
sensitivity to these tastes occurs across the whole of the tongue. But
taste buds alone cannot tell us the exact flavour of food. Other factors
such as smell, spiciness, temperature and texture also contribute to the
eventual taste. So if you hold your nose while you eat then your brain
won't get the full taste story!
025
umon tonsils explained
Tonsil
locations
Where you can find
the three pairs of
tonsils in your head
026
I•U•JW•1!113N•l!i'i> The vocal cords remain open when you breathe, but dose completely when you hold your breath
, , , ------·~----------~.-r--~
, , ,
,I
'•
I
,,•
,
I
,
I
I'
,
I
I
,
I
t
I
027
most fascinating organ of oil
028
Spennwhale Mouse lemur Elephant
The sperm whale has The s mallest pr'imate At 10.5 poonds
evolved the largest brain brain is owned by the (4.78kg) it'scertalnlya
ever to exist on our pygmy mouse lem.~r of big one. The b<aln of
plane~ w<!igling as Madagascar and the elephant makes up
much as nine kilogr'CIO"'s weighs in a t just 0 .004 1~ than 0.1 per cent of
ltU•JU•11J!3N•IW The overage human brain is 14omm wide x 167mm long x 93mm high
, - - - - Cerebral cortex
The 'grey matter' of the brain cootrols
cognition, motor activity, sensation, and
other higher level functions. Includes
the association areas which help
Functions of
process infO<mation. These
association areas are what
distinguishes the ho.man
brain from other brains.
cerebral
Frontal lobe
The cerebral cortex is the wrinkling
Primarfy oontrols senses
suc:ll as taste, hearing, and
part of our brain that shows up when
smell Association areas you see pictures of the brain
might help usdetennine
langu- and tt-e tone ci
~ex
movements l
~--=··--· ~
solving \
------ ' SN!Ietal""""'"'""'
. - - - - Parietal lobe
Where the brain senses
touch and anytling that
interacts with the surface
of the skin, makes us
aware of the feeings
dour body and
where we""'
in space.
029
Neurons, nerves and the spinal cord
-------------------------------------
Naron
A net.I'OO is a l'lei'"Ye ceiiW1
the bran that C<W1 be
activated (l.ISUaly by
glucose) to COIOIOCt with
netronS and form a •
I
-
bond that trigger-s an
action in the brain.
Neu-otransmitter
~r-:-- A neurotransmitter is the
Neurons fire like electrical circuits
• electnH:hemical cn:u~
that carries the signal from Neurons area kind of cell In the brain (humans have many cells in
one neuron to another
the body, Including fat cells, kidney cells, and gland cells). Aneuron
along the axon.
is essentially like a hub that works with nearby neurons to generate
.-- A thin synapse an electrical and chemica Icharge. Dr likosky of the Swedish
A thin synapse Medical Inslltute says another way of thinking about neurons is
(measuring just a few that they are lil<e a basl<etball and the connections (called axons)
nanometres) between are lll<e electrlca Iwires that connect to otherneurons. This creates
the neurotransmitter,
carried aklng the axon in
a kind of circuit In the human body. Tallal explained that input
the brain, forms the
from the five senses In the body cause neurons to fire.
electro-chemical "The more often a collection of neurons are stimulated together
CO<Olection. In lime, the more likely they are to bind together and the easier and
easier it becomes for that pattern of neurons to lire in synchrony as
well as sequentially; saysTallal.
Brain
TrackVis generates unique maps of the brain
TrackVis is a free program used by neurologists to see a map of the brain that shows
the fibre connections. On every brain, these neural pathways help connect one part of
the brain to another so that a feeling you experience In one part of the brain can be
transmitted and processed by another part of the brain (one that may dectde the touch
is harmful or pleasant). TrackVis uses fM Rl readings on actual patients to generate the
colourful and eye-catching Images. To construct the maps, the program can take
"The brain - a fragile several hours to determine exactly how the fibres are positioning in the brain.
brain ....
•
-
you could hold it
If in your hand...
In pictures, the human brain often looksplnkand spongyz
U.COiiiJ 2 . . . . ...,
III!I'EI
1
- -••-
described thebrainasbelng not unlike fetacheeseln
appearance-a fragile organ that weighsaboult,5Q()grams
andsagsalmostlikea bag filled with water. In the skull, the
brain Is highly protected and has hard dssue, but most of the -- -- - •-
fatty tissue in the brain-which helps pass chemicals and
other substances through membranes-Is considerably --·
"- - -
-.,. ............•
.........
._,.. ..,
_
more delicate.
030
• • • •
••
•
••
•• The brain consists
•
•
• •••
STOP 1
100,000 miles of
blocid vessels
•• Headache not
•
. thebr.....
• Ill
2
. I) •
•• of60%t.rt
3
• Your brain uses :ZOO!c>
•• of power
:4
•
•• The brain has trillions
•
•• s
• of c:onnections
ltU•JU•11J!3N•IW The adult human brain weighs about 1.4kg [or three pounds)
• •• •• • • •
•
•
•
•
.. • •• •
• •
••••
.••....
. . -.
•
Nerves carry signals throughout the un-mylinated - - -•
•
•
•
•
•
• •
•
• •• • • • • ••
•
• •
body- a chemical superhighway Some nerves are fTIY"linated
(or insulated) with fatty tissue
• • • •• • •
• • • ••
•
•
•
•
Nerves are the transmission cables that carry brain waves in the
human body, says Sol Diamond, an assistant professor at the Thayer
that appea<s white and forms a
slower connection over a
longer distance. Others are
• • •
• •
• •
• •
•
- •. • •
•
•
•
•
•
• •
•
sp Spinal cord core
The spinal cord actually In the core of the spinal cord, grey matter
is part of the brain and - fike the kind in the outer layer of the
brain - is for processing nerve cells such
- - - - - - Nell'ogenesis
Grey matter cells According to Tallal, by repeating brain
Grey matter eels in the spinal oord activities such as memorisation and
camot regenerate, w hich is why pattern recognitioo, you can grcwv nevv
people w ith a serious spilal cord injury brain cells in the spinal cord and brai"t
cannot recover over a period of time.
White matter cells can re-generate.
031
Inside the human eye
Fovea
This pit at the centre of the
back of the eye is rich in light
receptors and is responsible
for sharp central vi.slon.
Optic nerve
Uncovering one of the most complex Signals from the retina
travel to the brain via the
Individual image
Due to the positioning of our eyes,
when objects are closer than about
5.5m (18ft) away, each eye sees a
slightly different angle.
Retina Iris
Try it for yourself The retina is covered in This circular rnusde
By holding your hand in front of receptors that detect light. controls the si2e of
your tace and dosing one eye at a It is highly pigmented, the pupil, allowing it
time, it is easy to see the different preventing the light from to be closed down in
20 views perceived by each eye. scattering and ensuring a bright light, or opened
crisp image. wide in the dark.
032
2.BIGGER
~~~82
Tarsier Ostrich Colossal squid
The eyes of these tiny Ostriches are the largest Uttle is known about
primates are as big as IMng birds and also have these mysterious
the.k btains, so as a the largest eyes of any creatur'~, but they have
result, they have living land animal, eyes the size of Footballs
AN EYE FOR SIZE developed extremely measuring an l.nc:redible - tOO largest knoWn in the
good night vision. ..__ _......;"-_.._ _ __.. Scm (21n) In dlamet..-. animal ldngdom.
[t!f•1\1!I!J!3~[•1~!l? 285 million people in the world ore estimated to be visually impaired and 39 million of them ore blind
. - - - - - - - - - - Ciliary body
This tissue surrounds the
Vision problems
lens and contains the The most common problems
muscles responsible for with our eyesight
changing its shape. Farsightedness (hyperopia)
lf the eye is too short, the cornea is too flat, or if
the lens sits too far bad<, incoming light is
focused behind the retina, making nearby
objects appear blurry, particularly in the dark.
- - - Sclera
A tough white membrane
known as the sclera helps
to maintain the eye's
spherical shape.
Nearsightedness (myopia)
lf the eye is too long, or the cornea and lens are
too curved, the light is focused before it hits
the back of the eye, and then starts to defocus
again as it reaches the retina, making distant
objects difficult to see.
Colour-blindness
This rare condition is often linked to a gene on
the X-chromosome and occurs more commonly
in men than in women. A defect in the cone
cells of the eye reduces the number of colours
that can be detected.
Protection
The eyes are shielded by several layers of protection.
They are almost complet ely encased in bone at the
back and insulated from shock by layers of muscle
and connective t issue. The front is kept moist with
tears and constantly w iped by the eyelids, while the
hairs of the eyebrows and eyelashes cat ch any debris
that might fall in.
Lachrymal gland
Tears are produced here
and wash across to the
inner corner of the eye,
helping to clean and
nourish the surface.
Comea
The pupil and iris are Eyelashes
Lens covered in a tough, Eyebrows Eyelashes not only catch
The lens is responsible for transparent The arch of the eyebrows dust before it enters the
focusing the light, and can Pupil membrane, which helps to keep sweat and eye, they are also sensitive,
change shape to The pupil is a hole that provides protection rain away from the eyes, like whiskers, and the
accommodate objects allows light to reach and contributes to channelling it down the slightest unexpected touch
near and far from the eye. the back of the eye. focusing the light. sides of the face. triggers a protective blink.
•
033
Ears explained
034
• •• •• •
• •
• • • •
•• Underwater hearing • Hearing loss •• Wax essential •• Making me dizzy
STOP
Hearing range
1 H...-nan ears can hear sounds :2
•
•
Hl.ma"'s can hear much
hir;tler-pitched sounds
•
•
•
•
• 3 The most common causes of
hearing loss are ageflg and
•
•
•
•
4 Waxdeansandh.Jbrieatesthe
••
•• sInflammation of the imer ear due
FACTS
with frequencies between 20Hz outer auditory canal, to viraVbacterial conditions such as
and 20.000Hz. The abi~ty to hear
• (200.000Hz) when under water. •• noise.. As we age. our abHity to •• transportilg dirt and dead •
•
•••
labyri'lthitis can cause dizziness
frequencies above and below ttis • because we can 'hear' w ith our •
• heat souOOs with h;ghe< •• skin away from the ear. tf and nausea. When balance is
•• •• ••
is linked to the size of the cells •• bones. bypassing the outer ear frequencies deteriorates- this is : exc.es.sive wax is a problem, affected, sufferers may rot be able
HUMAN EARS and sensitivity. and ossides. • known as 'presbycusis'. • consult )'CIII doctor. • to walk or stand.
• • • •
ltU•JU•11J!3N•IW The eardrum needs to move less than the diameter of o hydrogen atom in order for us to perceive sound
Macula::-.S~~~~~~d'f-~¢~
Asensayarea ~~l-~t::=:==:~~--~~ Vestibwe
~ in Inside the fluid-filled
tiny hairs. vestibules are two
chambers (the utricle
and saccule), both of
which contain a
C~a --------------------------~ structure called a
At the e nd of each semicircular canal macula, which is
there are tiny hair-filled sensory receptors covered in sensory
called aistae. hair cells.
A sense of balance
The vestibular system functions to give detect acceleration lie, movement ofyour
you a sense of which way your head Is head) in three different directions due to
pointing in relation to gravity. It enables the positioning of the loops along
you to discern whether your head is different planes. Like the organ of Corti,
upright or not, as well as helping you to the semicircular canals employ tiny hair
maintain eye contact with stationary cells to sense movement The canals are
objects while your head is turning. connected to the auditory nerve at the
Also located within the inner ear, but back of the brain.
less to do with sound and more Your sense of balance is so complex
concerned with the movement of your that the area of your brain that's
head, are the semicircular canals. Again dedicated to this one role involves the
filled with fluid, these looping ducts act same number of cells as the rest of your
like internalaccelerometers that can brain cells put together.
035
our teeth
The biological
structures that are so
versatile they enable us
to eat a well varied diet
1be b"Ollble
with
.,..
~"'
The primary function of
teeth Is to crunch and chew
food. For this reason, teeth
• are made of strong
the teeth firstappearatslx months old
and are replaced by secondary teeth after
sixorsevenyears.Someanlmalsdevelop
only one set of teeth, while sharks, for
From ancient times healers have sought
to treat and replace the teeth with false
ones. Examples of this pmctice can be
seen from ancient Egyptian times and
Tooth decay, also often substances -namelycalcium, instance, grow a new set of teeth every today, we see revolutionary new
known as dental caries, phosphorus and various mineral salts. two weeks. techniques in the form of dental
affects the enamel and The main structure of the tooth Is With humans, tooth loss can occur Implants, whicharesecureddeepwithin
dentine of a tooth, breaking dentine, this itsell Is enclosed in a shiny through accident, gum disease or old age. the bone of the jaw.
down tissue and creating substance called enamel. This strong
fissures in the enamel. '!Wo whltecoatingls the hardest material
found In the human body.
Enamel - - -..... , - - - - - Pulp
typesofbacterla-namely The pulp nouislles the
Humans have different types of teeth The white, outer s<rlace ""
Streptococcus mutansand of the tooth. This can be dentine and keeps the
Lactobacillus-are that function In various ways. Incisors dearly seen when tooth healthy - the pulp is
responsible for tooth decay. tear at food, such as the residue found looking in the mouth. the soft tissue of the tooth,
Tooth decay occurs after on bones, while bicuspids have long which is protected by the
repeated contact with acid· sharp structures that are also used for dentine and enamel.
producing bacteria. ripping. Bicuspids tear and crush while
Environmental factors also molars, which have a flatter surface, Cementum --...,...;;P!II(
have a strong effect on dental grind the food before swallowing. This The root coating, k
protects the root
health. Sucrose, fructose and aids digestion. Because humans have a
canal and the
glucose create large problems varied army of teeth (called collective nerves. tt is
within the mouth, and diet dentition) we are able to eat a complex coronected to the
can be an important factor In dlet of both meat and vegetables. Other jav.boc "' throujl
maintaining good oral health. species, suchasgrazlnganimals, have collagen fibres.
The mouth contains an specific types of teeth. Cows, for example,
enormous variety of bacteria, have large fiat teeth, which restricts them
which collects around the to a simple diet. Blood vessels
teeth and gums. This Is visible Teeth have many functions, in some and nerves --_..:...~~T-~ Bone
in the form of a sticky white cases they aid hunting but they also have The blood........ts The bone acts
substance called plaque. strong psychological connotations. Both and ner wescany as an
Plaque Is known as a bio!Um. animals and humans bare their teeth mxxtat i1111pcw ta It
llOlWislwnent to the anchor lor the
After eating, the bacteria In when faced with an aggressive situation.
tooth and ...., tooth and
the mouth metabollses sugar, Teeth are the most enduring features of keeps the root
sensi!Neto
which subsequently attacks the human body. Mammals are pre5Slftand 5eCU'e witiW1
the areas around the teeth. described as 'diphyodont', which means ~ the jawbone.
they develop two sets of teeth. In humans
036
1. Hippopotamus 2. Piranha 3. Hamster
A hippopotamus has an Piranha teeth are very sl'l'\2lll A membet of the rodent family,
eoor'mous mouth that can but can be extr'emely shar'p and the hamster has teeth that
toeasur'e up to 1.2 meues ate often used by the local grow continuously. They
wide. They are equipped with populations of South America lher'efore need to 9rind thelt
a pair of huge and ve.ry to create a vatiety of tools teeth on a har'd substance to
dangerous inclsots. and weapons. prevent overgr'owth.
ltU•JU•11J!3N•IW The ancient Egyptians hod severe problems with their teeth. They invented the world's first dental bridge
Maxilla
Alayout of the upperarea
ofyour mouth
Wisdom teeth - - - - - - - - - - - - -
Usually appear between the
ages of 17 and 25, and often
erupt in a group of four.
of
The approximate
ages at which the
permanent teeth
begin to erupt
Age&
First molar
Age7
Central incisor
The tooth is a complex structure. The Age9
enamel at the surface of the tooth is highly First premolar
visible while the dentine is a hard but
porous tissue found under the enameL
The gums provide a secure hold for the AgelO
tooth, while the root is anchored right Second premolar
into the jawbone. In the centre of the tooth
there is a substance called 'pulp' which Agell
contains nerves and blood vessels, the
pulp nourishes the dentine and keeps the Canine
tooth healthy.
Tooth formation begins before birth. Age12
Normally there are 20 primary teeth
jhuman baby teeth) and later, 28 to 32 Second molar
permanent teeth, which includes the
wisdom teeth. Of the primary teeth, ten
are found in the maxilla jthe upperjaw)
Mandible First and second
premolar te&h
Age17to21
or not at all
Alook inside your towerjawbone
and ten in the mandible jlower jaw), while
the mature adult has 16 permanent teeth Lateral and central incisors _ _ _ _ _.....
The premolar or bicuspids are
located between the canine
Third molar
in the maxilla and 16 in the mandible. Incisor comes from the latin V'JOrd 'to and molar teeth. They are (wisdom teeth)
cut', they are used to grip and bite. used for chewing.
037
eckonotomy
a to enec
Explore one of the most complex and functional areas of the human body
The human neck is a perfect blend
of form and function. It has several
Get it in the neck Larynx
This serves two rna.il
We show the major features that are pack ed
specific tasks (eg making it possible into this junction between the head and torso functions: to connect tile
to turn our heads to seeI, while Oesophagus mouth to tile trachea, and
This pipe comects the to generate your voice.
serving as a conduit for other vital activities (eg Sympathetic trunk Cartilage ---.. mouth to the stomach,
connecting the mouth to the lungsj. These special nerves run This tough tissue and is collapsed llltil
The anatomical design of the neck would alongs<de tile spinal cord, and protects tile delicate youswalow Carotid artery
control svveatalg, heart rate airways behind, sOf'I"K?thing, when its These arteries transmit
impress modern engineers. The flexibility of and breathing, among other including the larynx. muscular walls stretch. oxygenated blood from
the cervical spine allows your head to rotate, vital functioos. tile heart to the brain.
There are two of them
flex and tilt many thousands of times a day.
Vertebra - - - " " " Cri!:lrt and left), i1 case one
The muscles and bones provide the stre ngth These bones provide becomes blocked.
Phrenic nerve
and flexibility required, however the really These important SlJilpoft to p.......,rn tile neck
impressive design comes with the trac hea, nerves come off the collapsi"lg, hold"" tile skul
third, fourth and fifth and protect the spinal
oesophagus, spinal cord, myriad nerves and cord within.
neck wrtebrae, and
the vital blood vessels. These structures must innervate tile
all find space and function perfectly at the same ~whidl
keeps- breathing
time. They must also be able to maintain their
(without - havi1g to
shape while the neck moves. think about it).
These structures are all highly adapted to
achieve their aims. The trachea is protected by
a ring of strong cartilage so It doesn't collapse,
while a llowing enough flexibility to move when
stretched. Above this, the larynx lets air move
over the vocal cords so we can speak.l'arther
back, the oesophagus is a muscular tube which
food and drink pass through en route to the
stomach. Within the supporting bones of the
neck sits the s pinal cord, which transmits the
vital nerves allowing us to move and feel. The
carotid arteries and jugular veins, meanwhile,
constantly carry blood to and from the bra in.
038
2.LONGER Giraffe
The giraffe has the
longest oeck ol any land
animal today. However,
amazingly, it has the same
nurrber of neck vertebrae
as~ do- seven.
l.U•Jt(•l!-rW•mG> The hyoid bone at the front of the neck is the only one 1n the body not connected to another bone
.-J---~Th
:-'is~
The """""""' of articulates (ma..oes)
the atlas around around the odontoid
the odontoid P"9 process which
allows for rotation projects through iL
of the skull alxM! it.
Sternocleidomastoid
Tum )'OU' head left and feel the Atlas
right of )'OU' neck - this is the The first neck (cervical)
muscle doing the turr*>g. vertelra is what
pem its the nodding
motion of the head
Trapezius
When you shrug )'0\1'
shoUders this !woad
muscle !e<ISeS up
between )'0\1'
Axis shoulder and neck.
The second c:eMcal
vertebra alows rotation
of the head. So when
you're shaking )'OU' head
to say no, you hiM! got
this bone to thank.
Cervical plexus
'--- Jugular vein These nerves provide
These ~~esse4s sensation to the skin and
drain blood also control the fine
from the neck,
ret:uming it to
the heM.
Vertebrae create a
cage of bones to
protect the critical
spN cord withh
Seventh cervical
vertebra
This is the bony Splenius capitis
~at the This rnJSde is an exa11 !pie
bottoo I of )'0\1' neck, ofoneofthemany
whch you can feel; strap.Jiloe rniSdes which
doctors use it as a ldnd of COilbol the mUtitudeof
landmark so they can fine l1'lOIIerTiel1! of the
locate the other vertebrae. head and neck.
human skeleton
Collarbone ---....,
Scapula
040
1. Snails 2.Snake 3.Giraffe
HEAD2 Exoskeletons are often The skeleton of a snake Consideting the size of a
ltU•JU•11J!3N•IW Around five per cent of o/1 onimols hove backbones and ore therefore classified as vertebrates
Inside our
skeleton ilow our joints work
The types of joints 1n our body explained
How the human
skeleton works ond 1. Ball and socket joints 3. Skull sutures
Both the hip and the shoulder joints are Although not generally
keeps us upright
Whether it's a complete break or ball and socket joints. The femur and
humerus have ball shaped endings, which
thought of as a 'joint', all the
cranial sutures present from
!.Cranium just a fracture, botfi can take time tum in a cavity to aUow mOl/em""" w here bones have fused in
The cranium, also known as to heal properly childhood are in fact
immoveable joints.
the skull, is where the brain
and the majority of the If you simply fracture the bone, you may just need to keep it 2. Vertebrae
sensory organs are located. straight and keep pressure off it until it heals. However, if Vertebraefit togetherto
you break it into more than one piece, you may need metal support the body and allow
2. Metacarpals pins inserted into the bone to realign it or plates to cover the bending mCM!flleflts. They
The loog bones in the break in order for it to heal properly. The bone heals by are joined by cartilage
hands are called
producing new cells and tiny blood vessels where the and are classified as
metacarpal~ and are semi·mobile joints.
the equivalent of
fracture or break has occurred and these then rejoin up. For
metatarsals in the
most breaks or fractures, a cast external to the body will be
foot. Phalanges put on around the bone to take pressure off the bone to
located close to the ensure that no more damage is done and the break can heal.
metacarpals make
up the fingers.
Skull
When we are born, many of our
..___ _ _ _ 3. Vertebrae bones are still somewhat soft and
There are three main kinds of are notyet fused- this process
vertebrae (excluding the sacrum and
ooocyx) - cervical, thoracic and
occurs rater during our childhood
lumbar. These vary in strength and The primary reasons for the cranium in particular not to be
structure as they carry different fully fused at birth is to allow the skull to Oex as the baby is
pressure wittin the spine. born and also to aUow the extreme rate of growth that
occurs in the first few years of childhood following birth.
The skull is actually in seven separate plates when we are
G. Pelvis 4. Hinged joints 5. Gliding joints 6. Saddle joints
This is the transitional joint between
born and over the first two years these pieces fuse together
slowly and ossify. The plates start suturing together early Both elbows and knees Some movement can The only place we see
the trunk of the body and the legs. It
are hinged joints. These be aDowed when flat this joint in humans is
is one of the key areas in which we on, but the anterior fontanel - commonly known as the soft
joints only allow timited bones 'glide1 across the thumb. Movem ent
can see the skeletal differences spot- will take around 18 months to fully heal. Some other movement in one each other. The w rist is limited in rotation,
between the sexes. bones, such as the five bones located in the sacrum, don't direction. The bones fit bones - the carpals - but the thumb can
fully fuse until late teens or early twenties, but the cranium together and are moved operate like this, m ove back, forwand
7.Femur becomes fully fused by around age two. by m uscles. m oved by ligam ents. and to the sides.
This is the largest and longest single
bone in the body. It connects to the
pelvis with a ball and socket joint.
9. Metatarsals
These are the five long bones in
•
the foot that aid balance and
m ovem ent. Phalanges located
close to the metatarsals are the
bones which are present in toes. •
041
uscles ex ined
ltU•JU•11J!3N•IW Skeletal muscles account for around 40 per cent of your total body moss
- - 1. Deltoids
These muscles stretch across
the shoulders a1d aid lifting.
What affects our How the
- - - 2. Trapezius
musde
large, superficial muscle at the
back of the neck and the upper
How strong we are is a combination
part of the thorax, or chest. of nature and nurture Bicepsand triceps are a pair of muscles that work together
to move the arm up and down. As the bicep contracts, the
- - - 3. Pectoralis major Muscle strength refers to the amount of force that a muscle triceps will relax and stretch out and consequently the arm
Commonly known as the 'pees', can produce, while operating at maximum capadty, in one will move upwards. When the arm needs to move down,
this group of muscles stretch contraction. Size and structure of the muscle is important the opposite will occur- with the triceps contracting and
across the chest. for muscle strength, with strength being measured In the bicep relaxing and being forcibly stretched out by the
several ways. Consequently, it is hard to definitively state triceps. The bicep is so named a flexor as it bends a joint,
4. Biceps/triceps which muscle is actually strongest. and triceps would be the extensor as itstraightens the joint
These ann muscles work We have two types of muscle fibre- one that supports
together to lift the ann up and down.
out. Neither of these muscles can push themselves straight,
long, constant usage exerting low levels of pressure, and they depend on the other to oppose their movements and
Each one contracts, causing movement
one that supports brief, high levels of force. The latter is stretch them out Many muscles thereforework in pairs,
in the opposite direction to the other.
used during anaerobic activity and these fibres respond so-called antagonisticmuscles.
5. Latissmus dorsi better to muscle bullding.
Also referred to as the 'lats', these Genetics can affect muscle strength, as can usage, diet L Tricep relaxes - - - - - -..,
musdes are again buit up during and exercise regimes. Contractions of muscles cause
>Neight training and are used to injuries in the muscle fibres and it is the healing of these 2. Bicep contracts
pull down objects from abow. that actually create muscle strength as the injuries are
repaired and overall strengthen the muscle.
fibres, which work together to contract and the connective tissue to give energy to the 2. Tricep contracts
control parts of the body. Muscle fibres are muscle and allow feedback to be sentto the
bound together by the perimysium into small brain. Tendons attach muscles such as biceps
bundles, which are then grouped together by and triceps to bones, allowing muscles to
the epimysium to form the actual muscle. move elements of our body as we wish. What is a pulled muscle,
Epimysium
The external layer that covers the
Blood vessel
This provides oxygen a1d allows
Perimysium
This layer groups
and how does it ha111Je11?
muscle overall and keeps the bundles the musde to access energy for together muscle fibres They hurt like crazy so here's why
of muscle fibres together. musde operation. within the muscle.
it's important to warm up
Apulled muscle is basically a tear in muscle fibres. Sudden
movements commonly cause pulled muscles, and often,
when an individual bas not warmed up appropriately
before exercise oris unfit, a tear can occur as the muscle is
not prepared for usage. The most common muscle to be
pulled is the hamstring, Go... run...
which stretches from gettothe
the buttock to the knee. dlopperl
~------~--~--~-------- A~~~ Apulled muscle may
Myofibrils are constructed
of filaments, which are
resultinswellingand
made up of the proteins pain can last for several
actin and myosin. days before the fibres
repair themselves. To
prevent pulling
---~;:=~- ......------.!..:::-:;:..:....;....!2:~;;::..----- Endomysium muscles, warming up
' _,... This layer SUI'I'<Ulds
- - - Tendon ' - - - - - - - Myofibril each singular muscle
is recommended
These attach muscle to bones, w hich in located within the single muscle fibres, fibre and keeps the before any kind of
turn enables the muscles to move parts nnyofibril.s are bll'ldles of actonnyosin nnyofilril filaments physical exertion.
of the body around (off image). filaments. They are crucial for contraction. grouped together.
043
kin colour 1 Skin grafts
Melanin and skin colour
Skin co Keratinocytes
These protecti\le cells are procLad
in the lowerlaye<s of the epidem is.
Suface
Basal skin eels rt\inJfacbnd in the
lowerlaye<s d theePderm6!70W
Keratinocytes
The keramocytes of
~- skinned
They take up the meliw:losomes tlvough the skin to the surface. where people take up fewer
procLad by the melanocytes. they are ewntuaty sloo.9>ed lmlrf. melanosomes.
044
•
•
•• •• •••
• • •
• • Skin varies drastically • •
•• As we~ •• We have billions
STOP Bacteria thrive
on human skin
1
•• You shed skin
• everyday!
