KRAHM’s Human and Social Biology Revision Text Adapted from the following texts: Human and Social Biology for CSEC by Peter Givens, Pamela Hunte, Yvonne Quan Kep, Mark Morris Human and Social Biology for CSEC Examinations by Phil Gadd Human and Social Biology (Revision Guide) by Phil Gadd April 2017 KHM TABLE OF CONTENTS Topic Page number Living Organisms Topic Page number Excretion and Homeostasis 3 40 Characteristics of Living Things 3 The Kidney 40 Cell Theory 3 The Skin 42 Photosynthesis 6 Homeostasis 43 Movement of Substances across Membranes 6 Feeding Relationships among Organisms Coordination and Control 45 The Brain 46 7 Reflex Actions 47 The Carbon and Nitrogen Cycle 9 The Eye 48 Nutrition 11 The Endocrine System 50 7 main nutrients 11 The Reproductive System 53 Constipation 14 Male and Female Reproduction 53 Diarrhoea 15 Menstrual Cycle 56 Balanced Diet 16 Methods of Birth Control 58 Malnutrition 16 Body Mass Index 18 Mitosis and Meiosis 61 The Human Teeth 19 Inheritance 63 The Digestive System 21 Enzymes 21 Process of Digestion 22 Absorption 24 The Respiratory System 26 Rescue Breathing 27 Cellular Respiration 27 61 Disease and its Impact on Humans 25 Gaseous Exchange The Circulatory System Heredity and Variation 66 Common Disease 67 Vectors 69 Methods to Control the Growth of Microorganisms 71 Immunity 72 Drugs 73 Impact of Health Practices on the Environment 30 74 Components of Blood 32 Pollution 74 Arteries, Veins and Capillaries 33 Water Purification 76 Heart Disease 34 Sewage Disposal 77 Lymphatic System 35 Solid Waste Management 78 The Skeletal System 36 2 KHM LIVING ORGANISMS Objectives Describe the characteristics of living organisms Compare the structures of unspecialized plant and animal cells and select microbes State the functions of cell structures Identify selected cells which make up the human body Distinguish between osmosis and diffusion Explain the importance of osmosis, diffusion and active transport in living systems Explain the process of photosynthesis Explain the ways in which other organisms depend on plants directly or indirectly for food Explain the principles of a food chain Construct a food chain from a selected habitat Identify the trophic level of organisms in the food chain Characteristics of Living Things Excretion – the release of metabolic waste, toxic substances and any substances in excess of requirements Movement – the change in position or direction of the body or part of the body Growth – a permanent increase in size, dry mass and the number of cells Irritability – the ability to detect and respond to stimuli (changes in the environment) Reproduction – the ability to produce new individuals of the same species Nutrition – obtaining food in order to produce energy and provide materials for building up body cells Respiration – the release of energy from food substances to do work in the body Made up of cells Cell Theory A cell is the structural unit of most organisms. All organisms are made up of cells. Functions of Cell Organelles in Plant and Animal Cells Nucleus – contains chromosomes which control the cell’s activity Cytoplasm – a jelly-like material where most of a cell’s chemical reactions occur Vacuole – a fluid filled space that gives the cell support Mitochondrion – site of aerobic respiration (energy production) Endoplasmic reticulum – transports substances around the cell; called rough endoplasmic reticulum if there are ribosomes attached to it Ribosome – makes proteins from amino acids Cell membrane – semi-permeable outer cell lining; protects cell from surrounding environment; controls which substances enter and leave the cell; keeps cell contents in correct proportions Cell wall – a cellulose structure in the plant cell; supports cell when it is fluid filled; gives cell its regular shape Chloroplast – site of photosynthesis in the plant cell; contains the pigment chlorophyll which absorbs light energy 3 KHM Typical plant cell Typical animal cell Microbes Bacteria Bacteria have a simple cell structure. They are surrounded by cell walls, which are not made of cellulose, used to keep the cell’s shape and preventing it from bursting. Some bacterial species are surrounded by a slime capsule that protects against other organisms and reduces the chances of drying up. They have a nucleoid region with a loop of DNA within the cytoplasm – they have no nucleus. Some bacterial cells have flagella for moving through water or other fluids. Some reproduce by making spores (small reproductive structures) which germinate and divide in suitable conditions. Fungi Most fungi are multi-cellular. Each cell has a nucleus and a cell wall made of chitin. They reproduce by making spores that are carried by the wind. Most feed on dead or decaying matter. They require water for growth, oxygen for aerobic respiration and a suitable warm temperature. Structure of a human virus Structure of a mould fungus Viruses Viruses are only visible under a microscope. They are not cells, but particles made up of genetic material (DNA or RNA) surrounded by a protein coat. All viruses are parasites that enter the cells of other organisms (host) in order to multiply. They do not respire, cannot make their own protein or genetic material. They take over host cells to produce new viruses. They can reproduce very quickly and do not respond to antibiotics. 4 KHM Cell Specialisation/Differentiation There are two types of cells in multi-cellular organisms: Unspecialised cells - those which divide and have no specific function, e.g. stem cells Differentiated cells - those which develop to perform one specific function. These cells form tissues, e.g. muscle cell for muscle contraction; nerve cell to transmit nerve impulses Differentiated cells are important because they allow the organism to be as efficient as possible at carrying out its functions. Type of Cell Muscle cell Neurone (nerve cell) Epithelial cell Ovum (egg cell) Sperm Red blood cell Structure Cytoplasm is full of contractile proteins Long thin process between two parts of the body Function Contracts to bring about movement Comprises of an uninterrupted layer of cells with small spaces between them; some free (apical) surface is covered in cilia – short, thin structures that move back and forth. Largest cell in the human body; cytoplasm has stored energy; nucleus has chromosomes Long thin cell with very little cytoplasm; cell has many mitochondria; nucleus has chromosomes; long flagellum No nucleus; cytoplasm filled with haemoglobin Transmits electrical impulses over a long distance from one part of the body to another Covers most external and internal body surfaces, e.g. hollow organs, glands and outer layer of skin; Cilia move mucus in one direction, e.g. along air passages Female gamete; contains stored energy to keep the zygote alive after fertilisation; nucleus contains genes from the mother Male gamete; mitochondria release energy for swimming to meet the ovum; flagellum moves back and forth to propel the cell; nucleus delivers genes from male to ovum at fertilisation Haemoglobin transports oxygen; no nucleus facilitates more haemoglobin and allows the cell to change shape to move through capillaries Tissue – a collection of similar cells working together to carry out the same function There are 4 main types of tissues 1. Epithelial – covers and protects surfaces 2. Connective – connects between body organs and ‘packs’ between them 3. Nervous – conducts nerve impulses around the body for coordination 4. Muscle – contracts to bring about movement Organ – a collection of different tissues working together to carry out one function, e.g. the heart is made up of muscle tissue, nervous tissue, connective tissue and epithelial tissue Organ system – a collection of different organs and tissues working together to carry out one major function 5 KHM Movement of Substances across Membranes Substances can enter or leave a cell either passively (diffusion, osmosis) or actively (active transport). Diffusion Diffusion is the movement of molecules or ions from a region of high concentration to a region of low concentration until they are evenly distributed. It depends on the difference in the concentrations of particles in two places. The difference in the concentrations is called the concentration gradient. Examples of diffusion in organisms Place Small intestine Lungs Lungs Particles which move Digested food products Carbon dioxide Oxygen Capillaries Oxygen and dissolved nutrients Carbon dioxide and waste Neurotransmitters Carbon dioxide Capillaries Synapse (gap) Leaf From Small intestine lumen Alveoli Blood around the lungs Blood To Blood in villus capillary Blood around the lungs Alveoli Body cells Neurone Air space between mesophyll cells Blood Neurone Chloroplast Body cells Osmosis Osmosis is the overall movement of water from a dilute solution to a more concentrated solution through a semi-permeable membrane. It is a special type of diffusion, where water moves from a higher concentration of water to a lower concentration of water until the two concentrations become equal. Examples of osmosis in organisms 1. Absorption of water by plant roots 2. Re-absorption of tissue fluid into the venule ends of the blood capillaries 3. Absorption of water by the alimentary canal — stomach, small intestine and the colon 4. Cell membranes are selectively permeable — allow the passage of water and certain solutes Turgid cells refer to those which are full of water so that the contents push against the cell wall. Flaccid cells refer to those that have lost water and become limp. Plasmolysis refers to the movement of the cell surface membrane away from the cell wall when the cell loses water. 6 KHM Active Transport Active transport is the energy demanding transfer of a substance across a cell membrane. It carries substances against its concentration gradient, i.e. from a region of lower concentration to a higher concentration. ATP generated by respiration supplies the energy for active transport. Examples of Active Transport 1. Re-absorption of glucose, amino acids and salts by the proximal convoluted tubule in the kidney 2. The absorption of mineral nutrients by plant roots 3. Sodium/potassium pump in cell membranes (especially nerve cells and red blood cells) Photosynthesis Photosynthesis is the chemical process by which green plants make their own food in the presence of light energy. This is done by converting light energy from the sun into chemical energy in glucose. The glucose that is made is stored as starch and converted into other molecules. Raw materials Water – absorbed by root hairs by osmosis in the soil Carbon dioxide – from the air through the stomata of plant leaves Products Glucose (sugar) – stores of chemical energy Oxygen – by-product Photosynthesis takes place in the chloroplasts found in the palisade and spongy mesophyll cells in leaves of plants. Chloroplasts contain the green pigment chlorophyll which intercepts and traps light energy and enzymes that catalyse reactions to make glucose. Uses of glucose Much of the glucose is converted to starch and stored. Glucose is broken down during respiration to release energy for growth and cell activities. It can be converted to carbohydrates, lipids and proteins and used for growth. It is also converted to starch and stored, e.g. potatoes, yam, rice, dasheen. Uses of oxygen Some oxygen is used for respiration. Excess oxygen diffuses out of the leaf through the stomata. Feeding Relationships among Organisms Plants provide food for many living organisms, either directly if they are herbivores that eat them, indirectly if they are carnivores that eat live herbivores, or decomposers that feed on dead animals and plants. The sun is the ultimate source of energy for most life on earth. Producers – organisms that make their own food by photosynthesis Consumers – organisms that feed on producers Herbivore – organisms that feed on plants only Carnivore – organisms that feed on animals only Omnivore – organisms that feed on both plants and animals 7 KHM Food chain – a simple diagram that shows the feeding relationship between organisms; it shows how energy passes from one organism to another Food web – shows the interconnections of many food chains Trophic level – the position an organism occupies in a food chain Decomposers – bacteria and fungi that feed on dead and decaying matter Energy Flow and Loss Plants capture only a small percentage of the sun’s light energy that reaches them. Energy is lost as food passes up the trophic level, which limits the number of animals at each consumer trophic level. Reasons for the energy lost up the trophic levels include: Undigested and unabsorbed food passes out in faeces Much energy used for respiration Energy lost as heat to the environment Terrestrial food web Aquatic food web 8 KHM THE CARBON AND NITROGEN CYCLE Objectives Describe the recycling of carbon and nitrogen in nature Carbon Cycle The carbon cycle shows how carbon atoms are continuously taken up, converted into compounds and then recycled. The element carbon (C) is found in all organic molecules. CO2 is taken from the atmosphere and from water, e.g. lakes and oceans, by photosynthesis in plants, algae and some photosynthetic bacteria CO2 is released to the atmosphere and to water by respiration, which occurs in all organisms CO2 is released to the atmosphere by the combustion of wood and fossil fuels Fossil fuels are formed from the dead and fossilised remains of organisms, e.g. coal, oil, gas, peat