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Instant Download Ebook PDF Essentials of Human Anatomy Physiology 12th Global Edition PDF Scribd
Instant Download Ebook PDF Essentials of Human Anatomy Physiology 12th Global Edition PDF Scribd
Essentials of EDITION
Human Anatomy
& Physiology
TWELFTH EDITION
Elaine N. Marieb
Suzanne M. Keller
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TWELFTH EDITION
GLOBAL EDITION
ESSENTIALS
OF HUMAN ANATOMY
& PHYSIOLOGY
The rights of Elaine N. Marieb and Suzanne M. Keller to be identified as the authors of this work have been asserted by them in accordance with
the Copyright, Designs and Patents Act 1988.
Authorized adaptation from the United States edition, entitled Essentials of Human Anatomy & Physiology, 12th edition, ISBN 9780134395326,
by Elaine N. Marieb and Suzanne M. Keller, published by Pearson Education © 2018.
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means,
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10 9 8 7 6 5 4 3 2 1
Elaine Marieb After receiving her Ph.D. in Suzanne Keller Suzanne M. Keller began
zoology from the University of Massachusetts at her teaching career while she was still in graduate
Amherst, Elaine N. Marieb joined the faculty of the school at the University of Texas Health Science
Biological Science Division of Holyoke Community Center in San Antonio, Texas. Inspired by her life-
College. While teaching at Holyoke Community long passion for learning, Dr. Keller quickly
College, where many of her students were pursu- adopted a teaching style focused on translating
ing nursing degrees, she developed a desire to bet- challenging concepts into easily understood parts
ter understand the relationship between the using analogies and stories from her own experi-
scientific study of the human body and the clinical ences. An Iowa native, Dr. Keller uses her expertise
aspects of the nursing practice. To that end, while to teach microbiology and anatomy and physiol-
continuing to teach full time, Dr. Marieb pursued ogy at Indian Hills Community College, where
her nursing education, which culminated in a most of her students are studying nursing or other
Master of Science degree with a clinical specializa- health science programs.
tion in gerontology from the University of Massa- Dr. Keller values education as a way for students
chusetts. It is this experience that has informed the to express their values through the careers they
development of the unique perspective and acces- pursue. She supports those endeavors both in and
sibility for which her publications are known. out of the classroom by participating in her local
Dr. Marieb has given generously to provide oppor- Lions Club, by donating money to the Indian Hills
tunities for students to further their education. She Foundation to fund scholarships, and by financially
funds the E. N. Marieb Science Research Awards at supporting service-learning trips for students. Dr.
Mount Holyoke College, which promotes research by Keller also enjoys sponsoring children in need with
undergraduate science majors, and has underwritten gifts for the holidays.
renovation of the biology labs in Clapp Laboratory at Dr. Keller is a member of the Human Anatomy
that college. Dr. Marieb also contributes to the Univer- and Physiology Society (HAPS) and the Iowa Acad-
sity of Massachusetts at Amherst, where she gener- emy of Science. Additionally, while engaged as an
ously provided funding for reconstruction and author, Dr. Keller has served on multiple advisory
instrumentation of a cutting-edge cytology research boards for various projects at Pearson and has
laboratory. Recognizing the severe national shortage authored assignments for the Pearson Mastering
of nursing faculty, she underwrites the Nursing Schol- A&P online program. When not teaching or writ-
ars of the Future Grant Program at the university. In ing, Dr. Keller enjoys reading, traveling, family
January 2012, Florida Gulf Coast University named a gatherings, and relaxing at home under the watch-
new health professions facility in her honor. The Dr. ful eyes of her two canine children.
Elaine Nicpon Marieb Hall houses several specialized
laboratories for the School of Nursing, made possible
by Dr. Marieb’s generous support.
11
New to the Twelfth Edition
This edition has been thoroughly updated. New “What, How, Why” art opens each chapter, highlighting key
concepts relating to the chapter topic. Other specific chapter-by-chapter changes include the following:
Chapter 1: The Human Body: An Orientation • New colors used in Figure 3.14 DNA images to help students track
• Updated description of the integumentary system to include new and old strands of DNA.
vitamin D production in the presence of sunlight. • New description of each chromosome being composed of two
• Updated definition of the term crural to specify the anterior leg, sister chromatids.
or shin. • New explanation of protein synthesis includes the role of the large
• New “Critical Thinking and Clinical Application” question on blood ribosomal subunit in peptide bond formation.
clotting and feedback regulation. • New Figure 3.18 descriptions of nuclei lining up in simple
• New “Critical Thinking and Clinical Application” question on using columnar and not lining up in pseudostratified epithelia.
anatomical language to describe the location of a spinal injury and • New description of cell shapes in different layers of stratified
identifying the best medical imaging technique to diagnose a epithelia as “squished” and variable.
spinal problem. • New analogy for mucus produced by goblet cells as a “sticky trap”
• Updated “A Closer Look: Medical Imaging” with new discussion for dust and debris.
and images of mammogram and bone densitometry. • New Figure 3.19 labels for osteocytes, the elastic and collagen
• New “Did You Get It?” questions throughout the chapter. fibers in areolar connective tissue, and the fluid matrix of blood;
new art for dense fibrous connective tissue.
Chapter 2: Basic Chemistry • New analogy for reticular tissue as “cellular bleachers” where other
• New example of atomic symbol and Latin derivative for potassium. cells rest to monitor the body.
• Revised discussion of hydrogen bonds to clarify that electrons are • Updated Figure 3.21 to include the term neuroglia to describe
not involved in this type of bond as they are in covalent and ionic supporting cells.
bonds. • New information added to Figure 3.22: cartilage added to the
• New example of importance of hydrogen bond in holding DNA connective tissue list and two major hallmarks of each of the four
strands together. tissue types.
• All references to hydroxyl ion have been corrected to hydroxide ion. • New example of atrophy: when a broken leg is in a cast, lack of
• New sports analogies for acids and bases: putting electrons “in the use causes muscles to atrophy during healing.
game,” to represent free protons versus taking electrons “out of the • Revised “A Closer Look: Cancer—An Intimate Enemy” and updated art.
game,” to represent binding a proton so it cannot contribute to a • New “Short Answer Essay” questions on the components of the
shift in pH. plasma membrane and their functions and on contrasting
• New “Did You Get It?” question part on the difference in pH cytokinesis, interphase, and mitosis.
between solutions at pH 11 and pH 5. • New “Critical Thinking and Clinical Application” question on IV
• Introduced concepts of hydrophilic and hydrophobic in discussion fluids and tonicity.
of phospholipids to help explain the functions of the polar head • New “Did You Get It?” questions throughout the chapter.
and fatty acid tails in cell membranes.