:• 2
••
•
••
in thickness
3
• skin th"1ns '
••
4 ••
• of sweat glands
s
FACTS
SKIN
Every ~are inch of an normal
human's skin has an average ol
32 milion bacteria on it... no
matter hoiN many baths or
:
•
••
•
Every 24 hours. you will lose
your uppennost layer of dead
skin oells, helping to keep your
skin fresh and dean and able ••
•
•••
•
Skin isarol.nd lmmthick on
your eyelids, but on your feet
ttws thickness increases to
3rrm. giving )01.1 much more
•
•
••
••
•
Skin thins overtime and begins
to loosen, which is where
wrinkles COI'lle from. and why
people opt f<>< plastk;S<.<g<.'ry
•••
•
•
••
Each square inch of
healthy skin contains close
to 650 sweat glands, which
are essential for keeping
showers you have a day! • lo 1><-eathe. • protection where needed. • in later life. • )'OUCool.
ltU•JU•11J!3N•IW? All mammals hove hair on their skjn, including marine mammals which appear hairless
of
The cellular mechanisms, proteins and antibodies
involved in the development of rheumatoid arthritis
Ek:els Osteoc:lasts T-cells
8-oells are lymphocytes (white blood eels) that make Osteoclasis are terminaly <ifferentiated cells of the Similar to 8-<:ells, T-<:ells differ in the fact that they
ao1ttxxles to combat antigens. These cells lntemaise macrophage lineage that re-abso<b bone matrlx. ln hM! $I)OOial receptors on their Slriace. They assist
antigens befooe preserting them toT-eels. rfleuTiatoid arthritis, they aid joint destruction. the matl.l'ation of 8-oells into plasma cells.
;.· ~
••
••
-· .. •
••
••
•., •• • ••
~·
•
•
~ ..•
~ '!f
•••• ••
· · · ~··· ·
046
I•U•JW•1!113N•l!i'i> Bone morrow constitutes approximately 4"/o of the total body moss of humans
•
ns1 eour nes
Learn how bone marrow can transform cells into whatever the body needs
The skeleton is not only used as the cells in the blood, from oxygen-carrying red In an adult human, most of the long bones are
body's main structural support, itis blood cells to bacteria-munching macrophages. filled with yellow bone marrow - mostly made
also home to the largest collective The majority of these stem cells are contaIned up offat cells - howeverthis can be converted to
reserve of adu lt stem cells within us. in the red marrow, which gains its colour from a red marrow for blood cell production should an
Bone marrow is a soft tissue present inside all rich network of blood vessels. The stem cells are emergency arise.
the long bones of the limbs, a nd inside Hat supported by a range of other cells collectively Bone marrow also contains a second,
bones such as the pelvis, s kull a nd ribs and it is known as stroma. The stromal cells provide the less-studied population of stem cells known as
jam-packed with haematopoietic stem cells. right microenvironment for the development of mesenchyma I stem cells (MSCs). These are able
These cells are only partly committed to their stem cells into the blood's components, making to produce the basic elements that make up the
development pathway, so depending on the a range of growth factors to encourage cells to con nective tissues of the body, including fat
signals they receive, can become any of the differentiate down the correct path. cells. bone cells and fibroblasts.
-~ Bone marrow
In an adult, most of the 3. Common
Blood supply
Thestemcellsare medullary cavity Is I!Ued
with yellow marrow, lymphoid progenitor
generally unable to leave Once an HSC becomes a
the bone marrow; only while the red marrow Is
restricted to the ends of \!~=-- lymphoid progenitor, ills
fully developed cells can committed to becoming a
enter the bloodstream. the bones.
lymphocyte (eg 8-cellswhlch
make antibodies~
L---------------------------------------------------.J ~
047
Lfl
n
-·
ro
Spine curvature ::J
n
Asyoulook at the human sph1e,you can
seesomedlstlnctcurves. The primary
ro
reasons for these are to help distribute
weight throughout the spine and support
aspects of the body. The cur~~e most
familiar to us Is the lumbarcurve,
-::r
a
r-t-
Soipal cords
ahdnerves
The humanspinalcord Isan Immensely
complex structure made up of nerve cells
and a large amount of supporting.
protectl~~e ttssue.ltsplltslnto)l different
sectionsandstretcheS4)·45cm,down
from thebraln to between the first and
second lumbarvertebrae. Although more
commonly referred to In respect of the
brain. there Is both white and grey matter
present in the centre of the spinal cord.
White matter contalns axons tracts
surrounded by fats. and blood ~~esselsto
protect them. Thegreymattercontalns
more of the neural cell bodies, such as
dendrites, more axons and glial cells.
• Spinal cord Injuries are normally
caused bytrauma.lfthetraumacauses
Intervertebral discs and vertebrae to
breal<, they can plercethesplnal cord,
which can result In lossoffeellng. Cord
severance may result In paralysis.
•
\
•
b'ric
... '
•
•
• • - Vi _ - . .- - - . •
- ~
-
~
-
-·- --·
0
10
rtl
r::_-,
:J
~
rtl
..,~
• • ll'll'iile .
How is the skull ~
rtl
CT
~~: ~ u~ !""
attached to the a
- ~a:r
~..
c~
. 111
g. ~
spine? 0.
or ~~;r.~~
og. .. !l!~ Ill
~
10
. i~~~: ; ~
~
:r
Neck
The bones
Skull olthe neck
(cervlca
surround the vertebroo)
spinal cord, nre p.1rt ol
the splrlC.
.. g:i? W
i
which connects ~i
the brain to 11" ~ ~ "'~ .
!l!. ii g "'· ,.. C)
t ~~ iH ~
nervous
system.
~h~H ID
~aHJ
eart attacks explained
----------------------------------------------------
What causes heart attad<s and
how do they kill?
A heart attack, also known as a generation of coronary artery disease (CAD).
myocardlallnfarctJon, occurs This is where arteries are constricted due to
when a blockage stops blood plaque build-ups and this layer then ~- . -----------m~~
- *
oxygenating the heart muscle. If ruptures. Blood platelets make their way to
this is not corrected quickly, the muscle the site of rupture and start to form blood
tissue that is lacking oxygen can become clots. IIthese clots become too large, the
damaged, or indeed die. The scale of Impact narrowedarterywill block and a heart
·---- •
on the individual's health aftertheattack Is attack occurs. Heart attacks can also be
dependant on how long the blockage occurs caused by coronary artery spasms,
for, what artery It affected and what butthese are rare.
treatment was received. Following the Although some people 1
initial attack, heart failure or a rrhythmlas will be genetically
can occur, both of which may prove fatal to predisposed to heart
the victim. However, given the right attacks, Individuals
treatment many sullerers go on to rna ke can reduce risk by
good recoveries and can eventually return keeping their weight
to their normal activities. down, watching what
The most common reason for heart they eat, not smoking and
attacks worldwide in humans Is the exercising regularly.
Coronary artery
(supplies blood
and oxygen to
heart muscle)
3. Plaque rupture
Plaque becomes hardened as
it builds up, and it can rupture.
Coronary
artery If it ruptures, platelets gather
to clot around the rupture.
which can cause a blockage
tooo:ur.
Heart muscle - -
5. Dead tissue--------
Due to alack of oxygen.~
'----- 2. Plaque build-up
Plaque, made up of inllanmatorycels,
sections of heart rrusde can die off. L--- Dead heart muscle Jll'oteins, fatty deposits and calcit.m.
This can redJce effectiveness of the narrows the artery and means that ooly
muscle as a whole following reecM!fY. a redJced blood flow can get throug:l.
050
••• •
•
•
•
•
•
• • •
4 A bvpasscan be performed •
: s
: New techniques
New techniques indude using
FACTS
models, each individual patient is the private sector it would oost • times per minute (about without stopping the heart. • minj.inc:isions into the chest
given a risk of dying from the £16,000-£20.000 ! 100,000 times per day} which using a special retractor. tn a few ! and also the use of robots.
operation, alowing them to make ($23,300·$29.000). Thepric<! ! pumps five litres of blood per places. surgery has been ! Smalcamerasarealso used to
a decision about how risky the varies with the risks and if it's the ! minute. F"tve per cent flows : performed this 'NaY on patients : harvest the new vessels for the
BYPASSES operation is. first surgery or a re-do. ! through the coronary arteries.. : who are awake. ! bypass grafts.
ltU•JU•11J!3N•IW The heart has four separate chambers, four valves to control blood flaw and twa main coronary arteries
3. Bypassing
the heart - - - - --.
Blood is removed by pumping
Heart bypass
it out of the body, oxygen is What happens in surgery?
added to it in a bypass machine
and the blood pumped back in.
This a llows oxygenated blood
to continually flow while the
heart is stopped.
, - - - - 1. The problem
Fatty plaques narrow and
4.Stopping eventually block the
the heart -
The aorta, the main
- - --+-- coronary arteries,
preventing oxygen-rich
vessel out of the blood flowing to the
heart, is damped. heart m uscle.
The heart is then
cooled and stopped
using a potassit.m·
rich solution.
6. Restarting
the heart
Once the new vessels
have been secured, the
- : J"O - - - - -2. Getting to
~
aorta is undamped
which washes the the heart
potassium-rich solution
from the heart. The - - -
The chest is opened
through a cut down the grafts
patient is warmed and m iddle of the breastbone The body has certain
(sternum). A special bone vessels which it can do
the heart restarts.
saw is used to cut through
without, and these act as
the sternum, which doesn't
damage the heart below.
conduits for bypass
5. Attaching the - - surgery. Commonly
new vessels used,thelongsaphenous
The new 1/<!Ssels are tested and vein runs from the ankle
then sewn into place. The opening 7.0osing to the groin. Ashallow
is sewn to one of the large arteries +-- - - the chest incision allows the vein to
carrying oxygen-rich blood. The After making sure there is
end of the bypass graft is sewn no bleeding, thin metal
be dissected away from
beyond the fatty plaque, aDowing wires are used to hold the Its surrounding tissue.
blood to freely flow to the two halves of the sternum Other vessels often used
affected heart muscles. back together. include small arteries
from behind the rib cage
{Internal mammary
artery) or the arms
(radial artery).
StoP.Ping
theliean
Cardiopulmonary bypass
(where a machine takes
over the heart's pumping
action and the gas
When too little blood is getting to the muscles of the heart, a exchange function of the
surgeon can bypass the blockages using the bodys own vessels lungs) is established to
provide oxygenated
Although the heart pumps of oxygen- angina. Ifa vessel becomes The surgeon uses healthy vessels from blood to the rest of the
oxygenated blood around the completely blocked, no blood gets other parts of the patient's body to body. Next, the heart is
body, the heart's muscular through, causing a heart attack where bypass the blockage, allowing a new stopped. This is achieved
walls need their own blood the heart muscle dies. route for blood to flow. This delivers using a potassium-rich
supply. Oxygen-rich blood is delivered to The first way to treat this type of higher volumes of the oxygen-rich blood solution, pumped down
these tissues via smal Ivessels on its coronary artery disease is with to the heart muscles beyond the the coronary arteries.
surface- the coronary arteries. These medicines. Secondly, angioplasty can be blockage, preventing the pain. This stops the heart
arteries can get narrowed or blocked up used, where narrowings within the Most bypasses are performed by contracting. The surgeon
with cholesterol causing fatty plaques arteries are stretched using a balloon, stopping the heart and using a heart- can now carefully attach
which slow blood flow. At times of with or without placing a stent to keep lung bypass machine to deliver the fresh vessels to
exercise, not enough blood gets to the the vessel open. Finally, a heart bypass oxygenated blood to the body. The new bypass the blockages.
heart muscles, leading to pain due to lack operation is an option for some patients. vessels are then sewn into place.
051
•
sctence blood transfusions
------------------------------~------ r-~~
Noone can get
a transfusiOn
unless blood
donors keep
What's in
ondona!lng
Plasma
Plasma is a straw-<:dowed
walefy fluid that carries ..
of the cells and proteins in
blood, incbling the vital
clotting factors.
Platelets
Platelets are tiny frayooOBots of
blood that are aucial in
st01>1>ing bleeding, along with
clotting factors, by fomoio og a
plat-plug.
haemorrhaging to Two nurses rn.ost double check the Receiving qooiddy nWJitiply and be
b30~ to an area where
there's an ioftdiooo flaring.
' ~
the blood Is matched with donor blood of intended fu<. are foreign cells and wil attack.
the same group (either A, Bor 0). The • A antigens on red blood
unit of donor blood Is then transfused cells and anti-8 antibodies in
plasma
via a drip into the patient's veln over two
• B antig<>m on red blood
to three hours. cells and anti-A anhbodies in
During this time the nurse keeps plasma
close observation of the patient to look • A and B antigens on red
for transfusion reactions. These can be ~~=-:--
-::---:--::~e. ~~:-.;;==.,::~:J blood eels and no antibcxlies
in plasma
mild (such as a fever, chills or a rash), which is placed directly • No antigens on red blood
which are solved byslowlngdown the into the patient's win so cells and anti-A and anti-B
rate of flow, to severe, life-threatening the transfused b lood joins antibodies in plasma
allergic reactions. the cirrulatilg blood.
052
•• •
•
•
•• •••
•• •
•• Orthopaedics •• Gastrointestinal bleeding •• Childbirth
STOP 1
Anaemia
One ~arterof blood
• Haematology
•
:2 Some patients have blood ••
•
•3In orthopaedic surgery .. such
•
•
•• 4 Blood loss (rom the •
•
••sThe fifth most corrvnon
FACTS transfusions are ~nto : disorders where their own red as spinal fusion and hip gasb'ointestinal tract. such cause of blood transfusion
•• •• ••• •• •
patients with anaemia. whose bloodoeAs are deficient. such artiToplasty - blood is lost as stomach ulcers and is t\Jring or following
blood levels have been '*-;ng • as in sickle ceH disease or red
•• during the operation. This is • oolorectal cancer. accounts • trai..IITB'tic childbirth. Normally
slowty over tine due to
•• cells destroyed at a high rate •• common with large joint •• for 11 per oent of all human •• blood toss during chadbirth is
BlOOD diseases like cancer. -• called haemolysis. •
• replacement surgery.
•
• bbod transfusions.
•
• less than 600ml.
ltU•JU•11J!3N•I'AW The first ever successful blood transfusion was performed on o dog in 1665 by Richard Lower
Areas of impact
Carotid arteries ~-- Vertebral arteries
Carotid blood vessels, served by Vertebral arteries supply blood
the internal and external carotid to the rest of the brain and
arteries, supply blood to the front enter the skuR through the
part of the cerebrum. foramen magnum. 2. Cut -----~
If skin is cut, platelets in
the blood wssels of the
damaged a-ea become
'sticky' and clump
together at the damaged
site to funn a white clot
Other chemical reactions
create sticky web~il<e
strands of fibrin that
adhere to the damaged
blood vessel wal~ to fonn
a red clot.
3. Healing -------~
The blood clot stops
blood escaping from the
wound, and allows the
normal circulation of the
red blood cells which
transport oxygen around
the body and the white
blood cells that protect it
against infection.
lsdlaemic strokes are caused by blood clots, When part of a thin
which can either funn directly in an artery, or blood vessel bursts
funn and then travel to a brain artery that it haemorrhaging
then blocks, reducing blood flow. can occur.
053
ow your kidneys work
Inside
As blood enters the kidneys, It Is passed
through a nephron, a llny unit made up of
blood capillaries and a waste-transporting
tube.These work together to filter the blood,
returning clean blood to the heart and lungs
for re-oxygenation and recirculation and
....
How do your kidneys filter
removing waste to the bladder for excretion.
-
waste from the blood to
keep you alive?
Kidneys are bean-shaped organs Renal cortex - - - - - - - - - -
situated hallway down the back This is ooe of two broad intemal sections of the
just under the ribcage, one on kidney, the other being the renal medulla. The
each side of the body, and weigh renal tubules are situated here in the protrusions
that sit between the pyramids and sean the
between u5and 170 grams each, dependent
cortex and medulla together.
on the individual's sex and size. The left
kidney is commonly a llttle larger than the
right and due to the effectiveness of these Renal artery - -
This artery Sl.Wfies the
organs, individuals born with only one kidney with blood that
kidney can survive with llttle or no adve.rse is to be fitered.
health problems.lndeed, the body can
operate normally with a 3o-40 per cent
decline in kidney function. This decline In
function would rarefy even be noticeable
and shows just how effective the kidneys are
at filtering out waste products as well as
maintaining mineral levels and blood
pressure throughout the body. The kidneys
manage to control all of this by working with
other organs and glands across the body
such as the hypothalamus, which helps the
kidneys determine and control water levels Renal vein
in the body. After waste has
Each day the kidneys will filter between been removed. the
150 and 18o lltres of blood, but only pass clean blood is
passed out of the
around two lltres of waste down the ureters kidney via the
to the bladder for excretlon. This was te renal vein.
product is primarily urea- a by-product of
protein being broken down for energy-and
water, and It's more commonly known as
'urine'. The kidneys filter the blood by
passing it through a small filtering unit
called a nephron. Each kidney has around
a million of these, which are made up of a
number of small blood capillaries, called
glomerulus, and a urlne-<:ollectlng tube
called the renal tubule. The glomerulus sl.ft
the nornlal cells and protelns from the blood
and then move the waste products Into the
renal tubule, which transports urine down
into the bladder through the ureters.
Alongside this filtering process, the
kidneys also release three crudal hormones Ureter Renal medulla RenaJ ---l
(known as erythropoietin, renin and The ttbe that This fmnel-likr s1rucbJre i; The kidney's iMer section, where blood i; capsule
calcitriol) which encourage red blood cell trarosports the waste howo.rile travels out of the filtered after passng through rumerous The kidney's filrous outer
products (o.rile) to kidney and forms the top part a-tet ioles. It's spit into sections called edge, wnch provides
production, aid regulation of blood pressure protection for the
the bladder folowing of the tnter, wNch takes py!1111 lids and each tunan kidney wil
and aid bone development and mineral blood 61traoo.. normaly have seven of these. kidney's 0rtema1 fibres.
o.ri1e down to the bladder.
balance respectively.
054
Two for the price of one
We are thought to have two kidneys because they are so crucial to oursurvival,
the second is purely a 'back up'. Having two organs obviously increases our
chances ofsurvival and reproductive fitness.
ltU•JU•11J!3N•IW Useless body ports include the appendix, the coccyx and wisdom teeth
r---------------------------------------·
I
I Nephrons - the filtration Collecting
duct system 1be glomerulus
I This group of capillaries is the first step of
I units of the kidney Proximal tubule
Although not
technically part of the filtration and a crucial aspect of a nephron.
I Nephrons are the units which filter all blood that passes Unks Bowman's cap5Uie nephron, this collects all As blood enters the kidneys via the renal
I and the loop of Henle, waste product filtered artery, it is passed down through a series of
through the kidneys. There are around a million in each by the nephrons and
I kidney, situated in the renal medulla's pyramid structures. As and w ill selectively arterioles which eventually lead to the
reabsotb m inerals from facilitates its removal
I well as filtering waste, nephrons regulate water and mineral glomerulus. This is unusual, as instead of
the filtrate produced by from the kidneys.
I salt by redrculatingwhat is needed and excreting the rest. draining into a venule (which would lead
Bowman's capsule.
I back to a veln)itdrains back into an
. ... .~ arteriole, which creates much higher
pressure than normally seen in capillaries,
which in turn forces soluble materials
Glomerulus and fluids out of the capillaries. This process
H i~ pressurein the is known as ultrafiltration and is the first
glomerulus, caused by it step in filtration of the blood. These then
c%aining into an ateriole pass through the Bowman's capsule
-.. ,
instead of a venule, (also know as the glomerular capsule) for
foroes fluids and soluble
further filtration.
materials out of the
capillary and into Afferent arteriole Proximal tubule
""":-- +-- - Bowman's cap5Uie. This arteriole supplies the Where reabsorption of
blood to the glomerulus minerals from the
--+- '=-"""+-- Bowman's for filtration. filtrate from Bowman's
capso..M ,;11 oocur.
capsule
Also known as the
glomerular capsule, this
filters the fluid that has
been expelled from the
glomerulus. Resulting
filtrate is passed along
the neptvon and
will......rtually make
up urine. Thismassof
capilaries is the
glomerulus.
- - i' - - - - - - Distal
convoluted
tubule
Partly responsible
for the regulation of
minerals in the Bowman's
bdood, linking to the Efferent arteriole '--- capsule
collecting duct This arteriole is how This is the surrounding
system. Unwanted blood lealles the capso..M that wil filter
minerals are glomerulus followng the filtrate produced by
excreted from ulbafibation. the glomerulus.
the nephron.
Renal artery
This artery supplies the
What is urine and what
kidney w ith blood The
blood travels through
is it made of?
this, into arterioles as you Urine is made up of a range of organic 94o/o water
travel into the kidney, compounds such as proteins and
ootil the blood reaches hormones, inorganic salts and
the glomerulus. numerous metabolites. These
by-products are often rich in nitrogen
and need to be removed from the blood
Renal vein stream through urination. The pH-level
This removes blood that has of urine is typically around neutral
been filtered from the kidney.
(pH7) but varies depending on diet,
hydration levels and physical fitness.
Renal tubule The colour of urine lsalso determined
Loop of Henle Made up of three parts, the proximal by these factors, with dark-yellow urine
The loop of Henle controls the mineral and tubule, the loop of Henle and the distal
indicating dehydration and greenish
water concentration leliels within the kidney convoluted tubule. They remove waste 6% other organic
to aid filtration of fluids as necessary. It also and reabsorb minerals from the filtrate
urine being indicative ofexcessive
asparagus consumption. compounds
controls urine concentration. passed on from BcMrman's capsule.
~~--~--~-------~------~----------·
055
Kidney transplants
The kidneys are the body's natural filters. You can survive
on just one, but when that fails you may need a transplant
Transplanting organs is a year receive their transplant. The someone else's fortune. for those who register to a suitable recipient A
complex process, although number of patients registered for a are declared brain-dead, the beating ·retrieval' team from a central
it can give a new lease of life kidney transplant Increases each year, heart will keep the kidneys perfused transplant unit (of which there are 20
to recipients. The lddney is and has risen by 50 per cent since 2000. until they are ready to be removed. In based around the UK) will go to
the most frequently transplanted Kidney transplants come from two some patients, the ventilator wUl be whichever hospital the donor is ln.
organ, both in the UK and around the main sources: the living and the switched off and It's a race agal nst lime They will remove the organs, while the
world. However, there Is a discrepancy recently deceased. If a healthy, to harvest organs. Either way, consent recipient is being prepared in the base
between the number of patients compatible family member is willing to from the family Is needed, even at such hospital. During the tricky operation,
waiting for a transplant and the donate a lddney, they can survive with an emotional and pressurlsed Ume. the new kidney is 'plumbed' Into the
number of available organs; only just one remaining lddney.ln other When a suitable organ becomes pelvis, leaving the old, non-functioning
around one third of those waiting per cases, someone else's tragedy is avallable, it is matched via a nat.lonal ones In-situ.
5. PIU'l'Dng it in
The renal artery and .......
are cmnected to the
~~dng~artery --------~------~
I
and ....... in the redpie ~··
body. Holes (a leliutoories)
are created in the main
arteries, and the kmey's 4. Make space! " - - - - - - - - - - - - - - 6. The f inal link
YeSSels are anasiDmo5ed The ...-geon wil aeate space in the pelvis. and identify the large The treler, which drains lAine from the kidney, ..
(,a SU'gical join between YeSSels which run from the heart to the leg (the iiac arteries and cmnected to the bladder. This alows the kidney to
two IUJes using sutures}. ~. The new kidney's YeSSels llwil be connected to these. function in the same~ as one of the original kmeys.
-
056
•
• •• ••
•
•
•
•• Which other organs? ••
• Through the keyhole Do something about it
Pioneers
1 Thewryf;r.;tkidneytransplant
totakeplaceintheUK was
•• The 'organ gap'
•
••
•
2
Aro111d 7,000 people i'l the
United Kilgdom last year
•
•
••
•
3 Organs that can be
transplanted incble kidneys,
•
•
••
•
4 When removing a kidney from a
liWlg donor, the most modem
s You can register to
become an organ donor
•••
performed in Edinburgh. 1960. were waiting for organ livers. hearts, lungs. the at http://www.
••• •••
centres use keyhole surgery
Here a surgeon transplanted a transplants. but only around pancreas and intesOOes; tissues ()aparoscoP1f}lodol • this organdonation.nhs.uk/
kidney from a 49")'eaf''id into •• 2,.300 kidney transplants •• include bones. heart vatves,. •• leads to smaler scars.less pain - don't forget to talk to
his twin brother. • actually took place. • skin and ccwneas. • and faster recovery. )'OUr kwed ones about it.
• • •
1•U•Nl!l!J13.,-C•1WP Of the millions of people in the UK suffering from kidney disease, sa.ooo will suffer end-stage renal failure
Dom·
Patient1 needs a new kidney but their
family member isn't compatible.
Patient zalso needs a kidney and has
an lncompatible family member as
well. However, patient2's relation is
compatible with patient 1 and vice
versa. The surgeon arranges a swap-
a 'paired' transplant. Alonger line of
patients and family members
swapping compatible kidneys can be
arranged-a 'daisy-chaln' transplant.
A'goodSamaritan' donor, who isn't
related to any of the redpients, can
start the process. This first redplent's
family member will subsequently
donate to someone else- a 'domino'
transplant effect which can go on for
From patient 1 From patient 2
several cycles. family inember flllolily member
Who is Antibody
If the antigens are too dissimilar, the host's existing
immune system thinks the new ki~ey is a foreign invader
and attacks it with antibodies, leading to rejection
0 57
stigiol organs
Appendicitis In focus
What happens when your appendix gets Infla med?
Surgery Progression
OurlngsurgerytoremO\Ie The Inflammation can
theappendbc, the surgeon lead to perloratlon of the
Ues off the base to prevent appendix and
bowel contents leaking, lnflammatlon of
and removes the whole surrounding llssues.
appendix organ The pain worsens and
then localises to lhe
lower right-hand side of
the abdomen.
Blockage
Ablocl<age. caused by either
atinypleceofwasteor
swoUen lymphatic tissue In
the bowel wall. causes
appendix swelling.
Inflammation
Beyond the blockage.
Inflammation sets ln. wblch
causeslntenseabdomlnalpaln.
058
THE sizE7.6 x 12.7 x 2.5cm wEIGHT200g
STATS
THE SPLEEN ~~6~1JLP 75°/o WJt% PULP 25% ~~~~~~~GT -5o/a
I•U•JW•1!113N•IW Around 15 per cent of us hove an extm spleen - a small sphere close to but separate from the principal organ
side of your body, which affords It some protection, but car of the aorta called the
coeiactnd.
crashes, major sports impacts and knife wounds can all
rupture the organ. In the most serious cases. blood loss can
endangerthe person's life, and In these situations It needs to
be removed by a surgeon. Since this reduces the body'sabUity
to fight infections, some people will need to take antibiotics to
boost their immunity for the rest ofthelr lives.
Spk!en Adenoids
Oneofthemasterco-ordlnators These are part of!he tonsillar
thatstavesofflnlecttonsand system that are onlypresen!ln
flltersold red blood cells. II children up until the age of nve;
contains anumberof In adults !hey have disappeared.
lymphocytes that recognise and They add an extra layer of
destroy Invading pathogens defence In our early years.
present In the blood as It flows ...................._........._.....
................
._ ~
!!
through the spleen. Bone marrow
....,...·-··-·····0<--000.000..........._._..... Thtsformsthecentral, Oexlble ~--~~------------_.~------------------_j ~
Thymus part ofour long bones (eg femwj.
A small organ thai sits justabove Bone marrow IS essentfal as It
the heart and behind the produces our key ctrculatfng
sternum. II teaches cells, Including red blood cells, Whitepulp ~ . - - - - Splenic capsule
T4ympbocytestoldentifyand whlre blood cells and plalelets. MaiOOg up roughly a The capsule provides some
destroyspedfic foreign bodies. The white blood cells mature ~of the spleen. protection. but it's tiWl
ltsdeYelopmentlsdtrectly Into <llfferent rypes teg the-""" is and relatillely weak. Strong
n!lated to hormones In the body lymphocytes and neutropbfls~ \/\/here wntebbxl blows or lcrife womds can
so It's only present untU puberty whlthserveas the basis of the eels identify and easiy .....,rure it and lead to
end.$;adtdtsdon'tneedone. human lntmunesystem. destroy- type of if~HhreatEI oi 19 bleeOOg.
----------·-
Tonsis -----
--------------
Lymph oodes
irorading pathogens.
059
umon digestive system
' ~
system that stretches all the way between the
mouth and the anus.
Primary organs that make up the system are the mouth,
oesophagus, stomach. small lntest.lne, large Intestine and the
The colon, as the large
intestine is also known, is
wllere waste material will
be stored until expeled
fn:m the digestille system
anus. Each organ has a different function so that the maximum tlwough the recwm.
amount of energy Is gained from the food, and the waste can
be safely expelled from the body. Secondary organs, such as
the liver, pancreas and gall bladder, aid the digestive process
alongside mucosa cells, which line all hollow organs and
produce a secretion which helps the food pass smoothly
through them. Muscle contractions ca lied peristalsis also help
to push the food throughout the system.