Carbon compounds, such as carbohydrates, fats and proteins, pass along food chains from plants to herbivores and then to carnivores Decomposers feed on dead and decaying plant and animal matter and release CO 2 by their respiration Some carbon compounds are not decomposed; instead they accumulate in carbon sinks. Eventually these carbon compounds that have not decomposed form fossil fuels Nitrogen Cycle The nitrogen cycle is the circulation of nitrogen in the atmosphere and nitrogen-containing substances in soil and living organisms. The element nitrogen (N) is found in many organic molecules. Importance Convert nitrogen from its un-reactive form (nitrogen gas) to its reactive forms (nitrates, nitrites and nitrogen oxides) Makes nitrogen available for biological molecules, e.g. proteins, DNA, RNA Allows nitrogen to be reused by living organisms 9 KHM Main processes of the nitrogen cycle 1. Nitrogen fixation Nitrogen fixation is the process in which bacteria convert nitrogen gas from the air into ammonium ions and nitrates. Nitrogen can be fixed by: Bacteria that live in soil and convert nitrogen gas to nitrates in the soil to be absorbed by plants Bacteria that live in plant roots nodules, e.g. legumes, convert nitrogen gas to nitrates in plants Lightning that causes nitrogen and oxygen to react together to form nitrogen oxides that form nitrates in the soil 2. De-nitrification De-nitrification is the process in which nitrates in the soil are converted to nitrogen gas by denitrifying bacteria. Denitrifying bacteria live in water-logged soils and survive in conditions with very low oxygen. De-nitrification reduces soil fertility because it removes nitrates in the soil. 3. Decay Plants and animal decompose to ammonium compounds in the soil by fungi and bacteria. Animal wastes, e.g. faeces and urine, are decomposed by bacteria in the soil. 4. Nitrification Nitrification is the process in which ammonium compounds are converted to nitrates by nitrifying bacteria in 2 steps: i. Ammonium compounds are converted to nitrites in the soil by nitrosomonas bacteria. ii. Nitrites are converted to nitrates in the soil by Nitrobacter. 10 KHM NUTRITION Objectives Describe the major nutrients and their sources State the function and the main sources of vitamin A, B 1, C, D and the minerals calcium and iron State the functions of water in the body State the role of dietary fibre in the body State the cause, symptoms and treatment of deficiency diseases Describe the causes and effects of constipation and diarrhoea Explain what is meant by a balanced diet Explain the effects of malnutrition on the human body Determine Body Mass Index (BMI) Nutrient – a food substance that provides energy and is necessary for the growth and repair of living organisms. 7 main nutrients: Proteins Carbohydrates Vitamins Water Lipids Minerals Roughage Proteins Proteins are large molecule made from amino acids. They contain carbon, nitrogen, hydrogen, oxygen. Some also contain sulphur, phosphorus. Importance: Cell repair and cell growth Form main parts of protoplasm (cytoplasm and nucleus) and makes up cell structures Form the structural part of enzymes Form an important part of insulin and haemoglobin Sources: meat, fish, eggs, milk, legumes, nuts Carbohydrates Carbohydrates are groups of molecules made by plants that supply much of our energy. They contain carbon, oxygen and hydrogen. There are three types of carbohydrates: 1. Monosaccharides – the simplest carbohydrates. Food sources include biscuits, cakes and honey. 2. Disaccharides – made up of two monosaccharides. Food sources include cane and beet sugar, fruit and milk 3. Polysaccharides – complex carbohydrates made of long chains of many simple sugar units. Food sources include bread, pasta, potato, cassava and yams 11 KHM Reducing sugars are the simplest carbohydrates that produce a brick-red precipitate in blue Benedict’s Solution. They include: All monosaccharides, e.g. glucose, fructose, galactose All disaccharides except sucrose, e.g. maltose and lactose Non-reducing sugars are complex carbohydrates, which remain blue in Benedict’s Solution. They include: The disaccharide sucrose Polysaccharides, e.g. starch, glycogen, cellulose Lipids (Fats and Oils) Lipids are made up of fatty acids and glycerol. Importance: Secondary source of energy (long term store of energy) Good storage compounds Provide insulation and protection Reserves found under skin and around organs Solvent for fat-soluble vitamins (vitamins A,D,E,K) Make hormones Brain development in infants Important part of cell membrane Sources: butter, margarine, lard, peanuts, milk, cheese, castor oil seeds, pork Minerals Minerals are inorganic substances needed in small amounts by organisms. Mineral Iron Iodine Calcium Phosphorus Sodium and potassium Rich Sources Liver; eggs; dark, green, leafy vegetables; kidney; red meats Seafood; iodised table salt; cheese Dairy products; dried beans and peas; tinned tuna/salmon; green vegetables Fresh vegetables; dairy products; liver; meat; eggs; fish; nuts Fresh vegetables; milk; liver Function Forms haemoglobin in red blood cells Deficiency Results in: Anaemia Production of thyroxine which controls metabolic rate Formation of bones and teeth; assists in blood clotting; muscle contraction Goitre and reduced growth ATP production; formation of bones and teeth, formation of DNA and RNA Nerve impulse conduction Rickets 12 Rickets Rarely deficient KHM Vitamins Vitamins are organic substances needed in small amounts in the body The 2 types of vitamins: 1. Water soluble vitamins – vitamin B, C Easily assimilated in the body and mixes with blood Need to be eaten regularly because excess is excreted 2. Fat soluble vitamins – vitamin A, D, E, k Absorbed from fats and oils in the diet and can be stored in the body Vitamin A (retinol) Rich Sources Fish liver oil, milk, butter, margarine, dark green and yellow/orange vegetables, fruit, egg yolk B1 (thiamine) Yeast; egg yolk; liver; whole grain rice and wheat, kidney C (ascorbic acid) Citrus fruits, tomatoes, cherries, green vegetables D (calciferol) Milk, fish liver oils, eggs, sweet potatoes, vegetable oils; made in the body in the presence of sunlight Function Good vision, esp. in dim light; Maintains healthy hair, skin and gums; promotes bone and teeth formation; aids in fat storage; increase resistance against infections Help convert carbohydrates into glucose to produce energy Maintains healthy skin, teeth and gums; aids growth and repair of damaged tissue; strengthens immune system; assists in absorption of iron Assists in calcium and phosphorus absorption Deficiency Results in: Night blindness Beri-beri (swollen legs and digestive problems) Scurvy (weakened blood capillaries, bleeding gums) Rickets (affects bone growth) Water Water makes up ⅔ of the human body Functions: Solvent for chemical reactions to take place Forms part of all body fluids Transports nutrients and waste products through cells and around the body Improves digestion and excretion Provides cell support Allows absorption of water-soluble vitamins Maintains proper body temperature Sources: green, leafy vegetables, milk, fruits, liquids 13 KHM Dietary Fibre (Roughage) Dietary fibre cannot be digested and remains as bulk in the gut Functions: Allows peristalsis to occur - a series of controlled muscular movements that push food down the gut Allows for easy elimination of faeces - soft and digested foods do not stimulate peristalsis Prevent constipation and haemorrhoids - retains water causing softer, bulkier faeces Sources: bran products, vegetables, fruits, nuts, beans Constipation Constipation is the inability or difficulty to defecate. It occurs when bowel movements become difficult or less frequent. Going longer than 3 days without a bowel movement causes faeces to become harder and more difficult to pass. Causes: Inadequate fluid intake Inadequate fibre in the diet Change in regular diet or routine Stress, anxiety or depression Inadequate activity or exercise Ignoring the urge to pass stools Side effects of some medications Symptoms: Infrequently and/or difficulty having bowel movements Swollen abdomen Hard, lumpy, abnormally hard/small stool Abdominal pain Vomiting Treatment: Drinking 2 – 4 extra glasses of water Drinking warm liquids Eating fruits and vegetables Eating prunes and/or bran foods Taking a mild laxative or stool softener (only when necessary) Prevention: Eating high fibre foods Drinking plenty of fluids Exercising regularly Reducing ignoring the urge to pass stool Reducing the intake of starch foods 14 KHM Diarrhoea Diarrhoea is the passing of loose or watery faeces more than 3 times a day. The body can become dehydrated quickly as a result of the loss of water in the faeces. Causes: Occurs when fluid cannot be absorbed from bowel contents or when extra fluid is secreted into the bowel. Can be caused by: Consuming contaminated food or water Consuming too much alcohol and/or coffee Allergic reactions to food Intestinal damage Laxative abuse Medication side effects Symptoms: Abdominal bloating or cramps Sense of urgency to pass stool Fever Headache Thin, loose or watery stool Nausea and/ or vomiting Loss of appetite Treatment: Often goes away without treatment because the immune system automatically fights the infection. These steps can help: Drink plenty fluids to avoid dehydration Let it run its course Take over the counter anti-diarrhoeal medicines Avoid fatty, spicy or heavy foods Food poisoning is a very common cause of diarrhoea. It can be prevented by: 1. Washing hands thoroughly after using the toilet and before eating or preparing foods 2. Cleaning toilet, including handle and seat, with disinfectant, especially after each bout of diarrhoea 3. Keeping flies, roaches, rodents and other animals away from food 4. Cleaning working surfaces and kitchen equipment thoroughly before and after use 5. Avoiding storing raw and cooked foods together 6. Ensuring that food is kept properly refrigerated 7. Cooking food thoroughly 8. Avoiding the consumption of food past its expiration date 15 KHM Balanced Diet Diet – the quantity and quality of the different types of food that a person eats Balanced diet – a diet that provides energy and nutrients in the right quantities to remain in good health Food group – a group of different foods that provide the same nutrients in roughly the same proportions Food Group Staples Nutrient Supplied Carbohydrates, minerals, vitamins, fibre Legumes Vegetables Proteins, carbohydrates, fibre Vitamins, minerals, fibre, water Food from animals Fruits Proteins, fats and oils Fats and oils Fibre, vitamins, minerals, water, carbohydrates Lipids, vitamin A (in enriched margarines) Sources Rice, bread, yam, potato, cereals Peas, peanuts, soya, beans Egg plant, bell pepper, callaloo, carrot, pumpkin Meat, poultry, fish, egg, milk, cheese Orange, ripe bananas, mango, guava Margarine, butter, peanuts, oil Factors Affecting Energy Needs of Different People: size, sex, age, occupation, and climate. Malnutrition Malnutrition is the result of lack of a balance in the diet, caused by either a shortage of nutrients or eating too much of them. Examples: Starvation Anorexia nervosa Kwashiorkor Obesity Bulimia nervosa Marasmus Starvation Starvation is a shortage or complete lack of food that extends over a period of time. It leads to a deficiency of energy and nutrients. It is the most extreme form of malnutrition and can lead to permanent organ damage and death. Causes: Imbalance between energy intake and expenditure Effects: Loss of muscle mass Diarrhoea Skin rash Oedema Heart failure Irritability Lethargy Treatment: Rest and warmth; glucose followed by food in small quantities that increase over time. Obesity Obesity is a medical condition where a person is 30% or more above their recommended weight (being overweight due to having too much body fat). N.B. – obesity ≠ overweight 16 KHM Cause: Taking in more calories than the body needs (the body stores unused calories as fat). This can be caused by: Excessive alcohol consumption Environment Inactive lifestyle Genes and family history Health conditions Emotional factors Medicines Treatment: Having a lifestyle change, e.g. active lifestyle; eat healthy well-balanced meals, etc. Taking medication Surgery, e.g. Gastric binding/bypass, liposuction Risks: Coronary heart disease; hypertension; stroke; type-2 diabetes, prostate cancer, cervical cancer, arthritis Anorexia Nervosa Anorexia is a psychological eating disorder that makes persons lose more weight than is considered healthy for their age and height by not eating enough. Causes: The exact causes are unknown; however, factors thought to play a role include genes, hormones and social factors. Symptoms: Blotchy, yellow skin Extremely thin Extreme sensitivity to cold Treatment: Aimed at restoring normal body weight and eating habits. Treatment includes increasing social activity; reducing the amount of physical activity; using schedules for eating. Bulimia Nervosa Bulimia is an illness where persons binge on food then purge themselves to prevent weight gain. Purging may include: vomiting, excessive exercise, laxative or diuretic abuse. Causes: Combinations of factors thought to play a role, e.g. genes, trauma, cultural factors, psychological factors, social factors Symptoms: Compulsive exercise Suddenly eating large amounts of food then disappearing right away Regularly going to the bathroom after meals N.B. – Persons with bulimia are usually at a normal weight Complications: Oesophageal damage Dehydration Constipation Dental cavities Treatment: Support groups for patients with mild conditions and no health problems; therapy for those that don’t respond to support groups. 