• Updated “Did You Get It?” question on lipids to include both Chapter 4: Skin and Body Membranes
phospholipids and cholesterol as cell membrane components. • New Figure 4.1 on epithelial membranes.
• New analogy comparing the alpha (α)-helix to a metal spring. • New description of sensory receptors as part of nervous system
• New analogy comparing a beta (β)-sheet to a pleated skirt, or including a list of the stimuli detected.
paper folded into a fan. • New text updates on Figure 4.4 on epidermal structure; included a
• New analogy comparing enzymes and substrates to scissors and new figure question on stratum lucidum.
paper, respectively. • New analogy for epidermal dendritic cells as “sentries” guarding
• New description of RNA function as DNA’s “molecular assistant.” the skin.
• New shorthand symbols for messenger (mRNA), transfer (tRNA) • New photo of stage 2 decubitus ulcer added to Homeostatic
and ribosomal (rRNA) added. Imbalance 4.2.
• New analogy comparing glucose and ATP to crude oil and gasoline; • New layout for Figure 4.7 combining scanning electron micrograph
energy must be in the proper form before it can be used by cells. of hair shaft with existing art of the hair root and follicle.
• New explanation of why the terminal phosphate bonds in ATP are • New discussion of fourth-degree burns.
high energy. • New criteria for determining whether a burn is critical, including
• New “Critical Thinking and Clinical Application” question on sickle circumferential burns, burns of the airway, and burns to the genital
cell anemia. area.
• New images of basal cell and squamous cell carcinoma in
Chapter 3: Cells and Tissues Figure 4.11.
• New description of the principle of complementarity. • New component added to ABCDE rule: now includes “Evolution,”
• New information about how mitochondria divide. changes in a skin lesion over time.
• New “cargo” in the form of a membrane-bound receptor protein • New “Short Answer Essay” questions on the risks of full-thickness
added to pathway 2 of Figure 3.6. burns, contrasting eccrine and apocrine sweat glands, and the
• New analogy for lysosomes as “cellular stomachs.” relative severity of different skin infections.
• New art of plasma membrane and new detail of mitochondrial • New “Critical Thinking and Clinical Application” question on burns.
function including aerobic respiration in Table 3.1. • New “Did You Get It?” questions throughout the chapter.
• New analogy of dust “crowd surfing” on the mucus that cilia carry
from the lungs. Chapter 5: The Skeletal System
• New description of neuron function includes production of • Updated description of long bones.
neurotransmitters. • New analogy comparing lubrication over articular cartilage at
joints to a slick marble floor.
12
New to the Twelfth Edition 13
• Updated descriptions of red and yellow bone marrow. • Updated description of Nissl body function.
• Updated descriptions of sagittal and coronal sutures. • New description clarifying the difference between a synapse and
• Updated description of the capitulum of the humerus. synaptic cleft.
• New analogy comparing the trochlea meeting the trochlear notch • New analogy for a myelin sheath as the wrapping on an electrical
to a curved “tongue-in-groove” joint. cord.
• Updated description of buttock injections to include the • New explanation clarifying the differences between myelin sheaths
consequences of hitting a nerve. in the CNS and PNS.
• Updated description of a synovial membrane to include areolar • New explanation clarifying the “short circuit” event in multiple
connective tissue. sclerosis means that the signal may stop or “jump” to an
• Updated description of cartilaginous joints. unmyelinated neuron.
• New description of saddle joints including a reference to • New analogy for the structure of a unipolar cell body as a “cul-de-
opposable thumbs. sac” off the “main road” that is the axon.
• Updated list of triggers for rheumatoid arthritis. • Replaced references to the term basal ganglia with the more
• Discussion of the fetal skull and fontanels moved to the accurate term basal nuclei.
Developmental Aspects section. • Replaced the term arachnoid villi with arachnoid granulations.
• New analogy likening skulls of small children to “bobble heads.” • New statistics on stroke as the fifth leading cause of death in the
• Updated review question on bones that articulate with the United States (formerly identified as the third leading cause).
sphenoid to reflect only bones shown in the figures of Chapter 5. • New statistics regarding the rate of survival after a stroke.
• Updated “Short Answer Essay” question on synovial joints to • Replaced the phrase “mentally retarded” in the discussion of
include osteoarthritis. cerebral palsy with “intellectually disabled.”
• New “Short Answer Essay” question contrasting the foramen • New information included in “A Closer Look: The ‘Terrible Three’”
magnum and obturator foramen. reflecting the role of calcium in apoptosis, two new drugs for
• New “Critical Thinking and Clinical Application” question on gouty treatment of Parkinson’s disease, and the variation in dopamine
arthritis. levels in patients with Huntington’s disease.
• New statistics, information, and images added to “A Closer Look: • New information incorporated in “A Closer Look: Tracking Down
Joint Ventures.” CNS Problems” to include a new dopamine imaging technique
• Updated description of comminuted fractures on Table 5.2. called DaTscan.
• Updated Figure 5.6 to include osteoblasts and osteoclasts in the
descriptions of bone addition and resorption, respectively. Chapter 8: Special Senses
• Updated Systems In Sync with respect to the descriptions of • New description of lacrimal caruncle.
relationships of cardiovascular and muscular systems to the • New description of optic disc and the resulting blind spot.
skeletal system. • New analogy comparing the ability to see intermediate colors
(between the red, green, and blue cones) to mixing paint.
Chapter 6: The Muscular System • Updated the description of cataracts.
• Updated descriptions of tendons and aponeuroses. • New example of motion detected by dynamic equilibrium: a
• New analogy about running to explain the difference between the spinning carnival ride.
contraction of skeletal muscle (fast) versus smooth muscle (slow). • New analogy for bending of the cupula as divers’ fins in water.
• Updated description of a sarcomere to include its role as the • New description of foliate papillae on the side of the tongue,
structural and functional unit of muscle. another location for taste buds.