The whole digestive process starts when food is taken Into
the body through the mouth. Mastication (chewing) breaks
down the food into smaller pieces and saliva starts to break Small intestine
starch in these pieces offood lntoslmplersugarsas they are Nu1rlents that have been
swallowed and move Into the oesophagus. Once the food has released from food are
passed through the oesophagus, It passes Into the stomach. It absoobecl into the blood
can be stored in the stomach lor up to four hours. The stomach stream so they can be
will eventually mix the food with digestive juices that It transported to w11ere they ate
produces, and this breaks down the food further into simpler needed in the body through
the small intestine waM.
molecules. These molecules then move Into the small intestine Further breaking down occurs
slowly, where the final stage of chemical breakdown occurs here with enzymes from the
through exposure to juices and enzymes released from the liver and pancreas.
pancreas, liver and glands In the small intestine. Nutrients are
then absorbed through the Intestinal walls and transported
around the body through the blood stream.
After all nutrients have been absorbed from food through the
small intestine, resulting waste material, lncludlngHbreand
old mucosa cells, Is then pushed Into the large lntestlnewhere it
How
will remain untll expelled by a bowel movement
digestion process
060
•• •
• •• ••
•• •• • ••
Complete digestion •• The stomach can ••• We use P.ints ol ~':.trough
STOP 1
takes time!
•• Some food
• for thought...
:2• • hold two litres
:3
• ••• saliva a Clay!
4 •
•
••
s
roduction
age
- - Mouth
This is where food enters the body a nd first gets broken into
more manageable pieces. Saliva is produced in the glands
and starts to break down starch in the food.
How our : ~
/
Oesophagus
The oesophagus passes the food
into the stomach. At this stage, it
has been broken down through
Oesophageal
sphincter
This is the control
- d
work?
The stomach is one of the most crucial
valve for letting food
mastication and saliva will be
breaking down starch.
into the stomach.
organs within the digestive system
Corpus body - ....J The stomach's function is to break down food
This is where stomach into simple molecules before it moves into
acid is s ituated. the small intestine where nutrients are
consequently it is absorbed. The organ actually splits into four
where food is broken
distinct parts, all of which have different
down into molecules
that the small intestine
functions. The uppermost section is the
can then process. cardia, where food is first stored, the fundus
is the area above the corpus body, which
makes up the main area of the stomach
where food is mixed with stomach add. The
final section is the antrum, containing the
pyloric sphincter, which is in control of
emptying the stomach contents into the
small intestine. Food is passed down into the
stomach by mucosa and peristalsis through
Mucosa the oesophageal sphincter, and then mixed
These cells lineal of the
stomach to aid rr>Clii<!Oleflt of in the stomach withacidsandjuices by
food throughout the organ. muscle contractions.
involved in breaking
down and absorbing
nutrients released from
ingested food
The intestine splits into two distinct parts,
the small intestine and the large intestine.
The small intestine is where the food goes
through final stages of digestion and
nutrients are absorbed into the blood stream,
the large intestine is where waste is stored
Rectum until expelled through the anus. Both the
This is where small and large intestines can be further
waste is stored
briefly ll1til it divided into sections, the duodenum,
is expelled by jejunum and ileum are the three distinct
the body. sections of the sma II intestine and the
cecum, colon and rectum are the sections of
the large intestine. As well as storing waste,
the large intestine removes water and salt
from the waste before it is expelled. Muscle
contractions and mucosa are essential for the
Villi intestine to work properly, and we see a
These cells are shaped like fingers
and fine the smaJI intestine to increase variation of mucosa, called villi, present in
Sll'faoe area for nutrient absorption. the lower intestine.
061
liver explained
The liver is the largest internal organ in The liver Is the body's main powerhouse, producing
The human liver is the
'
~
• the h11 rna n body and amazingly has over 500 andstorlngglucoseasa keyenergysource.ltisalso
ultimate multitasker - • different functions. In fact, it is the second responsible for breaking down complex fat molecules and
most complex organ after the brain and is
J
building them up Into cholesterol and triglycerides. which
it performs many lnUinslca lly involved in almost every aspect of the body's the body needs but In excess are bad. The liver makes
different functions metabolic processes. The liver's main functions are
energy production, removal of harmful substances and
many complex proteins, Including clotting factors which
are vita l in arresting bleeding. Bile, which helps digest fat
all at the same time the production of crucial proteins. These tasks are carried in the intestines. is produced In the liver and stored in the
out within liver cells, called hepatocytes, which sit In adjacent gallbladder.
without you complex arrangements to maximise their overall The liver also plays a l<ey role In detoxifying the blood.
even asking efflclency. Waste products, toxins and drugs are processed here into
The•
~"~~reCIIignlon
- -1, . . - - - - - - - - - - Digestion
+--+-....._-+-- The biggest organ Once nutrieols from food have
The._ is tile largest ot been absorbed., tile smal
lt1e internal organs, sitting in lt1e intestine, they are transported
right -quadrantoiltleabdomen,
just under lt1e rib cage and attached to
~------- to tile iver via tile hepatic
portal"""' (not shown here)
tile underside ot lt1e <iaplyagm fc< energy production.
062
•
•• •• •• •
•
•• Uver transplants • • •
Ice cold liver : Maximising numbers : Largest organ in the body : Greek mythology
STOP 1 Polar bear liver is an incredibly
rich source ol vitarrin A ..
•
•
••
2 In the UK 600·700 liver
transplants are performed
•• 3
:
W<JYS around the shortage of
donor-li'-Ers include splitting an
:• 4
•
The liver is the largest internal
organ in the human body and in
•!• 5 Wtse Trtan Prometheus
was chained for etemity to a
ltU•JU•11J!3N•IW The liver con regenerate itself. If up to 75 per cent of the liver is removed. it con grow bock to restore itself
forms which are easier for the rest of the body to use or
excrete. The liver also breaks down old blood cells,
produces antibodies to fight infection and recycles
hormones such as adrenaline. Numerous essential
vitamins and minerals are stored in the liver: vitamins A,
A high demand
The liver deals with a massive amountofblood. branches from
n
carrying oxygen which
D, E and K, iron and copper. It is unique because it has two blood supplies. 75 the liver needs to produce this energy. The blood
Such a complex organ is also unfortunately prone to per cent of this comes directly from the flows in tiny passages in between the liver cells
diseases. Cancers (most often metastatic from other intestines (via the hepatic portal vein) which where the many metabolicfunctions occur. The
sources), infections (hepatitis) and cirrhosis (a form of carries nutrients from digestion, which the liver blood then leaves the liver via the hepatic veins
fibrosis often caused by excess alcohol consumption) are processes and turns into energy. The rest comes to flow into the biggest vein in the body- the
just some of those which can affect the liver. from the heart, via the hepatic artery Iwhich inferior vena cava
4. Kupffer cells
These specialised eel s sit
9. Central vein --. within the sinusoids and
Blood from sinusoids, now destroy any bacteria which
containing all of its neo.v are contaminating blood.
molecules, flows into
central veins which then
flow into larger hepatic
veins. These drain into
the heart via the
inferior vena cava.
r - - - 5. Hepatic
artery branch
Blood from here supplies
oxygen to hepatocytes and
carries metabolic waste
which the liver extracts.
- - - 6. Bile duct
gal Bile, wnch helps digest fat, is
made in hepatocytes and
Bile, a dark green slimy liquid, is produced in the secreted into bile ducts. It then
hepatocytes and helps to digest fat. It is stored in a flows into the galllladder for
reservoir which sits on the under-surface of the liver, _,.......
storage before being
secreted into
to be used when needed. This reservoir is called the
the duodenum.
gallbladder. Stones can form in the gallbladder
(gallstones) and are very common, a !though most
don't cause problems. In 2009, just under 6o,ooo
gallbladders were removed from patients within the
NHS makingitone of the most common operations '------ 7. Portal vein
performed; over go per cent of these are removed via 8. The portal triad This vein carries nutrient·rich blood
keyhole surgery. Most patients do very well without The hepatic artery, portal vein and bile duct are known as directly from the intestines, which
their gallbladder and don't notice any changes at all. the portal triad. These sit at the edges of the liver lobule flows into sinusoids for conversion
and are the main entry and exit routes for the liver. into energy within hepatocytes.
063
Structure of the
small intestine
Examine the anatomy of this vital
organ in the human digestive tract
Lumen - --------..
This is the space inside the
small intestine in which the
food travels to be digested ~~-.::=:::;,j
and absorbed .
• Mucosa - - - - - - - -
Crucial for getting the nutrients we need from the by creating a valve-like
structure, stopping food
of muscle (muscularis) that
make up the exterior of the
food we eat, how does this digestive organ work? travelling backwards. small intestine.
The small intestine is one of the turning food into an amino add state. While - and mucosal folds line the passage and
most Important elements of our the duodenum is very important in breaJd ng increase the surface area dramatically to aid
digestive system, which enables us food down, using bile and enzymes from the this process. The ileum is the final section of
to process food and absorb gallbladder, liver and pancreas, it is the the small bowel and serves to catch nutrients
nutrients. On average, it sits at a little over six shortest element of the small bowel, only that may have been missed, as well as
metres (19.7 feetllong with a diameter of 2.5-3 averaging about 30 centimetres (tLB inchesl. absorbing vitamin Bu and bile salts.
centimetres (1-1.2inches1, and it's made up of The jejunum follows the duodenum and Its Perista Isis is the movement used by the small
three distinctive parts: the duodenum. primary function is to encourage absorption of intestine to push the food through to the large
jejunum and the ileum. carbohydrates and proteins by passing the bowel. where waste matter is stored for a short
The duodenum connects the small intestine broken-down food molecules through an area period then disposed of via the colon. This
to the stomach and is the key place for further with a large surface area so they can enter the process is generated by a series of muscles
enzyme breakdown, follow! ng the stomach bloodstream. Villi - small finger-like structures which make up the organ's outer wall.
064
THE LENGTH 6m DIAMETER 2.5•3cm tg.wA JsT~~682°
1
1-4 hours
STATS
SMALL BOWEL suRX~f~ 250m ~~Yfi.JT As~<6~ttloN 90°/o ~~~~A~~~ 10-40
2 0 1
I•U•JW•1!113N•l!i'i> The small intestine is actually Ianger th:Jn the large intestine, but is sa called because af its mrrawer diameter
Serosa
This protective outer layer stops What exactly are nutrients?
the small intestine from being There are three main types of nutrient that we process in the
damaged by other organs. body: lipids (fats), carbohydrates and proteins. These three
groups of molecules are broken down into sugars, starches,
fats and smaller, simpler molecule elements, which we can
absorb through the small intestine walls and that then travel in
the bloodstream to our muscles and other areas of the body
that require energy or to be repaired. We also need to consume
and absorb vitamins and minerals that we can't synthesise
within the body, eg vitamin 812 (prevalent in meat and fish).
Fat Carbohydrate
Protein
Nutrients
Nutrients move through Blood vessels
These sit close to the
the t ube-like organ to be
diffused into the body, small intestine to
mainly via the bloodstream. allow easy diffusion
of nutrients into the
bloodstream.
A closer look at villi
Villi What role do these little f inger-like
Villi are tiny finger·like prot rusions play in the bowel ?
structures that sit all over
_j t..________ Longit udinal the mucosa They help
increase the surface area
Epithelium
(epithelial cells)
Lacteal
The lacteal i.s a
muscle layer massively, alongside the These individual cells that Mucosa lymphatic capillary
This contracts and extends mucosal folds. sit in the mucosa layer The lining of the small that absorbs nutrients
Circular to help transport food with are where individual intestine on which that can' t pass directly
muscle layer the circular muscle layer. microvilli extend from. villi are located. into the bloodstream.
This works in partnership
with the longitudinal
muscle layer to push the
food down via a process
called peristalsis.
M icrovilli - - - - - ,
These are a mini version
of villi and sit on villi's
individual epithelial cells.
Capillary bed
These absorb simple
sugars and amino acids as
they pass through the
epithelial tissue of the villi.
065
Inside the thoracic cavity
It may not look like it at first glance,
but there are more than two dozen
bones that make up the ribcage ...
,.. ..
Clavicle ----J
Also known as the
collarbone, this pair of
long bones Is a support
between the sternum
and the shoulder blades.
uman
•
r1 False ribs ----.~
Rib pairs eight through
ten connect to the
sternum via a structure
made of cartilage linked
Ribs are not merely armour for the organs to the seventh true rib.
066
•
•
•• •• ••
• : Fractures :• Sunken chest •• Tasty ribs
F1exible cage • Endless ribs
STOP l in normalad<Jits, the ribcage
expands by three to five
••
••
•
2 Snakes can have up to 400
vertebrae, with al but the tail
•
:3 Thesewnthand the tenth : 4 congenital
! are the ones most likely to get :
Pectusexcavaturntsa
ribs
deforrrity caused by
5 ••
•
••
lar-ge carniVores, such as lions,.
often head towards the
ltU•JU•11J!3N•IW The condition known os flail chest is fotol in almost so per cent of cases
, - - - - - - - - - - - - - - - - - - - Manubrium
This broadest and thickest part
of the sternum connects with Breathe in,
the clavicles and the cartilage
for the first pair of ribs. breathe out...
Consciously take in a breath, and think about the
fact that there are t en different muscle groups
working t ogether to make it happen. The
muscles that move the ribcage itself are the
intercostal muscles. They are each attached to
the ribs and run between them. As you inhale,
the external intercostals raise the ribs and
... sternum so your lungs can expand, while your
diaphragm lowers and flattens. The internal
intercostals lower the ribcage when you exhale.
This forces the lungs t o compress and release air
(working in tandem with seven other muscles). If
you breathe out gently, it's a passive process
that doesn't require much ribcage movement.
Inhalation Contraction
As you inhale, the The diaphragm contracts by
'------"'-'-"...:..,..:;_----:__;,~-'---- Sternal angle intercostal muscles moving downward, allowing
This is the angle formed by contract to expand the lungs to fill with air.
the joint between the and lift the ribcage.
manubrium and the body,
often used as a sort of
'landmark' by physicians.
Body
The main body of the
sternum (breastbone) is
almost flat, with three
ridges running across its
surface and cavities for the
cartilage attaching to rib
pairs three through seven .
067
e pancreas up-close
336 BCE 1st century CE 1642
KEY The GrC!<'k Matornist The name 'pancnas' is giwn, The pancreatic duet Is Gemlan scientists l't'l'l"'IYe The flfSt l'r'lOdem hl.l'nan
DATES wl1o w~l fH'SI diSCCM!I'
thepancroas -
rnerilg 'all fle-sh', as it's
believed to......., solely as a
found In Padua, Italy. It Is the pancreas In a dog and
nam<!d aile< ~• discolle<er: induce diabetes, proving
panaeatic transplant Is
perfonned in the USA on a
PANCREATIC PAST Ho<ophllus -Is bam. cushioning, protective fat pad. the clJct of WOsun!l. an iiTOiutilblc link. 28-year-old female patlert.
l•U.1\1•li i :'W•mJP In the UK. Bo per cent of acute pancreatitis cases ore caused by gallstones or excessive alcohol ingestion
Beta cells
It is the beta cells
within the islets of
langerhans which Insulin released
control glucose The vesicle releases its
levels and amount stored insulin into the
of insulin secretion. blood capillaries
tlvough exocytosis.
High glucos e
When the levels of
glucose within the
bloodstream are high.
the glucose wants to Calcium
move down i ts diffusion effects
gradient Into the cells. The calcium
causes the
vesicles that
store insulin to
move towards
the cell wall.
Does the vary in
humans and animals?
Every vertebrate animal has a pancreas of some form,
meaning they are all susceptible to diabetes too. The
arrangement, however, varies from a-eature to creature. In
humans, the pancreas is most often a single structure that sits
at the back of the abdomen. In other animals, the arrangement
varies from two or three masses of tissue scattered around
the abdomen, to tissue interspersed within the connective
tissue between the bowels, to small collections of tissue within
the bowel mucosal wall itself. One of the other key differences
is the number of ducts that connect the pancreas to the bowel. GLUT2 De polarisation '--- Calcium channels
In most humans there's only one duct. but occasionally there This is a glucose· The metabolism of glucose Changes in potassium
may be two or three - and sometimes even more. In other transporting channel, leads to changes in the levels cause voltage-gated
animals, the number Is much more variable. However, the which facilitates the polarity of the cell wall calcium channels to open in
function is largely similar, where the pancreas secretes uptake of glucose and an increase in the the cell wall, and calcium
digestive enzymes and hormones to control blood sugar levels. into the cells. number of potassium ions. ions to flow into the cell.
human bladder
Wben you've got to
go, you've got to go. ..
but reaUy our bodies THE COMPLETE
are reactln& to our
bladders' direction
URINARY SYSTEM
Kidneys
Thekicftys
un...........-ded
substances in the
blood into urine.
Ureters
Uretencany
urlnefrcm
the kicftys to
the bladder.
Urethra
Thelfttlnruns
frcm the bottom
olthebladderto
the outside wor1d.
I
Bladder
As a key part of the urinary system, the bladder This muscular
bag generaly
is crucial to removing waste from your body holds around a
pint of urine.
The bladderlsoneofthe keyorgansln the urinary the bladder becomes full, or nearly lull, the nerves in the
system and It stores urine following productlon by bladder communicate with the brain, which In turn Induces an
the lddneysuntll the body can release lt. urge to urinate. This sensation will get stronger If you do not go
Urine Is a waste substance produced by the - creating the 'bursting lor a wee' feeling that you can
kidneys as they filter our blood of toxins and other unneeded occasionally experience. When ready to urinate, both the
elements. Up to 150 lltres (40 gallons} of blood are filtered per day internal and externalsphincters relax and the detrusor muscles
by your kidneys, but only around two lit res (0.5 gallons} of waste in the bladder wall contract in order to generate pressure,
actually pass down the ureters to the bladder. forcing urine to pass down the urethra and exit the body.
Urine travels down the ureters and through the ureter valves, As well as telling you when you need to pass fluid, the urinary
which attach each tube to theorganand prevent any llquid system also helps to maintain the mJnera land salt balance In
passing back. The bladder walls, controlled by the detrusor your body. For instance, when salts and minerals are too highly
muscles, relax as urineentersandallow the organ to Hll. When concentrated, you feel thirst to regain the balance.
For the bladder to work correctly, urlnewithoutcontrol It is often caused pressure (eg while coughing. laughing
several areas within It must all functlon by involuntary spasms by the detrusor orsneeztng). Thlsklndoflncontlnence
properly. It is most commonly the muscles which can be a result of either is most common in the elderly.
failure of one of these features that nervous system problems or infections. One modem remedy Is a preventative
leads to incontinence. Another type is stress incontinence, implant that has been developed to
Acommon type of urinary caused when the external sphincter or replace post-event Incontinence pads.
incontinence Is urge incontinence. ThIs pelvic floor muscles are damaged. Tbis This comes in the form ofa collagen-
is when an indlvidual feels a sudden means urine can accidentally escape, based substance Injected around the
compulsion to urinate and will release especially if the pelvic Door is under urethra in order to support it.
070
•
•
•• •• •••
• • •
• • • •
Urethras- all the same? •• Getting the urge •• Duration •• Can you drink urine? •• How to keep healthy
STOP 1Women's urethras are much
shorter than men's due to
!
;
2 Theurge. to urinate normally
comes when the bladder
:3
;
Urine can stay in the bladder- :
for anywhere between one to ;
4 Of course, this would not
generaDy be recommended in
;5
;
It's advised to drink around 1-1.5
litres (2.1-3.1 pints) o f water a
•
•
••
reaches between 25-50% of
full volume to avoid reaching
100% when lni/Oiuntary
•••
••
•
eight hours befor-e excretion.
TM tme it temains there will •
•
vary de:pooding on the amount:
•• oonnal circumstances, but
yes, urine is completely sterile
- it contains no bacteria,
••
•
••
•
day. This will keep the urinary
system working most effectively.
We k>se more water than this
B DERS becaLJSe of this. • urination will occur. • of liquid consumed. • viruses or fungi. • but obtain some from food.
I•U•JU•111!3N•IW Everyone's bladder differs slightly in size. The overage maximum copodty is between 6oo-Booml [1-3-l.lPt]
Pd •sim ions
3.2g
~~!~thrai ------J
~stal sphincter) ,·;~t'+"-.----------- Urethra
This also relaxes for the urine Urine travels down this
to ex~ the body. passageway to leave the body.
071
uman pregnancy explained
a
- . emotional changes. When It occurs, there !san Intricate change the balance of
the oestrogen and progesterone hormones, which causes the cessation of
~
in
menstruallon and allows the conditions In the uterus (womb) to become suitable
for the growth of the fetus. The lining of the uterus, rather than being discharged, thickens
and enables the development of the baby.
At first, it !sa collecllon of embryonic cells no bigger than a pinhead. By week four the
embryo forms the brain, spinal cord and heartlnsldethe newlyOuid-filledamnloticsac.
Protected by this cushion offluid, It becomes recognlsably human and enters the fetal stage
by week eight.
Many demands are put on the mother's body and she Is IU<ely to experience sickness,
tiredness, lower-back pain, heartbu rn,lncreased appetite and muscle cramps, as well as the
enlargement of her breasts a nd stretch marks. Her blood sugar levels, heart rate and
breathing also increase to cope with the growing demands of the fetus.
As the date of labour approaches, the mother feels sudden contractions known as
Braxton-Hicks, and the neck of her uterus begins to soften and thin out. Meanwhile, the lungs
of the fetus fill with surfactant. This substance enables the lungs to soften, making them able
to inflate when it takes its first breath of air. Finally, chemical signals from the fetus trigger the
uterus to go into labour.
I
I Vernix
I 8y20weeks,
I this white. waxy
I
I substa ""'
I covers the siOO,
I protec:mg it
I from the
I
I ~
I
I
Weight a ••liotic fluid.
I Week 16: l40g
I Week 20: 340g
I Sweating
I An increase in
I Length blood ciraJiation
Weight Length : Week 16: l8cm causes mJtltet to
~ lOg 5.San I Week 20: 25em sweat more.
072
HEAD2 MENONLY 1. Seahorses ED:mt----=-., dragons
2. Komocto 3. Spotted hyenas
HEAD ·~- . The female seahorse
deposits her eggs In the female komodo dragons
Female spotted hyenas have
• genitalia like a penis. It
.,~ ~ '
pouch of the male sealhors:e. can gfve birth to male stretches to aIbN the Insertion
He fertilises the egQS and babies without fertilisation of the male penis during
ANIMAL · .'
1 carr'ies them f()( the full from a male partner. This Is copulation. and sttetches again
PREGNANCIES ~~~ · tetm of three weeks. known as parthe~is. when giving birth through it.
ltU•JU•11J!3N•IW 200 extra calories o doy ore needed in mid-pregnancy, which is 10 per cent more than the usual
Wharton's jelly
place11la The umbilical blood wssels are coated with
this jely~ike substance and protected by a
The placenta is an essential interface between
the mother and fetus. When mature it is a 22cm ~ .
tough yet flexible outer membrane.
-
dioxide and waste from the fetus, the other supplies
mcygen and nutrients from the mother.
CSctence Photo Library
073
Discover how a fertilised egg transforms into
•
an embryo and eventually a new human being
After fertilisation, the single-celled zygote splits cells, or outer coat, will become, among other thl ngs, the
into two, then the two cells double to four, fourto placenta that nourishes the baby; the Inner cells, known as
eight and so on. The journey along the Fallopian the inner cell mass, wUJ become the foetus Itself. On contact,
tube is quite slow, while growth continues. On its the blastocyst burrows into the uterine wall for nourishment;
way, the zygote divides to mal<e a clump of Jzcells, known as this process is known as implantation. Blastocyst formation
the morulastage. lfthe early embryo splits Into two clumps usually occurs on the fifth day after fertilisation.
before this, it may develop into Identical twins. Every cell In The embryonicstage begins in the fifth week. From weeks
the morula could still become part of the growing embryo. live to eight, development is rapid. Major body organs and
By the time the womb cavity Is reached, the cell cluster systems, including the brain, lungs, liver and stomach, will
becomes hollow and Hlled with fluid; It Is now referred to as begin to emerge. At this time, the first bone cells will also
the blastocyst. A blastocyst is an embryo that has developed to appear. By the end of the eighth week, the embryo Is known
the stage where it has two different cell types: the surface as a foetus and increasingly looks like a mini human.
Fallopian tube
Fertilised egg _ __, If a woman has sexual
Only one spenn wil be intercourse during the
successftt,...., egg wit days of her moo ol!lly cycle,
then lose its atlJitdi<Y, just ~ore"' after an egg
harden its outer sl-d and has been relNsed from
t h e - 5j)el'tTI willet the CNatY. a spenn cell
go. If eggs..., not from her partner cooJd
fertiised witm 12 hours lriO\Iel to the Fa~c!>ian tube
ol release, they die. and fertilise the ovum.
074
f.U•JtJ•l!lltW•lfi!ii> In zoog, almost two per cent of oil oobies born in the UK were conceived as o result of IVF
075
human stomach
Discover how this amazing digestive organ stretches, churns and holds
corrosive acid to break down our food, all without getting damaged
The stomach's major role is as a the rugae flatten, allowing the stomach to cells (G-cells} to make the hormone gastrin,
reservoir lor food; it allows large expand, and the outer muscles relax. The which encourages even more acid production.
meals to be consumed In one sitting stomach can accommodate about a litre (1.8 The stomach empties its contents into the
before being gradually emptied into pints} of food without discomfort. sma ll intestine through the pyloric sphincter.
the small intestine. A combi nation of acid, The expansion of the stomach activates Liqu ids pass through the sphincter easily, but
protein-digesting enzymes a nd vigorous stretch receptors, which trigger nerve solids must be s maller than one to two
churning action breaks the s tomach conte nts signalling that results in increased acid mi ll! metres (0.04·0.o8 inches} in diameter
down into an easier-to-process liquid form, production and powerful muscle contractions before they wi ll fit. Anything larger is 'refluxed'
preparing food lor absorption in the bowels. to mix and churn the contents. Gastric acid backwards into the rna in chamber for further
In its resting s tate, the stomach is contracted causes proteins in the food to unravel, allowing churning and enzymatic breakdown. lttakes
and the internal surface of the organ folds into access by the enzyme pepsin, which breaks about two hours for half a meal to pass into the
characteristic ridges, or rugae. When we start down protein. The presence of partially small intestine and the process is generally
eating, however, the stomach begins to distend; digested proteins stimulates enteroendocrine complete within lour to five hours.
Mucosa
- - - - - - - - G-cell (pink)
Also known as
enteroendocrine cells,
these produce hormones
li<e gastrin, which regulate
acid production and
stomach contraction.
Submucosa - {
Muscle layers
The stomach has three layers
These cells prodJoe hldoc:hloric ol rn..oscle llnling "' o:ifferent
acid. .....nich kils off onicro- orientalioos. These produce
organisms.I-IY<M!Is protei'os and the C<Hlrdmted contraction
activates digestive enzymes. requi'ed to mix food.
076
I•U•JW•1!113N•IW Stomach rumbling, also known as borborygmus, is actually the noise of air movement 1n the intestines
~-------- Fundus
Gastric anatomy The top portico I of the
stomach Q.I'Ve5 upa:ld
This major organ in the digestive system has several distinct alows gases created
regions with different functions, as we highlight here dfilg tigestiol I to
be collected.
Cardia - - - - - - -
The oesophagus empties into
the stomach at the cardia. This
region makes lots of mucus,
but ittle acid or enzymes.
Pyloric sphincter
The pyloric sphinot..- is a strong
nng of muscle that regulates the
passage of food from the Ant rum - - - ----.,
stomach to the bowels. The antnm cootains cells that
can stim uJate or shut off acid
prodJction, regulating the pH
level of the stomach.
' - - - - - - - Body
Also called the corpus, this
is the largest part of the
stomach and is respoosi:>le
for stomg food as gastric
juices are i1trodJced.
077
ur heart
ltU•JU•11J!3N•IW Emergency ongiop/osty is the best treatment for acute heart attacks
3. X-rays
Under real·time X·ray
image guidance, the
guidewires and catheters
are fed through the maja-
arteries and then into the
tiny coronary arteries.
catheter
The balloon catheter is one of the key pieces of the angioplasty
doctor's equipment. Once the guidewire is inserted, the catheter is
fed over it and floated into exactly the right place. Through this
catheter, special dyes that can be seen onX-rayimages(radio-opaque
contrast dye) can be injected through the hollow catheter to confirm
its position and then confirm the location of the blockages.
At the tip of the catheter is a balloon. Using water, this balloon can
be inflated from outside to precise pressures. When this is done from
the centre of the blockage, the atheromatous plaque is expanded to
allow more blood flow. There are many different sizes of catheter and
widths of balloons, allowing exact tailoring to the patient's needs.