17 KHM Marasmus Marasmus is a protein-energy malnutrition (PEM). It is a severe form of malnutrition consisting of chronic wasting away of fat, muscle and other body tissues and is prevalent in areas with chronic hunger, contaminated water supply and inadequate food supply. Causes: Inadequate amounts of protein and carbohydrates in the diet Symptoms: Persistent diarrhoea Fatigue Lethargy Full or partial paralysis Dizziness Weight loss Loss of bladder and/or bowel control Complications: Untreated marasmus may cause: Growth problems in children Joint deformity and destruction Loss of strength Organ failure or dysfunction Unconsciousness or coma Loss of vision Treatment involves a special feeding and rehydration plan and close medical observation. These include intravenous fluids, oral rehydration solutions and naso-gastric feeding tubes. Kwashiorkor Kwashiorkor is a protein-energy malnutrition (PEM) often found in children and commonly seen in developing regions of the world with famine, limited food supply and low levels of education. Causes: Inadequate amounts of protein in the diet despite a reasonable intake of calories Symptoms: Decreased muscle mass Failure to gain weight or grow Irritability Lethargy Diarrhoea Fatigue Increased susceptibility to infections Protruding belly Complications: Untreated kwashiorkor may cause coma, permanent mental and physical disability and shock. Treatment: Correct blood and body fluid levels and treat any infections. Then reintroduce food slowly starting with small amounts with carbohydrates then high protein foods and vitamin and mineral supplements. N.B. – many malnourished children may develop lactose intolerance. Body Mass Index (BMI) BMI is used to determine the relative weight and nutritional status of individuals, whether obese, healthy or underweight.BMI is calculated using the following formula: BMI = Body mass (in kilograms) -------------------------------------Height (in metres) 2 or Body mass in pounds x 703 -------------------------------------Height (in inches) 2 18 KHM THE HUMAN TEETH Objectives Relate the types of teeth present in an infant and an adult human to their roles Describe the importance of teeth in the process of digestion Describe the structure and function of a typical tooth Outline guidelines for the care of teeth State the causes of tooth decay Describe the process of tooth decay Human Teeth The teeth are accessory organs of the digestive system in the mouth that aid in mechanical digestion. Functions: For mastication (chewing) - They cut, tear and grind food in the mouth Enables food to be mixed with saliva Allows food to be swallowed easier Humans usually develop 2 sets of teeth over a lifetime. 1. Milk Dentition: also known as baby, deciduous, primary or temporary teeth, these are the first set of teeth that erupt about 6 months after birth. They consist of 8 incisors, 4 canines, 8 premolars (20). 2. Permanent Dentition: replaces milk dentition around age 6, the last of which to emerge are wisdom teeth (32). Types of Teeth Type Incisor Canine (cuspids) Premolar (bicuspids) Molar Incisor Number in Adult 8 4 8 12 Form and Function Located at the front of the mouth, relatively flat or ‘chiselshaped’ and used for cutting into food. Have a single pointed surface used for tearing and shredding food. Usually have 1 or 2 roots, have larges surfaces with 2 main cusps for grinding food. Located at the back of the mouth, are blunt and have 2 to 3 roots. Have 4 cusps for crushing and grinding food. Premolar Canine 19 Premolar KHM Parts of the Tooth Part Crown Enamel Dentine Root Pulp cavity Cement Gum Jaw bone Function Visible part of the tooth; surface for biting and crushing food Hardest part of the tooth mostly made of calcium phosphate; prevents wear Forms the bulk of the tooth; protects the pulp Embedded in the jaw; holds tooth in place Softer, inner structure of the tooth that contains nerve endings that provide sensitivity and blood vessels that carry oxygen and nutrients in for cell use and remove waste products. Connective tissue layer that binds root tightly against jaw bone and gum Supports tooth and protects jaw bone and root Supports and provides a socket for the tooth Care of Teeth The following guidelines can be used to help take care of teeth: 1. Brush regularly and properly at least twice daily, preferably after every meal to remove plaque 2. Brush with fluoride-containing tooth paste to strengthen the enamel 3. Floss daily to remove debris between teeth 4. Change toothbrush every 2-3 months 5. Use mouth rinse (containing fluoride) after brushing to remove some remaining food particles 6. Eat nutritious and balanced meals that contain calcium, phosphorus, vitamin C, Section through a molar tooth vitamin D. 7. Avoid sugary and starchy foods which can remain on tooth surfaces and acidic foods and beverages that can damage the enamel. 8. Visit your dentist (twice yearly) for professional cleanings and oral exams. Tooth Decay Tooth decay results in the formation of dental cavities caused by a combination of food, bacteria, not brushing teeth regularly and the improper brushing of teeth. Plaque is a clear, sticky substance that covers teeth and gums that is produced by saliva, mucus, food and bacteria. It can be controlled by proper brushing and flossing. If not removed, it hardens into tartar. The Process of Tooth Decay Tooth decay is caused by bacteria living on food left on teeth. The foods are fermented by the bacteria to produce acids. The acids destroy the enamel and the dentine, exposing the pulp cavity and allow bacteria into the living tissue. The cavity made holds more food allowing the same process to continue, resulting in tooth decay. 20 KHM THE DIGESTIVE SYSTEM Objectives Explain the properties, role and importance of enzymes involved in digestion Investigate the effects of temperature and pH on the activity of amylase and catalase in the digestive process Identify the various structures of the digestive system Relate the structures of the digestive system to their functions Describe the process of digestion and absorption of food in the alimentary canal Distinguish between egestion and excretion Terms Associated with Digestive System Describe what happens to the products of digestion after their absorption Describe the structure of a villus in relation to absorption Terms Associated with Digestion Digestion - The breakdown of food from large complex molecules into smaller simpler ones so it can be absorbed through the blood stream Mechanical digestion – The breakdown of large pieces of food into smaller pieces by chewing or the churning action of the stomach Chemical digestion – The breakdown of large, insoluble molecules into smaller, soluble molecules by enzymes Mastication – The chewing of food so it can be broken down into smaller pieces Absorption – The movement of soluble molecules (digested foods, salts, vitamins, water) into living cells Assimilation – The use of food molecules in the body, e.g. using amino acids to make proteins, store glucose as glycogen, store fatty acids and glycerol as fat Ingestion – The intake of food into the body Egestion – The removal of undigested food is eliminated from the body Excretion – The process whereby metabolic waste is eliminated from the body Enzymes Enzymes are biological catalysts that are made by cells to speed up chemical reactions in the body (catalysts speed up chemical reactions). They catalyse reactions that would otherwise take too long to enable us to survive by reducing the energy needed for the molecules to react together. They remain unchanged at the end of the reaction. Properties of Enzymes 1. Proteins 2. Catalysts - they are not changed by the reaction and can be used multiple times 3. Specific - they act on a particular substrate 4. pH and temperature sensitive - they work best at certain pH and temperatures 5. Change substrate to products 6. Denatured (inactivated) at high temperatures and destroyed by boiling 21 KHM Role and Importance of Enzymes in Digestion Enzymes break down large food molecules into smaller ones so that they can diffuse through the intestinal wall into the blood. Large food molecules cannot pass through the intestinal wall. Large food molecules – starch, protein, fats Small food molecules – glucose, amino acids, fatty acids, glycerol Amylase: Converts starch to maltose. Optimum pH – 7 or very slightly higher; optimum temperature - 30⁰C Catalase: Converts hydrogen peroxide to water and oxygen. Optimum pH – 7 Functions of Digestive System Structures Structure Mouth Function (in digestion only) Food is ingested Structure Pancreas Salivary glands Oesophagus Secretes saliva containing salivary amylase and mucus Carries food from mouth to stomach Churns food and secretes gastric juices Produces bile Stores bile Carries bile to duodenum Controls amount of food leaving stomach Pancreatic duct Duodenum Stomach Liver Gall bladder Bile duct Pyloric sphincter Ileum Caecum Colon Rectum Anus Function (in digestion only) Secretes pancreatic juice with digestive enzymes Carries pancreatic juice to duodenum Secretes intestinal juice with digestive enzymes Absorbs digested food through epithelial wall Absorbs some water Absorbs water and salts Stores faeces Egests faeces Process of Digestion Mouth: Food ingested and mechanical digestion takes place (mastication) so that the food can be swallowed. Chemical digestion - Food is mixed with saliva and is lubricated for swallowing. Saliva contains salivary amylase which converts starch to maltose. The tongue pushes food to the back of the mouth to be swallowed. After swallowing, food move down oesophagus to the stomach Stomach: Mechanical digestion - Food is mixed by contraction of muscular walls Chemical digestion - Gastric juices released. It is composed of: i. Hydrochloric acid (HCl) which kills bacteria, provide acidic conditions for pepsin to work and stop salivary amylase activity ii. Pepsin - activated by HCl and breaks down large proteins to shorter polypeptides iii. Rennin (found in young children) - causes milk to clot so it can be acted upon by pepsin 22 KHM Food is then converted into chime and exit through the pyloric sphincter into the small intestine. Small Intestines: Duodenum – the 1st part of small intestine where food is digested. It receives: i. Bile from gall bladder via the bile duct to emulsify fats. Bile contains sodium bicarbonate that neutralises stomach acid ii. Pancreatic juice from pancreas via the pancreatic duct that contains: Sodium bicarbonate that neutralises stomach acid Trypsin which break down peptides Lipase which breaks down fats to fatty acids and glycerol Pancreatic amylase which breaks down starch to maltose Ileum – the largest part of small intestine where intestinal juice is secreted. In the ileum: Maltase breaks down maltose to glucose Peptidases break down peptides to amino acids Absorption takes place Colon (large intestine): Absorption of water and salts from faeces occur in the colon. Faeces are stored here for a short period of time. N.B. – Faeces are made up of undigested food, dead cells and bacteria. Rectum and Anus: Faeces are stored in the rectum and passed out by egestion through the anus. End products of digestion The end products of digestion are glucose, amino acids, fatty acids and glycerol. Fate of End Products of Digestion Glucose and amino acids diffuse into villi blood capillaries. These capillaries lead to the hepatic portal vein that leads to the liver. Fatty acids and glycerol enter villi cells. Glucose: Some is distributed to body cells to be used for respiration. Excess glucose is converted to glycogen in liver and muscles, where it is stored. Fatty acids and Glycerol: These are reformed to fats within the lacteals of villi. They then pass into the blood stream via lymph vessels of the lymphatic system. Some are stored around vital organs for insulation and protection. Amino Acids: They can be assimilated (used for making new cell material, repairing damaged tissue and forming enzymes and hormones). Excess amino acids cannot be stored; they are deaminated in the liver (converted into carbohydrates by the removal of the nitrogen group). The nitrogen group is converted to urea and is excreted in urine. 