• Added discussion of titin to the description of a sarcomere as the • New art showing the retina in Figure 8.5.
elastic filament that attaches myosin to the Z disc. • New Figure 8.6 showing the graph of rods and cones, and which
• New Homeostatic Imbalance on ALS (amyotropic lateral sclerosis, wavelengths of light are detected by each.
or Lou Gehrig’s disease). • Updated Figure 8.12b on maculae.
• New “Did You Get It?” question on the roles of calcium in muscle • New “Did You Get It?” questions throughout the chapter.
contraction.
• Updated descriptions of cross-bridge formation and the sliding Chapter 9: The Endocrine System
filament theory, including the role of ATP. • Updated discussion of the mechanism of hormone action,
• New link to IP Essentials for the sliding filament theory. including Figure 9.1 and its caption, to reflect that steroid
• New description of flaccid versus spastic paralysis. hormones can act via either second messenger or direct gene
• New mnemonic device for adduction: “add” back to the body by activation.
moving toward the trunk (midline). • Updated explanation of how hormones alter cell activity.
• New descriptions of dorsiflexion and plantar flexion with respect • New analogy comparing second-messenger systems to delivering a
to the head: toes point toward the head or away, respectively. letter.
• New girdle analogy for abdominal wall muscles “holding guts in.” • Revised coverage of endocrine glands to reflect their location in
• New description of the consequences of an injection being too body from superior to inferior; Table 9.1 has also been revised to
close to, or hitting, the sciatic nerve. reflect the new order.
• New description of tailor’s muscle sitting position. • Updated description explaining why a goiter forms in the absence
• New description of myasthenia gravis as an autoimmune disease. of iodine.
• New “Short Answer Essay” question about the relationship • Updated description of body proportions in cretinism.
between wrist flexors and extensors, including their locations. • New “Did You Get It?” question on adrenal cortex hormones.
• New figure question for Figure 6.20 on the origin(s) and
insertion(s) of the rectus femoris depending on the action being Chapter 10: Blood
performed. • Updated explanation of why the normal temperature of blood is a
• Updated explanation of steps in Figure 6.5. bit higher than body temperature.
• Added definitions for the suffixes -cytosis and -penia.
Chapter 7: The Nervous System • Updated the analogy comparing the shape of the eosinophil
• Updated Figure 7.13 to use superior and inferior instead of nucleus to earmuffs.
cephalad and caudal. • Updated the role of monocytes to include activation of
• Updated Figure 7.24 to clarify why there are eight cervical nerves lymphocytes.
but only seven cervical vertebrae. • Updated the list of locations where red marrow is found in adults.
• New Learning Outcome on the structures and functions of neurons • Updated the major anticoagulants to include warfarin.
and neuroglia. • New description of petechiae includes comparison to a skin rash.
14 New to the Twelfth Edition
• Added a learning tool about blood type reminding readers that a • Updated Table 12.1 regarding the role of nasal hairs to include
person does not make antibodies against their own blood type filtration of airborne particles.
antigen(s). • Updated Table 12.3 entry for “Cytokines: Perforin and granzymes”
• Updated discussion of lack of vitamin B12 as the cause of to include natural killer (NK) cells.
pernicious anemia and how this relates to intrinsic factor. • New “Did You Get It?” questions throughout the chapter.
Chapter 11: The Cardiovascular System Chapter 13: The Respiratory System
• Updated description of pericardium. • New information explaining neural regulation of breathing with
• Revised discussion of the function of the atria to clarify that they respect to the dorsal and ventral respiratory groups of the medulla.
assist with ventricular filling. • New Short Answer Essay question contrasting hyperventilation and
• Arteries and veins are now introduced in terms of the direction of hyperpnea.
blood flow with respect to the heart. • Updated “A Closer Look” on cleanliness and asthma.
• New analogy comparing valve cusps filling with blood to a • New “Did You Get It?” questions throughout the chapter.
parachute filling with air.
• New analogy comparing the intrinsic conduction system setting Chapter 14: The Digestive System
heart rhythm to a drummer setting the beat for a rock band • New illustration outlining the parietal and visceral layers of the
playing a song. peritoneum (Figure 14.5).
• New discussion of AEDs (automatic external defibrillators) • New illustrations showing both deciduous and permanent teeth in
included in the discussion of fibrillation. greater detail (Figure 14.9).
• Reorganized section on the cardiac cycle to include five stages. • Updated description of circular folds to provide students with a
• New “Did You Get It?” question about isovolumetric contraction. visual image of a corkscrew that slows progression of food and
• Updated description of the effect of congestive heart failure on increases surface area at the same time.
stroke volume. • Added detail that rennin in infants is the same enzyme used to
• Updated description of pulmonary congestion. curdle milk in cheesemaking.
• Updated description of pulmonary embolism. • Added narcotic pain medications to the list of causes of
• Discussion of fetal circulation moved to the Developmental constipation, with stool softeners as a method of treatment.
Aspects section. • New “Did You Get It?” question on the four types of teeth and
• Updated description of the blood pressure gradient to include a their functions.
pressure of zero in the right atrium. • Added brief discussion of nucleic acid digestion, including the
• New layout of Figure 11.8 reflecting five stages of the cardiac cycle. source of the enzymes and the reminder that nucleotides are the
• Updated Figure 11.9 description to clarify that any change in heart building blocks.
rate or stroke volume will also cause a change in cardiac output. • Revised “A Closer Look” box on obesity to update references,
• Updated description of Figures 11.13 and 11.14 to include a statistics, and methods used to determine body composition, such
statement that all vessels are bilateral unless otherwise stated in as DEXA, the Bod Pod, and underwater weighing.
the text.
• Updated “A Closer Look” box on atherosclerosis. Chapter 15: The Urinary System
• Updated descriptions of the arterioles that connect to the
Chapter 12: The Lymphatic System and Body Defenses glomerulus.
• Updated Figure 12.10 on lysis by complement to reflect water • Included a new learning tool describing the internal urethral
flowing into the cell to cause lysis. sphincter as involuntary.