Sometimes the doctor will start with a small balloon when the
blockage is very narrow, and then sequentially insert larger balloons
to allow for the maximum effect. However, care is needed - too large a
balloon or too much pressure and the vessel can rupture, which is a
life-threatening complication. Experience, care and control of the
pressures prevent this.
079
ow do our hands work?
motor skills allowing for much Increased bones, and these divide up Into Intermediate --------...
control in this limb. Consequently we see three dlstlnctgroups: the phalanges
improved ability to grasp and grip Items and carpals, metacarpals and This is where the
development or skills such as wrlll ng. phalanges. These also then superfiCial fte><>rs attach
Anormal human hand Is made up of five further break down into three: via tendons to alow the
digits, the palm and wrist. It consists of 27 the proximal phalanges, digit to bend.
bones, tendons, muscles and nerves, with Intermediate phalanges and
each fingertip of each digit containing distal phalanges. Eight bones Proximal ------i:-11-""~
numerous nerve endlngsmaklng the hand a are situated In the wrist and phalanges
Each fuger has tine
crucial area forgathering iniormatlon from these are collectively called phal;vlges, and INs phalange
the environment usingoneof man's most the carpals. The metacarpals, ;oos the nl!r1llledate to its
crucial five senses: touch. Muscles Interact which are situated in the palm respediye~
together with tendons to allow fingers to of the hand account for a
bend, straighten, point and, ln the case oft he further five out of the 27, and ~~~ ------~~~~~
thumb, rotate. However, the hand Is an area each finger has three These""" bones make~ l!le
thatseesmanyinjurlesdue to the number of phalanges, the thumb has two. P<*n and each one ai!;J1s
ways we use it. one in ten Injuries In A&E lntrinslcmusclesandtendons with one ol the hand's digits.
being hand related, and there are also Interact to control movement of
several disorders that can affect the hand thedigltsandhand, andattach
development In the womb, such as to extrinsic muscles that ~~ ----------~--~
polydactyly, where an lndivldualls born Thecarpals(SC<~Phoid, ~·· ~.
extend further up into the arm, trapezoid. k.nrte. hamate. capitate and
with extra digits, which are often In perfect which flex the digits. pisiform) sit between the !Ana and radius
working order. and the metacarpals.
080
1. Julio Cesar 2. Gianluigi 3. lker Casillas
Soares de Buffon Fernandez
Espindola Named the 'Se.-le A Voted best goalie in the
Having r'ecovered From a Goalkeepe,; of the Year' a wor1d by the lnten'lational
few eaflier' blunder'S, the rec:Of'd nine times, this is Federation of Foo!OOII
Brazilian keel)e( is now one guy It would be hard HistOtY and Statistics for
considered one of the best. to put one past two years running.
ltU•JU•11J!3N•IW Skin is attached to tendons and so when you bend you fingers bock, dimples appear on the bock of your hand
Interossei
muscle
(intrinsic) - - - - - -
This interossei musde sits
between metacarpal
bones and will unite w ith
tendons to allow extension Ulnar nerve
using extrinsic muscles. This nOM! stretches
down the forearm into
the hand and allows for
sensory information
to be passed from
Arteries, veins hand to brain.
and nerves --~
These supply fresh
HYPothenar
oxygenated blood (and musde (intrinsic)
take away deoxygenated Hypothenar refers to the little
blood) to hand muscles. finger and this musde group is one
of the intrinsic ITKJSCies.
081
ee- jerk reactions 1 Fingernails
-
3. Interneuron
The knee-jerk step-by-step The intErneum J)fOVWies a
comectian between the
L Quadriceps and hamstring muscles sensory a1d motor netrOflS.
The knee jerl< reflex means that the q.Jadriceps ....-s
mnlract at the sane trne the harnsbWlg muscle rela-.
IOns
•
I
Why does your leg kick out
when the doctor taps just
below your knee?
Doctors often test the knee-jerk, or patellar
reflex, to look for potential neurological
4. Motor neuron
problems. Lightly tapping your patellar tendon The motor, or efferent
just below the kneecap stretches the femora l neuron, carries the nerve
nerve located In your thigh, which In turn causes your impulse to the muscles.
thigh muscle (quadriceps) to contract and the lower leg to
extend. When struck, impulsestravelalonga pathway In ' - - - 5. Spinal cord
the dorsal root ganglion, a bundle of nerves In the 41evel 2. Sensory neuron _..J The spinal cord has both gey
• Sensory neuron The sensory, or affetent matter, whid:l conta01s nerve eel
of the spinal cord. ReO ex actions are performed • Motor neuron neu-on. ~an impulse bodies, a1d while matter, whid:l
independently of the brain. This allows them to happen Interneuron
contains the """"' fbres.
from the femcral """"'·
almost instantaneously-lnabout 50 milliseconds In the
case of the knee-jerk reOex. This reOex helps you to
maintain balance and posture when you walk, without
"Reflex actions ore performed
having to think about every step you take. independently of tfie brain"
are r
fi ils
maCie
And how are they formed?
fingernails are made of a tough protein called keratin (from the
Greek word 'Kera', meaning horn). Keratin Is also what animals
hooves and horns are made from. Most animals have a supportive
bone structure In their horns, although rhinoceros horns are made
completely of keratl n compacted together. The only other biological material
which has a similar toughness to kerall nlsed tissue is chitin, the main
component of exoskeletons belonging to arthropods. The half-moon shape
thatyoucanseeat the bottom ofyournail (apart from maybe your little linger)
is called the lanula. Thlsls agroupofcells that produce keratinandother living
cells. As these livlngceUs arepushed forward by newer cells, they die and
merge with the keratin to become kerltlnlsed. They then become Oauened,
stiff and known as your fingernails.
...
.. .. .
•
•
Feet are immensely complex structures,
y:et we put huge amounts of pressure on
them every day. How do they cope?
. -
·&"
The human footandankle Is crucial for locomotion
• • • and Is one of the most complex structures of the
human body. Thls Intricate structure Is made
T~ ------------------~
Te<minal aspects of the foot
that aid balance by grasping
J
up of no less than 26 bones. 20 muscles, 33 onto the ground. They are the
equivalent of fingers in the
joints -although only 20 are articulated-as well as numerous
foot structure.
tendons and ligaments. Tendons connect the muscles to the
bones and facllitate movement of the foot, while ligaments hold
the tendons in place and help the foot move up and down to Muscles - including the extensor
digiton..m brevis m.Jscle _ _...../
inltiatewalking.Arches In the foot are formed by ligaments,
Muscles within the foot~ the foot lift and
muscles and foot bones and help to distribute weight. as well as articulab> as necessary. The extensor dgitonm
making it easier for the foot to operate efficiently when walking brevis rruscle sits on the top of the foot, and
andnmning.lt Is due to the unlquestructureof the foot and the helps flex cijts tw<Hot.- on the foot.
way it distributes pressure throughout all aspects that it can
withstand constant pressure throughout the day. Blood vessels _ _ _....../
One of the other crudal functions of the foot Is to aid balance, These supply blood to the foot,
and toesareacruclalaspect of this. The big toe In particular f<ditati 19 rruscle upeatitw oby
helps in this area. as we can grip the ground with It Ifwe feel we ~energy and oxygen and
The skin, nerves and blood vessels make up the rest of the
foot. helping to hold the shape and also supplying It with all the ~~ ------~
necessary minerals, oxygen and energy to help keep It moving Ligaments support the
tendons and help to form the
~ ....__
easily and constantly.
arclles of the foot, spreadO>g
weight aaoss it.
•
•
••
people walk around barefoot,
this develops when t he skin is
not properly dried and aired. It
•
•••
••
•
following exposure to a
virus ... most commonly
the human papillomavirus
•
•
••
••
•
grows into either side of the
nail bed. Infection can often
occur if il is not caught and
•••
•
••
•
wl'jch occurs prior to the
ruptl.re of the tendon.
and is commoriy seen
FOOT AILMENTS -problem. • displays as flaky. itchy skin. • 2and7. • treated early. • in athletes.
ltU•JU•11J!3N•IW In a lifetime, a person will walk the equivalent of four times around the globe - more than 1oo,ooo miles!
4. Leg swing _ !
The lower leg wiD
then swing at the
knee, l.Wlder the body,
'Human gait' is the term to describe how we to be placed in front
walk. This gait will vary between each of the stationary,
person, but the basics are the same weight· bearing foot.
6
0
3"
i
- ,•
•
. ~
·-
085
Achilles' tendon 1 Smelly feet
~I?
Producing up to a
Qintofsweateach
aay, no wonder xour
feet get a bit whtffy Facts: Well known for tl>eir ability
to secr~te a liQuid with a strong.
Sweat actually keeps the foul smelhng oclcu which they
CM use as a defensive weapon.
sldn of our feet moist and They can shoot it up to 5 metres.
flexible to cope with the
constantly changing
pressure when we walk. Without
this moisture the skin would dry and
crack, and walking would become
extremely painful.
Despite the huge number of glands
(Z5o,ooo per foot) and amount of
2. Rotorua, New
sweat that comes from our feet, Zealand
remember It's still just salt and water. Facts: located in the most
Tt'"n dmu o.f The odour comes from the bacteria geclogio:aly active area of New
Zealand,Racruaissuroun:led
Pf:701HU. Um!JI.U that live on human skin which, while by mud pools. geysers ard
rl brn:~ unsettling. are perfectly naturaI. Our $team vents.
socks are a dark, moist-Infested feast
for them, as they eat sweat and dead
skin. It Is the waste products they
excrete from thls consumption that
are what smells bad. The more the
bacteria eat the worse our feet smell.
To keep the smell down, make sure
you changeyoursocksand let your 3. Titan arum
shoes alr for 24 hours If you can. Also, facts: This monsttOus. ttwe-
metre tal plant smells li~ a
wash your feet and spray them with combination of rotten eggs and
antiperspirant! ronlng meat to attract insects.
086
I•U•Itm!Jt:W•l!illi> writers' cramp occurs in the hands and lower arms but is actually a form of dystonia. a neurological condition
are coinciding with low blood sugar levels, dehydration and a high loss of
sa It from sweating. Although the full range of causes is something of a
mystery due to limited research in the area, cramp Is believed to be
Why do burns cause bubbles to develop the result of muscle fatigue. If a muscle has been shortened through
prolonged use but Is repeatedly stimulated, It isn't able to properly
below the surface of the skin? relax. Areflex arc from the central nervous system to the muscle
informs It to continue contracting when It Is not necessary, leading to
Though our skin Is an and Hils the spaces between the layers
~~ amazing protector against of skin in order to cushion the
a painful spasm knownascrampas the muscle continually attempts
to contract. This Is why athletes pushed beyond their limits, such as
Jil ' the elements, it can become
damaged by such factors as
underlying skin that is being rubbed
and protect it from further damage. As
football players who have to play extra lime In a soccer match, and
long-distance runners. will often experience this condition..
beat, cold, friction, chemicals, light. moreandmoreserumpoursintothe
electridty and radiation, all of which space, the skin begins to inflate under
'burn' the skin.A blister Is the resulting the pressure, forming a small balloon
injury that develops in the upper layers full of the serous liquid. Given time to
oftheskinasa result of such burns. heal, the skin will reabsorb the plasma Rest
The most common example of a after about 24 hours. N. rest the calf
trU5de is in its
blister, which we've no doubt all Similarly, a blood blister is a variation
experienced at some time, Is due to the of the same injury where the skin bas
relailltd poWon.
I
repeated friction caused by the material been forcefully pinched or crushed but Stretch
of a pair of shoes rubbingagalnst. and not pierced, causing small blood vessels When the leg is
bin orstretdied
irritating. the skin. The resulting water ro rupture, leaking blood into the skin.
the calf rTUicle
blister is a kind of plasma·filled bubble All blisters can be tender but should wi1 ""' ill a;t, and
that appears just below the top layers or never be popped in order to drain the then relax......,
your skin. The plasma, or serum- which fluid as this leaves the underlying skin it is not.
is a component of your blood -Is unprotected and also invites infection
released by the damaged tissue cells Into the open wound.
Dlration , . - - - - - Cramp
Skin - . / Ant generated Prolonged
When arry type of tun is Cfilll1l usualy lasts dstJ~etd
..........~l!l of the
experienced. the C>llertying slcin fur a few seconds. leg jll'ell'l!l1ts the
expands as it receives the protec:tille I.--some call rTUicle from
plasma/serwn
...taxing. which can
lasthours. - - - - lead to 00111 rp.
Damage -------~
Tlis pa-tjcUar exa '"*of a blister tun
has caused damage to the loeratii iC)Cytes
in the sl<in. Second-degree bums are Ruid reabsorbed
most often caused ..t.en the slcin comes I'Jter a day <X so the senm wil be
into""' •tact with a hot surface, S<.dl as absabed back into the body and the
an iron <X boil01g water, <X even after raised skin '-rs wil dry out and ftal<e
OXposlR to e>o:essive ..night off in their own time.
087
•
• I133
exp
uac:zered
104
Why do we
sweat?
110
How ow
bones heal
"
0
g
090 Food and !our body 106 The immune system 124 How yow blood works
Inside the igestive system Combating viruses The miraculous fluid analysed
098 The blood-brain barrier 110 Healin~bone fractwes us Hormones
What important role does it play? How bro en bones are mended The human endocrine system
099 Pituit:f; gland up dose 111 Making lf:otein 110 The u,rinary system
The 'mas er galnd' explored How are ey manufactured? How do we pass waste?
100 Brain electrid~ SY.Dasses 1U Thecell~cle 1)2 Tracheotomysur~ery
Revealing the tru behin both Inside a vi al process A life-saving proce ure
101 Adrenaline 114 White blood cells 1)1 Hayfevel'
How does it effect the body? How infection is fought Why do people suffer?
102 Human respiration u6 The science of genetics 1)4 Exploring the sensory system
The lungs explained How genes defirie who we are How we experience the world
10ft Dehydration I Sweat::tf 121 Burns 11..1 Chickenpox
Why we sweat and using uids The causes and effects of burns How harfuful can it really be?
105 Cinadian rh~ 12.2 Blood vessels 1)9 Why do we cry?
Our body doc explored Our drculations system The different types of tears
088
n6
DNA
explored
128
The role of
hormones
I
I
112
The cell cycle
090
Shellfish Milk Peanuts
Shellfish allergies tend to Children '-"der the ago or By far the most
dellelop during three are the most likely cOO'Imoo food
adulthood. Foods to ai/Oid to develop an allergy to allergy is peanuts. l.n
Include bamack>s. crabs, milk, but they usually the UK, as many as
shrimps. lobsters, outgrow It by the time one in SO children
crawfish and krill they reaeh adulthood. ate sensitive.
I.U•Ill!I!It:W•I@ Bio/ogica/ wash1ng powder uses digestive enzymes to break down the stains on dirty laundry
>I I :..
• 0
.' •
•
• ••
.. -- .
• •
091
=··
Toste and digestion
Sense
Circumvallate papillae
Anatomy of a These large bumps are found at the
bad< of the tongue, each surrounded
of taste
Taste tells us whether our food is
Co ntrary to popular belief, all five
tastes can be detected almost
anywhere on the tongue
Blood supply
The tongue receives
blood from the lingual
safe to eat, but smell gives it flavour artery and it drains out
through the lingual veins.
Muscle
The human tongue is able to detect five different There are eight
muscles in the
tastes: sweet, sour, salty, bitter and umami tongue that alter
Nerves
The front and back
(savoury), providing us with a quick way to its shape and
of the tongue send
distinguish between different types of food. change its position.
taste information to
Sweet foods contain sugar and are a good sou rce the brain.
of energy. Salty foods provide sod ium, which is
Posterior
vital for nerve function, but deadly in high tongue
quantities. Bitter foods might contain poison. About a third of the
Babies are born with a natural preference for tongue is hidden
right at the back of
sweet food and a dislike of bitter, providing a the mouth.
biological safeguard that encourages them to eat
safe, high-calorie food. However, nutrition is not Foliate
Papillae papillae
that simple. Many vegetables are bitter but not The tongue is
These contain
covered in tiny
poisonous and so learning to like them comes taste receptors
bumps, but not all
with experience. and are located on
of them contain
the back edges of
The degree to which we can detect different taste buds.
the tongue, where
tastes varies, and appears to be dictated by our saliva drips down
individual anatomy. The population can be the cheeks.
Filiform papillae
broadly divided Into three categories based on Most of the tongue is
the number of taste buds on their tongue. Those covered in thin, rough
bumps that contain no Anterior tongue
with the fewest are known as 'non-tasters', those taste receptors. The visible part of the
with an average number are known as 'tasters', tongue is responsible for
and those with many more taste buds than the the majority of taste
rest if the population are 'supertasters.' detection.
092
I•U•T'OOI!/I!W•lr.'i? Stomach ulcers were long thought to be caused by stress. but it's now known the culprit is o bacterial infection
stomach mouth to the stomach the top of the stomach, is stretchy and expandable,
via a muscular tube where it can be pushed out and when relaxed, it curls
that runs behind and up by the diaphragm. up into characteristic folds.
the windpipe.
This muscular bag turns your dinner
into an acidic soup Body
The central portion of the
The stomach acts as a holding chamber, stomach helps to create
receiving food from the mouth and preparing it downward pressure,
Cardiac keeping food moving in the
to be processed in the s mall intestine. At rest, the sphincter right direction.
A ring of muscle at
stomach is around the size of a fist, and its lini ng
the top of the
is curled into a convoluted network of folds stomach stops the
Muscle layers
known as rugae. As you eat, these folds stretch acidic contents
There are three
moving back into
out, allowing an adult to eat around a litre (0.26 layers of muscle in
the oesophagus.
gallons) of food In one sitting. Stretching of the the stomach wall,
each running in a
stomach walls triggers rhythmic contractions, different direction.
mixing the food with acid and protein-digesting Antrum
The bottom part of
enzymes, grinding it to a paste in preparation for the stomach
the next stage of digestion. generates powerful
grinding
contractions.
Duodenum
The stomach
empties its
contents into the
first section of the
small intestine.
Pyloric
sphincter
A ring of muscle at
the base of the Stomach lining
stomach prevents The lining is covered in
the contents from microscopic pits that
leaking out before produce mucus, acid and
they are ready. protein·digesting enzymes.
Chewing
the fat
Fat has a bad reputation, but
the truth is, your body needs it
Every single cell in your body is
surrounded by a membrane made of
fats; it insulates your nerves and it
provides a valuable energy reserve.
Eating fat also provides a number of
vitamins and essential fatty acids
the body can't make on its own.
Saturated fats (the sofid fats found in
meat and dairy) and trans fats
(found in hydrogenated vegetable oil
and many processed foods) have
shown to raise cholesterol, which
can lead to circulatory problems, but
unsaturated fats (the liquid fats
found in plants and fish) can have
the opposite effect. and are
considered good for your health.
093
=··
Toste and digestion
4,soorrr
'IIE'IUIIIIJPDL IU
large intestine
The second part of lhe
inlPstine absorbs water
Brush border
The cells that make up lhe
intestinal wall are covered
Villi
The cells that line lhe walls
5I f 2 "AIEACIF'IIE and prepares waste. in microscopic fingers of lhe small intestine are
known as microvilli. arranged into folds
known as villi.
Small intestine
The first part of the
intestine is responsible for
breaking food down and
absorbing lhe nutrients.
Appendix Rectum
Near the start of the large Before exiting the body,
intestine is a blind-ending tube waste products are stored
known as the appendix - its In a small pouch known as Small vein
fLOICtion is largely unknown. the rectum. Nutrients travel across
the wall of the intestine
into the blood stream.
Small
Lymph vessel artery :_______ Intestinal crypt
Fatty acids are transported Each of the Between the villi are
away from the intestines via villi has a rich crypts containing
The intestines
After leaving the stomach, food must pass through over 7m (23ft) of intestines
the lymphatic system. blood supply. mucus·producing cells.
The stomach contents enter the intestine are added by the pancreas. The enzymes act like small intestine. The remaining undigested
gradually, allowing tlme for the liquid food to be molecularsdssors, breaking proteins, materia l passes into the large intestine, which
processed. Flrsttheadd Is neutra lised by bile, carbohyd.rates and fats down into building blocl<s absorbs water, leaving behind solid waste that
provided by the liver, and then digestive enzymes small enough to be carried over the wall of the can then be passed out ofthe body.
094
• •
• •
STOP Eight glasses of water
1Drinking plenty of water is
· Vitamin Cstops colds
:2
• In trials involving over 11,000 •
Canvt night vision
3 Calt'ots contain vitamin A,
Celery's minus-calories
•• 4 1t is a popular fact among
•
••
Chocolate causes acne
5
Actually, tl"is one rright be
FACTS
FOOD MYTHS
benellclal for 01.1' health, but
there is nothing special about
drinking eight glasses. Drinking
when you feel thirsty is usually
•
•
••
people, it has been shown that
vitamin C does not prevent or
cure colds. However, washing
hands regularly is effective at
v~al for eye health, but the
idea that they help you see in
the dark Is a lie from WWII to
keepradartechnologysecret •
dieters that eating celery
bums moc-e calories than it
provides. Although possible in
theory, no foods have been •
true. Ne'IN research is
increasingly suggesting that
diet does have an impact on
acne and that saturated fats
more than eoough. preventing transmission. from the Germans. found to have this effect. • and sugars might be to blame.
DEBUNKED • • •
-
!•lf•M!I!llW1•1~W The human mouth produces 1-2/itres of solivo every doy
The first part of the digestive system prepares washing-up liquid, separating the fats out into can sometimes convert one into another if
the food for the next stage, ensuring it is broken smaller blobs. supplies are running low. However, there are a
into a fine paste, mixed to form a homogenous Now that the food is nicely mixed and number of nutrients that cannot be synthesised
fluid, and shocked with add to limit the separated, the enzymes can really get to work. by the body at all or in high enough quantities,
potential for dangerous infection. However, it The pancreas produces a cocktail of three and these must be obtained directly from the
is not until food reaches the small intestine kinds of enzyme, each used to break down a diet. These essential nutrients include some
that the microscopic breakdown and different type of molecule. Proteases clip types of amino adds, fatty adds like omega-3
absorption of nutrients really begins. amino acids from proteins, lipases break fats and omega-6, and all of the vitamins and
At the start of the small intestine, the liver down into fatty adds and glycerol, and minerals needed.
injects alkaline bile into the acidic liquid food, carbohydrases turn long chains of Vitamins and minerals are organic and
neutralising its pH and preparing it for the carbohydrate into sugars. These small blocks inorganic compounds required by the body in
introduction of digestive enzymes. can be absorbed into the bloodstream, where small amounts for various different functions.
Bile also helps to emulsify fats. Fats are not they are distributed around the body, used to Some of these, like calcium, make up vital
water soluble, so they tend to clump together in build our own biological molecules, or broken structural components of our bodies, while
large globules to hide from and avoid the down and burnt for energy. The body requires others, like vitamin C, are involved in
surrounding water, but bile acts a little like different quantities of each of the nutrients, and biochemical reactions.
-
0::
Egg yolks Red meat
than men.
-z~
deformity. Luckily, this vitamin is
easy to obtain. Not only can
vitamin D be found in oily f ish,
->~
eggs and dairy product s, but our
bodies can also make it
t hemselves using sunlight.
Salmon Tuna
-~
;::) Potassium is vital to ensure
muscles are able to contract
properly and nerves are able to
transmit their messages. It is
~ easily obtained in the diet and
0 deficiency is incredibly rare unless
a.. Dried apricots Avocados
there is damage to the kidneys.
095
=··
Hunger is one of the body's
most basic and Food addiction
fundamen tal sensations, Research into food same reward pathway that lights up when
and it originates in the addiction is relatively addictive drugs are ingested. In alcoholics,
stomach. When the new and the results cocaine addicts and heroin addicts, the
stomach is empty, it begins are hotly debated, but number of dopamine receptors in the reward
to produce a hormone there is increasing pathway is lower than in the rest of the
known as ghrelin. This then evidence that food can population and the same thing is found in
travels to a region of the brain elicit some of the same obesity. It is thought that people with fewer
known as the hypothalamus. brain responses as addictive dopamine receptors might need to over-
Th e hypothalamus is responsible substances ill<e cocaine.ln stimulate their brains to experience the
for maintaining a constant, optimum state; overweight people, overeating can same rewards as normal people, and
keeping the body at a set temperature, regulating become a compulsion that is difficult to therefore turn to alcohol, drugs, or perhaps
hormones and monitoring hydration. The arrival control, and has b een shown to activate the even food.
of ghrelin is a signal that energy levels might be
about to dip, so it triggers the production of a
second hormone, neuropeptide Y. This hormone
p romotes eating.
The cue to stop eating is much more subtle. The
stomach has stretch receptors, and will signal to
the brain that it is full. But what happens if it is
empty, but there is already enough energy stored
in the system? fat stores produce a hormone
known as leptin, which tells the brain exactly
096
Answer:
STRANGE How long does chewing It is ttue that chewlllQ: gum cannot be digested.
BUT TRUE gum stay in your system? but as &ong as It is a small piece - less than 2cm
(0.81n) in diameter - there is no reason it should
get stuck, and It should pass out oonnally within
A STICKY MYTH A Seven years 8 A day C Forever adayottwo.
[•!(17\X!IDt:W•~W The digestive system hos its own dedicated neNous system, known os the enteric neNous system
Tea Chocolate
In England, drinking tea is a national pastime. The main chemicals in tea are Chocolate is one of the foods most commonly
known as polyphenols, and each cup contains around 200 milligrams (0.007 associated with happiness, particularly the
ounces). The polyphenols are large molecules made up of smaller building hormone serotonin. The chocolate itself does
blocks, which are known as catechins. When these catechins react with contain the precursor to serotonin, an amino acid
oxygen, they make two types of chemical; theaflavins, which make the known as tryptophan, but this is also found in
orange-brown colour of tea, and thearubigins, which are thought to many other foods, including meat. Chocolate also
contribute to the taste. The different amounts of the contains phenylethylamine, a molecule
chemicals present in the tea are chemically similar to amphetamine, but it is
very dependent broken down in the digestive system, and
on the life of the does not reach the brain intact. The
plants and the feel·good factor of chocolate is
processing of more likely to be down to its fat
the leaves. and sugar content, and a
property known as mouthfeel.
Chocolate is among the only foods
that melts at close to
body temperature.
I
TIE IBIGTH OF AN
I AVEIWlE S1UMIICH
l
AFTER A NEAL
Coffee
Coffee contains over
1,000 different aroma
compounds, responsible
for its unmistakable smell.
Around 12 per cent of the green Bacon
coffee bean is made up of a set of
chemicals known as chlorogenic acids, and when the beans are
The distinctive smell of bacon is, as most of us have probably
experienced, hard to resist. That fact is all down to the chemistry of
J
!
roasted, most of these acids begin to break down. Some produce cooking meat. As the bacon is heated, the amino acids that make up ~
the brown-coloured compounds that give coffee its characteristic the muscle protein react with reducing sugars present in the bacon "
dark colour, while others produce the bitter-tasting chemicals fat. This process, known as the Maillard reaction, occurs only at high ~
responsible for its taste. Coffee also contains high quantities of temperatures and produces over 150 different volatile molecules, ~
caffeine, around 100 milligrams (0.0035 ounces) in every cup. It each able to interact with different smell receptors in the nose. Most
!!'
"
works on receptors in the heart and brain, blocking the action of a
natural neurotransmitter and acting as a stimulant.
of the delicious smell of bacon is attributed to a group of nitrogen·
containing compounds known as pyridines and pyrazines.
!
G
097
=··
blood- brain barrier
-
•
ra1n
How does this gateway control the molecules
that pass from the blood into the brain
The blood-brain barrier (BBBI is an
essential group of cells that line the Breaking down the barrier
blood vessels In the central ne rvous This built-in gateway is the main line of
defence for the central nervous system
system (brain and spina l cordi.
They allow passage of materials between the
clear Ouidsurroundlng the brain (cerebrospinal Just passing through
Ouid) and the red blood cells in arteries. veins Some ions are transported
out of the blood cells and
and capillaries. The key advantage of having into the astrocytes, and then
such a barrier is that It prevents large micro- out of the astrocytes and
organisms passing into the brain and causing into neurons in the brain.
and slow the brain to a point where you can lose repelled, meaning that cells regulate the size j
and type of particle that ~
consciousness and even stop breathing. some medications are
ineffective in the brain. are able to fit through. Q
...
098
RECORD TAll EST MAN IN HISTORY
At 2.72 metres (eight foot, 11.1 inches) Robert Wadlow is the tallest man
BREAKERS
TALL TALE m on record. Asufferer of gigantism, he was 0.9 metres (three feet) taller
than his father. Sadly, he was only 22 when he died in 1940.