23 KHM Absorption The ileum is well adapted for absorption to take place. The ileum has many villi which increase the surface area for absorption. Structure of a Villus Structure Micro-villi Lacteal Feature Tiny finger-like projections Extensive and found at the centre of villi Blood capillaries Lead to hepatic portal vein Epithelial cells Single cell layer with many mitochondria Mucus cells Found in the epithelium Function Provides larger surface area for absorption Absorb fatty acids and glycerol that are reformed into lipids and transports them into the lymphatic system Absorb glucose and amino acids and transports them to the liver Allows diffusion of digested food. Mitochondria supply energy for active transport of molecules For food passage Human digestive system Section through a villus 24 KHM THE RESPIRATORY SYSTEM Objectives Explain the importance of breathing in humans Relate the structures of the respiratory tract to their functions Describe the breathing mechanism Outline the factors affecting rate of breathing Explain the concept of vital capacity Distinguish between gaseous exchange and breathing Identify characteristics common to gaseous exchange surfaces Differentiate between aerobic and anaerobic respiration Explain the role of ADP and ATP in the transfer of energy Explain the technique of mouth-to-mouth resuscitation Explain the effects of cigarette smoking Structure and Function of Parts of the Respiratory System Structure Nasal cavity Epiglottis Larynx (voice box) Trachea (windpipe) Cartilage Bronchus Bronchioles Pleural membrane Pleural fluid (lubricant) Rib cage Intercostal muscles Diaphragm Function Filter, warm and moisten air Prevent food entering the trachea Contain vocal cords that produce sound Allow passage of air to bronchus Prevent collapse of trachea Allow passage of air to lungs Allow passage of air to alveoli Surround lungs and enclose pleural fluid Allow lung movement during breathing Protect lung and heart; provide muscle attachment Contract and relax to change the volume of thorax Separate thorax from abdominal cavity; contract and relax to change the volume of thorax Breathing Breathing is the movement of air into and out of the lungs. It allows the lungs to take up oxygen from the air and remove carbon dioxide from the body so that their body concentrations can remain fairly constant. Breathing Mechanism This shows how the movement of intercostals and diaphragm changes the volume and pressure of the thoracic cavity, facilitating the movement of air in and out of the lungs. Human respiratory system 25 KHM External intercostal muscles Internal intercostal muscles Diaphragm Rib cage Volume Pressure Movement of air Inspiration Contract Relax Contracts (flattens) Moves up and out Increases Decreases Air flows in Expiration Relax Contract Relaxes (arches) Moves down and in Decreases Increases Air flows out Control of the Rate of Breathing The medulla oblongata controls the breathing rate automatically by monitoring blood CO 2 levels. As CO2 levels increase, the carotid arteries chemo-receptors send impulses to the medulla respiratory centre. The medulla signals breathing movements to become deeper then faster (increase breathing rate) to supply more oxygen and remove CO 2. Breathing rate decreases as CO2 levels are reduced. Lung Capacity Tidal air - the volume of air breathed in and out during quiet breathing (½ L). Found by breathing out the amount you would normally expire during quiet breathing. Expiratory reserve - the amount of air that can be blown out after expiration of tidal air (1 ½ L). Found by blowing out all the air you can after breathing out during quiet breathing. Inspiratory reserve - the additional air that can be drawn in after expiration of tidal air (1 ½ L). Vital capacity - the volume of the most air that can be blown out after fully breathing in. Found by breathing in as far as you can and then blowing out as much air as you can. Residual volume - the amount of air that cannot be removed from lungs by expiration (1 L) Gaseous Exchange Gas exchange is the diffusion of O 2 and CO2 out of the blood in the alveoli of lungs. It allows for the supply of O2 and removal of CO2. The physical process that facilitates gas exchange is diffusion. The gas exchange surface (respiratory surface) is the alveoli in the lungs which are surrounded by many blood capillaries. 26 KHM Gas Exchange in the Alveolus of Lungs The blood in capillaries contains less O 2 than the alveoli so O2 diffuses from alveoli into the blood in the capillaries. The blood in capillaries contains more CO2 than the alveoli so CO2 diffuses out of the blood in capillaries into the alveoli. Characteristics of Gas Exchange Surfaces 1. They are permeable - to allow gases to pass through 2. They are thin (1 cell thick) - to provide a short pathway for diffusion to take place 3. They have large surface areas - the larger the surface area , the faster the rate of diffusion 4. They are moist - to allow O2 and CO2 to dissolve to diffuse through alveoli walls 5. They have a rich blood supply - to bring CO2 to the surface and remove O2 Component Oxygen Carbon dioxide Nitrogen Water vapour Temperature Inspired Air 21% 0.03% 78% Variable (depends on humidity); usually dry Variable (usually cooler – room temp.) Expired Air 16% 4% 78% Moist Warm (body temp.) Inspired and Expired Air Rescue Breathing (Mouth-to-Mouth Resuscitation) Rescue breathing should only be administered when a person stops breathing. It is administered to restart breathing by blowing in expired air. Expired air contains about 4 – 6% CO2 that stimulates the medulla to initiate breathing. The 16% O 2 in expired air is enough to enter the blood in lungs and aid recovery. Chest movements stimulate the intercostals. 1. Place the injured person on their back. 2. Use one hand to gently press the head back and two fingers under the chin to push the lower jaw upward. 3. Pinch the nostrils, make a good seal around their mouth with your lips, take a deep breath and breathe out deeply. Repeat twice. 4. Check that the injured person’s chest is rising and falling. 5. Give 10 breaths per minute and check for circulation every minute 6. When the person is breathing normally, put them in the recovery position. Cellular or Tissue Respiration Cellular respiration is the process by which the energy in food is made available for a cell to do work. Glucose and fat are the most common chemicals from which energy can be released. 27 KHM Aerobic Respiration Aerobic respiration utilises oxygen obtained when we breathe and occurs in the mitochondria of cells. Glucose is combined with oxygen and is broken down into carbon dioxide and water. Energy is released at each step of the breakdown of glucose. The energy is used to convert adenosine di-phosphate (ADP) to adenosine tri-phosphate (ATP). Each ATP molecule acts as a packet of energy. C6H12O6 + 6O2 6CO2 + 6H2O + energy (2880 kJ) Anaerobic Respiration Anaerobic respiration occurs in the cytoplasm of cells without oxygen. Glucose is not completely broken down. Anaerobic respiration in yeasts: C6H12O6 2C2H5OH + 2CO2 + energy (210 kJ) Anaerobic respiration in humans: C6H12O6 2C3H6O3 + energy (150 kJ) Human cells usually respire aerobically, except during strenuous activity. After a while of sustained activity, the oxygen supply becomes inadequate, even with the increase breathing and heart rate, causing the muscle cells to respire anaerobically. A smaller amount of energy is produced during anaerobic respiration. Fatigue occurs when the lactic acid (waste product) accumulates in the muscles and causes them to ache. Oxygen debt is the oxygen required to convert the lactic acid back to glucose so that it can be broken down completely in aerobic respiration. Role of ADP and ATP in Energy Transfer The energy stored in ATP is released when it is converted to ADP. ATP is energy rich and is easily broken down to ADP. The ADP produced is changed back to ATP by the addition of a phosphate group and energy. ATP ADP + P + Energy ADP + P ATP Effects of Cigarette Smoking Cigarette smoking contributes to deaths from lung cancer and heart attacks and can affect persons directly from smoking or from inhaling second hand smoke. Cigarette smoke has over 4000 substances in it. The important ones are nicotine, tar and carbon monoxide. Main Effects of Tars Tars contain hydrocarbons, phenols and fatty acids which causes cancer of lungs and mouth. Tar in smoke is a carcinogen, i.e. chemicals that produce cancer. Main Effects of Carbon Monoxide Carbon monoxide combines with haemoglobin and reduces the oxygen-carrying capacity of red blood cells. Haemoglobin is not available to combine with O 2 thus reducing the efficiency of cellular respiration. 28 KHM Main Effects of Nicotine Affects neurotransmitter substances Cause blood platelets to adhere by increased fatty acids in blood (thrombosis and atherosclerosis) Hardens artery walls causing arteriosclerosis Increase antidiuretic hormone (ADH) secretions Release adrenaline Lung Damage Chronic Bronchitis This is condition in which the bronchi and bronchioles become inflamed and obstructed with phlegm. This causes continuous heavy coughing up of phlegm. This mucus interferes with lung defences leading to bacterial infections. Phlegm accumulation and narrowing of bronchioles makes breathing difficult. Factors Affecting the Rate of Breathing Factor Reason Rest / sleep Carbon dioxide is removed and inactivity means little is produced Fresh air Only 0.03% carbon is present Drugs Stimulants increase metabolic rate while depressants decreases it Exercise Carbon dioxide and lactic acid accumulate in the blood Weight More work has to be done with a larger body Anxiety Adrenaline released increases the metabolic rate Environmental factors Poor ventilation accumulates carbon dioxide in inspired air Air pollution by cars increases carbon dioxide in inspired air Combustion All burning increases inspired carbon dioxide Altitude Low pressure affects breathing and muscles work harder to compensate; lack of oxygen above 3000m causes carbon dioxide to increase in the blood Smoking Carbon monoxide is converted to carbon dioxide and inspired; causes shortness of breath; particles constrict bronchioles Illness E.g. asthma constrict bronchioles 29 increasing breathing rate decreasing breathing rate Emphysema This condition occurs when alveoli walls are destroyed causing larger air spaces to be formed. Larger air spaces lead to smaller surface areas for the uptake of oxygen. Lungs lose their elasticity as fibrous tissue is laid down. KHM THE CIRCULATORY SYSTEM Objectives Explain the need for a transport system in the human body Identify the materials which need to be transported around the human body Relate the structures of the heart to their functions Describe the structure and function of the heart Describe the structure and function of the circulatory system in humans Explain the concept of blood pressure Relate the components of the blood to its function Explain the process and the importance of blood clotting Relate the structures of the arteries, veins and capillaries to their functions Explain the cause and effects of heart attacks Describe the structure and function of the lymphatic system Describe how tissue fluid and lymph are formed Circulatory System (Cardiovascular System) This is a transport system comprising of the heart, blood vessels, blood cells, platelets and plasma. Why Have a Circulatory System? In single-celled organisms, the distance between the surface to the centre is very small so simple diffusion is efficient to supply nutrients to cell parts and remove waste products. Multi-cellular organisms have more bulk than single-celled organisms. The distance between surface and centre is much greater and diffusion is not efficient enough to deliver nutrients to all cells of the body. Also, they do not have enough body surfaces to obtain enough oxygen to all cells. Therefore a circulatory system is needed to carry substances to and from all cells in the body. Materials Transported Around the Human Body: Glucose Amino acids Oxygen Carbon dioxide Hormones Antibodies External structures of the human heart Heat Internal structures of the human heart 30 KHM The Parts of the Heart Structure Vena cava Right atrium Right ventricle Pulmonary artery Pulmonary vein Left atrium Left ventricle Aorta Function Carries deoxygenated blood from the body into the right atrium Receives deoxygenated blood from the body and pumps it into the right ventricle Pumps deoxygenated blood into the pulmonary artery Carries deoxygenated blood from the heart to the lungs Carries oxygenated blood from the lungs to the left atrium Receives oxygenated blood from the pulmonary veins and pumps it into the left ventricle Pumps oxygenated blood into aorta Carries oxygenated blood from the left ventricle to rest of the body The Heart as a Double Pump The heart pumps blood to all parts of the body. It acts as a double pump, i.e. each RBC will pass through the heart twice. Right side drives deoxygenated blood to the lungs Left side drives oxygenate blood to all other parts of the body In a single circulation, the blood pressure would drop too low by time it reaches the lungs. Therefore the heart utilises a double circulation to maintain the blood pressure both to the lungs and the body. It also ensures that oxygenated and deoxygenated blood are kept separate. There are 2 circulations of blood: 1. Pulmonary circulation: the passage of blood from the heart to the lungs and back to the heart 2. Systemic circulation: the passage of blood from the heart, around the body and back to the heart Blood Pressure This is the force exerted on the walls of the arteries that is needed to pump blood to all parts of the body. There must be a difference in pressure between arteries and veins for blood flow to occur. Arteries – high blood pressure Capillaries – lower blood pressure Veins – lowest blood pressure The blood has 2 different pressure readings: 1. Systole: when the heart muscles are contracting 2. Diastole: when the heart muscles are relaxing between beats Blood pressure readings: Systole/Diastole Healthy young adult: 120mmHg/ 80mmHg Systolic pressure: 100 – 139 mmHg Diastolic pressure: 60 – 89 mmHg A heart beat is the combined contractions of the atria and ventricles. The heart beats at about 72 beats per minute. 