• Added the role of B cells in antigen presentation to Figure 12.19. • New “Short Answer Essay” question contrasting the homeostatic
• New information added regarding discovery of lymphatics in the imbalances oliguria, anuria, polyuria, and nocturia.
central nervous system. • New “Critical Thinking and Clinical Application” question about
• Updated the description of adaptive defenses as defenses that fight the relationship between hypertension and impaired kidney
antigens that get past the innate defenses. function, and tests that are used for determining impaired kidney
• New description of how natural killer cells kill: via perforin and function.
granzymes. • New information included in “A Closer Look: Renal Failure and the
• Updated the description of positive chemotaxis to include Artificial Kidney” about a blood test to determine the creatinine
movement toward the stimulus. level in order to estimate the rate of glomerular filtration.
• Revised description of interferon to clarify that interferon fights • Did You Get It?
only viral pathogens, not bacteria or fungi.
• New antibody function has been listed: opsonization. Chapter 16: The Reproductive System
• New description of Graves’ disease explaining that excess • New explanation of the purpose of polar bodies: to reduce the
production of thyroxine is in response to antibodies that mimic chromosome number during oogenesis.
TSH (thyroid-stimulating hormone). • Update of suggested age range for women to begin having regular
• New descriptions of two additional types of hypersensitivities: mammograms: between 45 and 54.
reactions resulting in cell lysis and those forming antigen-antibody • New Concept Link on chemotaxis.
complexes. • New photomicrograph showing sperm swarming an oocyte in
• New example of when epinephrine is used during acute Figure 16.16.
hypersensitivity: EpiPen® injection. • New explanation of how an egg blocks additional sperm from
• New Short Answer Essay question provided on mechanisms of entering; the surface sperm receptors on an oocyte are shed after
killing used by the immune system, including lysozyme, perforin, the first sperm enters the cell.
and granzymes, and membrane attack complex (MAC). • New clarification with updated definitions of miscarriage and
• Updated “A Closer Look” box on AIDS, including new title. abortion.
Acknowledgments
Many people contributed to our efforts in the cre- University; Amy Goode, Illinois Central College;
ation of this twelfth edition. We offer our profound Jeannette Hafey, Springfield College; Ashley Hagler,
thanks to the following reviewers, whose thought- Gaston College; Frances Miles, Lake Michigan
ful critiques informed and enhanced our develop- College–Napier Avenue Campus; Margaret Ott, Tyler
ment of this edition: Junior College; Heidi Peterson, Indian Hills Commu-
• William Brazelle, University of South Florida nity College–Ottumwa Campus; Laura Ritt, Burling-
ton County College; Holly Sanders, Gwinnett
• Sheree Daniel, Trinity Valley Community
Technical College; Leba Sarkis, Aims Community
College
College; Gustavo A. Solis, Forsyth Technical Com-
• Trevor Day, Mount Royal University munity College; Ginny Stokes, Nash Community
• Camille Di Scala, Chandler-Gilbert Community College; Robert Suddith, Cape Fear Community Col-
College lege; John F. Tarpey, City College of San Francisco;
• Pamela Boyter Jackson, Piedmont Technical Deborah S. Temperly, Delta College; Claudia Wil-
College liams, Campbell University.
• Roop Jayaraman, Central Michigan University The entire group from Pearson and beyond
deserves our heartfelt thanks for being the best
• Kimberly Kushner, Pueblo Community College team around! They have provided support, guid-
• Frances Mills, Lake Michigan College ance, and humor throughout the writing process,
• Diane Pelletier, Green River Community which made the process fun and was most appre-
College ciated. Special thanks to Serina Beauparlant, Edi-
• Heidi Peterson, Indian Hills Community tor-In-Chief, Brooke Suchomel, Sr. Acquisitions
College Editor, and Tiffany Mok, Program Manager who
passed the reins to Lauren Harp, Sr. Portfolio Man-
• Kenneth Ryan, Alexandria Technical and
ager, for crossing the finish line. Thanks also to
Community College
Nicky Montalvo, Editorial Coordinator. Thank you
• Holly Sanders, Gwinnett Technical College to the content development team—Suzanne Olivier,
• Scott Schaeffer, Harford Community College Alice Fugate, and Laura Southworth—for their
• I-Chia Shih, Leeward Community College, attention to detail and collaborative minds. Thank
University of Hawaii you Patrice Fabel, Ziki Dekel, and Lauren Hill for
supervising an impressive variety of media content
• K. Dale Smoak, Piedmont Technical College
that will benefit both students and instructors. A
• Bill Snyder, Bluegrass Community and special thank-you to Gary Hespenheide for the
Technical College book’s beautiful and creative new interior and
• Greg Tefft, Northwest State Community College cover designs. The work of Kristin Piljay, Photo
• Sandra Uyeshiro, Modesto Junior College Researcher, resulted in some striking new photos
• Khursheed Wankadiya, Central Piedmont for this edition; and Sally Peyrefitte, our excellent
Community College and diligent copyeditor, ensured a consistent style
throughout the book. Proofreader Betsy Dietrich
• Carol T. Wismer, College of Lake County skillfully reviewed every page proof, and Sallie
Thanks are also extended to the reviewers of the Steele provided a thorough and accurate index.