!•Jf•J\t!I!ll;W•1~W In fish, the intermediate lobe controls skin co/our change, while birds hove no intermediate lobe at all
ituita ose
What does this hormone factory do and why couldn't we live without it?
The pea-sized pituitary gland is
found at the base of the brain, close The master gland in context
to the hypothalamus. It looks a Where does this vitally important hormone
relatively insignificant part of the manufacturer sit within the human brain?
brain, but it plays a role in many vital systems.
Often referred to as the 'master gland', it not Hypothalamus
only releases hormones that control various The seaetion of hormones
from the pituitary gland is
functions, but it also prompts the activity of directly controlled by this
other gla nds like the ovaries and testes. part of the brain, which
The pituitary gland comprises three sections links the nervous and
endocrine systems.
called Jobes: the anterior, the posterior and the
intermediate - the latter of which is considered
part of the anterior lobe in humans. These work
together with the hypothalamus, which
monitors hormones in the blood a nd stimulates Pituitary stalk
the pituitary gland to produce/release the This is what connects
the pituitary lobes to
appropriate hormone(s) if levels fall too low. the hypothalamus.
The anterior lobe produces seven important
hormones, which include those that regulate
growth and reproduction. Adrenocorticotropic
hormone (ACTH) targets the adrenal glands to
produce cortisol and controls metabolism, Posterior lobe
while lutein ising hormone triggers ovulation in This doesn't produce any
women and stimulates testosterone production hormones itself, but
stores and releases some,
in men. The posterior lobe, meanwhile, doesn't like ADH, made elsewhere
generate any hormones itself, but stores two: in the hypothaJamus.
antidiuretic hormone (ADH), which decreases
urine production by making the kidneys return
more water to the blood, and oxytocin, which
tells the uterus to contract during childbirth
a nd also prompts milk production.
Capillaries
Gigantism in focus Hormones are exchanged
between the anterior lobe
The pituitary gland also produces growth and the hypothalamus via
hormone, which in adults controls the amount a networi< of capillaries.
of muscle and fat in the body and plays a key
role in the immune system. In children, of
course, growth hormone has a very noticeable
ef fect in increasing height and bulk until
adulthood. However, sometimes the pituitary
gland becomes hyperactive - often as a result of Anterior lobe
a benign tumour - and produces excess growth Subdivided into three
hormone. In these cases, a person can grow to a parts, including the thin
far-beyond·average height, with hands, feet and intermediate lobe, this
facial features growing proportionally. While this produces s"""" kinds
might not seem so bad, gigantism is nearly of hormone which each Thyroid
always accompanied by other health issues, target specific organs. One of the largest
such as skeletal problems, severe headaches endocrine glands that
and more life· threatening conditions like heart regulates metabo~sm
disorders. If diagnosed early, treatment such as is in turn regulated by
drugs that inhibit growth hormone production the pituitary gland.
and surgical removal of the tumour can help
avert the more serious conditions of gigantism.
099
=··
the brain
I , ._,... uce
enough c
power a light
The brain is a complex and extremely powerful organ, but
would it be strong enough to power any everyday fightbulb?
The brain itself requires a relatively low neurons are signalling and in a highly synchronised
power to operate on a day-to-day basis, manner, the generated electric fields are large enough
around 20 watts which would be enough to to be detected outside of the skull through
power a very weak light bulb. zawatts electroencephalography ~EEG) or
corresponds to zo joules ol energy per second. The magnetoencephalography ~MEG).
generation ol electricity In the brain results from the
movement of ions ~charged atoms) throughout the
brain, as opposed to electrons moving through a wire. "The generation of.
Interestingly, a unique side effect of the brain's
electrochemical processes Is that Is generates electric
electncity results from
fields when it is active.! ndeed, when large numbers of the movement of ions"
Ongoing message
Once the neuroaansmltlers
cross the gap between the two
neurons, ion channels in the
receMngneuronopenallowlng
the poslllveloos In flow into the
receiving neuron.
100
• • •• •
Welcome to the wortd : When you need to breathe : And relaaax • Amino what now? •• F"19ht or flight
5 TOP- 1 Ababy's stress level dumg
birth is high and, as a result.
•2
!
Due to its blooc:I"Vessel·
•
•• 3 After stressful situiJt~ it's :4 Adrenaline can be obtained from
••
5The sayw.g 'fight or 15ghr ;,
FACTS
constricting properties. adrenaline often a good idea to physically : animals orsynthesised in the tJb. associated vMh adrenaline because
their actenaline level is also is also used to treat breathing •• wort<. off the adrenaline in your • The chemical name fa it is when we're stressed we produce the
\lei)' high at this time. This difficulties associated with
•• body so it doesn't stay in your ••• aminohydroxyp~ic
•• hormone in order that we can either
• •• •
•••
subsides post birth back down anaphylactic shock caused by system, keeping )'OU awake at acid, v.'hich is represented with the get ready to ~Efend oorselves or
ADRENLINE to normallevets. • alergic reacOOns.
•
•• n9>~ for example.
•
chemical form1JaC9Hl3N03. ••
•
make a run for iL
li Medulla - - - - - - ,
At the core of the
adrenal gland, the
adrenal medulla
. - - - - - - - - -Cortex
At the edge of the adrenal gland, the
cortex produces steroid hormones that
include cortisol (for balancing blood sugar
How our
ofgasesoccursbecauseofdifferlng
pressures in the lungs and blood. This
isalsothesamewhenoxygen
difluses into tissue around the body.
When blood has been oxygenated by
the lungs, it is transferred around the
work
body to where ills most needed In the Lungs ore the major
bloodstream. If the body Is Capllary beds respiratory organ in humans
102
- -
•• •
•
•
•
•
•
•
~ c;qJaCi:ty • The rightlung We have excess Alveoli have massive • We breathe 11,090
STOP 1
vanes hUgely
•
• is bigger
••• 2
• lamg capacity
•
:3
: surface area
4
•
• litres of air per day
•• s On average, one individual will
FACTS Dependant on sex a1d body lntere:stiogly, the lefU .1ng is On average. t.Jmansonly use tf one person's entire
size. alongside external • slightly smaUer than the ri!;#lt in • about one-ei~ of the ! alveoli were &aid out they would breathe in 11.000 itres of air in
factors such as altitude, lung •• the human body because the left • capacity of our lungs fOt'each • have the surface area of about 70crnl any given day.lf they exercise
• •
capacity ranges between • lung has to make room for the • breath so we have a large ! ... that's roughly the size ofhatf a • he<Miy during 111at day, this will
•• •• ••
LUNGS 4,000and6,000an'.
• heart to fll in. reserve volume. • tennis court!
• increase fLI'ther.
!•U•I\1•1!/Itj~I•IW Trained free-divers con hold their breath underwater for up to nine minutes
Chest cavity
This is part of both
the respiratory and
digestive system. A flap
of coonectilie tissue
How do we breathe?
The intake of oxygen into the body is complex
This is the space that
is protected by the
rils, w here the lungs
and heart are
situated. The space
called the epiglottis
Breathing is not something that we have to the alveoli at the ends, which are the final changes as the
closes over the trachea
to stop choking when think about, and indeed is controlled by muscle branching. The chest will be seen to rise diaphragm 111011es.
an incfrvidual takes food contractions in our body. Breathing is because of this lung expansion. Alveoli are
into their body. controlled by the diaphragm, which contracts surrounded by blood vessels, and oxygen and
3.Trachea and expands on a regular, constant basis. carbon dioxide are then interchanged at this
Air is pulled into the When it contracts, the diaphragm pulls air into point between the lungs and the blood. Carbon
body through the nasal the lungs by a vacuum-like effect. The lungs dioxide removed from the blood stream
passages and then expand to fill the en Ia rged chest cavity and air that was breathed in but not
.""';ses into the trachea. and air is pulled right through used is then expelled from the lungs
the maze of tubes that by diaphragm expansion. Lungs
____
.....:---._...._
makeup the
--....:.:.lungs to
deflate back to a reduced size
when breathing out.
Lungs
Deoxygenated blood
arrives back at the
lungs, where another
gas exchange occlS"S at
the alveoli. Carbon
dioxide is remOIIed and
4. Bronchial tubes oxygen is placed back
•• These llbes lead to either the
into the blood
left or the right lung. Air passes
through these tubes into the
lungs, where they pass
Diaphragm - - - - - - '
•t:, through progressiwly smaller
This is a sheet of muscle situated Ribcage
at the bottom of the rib cage This is the bone
and smaler tubes until they
which contracts and expands to structure which
reach the alveoiL
•'·•'
<{
draw air into the lungs. protects the organs.
The rib cage can
•• Heart move slightly to
The heart pumps oxygenated alow for lung
blood away from the lungs, expansion.
around the body to tissue,
where oxygen is needed to
break down glucose
into a usable form
- 6.Ribs
These provide protection
of energy.
I ' do we oxygen?
We need oxygen to live as it is crucial for the release
•
' . of energy within the body
'I •
'• Although we can release energy through more thana few minutes, anindividualwill die.
anaerobic respiration temporarily, this method Oxygen is pumped around the body to be used
Is Inefficient and creates an oxygen debt that in cells that need to breakdown glucose so that
the body must repay after excessexerdse or energy is provided for the tissue. The equation
exertion has ceased. If oxygen supply is cutoff for that illustrates this Is:
.__ _____..
103
=·· drotion
I
Pore
Sweat is Skin
released directly Once the sweat is on the skin's
into the demlis ...-face. its absorbed moisture
Ilia the sea etaoy evaporates,
c1JC1. wl1ich then heat into ·the afro'fi:'lre
filters IIYough
the skin's pores
to the surfaoe.
do we
As your doctor may tell you, it's glandular...
Sweat Is produced by dedicated sweat internal temperature of the body rises, secrete a
glands, and Is a mechanism used salty, water-based substance to the skin's surface.
primarily by the body to reduce its This liquid then cools the skin and the body
Internal temperature. There are two through evaporation, storing and then transferrl ng
types of sweat gland In the human body, the excess heat Into the atmosphere.
eccrine gland and the apocrine gland. The former Both the eccrlneandapocrinesweatglands only
regulates body temperature, and Is the primary appear in mammals and, ifactive over the majority
"'Qc
source of excreted swea1.. with the Iauer only of the animal's body, aetas the primary
secreting under emotional stresses, rather than thermore.g ulatory device. Certain rna mma Is such
Secretary Secretary part Nerve fibres
duct This is where the DeiNer messages to
those Involved with body dehydration. as dogs, cats and sheep only have eccrine glands In majority of the glald's
Secreted sweat glands to produce
Eccrine sweatglandsarecontrolled by the specificareas-suchaspawsand lips-warranting tnM!Is up to the secretary eels can sweat when the
sympathetlcnervoussystemand, when the the need to pant to control their temperature. skin Ilia this cb:t. be located. body's temp rises.
a concentration of
particles in the
blood, indicating a
Other symptoms at
this level include
fatigue, a dry mouth
include sunken
nowsose~~ere eyes. low blood
that IV fluid
Too much H2 0? replacement
Hydration is all about finding the perfect balance.
Too much hydration can be harmful as well as Here symptoms
too little; this is known as water intoxication. If become much
too much liquid is in your body, nutrients such
as electrolytes and sodium are diluted and the cognitive abilities
body suffers. Your cells bloat and expand and
can even burst. and it can be fatal if untreated.
The best treatment is to take on IV fluids
containing electrolytes.
•• • • ••
•• Mental state : Latinname • The 6ving dock • nme to take your pills
STOP Jet lag
l rme zone changes can often •
•
••
2 Heatthoonditions such as
•
•
••3 With these rhythms known to
•
•4 In the 18th Cenh.ry, a botanist •
••
s Doctors teUyou to take medicine
••
called CarolusUmaeusis said
to have invented a iving d ock.
His garden coukf help him tell
••
••
at a prescribed time because the
l"l.lmanbodydock can affect
their effecti\'eness. Aspirins
CIRCADIAN but it will reset itself after a
•
• associated with abnormalities
•
• which means 'about', and 'diem'. •
• the time based on the flowers • function better when taken earty
RHYTHMS ••
few days. i'l circadian rhythms.. • which means 'day'. • he planted. • in the morring.
• • • •
t•U•I'\JII!IItj~l•l!l!LP The pineal gland, located near the centre of the brain, is about Bmm long and shaped like opine cone
07.30
Melatonin secretion ends
06AS
Steep rise in blood
pressure. Heart attacks
are more likely to ace..- in 17.00
the morning than any Highest cardio-
other time due to this rise vascular effkiency
in blood presst.re and muscle strength
06.00 18.00
18.30
Highest blood
pressure time
04.30 19.00
To conserve energy during Body temperature is
sleep, body temperature highest during the
drops. It is at its lowest just late afternoon
before waking
21.00
With the fading of sW~Iight into
the evening, melatonin secretion
begins - and increases tenfold -
02.00 22.30 mak ing us sleepy
Deepest sleep Bowelm~
00.00 suppressed here
MIDNIGHT
105
umon immune system
106
•• • ••
• •
• It deals with internal •
• You can 'bonow'
STOP. 1
The are can
sometimes hart
• Immunity soldiers
: are everYwhere
:2
• immunity
:3
•
• troubles, too
••
4
•• It has trouble with
•
• change
:s
FACTS
IMMUNE SYSTEM
Sneezing, coughing, a sore
throat, and fe\'er are all common
meansol expelting pathogens. so
as amoying as they are, each
•
••
•
A single drop of blood contains
arol..nd 375,000 white blood
cells, and blood constitutes lor
sewn per cent of your total
••
••
Antibodies in breast mikgive
babies temporary immLW'lity
from diseases their mother is
invnune to, preventing
•
•
In addition to fighting
pathogens, T-<:eAs fight the
body's own cancerous cells and
some cancer ther apies boost
:
•
•••
Unfortunately you cannot
develop inv"nulity to the
ftu andoommoncold
because the viruses are
one is necessary. • bodywei~l infancy infection. • the rumber of T-cells. • always mutating.
!•U•Jtl•l!l!tj~!•mG> or Karl Londsteiner first identified the major human blood groups -A, 8, AS and 0 - in 1901
•
Fighting the g ood fight, and white blood cells are
system
right on the front line... 2. Bacterium antigen
These distinctive m olecules allow your
When a pathogen is tough, wily; The B-cells flood your body im mune system to recognise that the
or numerous enough to survive with antibodies, molecules that 4 .Engulfed bacterium is something other than a body cell
non-specific defences, it's up to either disarm a specific pathogen bacterium
the adaptive immune system to or bind to it, marking it as a target During the initial 3. Macrophage 1. Bacterium
clean up the mess. The key forces for other white blood cells. When inflammation react:iof\ These white blood Any bacteria that enter
in the adaptive immune system T-cells find their target, they Joel< a maaophage engu~s cells engulf and digest your body haw
are white blood cells called on and release toxic chemicals the bacterium. any pathogens they characteristic antigens
lymphocytes. Unlike their that will destroy it. T-cells are come across,
macrophage cousins, especially adept at destroying
lymphocytes are engineered to your body's cells that are infected
attack only one specific type of with a virus.
pathogen. There are two types of This entire process takes
lymphocytes: B-cells and T-cells. several days to get going and may
These cells join the action take even longerto conclude.AU
when macrophages pass along the while, the raging battle can
information about the invading make you feel terrible.
pathogen, through chemical Fortunately, the immune
messages called interleukins. system is engineered to
After engulfing a pathogen, a learn from the past While
macrophage communicates your body is producing new
details about the pathogen's B-cells and T-cells to fight the 7.Non-
matching 8-cells
antigens - telltale molecules that pathogens, it also produces Other B-<:ells, engineered to
characterise a particular memory cells- copies of the attack other pathogens,
pathogen. Based on this B-cellsandT-cells, which stay in don't recognise
information, the immune system the system after the pathogen is the antigen.
identifies specific B-cells and defeated. The next time that 5. Presented -
T-cells equipped to recognise and pathogen shows up in your body, bacterium antigen
battle the pathogen. Once they these memory cells help launch a After engulfing the bacterium, the
are successfully identified, these counter-attack much more macrophage 'presents' the
cells rapidly reproduce, quick ly. Your body can wipeout bacterium's distinctive antigens,
comrrunicating the presence of
assembling an army of cells that the invaders before any infection
the specific pathogen to B-cells.
are ready and equipped to take takes hold. In other words, you
down the attacker. develop immunity.
Vaccines accomplish the same 6. Matching 8-cell
The specific lk:el that 9. Memory cell
thing bygivingyou just enough
Non-specific pathogen exposure for you to
develop memory cells, but not
recognises the antigen. and
can help defeat the pathogen,
The matching B-<:ell also
replicates to produce
memory cells, w hich wil
defences
As good as your physical defence system is, pathogens
enough to mal<e you sick.
1-------
rapidly produce copies of
itse~ if the specific
bacteria ever returns.
.)....~ y
do creep past it regularly. Your body initially responds
with counterattacks known as non-specificdefences,
so named because they don't target a specific type How
of pathogen.
-r ~
After a breech - bacteria rushing in through a cut, for
example- cells release chemicals called inflammatory a -cells target and
mediators. This triggers the chief non-specific defence, destroy specific bacteria
known as inflammation. Within minutes of a breach, and other invaders
~
your blood vessels dilate, allowing blood and other fluid
to flow into the tissue around the cut
The rush of fluid in inflammation carries various types
of white blood cells, which get to work destroying
intruders. The biggest and toughest of the bunch are
macrophages, white blood cells with an insatiable
appetite for foreign particles. When a macrophage detects
~~~~;r.te ~-~ -~
called phagocytes
recognise the antibody
marker, engutf the
10. Antibodies
The plasma cells release
J 8. Plasma cell
-
a bacterium's telltale chemical trail, it grabs the intruder, bacteria, and antibodies, which The matching B-cel
engulfs It, takes it apart with chemical enzymes, and digest them. disable the bacteria by replicates itself,
spits out the indigestible parts. Asingle macrophage can latching oo to their creating marry
swallow up about 100 bacteria before its own digestive antigens. The antibodies plasma cells to fight
also mark the bacteria aR the bacteria of this
chemicals destroy it from within.
for destruction. type in the body.
107
=··
umon tmmune s
•
I
L Tonsils
L~~~~
~:-~
=---------:;~~~1r~- ~
lymphocytes, wl1ich attad<
bacteria that get into the body
through yar nose or mouth.
the· - - - 7.Left
lymphatic duct
S. Spleen Passageway leading from
An organ that houses white lymph vessels to the left
ex1Jiained
Lymph nodes
filter out
pathogens moving
through your
lymph vessels
The lymphaticsystem is a network of Your immune system depends
organs and vessels that collects lymph on these .04-t-inchsweUingsto
- Ould that has drained from the fight all manner of pathogens.
bloodstream into bodily tissues - and As lymph makes ilsway
returns It to your bloodstream. Italso through a network of fibres in
plays a key role in your immune the node, white blood cells
system, filtering pathogens from filter it, destroying any
!nan allergic reaction, the body may reson to
sneezing to expel a fairly harmless pathogen
lymph and providing a home-base for pathogens they find.
disease-fighting lymphocytes.
108
1. Influenza 2. Measles 3. Tuberculosis
The nu kills hundreds of One person infected with Excavated Ancient Egyptian
thousands of people In a measles will sptead the virus mumfries show signs of
good year. And evory to just about every tuberculosis, and the disease
once in a while, a virulent unvaccinated petson they Is still thriving today. Around
form CaJl take out tens of e.ocounte(.luckily, the 2 billion people around the
miJIJons of people. vaccine is ve:ry effective. w<rid are infected.
!•U•I\1•1!1!tj~l•lmP In 2008, approximately 33 million people worldwide were living with HIV or AIDS
Know
inner contents enemy:
Bacteria are the smallest and, by far, the most populous form oflife
on Earth. Right now, there are trillions of the single-celled creatures
crawling on and in you.ln fact, they constitute about four pounds of
your total body weight. To the left is a lookat bacteria anatomy...
109
=··
ending bones
•
1n rocess
Learn how your body mends broken bones
If a bone has too much pressure put gradually fuse together, lil<e a bridge being
on it, there is a chance it will break. constructed from either side of a river until both
Your body has ways of repairing ends meet in the middle.
these breaks, but ittakes time and Once both sections of bone are connected
All-star cast
Most breaks on an arm or a leg will have a plaster
care. There are different kinds of break, ranging again, spedalised cells called osteoblasts enter to cast put on them to prevent the bone from
from a hairline fracture to a fully shattered produce bone cells. These new cells replace the setting at a wonky angle or not setting at all.
bone, but they all mend in a similar way. callus, returning the bone to its original shape. It will generally be made from plaster of Paris.
This is a mixture of water and gypsum that sets
As a bone breaks, the blood vessels are also Much like repairing a broken toy with glue, really hard once it has dried. The broken bone is
severed. Blood leaks out and forms a clot called the bone needs to be kept straight and steady bandaged and the wet mixture is applied to the
a fracture haematoma. This stops blood flow to for the fusion to happen correctly. This is why gauze. Once it has dried then it should provide
safety and st ability for the bone.
the area and also helps keep both pieces of bone doctors will put a cast on the broken bone. The Fibreglass is an increasingly common cast
aligned, ready for healing. cast provides essential support, protection and material. As with the plaster cast , the broken
The body then makes fibrous cells and stability, ensuring the broken bone doesn't bone is bandaged up. Next, another bandage,
made of f ibreglass and layered with resin, is
cartilage, which reinforce the bond and move. A cast will generally stay on for a few soaked in water. This makes it f lexible enough to
strengthen it. This creates a callus, which is weeks until the bond has become strong be wrapped around the bone before it hardens as
essentially a weakened bone. Over time, the enough, but it could take months for a properly it dries. This is much lighter than a plaster cast
and the outer layer is waterproof.
callus builds up and the two parts of the bone set bone to fully recover.
Hard --4+.
bone
Ruptured callus
blood
vessels
External Blood flow
callus improves
no
•• • • ••
•• •
•• PI'OteWI we need •
Polu!mon : Biuret test Genome studies
• PloteW. from food
STOP 1Speedy Pd<emon character ;2 We get protein from meat,
•
; 3 Yourbodymakesdlousands • 4 TheBiurettestlsachemical .5
•
From studies into the hutnan
FACTS
Pikachu had a protein named : fiSh, eggs, l'<ltSand dairy • of proteins every day. For each : form of analysis that is used to • genornes sequenced so far, it
after it in 2008. The protein, •• products. We digest the •• !kg you weigh, you typicaDy •
• measure the amount of
••• has been discovered that the
pikachurin, is used in kinetic • proteins Into amino acids, • require lg of protein. So daity a : protein that Is present in food. body contains over' 2 million
• which ......e later use to J"eplace • •
vision, which, aptly, is the •• •• 70kg man must manufacture •
•
It wori<s out protein levels by
•
proteins, coded by just
PROTEIN detection of fast objects. • these proteins in our bodies. • 70g of protein for his needs. • analysing the peptide bonds. • 20,000·25,000 genes.
Why are
amino acids
important?
Amino acids are vital to
our bodies being able to
operate as they are the
bulldlng blocks of
This IS the control centre of
the ced where all important
proteins. Each type of
genetic data JS stored amino acid performs a
different job, which aids
protein activity in the
111
=··
Cell division explained
Answer:
What is a optosis? Essentially a cell committing suicide. apoptosis is a
conltOied biological system that kills off ooneeded
Ot excess celts. One example is the retn011al of
APPETITE FOR SElF.· A Another type of cell division B Programmed webbing in between )'OU" fonge<s and toes before
DESTRUCTION eel death c-A new type of soft drink )'OU are botn.
I•U•Jtl•IYt3~1•1@ A common theory 1s that every living cell is descended from a single ancestral cell from 3-4bn years ago
An expert's view
Paul NU"se, Nobel PI ize Willolel' and diredor of the Francis Crick Institute, chats
about cell cycle
What is the cell cycle?
The cell is the basic unit of life for all living things. Why do skin cells divide so quickly and nerve
One of its many properties is the ability to reproduce. cells so slowly?
The cell cycle is a series of processes that occur Cells change at varying rates and some nerve cells
between the birth of the cell and its division into two. barely divide at all. This is one reason why it is
difficult to regenerate the nervous system when it
What is mitosis? becomes damaged. Because the body has to deal
M itosis describes what happens near the end of the with cuts and abrasions, it is much easier to get skin
cycle. The replicated chromosomes are separated cells to divide.
from each other into opposite ends of the cell just
before t he cell divides. What is tissue culture and why is it important?
It Is simply a way of growing cells from animals and
What are the different parts of the cycle? plants in t est tubes. They will divide under these
The other major part occurs before m itosis and is the c ircumstances so you can study the cell cycle away
process in which the DNA that makes up the from the complexities of an animal or plant
chromosomes replicates itself. This is called the
S·phase or DNA synthetic phase [which is part of What are the differences between plant and
interphase]. The S·phase replicates and mitosis anim al cell cycles?
separates and divides. Fundamentally, not very much. They both undergo
the same processes but are subject to different
What is the difference between mitosi.s and overall controls.
meiosis and does cell division occur in both?
Meiosis is usually considered to be the mitotic futl What is proteolysis and how does that
cycle and also leads towards cell reproduction. mechanism help the cell cycle?
However, in meiosis there are two M·phases or It is a biochemical mechanism that breaks down
divisions so the number of DNA and chromosomes protein. It takes away certain proteins as part of a
are halved. Meiosis uses gametes for fertilisation in regulatory system for a variety of biological process
diploid cells in animal and plants. such as the ceU cycle. It is used at the end of the
cycle to destroy excess protein and prepare for the
Does it occur in eukaryotic or prokaryotic cells? next cycle.
Only in euk.aryotic cells. In prokaryotic cells there is a
cell cycle but it is not mitosis. This [procesS] is You discovered CDK (Cyclin-dependent kinase).
simply the copying of DNA and then a much less How do they contribute to the cell cycle?
obvious separation of the copied DNA into the two CDK is a type of enzyme and my research group was
divided cells. involved in discovering that they were the major
regulators in the cycle. CDK brings about the S·phase
Why did you use yeast in your experiments? and mitosis and controls them.
Yeast is a very simple eukaryote, which reproduces
in much the same way as more complex cells in us. It How can the cycle help understand potential
only has 5,000 genes compared to our 25,000. It cures for cancer?
simplifies cell div ision so is extremely convenient to To understand cancer, you have to be able to
study. It 's got fantast ic genet ics and genomics, understand the cell cycle. Crudely blocking t he cell
which allow you to invest igate complicated cycle is a problem as a therapy as our body is full of
processes like t he cell cycle. other cells that have to divide.
• •
•
•
•• •
Monocyte
114
t•U•Jtl•I!J001•1t;l0 W8Cs have colour but appear white when blood is put through a centrrfuge, hence their group name
Basophil
Basophils are involved in
allergic response via
releasing histamine and
heparin into the
bloodstream. Their
functions are not fully
known and they only
account for 0.4 per cent of
the body's white blood
cells. Their granules
appear blue when viewed
under a microscope.
115
science of genetics
116
THE LONGEST GENOME
An ordinary-looking white flower, Paris japonica, has the
longest known genome with 150 billion base pairs. II
stretched out it would measure over 91 metres (300 feet)!
!•Jf•J\t!I!ll;W•1~W If oll46 human chromosomes were stitched together and stretched they would measure nearly 2m [6.6ft]
' - - - - - Nucleobase
Sugar Each nucleotide contains a
Each base is attached base, which can be one of four.
to a fwe-carbon sugar adenine (A), thymine (T),
caDed deoxyribose. guanine (G) or cytosine (C).
117
=··
The science of genetics
ribonucleic acid (RNA). This copy contains all of fully understood, but having the genome Genetic mutations are the source of variation
the information required to make a protein- available to study is making the task of in all organisms. Most genetic mutation occurs
the building blocks of the human body. identifying genetic risl< factors much easier. as the DNA is being copied, when cells prepare
The Human Genome Project aimed to map Interestingly, the Human Genome Project to divide. The molecular machinery responsible
the entire human genome; this map is discovered we have far fewer genes than first for duplicating DNA is prone to errors, and often
effectively a blueprint for making a human. predicted; in fact, only two per cent of our makes mistakes, resulting in changes to the
Using the information hidden within our genome codes for proteins. The remainder of DNA sequence. These can be as simple as
genetic code, scientists have been able to the DNA is known as 'non-coding' and serves accidentally substituting one base for another
identify genes that contribute to various other functions. In many human genes are (egA for G), or can be much larger errors, like
diseases. By logging common genetic variation non-coding regions called introns, and adding or deleting bases. Cells have repair
in the human population, researchers have between genes there is intergenic DNA. One machinery to correct errors as they occur, and
been able to identify overt, Boo disease- proposed function is that these sequences act even to kill the cell if it makes a big mistake, but
associated genes, affecting illnesses ranging as a buffer to protect the important genetic despite this some errors still slip through.
from breast cancer to Alzheimer's. The information from mutation. Other non-coding Throughout your life you will acquire many
underlying genetic influences that affect DNA acts as switches, helping the cell to turn mutations in your cells. Many of these are
complex diseases like heart disease are not yet genes on and off at the right times. completely harmless, either occurring in
Mouse
There is iess in common between
human and mouse (90 per cent),
but we are sufficiently similar that
mice make a good scientific model
for studying human disease.