31 KHM Blood Flow Through the Heart One complete heart beat is called a cardiac cycle and involves the following stages: a. Diastole – atria and ventricles relax and blood enters the heart from the vena cava and pulmonary veins. b. Atrial systole – both atria contract at the same time, decreasing their volume, thus increasing their blood pressure, pushing blood into the ventricles. c. Ventricular systole – both ventricles contract after the atria have contracted (atria are now relaxed), decreasing their volume, thus increasing their blood pressure, pushing blood into the pulmonary artery and aorta. Components of the Blood Blood is a fluid containing dissolved substances and cells. It is made up of: Red blood cells (erythrocytes) Platelets Serum White blood cells (leucocytes) Plasma Comparison of RBC’s, WBC’s and Platelets Shape Red Blood Cells Biconcave discs White Blood Cells Some irregular (phagocyte); some discs (lymphocyte) Platelets Irregular fragments Size (across) 8 µm 20 – 60 µm approx.2 µm Number / mm3 Where formed Nucleus & mitochondria Function 4 – 5 million 8 – 10 000 250 000 Red bone marrow No Boone marrow, spleen Bone marrow Yes No Transport O2 from lungs to tissue and some CO2 from tissues to lungs Defence against infections by phagocytosis (phagocyte) and production of antibodies (lymphocyte) Release factors to activate the blood clotting process Plasma and Serum Plasma - The liquid part of the blood which has soluble fibrinogen dissolved in it Functions 1. Transport CO2, mainly as bicarbonate, from tissues to lungs 2. Transports waste from tissue to excretory organs 3. Transports nutrients from intestine to liver and then to tissue 4. Transports hormones from ductless glands to effector organs 5. Transports heat to all parts of the body 6. Supplies tissue fluid to tissues Serum - The remainder of the blood after RBC’s, WBC’s and clotting factors have been removed. It is used in diagnostic tests, e.g. testing for iron deficiency. 32 KHM Factors Affecting the Ability to Transport Oxygen Anaemia – mostly caused by a lack of iron in the diet. Carbon monoxide – this gas binds permanently to haemoglobin, thus reducing the volume of oxygen that can be carried by RBC’s and causes drowsiness and death. High altitudes – there is less oxygen in the air at high altitudes. Persons living or travelling there acclimatise by forming many more RBC’s. Blood Clotting A blood clot consists of a mesh of fibres that trap blood cells and platelets at the surface of the wound. Importance: Prevents infection by preventing the entry of pathogens through damaged skin Prevents excessive blood loss from damaged blood vessels Mechanism of Blood Clotting 1. Platelets and damaged blood vessels release thrombokinase (enzyme) 2. Thrombokinase acts on prothrombin (blood protein) and converts it into thrombin in the presence of calcium ions 3. Thrombin acts on soluble fibrinogen (plasma protein) and converts it into insoluble fibrin 4. Fibrin forms a mesh to trap blood cells and platelets to form the clot – Prothrombin is made in the liver in the presence of vitamin K. Arteries, Veins and Capillaries Artery Thick, elastic, muscular walls Vein Thinner wall with less elastic tissue No valves Valves (semilunar valves) to prevent backflow Blood under low pressure Blood flows smoothly Normally carries deoxygenated blood Blood under high pressure Blood flow in spurts Normally carries oxygenated blood Carries blood from the heart Lies deep in the body Low volume of blood Small internal diameter (lumen) Carries blood to the heart Lies near body surface High volume of blood Large internal diameter (lumen) Capillary Very thin wall, i.e. one cell thick No valves Blood under low pressure Blood flows smoothly O2 and CO2 exchanged here Connects an artery to a vein Forms a network Low volume of blood Small internal diameter Capillaries are permeable for the exchange of substances between blood and tissue fluid. As the cells are thin there is a very short distance for diffusion of O2 and CO2. 33 KHM Pacemaker The pacemaker is a region of nervous tissue in the right atrium, called the sino-atrial node, that controls the rate and rhythm of the heart beat. It is stimulated by nervous impulses and hormones (e.g. adrenaline). Muscles in the sino-atrial node contract and emit electrical impulses along tracks to the atria and then to the ventricles causing them to contract. An artificial pacemaker is a small device placed in the thorax that uses electrical impulses to prompt the heart to beat at a normal rate. Functions Help control an abnormal heart rhythm (fast/slow) Coordinate electrical signalling between the atria and ventricles Adjust heart rate to changes in activity Monitor and record the heart’s electrical activity and heart rhythm Heart Disease These are all the diseases of the heart and circulatory system. They include coronary heart disease, heart failure, heart valve disease and strokes. Coronary thrombosis: the blockage of or reduced blood flow in the coronary artery, commonly caused by atherosclerosis and arteriosclerosis. Coronary artery: the blood vessel that supplies blood to the heart muscle Atherosclerosis: occurs when the internal diameter of the arteries become reduced due to cholesterol (fatty material) deposits on the walls Arteriosclerosis: occurs when the walls or the arteries harden and become less elastic Coronary Heart Disease This includes coronary thrombosis and angina (pain across the chest, left arm and shoulder caused by insufficient blood to the heart muscle) causing the cardiac muscle tissue to die, resulting in a heart attack. Hypertension This is consistently high blood pressure. Hypertension increases the risks of cardiovascular problems, e.g. angina, stroke, heart attack. It is more likely in persons who smoke, are overweight, drink excessive alcohol, exercise little or eat a high fat and/or salt diet. Heart Attack (myocardial infarction) The heart requires a constant supply of oxygenated blood to nourish it. Coronary thrombosis reduces the oxygen supply to the heart leading it to become oxygen starved, causing the heart muscle cells to die and stop contracting. This is a heart attack. Healing of the heart muscle begins soon after a heart attack and forms a scar over the damaged area. The new scar tissue does not contract thus reducing the heart's pumping ability. 34 KHM Lymphatic System The lymphatic system is a second transport system in the human body which consist of a network of organs, lymph nodes, lymph ducts, and lymph vessels that make and move lymph from tissues to the bloodstream. It is a major part of the body's immune system that includes the tonsils, spleen, and thymus. Functions Transport tissue fluid back into the blood Transports fats, particularly from villi to blood Remove excess fluid, protein and foreign material from tissue spaces Body defence – microbes are destroyed in lymph glands by WBC’s Lymph Nodes - Soft, small, round- or bean-shaped structures They usually cannot be seen or easily felt Located in clusters in various parts of the body, such as the neck, armpit, groin, and inside the centre of the chest and abdomen Make immune cells that help the body fight infection Filter lymph fluid and remove foreign material such as bacteria and cancer cells When bacteria are recognized in the lymph fluid, the lymph nodes make more WBC’s, which causes the nodes to swell The swollen nodes are sometimes felt in the neck, under the arms, and groin. Lymph is drained tissue fluid. It is a colourless fluid that transports lipids and contain many WBC’s. It flows in one direction due to valves in large lymph vessels. Tissue fluid is leaked plasma from capillaries that surrounds the cells transporting substances between tissue and blood. Lymph vessels pass through lymph nodes and carry lymph to the subclavian vein (base of the neck). The subclavian vein returns lymph back to the blood. Formation of tissue fluid and lymph 35 KHM THE SKELETAL SYSTEM Objectives Identify the major bones of the skeleton Relate the structure of the skeleton to its functions Relate the structure of a typical bone to its functions Distinguish between bone and cartilage Explain the importance of cartilage Distinguish between tendons and ligaments Identify a hinge joint, fixed joint and ball and socket joint Describe movement in the hinge joint, fixed joint and ball and socket joint Explain how skeletal muscles function in the movement of a limb Identify the biceps and triceps of the upper arm Explain the importance of locomotion to man Evaluate the factors which adversely affect the skeletal system Functions of the Skeleton 1. Support – provides the framework for the rest of the body to allow movement and maintain shape and suspends the soft parts 2. Protection – provides protection from physical damage to our soft tissues, e.g. skull protects brain; ribcage protects heart and lungs 3. Movement – provides a solid structure for muscle attachment; some bones act as levers to allow movement 4. Production of blood cells – RBC’s and WBC’s are made in the red bone marrow of long bones 5. Storage – bone tissue stores calcium, which is used for muscle contraction, sending nerve impulses and blood clotting. Yellow bone marrow stores fat. 6. Breathing – intercostals muscles move the rib cage up and down to help increase and decrease the volume of the thorax for breathing in and out The Structure and Function of Skeletal Tissue Tissue Bone Cartilage Tendon Ligament Skeletal Muscle Structure Hard matrix of calcium phosphate with tough collagen fibres Tough, but flexible matrix Properties Hard and rigid Tough matrix containing white collagen fibres Tough but flexible matrix containing yellow elastic fibres Made up of many muscle fibres containing contractile proteins Tough and does not stretch Tough and elastic Cushioning layer at the end of bones; smooth glossy appearance Can contract 36 Function Protection; support; muscle attachment for movement Prevents bone rubbing on bone (reduces friction); spreads load (acts as a shock absorber) Connects muscle to bone Join bone to bone to allow movement at a joint Allows movement; maintains posture KHM Bones Made up of 2 types of tissues: 1. Compact bone Solid, hard outside part Makes up most of the human skeleton Holes and channels run through it carrying blood vessels and nerves from the periosteum (outer membrane covering) 2. Spongy (cancellous) bone Spongy layer inside compact bone Made up of a mesh-like network of trabeculae (tiny pieces of bone) Site of RBC and WBC production Diagram of a long bone Structure of a Long Bone Long bones are not solid, but contain a marrow-filled cavity that gives a strong yet light structure. The rounded head is made up of spongy bone which is light but strong Joints Joints occur where 2 bones meet. Without joints movement would be impossible. They are classified by their range of movements. There are 3 groups of joints: 1. Fixed, immovable or fibrous joints – no movement occur 2. Slightly movable joints – allows a small degree of movement 3. Synovial or freely movable joints – allows friction-free movement Hinge joint – movement in one plane Pivot joint – rotation Ball and socket joint – movement in any plane Gliding joint – have flat articulating surfaces that slide over one another easily Function of Skeletal Muscle Skeletal muscle tissue is attached to the skeleton and brings about movement. It is made up of a large number of cylindrical muscle cells separated by connective tissue. Its contraction is under conscious control. They are found in pairs that work against each other to move bones (antagonistic pairs). There are at least 2 types of skeletal muscle fibres: 1. Slow twitch fibres These mainly use fatty acids as their source of energy and, since they have a store of lipid, fatigue slowly. They develop more in distance running athletes. 37 KHM 2. Fast twitch fibres Theses mainly use glucose as their source of energy and, because they lack an energy store, fatigue quickly. They develop more in sprinting athletes. Point of Origin – the point of attachment of a muscle to the bone that does not move when the muscle contracts Point of Insertion – the point of attachment of a muscle to the bone that moves when the muscle contracts Upper arm muscle attachments Biceps and Triceps Properties Location Point of origin Point of insertion Biceps Triceps Lies above the humeLies at the back of the humerus rus 2 points on the scapula 3 points (2 on the upper part of the humerus; 1 on the scapula) Radius Ulna Movement of the Arm Muscles contract antagonistically, i.e., one contracts while the opposing one relaxes to bring about movement across a joint. Biceps and triceps work antagonistically to bend and straighten the arm at the elbow. Flexing the arm: The biceps contracts and shortens and pulls on the radius while the scapula holds firm. Triceps is relaxed. Extending the arm: Triceps contracts and shortens and the ulna is drawn nearer to the scapula. Biceps is relaxed. Locomotion Locomotion is the movement from place to place. Humans are bipedal, which allows us to stand upright. Locomotion is important because it helps us to: i. move away from danger ii. find food iii. escape predators iv. exercise v. find a mate. Human skeleton 38 KHM Factors Affecting the Muscular and Skeletal Systems i. Diet Protein is needed for collagen fibres. Calcium and phosphates are needed to harden the bone matrix. Vitamin D stimulates the uptake of calcium from the gut. Deficiencies in calcium and vitamin D can lead to osteoporosis. People who consume more energy than required store fat that add weight to the body and increase strain on muscles. ii. Posture Posture is the position of the body. Good posture allows the muscles to use as little energy as to maintain the position of the body. Poor posture puts a strain on muscles causing them to lose their tone. More energy is needed by the muscles to keep the body upright, leading to fatigue and backache. N.B. - Muscle tone is the partial contraction of muscle that helps to maintain posture iii. Obesity Excess body fat puts much strain on the skeleton, especially the joints. People who are overweight and obese increase their risk of developing arthritis. iv. Bending and Lifting Poor posture during lifting can damage the back. v. Exercise Regular exercise causes more capillaries to develop inside the muscles, the muscles to become larger, muscle tone to improve, joints to become more flexible. Extreme forms of exercise may lead to the risk of muscle and bone damage. Lack of exercise makes muscles weak, flabby and slack and joints lose their flexible movement and strength. vi. Arthritis Painful condition in the joints; cartilage may become worn and ligaments distorted. vii. Foot wear High heeled shoes cause bad posture by putting extra strain on leg muscles. Corns are caused when toes rub against the inside of the shoe. Bunions are caused by wearing narrow, pointed or high-heeled shoes that lead to the joints at the base of the big toe being swollen and the bones becoming deformed. Hammer-toe is when the big toe is pushed inwards and crushes the adjacent toe, causing it to bend and point downwards. 