Eleventh Edition: Carmen Carpenter, South Univer- Our talented art house, Imagineering STA Media
sity; Steven D. Collins, Niagara College; Janie Cor- Services, Inc., and compositor, Aptara, worked tire-
bitt, Central Georgia Technical College–Milledgeville lessly to provide stunning artwork and student-
Campus; Eric D. Forman, Sauk Valley Community friendly page layouts. Stacey Weinberger, Senior
College; Andrew Goliszek, North Carolina A&T State Manufacturing Buyer, Allison Rona, and Derek
15
16 Acknowledgments
The publishers would like to thank the following for their contribution to the Global Edition:
Contributor
Christiane Van den Branden, Vrije Universiteit Brussel
Reviewers
Hemant Kumar, MBBS
Snezana Kusljic, The University of Melbourne
Eva Strandell, Halmstad University
Contents
1 he Human Body:
T Summary 47
Review Questions 48
An Orientation 27 Critical Thinking and Clinical
Application Questions 49
An Overview of Anatomy and A Closer Look Medical Imaging:
Physiology 27 Illuminating the Body 36
Anatomy 27
2
Physiology 28
Relationship between Anatomy Basic
and Physiology 28
Chemistry 50
Levels of Structural Organization 28
From Atoms to Organisms 28 Concepts of Matter and Energy 50
Organ System Overview 29 Matter 50
Integumentary System • Skeletal System • Muscular
Energy 51
System • Nervous System • Endocrine System
Forms of Energy • Energy Form Conversions
• Cardiovascular System • Lymphatic System
• Respiratory System • Digestive System
• Urinary System • Reproductive System
Composition of Matter 52
Elements and Atoms 52
Maintaining Life 33 Atomic Structure 52
Necessary Life Functions 33 The Basic Atomic Subparticles • Planetary and Orbital
Maintaining Boundaries • Movement • Responsiveness Models of an Atom
• Digestion • Metabolism • Excretion • Reproduction Identifying Elements 54
• Growth
Atomic Number • Atomic Mass Number • Atomic
Survival Needs 35 Weight and Isotopes
17
18 Contents
3
Skeletal Muscle 124
Cells Cardiac Muscle 124
4
Membrane Transport 102
Passive Processes: Diffusion and Filtration Skin and Body
Membranes 135
• Active Processes
Cell Division 108
Preparations: DNA Replication • Events of Cell Division
Protein Synthesis 111 Classification of Body
Genes: The Blueprint for Protein Structure • The Role Membranes 135
of RNA • The Process of Protein Synthesis
Epithelial Membranes 136
Part II: Body Tissues 114 Cutaneous Membrane • Mucous Membranes
• Serous Membranes
Epithelial Tissue 114 Connective Tissue Membranes 136
Hallmarks of Epithelium 114
Contents 19
Developmental Aspects of Skin and Body Bones of the Lower Limbs 190
Membranes 153 Thigh • Leg • Foot
A Closer Look A Wrinkle Out of Types of Synovial Joints Based on Shape 196
Time 143
Developmental Aspects of the
Focus on Careers Medical
Skeleton 199
Transcriptionist 154
Birth to Adulthood 199
Systems in Sync 155
Older Adults 201
5
Summary 203
The Skeletal Review Questions 204
6
Anatomy
Bone Formation, Growth, and The Muscular
Remodeling 167
Bone Formation and Growth • Bone Remodeling
System 207
Bone Fractures 170
Overview of Muscle Tissues 207
Axial Skeleton 172
Muscle Types 207
Skull 172 Skeletal Muscle • Smooth Muscle • Cardiac Muscle
Cranium • Facial Bones • The Hyoid Bone
Muscle Functions 211
Vertebral Column (Spine) 178 Produce Movement • Maintain Posture and Body
Position • Stabilize Joints • Generate Heat
• Additional Functions
20 Contents
7
Skeletal Muscle Activity 213
Stimulation and Contraction of Single Skeletal The Nervous
Muscle Fibers 213
The Nerve Stimulus and the Action Potential System 251
• Mechanism of Muscle Contraction: The Sliding
Filament Theory
Contraction of a Skeletal Muscle Organization of the Nervous
as a Whole 217 System 252
Graded Responses • Providing Energy for Muscle Structural Classification 253
Contraction • Muscle Fatigue and Oxygen Deficit
Functional Classification 253
• Types of Muscle Contractions—Isotonic and
Isometric • Muscle Tone • Effect of Exercise on
Muscles
Nervous Tissue: Structure and
Function 253
Muscle Movements, Roles, and Supporting Cells 253
Names 222
Neurons 255
Types of Body Movements 222 Anatomy • Classification • Physiology: Nerve Impulses
Special Movements • Physiology: Reflexes
Interactions of Skeletal Muscles
in the Body 226 Central Nervous System 265
Naming Skeletal Muscles 228 Functional Anatomy of the Brain 265
Cerebral Hemispheres • Diencephalon • Brain Stem
Arrangement of Fascicles 228
• Cerebellum
8
Aspects of the Special
Special Senses 327
Senses 304 Summary 329
Review Questions 331
Part I: THE EYE AND Critical Thinking and Clinical
Application Questions 332
VISION 305
A Closer Look Visual Pigments—The Actual
Anatomy of the Eye 305 Photoreceptors 311
External and Accessory Structures 305 A Closer Look Bringing Things into
Internal Structures: The Eyeball 307 Focus 315
Layers Forming the Wall of the Eyeball • Lens Focus on Careers Physical Therapy
Assistant 321
Physiology of Vision 313
Pathway of Light through the Eye and Light
9
Refraction 313
Visual Fields and Visual Pathways The Endocrine
to the Brain 314
Eye Reflexes 316
System 334
Part II: THE EAR: HEARING AND The Endocrine System and Hormone
BALANCE 316 Function—An Overview 335
The Chemistry of Hormones 335
Anatomy of the Ear 317 Hormone Action 335
External (Outer) Ear 317 Direct Gene Activation • Second-Messenger System
Middle Ear 318 Stimuli for Control of Hormone
Release 337
Internal (Inner) Ear 318
Hormonal Stimuli • Humoral Stimuli • Neural Stimuli
Equilibrium 318
The Major Endocrine Organs 338
Static Equilibrium 319
Pituitary Gland and Hypothalamus 339
Dynamic Equilibrium 319 Pituitary-Hypothalamus Relationships
Pineal Gland 343
Hearing 322
Thyroid Gland 343
Hearing and Equilibrium Deficits 323 Parathyroid Glands 345
Thymus 346
22 Contents
10
Physiology of the Heart 390
Intrinsic Conduction System of the Heart: Setting the
Basic Rhythm • Cardiac Cycle and Heart Sounds
12
A Closer Look AIDS: An Ongoing
he Lymphatic
T Pandemic 454
Defenses 424
Part I: The Lymphatic
System 424
13 The Respiratory
System 462
Lymphatic Vessels 425 Functional Anatomy of the Respiratory
System 462
Lymph Nodes 426 The Nose 463
Metabolism 516
15
Swallowing and Peristalsis
Activities of the Stomach 507
Food Breakdown • Food Propulsion
The Urinary
Activities of the Small Intestine 509 System 537
Chyme Breakdown and Absorption • Chyme
Propulsion
Activities of the Large Intestine 511 Kidneys 538
Nutrient Breakdown and Absorption • Propulsion Location and Structure 538
of Food Residue and Defecation Kidney Structure • Blood Supply
Nephrons 539
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girl at the wheel was showing disturbing signs of putting the motor into
reverse and seeking to back off the heavy piece of bridge-railing that,
jammed in between their rear mud-guard and the side of the car, was the
only thing preventing the machine from plunging off into eternity.