118
1865 1905 1953 1983 2003
Grego< Mendel, the father of William Bateson Is the first Francis Click (light) and Polymerase chain reaction Completion of the
I"'''Idem genetics, observes person to use the term James Watson ~I the (PCR) is inll<!nted, enabUng Human Genome Project
patterns of genetic inheritance 'genetics' to de<cribe the stlJdy double helix structure of smal DNA samples to be provides access to the
GENETICS HISTORY in peas grown in his garden. of biological inheritance. DNA using X·rays. amplified for testing. human DNA blueprint.
!•Jf•J\t!I!ll;W•1~W Humans shore 98 per cent genetic similarity with chimpanzees but just seven per cent with E coli
non-coding regions of DNA, or changing the mutant gene, which gave them black wings; A single nucleotide mutation causes
gene so nominally thatthe protein is virtually this made them an easy target for predators and haemoglobin, the protein involved in binding
unaffected. However, some mutations do lead kept their numbers low. When factories began oxygen in red blood cells, to misfold. Instead of
to disease (see 'When genes go wrong' box). to cover the trees in soot, however, the light- forming its proper shape, the haemoglobin
If mutations are introduced into the sperm coloured moths struggled to hide themselves clumps together, causing red blood cells to
a nd egg cells they can be passed on to the next against the newly blackened environment, so deform. They then have trouble fitting through
generation. However, not all mutations are bad, black moths flourished. They survived much narrow capillaries and often become damaged
a nd this process of randomly introduced longer, enabling them to pass on their mutation or destroyed. However, this genetic mutation
changes in the DNA sequence provides the to their offspring and altering the gene pool. persists in the population because it has a
biological underpinning that supports Darwin's It is easy to see how a genetic change like the protective effect against malaria. The malaria
theory of evolution. This is most easily observed one that occurred in the peppered moth could parasite spends part of its life cycle inside red
in anima ls. Take, for example, the peppered give an advantage to a species, but what about blood cells a nd, when sicl<le cells rupture, it
moth. Before the Industrial Revolution the genetic diseases? Even these can work to our prevents the parasite from reproducing.
majority of these moths had white wings, advantage. A good example is sickle cell Individuals with one copy of the sickle cell gene
enabling them to hide against light-coloured anaemia - a genetic disorder that's quite and one copy of the healthy haemoglobin gene
trees and lichens. However, a minority had a common in the African population. have few symptoms of sickle cell anaemia,
Why do we look
like our parents?
Jt's a common misconception that we inherit
entire features from our parents - eg "You have
your father's eyes." Actually inheritance is much
more complicated - several genes work together
to create traits in physical appearance; even eye
colour isn't just down to one gene that codes for
•blue', 'brown' or 'green', etc. The combinations of
genes from both of our parents create a mixture of
their traits. However, there are some examples of
single genes that do dictate an obvious physical
characteristic all on their own. These are known as
Mendelian traits, after the scientist Gregor Mendel
who studied genetic inheritance in peas in the
1800s. One such trait is albinism - the absence of
pigment in the skin, hair and eyes due to a defect
in the protein that makes melanin .
. - - Carrier parents
Each parent carries the
albinism gene (dark pink), but
they have one normal gene
Carrier children - , (li!# pink), so they are able
Two out of four wiR be to make melanin.
carriers, like their parents,
with ooe normal and one
faulty gene.
- - Gametes
Each child inherits one
gene from the mother and
one from the father.
Healthy child
One in four children will Affected child
reoeive ooe healthy gene One in four children wil
from the father and one receive two copies of the
from the mother. faulty gene and as a
result will be unable to
produoe melanin.
119
=··
science of genetics
' - - Transduction
Embryonic The new gene is irllrodx:ed
stem cells into the stem eels pn:rlx:ed
The furtiiised egg by the lertiised-
be<:a ooes a blastocyst.
wl1ich ax otai os
Ll1<iflerenliat
embryonic stem eels.
Genes normally irwoM!d in mutagens- such as raciation one or a few mutated cells; slz.e ~ starts to Invade of the tJ..mour to break free and
regulating cell behaviol.r can and dlemicals- can cause these begin to civide the surounding area. erter the bloodstream. From "'
""..
E
go on to cause cancer ff they damage to the DNA, leading to LI1<Xll'llrollably in !her local taking <MY here they can be distributed :.t
a.
become mutated. mutations in keygmes. il'ea aeating a tumour. neighbouring tissues. thO'OU!I>oot the body. I>
120
!•U•I\1•1!1!tj~l•lmP Approximately 3ao,aoo people die from burns eoch year worldwide
urn ourse •
Burns range from irritating to life-threatening
-learn about the different types now
Most people associate burns with red skin, but without large blisters. Only the no sensation. The basal growth layer is
flames, but they have many other epidermis is damaged, so regrowth is fast. destroyed so no new skin can grow.
causes. Aburn is medically defined Second-degree burns (partial thickness! can be Even minor burns can cause problems if not
as 'coagulative destruction' of skin, either superficial or deep. The skin usually treated properly. The first priority is to stop the
meaning any energy source can cause one. This blisters and can be very painful. The dermis burning process; cold running water is ohen
energy damages underlying skin proteins and layer is also damaged so regrowth is slow, the best first treatment. Infection, dehydration
fat cells, causing breaks in the skin. taking several weeks or even months. In and protein loss are all problems that occur
Burns are generally classified by their depth. third-degree burns (full thickness! the skin is next, which ourresilientskin can solve itself if
First-degree (superficialI burns leave painful, left white or pale, with no blistering and little to the injury isn't too severe.
i (fl;
- .......... /II
'
. .
burns can be covert he deep bums that lieal
Sunburnlsaconunon
(lmownas wet typeofradlatlon burn,
burns) or contact caused l!Y exposure to
UV.tn suiillghtJ
121
=··
Blood vessels
Mostoftheamyloid
consisted of acellular pink
globules that effaced and
expanded the node, but
this image shows the
characteristic involvement
ofbloodvesselwalls
122
I•U•Jtl•l!l!:W•l!l.U vascular surgeons con bypass blocked arteries using either the patient's own veins or synthetic grafts
Arteries - - - - ,
AD arteries carry blood away
from the heart They carry
oxygenated blood, except
A of two
for the pulmonary arte<y, In human beings, the heart is a double body tissues Ithe systemic drculation}.
whictl carries deoxygenated pump, meaning that there are two sides The right side of the heart pumps
blood to the lungs. to the drculatory system. The left side of deoxygenated blood towards the lungs, so
the heart pumps oxygen and nutrient-rich it can pick up new oxygen molecules to be
blood to the brain, vital organs and other used again (the pulmonary circulation).
Lungs
In the lungs, carbon dioxide Aorta
is expelled fran the body
and is swapped for fresh
The aorta is an artery whictl
carries oxygenated blood to the "Plasma carries all
o the dif erent
oxygen from the air. This body; it is the largest blood
oxygen-rich blood takes on ~~<!Sse! in the body and copes
a bright red colour. with the highest pressure blood.
ypes o cells"
What's in
blood?
It's only the iron in red blood cells which
make blood red- take these cells away and
what you're left with is a watery yellowish
solution called plasma. Plasma carries all
of the different types of cells and also
contains sugars, fats, proteins and salts.
The main cell types are red blood cells
(formed from iron and haemoglobin, which
carries oxygen around the body), white
blood cells (which fight infection from
Veins - - - ' - - - The left side bacteria, viruses and fungi) and platelets
AU veins carry blood The left side of the heart (tiny cell fragments which stop bleeding by
p<.mps oxygenated blood forming dots at the sites of any damage}.
to the heart. They
for the body to use. ~
carry deoxygenated
pumps directly into
blood, except for
arteries towards the brain
the pulmonary vein,
and other body tissues.
which canies
oxygenated blood
back to the heart
Blood vessels
Different shapes and sizes
Capillaries _ _,
Tiny capiDaries connect
arteries and vejns
together. They aDow
exchange of oxygen, Arteriole
nutrients and waste in the
body's organs and tissues. Vein Artery
123
A look inside your blood
HEADt=
veins and arteries • transfusion
ln 300 BC, Gr'eek anatomist
•
• After' a centwy of animal·
Her'ophilus ot Chakedon figured • •
blood types
In 1901, Austtlan physician "1818- first human-to-
• human blood transfusions. Kafllandsteiner was the fitst
!•U•I\1•1!1!tj~l•lmP If you took oil of the blood vessels out of your body and laid them end to end, they would stretch for 16o,oookm
Monocyte
The largest type of white blood cell, monocytes are born in bone
marrow, then tirculate through the blood stream before maturing
into macrophages. predatory immllle system cells that live in
organ tissue and bone.
54%
Plasma
j
J.
~
"Red blood cells ore so numerous
because they perform the most
essential runction of blood"
Blood is the river oflife. It watery current of plasma- a straw- deliver oxygen to every cell in the blood cells only live 120 days, the
feeds oxygen and coloured, protein-rich fluid - carrying body and carry away carbon dioxide. supply must be continuously
essential nutrients to billions of microscopic solids As an adult, all of your red blood cells replenished; roughly 2 million red
living cells and carries consisting of red blood cells, white are produced in red bone marrow, the blood cells are born every second.
1wa1y Vllaste.lt transports the foot blood cells and cell fragments called spongy tissue in the bulbous ends of Amature red blood cell has no
soldiers of the immune system, white platelets. The distribution is far from long bones and at the centre of flat nucleus. The nucleus is spit out during
blood cells, which seek out and equal. Over half of blood is plasma, bones like hips and ribs.ln the the final stages of the cell's two-day
destroy invading bacteria and 45 per cent is red blood cells and a marrow, red blood cellsstartoutas development before taldng on the
parasites. And it speeds platelets to tiny fragment, Jess than one per cent, undifferentiated stem cells called shape of a concave, doughnut-like
the site ofinjury or tissue damage, is composed of white blood cells hemocytoblasts.Jf the body detects a disc. Like all cells, red blood cells are
triggering the body's miraculous and platelets. minuscule drop in ox:ygen carrying mostly water, but 97 per cent of their
process ofself-repair. Red blood cells are so numerous capacity, a hormone is released from sol!d matter is haemoglobin, a
Blood looks l!ke a thick, because they perform the most the kidneys that triggers the stem cells complex protein that carries four
homogenous fluid, but it's more like a essential function of blood, which is to to become red blood cells. Because red atoms ofiron. Those Iron atoms have
125
=··
A look inside your blood
Waste product 6. Reuse and recycle . . - - - - L Born in the bones 2. One life to live
As for the globin and other cellular When the body detects a low oxygen Mature red blood oells,
of blood cell carrying capacity, honnones released from
membranes, everything is atso known as
converted back into basic amino the kidney trigger the production of new erythrocytes, are
acids, sane of which wil be used red blood cells inside red bone marrow. stripped of their nucleus
to create more red blood oells. in the final stages of
dev<>lopment, meaning
they can\ cfl\lide
to replicate.
Life cycle of
cells
Waste
excreted
from body
Every second, roughly 2 million red blood cells decay and die.The
body is keenly sensitive to blood hypoxia - reduced oxygen
carrying capacity-and triggers the kidney to release a hormone
called erythropoietin. The hormone stimulates the production of
more red blood cells in bone marrow. Red blood cells enter the
bloodstream and drculate for 120 days before they begin to
degenerate and are swallowed up by roving macrophages in the
liver, spleen and lymph nodes. The macrophages extract Iron from
the haemoglobin in the red blood cells and release it back into the
bloodstream, where It binds to a protein that carries it back to the
bone marrow, ready to be recycled in fresh red blood cells.
4.1ngestion - - - - - - - - - - 3. In circulation
Specialised white blood cells in the iver and Red blood cells pass from
spleen called Kupffer eels prey on dying red blood the bone marrow into the
eels, ingesting them w hole and breaking them bloodstream, where they
down into reusable components. circulate for around 120 days.
the ability to form loose, reversible red blood cells release their oxygen, another type of white blood cell, proteins and clotting factors found in
bonds with both oxygen and carbon they pick up carbon dioxide produce anti-bodies that build up our plasma, platelets weave a mesh of
dioxide - think of them as weak molecules, then course through the immunity to repeat intruders. And fibrin that stems blood loss and
magnets - making red blood cells such veins back toward the heart, where monocytes, the largest of the white triggers the formation of new collagen
an effective transport system for they are pumped back into the lungs blood cells, enter organ tissue and and skin cells.
respiratory gasses. Haemoglobin, to 'exhale' the excess co, and collect become macrophages, microbes that But even these three functions of
which turns bright red when some more precious 0 ,. ingest bad bacteria and help break blood- oxygen supplier, immune
oxygenated, Is what gives blood its White blood cells are greatly down dead red blood cells Into system defender and wound healer -
characteristic colour. outnumbered by red blood cells, but reusable parts. only begin to scratch the surface of the
To provide oxygen to every living they are critical to the function of the Platelets aren't cells at all, but critical role of blood In each and every
cell, red blood cells must be pumped immune system. Most white blood fragments of much larger stem cells bodily process. When blood circulates
through the body'scirculatorysystem. cells are also produced in red bone found in bone marrow. in theirresting through the small intestine, it absorbs
The right side of the heart pumps marrow, but white blood cells- unlike state, they look like smooth oval sugars from digested food, which are
CO,-heavy blood into the lungs, where red blood cells- come in five different plates, but when activated to form a transported to the liverto be stored as
it releases its waste gasses and picks varieties, each with its own clot they take on an irregular form energy. When blood passes through
up oxygen. The left side of the heart specialised immune function. The with many protruding arms called the kidneys, it is scrubbed of excess
then pumps the freshly oxygenated first three varieties, collectively called pseudopods. This shape helps them urea and salts, waste that will leave
blood out into the bodythrougha granulocytes, engulf and digest stick to blood vessel walls and to each the body as urine. The proteins
system of arteries and capillaries, bacteria and parasites, and play a role other, forming a physical barrier transport vitamins, hormones,
some as narrow as a single cell. As the in allergic reactions. Lymphocytes, around wound sites. With the help of enzymes, sugar and electrolytes.
126
Sr~~~v~~f~fGE 7°/o ~~<A~9 p~~~ sv 7,000 litres
~\:R~£>~~oov 5 litreS ~£>o~~$~~5oND 2 million
l•lf•Jtl•I!JOOI•lt;lQ until the 23rd week of foetal development, red blood cells ore produced in the liver, not red bone morrow
"lia lbalassentJa
lbls rare genetic blood dlsordersewrely lnhlblls the Another rare blood disorder alfectlngtoo,ooo
cloU1ng mecbanlsm of blood. causlngexteS11lw newborns worldwide each year,lbalassemla
bleeding. Internal bruls1Jl8and joint problems. Platelels Inhibits the prodliCfioo of haemoglobin. leading
are essential to the clott1Jl8and heallng process. tose~~ereanaemla People who are bomwtth the
producing threads of fibrin with help from proteins In most senous form of the disease. also caUed
thebloodstreamcalledclotUnglactors.~plewho Cooley'sanaemla,suHetlromenlalgedbeans,
suHet from baemophllla -almost exclusively males-are Uwrsandspleens,and brlnJe bones. Tbe most
mlsslng one oftboseclolt1Jl8 facoors. maldng udlfflrultto effectllle treatment Is frequent blood
seal oU blood vessels alter even minor inJuries. transfuslons_allhougha few Juckypatlents baw
been cured through bone marrow transplants
from perfectly matching donors.
Deep vein
Thrombosis Is the medical term for any blood clot that Is
large enough to blocl< a blood vessel. When a blood dol
forms in the large. deep veins of the upperthlgb.lt's
called deep vein thrombosis. IIsuch a dot breaks free. it
can circulate through the bloodstream, pass through
the bean and become lodged lnanetles In the lung.
causlngapulmonaryembollsm.Suchablockagecan
severely damage ponlonsof the lungs, and multiple
embolisms can even be fataL
127
Controlling the human body
Hypothalamus
Releases honnones to the
pituitary gland to promote
as production and
seoetiorl d honnones to
the rest al the body.
gla endocrine
We have two adrenal glands that are positioned on top of both
kidneys. The triangular-shaped glands each consist of a two-
system
centimetre thick outer cortex that produces steroid hormones,
which include testosterone, cortisol and aldosterone. Thymus
The ellipsoid shaped, Inner part of the gland Is known as the Is part of the invnune
system. It produces
medulla, which produces noradrenaline and adrenaline. These
thymosins that control
hormones increase the heart rate, and the body's levels of oxygen the behaviour of white
and glucose while reducing non-essential body functions.
The adrenal gland Is known as the 'fight or Oight' gland as It
blood T·cells. J
controls bow we respond to stressful situations, and prepares the
j
body for the demands of either fighting or running away as fast as Adrenal glands
Cattro!s the burning of
you can. Prolonged stress over-loads this gland and causes illness. protein and fat, and
regulates blood.,...,......,.
MecUia The medulla secretes
adrenaline to strnulate the
Cortex fight or fl91t response.
Kidney
Male testes
Tbesel'INOglandsproduce
testosterone that Is
responsible lorsperm
production, muscle and
bone mass and sex drive.
128
l•U•l\1•lfll!W•Itf.t? When you ore exdted the hypothalamus and pituitary gland release opiate-like endorphins
Hypothalamus
Hypothalamus ----...:
neurons
These synthesise and
'-- ' itaryg
The pea-sized pituitary gland is a major production of sperm cells. The posterior
send honnooes to the endocrine gland that works under the lobe stores vasopressin and oxytocin that
posterior lobe. control of the hypothalamus. The two is supplied by the hypothalamus.
organs inside the brain work in concert and Vasopressin allows the retention ofwater in
Portal veins mediate feedback loops in the endocrine the kidneys and suppresses the need to
Honnones from the system to maintain control and stability excrete urine.It also raises blood pressure
hypothalamus are
within the body. by contracting the blood vessels in the heart
carried to the
anterior lobe
The pituitary gland features an anterior and lungs.
through these veins. (front) lobe and a posterior (rear) lobe. The Oxytodn influences the dilation of the
anterior lobe secretes growth hormones cervix before giving birth and the
Anterior lobe that stimulate the development of the contraction of the uterus after birth. The
muscles and bones; it also stimulates the lactation of the mammary glands are
development of ovarian follicles in the stimulated by oxytocin when mothers begin
Posterior lobe female ovary. In males, it stimulates the to breastfeed.
Parathyroid
Wcxl<s in combination
with the thyroid to
Thyroid and
Thyroid cartilage
control lewis of calcium.
The two lobes of the thyroid sit on each side of the
r - - - (Adam's apple) windpipe and are linked together by the isthmus that
runs in front of the windpipe. It stimulates the amount
ofbodyoxygenand energy consumption, thereby
Thyroid keeping the metabolic rate of the body at the current
Important fur maintaining levels to keep you healthy and active.
the metabolism of the . .. The hypotha lamus and theanteriorpituitarygland
body. It releases n and are in overall control of the thyroid and they respond to
T4 honmones to control
the breakdown of food
changes in the body by either suppressing or Increasing
Right thyroid stimulating hormones. Overactive thyroids
and store it, or release it
as energy.
lobe cause excessive sweating, weight loss and sensitiVity to
heat, whereas underactive thyroids cause sensitivity to
Left hot and cold, baldness and weight gain. The thyroid can
lobe - swell during puberty and pregnancy or due to Viral
infections or lack of iodine in a person's diet.
The four small parathyroids regulate the calcium
Isthmus Trachea _ .,. levels in the body; it releases hormones when calcium
(windpipe) levels are low. Ifthe level of calcium is too high the
thyroid releases calcitonin to reduce it. Therefore, the
Parathyroids -lO..,~- ""' thyroid and parathyroids work in tandem.
Pancreas
Maintains healthy Islets of Red blood Acinar cells
blood s ugar lewis in Langerhans cells These secrete
the blood stream. digestive enzymes
The pancreas is positioned in the abdominal caVity above the small ~-- tothelntestlne.
Intestine. It consists of two types of cell, the exocrine cells that do not
secrete their output into the bloodstream but the endocrine cells do. •• • • •
The endocrine cells are contained in clusters called the islets of
Langerhans. They number approximatelyt million cells and •
are only one or two per cent of the total number of cells in •
the pancreas. There are four types of endocrine cells in
the pancreas. The beta cells secrete insulin and the ......()
alpha cells secrete glucagon, both of which ~
Female ovaries stimulate the production ofbloodsugar (glucose} N-..//11
Are stimulated by in the body. If the Beta cells die or are destroyed
hormones from the
pituitary gland and
it causes type t diabetes, which is fatal unless
control the
treated with Insulin Injections.
menstrual cycle. The other two cells are the gamma and
delta cells. The former reduces appetite
and the latter reduces the absorption of food
in the intestine.
129
=··
Kidneys
This is where liquids are
•
fi~ered and nutrients are
absorbed before urine
exits into the ureters.
130
I•UaJW•IIlt:W•WlP On overage, you make the some amount of unne in the day as in the night
1. Ureters
Bladder These tubes connect to t he kidneys and urine
flows down to the bladder through them.
G
spiWlcter also
dehydration can cause renal failure, among remains dosed
other conditions. to ensure no
o.aine escapes.
5. Bladder walls
(controlled by
4. Ureter valves detrusor muscles)
These..,_ an! situated
Tbe
The detrusor rnJSdes in thewaU of
at the end of the ureters the IJjadder relax to allow expansion
and let urine in. of the bladder as neoessary.
•
un Bladder L Internal urethral sphincter
system empties
This relaxes when the body is reacly to expel
2.Extemal
the waste.
~--------------- ~
The IJjadder sits in the pelvis,
and the urethra passes t!vough
it for o.aine to exit the body.
3. Bladder
walls
-
---~- :1-- - - - - - - Urethra
The t.n!!lva is the b.i>e (controled
that ..me travels by detrusor
t!vough to exit the body. muscles)
These muscles
""'ob act to Ioree
!
~
0
the o.aine out ol
thebjadder.
Urine travels down tns
passageway to exit the body/
Q
131
=··
rae eoto
Discover the science and tech behind this life-saving procedure
Lf the upper airway is blocked, by
trauma, cancer or inflammation, an
Anatomy of a tracheotomy
The trachea is surrounded by a minefield of major
alternative route must be found for blood vessels, nerves, glands and muscles
air to enter the lungs.
Planned tracheotomies are performed under
general anaesthesia or sedation. The neck is
extended backwards to a llow the surgeon to
easily identify the structures In the throat and Thyroid cartilage
The surgeon uses the
to make an accurate Incision (see diagram). Larynx prom~n t Adam's apple as
First, a vertical cut Is made In the skin, below The vocal cords sit a ma<1<er to locate the best
the tracheal cartilage, and the underlying behind the thyroid Incision site on the neck.
cartilage, al>olre the
muscle and blood vesse Is are carefully moved
point of the incision.
out of the way to expose the trachea.
The trachea is normally held open by
C-shaped rings of cartilage, which prevent the Oesophagus
The oesophagus lies
airway from collapsing. A hole is made between
behind the~ so the
the third and fourth rings, allowing the surgeon st.OgeOn must tal<e care
access to the aj rway without disrupting the not to punciJ.R through
from one to the other.
cartilage supports. A tracheotomy tube is then
inserted into the airway and secured to the
neck. Lithe tracheal opening is going to be a Cartilage ring Trachea
permanent feature rather than temporary then The trachea is held open The trachea CO I oed.s the
a piece of cartilage may be removed to allow the by stiff C-shaped mgs lungs to the mouth and
132
Answer:
STRANGE Where did hay fever get The term hay f...,.r has nothing to do with hay, and
BUT TRUE its name? e""'Y!hing to do with trees. grasses and ragweed.
The name came about because symptons W'OlAd
strike during hay·har"Vesting season. when these
MISLEADING NAME A Hay allergy B Harvesting C Doctor's name pollens woold be rife.
!•Jf•J\t!I!ll;W•i~W Allergic diseases, including asthma. ore the fifth most common chronic disease in all ages
Protein problem
Proteins on the surface of the
pollen grain irritate and
inflame the cells that line your
mouth, nose, eyes and throat.
The body's immune system
t reats the pollen like a virus
and takes action to expel it.
•• I I
The sensory system is what enables us There are thousands of different stimuli that can can cause excruciating pain; this particular
to experience the world. It can also trigger our senses, including light, heat, chemicals condition is known as phantom limb syndrome.
warn us of danger, trigger memories in food and pressure. These 'stimulus modalities' However the sensory system !sable to adapt to
and protect us from damaging stimuli, are then detected by specialised receptors, which change, with the Joss of one often leading to others
such as hot surfaces. The sensory system is highly convert them into sensations such as hot and cold, being heightened. Our senses normally function to
developed, with many components detecting both tastes, images and touch. The incredible receptors gently inhibit each other in order to moderate
physical and emotional properties of the - like the eyes, ears, nose, tongue and skin - have individual sensations. The Joss of sight from
environment. f or example, it can interpret adapted over time to work seamlessly together blindness is thought to lead to strengthening of
chemical molecules in the air into smells, moving and without having to be actively 'switched on'. signals from the ears, nose and tongue. Having
molecules of sound into noises and pressure However, sometimes the sensory system can go said this, it's certainly not universal among the
p laced on the skin into touch. Indeed, some of our wrong. There are hundreds of diseases of the blind, bel ng more common in people who have
senses are so finely tuned they allow reactions senses, which can have both minor effects, or a been blind since a young age or from birth.
within milliseconds of detecting a new sensation. life-changing impact. for example, a blocked ear Similarly, some people who listen to music like to
The five classic senses are sight, hearing, smell, can affect your balance, or a cold your ability to close their eyes, as they claim the Joss of visual
taste and touch. We need senses not only to smell - but these things don't last for long. input can enhance the audio experience.
interpret the world around us, but also to function In contrast, say, after a car accident severing the Although the human sensory system is well
within it. Our senses enable us to modify our spinal cord, the damage can be permanent. There developed, many animals out-perform us. f or
movements and thoughts, and sometimes they are some very specific problems that the sensory example, dogs can hear much higher-pitched
directly feed signals into muscles. The sensory system can bring as well. After an amputation, the sounds, while sharks have a far better sense of
nervous system that lies behind this is made up of brain can still detect signals from the nerves that smell - in fact, they can sniff out a single drop of
receptors, nerves and dedicated parts of the brain. used to connect to the lost limb. These sensations blood in a million drops of water!
134
STRANGE Which creatures can have Answer:
Scallops are an unde.water mollusc that
BUT TRUE up to a hundred eyes? amazingly can have as many as 100 eyes!
Although they can't create as clear a picture as
our eyes, they can detect enough lig:ht and
SIGHT TO BEHOLD A Scallops B Spiders C Peacocks movement to warn them of oncoming predators.
f •lft1\1!ID~'Wil!i!li' Toste ond smell ore closely linked. To test this, pinch your nose os you eot something ond it will toste blond
1
specialised nerve cells which transmit signals from one ~~ detected) to the ganglion cells, w hich cavity and detect thousands of
~ send impulses into the brain. different smells. or odorants.
end to the other- for example, from your skin to your
brain. They are excitable, meaning that when
stimulated to a certain electrical/chemical threshold
they wilJ fire a signal. There are many different types,
a nd they can interconnect to affect each other's signals.
Purkinje cell
'These are the largest neurons
in the brajn and their many
dendritic arms form multiple Anaxonic neuron
comections. They can both Found within the retina of the
excite and inhibit movement. eye, these oells lack an axon
(nerve fibre) and allow rapid
modification of fight signals
Motor neuron to and from bipolar cells.
These fire impulses
from the brain to the body's
muscles. causing contraction Pyramidal neuron
and thus ll'l<M!Olent. They
These nel.D'ons have a
have lots of extensions (ie triangular cell body, and
they are multipolar) to were thus named after
spread the message rapidly. pyramids. They help
to connect motor
Oeli"'OS together.
Unipolar neuron ----""""-----~
These sensory oeuroos
transduce a physical
stimulus (for example, when
you are touched) into an
electrical impulse.
Olfactory bulb
Containing many types of
Total recall
eel . oMactory neurons Have you ever smelt something that
branch out of here through transported you back in time? This is
the cribriform plate bellow. =---• Cribriform plate known as the Madeleine effect because
A bony layer of the skull the writer Marcel Proust once described
with many tiny holes, how the scent of a madeleine cake
Olfactory neuron which allow the fibres of
These neurons are highly
suddenly evoked strong memories and
t he olfactory nerws to emotions from his childhood.
adapted to detect a wide pass from nose to brail.
range of different odours.