39 KHM EXCRETION AND HOMEOSTASIS Objectives Explain the importance of excretion in human beings Explain the roles of the organs involved in excretion Relate the structures of the kidney to their function Relate the structures of the skin to their functions Explain the concept of homeostasis Explain the concept of feedback mechanisms Describe the regulation of blood sugar Explain the regulation of water Distinguish between heat and temperature Describe the regulation of temperature Excretion Excretion is the removal of waste products of metabolism from the body and substances in excess of requirements. Metabolic waste refer to products made by chemical reactions in the body, e.g. carbon dioxide, urea, hydrogen peroxide. The human excretory products are carbon dioxide, urea, bile pigments, water and mineral salts. Importance: Excretions are toxic. If allowed to accumulate to high concentrations they would damage the body tissues. Main Excretory Organs and Their Products Skin – sweat (urea and salts) is secreted and evaporates from the surface of the skin Kidney – excrete nitrogenous waste (urea and salts) and responsible for regulating body fluid concentration Lung – carbon dioxide and water vapour are removed during exhalation Liver – processes toxic materials and makes them harmless The Kidneys Paired bean shaped, dark red organs attached to the back of the abdomen Composed of tiny tubules called nephrons that filter blood and produce urine Function – get rid of toxins and excess water and controls blood composition The Nephron Part Bowman’s capsule Convoluted tubules Loop of Henle Collecting ducts Function Ultrafiltration – blood pressure forces fluid part of the into the tubule Selective re-absorption of glucose, salts and water into the blood Absorption of water by osmosis from collecting ducts to concentrate urine Concentration of urine; pass urine to ureter 40 KHM Ultrafiltration Ultrafiltration is a process that separates very small particles of different sizes, e.g. molecules or ions. The afferent arteriole has a larger diameter than the efferent arteriole causing blood in the glomerulus to be under high pressure. The pressure forces substances that are small enough through the capillary walls, into the Bowman’s capsule. Large blood protein molecules and RBC’s do not usually pass through. The fluid formed in the Bowman’s capsule is called the glomerular filtrate or ultrafiltrate and is mainly made up of water, glucose, salts (sodium, chloride, potassium), amino acids and urea. Selective Re-absorption The glomerular filtrate contains useful substances which the body needs. Therefore, the body reabsorbs them into the blood capillaries from various parts of the nephrons. Proximal Convoluted Tubule – all glucose is reabsorbed by active transport into the capillaries Loop of Henle – some water is reabsorbed into the capillaries by osmosis Distal Convoluted Tubule – salts and some water reabsorbed into capillaries; maintain correct salt concentration in the blood Collecting Duct – re-absorption of some water into capillaries (under control of ADH) N.B. – Urine is a mixture of urea, water and salts. Kidney Failure Causes of kidney failure include: blood loss, blood poisoning, severe dehydration, severe burns, hypertension and diabetes. Diagram of a nephron 41 KHM The Skin The skin is the largest organ in the human body. It helps us to resist infections, excrete, avoid dehydration, regulate temperature and covers the body. It is composed of many tissues and is made up of 3 layers: 1. Epidermis – thinner outer tissue of the skin composed of 2 layers a. Malpighian (germinal) layer Single layer of cells that die to form cornified layer (cell life is 21 days) Divide to produce replacement cells for those rubbed off on the skin surface Contain melanin (pigment) that gives colour to skin and protects underlying tissues against U.V light Convolutions of this layer form fingerprints b. Cornified layer Upper layer of the epidermis made up of dead cells containing keratin Waterproof layer that protects the underlying tissue against mechanical injury and prevents the entry of pathogens Replaced by new cells from the malpighian layer 2. Dermis – inner layer of the skin, which is composed of many tissues, such as nervous, muscle and connective tissues 3. Subcutaneous fat – tissue immediately below the dermis, which forms an insulating layer and provides food storage Section through the skin 42 KHM Homeostasis Homeostasis is the ability of an organism to maintain a constant internal environment in spite of changes from the surroundings. The control mechanisms are automatic and self-regulatory and ensure that cells survive and function efficiently. There are 2 types of mechanisms 1. Negative feedback mechanism A system in which a change from the normal state is detected and triggers corrective actions to restore the normal state More common in the body, where the body detects changes initiates a mechanism to bring it back to normal E.g. – control of body temp., water balance, blood sugar, pH 2. Positive feedback mechanism Less common in the body, where a stimulus initiates more of the same reaction E.g. – oxytocin production in childbirth that stretches the birth canal which stimulates more oxytocin to be produced. Regulation of Carbon Dioxide Respiring muscles produce CO2 in the blood. When CO2 blood concentrations increase, chemoreceptors in the carotid arteries detect the increase. The chemoreceptors pass impulses to the respiratory centre of the medulla. The medulla sends nerve impulses to the intercostals and diaphragm causing them to contract deeper and faster. This increases the rate and depth of breathing to supply more O 2 and remove the CO2. Breathing rate decreases as CO2 blood concentration decreases. Regulation of Blood Sugar The regulation of glucose involves the pancreas and liver, and the hormones insulin and glucagon. Insulin lowers the blood sugar concentration while glucagon raises it. Low concentration of blood glucose causes loss of consciousness. High concentration of blood glucose results in its excretion in urine. Adrenaline releases more glucose in the blood during vigorous activity Normal blood glucose concentration: 80 – 150 mg/100cm3 Insulin Insulin is secreted from the beta cells of the islets of Langerhans in the pancreas. Receptors in the islets of Langerhans detect an increase in blood sugar. The increase causes the β -cells to secrete insulin. Insulin causes the liver to convert the excess glucose to glycogen, which increases the uptake of glucose in body cells. Insulin also converts some sugar to fat and increase sugar oxidation. Glucagon Glucagon is secreted from the alpha cells of the islets of Langerhans in the pancreas. Receptors in the islets of Langerhans detect a decrease in blood sugar. The decrease causes the α-cells to secrete glucagon. Glucagon acts on the liver cells to cause the breakdown of glycogen to glucose. 43 KHM Regulation of Water Osmoregulation is the control of the body’s water content by osmosis. It involves the maintenance of the concentration of the body fluids by controlling the water and salt content of the blood. Kidneys are largely responsible for the water balance in the body. One kidney function is to control the correct amount of water and salts in body fluids. Water can also be secreted by skin and lungs. Osmoreceptors in the hypothalamus detect the amount of water in the blood which flows past them If there is not enough water, the osmoreceptors cause the pituitary gland to secrete anti-diuretic hormone (ADH). ADH causes the capillaries around the collecting ducts in the kidney nephrons to reabsorb more water from urine, producing less, more concentrated urine. If there is too much water, ADH is not secreted, producing a large amount of dilute urine. Heat vs. Temperature Heat is a form of energy measured in Joules (J). Temperature is a degree of hotness or coldness measured in degrees Celsius (⁰C) or Kelvin (K). Regulation of Temperature Humans maintain a constant body temperature and are fairly independent of environmental temperature. This is done by balancing heat production and heat loss. The skin helps maintain a constant body temperature. The hypothalamus acts as a thermostat. It contains thermoreceptors which sense the temperature of blood running through it. The thermoreceptors send messages along the nerves to the parts of the body that regulate temperature. When cold the body produces and save heat: Muscle work – some muscles contract and relax very quickly (shivering) to produce heat Increased metabolism – the speed of chemical reactions increase releasing more heat Hair raised – the erector muscles in the skin contract pulling the hair up on end trapping more air for insulation ( but only produces goose pimples in humans) Vasoconstriction – the blood vessels near the surface of the skin become constricted allowing less blood to the body surface which decreases amount of heat loss to the air When hot the body loses more heat: Hair flattens – the erector muscles in the skin relax, so that the hair lies flat to decrease the insulating air layer Vasodilation – the blood vessels near the surface of the skin become dilated allowing more blood to the body surface enabling heat to be lost from the blood to the air Increased sweating – secreted sweat lies on the surface of the hot skin and the water in it evaporates taking heat from the skin with it, cooling the body Decreased metabolism – less activity so less heat is produced Diabetes Diabetes insipidus is a condition where the body produces large volumes of dilute urine due to the lessened secretions of ADH from pituitary gland. This prevents the kidneys from reabsorbing water into the bloodstream. Diabetes mellitus is a condition where the body fails to regulate the concentration of glucose in the blood. 44 KHM COORDINATION AND CONTROL Objectives Describe the main divisions of the nervous system Describe the functions of the parts of the brain Distinguish between a neurone and a nerve Explain the functions of motor and sensory neurones and spinal synapses Describe the mechanisms of a reflex action Explain the process by which voluntary actions occur Distinguish between a voluntary and involuntary action Explain the response of the sense organs to stimuli Relate the internal structures of the eye to their functions Explain how images are formed in the eye Explain accommodation in the eye Describe the causes of and corrective measures for eye defects Distinguish between endocrine (hormonal) and nervous control systems Identify the sites of hormone production Explain the roles of selected hormones in the human body The Nervous System The nervous system is a network of cells enabling rapid response to changes in the environment. Its functioning involves the stimulus, receptors, nerve cells and effectors (muscle or gland). It can be divided into: 1. Central nervous system (CNS) - brain and spinal cord 2. Peripheral nervous system (PNS) - Cranial nerves, spinal nerves and autonomic nerves. The PNS connects the CNS with sense and effector organs. Autonomic nervous system The autonomic nervous system controls the internal (involuntary) activities of the gut and glands. It is composed of: 1) Parasympathetic nervous system - rest and digest 2) Sympathetic nervous system - fight and flight Definition of Terms Stimulus - a change in the external or internal environment of an organism which brings about a response Response - a change in the activity of a part or the whole of the organism, which results from the stimulus Receptor - the organ or cell that detects a specific stimulus and initiates a nerve impulse Conductor - specialised conductor cells (neurones) that transmit nerve impulses Effector - the organ or cell (muscle or gland) that responds to a stimulus or the arrival of a nerve impulse 45 KHM The Brain The brain acts as a central exchange for information passed to it from all the sensory receptors. It coordinates various actions of the body and stores information (memory). It is located within the cranium which has an opening for the spinal cord to pass. In the brain, grey matter is found on the outside and white matter on the inside. The brain has 4 inter-connecting chambers called ventricles that contain cerebrospinal fluid (CSF) and is surrounded by tough membranes called meninges. Parts of the Brain 1. Cerebrum: Its outer cortex consists of neurone cell bodies and convolutions (folds) while inner cortex is formed from axons or neurones. The sensory area controls smell, sight, hearing, and skin sensations, while the motor area controls muscles of arms, legs, eyes and hands. 