"I say, leave the motor alone!" Rodrigo shouted at once and scrambled
hurriedly out from behind the wheel of the sedan, his companions following.
"And whose motor is it, may I ask?" the pretty blonde in the driver's seat
came back promptly, at the same time jabbing furiously at levers.
Rodrigo was by this time at her side and, horrified, was clutching for her
wrist. "Lady, lady," he cried half in fear and half in mockery. "Shut off the
motor and get out quick. You're on the brink of eternity."
"Yes, Sophie, do," the other girl, slightly older and a brunette, agreed.
Thus the Oxonians made the acquaintance of Sophie Binner and Adele
Du Bois, ladies of the chorus in "The Golden Slipper," the current revue at
the Gayety. On the promise of stopping at the nearest garage and having the
wrecked machine sent for, the girls consented to enter the sedan and be
driven back to London. By the time the outskirts of the city were reached,
the party was a very gay one and Sir William Newbold's Treasure Hunt was
quite forgotten.
Having, following this adventure, made his apologies to his uncle and
aunt for having left the Treasure Hunt flat, the excuse being the necessity of
rescuing an automobile party in distress, Rodrigo proceeded to cultivate the
further acquaintance of Miss Binner assiduously and without the knowledge
of the Newbolds.
He was her constant cavalier. She taught him much—for instance, that a
baby-faced blonde can possess a wicked tongue, a sudden and devastating
temper and a compensating tenderness that made up for both defects. He was
thoroughly infatuated at first. Then his ardor cooled as he realized that
Sophie was professing to take his wooing seriously. The idea of contracting
an alliance with a future nobleman seemed to appeal to her. Rodrigo did not
think of her in that regard at all, and he was alarmed. He began looking for a
loophole.
The climax came at a party arranged for after the show in Sophie's
Mayfair apartment. Rodrigo had recruited Bill Terhune, Bond and three or
four other Oxford friends for the fun. They had accumulated Sophie, Adele
and a quartet of their sister coryphees at the theatre after the evening
performance and whirled them through the London streets in a fleet of
taxicabs. At two o'clock in the morning the party was in full swing. The
tinpanny piano crashed out American jazz under the nimble fingers of
Sophie. Leslie Bond numbered drumming among his numerous avocations
and had brought along the clamorous tools of his hobby. His hysterical
efforts on drums, cymbals and cowbells augmented the din and broke both
drums.
The revelers sang, danced, drank and made love. Bill Terhune, under the
impetus of spirits, was especially boisterous.
Sophie, from the piano, however, did not share their enthusiasm. "It may
interest you impetuous lads to know that our killjoy friend is a magistrate
and will probably have a couple of bobbies here in five minutes," she
warned them. They laughed at her and the party went on.
In twenty minutes there was another knock. Two bobbies, each built like
Dempsey, confronted Rodrigo when he opened the door. The policemen
entered with that soft, authoritative tread that London police have. One of
them laid hands upon Bill Terhune. Bill, former intercollegiate boxing
champion, was in a flushed and pugnacious mood. He promptly struck the
officer in the face and sent him reeling to the floor.
"First, don't you think we'd better revive your friend on the floor?"
Rodrigo suggested.
When they had brought the fallen one back to life, Rodrigo soothingly
and skillfully persuaded the officers to let Sophie alone, to allow him to
assume sole responsibility for the trouble. He asked only permission to
telephone his uncle, Sir William Newbold. The bobbies generously
consented to take him, without Sophie, to jail for the rest of the night, but
they declined to allow him the use of the telephone.
The jail cell was cold, cramped and dirty. Rodrigo's cellmate was a hairy
navvy recovering from a debauch. Rodrigo had to listen to the fellow's
alternate snoring and maudlin murmurings until dawn. When, around ten
o'clock in the morning, he did succeed in getting in touch with his uncle, the
latter's influence was sufficient to secure his release.
He resolved to call upon her and break off any possible entanglement
with her.
During the two years following his graduation from Oxford, Rodrigo had
vague ambitions to become a painter and spent considerable time browsing
about the galleries of England, Spain, France and his native Italy. He had a
workroom fitted up in the palace of the Torrianis and did some original work
in oil that was not without merit. But he worked spasmodically. His heart
was not in it. He knew good painting too well to believe that his was an
outstanding talent, and he lacked ambition therefore to concentrate upon
developing it.
In the pursuit of pleasure and the spending of money he was more
whole-hearted. He skied and tobogganed at St. Moritz, gambled at Monte
Carlo, laughed at Montmartre's attempts to shock him, and flirted in all three
places. Upon the invitation of the bobby-assaulting American Rhodes
scholar, Terhune by name, now squandering his South Dakotan father's
money in New York under the pretence of making a career in architecture,
Rodrigo visited America. America, to Rodrigo, was represented by the
Broadway theatre and nightclub belt between dusk and dawn. Having in a
few weeks exhausted his funds and finding his cabled requests for more
greeted with a strange reticence, Rodrigo started for home. Three days out
from New York he received the cable announcing to him Count Angelo
Torriani's sudden death.
In the flash he saw that the girl was dark, and beautiful in a wildflower-
like manner. She was also very dusty from walking. In the torrent of oaths
which she poured after him, she furthermore revealed herself as charmingly
coarse and unrestrained. Rodrigo cheered up. After the weeks of grief and
loneliness, and particularly after the Naples realtor, he found himself
wanting ardently to talk to a woman, any woman. He stopped the car and
slowly backed up even with the approaching girl. She continued to swear at
him. He smiled. When she had gradually quieted, he apologized and offered
her a seat beside him. Her angry face relaxed, she pouted, and ended by
accepting.
In a few days he had drifted into a fast ripening friendship with Rosa
Minardi, who was childlike, was no tax upon his conversational charms or
ingenuity, and who liked him very much. Her mother was dead, her father
was away in Rome on some mysterious errand. Rodrigo badly needed any
sort of companionship, and Rosa filled the need.
CHAPTER III
Maria's gnarled knuckles beat vigorously upon her young master's door.
When her tattoo failed to bring results, she opened the door and walked
boldly in. Waddling to the floor-length windows, she flung aside the heavy
draperies, drenching the room with sunlight. With a guttural exclamation that
was half disgust and half tenderness, she turned toward the dark, recumbent
form upon the canopied bed, still undisturbed by her activities. She
approached Rodrigo and shook him.
