Regulation of Tissue Oxygenation, Second Edition


Book Description

This presentation describes various aspects of the regulation of tissue oxygenation, including the roles of the circulatory system, respiratory system, and blood, the carrier of oxygen within these components of the cardiorespiratory system. The respiratory system takes oxygen from the atmosphere and transports it by diffusion from the air in the alveoli to the blood flowing through the pulmonary capillaries. The cardiovascular system then moves the oxygenated blood from the heart to the microcirculation of the various organs by convection, where oxygen is released from hemoglobin in the red blood cells and moves to the parenchymal cells of each tissue by diffusion. Oxygen that has diffused into cells is then utilized in the mitochondria to produce adenosine triphosphate (ATP), the energy currency of all cells. The mitochondria are able to produce ATP until the oxygen tension or PO2 on the cell surface falls to a critical level of about 4–5 mm Hg. Thus, in order to meet the energetic needs of cells, it is important to maintain a continuous supply of oxygen to the mitochondria at or above the critical PO2 . In order to accomplish this desired outcome, the cardiorespiratory system, including the blood, must be capable of regulation to ensure survival of all tissues under a wide range of circumstances. The purpose of this presentation is to provide basic information about the operation and regulation of the cardiovascular and respiratory systems, as well as the properties of the blood and parenchymal cells, so that a fundamental understanding of the regulation of tissue oxygenation is achieved.







The Cerebral Circulation


Book Description

This e-book will review special features of the cerebral circulation and how they contribute to the physiology of the brain. It describes structural and functional properties of the cerebral circulation that are unique to the brain, an organ with high metabolic demands and the need for tight water and ion homeostasis. Autoregulation is pronounced in the brain, with myogenic, metabolic and neurogenic mechanisms contributing to maintain relatively constant blood flow during both increases and decreases in pressure. In addition, unlike peripheral organs where the majority of vascular resistance resides in small arteries and arterioles, large extracranial and intracranial arteries contribute significantly to vascular resistance in the brain. The prominent role of large arteries in cerebrovascular resistance helps maintain blood flow and protect downstream vessels during changes in perfusion pressure. The cerebral endothelium is also unique in that its barrier properties are in some way more like epithelium than endothelium in the periphery. The cerebral endothelium, known as the blood-brain barrier, has specialized tight junctions that do not allow ions to pass freely and has very low hydraulic conductivity and transcellular transport. This special configuration modifies Starling's forces in the brain microcirculation such that ions retained in the vascular lumen oppose water movement due to hydrostatic pressure. Tight water regulation is necessary in the brain because it has limited capacity for expansion within the skull. Increased intracranial pressure due to vasogenic edema can cause severe neurologic complications and death.




Vascular Biology of the Placenta


Book Description

The placenta is an organ that connects the developing fetus to the uterine wall, thereby allowing nutrient uptake, waste elimination, and gas exchange via the mother's blood supply. Proper vascular development in the placenta is fundamental to ensuring a healthy fetus and successful pregnancy. This book provides an up-to-date summary and synthesis of knowledge regarding placental vascular biology and discusses the relevance of this vascular bed to the functions of the human placenta.




Anatomy and Physiology


Book Description




Mechanisms of Vascular Disease


Book Description

New updated edition first published with Cambridge University Press. This new edition includes 29 chapters on topics as diverse as pathophysiology of atherosclerosis, vascular haemodynamics, haemostasis, thrombophilia and post-amputation pain syndromes.




War of the Bloods in My Veins


Book Description

By turns harrowing, moving, and ultimately redemptive, this is a war story -- a war that rages out of control on the streets of the United States, claiming the lives of our loved ones and neighbors. In this memoir, complete with child soldiers, unspeakable violence, and eventual salvation, we witness the journey of an East Coast member of the notorious Bloods gang coming to terms with the lost boy he was and the transformation into the man he wants to become. Unlike the child warriors of Mozambique and Sierra Leone, gang members and the wars they wage are the United States' homegrown nightmare. Lacking protection, support, or any alternatives, Dashaun Morris is forced into battle for the first time at age eleven, in the streets of Phoenix, when a friend's older brothers put him in a car filled with 40s and weed smoke, put a gun in his hands, then make him point it at the men on the corner and squeeze the trigger. The targets are Crips, of course, and, as Morris writes, "In the darkness of the streets, my childhood is murdered.... I am reborn -- a gangster." In this haunting, violent memoir, Morris takes us through an American childhood turned grotesquely inside out. In the fourth grade, he loses his first friend in a drive-by shooting. By high school he is the man, a champion on the football field by day and a reputable banger on his 'hood turf by night. Living the life of a gang banger, Morris does it all -- drug dealing, jacking, and continuing the aimless war with rival gang members -- almost opening fire one night on a close friend, a cheerleader, as she hangs out with young men he mistakes for Crips. He eventually makes it to college on a football scholarship, but on the verge of being drafted by the NFL, Morris can't escape his gang-banging mentality and gets caught up in crimes that snatch away all future hopes. Sitting in a prison cell, he anticipates the birth of his first child while counting the friends he's buried. War of the Bloods in My Veins is part of Morris's redemption, a cry to his brothers that gang life is mental illness. It is a rare and brutally honest look into the relentless storm of abandonment, violence, crime, death, and the endless rush toward the complete and utter self-annihilation that plagues the lives of the young "soldiers" who die every day in our streets.




Open Veins of Latin America


Book Description

Since its U.S. debut a quarter-century ago, this brilliant text has set a new standard for historical scholarship of Latin America. It is also an outstanding political economy, a social and cultural narrative of the highest quality, and perhaps the finest description of primitive capital accumulation since Marx. Rather than chronology, geography, or political successions, Eduardo Galeano has organized the various facets of Latin American history according to the patterns of five centuries of exploitation. Thus he is concerned with gold and silver, cacao and cotton, rubber and coffee, fruit, hides and wool, petroleum, iron, nickel, manganese, copper, aluminum ore, nitrates, and tin. These are the veins which he traces through the body of the entire continent, up to the Rio Grande and throughout the Caribbean, and all the way to their open ends where they empty into the coffers of wealth in the United States and Europe. Weaving fact and imagery into a rich tapestry, Galeano fuses scientific analysis with the passions of a plundered and suffering people. An immense gathering of materials is framed with a vigorous style that never falters in its command of themes. All readers interested in great historical, economic, political, and social writing will find a singular analytical achievement, and an overwhelming narrative that makes history speak, unforgettably. This classic is now further honored by Isabel Allende's inspiring introduction. Universally recognized as one of the most important writers of our time, Allende once again contributes her talents to literature, to political principles, and to enlightenment.




Regulation of Coronary Blood Flow


Book Description

Research centering on blood flow in the heart continues to hold an important position, especially since a better understanding of the subject may help reduce the incidence of coronary arterial disease and heart attacks. This book summarizes recent advances in the field; it is the product of fruitful cooperation among international scientists who met in Japan in May, 1990 to discuss the regulation of coronary blood flow.




The Book of Blood


Book Description

A thrilling and lively tour of the world of blood, from ancient history to modern science, to dark and often gruesome legends of vampires and plague, this book informs readers about the most important tissue in the body.