The opposite t ype of recall is
voluntary memory, where you actively
try and remember a certain event.
Olfactory Involuntary memories are intertwined
epithelium with emotion and so are often the more
lining the nasal cavity, this
intense of the two. Younger children
layer contains the long
under the age of ten have stronger
extensions of the olfactory
involuntary memory capabilities than
older people, which is why these
neurons and is where
chemical mlltecldes in air memories thrust you back to childhood.
trigger an electric impulse.
Older children use voluntary memory
more often, eg when revising for exams.
135
=··
sensa
Key nerves
These transmit vital sensory information
to our brain while also sending motor
function signals all around the body
Olfactory nerve
Starting in the nose, this nerw
COI1I.1!rts chemical molerules
irto electrical signals that are
interpreted as distinct odours
Ilia chernoreceptors.
Optic nerve
The optic nerves eorwert tight signals
into electrical impulses. w hich are
interpreted in the occipitall<lbc at the
back of the brain. The resuHing Image
is seen up5ide down and back to front,
but the brain reorients the image.
' '
' '
'
'
. Eye movements Trigeminal nerve
L Touch receptor The trochlea', abd!ICEI'It nos nerve is an example of a
When a IDuch receptor is and oculomotor nerves mechanoreceptor, as k fres when
activated, information about the cu otrol the!!)" muscles yo<r face is touched. It is spit into
strnulus is sent to the spinal cord. tiYee parts,~ the top. middle
and so the cirection in
Reflex actions. wNdl don~ wNdl we look. and bottom thirds of your face.
imlolve the brain. produce rapid
reactions to dangerous stimu~.
Facial and
trigeminal motors
The motor parts of these
nerves control the muscles of
facial express<on (for
example, when you smile),
and the muscles of the
jaw to help you chew.
136
•• ••
••
•• •• Sensitive skin •
A matter of taste • Smell vs sight • Upsidedown ••• Staying steady
1 Thereareabout9,000taste
buds on the tongue and tf1roaL •
• 2
•• Odoursofferbettermi!I110<Y
recall than ~I cues. as smell
•
•• 3
Human skin contains a.ter half
a million sensory receptors.
•
•• 4 The images formed in the
occipital cortex are upside
•
•
•
5
Ears do more than detect
sound.The fluid and file hairs
These OOill<!rt chemicals found •
• Is tied to emotion. Looking at These are of the highest down, before the brain flips • in t~ inner- ear maintain
in saliva Into electrical .signals, •
• an old photograph can trigger •• concentration W1: the fingerti~
• them. H~ babies start •
• balance. If you sp;n round and
split into fille tastes: swee~ salt. •
•• memory, but a smell can ev<lke •• the ends of the toes and lips, •• by seeing upside down, until •• stop, this fluid is still moving
sour, bitter and umarni. how you lett at the time. • where tl1ey're most needed. the brain learns to adapt • which Is why we get dizzy.
• • • •
!•JfiJt<!l!Ila~I•I~'Q The three smallest bones in the human body - the hammer. anvil and stirrup - ore located in the middle ear
Intermediate nerve
This is a small part of the larger
facial netw. It provides the key
sensation to the forward part of
the tongue to help during eating. Vestibulocochlear
nerve
This nerve provides
sensation to the inner part
of the ear.
J
Glossopharyngeal motor 5 5 5
The motor part of this nerve controls 5 5
5 5 'i 5
the pharynx, helping us ~
5 2 5 5 5 2 5
to speak and breathe normally.
5 5 5 5
2 5 2 2 5 2
5 5 2 2 2 5 5 2 2 2
5 5
5 5 5 5 5 5 5 5 5 5
~::::::::::~
Vagus nerve
'The vagus nerve is spread aU
around the body. It is a m ixed
sensory and motor nerve, and
is responsible for oontrolting all
of the functioos we don~ think
about - like Oll' heartbeat.
Is there really a
'sixth sense'?
Our sense of balance and the position of our
bodies in space are sensations we rarely think
about and so are sometimes thought of as a
'sixth sense'. There is a whole science behind
them though, and they are collectively called
Vagus motor proprioception. There are nerves located
This portion of the vagus throughout the musculoskelet al syst em (for
nerve can slow" the example, within your muscles, tendons,
heartbeat and breathing ligament s and joints) whose job it is t o send
rate, or increase the information on balance and posture back to the
speed of digestion brain. The brain then interprets this information
rapidly and sends instructions back to the
muscles to allow for fine adjustments in balance.
Since you don't have to think about it and you
can't switch it off, you don't know how vital
these systems are until they're damaged. Sadly
Accessory nerve some medical conditions, including strokes, can
The hypoglossal nerve Connecting the m uscles of the neck affect our sense of proprioception, making it
This nerve controls the to the brail, this nerve lets us tum difficult t o stand, walk, talk and move our limbs.
movements of the tongue. our heads from side to side.
137
-
=·· •••
ickenpox
•
erstan I
•
I
Discover the biology behind the infamous childhood
ailment and why it never really goes away...
Chickenpox is a strain of the face, arms, legs, stomach and back. These weak immune system or be particularly
Varicella zoster virus, which many develop into fluid-filled blisters and are ohen vulnerable to the disease.
of us have experienced during our accompanied by a fever. The blisters burst, scab After the outbreak, chickenpox doesn't
youth. Most prominent in children, over and fall off within a few days, but new disappear entirely. The disease lies in a
the virus is contracted through coughing and waves of spots can emerge to replace them; it dormant state within the body as your immune
sneezing or transferred on shared objects, usually takes one to two weeks for the body to system keeps it under wraps. The infection can
which makes schools a prime location. regain control. Chickenpox is rarely serious but break out again later and reappear as shingles.
The most famous symptom is the appearance it is important notto interfere with the scabs as A rash builds up on a certain point of the body
of small itchy red spots, which vary in size from infection can make it more severe. and the symptoms return, most commonly in
10-20 millimetres (o-4-0.8 inches) across. The A vaccine is only offered in extreme people over 50. On average, three in everyt,ooo
extent can vary but in most cases they cover the circumstances when an individual may have a people contract shingles in the UK each year.
138
• •
Runny noses . Hush, litUe baby Onion weeping Crocodile tears Darwin's discovery
5 TOP. l li )'OU f1nd that )'OUr nost runS a
lot whonyouay.• ;,-... • 2 Babies typically ay for about
one to three holrs per day. This
.3 Syn·propanethla>S...Ide Is
created by an en:zyme In a cut • 4 While! aocodllos.,.. known far
looking t<ory .. they ... food 5 There is a condifun called the
PseudoBulbar Affect (PBA) in
-
I•U•Jtl•IYUW•I@ The overage person will produce 140-28og [5-10oz] of bosol tears per day to keep the eyes moist
155
Powering
cells
173
How do we
knowhow
much to
eat?
140
VVhathappenstothe
human body as we age?
The whys of ageing. at its most basic our cells can no longer function. Free radicals- Infirmities associated with ageing that have to do
level, seem simple: over the course of our unstable oxygen molecules that are a natural with stiffening or hardening of tissues, such as
lives, our bodies simply wear out Or by-product of cell function- can build up and bond atherosclerosis.
that's what we've been led to believe, to other cells. As a result, DNA can be damaged. They Cells can also mutate on a geneliclevel due to
anyway. Scientists who study gerontology, or the may also result in protein cross-linking. or environmental or other factors. Problems with
process of ageing. don't yet have a deflnltlve answer glycosylalion, a phenomenon by which protein mitochondria, structures that proVide energy inside
as towhyweage. There are two schools of thought molecules in our bodies inappropriately bond cells, can cause cells to die as well as diseases
Thewear-and-tearconcept-meaning our cells are together. Theyaren'taselaslicanddon'tmoveor associated with old age such as Alzheimer's disease.
used up over time- that many people subscribe to Is break down like they're supposed to. Another group of theories puts forth the idea that
just one example of an error theory. There's some eVidence for this theory- wrinkles, our life spans are predetermined or programmed.
Proponents of the error theory believe that for example, are caused by a breakdown of collagen, One scenario suggests that the biological clock is
random external events cause damage that builds a type of protein found in the skin. Protein cross- 'set' by both our neuroendocrine system, which
up inourbodiesoverthe course of our llfetlmeumll linking may also be responsible for a lot of produces hormones, and our immune system. The
142
•••
• • •
•• •
• ••
•• •
•• •:• Loss of hearing
STOP Grey hair
1 When your hair tLITlS grey has
Wrinkles
2 The loss of siOn elasticity also •3
: Missing teeth
•
•
: Loss of eyesight
•: 4 of
• •5•
FACTS
Enamel on our teeth wears With ageing can come a number Age-related hearing loss can
a tot to do with your genetics. ages us tiTough the creation of : down OYer time and vision problems that can : be caused by everyttjng from
but the loss of melanin wrinkles, although in some : maintaining dental hygiene : cause a loss of sight. including : environmental factors to a
associated with gey hair is cases it can be prevented or at ! becomes more difficult, : cataracts, gl:auccma and : degeneration of the fine hair
SIGNS OF AGEING due to older age. teast slowed down. : resufting in tooth loss. : maci.Aar degeneration.. : cells in the oochlea.
I•U•~•I!l!3N•1MP The process of ageing by o living system, or organism. is known os orgonismol senescence
Age spot
Ageing skin
What looks like spots and
Slll damage, as well as
the ageing process in
general, can cause
Shaft
The hair shaft itself is
composed of keratin, a
dumps of melanin to Each hair follicle in our heads fibrous protein.
wrinkles is actually a number of concentrate into spots. contains melanin - a pigment that
changes going on under the skin Epidermis
The skin is kept smoolh by gives our hair its colour. Over time the
the proteins collagen and melanin production decreases and
Younger e&ast:in, which break down unpigmented hair begins to grow
and lose their stretch """'"
bne, causing V111'i'*les..
Hair bulb
The bulb is at the base of Hair root
the root It cootains the The root comprises three layers
follide, which forms a - the outer root the inne< root
socket for the hair. and the bub - which gilleS hair
its structure and rigidity.
- Papilla - - Cortex
This specialised cell is fed by Hair colour is
the bloodstream and is detennined through
responsible for the growth the cortex, which is
of new hairs, and their part of the shaft of
rn.mber of pigment cells- visible hair.
hypothalamus in the brain sends instead of8o (the average life span in
messages via hormones to the pituitary developed countries}. Most researchers
gland, which in tum stimulates or believe that ageing is a complex process Hair loss
restricts hormone secretions by the that no single theory can explain - it's a A full head of hair
thyroid, adrenal glands, ovaries and combination of our genes, our biological will thin as the
autoimiTM.lne system
even the testicles. functions and environmental factors. attacks the follicles.
Over time this complex system does We tend to focus more on the visible
not function as effidenlly, leading to signs of ageing at first, like WTi nldes and
everything from problems sleeping to grey hairs, and these changes are prime
menopause (which is a normal part of examples of how complicated the
ageingforwomen,butcanleadto process can be. We've already talked a
additional health problems}. bit about the cause of wrinkles: the
Different types of cells in the connective tissues collagen and elastin,
immune system decline in number as that keep skin looking smooth, both
we age and do notfunctionas well. Some break down over time. Without the firm
scientists point to the fact that the overall connections underneath, the skin sags.
risk of contracting cancers goes up as we Many people Jose fat deposits in their
get older; younger, more efficient faces, and the skin's oil production
immune systems may have been able to decreases. Many of these things have a Wrinkles
These d"""'op
fend them off. genetic component, but outside factors as collagen and
Or it could all simply be genetic. That such as exposure to ultraviolet radiation skin cells begin
is, our DNA tells our bodies when life is at and smoking both cause wrinkles and to deteriorate.
an end. There does seem to be a genetic sags faster. The Sun's rays break down
component to ageing among most connective tissues, while smoking
animals - they have predictable life causes blood vessels to contract.
spans. Women also tend to live longer Grey hair is caused by a Joss of
than men. if your parents lived a long melanin, the pigment that is responsible
time, you are more likely to do so for our hair colour. Only recently have
yourself. One group of genes, known as scientists learned that melanin Hearing loss
The sensory hair eels in the
the longevity assurance gene. ha been production gets interrupted when
cochlea deteriorate,
determined to influence life span. Ifyou hydrogen peroxide levels in the body Skin tone causing age-related hearing
inherit the 'helpful' version then you are increase over time. Other proteins found Decreased
loss, known as presbycusis.
subcutaneous fat
more likely to have a longer life. ln hair cells that are responsible for
and elastic tissues
Although our genes play a part in our regrowth diminish over time too. Unlike cause sagging.
lifespan, obviously they can be with wrinkles, however, there isn't much
influenced or changed. Otherwise. we'd you can do to avoid going grey other than
still be living to the ripe old age of 30 dye your hair. Genetics doappearto play
143
Old age explained
a part, though.lfyourparentswent corresponding decrease In growth
factors (hormones or proteins that
Bone loss
grey at a young age, Itis likely that you
wiJI too. stimulate ceil growth). Loss of tone in
The internal signs ofageing are muscles such as the anal sphincter
more serious, health-wise, than the and the bladder can cause one of the
external ones. When and how they most embarrassing signs ofageingfor Acondition that affects ageing bones
occur are also based on a wide many people: Incontinence. Osteoporosis Is a degenerative bone disease that resu Its In lower bone density,
variety of factors. Some gerontologists The ageing brain Is still very which makes the bones weak and fragile. The rlskoffalllngaswellas breaking
like to generalise that some parts of mysterious compared with what we bones Increases as thedlseaseworsens.ltlscaused by a loss of the minerals that
the body get harder as we age, while know about the rest of the human make up bone, such as ca!dum. There Is a genetic factor, and the decrease of sex
others get softer, but everything Is body. It was once thought that hormones 1n both genders Increase the likelihood of developing osteoporosis.
interconnected. As we mentioned age-related Issues such as memory
before, arteries get harder due to a loss bad to do with a decrease in
buildup of plaque. The heart builds neurons. Now, however, researchers
up pressure because It has to work believe that unless you have a specific
more to pump blood through the disease that damages neurons,
harder, narrower blood vessels, complex chemical processes are
which results In high blood pressure. more likely to blame. For example,
Other muscles. like the lungs, get the brains of people with Alzheimer's
harder due to calcium deposits. disease tend to have deposits of
These can be caused by hormonal fibrous proteins called amyloids. The
changes or from havtng serious exact cause remains unknown,
infections such as tuberculosis. although one current theory Is that
Meanwhile, hormonal changes the amyloids manage to get into the
cause calcium to leech from the brain because the system that
bones, maklngthemsoftandbrtttle regulates the exchange of blood in
and redud ng their density. Known as the braln, known as the blood-brain
osteoporosis, this loss means that barrier, malfunctions.
we're at a greater risk of breaking What is arguably most fascinating
bones. Sarcopenla, or loss of muscle about the ageing process Is that it's
mass, Is another 'soft' sign of ageing. different for everyone and it's
Muscles contain special cells called unpredictable In so many ways.
satellites, a form of stem cell. These Thanks to the advances being made
cells are responsible for muscle in medicine, we're learning more L Healthy bone 2. Bone with osteoporosis
growth as well as regeneration when every day about not only what causes Healthy bones """"'"' tight. Benes with osteopclrosis have
there's some form of damage. These the most unpleasant signs of ageing. sbong strucnns and are allle to gapped. porous strucl1.-es. They
cells gradually become less proficient but also what we can possibly do to easiy ._.body weight in are fragile and can frac:nn easiy,
counteract them. most circ:unstances. as_. as lead totals.
over time, possibly due to a
3. Puberty 5. Adulthood
The seven
stages of man r This growth spurt
indicates the start
of sexual matlrity.
Girls tend to reach
puberty two years
Muscles are
de~~eloped and
strong. Organs are
fully functional.
6. Late adulthood
After middle age tissues
begin to deteriorate and
weaken, while hair loses
its pigmen tation.
What are the principal earlier than boys.
L Infancy
The oompletely
dependent irian\
experiences rapid
physical growth.
I•U•~•I!l!3N•1MP Ageing changes con be universal [happen to most people] or probabilistic [only occur in some people]
Life
aroun the world
LEurope
Mucho!Europeenjoysa
!; 5. Asia
Aslahasnearlyeveryrangeofllfe
healthy life expectancy of more : expectancy within its borders.
75-77.5
than?Zyears. G. Japan
72.5-75 2. North America japan Is the Asian count:rywilh
10-72.5 canadianshaveasUghtlyhlgher i the highest average Ute
67.5-70
65-67.5
...,o llfeexpectancythanAmericans. i expectancy on the continent
3. South America t 7. Indonesia
60-65 The largest country has one of : lndonesla Is roughly on a par
55-60 the lowest life expectandes. : withmucho!Asia
50-55 4.Africa 8. Australia and
45-50 Most of Africa, being New Zealand
40-45 undeveloped, has much lower !r These industrialised countries
0 -4 0 life expectancy. : have an 8o+ life expectancy.
145
I
ow we think
• •
or r1 ra1ne
Actually, you're neither. Discover the truth behind the way we think
It's true that the different sides of of over t,ooo people, in order to determine local hubs, each responsible for a different
the brain perform different tasks, whether the networks on one side of the brain set of functions.
but do these anatomical were stronger than the networks on the other. Hubs with related functions cluster
asymmetries really define our Despite the popularity of the left versus right together, preferentially developing on the
personalities? Some psychologists argue that brain myth, the team found no difference in the same side of the brain, and a llowing the nerves
creative, artistic individuals have a more strength of the networks in each hemisphere, to communicate rapidly on a local scale. One
developed right hemisphere, while analytical, or in the amount we use either side of our example is language processing - in most
logical people rely more heavily on the left side brains. Instead, they showed that the brain is people, the regions of the brain involved in
of the brain, but so far, the evidence for this more like a network of computers. Local nerves speech, communication and verbal reasoning
two-sided split has been lacking. can communicate more efficiently than distant are a ll located on the left-band side.
In a study published In the journal PLOS ONE, ones, so instead of sending every signal across Some areas ofthe brain are lesssymetrical
a team at the University of Utah attempted to from one hemisphere of the brain to the other, than others, but both hemispheres are used
answer the question. They divided the brain up neurones that need to be in constant relatively equally. There is nothing to say you
into 7,ooo regions and analysed the fMRI scans communication tend to develop into organised can't be a brilliant scientist and a great artist.
Frontal lobe - - - - - - - - .
(planning,
problem solving)
At the front of each
hemisphere is a frontal
lobe, the left side is more
heavily involved in speech
and verbal reasoning,
while the right side
handles attention.
Auditory cortex - - - -
(hearing)
The auditory cortex is
responsible for processing
information from the ears
and can be found on both
sides of the brain, in the
temporal lobes.
Temporal lobe
(hearing1 facial Wernicke's area
recognition, memory) (speech
The temporal lobes are processing)
involved in language The region of the brain
processing and visual memory. responsible for speech
processing is found on
the left-hand side.
146
I•U•Jtl!I!JI3~1•l!.'i> It is a myth that we only use ten per cent of our brains. even at rest. almost o/1 brain regions are active
. . .• ,,
Give your brain a
fun workout
Boost your memory
l Look at this list of items for one minute,
then cover the page and see how many you
can remember:
1tlll0:
•
Left
•
... BAit ~
~
Right
...You get the idea. Make it as silly as you like;
strange things are much more memorable
than the mundane.
Emotional Slow brain ageing
Rational
2 Learning a new language is one ofthe
best ways to keep your brain active. Here are
four new ways to say hello:
Precise Intuitive
• Arabic: Marhaba /[7"-':::::::=:...::,_~"~ ..
lmar-ba-ba) ..,
· Swahili: Hujambo
fhud-yambo)
logical Spiritual
147
I
rain freeze
•
IS '
•
That intense pain you sometimes get when
you eat ice cream too fast is technically
called sphenopalatine ganglioneuralgia,
and it's related to migraine headaches
The pain of a brain freeze, also know as an Ice cream headache, comes from
your body's natural reaction to cold. When your body senses cold, it wants
to conserve heat. One of the steps It takes to accomplish this is constricting
the blood vessels nearyourskln. With less blood flowing nearyourskin,
less heat is carried away from yourcore, l<eeplngyou nice and warm.
The same thing happens when somethl ng really cold hits the back ofyour mouth.
The blood vessels In your palate constrict rapidly. When the cold goes away {because
you swallowed the ice cream or cold beverage), they rapidly dilate back to their
standard, normal state.
This is harmless, but a major facial nerve called the trigeminal lies close to your
palate and this nerve interprets the constriction/dilation process as pain. The location
of the trigeminal nerve can cause the pain to seem like Its coming from your forehead.
Doctors believe this same misinterpretation of blood vessel constriction/dilation is the
cause of the intense pain of a migraine headache.
"A major
facio/ neNe
___., coiled the
The Oplrthalmic brardl - - - -
trigeminal
carries sensory messages
from the eyeball, tear gland. lies close to
._.:~per nose, upper eyelid,
forehead, ard scalp. your palate"
~-+------- TheMaxitaryboadlcarries
sensory messages from the
The bigenio ... facial- skin, gums and teeth of the
is positjoo IOd ._y close IX> ._.:>per jaw, cheek, ._.:>per lip,
the palate. nos,.,.,., lower nose and lower eyeid.
merprets palate blood
vessel 001 tSb i:OOn cn:t
cilation as pah - -
148
at makes your nose run?
Discover what is going on inside a blocked nose and why it gets runny when we're ill
It surprises many people but the main Cilia Mucus Goblet cell Epithelial cells
Tiny balr.fike The glycoprotelns that
The lining of!he nose Tbe nose Is llned
culprit responsible for a blocked and has many mucus- by epithelial cells,
stn.ICtuJeS move make up mucus dissolveIn
runny nose Is typtca Uy not excess mucus towards lhe water, forming a gel-like producing goblet cells. ~redlncllla
mucus butswelltngand Inflammation. back ollhe lhroat so substance !hat traps debris.
lithe nose becomes infected, or an allergic tbatlt can be Themorewater, !he runnier
swallowed. !he mucus.
reaction is triggered, the lm mune system produces
large quantities of chemica I messengers that cause
the local blood vessels in the lining oft he nose to
dilate. This enables more white blood cells to enter
the area, helping to combat the infection, but It a lso
causes the blood vessels to become lea l<y, al low! ng
fluid to bulld up In the tissues.
Decongestant medicine contains a chemica I that's
simllar to adrenaline, which causes the blood
vessels to constrict. stopping them from leaking.
' \
Connective
tissue
Beneath Lhe cells
lining Lhe nose Is a
layer of rollJlettlve
tissue that Is rlcb
In blood vessels.
-.
which cause local blood tissues, diluting the mucus and
vessels to become leaky. maklnglt runny. •
How do we bring a
person out of a coma?
When we talk about 'bringing Doctors induce the coma
someone out of a coma', we are using a controlled dose of
referencing medically Induced drugs. To bring the person out
comas. A patient with a of the coma, they simply stop
trnumatlc btaln Injury Is the treatment Bringing the
deliberately put Into a deep patient out of the coma doesn't
state of unconsciousness In wake them immediately. They
order to reduce swelllng and grndually regain consciousness
allow the btaln to rest When over days, weeks or longer.
the btaln Is injured, Some people make a full
it becomes inflamed. The recovery, others need
swelling damages the brain rehabilltatlon or lifetime care
because It Is squashed Inside and othersmayr.:>main
the skull. unaware of their surroundings.
149
I
Ears popping 1 Sore throats 1 Freckles
Why do our
'pop' on planes?
The eardrum Is a thin membrane that helps to transmit sound. Air
pressure Is exerted on both sides of the eardrum; with the
surroundlngatmospherlcpressurepushingitinwardswbileair
being delivered via a rube between the back of yournose and the
eardrum pushes it outwards. Tills tube Is called the Eustachian tube, when
youswallowotopensanda small bubble of air Is able to move causing a 'pop'.
Rapid altitude changes In planes make the 'pop' much more noticeable
due to bigger differences In pressure. Air pressure decreases as a plane
ascends; hence air must exit the Eustachian tubes to equalise these pressures,
again causing a ·pop'. Conversely, as a plane descends, theairpressurestarts
to increase; therefore the Eustachian tubes must open to allow through more
air in order to equalise the pressureagatn, causlnganother'pop·.
150
How epidurals work
The science behind blocking pain explained
An epidural(meaning 'above 1. Epidural space 6. Processing
the dura') is a form of local The outer part of the Anaesthetic in the blood is filtered
spinal canal, this cavity is out by theliver and kidneys, then
anaesthetic used to typically about 7mm leaves the body in urine. The effects
completely block pain while (0.8il1) wide in adults. usually wear off a couple of hours
a patient remains conscious. It involves after the initial injection.
the careful insertion of a fine needle
deep into an area of the spine between
two vertebrae of the lower back.
This cavity is called the epidural
space. Anaesthetic medication is
injected into this cavity to relieve pain
or n umb an area ofthe body by reducing
sensation and blocking the nerve roots
that transmit signals to the brain.
The resulting anaesthetic medication 2. Epidural needle
After sterilising the area, a
causes a warm feeling and numbness needle is inserted into the
leading to the area being fully interspinous ligament until
anaesthetised after about 20 minutes. there is oo more
t9 ability to reca II
information from the past
• and it generally falls Into
three categories- sensory, short-term
3. Anaesthetic ------..
Through a fine catheter in the
needle, anaesthetic is carefully
and long-term. introduced to the space
Look at this page then close your surrounding the spinal dura.
eyes and try to remember what It
looks like. Your ability to reca II what
this page looks like is an example of
your sensory memory. Depending on M --"-- 4. Absorption
Over about 20 minutes 5. Radicular arteries
whether or not this page is Important The anterior and posterior radicular
the anaesthetic
to you will be the de term Inlng factor medication is broken arteries run with the ventral and
in how likely ills thatit wlli get passed down and absorbed Into dorsal nerve roots, respectively,
on to your short-term memory. the local fatty tissues. which are blocked by the drug.
Can you rememberthe last thing
you did before reading thls?That is
your short-term memory and Is a bit
like a temporary storage facility where How does toothpaste for
the less-Important stuff can decay.
whereas the more Important stuff can
end up in the long-term memory.
sensitive teeth work?
Imagine just one of your teeth. It has two thinner and they may have a receded gum line
Our senses are constantly bel ng
primarysections: the crown located above exposlngmoredentine. Therefore, the enamel and
bombarded with Information.
the gum line and the root below it. Tbe gums offer less protection and, as such, this is what
Electrical and chemical signals travel crown comprises the foUowing layers from makes their teeth sensitive.
from our eyes, ears, nose, touch and top to bottom: enamel. dentine and the pulp gum. Sensitive toothpaste works by either numbing tooth
taste receptors and the brain then Nerves branch from the root to the pulp gum. Tbe sensitivity, or by blocking the tubules in the dentine.
makessenseoftheseslgnals. When dentine runs ro the root and contains a large number of Those thai numb usually contain potassium nitrate,
we remember something, our brain tubules or microscopic pores, which run from the which calms the nerve of the tooth. The toothpastes
refires the same neural pathways outside of the tooth right to the nerve in the pulp gum. that block tbe tubules in the dentine usually contain a
along which the original information People with sensitive teeth experience pain when chemical called strontium chloride. Repeated use
travelled. You are almost reliving the their teeth are exposed to something bot. cold or when builds up a strong barrier by plugging the tubules more
experience by remembering lt. pressure is applied. Their layer of enamel may be and more.
151
·ne I Blushing 1 Fointin
Whyandhow
do we blush?
Blushing occurs when an excess of blood
Red glow flows Into the small blood vesselsjust
Oled<s l1n1 red wlile blushing under the surface of the skin. Facial skin
ca.e to blood vessels being near has more capillary loops and vessels, and
the sl<ns suface. vessels are nearerthesurfaceso blushing is most
visible on the cheeks, but may be seen across the
whole face. The small muscles in the vessels are
controlled by the nervous system.
Blushing can be affected by factorssuchasheat,
illness, medicines, alcohol, spicy foods, allergic
reactions and emotions. Ifyou feel guilty, angry,
Nervousness excited or embarrassed, you will involuntarily
Being embarrassed releases release ad rena II ne, which sends the automatic
adrenaline, which stimulates nervous system Into overdrive. Your breathing wUI
the ne''"''" system. increase, heart rate quicken, pupils dilate, blood will
be redl rected from your digestive system to your
muscles, and you blush because your blood vessels
dilate to Improve oxygen flow around the body; this
is all to prepare you for a Hght or flight situation. The
psychology of blushing remains elusive; some
scientists even believe we have evolved to display
our emotions, toactasa public apology.