When at last he blinked up at her, she said sharply, "Get up, lazy one.
Your American has already breakfasted and is downstairs waiting for you."
"I see you are making the acquaintance of my ancestors," said Rodrigo.
"This one, like the others, you will observe, led a short life and, so I
understand, a merry one." Rodrigo noted curiously how glasses added at
least five years to the age of John Dorning. Having at the instant of their first
encounter at the Café Del Mare set the American down as an innocent and
probably a prig, Rodrigo had, during their discourse and drinking of the
previous night, changed his mind and conceived a mild liking for the man.
Dorning was honest, outspoken, and possessed of considerable culture. He
was, Rodrigo vaguely felt, the sort of person whom he should cultivate, the
type that develops into a staunch and worth-while friend.
"Your ancestor has at least had the good fortune to have been perpetuated
by an excellent artist," said Dorning.
"Here is something that will interest you," offered Rodrigo, walking over
to a low, ornately carved cabinet set against an adjacent wall. "This is the
best example of Early Renaissance cabinet work anywhere around here."
Dorning bent a grave, interested head and ran expert fingers over the
carving. His host tugged at the doors of the cabinet. As he wrenched them
apart, a shelf inside, unbalanced by his effort, slid out upon the floor, spilling
its contents as it came. The two young men looked at each other, and
Rodrigo grinned sheepishly. Two bundles of letters and a feminine lace fan
lay at Dorning's feet.
Rodrigo dropped to his knees and, replacing the souvenirs, closed the
cabinet. He rose, dusted his hands, said suavely, "The cabinet was made by
Beniti, in Genoa, around 1627. The contents are slightly more modern."
"So I judged," said John Dorning dryly. Then with more enthusiasm, "I
only wish I knew Italian antiques as well as you do, Count Torriani—and
antiques are my business."
She turned doubtfully. She lacked her usual faith in her sharp tongue in
dealing with a calloused fellow like Minardi. She had taken but a step when
the draperies parted and Minardi, wearing the same clothes, expression, and
carnation as on the previous evening, bulked before them. He had heard
Rodrigo's voice talking with Maria, and he was taking no chances. His fat,
weak face was trying its best to assume hard, menacing lines. His ill-kept,
corpulent body was drawn up as straight as possible with unrighteous
indignation. He relaxed for an instant to turn around and drag by the wrist
from the other side of the curtain his daughter, Rosa.
Rosa had been brought to the scene with some difficulty. She flashed
indignation at her father through swollen eyes. Actually propelled now into
the presence of Rodrigo, she glanced half defiantly, half shamefacedly at
him, then stood regarding the floor.
Minardi wheeled upon Rodrigo. "So—it was you! Ah. Why did you not
say so before, eh?" And he launched into a fresh flood of indignation.
Rodrigo raised a hand to stop him. He perceived that this fellow could
not be easily overawed. Minardi wanted money and would probably
continue to be a howling nuisance until he got it. Rosa, Rodrigo suspected
shrewdly, was in the plot with her father. Certainly she would not otherwise
have revealed her love affair with Rodrigo to Minardi and, instead of
keeping her rendezvous at the Café Del Mare, allowed the noisy old man to
come on a blackmailing expedition in her place. Any tenderness Rodrigo had
previously felt for Rose Minardi disappeared. His lips curled as he looked at
her dark head, cast down in assumed modesty.
When Minardi had calmed down, Rodrigo snapped, "How much do you
want?"
Minardi's anger faded. His eyes lighted up with greed. "Five thousand
lira," he replied in a business-like tone.
Minardi's hand went to his greasy inside coat pocket, "I have here letters
that are worth more than that," he said. "Letters you have written to my
Rosa. There are such things as breach of promise suits. The newspapers
would like them, eh? The Torrianis are not popular at Naples, eh?"
In spite of himself, Rodrigo winced a little. This fat, futile old reprobate
began to assume the proportions of a real danger. Rodrigo essayed frankness.
"You know so much about the Torrianis," suggested he, "you perhaps know
that I have not five thousand liras at the moment."
Minardi shrugged his stooped shoulders. "Even if that is true, you can
get them," he said. And he looked significantly at John Dorning, an
interested and somewhat disgusted spectator at the scene.
Rodrigo's slim fingers were drumming nervously upon the Beniti cabinet
which he had just been displaying to his guest. In their nervous course over
the top of the cabinet the finger points met the smooth surface of an
elaborately wrought silver vase standing there. Rodrigo looked down. He
hesitated an instant, then caught up the vase in his hand.
Dorning said at once to Rodrigo, "Give him money then. I will buy the
vase. I'll give you twice what he wants—ten thousand liras—and make a
handsome profit if I ever want to dispose of it." He took out his purse.
Rodrigo regarded his guest with puzzled surprise. "I don't want you to do
this for me, Dorning. I——"
"Please tell me you do not think I plotted this with him," she pleaded, her
dark, warm face quite near to his. "It is not for money I love you. I did not
come to the café last night, because I was angry with you for telling me I am
bad tempered. I cried all last night over that, Rodrigo. But I am not angry at
you now. I am angry only at Papa." Her soft arms attempted to steal around
Rodrigo's neck. "Tell me that you still love me," she begged in a low, husky
voice.
"But you are bad tempered, Rosa," he jibed, disengaging her arms. "And
I think you are somewhat of a liar besides."
She fairly flung herself away from him at that, standing with heaving
bosom and flashing eyes. She was still cursing him when her father laid
violent hands upon her and led her out of the house.
"The trouble with women," Rodrigo remarked, "is that they cannot keep
love in its proper place. It soon ceases to be a game with them and becomes
a mad scramble to possess a man. Then comes jealousy, bad temper,
remorse, and complications such as you have just seen."
"There was a terrific four-handed clash. Poor Francesca was half mad
with anxiety. The Count challenged him to a duel. In the fight, Francesca,
who, unlike the rest of the Torrianis, was no swordsman, was killed."
"The lady should not have taken Francesca's love so seriously as to have
become jealous. When will women understand that when they take our
admiration seriously they kill it?"
"Yes. I am in debt. Economy was not one of my father's virtues, nor did
he take the trouble to develop it in me." Rodrigo, fearing to be
misunderstood, added, "Not that I am in need of a loan, you understand. You
have done quite enough for me, and I am grateful."
