HUMAN PHYSIOLOGY 1

Degree course: 
Corso di Long single cycle degree (6 years) in MEDICINE AND SURGERY
Academic year when starting the degree: 
2017/2018
Year: 
2
Academic year in which the course will be held: 
2018/2019
Course type: 
Basic compulsory subjects
Main course: 
Credits: 
6
Period: 
First Semester
Standard lectures hours: 
60
Detail of lecture’s hours: 
Lesson (60 hours)
Requirements: 

To be admitted to the final exam of Human Physiology it is necessary to possess a positive evaluation of the exams of Human Anatomy and of Biochemistry

Final Examination: 
Orale

The final exam will be held at the end of the course of Fisiologia 2, on the basis of both syllabi. The final exam will consist of a written exam made of 40 multiple choice questions. Students that will score more than 18/30 will be subjected to an oral exam (viva). The final mark will be given on the basis of the viva alone.

Assessment: 
Voto Finale

Objectives and expected learning outcomes
The objective of the Corse of Human Physiology is to provide to the Students all information needed to understand the mechanisms of functioning of excitable cells, of the central and autonomic nervous system and of their role in the functional integration of the human body organs and systems under normal conditions.

Content and course program
Resting cell membrane potential. Time and space constant. Action potential and its propagation along myelinised and non-myelinized nervous fibres. Refractory period. Conduction speed. Synaptic functionand neurotransmitters. Unidirectional conduction, central delay, excitation and inhibition. Excitatory (EPSP) and inhibitory (IPSP) postsynaptic potential. Neuromuscular junction. Neuronal codification. Integration of postsynaptic signals:
Generator and receptor membrane potential. Receptor adaptation. Mono and pluri-synaptic reflexes. Interneurons and inhibitory circuits. Tactile and position senses. Neuromuscular spindles and Golgi tendon organs. Sensory pathways for transmitting somatic signals to central nervous system. Sensory cortex. Thermal receptors. Types of pain receptors. Referred and visceral pain. Endogenous control of pain. Vestibular apparatus. Function of utricule and saccule in static equilibrium. Function of semicircular ducts in detection of head rotation. Nistagmus. Transmission of sound through the outer and medium ear. Inner ear. Central auditory mechanisms. Accomodation, visual acuity. The retina as a receptor. Photochemistry of vision. Color vision. Neural function of the retina. Visual pathways. Organizations and functions of the visual cortex. Analysis of visual image. Eye movements and their control. Taste and smell signals.
The neuromotor unit. Organization of spinal cord for motor function. Flexor and withdrawal reflexes, crossed extended reflex. Primary motor cortex. Premotor area. Role of reticual and vestibular nuclei. Spinal, visual and vestibular components of postural control. Vestibolo-spinal projection. Cervical, visual and vestibular reflexes. Nistagmus. Vertigo. Cerebellum. Afferent and efferent pathways to the cerebellum. Cerebellar circuit. Basal ganglia. Motor functions. EEG. Association areas. Language input and output. Different function of the two emispheres. Short- term, intermediate–term and long-term memory.. Activating- de-activating systems of the brain. Vegetative and endocrine control function of the hypothalamus. Functions of the limbic system. The hemato-encefalic barrier and the cerebral liquor. General organization and characteristics of sympathetic and parasympathetic function. Autonomic reflexes. Control of the sympathetic and parasympathetic systems in distinct organs.
Subdivisions of body compartments. Functions of blood. Physical properties. Osmotic and oncotic pressure. Herithrocytes sediimentation. Hematocrit. Bood cells. Hemometry.
Muscle and locomotion. Function of skeletal muscle. Elastic and contractile components. Isometric, isotonic and iso-velocity contraction. Force-length diagram. Force-velocity diagram. Dynamic force-velocity diagram.
Cardiac pace-maker. Resting membrane potential and action potential in specialized and normal miocytes. ECG. Cardiovascular regulatory centres. Ventricular pressure and volume during cardiac cycle. Cardiac stroke and cardiac output. Work output, cardiac efficiency. Cardiac metabolism.
Distribution of blood volume. Velocity, cross section and pressure in the circulatory districts. Laplace law applied to vessels. Passive and active wall tension. Bernoully law. Orthostatic ipotension. Poiseuille law. Laminar and turbulent flow. Arterial and venous pulse pressure. Pressure distribution in the systemic and pulmonary circulation. Pulse pressure velocity and transit time. Fluid and solute exchanges between microvasculature and interstitial space. Control of interstitial volume. Lymph formation and propulsion. Oedema. Nervous and endocrine control of arterial pressure. Pulmonary and coronary circulation.

Teaching activity

Class lessons

Bibliography
AA.VV. – FISIOLOGIA UMANA – a cura di F.Grassi, D.Negrini, C.A. Porro - Poletto Editore, Milano
AA.VV. – FISIOLOGIA MEDICA - a cura di F. Conti - Casa Editrice Edi-Ermes, Milano
Guyton & Hall – FISIOLOGIA MEDICA – Elsevier-Masson
Monografie:
Kandel, Schwartz – Principles of neural science – Elsevier
AA.VV. - Neuroscienze - a cura di D.Purves, Zanichelli
J.B.West – Respiratory Physiology

Final evaluation
After completing the Course of Physiology 1 and Physiology 2, the student will give a multiple choice exam, performed through a digital support (PC), consisting in 40 questions on the entire Physiology 1 and Physiology 2 courses programs'. If the student attains a score greater than 18/30, the first part of the exam is passed and is follwed by an oral exam consisting of 4 open questions on the entire Physiology 1 and Physiology 2 courses programs'.

Class lectures

-

Professors