"Blushing con
be affected by
heat, illness,
medicines and
spicy foods"
What makes
caffeine so
addictive? Fainting, or 'syncope', is a
temporary loss of consciousness
due to a lack of oxygen to the
When we are awake the naturally
occurring brain chemical adenosine brain. It Is preceded by dizziness,
is drawn to fast moving receptors In nausea, sweating and blurred Vision.
the brain. As adenosine attaches to
the receptors it slows them down, which causes us
to feel sleepy.
The receptor cells confuse caffeine for
, The most common cause is
overstlmulallon of the body's vagus nerve.
Possible triggers of this include intense
stress and paIn, standing up for long pertods
adenosine cells and as such willingly bond to lt. or exposure to something unpleasant.
The action doesn't slow down the receptor's Severe coughing, exerclseand even
movement as adenosine would and as the space Is urinating can sometimes produce a similar
usurped they are unable to sense adenosl ne so the response. Oversll mulation of the vagus
cells speed up, Increasing neuron firing in the nerve results In dilation of the body's blood
brain. The pltuarygland interprets this as a fight vessels and a reduction of the heart rate.
or flight scenario so releases hormones to alert the These two changes together mean that the
adrenal glands to produce adrenaline. This results body struggles to pump blood up to the
--...___
In dilated pupils, a racing heart and an Increase In brain a gal nstgravlry. Alack of blood to the
blood pressure. The liver also releases sugar Into brain means there Is not enough oxygen for
the bloodstream for an instant energy boost. it to funcllon properly and fainting occurs.
152
LTea 2.lnstant 3. Ground
In a survey by the coffee coffee
Food Standards The level of caffeine pl'esent Gr'ound coffee. however',
Agency. the mean In instant coffee was oot contains the most c-affeine.
amount of caffeine much mote with an avefage The mean level was lOSmg.
fOIXld in too was of 54mg ot caffeine per in SOI"'le cases tanglng as
400>;1 per cup. fegular sef'Vlng. high as 254mg per serving.
153
I
72-hour deodorants 1 Fillings
' - - - - -- Acid
A controlled amount of acid
is appled to the drilled tooth
Pri mer - -------.J to generate mic~holes for
A priming agent is brushed the filing to bind to.
onto the prepared tooth
su1ace to enable the filing
to adhere properly. ' - - Base
In deeper filings, • cement
base made from glass
iol o 11er or zh: phosphate IS
added to ns.Jate the nene
from lelo- ature changes.
Decay - -
The decayed poi WId the
tooth is ren MJ'IIed u:sng a
~IW;tNs
generates a solid platform
for the filng to stick to.
~::::::::~::::::::::::::::::::~ ~
154
Answer:
STRANGE Who do you inherit The DNA within mltochoodr'la is only from youl'
l•){•m!I!Il:i~~WJP Mitochondrial disease occurs when mitochondria malfunction - there is o huge variety of symptoms
at rs your •
Discover how mitochondria produce all the energy your body needs
Mitochondria are known as the maintain life- by controlling Krebs Cycle which They are deeply linked with evolution of all
batteries of cells because they use is the set of reactions that produce ATP. life. It is believed mitochondria formed over a
food to make energy. Muscle fibres Mitochondria are found in nearly every cell billion years ago from two different cells, where
need energy for us to move and in your body. They are found in most eukaryotic the larger cell enveloped the other. The outer
brain cells need power to communicate with the cells, which have nucleus and other organelles cell became dependent on the inner one for
rest of the body. They generate energy, called bound by a cell membrane. This means cells energy, while the inner cell was reliant on the
adenosine triphosphate (ATP), by combining without these features, such as red blood cells, outer one for protection.
oxygen with food molecules like glucose. don't contain mitochondria. Their numbers This inner cell evolved to become a
However, mitochondria are true biological also vary based on the individual cell types, mitochondrion, and the outer cells evolved to
multi-taskers, as they are also involved with with high-energy cells, like heart cells, form building blocks for larger cell structures.
signalling between cells, cell growth and the containing many thousands. Mitochondria are This process is known as the endosymbiotic
cell cycle. Theyperform all of these functions by vital for most life - human beings, animals and theory, which is Ancient Greek for 'living
regulating metabolism -the processes that plants all have them, although bacteria don't. together within.'
Inter-membrane
space
This contains proteins
and ions that control How many are
what is able to pass in
and out of the organelle in a cell?
via concentration The number of mitochondria in a
gradients and ion pumps. cell depends on how active that
particular cell is and how much
- - - - - Cristae energy it requires to function. As a
The many folds of the general rule, they can either be low
inner membrane energy without a single
increase the surface mitochondrion, or high energy with
area, allowing greater thousands per cell. Examples of
energy production for high-energy cells are heart muscles
high·activity cells. or the busy liver cells, which are
active even when you're asleep,
and are packed with mitochondria
:;-- - - - - - Matrix to keep functioning. If you train
The mitochondrial matrix your muscles at the gym, those
contains the enzymes, ribosomes cells will develop more
and DNA, which are essential to mitochondria as an adaptive
allowing the complex energy- mechanism to help provide energy. e;
producing reactions to occur. Q
155
ind reading
Imag •
Alzheimer's disease is a potentially
debiUtatlng condition, which can lead
to severe dementia. The ability to
diagnose it accurately and early on has
driven the need for modem imaging
Diffusion tensor Posibon emission
techniques. The above image shows a
inaging (0 I I) tDmography (PE I)
This MRivarlant rel.leson the This bleeding-edge technology
PET scan. The right-hand side of the
direction of water diffusion detects gamma rays emitted Image (as you look at it) shows a normal
within tissue. When a magnetic from blologlcally acttve tissues brain, with a good volume and activity
gradient lsappUed. thewater based on glurose.lt can pick range. On the left-hand side is a patient
aligns and. when t.befield Is up unusual biological activity, affected by Alzheimer's. The brain is
removed. t.be wate.r dllluses such as that from cancer. There
according to a tissue's Internal bave been recent advances to
shrunken with fewer folds, and a lower
structure. Thlsallowsa)D romblne PET with CTor MRI to range of activity- biologically speaking,
Image of activity to he built up. obtain lots of data quickly, there are far fewer neurons firing.
I
Anaesthesia
•
owanaest 1awo
By interfering with nerve transmission these special drugs stop
pain signals from reaching the brain during operations - - - - - - - Memory
General anaesthetic affects
the ability to form memot ies;
Anaesthetics are a form of drug widely The body under the patient doesnl remember
used to prevent pain associated with
surgery. They fall Into two main
general anaesthetic the operation and often woo'!
recall coming to either.
electrical signals travelling along the nerve. cholcing pal:iei ots must not eat
Local anaesthesia isn'tspeciHcto pain nerves, so it beforeanopeatioo.
will also stop information passing from the brain to
tbe muscles, causing temporary paralysis.
General anaesthetics, meanwhile, are Inhaled
Thecirruatory systEm is
and injected medications that act on the central slowed by anaesthetic, so
nervous system (brain and spinal cordi to Induce a heart rate, blood preSSlR
temporary coma, causing unconsciousness, muscle and blood oxygen areal
continuously monitored
relaxation, pain relief and am nes!a.
It's not known for sure how general anaesthetics
Pain neurons
'shut down· the brain, but thereareseveral proposed Unlike with local
mechanisms. Many general anaesthetics dissolve In anaesthetic, pain
neurons still fire under
fats and are thought to Interfere with the lipid
general a naesthesia,
membrane that surrounds nerve cells In the brain. but the brain does
They also disrupt neurotransmitter receptors, not process the
Many anaesthetics
signals properly.
altering transmission of the chemical signals that let cause nausea. Often
nerve cells communicate with one another. antiemetic drugs that
prevent V<miting are
given after su-ge<y.
Comfortably numb
If large areas need to be anaesthetised while the
patient is still awake, local anaesthetics can be
injected around bundles of nerves. By preventing
transmission through a section of a large nerve,
the signals from all of the smaller nerves that
feed into it can't reach the brain. For example,
injecting anaesthetic around the maxillary nerve
will not only generate numbness in the roof of
the mouth and aHof the teeth on that side, but
will stop nerve transmission from the nose and
sinuses too. local anaesthetics can also be
injected into the epidural space in the spinal Muscle relaxation ----~~
canal. This prevents nerve transmission through A mJSde relaxa-lt is often
the spinal roots, blocking the transmission of administered with the
information to the brain. The epidural procedure anaesthetic; this causes
is often used to mollify pain during childbirth. paralysis and enables lower
doses of anaesthe!ic to be used
158
2005
Stress and diet are blamed StOf'l'lach add Is proposed as Two Australian scientists The fii'St antibiotics ar~ Barty M..WII and Robin
for stomach ulcer'S. Patients the cause of gastric ulcers .shov.l that H P)lfori causes approved for treatment Warren are awa(ded a
ate prescribed rest and and antacid treatment is stomach uk:ers, but some of the infection that joint Nobel prize fOf'
bland food, like oatmeal introduced to countes- il ~sceptical to begin with. causes stomach ulcers. their 1982 discovery.
l•){•m!I!Il:i~~W.A'P The scientists who revealed bacteria caused gastric ulcers had to drink their own experiment to prove it!
Why do we sometimes
get mouth ulcers?
Ulcers are small lesions usually In other cases, recurrent ulcers may
triggered by physical damage to the be symptomatic of conditions
inside of the mouth, for example including 812 or iron deficiencies,
biting your cheel< accidentally, gastrointestinal diseases or
eating sharp food or brushing your immunosuppressant diseases such
teeth. They are very rarely as HIV. Ulcers are sometimes
contagious and usually heal within triggered by sensitivity to certain
ten days. Recurrent ulcers have a foods including strawberries,
variety of causes, the most common almonds, tomatoes, cheese,
being stress and hormonal changes. chocolate and coffee.
AFTER CARDIOVERSION
7. Cardioversion
machine
The maciWle recoo ds the
electrical activity of the
heilrt and calculates the A. ,..- A. ~
2. Conductive gel electric shocks reqund
A saltwateM>ased gel is to restore the orgoo to
used so the current can its nonnal mytlm.
triM!! from the elect1'0des NonnaiECG
and tlvough the skln.
161
I
mbling stomach 1 Seasickness
ca
a b
Oesophagus
This muscular pipe
Discover how the small connects the throat
to the stomach.
intestine is really to blame...
Waves ol Involuntary muscle
contractions called peristalsis churn Stomach
rood Is churnedand
the food we eat to soften It and mixed with gastric
transport It through the digestive juices to help It to
system. The contractions are caused by strong breakdown.
muscles in the oesophagus wall, which take just
ten seconds to push food down to the stomach.
Muscles in the stomach churn food and gastric
juices to break it down further.
Then, a Iter lour hours, the sem1-dlgested
liquefied food moves on to the small Intestine
where yet more powerful muscle contractions
force the food down through the Intestine's bends
and folds. This is where the rumbling occurs. Air
from gaseous foods or that swallowed when we eat
-often due to talking or Inhaling through the nose
while chewing food- also ends up In the small
intestine, and it's this combination of liquid and
gas in a small space that causes the gu rgling noise.
Rumbling is louder the less food present In the Smal intestine
small intestine, which Is partly why people Here. liquid food
combined with trapped
associate rumbling tummies with hunger. The gases can make lorsome
other reason is that although the stomach may be embarrassing noises.
clear, the brain still triggers perlsta Isis at regular
intervals to rid the intestines of any remaining
food. This creates a hollow feeling that causes you
to feel hungry.
162
are
These small skin blemishes are
common, but what are they and why
must we keep a close eye on them?
Amole on the skl n, or a vigilant if a new one appears on the skin or
melanocyticnaevus, !san If an existing mole begins to change. A
abnormal collecllon of the malignant melanoma is a rare kindolskin
pigment cells called cancer that can occur in melanocytes.
melanocytes. Some moles can be present at Although rare, malignant melanomas
birth (congenital melanocytlc naevi) but cause the majority of the deaths related to
most develop spontaneously later In life, skin cancer.llyou're partlcularlymoley
usually as a result of exposure to sunlight. you're more susceptible to melanoma and
Moles are often brown or black (pigmented should try to avoid too much sunlight.
naevl)andareusually round or oval, but Moles to watch are dysplastic naevi,
they can be a variety or dlllerentshapes
and sizes. Growth and change over tlme Is
which are large, irregularly shaped moles
of mixed colouration. They often have "A malignant melanoma is o
quite normal.
Moles sound pretty unremarkable and
paler, jagged edges with darker centres
and tend to be accompanied by a lot or
rare k1nd of skin cancer that
are harmless In natttre, and yet we must be other moles on the body. con occur 1n melonocytes"
Melanocyte Hairs
liars are made from filamentous bicrnaterialthat
The sldn's natur.11 Dipigla111nelelnt'lt, melanin, is a protein
produce.d in eels caled melanocytes. Melanocytes Epidermis
are usually spn>ad evenly tlroughaut ll1e sldn for This is the outer layer of
...,., colow. Melanin also absorbs IN raciation. you' sldn and it contar.s
lolJ!jl, flat eels.
Melanocytesare
b::ated in the dell I Ms
and epidermis.
•
MeJanoma
"""'*' with • farrily history ol Dennis
~melanomas and those who
haYe been exposed to a lot of Slright The denuis is the layer that
are most at risk from tl'is 1.11000 •trollable COIISisls of blood wssels,
!J'OWih of P9nel 11 eels. glands and""""" encings.
163
I
rain control 1 Laughing
Do we control our brains or
do our brains control us?
.
An experiment at the Max Planck Institute, Berlin, in2008
t9 showed that when you decide to move your hand, the decision
can be seen In your brain, with an MRI scanner, before you are
• aware you have made a decision. The delay Is around six
seconds. During that lime, your mind Is made up but your consciousness
doesn't acknowledge the decision unUI your hand moves. One
interpretallon oflhls Is that your consciousness- the thing you think ofas
'you'-is justa passenger inside a deterministic automaton. Your
unconsdous brain and your body get on with runnl ng your lt fe, and only
report back to your conscious mind to preserve a sense of free wHI. But it's
just as valid to say that when you make a decision, there's always
background processing going on, which the conscious mind Ignores for
convenience. In the sa me way, your eye projects an upside-down image
f
onto your retina, but your unconscious brain turns It the right way around.
we
Which muscles react when we find
something funlly and why is
laughter so harcfto fake?
Laughing can pull the facial expression upward;
somellrnes be on top of this, the zygomaticus major
completely involuntary also pulls the upper lip upward
and involves a complex and outward.
series of muscles, which is why It's so The sound of our laugh is
difficult to fake and also why an produced by the same mechanisms
active effort is required to suppress which are used for coughing and
laughter in moments of sudden speaking: namely, the lungs and the
hilarity at inopportune moments. Ia rynx. When we're breathing
In the face, the zygomaticus major normally, air from the lungs passes
and minor anchor at the cheekbones freely through the completely open
and stretch down towards the jaw to vocal cords In the larynx. When they
close, alrcannotpass, however
when they'repartlallyopen, they
generate some form of sound.
Laughter is the result when we
exhale while the vocal cords close,
with the respiratory muscles
perlodica lly activating to produce
the characteristic rhythmic sound
of laughing.
The risorius muscle is used to
smile, but affects a smaller portion
of the face and is easier to control
than the zygomatic muscles. As a
resu It, the risorius is more often
used to feign amusement, hence
why fake laughter is easy to detect
by other humans.
Why do eyes
take a while to
adjust to dark?
At the back of the eye on the retina, there
are two types ofphotoreceptors (cells
which detect light). Cones deal with
colour and Hnedetallandactin bright
light, while rods deal with vision in low-light
situations. In the Hrst few minutes of moving into a
dark room, cones are responsible for vision but
provide a poor picture. Once the rods become more
active, they take over and create a much better
picture In poor llghL Once you move back into light
the rods are resetandso dark-adaption will take a
lew moments again. Soldiers are trained to close or
cover one eye at night when moving in and out of a
bright room, or when using a torch, to protect their
night vision. Once back In the dark, they reopen the
closed eye with the rods still working and, as a
result, maintain good vision. This allows them to
keep operating In a potentially hostile environment
at peak operational efficiency. Give it a try next time
you get up In the middle of the night, it may help you
avoid tripping over In the dark.
165
I
Allergies 1 Eczema
do SOtne people
haveal and
don't?
Allergies can be caused by two things: host and
environ mental factors. Host Is if you inherit an allergy or are
likely to get It due to your age, sex or racial group.
Environmental factors can Include things such as pollution,
epidemic diseases and diet. People who are likely to develop allergies
have a cond ilion known as 'atopy'. Atopy is not an illness but an
inherited feature, which makes individuals more likely to develop an
allergic disorder. Atopy tends to run In families.
The reason why atopic people have a tendency to develop allergic
disorders is because they have the ability to produce the allergy
antibody called 'Immunoglobulin E' or'lgE' when they come into
contact with a particular substance. However, not everyone who has
inherited the tendency to be atopic wiLl develop an allergic disorder.
Eczema explained
What causes the skin to react to otherwise harmless material? •
Eczema ls a broad term for a
Under the skin
t9 range of skin conditions, but
the most common form is
• atopic dermatitis. People with
What happens inside the body when eczema flares up?
*
Eczema is commonly triggered
forming sores open to Infection. normally tightly bound
by the same things as many
There is thought to be a genetic allergies- anything from pet
together to prevent
contaminants from
element to the disease and a gene hair to certain types of food
entemg the body, but in
involved in retaining water in the skin eczema there are gaps..
has been identified as a potentia I
contributor, but there are many factors.
Eczema can be treated with steroids,
which suppress immune system
Water loss
activity, dampening the inflammation The skin is less able Inflammatory
so skin can heaL In serious cases, toretai1waler,
immunosuppressant drugs - used to leading to dcyness • response
The irnrnu1e system
prevent transplant rejection - can
actually be used to weaken the immune
and in latiol L
• • -gel
produces a response to
IS beneath the skin,
leading to redr II!SS, itd1i 1!1
system so it no longer causes and also inflammation
inflammation in the skin.
166
do Is it for to
go have an allergy to
Arare condition called aquagenlc contains water, the condition hinders intimacy.
urticaria is often referred to as an Death could occur when water is swallowed if
allergy to water. The symptoms of the throat swells up, blocking the airway. The
aquagenlc urticaria are painful but root cause Is unknown. One hypothesis is that
Sometimes we trip over or hurt generally not fatal. Contact with water- H20 generates a toxic compound in the outer
ourselves In other ways. When It containing substances can bring out sore hives layers of the skin, prompting the release of
happens some of our blood vessels
on thesurfaceoftheskin, cause a burning histamines. Reactions can sometimes be
break, blood plies up under our skin
sensation and induce headaches. Because saliva controlled with antihistamines.
and we can see this as a bruise. These nasty
things have the famlllar 'black and blue· or
purple appearance In the beginning but
gradually change Into different colours.
The purple colour Is given by haemoglobl n, a
protein that carries the oxygen In our red blood
cells. Our body reacts to this with some white
blood cells called phagocytes ·eating up· the
materials in the bruise. As the phagocytes
degrade the haemoglobin, they turn It Into other
molecules. Different molecules show different
colours and the bruise will changecolourwlth
time to green, yellow and brown. When
everything has been cleared up by your
immune system the bruise disappears and
you're ready to bump into something else.
Is
bad for you?
Is this substance as evil as we hear?
Cholesterol Is a fatty molecu le In the blood and, generally
•
I
you reat e?
The lungs are filled with tiny
balloon-like sacs that keep you alive
Gas exchange occurs in the lungs, blod<s of each are the tiny alveolus. They are blood within the capillary venous system on
where toxic gases (carbon dioxide) the final point of the respiratory tract, as the the other side of the epithelial layer.
are exchanged for fresh air with its bronchi break down into smaller and smaller The alveoli of the lungs have evolved to
unused oxygen content. Of all the tubes, leading to the alveoli, which are grouped become specialised structures, maximising
processes in the body that keep us functioning together and look like microscopic bunches of their efficiency. Their walls are extremely thin
and alive, this is the most important. Without it, grapes. Around the alveoli is the epithelial layer and yet very sturdy. Pulmonary surfactant is a
we would quickly become unconscious through -which is amazingly only a single cell thick- thin liquid layer made from lipids and proteins
accumulation of carbon dioxide within the and this is surrounded by extremely small that coats of all the alveoli, reduces their
bloodstream, which would poison the brain. blood vessels called capillaries. It is here that surface tension and prevents them crumpling
The two lungs (left and right) are made up of vital gas exchange takes place between the when we breathe out. Without them, the lungs
several lobes, and the fundamental building fresh air in the lungs and the deoxygenated would collapse.
Macrophages
One cell thick ---''"' These are defence
The alveolus wall is just The capillary veins bring cells that digest
one cell thick, separated deoxygenated blood from the bacteria and particles
from the blood capillaries right side of the heart, which present in air, or that
by an equally thin has been used by the body have escaped from the
basement membrane. and now contains toxic C02 • blood capillaries.
168
• • •'
Blue eyes ••• Blil*ing •
Sight ••• Tears
••
•• Measure ments
1share
PeoPle with blue eyes all
a common ancestor. A
• 2 Your eyes
•
wiU blink around
15-20times per minute and
•• 3 Technically. you see with
your brain and not your
•
•
4 Toars are not only an
ctmOllonal response; they
••
•
5
On average, a human eyebatl
is around 2.Scm (lin) in
genetic mutation about •• it last for around 100 • eyes. Poor vision sometimes also hnlp prevent your eyes •• diameter and weighs as
LO.OOO years ago gave miUiseconds. You also blink • sterns from problems with from drying up and get rid Utile as 7.5g (0.25oz). A
someone blue eyes. whm more when talking than
••
the visual cortex of the brain of any IITltatlng particles ••• giant squid's eyeball Is ten
everyOne elso's were brown. when reading. and not the eye itsetf. that could cause damage. • times as big as a human1s.
-
(I)(•M•I!NtW•l!j!G> SAD is more common in women and people between the ages of 15 and 55
FACTS
cid not reach fuU term and no : to the average gestation period is
babies SUI"o'ived, a woman in •• March 1999 ... none survived prevalence of these twins in • is the first wife of F'eoclor • just 32 weeks - that's eight
Algentina was observed to have • 0'\lef six OOLrS. Another set of
• black Africans, and a lower • Vassilyev, who ived in the • weeks shcw'ter thanusua~
• • • •
• •
MULTIPLE BIRTHS
12 foetuses inside her worrtl
from natural conception.
•• noruplets suffered a similar fate
;n~neym197L ••
incidence than to be expected
in Oriental mothers. •
•
• 1700s. She gave birth to an
incredible 69 dlldren.
••• primarily due to the size
restriction of the womb.
I•U•~•I!l!3N•1MP Female monozygotic twins ore more common due to the increased likelihood of mole mortality in the womb
•
M
There are many difficulties with twin they're joined.lf it is by a vital organ or bone
pregnancies- mainlydue to the limited size structure. one or both may die following birth
of the mother's womb. Multiple pregnandes as they grow - or during an operation to
rarely reach full term due to these limits, separate them.
twins averaging at around 37 weeks. Also, It is also suspected that as many as one in
because of the lack of space and eggs splitting eight pregnandes may have started out as a
in the womb, further complicationssuch as potential multiple birth, but one or more of the
conjoined twins can occur. Conjoined twins foetuses does not progress through
can be a problem dependant on where development to full term.
Atsomep<Mnt~
egg splits
early on, the fertili~ "
+ egg and one sperm
are irwolved.
Cervix
I 3.Spenn
The lower part of the fertilise
uterus that projects
separate
into the vagina.
'------ eggs
In DZ twins, two
separate eggs are
fertilised by
4.Separate different sperm.
eggs These will implant
From studying identical, monozygotic twins, different parents. Often we see a similar IQ continue independently in
we can attempt to decipher the level of impact and personality displayed, whether or not to develop the mother's
In DZ twins, both womb wan,
environment has on an individual and the they grow up together, but even these and
foetuses will commonly on
influence genes have. As the genetics of the other lifestyle choices can vary dependant continue to develop opposite sides.
individuals would be Identical, we can say on environment. independently to
that differences displayed between two Ultimately, itishardtodrawfirm each other.
MZ twins are likely to be down to conclusions from twin studies as they will be
environmental influences. an unrepresentativelysmall sample within a
Some of the most Interesting studies look at much larger population and we often find that
twins that have been separated at birth, often both environment and genetics interact to
when individuals have been adopted by influence an individual's development.
171
I
'ns and needles 1 Burns 1 Funny bones
What is 'pins
and les'?
The numb sensation ofyour leg
'going to sleep'lsn't caused by
cutting off the blood circulation.
It's the pressure on the nerves that
is responsible. This squeezes the Insulating
sheath around the nerve and 'shorts It out',
blocking nerve transm lsslon. When pressure
Is released, the nerves downstream from the
pinch point suddenly all begin firing at once.
Thisjumbleofunco-ordlnated signals Is a
mixture of pain and touch, hot and cold all
mixed together, which Is why It's excruciating.
172
do our muscles ache?
Learn what causes stiffness and pain in our muscles for days after exercise
Normally, when our muscles contract
they shorten and bulge, much like a
Weightlifting and the body
bodybuilder's biceps. However, if the What happens to your biceps when you pump iron?
muscle happens to be stretched as it
Pain Bending
contracts it can cause microscopic damage. Thesorenessassoclated NormaJJywhen the bleeps
The quadriceps muscle group located on the with exercise Is the result muscle group oontracts it
of repetitive stretching of shortens, puJJlng the forearm
front of the thigh is involved in ex tending the oontracted muscles. towards the shoulder.
knee joint, and usua lly contracts and shortens to
s traighten the leg. However, when walking
down a steep slope, say, the quadriceps contract
to support your body weight as you step
forward, but as the knee bends, the muscles are
pulled in the opposite direction. This tension
resu lts in tiny tears in the muscle and this is the
reason that downhill running causes so much
delayed-onset pain.
At the microscopic level, a muscle is made up
of billions of stacked sarcomeres, containing
molecular ratchets that pull agaJnst one another
to generate mechanical force. If the muscle is
taut as it tries to contract. the sarcomeres get
pulled out of line, causing microscopic damage. Straightening ---' Stretching
The muscle becomes inflamed and fills with Astheannstraightensout. the As the muscle tries to
hlcepsarestretcbed, hut the cootract, theweight pulls in
fluid, causing stiffn ess and activating pain welghtisstlllpnllingdownon the opposite directiorl.
receptors- hence that achy feelIng you get after the band. so the muscles remain causing mlcroscoplc tears
unfamiliar exercise. part.Jyoontracted to support it within the muscle cells.
Why do the Why shouldn't
we eat raw
upper arm
i meat?
and per Meat can harbour many different bacteria, viruses
and even parasites. Cooking meat properly
leg have only destroys them, making meat much safer for
consumption. Bacteria and viruses can make you
ill, while parasitescangrowinsideyour gut and even migrate
• one bone? to your brain. Food poisoning is a very serious business and
by not cook! ng meat thoroughly, you are greatly increasing
your chances of getting something nasty. People quite often
The makeup of the eat rawmeatsuch as steak tartare, but it requires extra care
t9 human skeleton is a
fantastic display of
• evolution that has left us
In the preparation. Besides safety; cooking meat also makes it
taste better. By cooking meat and other foods, humans can
get much more energy than from chewing raw food alone.
with the ability to perform
Incredibly complex tasks without
even thinking about them. There
are several different types ofjoint
between bones in your body, which
reflect their function; some are
strongandallowlittle movement,
others are weak but allow free
movement. The forearm and tower
leg have two bones, which form
plane joints at the wrist and ankle.
This type ofjointallows fora range
of fine movements, including gliding
and rotation. The hinge joints at
yourelbowsand knees allow for less
lateral movement, but they are
strong. Shoulders and hips, though,
are ball-and-socketjoints, which
allow for a wide range of motion.
How do
•
I
work?
The terms 'inoculation' and 'vaccination' are
used interchangeably. They involve
Introducing a foreign substance (antlgens) into
the body, causingantibodyproduction. These
caneltherbedead, made tess harmful, or just contain
certain bits that cause disease.
White blood cellscalied Blymphocytes recognise these
antigens, and produce antibodies to neutralise them.
After the initial encounter, a group of Blymphocytes are
made ca lied 'memory cells', which produce a ntlbodles
faster ifexposed to the same antigen again.
174
Why do we
develop gout?
Excessive levels of uric add In the blood
cause gout We producewicactdasa waste
product from digesting protein .Uricadd is
removed by the kidneys and excreted as a
dllutesolutlon.lfkldney function Is impaired, the
concentration rises to the point where it prectpltates as
monosodium urate crystals.
These normally form In the joints of yourtoes,
because your feet are cooler and cold temperatures
reduce the solubility of uric acid. Gout is partly genetic,
but exacerbated by excessive drinking - particularly
beer-and not enough exercise, so there are things
that can be done to help avoid suffering.
175
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