"I can either marry the first single rich lady or widow who will have me,
or I can sell or rent this place and its contents."
"Why not?" Rodrigo was curious. He was secretly rather pleased at the
personal turn the conversation had taken, for, with all his worldliness and
experience along romantic lines, it seemed that Dorning's common sense
might be valuable in considering the rather dismaying future.
Thus encouraged, John Dorning revealed what was in his mind. "We—
Dorning and Son," he explained, "have gone in recently, to a very extensive
degree, for Italian antiques. My mission over here is for the purpose of
adding to our stock. Also, if possible, to acquire a man to manage that
department of our business, someone who is an expert in that line and who at
the same time is fitted to deal with our rather exclusive clientele. It occurs to
me that you might be that man, if you would care to consider it."
Rodrigo did not reply at once. He took three or four steps in silence,
thoughtfully, away from Dorning. Go to America! Enter business! He
recalled the deprecatory manner in which his father had always talked about
business and the great relief it had been for the elder Torriani to leave the
Indian trade and settle down at last to be a gentleman again. And he was very
much like his father in so many ways. The business of John Dorning, to be
sure, was art, something he, Rodrigo, loved. It was not like the mad
commercial scramble of ordinary trade. There was nothing commercial
about Dorning. Something within Rodrigo said "Go." Something in
Dorning's offer was lifting off his mind the almost physical weight that
oppressed him every time he considered the future.
"I will accept your offer and return with you to America," Rodrigo said
with quiet suddenness.
John Dorning started. He had not suspected such a quick and decisive
answer. "Fine," he said. "Can you arrange your affairs to sail with me next
week on the Italia?"
Rodrigo was sure that he could. Now that he was committed to the
plunge, he was positively gay about it. The two young men spent the rest of
the day talking the arrangements over. In the afternoon they journeyed in to
Naples in Rodrigo's car and entered an agreement with the fussy Italian real
estate agent to rent the palace of the Torrianis to the family of a young
American author who had just made a fortune out of a best-selling novel and
wished to write its sequel along the romantic shore of the Bay of Naples.
CHAPTER IV
The great floating hotel glided steadily ahead over the smooth, black
waters of the Mediterranean. Somewhere within her hull, boiler fires were
roaring and a labyrinth of machinery was driving furiously, but only a slight,
muffled throb reached the ears of the lone passenger standing at the rail
directly under the bridge. Over his head he could hear the regular tread of
the watch officer as he paced his monotonous round. In front of him was the
dark immensity of the night, broken only when he lowered his eyes to take
in the lights from the port-holes and the jagged streaks of phosphorescence
streaming back from the bow as it cut the water.
Rodrigo was quite happy. His ripening friendship with Dorning, the new
clean life into which every minute of the ship's progress was carrying him,
the cool, damp darkness that surrounded him, added to his content. He
snapped his cigarette into the Mediterranean and with a peaceful sigh walked
into the crowded, brilliantly lighted saloon in search of his friend.
"I feared you had changed your mind and leaped overboard or
something," Dorning smiled as Rodrigo approached. "I want you to meet Mr.
Mark Rosner, Rodrigo. Mr. Rosner—Count Torriani." Rodrigo bowed and
slid into his place at the table.
Rosner replied in his jerky voice, "Really? You couldn't join a concern
with a finer reputation, Count Torriani. Dorning and Son are the leaders in
their line in New York, as you probably know. Sometimes I wish I had never
left your father, John." Dorning secretly smiled at Rosner's sudden
familiarity. "But you know how it is—there is a certain satisfaction in being
on your own, in spite of the risk involved."
"I don't suppose, though, that it's much different in New York," Rosner
admitted. "I remember many of the old-line concerns were against foreigners
there too, and I don't suppose it has changed much. I recall how Henry
Madison opposed your father's taking on that Italian sculptor, Rinaldi, and
how pleased he was when the chap fell down and had to be let out. You were
there then, weren't you, John?"
John did not look over-pleased. "Rinaldi was not the man for the job," he
said with a frown. "My father was carried away with his enthusiasm for the
man's work in clay. Rinaldi was no good out of his studio, and Madison
quickly recognized it. The fact that Rinaldi was a foreigner had nothing to do
with the matter."
Rodrigo now listened with interest for the first time since he had sat
down at the table. He foresaw that his career with Dorning and Son might
not prove as unruffled as he had anticipated. This did not greatly annoy him.
He had little of the eccentric artistic temperament, and there was enough of
the merchant blood in him to enable him to adapt himself to office work. At
least, he hoped so. If obstacles arose, he would overcome them.
Rosner, glancing furtively from one of his tablemates to the other, sensed
that he had rather put his foot into it. Why had he not remembered that
Count Torriani was a foreigner? He flushed with embarrassment and, to
change the subject, asked John, "Is your father still active in the business?"
"Yes—with the able assistance of Madison and the rest of our staff. It
isn't a very difficult job, as you can imagine. The long-standing reputation of
Dorning and Son and the organization my father built up don't leave a very
great deal for the head of the concern to do."
"All the same, it's quite a responsibility for a young fellow only a few
years out of college, John, and I congratulate you." What there was of
shrewdness in Mark Rosner now showed in his dark, ineffective eyes. Young
Dorning was evidently kind-hearted, and, of necessity, inexperienced. An
appeal to him for assistance by an old employee of his father's would
probably meet with a favorable response.
The red-faced Englishman guided them over to a table near the stairway.
A gaunt, pale, long-haired man was already seated there, surrounded by
three tipped-up chairs. He was idly shuffling the cards and dropped them to
rise as his companion reappeared. The introductions revealed that the stout
Englishman was Gilbert Christy, producer of the Christy Revues, which
Rodrigo was familiar with as elaborate girl-and-music shows relying upon
well-drilled choruses and trick stage effects rather than cleverness for their
success. The lean Englishman was Clive Derrick, leading man in Christy's
current show. The Christy Revue was transporting itself overseas, after a
brief and rather unremunerative engagement at Rome and Naples, to try its
luck on Broadway.
Rodrigo agreed that the chances were excellent, being too polite to
explain that Charlot's divertissements were clever, while Christy was about
to offer America something which Ziegfeld and other native New York
producers were already doing better than anybody else in the world.