2. Cerebellum: The cerebellum is concerned with the muscular coordination of the body including balance, posture and locomotion. It receives sensory impulse from muscles and eyes and sends motor impulses to skeletal muscles. 3. Medulla oblongata: This is a reflex centre that controls involuntary muscular actions, e.g. blood pressure, heart beat, coughing, breathing, swallowing, yawning and sneezing. 4. Hypothalamus: This is a reflex centre that regulates some aspects of homeostasis. It coordinates the autonomic nervous system and controls the pituitary gland. It regulates hunger, sleep, thirst, body temperature, water balance and blood pressure. 5. Pituitary gland – this is an endocrine gland, i.e. secretes many hormones. Terms Associated with Nerves and Neurones Nerve - made up of bundles of neurones and appear as white threads Neurone – an individual nerve cell that transmit impulses along its length Motor neurone - conduct an impulse outward from the CNS to the effector organ Sensory neurone - conduct incoming impulses from the sense organs to the CNS Relay neurone - connect sensory to motor neurones Nerve impulse - a wave of electrochemical changes that travels in one direction along a neurone Synapse - a gap between terminal parts of neurones and dendrites Neurotransmitter - chemical transmitters that travel through the synapse Mechanism for Synapse 1. Nerve impulse causes the release of neurotransmitters from vesicles 2. Neurotransmitters pass across the gap to the other neurone and attach to the receptor 3. Impulse flows in other neurone 46 KHM Spinal Cord The spinal cord passes from the base of the brain down the vertebral column and acts as a relay system for impulses and a centre for coordinating actions. It connects brain with peripheral nerves. In the spinal cord, white matter is found on the outside and grey matter on inside. The cord gives off paired nerves that come from dorsal (back) and ventral (front) roots. It contains a central canal that holds cerebrospinal fluid which provides nutrients and transports substances. Reflex Actions A reflex action is a quick automatic response to a stimulus, not involving the cerebrum of the brain. It does not require conscious control and protects the body quickly from danger. E.g. – spinal reflexes and cranial reflexes Reflex arc – the pathway between the receptor and effector Spinal Reflex Action This involves transmission of impulses along spinal nerves. Impulses pass from skin sense organs, to spinal cord and straight back to effector muscles. It involves sensory, relay and motor neurones in its reflex arc. E.g. - knee-jerk reflex, reaction to painful stimuli Knee-jerk Reflex: Spinal reflex without relay neurone Mechanism: 1. Stimulus is given – pressure on tendons just below the patella 2. Stretch receptors detect the pressure on the tendons 3. Sensory neurone transmits the impulse to the motor neurone in the spinal cord 4. Impulse from motor neurone causes the leg muscles to contract, pulling the foot forward Reaction to Painful Stimuli: example pricking finger on pin Mechanism 1. The pin stimulates pain receptors in the skin. 2. Pain receptors send impulses to the CNS along the sensory neurone. 3. Impulses reach the end of the sensory neurone where they cross a synapse to a relay neurone and then another synapse to a motor neurone. 4. The motor neurone transmits impulses to the effector—a muscle in the arm. 5. The muscle responds to impulses from the motor neurone by contracting and shortening 47 KHM Cranial Reflex Action These are reflexes in the head region, e.g. blinking and constriction or dilation of the pupil in light. Pupil Reflex: Allows the iris to contract and dilate to change the size of the pupil. The pupil controls the amount of light which enters the eye and protects the retina from ‘over-exposure’. Mechanism: 1. High levels of light strike photoreceptors (rods and cones) in retina 2. Nerve impulse transmits along sensory neurone of optic nerve 3. Impulse coordinated by relay neurones in midbrain 4. Relay neurone transmit impulse through motor nerves to muscle in iris to make pupil smaller Voluntary Actions Voluntary actions are those actions controlled by conscious decisions. They are more complex and may have variable outcomes. Process 1. Your own thoughts or stimulus starts a nerve impulse in the brain 2. The brain decides whether or not to respond to the stimulus 3. The impulse passes down the white matter of spinal cord 4. Motor neurones in spinal cord transmit the impulse to the effector muscle that will act to bring about the desired action Section through the human eye Formation of Images in the Eye Objects in our environment reflect light. Light rays from the object travel in a straight line to the eyeball and pass through the pupil. The cornea refracts the light towards the retina. The light stimulates photoreceptors of the retina, which send impulses along the optic nerve to the brain. The image is formed upside down and back-to-front on the retina. The brain interprets the image of size, shape, colour and distance away from object. 48 KHM Function of the Structures of the Eye Part of the Eye External eye muscles Sclera Choroid Conjunctiva Feature/ Description Muscular tissue Thick, white fibrous layer Dark pigmented layer behind the retina; contains blood vessels Thin, transparent layer of cells Cornea Transparent part of sclera Aqueous humour Vitreous humour Transparent liquid Jelly-like material Lens Transparent Retina Contains rods and cones (photoreceptors) Suspensory ligaments Strong fibrous tissues Ciliary muscle Thin muscle around the lens Optic nerve Large sensory nerve Blind spot Fovea (yellow spot) Pupil Iris Point in retina with no photoreceptors Depression in the retina consisting only of cones A hole in the iris Circular pigmented structure Function Moves eyeball in socket Protects eyeball against damage Prevents internal reflection; supplies retina with nutrients and oxygen and removes waste Protects the cornea Greatest refraction (bending) of light rays onto the retina Maintains shape of the eye Maintains shape of the eye Makes fine adjustments to focus light onto the retina Light sensitive layer Holds the lens in place and involved in focusing light Contracts to make the lens thicker for near vision Transmits nerve impulses from retina to brain Point where optic nerve leaves the eye Provides detailed vision; detects colour Allows light into the lens Controls amount of light entering the eye Accommodation Accommodation is the adjustment of the lens for focusing on near and distant objects. The activity of eye involves: 1) Alteration in pupil size to adjust light strength 2) Alteration in lens shape according to the distance of the object from the eye Focusing on distant objects: The ciliary muscles relax, pulling the suspensory ligaments tight, thinning the lens. The thin lens refracts the light less, focusing the image sharply on the retina. Focusing on near objects: The ciliary muscles contract, slackening the suspensory ligaments, making the lens more rounded. A curved lens refracts more light. 49 KHM Defects in Vision A vision defect is any condition that prevents proper focusing of light on the retina. Cataract: Occurs when the lens becomes opaque and light cannot pass through, so the person is unable to see. It can be corrected through surgery. Astigmatism: Occurs when the surface of the lens or cornea is irregularly curved. Lines of different orientations come to focus at different points in the eye. It can be corrected by cylindrical lenses that balance out these irregularities. Glaucoma: Occurs when too much fluid gathers in front of the lens, causing a build up of pressure within the eye. The increased pressure can damage the optic nerve. Vision is poor and the sufferer may experience sightless areas in the field of vision. Early stages can be treated with eye drops and oral medication. Later stages may require surgery to treat it. The Endocrine System The messages sent out by the endocrine system are hormones. A hormone is a chemical messenger that travels in the blood all around the body to stimulate its target organ. A target organ is any organ that responds to a specific hormone. Hormones are produced in endocrine glands. Endocrine (Hormonal) vs. Nervous Control System Hormones are chemical substances which are secreted from endocrine (ductless) glands into the blood and regulate body processes. 50 KHM Hormonal Coordination Message Complex organic chemical Transport Speed In blood Slow (except adrenaline) Long-lasting , may affect many body parts Stimuli from sense organs affect ductless glands By pituitary gland Metabolic in nature, e.g. growth dwarfism Effect Production Main Coordination Disease Nervous Coordination Impulse: charge difference produced by ions Membrane of neurones Fast Immediate control directed to one part Stimuli from sense organs affect neurone membranes By brain Paralysis or mental illness Roles of Selected Hormones in the Body Hormone Secreted by Adrenaline Adrenal gland Thyroxine Insulin Glucagon Anti-diuretic hormone (ADH) Growth hormone (GH) Thyroid gland Pancreas (β -cells of islets of Langerhans) Pancreas (a-cells of islets of Langerhans) Pituitary gland Pituitary gland Function Prepares the body for fight or flight; convert glycogen to glucose during high activity Other Points Controls growth and metabolic rate Contains iodine (too much iodine leads to goiter); deficiency causes dwarfism and mental retardation Causes liver and muscles to convert glucose to glycogen for storage Lack of insulin can cause type II diabetes Causes liver to release glucose into the blood Causes kidneys to reabsorb water from urine Stimulates growth 51 Lack of GH causes dwarfism; too much causes gigantism KHM Roles of Reproductive Hormones in the Body Hormone Secreted by Follicle stimulating hormone (FSH) Pituitary gland Luteinising hormone (LH) Pituitary gland Testosterone Testes Oestrogen Ovary follicles Progesterone Corpus luteum (after ovulation); placenta (during pregnancy) Prolactin Pituitary gland Oxytocin Luteotrophic hormone (LTH) Function Stimulates the growth of follicles and production of oestrogen Controls ovulation; forms corpus luteum Controls development of male sex organs and secondary sexual characteristics Controls development of female secondary sexual characteristics; thicken uterine wall; control menstruation Prepares uterine wall for implantation; maintains uterine lining; stops ovulation; stimulates prolactin secretion Helps initiate and maintain breast milk production in pregnant and nursing women Pituitary gland Causes uterine contractions during labour Pituitary gland Stimulates testes to make testosterone; stimulates corpus luteum to secrete progesterone 52 Other Points Its production is associated with positive feedback mechanism KHM REPRODUCTIVE SYSTEM Objectives Distinguish between sexual and asexual reproduction Describe the structure and function of the reproductive system in human beings Describe the menstrual cycle Explain ovulation, fertilisation, implantation and development of embryo Describe the birth process Outline the importance of pre-natal and post-natal care Explain how birth control methods prevent pregnancy Explain the advantages and disadvantages of birth control methods Discuss the issues related to abortion Explain the importance of family planning Reproduction is the ability of the organism to produce new individuals of the same species. Asexual vs. Sexual Reproduction Asexual Reproduction Involves only one parent (no mate needed) Part of the parent forms the offspring Offspring genetically identical to parents (clones) Common among some single-celled organisms Many offspring produced quickly No variation in offspring Sexual Reproduction Involves both parents (requires both sexes) Fusion of male and female gametes (fertilisation) Offspring has a fusion of the characteristics of both parents Occurs mostly in higher multi-cellular organisms Small number of offspring produced Genetic variation in offspring Structure and Function of the Male Reproductive System The function of the male reproductive system: 1. Produce sperm 2. Deliver sperm to the female reproductive system Human male reproductive system 53 KHM Structure Testis Epididymis Scrotum Vas deferens (sperm duct) Cowper’s gland (bulbo-urethral gland) Prostate gland Seminal vesicles Urethra Urethra muscle Erectile tissue Penis Foreskin Function Contain seminiferous tubules that produce sperm; secretes testosterone. Seminiferous tubules also contain nurse cells that nourish and protect the developing sperm. Stores sperm Suspends testes outside the body cavity at lower temperature Transports sperm to the urethra Secretes part of seminal fluid containing lubricant Secretes part of seminal fluid containing alkalis to buffer residual urine in urethra and acidity of vagina Secretes part of seminal fluid containing amino acids and sugar as the energy source for the sperm Transport sperm and urine Contracts to ejaculate sperm Fills with blood to erect penis Inserted into vagina during intercourse Covers the end of the penis Structure and Function of the Female Reproductive System The function of the female reproductive system: 1. Produce ova 2. Allow fertilisation to occur 3. Provide the right environment for the zygote to foetus Human male reproductive system 54 KHM Structure Ovary Oviduct funnel Oviduct (fallopian tube) Uterus Cervix Vagina Vulva Function Produce ova; secrete oestrogen Collects ova released from the ovaries Contains ciliated epithelium which move ova from the ovary to uterus; site of fertilisation Where the foetus develops during pregnancy; supplies the foetus with nutrients A ring of muscles at the end of the uterus; allows blood and cells to pass out during menstruation; allows sperm to enter during intercourse Receives penis during intercourse; passage for baby at birth Surrounds vaginal opening Disorders of the Reproductive System Cancer is the uncontrolled division of cells which produces a lump or growth called a tumour. i. Ovarian cancer This is cancer of the ovaries with risk factors such as: A family history of ovarian cancer Never having a baby Starting menstruating before age 12 and menopause after 50 Being unable to get pregnant ii. Cervical cancer This cancer is caused by human papilloma virus (HPV) and occurs when abnormal cells on the cervix grow out of control. High risk persons include: Promiscuous females Females that started having sex at an early age Females infected with an STI Risk can be reduced by having regular pap smears. iii. Prostate cancer This is caused by an enlarged tumour in the prostate. Risks factors include a fatty diet and lack of exercise. Risk can be reduced by having regular prostate examinations and prostate specific antigen tests. Signs and symptoms may include: Blood in urine Painful or burning sensation during urination/ ejaculation Weak or interrupted urinary stream Frequent need to urinate iv. Testicular cancer A common type of cancer that can be detected as new lumps on the testes. If detected, there is an excellent chance of full recovery. Males between ages 15 – 40 are encouraged to regularly examine their testes to detect any abnormalities. 55 KHM The Menstrual Cycle The menstrual cycle is a series of changes that takes place in the female body to prepare for the possibility of pregnancy coordinated by hormones. The cycle itself is typically averaged at 28 days. The menstrual cycle is counted from the 1st day of one period to the 1st day of the next period. It includes the following processes: Menstruation: the elimination of the thickened uterine lining (endometrium ) through the vagina Ovulation: the release of an ovum from a mature ovary follicle in the ovary Fertilisation: the fusion of the male and female gamete to form the zygote (in the fallopian tube) Implantation: the embedding of the embryo into the uterine lining (occur approx. 7 days after fertilisation) Day 1: Progesterone and oestrogen levels drop after previous cycle which signals the uterine lining to be shed. Bleeding lasts about 4 – 7 days. Day 7: Bleeding has stopped. FSH stimulates follicles to develop on ovaries. Each follicle contains one ovum. Day 7 – 14: One follicle reaches maturity causing oestrogen levels to increase. Oestrogen causes the uterine lining to thicken and stops the release of any more FSH. Day 14: LH causes mature follicle to burst and release ovum from ovary follicle (ovulation). The ruptured follicle develops into the corpus luteum which secretes progesterone. Progesterone maintains the thickness of the uterine lining. Day 25 – 28: No fertilisation occurring: Corpus luteum and ovum degenerates causing a drop in progesterone leading to the shedding of the uterine lining and ovum (menstruation). Fertilisation occurring: Corpus luteum continues to secrete progesterone to maintaining the uterine lining for pregnancy and to prevent the release of another ovum. 56 KHM Development of the Embryo Fertilisation occurs when one sperm with 23 chromosomes combine with an ovum with 23 chromosomes to produced a fertilised ovum (zygote) that has 46 chromosomes in all. After fertilisation, the zygote moves down the oviduct it divides by mitosis to form a ball of cells (embryo). The embryo gets nutrients from the yolk sac. When the embryo reaches the uterus it implants itself into the lining. The embryo cells divide and grow and the placenta grows along with the embryo. By 11 weeks after fertilisation, the cells organise into different organs changing the embryo to a foetus. At this stage the foetus grows until it is ready for birth. Placenta: Finger-like projections that form between the embryo and the uterine wall which allows the exchange of nutrients and waste products between mother and baby without the mixing of blood. Umbilical cord: Joins the placenta to embryo. It contains an artery that takes blood and waste from the foetus into the placenta and a vein that returns blood and nutrients to the foetus. Amnion: Strong membrane surrounding the embryo which secretes amniotic fluid that helps support the foetus and acts as a shock absorber to protect the developing foetus from mechanical damage. The Birth Process Birth follows 40 weeks (9 months) after fertilisation. There are 3 stages of birth: Stage 1: Foetus stimulates maternal pituitary gland to secrete oxytocin. This starts uterine contractions that cause the amnion to burst allowing the fluid to pass out. Contractions cause further release of oxytocin which causes more contractions (positive feedback mechanism). Stage 2: Increased uterine contractions push the baby through the cervix and then the vagina. Stage 3: Baby is expelled head first. Uterine wall continues contracting to expel the afterbirth (placenta and umbilical cord). 57 KHM Prenatal (ante-natal) Care This includes the care and advice needed during pregnancy for the mother along with checks on the foetal growth. Aspects include: Healthy diet Mild exercise and rest Health precautions, e.g. avoiding infections, tobacco, alcohol and other drugs Regular doctor visits to provide blood tests, blood pressure measurements, urine analysis, weight gain and uterus size Post-natal Care This provides advice to the mother on her diet, behaviour and care for the baby. Aspects include: Checks on the baby’s growth and development Checks to ensure no uterine bleeding and damage or infection of cervix and vagina Education on the value of breast milk and weaning the baby onto semi-solid and solid foods Vaccination program to baby to help build up active immunity Diphtheria, whooping cough, tetanus, meningitis, hepatitis B, measles, mumps, rubella, pneumonia, tuberculosis, chicken pox Breast Feeding Prolactin stimulates milk production in mammary glands. Suckling stimulates the release of milk. The first milk is a yellow-coloured fluid called colostrum that is rich in nutrients for growth and antibodies for protection against infections. Benefits of breast feeding include: i. Ensures maternal care from birth ii. Give baby passive immunity (breast milk contains antibodies from mother) iii. Gives baby all essential nutrients except iron Birth Control (Family Planning) Birth control includes all methods used to regulate or prevent the birth of children. It is used in family planning, fertility control or Planned Parenthood. Family planning is controlling the number and timing of births in a family. Benefits of family planning include: A small family allows more time for care and education to be given to each child A small family is less expensive to upkeep (both parents and children can benefit from extra money available Allows preparation for children because they would be expected Reduce the number of births to help control the population growth Parents may decide to have a career before starting a family Methods of Birth Control 1. Natural Methods – using no artificial means a. Abstinence: avoiding sexual intercourse It is 100% effective in preventing pregnancy and STI’s but requires self-discipline and control. b. Withdrawal Method: withdrawing the penis from vagina before ejaculation It is an unreliable method because ejaculation can occur prematurely. 58 KHM c. Rhythm Method: restricting sexual intercourse to the ‘safe period’. th th There I no intercourse between the 11 – 17 day of the menstrual cycle (fertile period). It does not prevent STI’s and is unreliable because the menstrual cycle may vary making it easy to miscalculate the fertile period. 2. Chemical Methods This is the use of spermicidal jellies, creams and foams that destroy sperm in the female tract during intercourse. They are not very effective on their own but are more effective if used with a barrier method. 3. Physical or Barrier Methods a. Condom: A sheath covering the penis that prevents sperm entering the vagina. If used correctly, can be a reliable method of birth control and prevent STI’s. b. Intrauterine Device (IUD): A coiled shape device positioned in the uterus. It prevents the fertilised ovum becoming implanted in the uterine wall. It is over 90% effective in preventing pregnancy. c. Diaphragm (Cervical Cap):A rubber dome that fits over the cervix at the upper end of the vagina It prevents the passage of sperm into the uterus, which prevents fertilisation. It is about 85% effective in preventing pregnancy. 4. Hormonal Methods a. Oral Contraceptive Pills: Pills containing hormones related to oestrogen and progesterone that inhibits FSH and stops the development of ova. They prevent ovulation and fertilisation. They are 90 – 100% effective in preventing pregnancy. b. Progesterone –only Pill: Contains progesterone but no oestrogen. It works partly by making the woman’s mucus in the cervix thicker preventing sperm passing through and also by preventing a fertilised ovum implanting. c. Emergency Contraceptive (‘Morning After’) Pill: A pill containing hormones. They should be taken within 72 hours after intercourse to prevent implantation. 5. Surgical Methods: Involve cutting and sealing of tubes through which gametes pass. a. Tubal Ligation: Cutting and sealing end of the oviduct to prevent ovulation. It makes fertilisation impossible. It is an irreversible process. b. Vasectomy: Cutting and sealing the vas deferens to prevent sperm passing from testis to the rest of the semen. It is a reversible process. 59 KHM Abortion Spontaneous Abortion (miscarriage): The loss of a foetus before the 20th week of pregnancy. It frequently occurs and is a natural way of preventing the birth of some abnormal babies. Induced Abortion: This can be done either medically using hormones or surgically to remove the foetus/embryo and placenta from the uterus. Medical abortion involves the taking of hormones to terminate the pregnancy but only during the early stages. They are effective up to 9 weeks into pregnancy. Surgical abortion involves the termination of the pregnancy by either suction in the early stages (first 6 – 12 weeks) or by scraping in advanced stages of pregnancy (12 – 15 weeks). Advantages of induced abortions: Protects the mother’s health if the pregnancy puts her at risk Prevents the birth of a deformed baby Terminate unwanted/unplanned pregnancies Disadvantages of induced abortions Death of foetus and/or mother May lead to psychological problems in mother May cause infertility Can be dangerous, especially if procedures are performed by untrained operators Foetus in uterus 60 KHM HEREDITY AND VARIATION Objectives Describe the process of mitosis Explain the importance of mitosis Describe the process of meiosis Explain the importance of meiosis Explain why genetic variation is important to living organisms Distinguish between genetic variation and environmental variation Explain the inheritance of a single pair of characteristics (monohybrid inheritance) Describe the inheritance of sex in human beings Explain the concept of genetic engineering Discuss the advantages and disadvantages of genetic engineering DNA, Genes and Chromosomes Chromosomes are long thin structures, made from DNA, that carry genes. Before a cell divides it copies it chromosomes so that each is temporarily made up of two chromatids. Genes are parts of a chromosome that control individual characteristics. In a diploid cell, chromosomes are found in homologous pairs. In a haploid cell only one of each pair of homologous chromosomes is present. Homologous chromosomes are a pair of chromosomes with similar structural features that code for the same gene. One from the pair comes from the mother while the other comes from the father. The genetic information needed to control the human body is carried in 23 different chromosomes. Human body cells are haploid, meaning they contain tow copies of each chromosome (46 chromosomes in total). Human sex cells (gametes) are haploid, meaning that they contain one copy of each chromosome (23 chromosomes in total). Mitosis Mitosis is a type of cell division which makes 2 new cells with exactly the same number and kinds of chromosomes as the parent cell (diploid cells). It occurs in all body cells except in gamete formation. Mitosis maintains the species chromosome number, thus ensuring that all body cells have the full chromosome number. 1. Chromosomes become shorter and fatter (easily seen). Each chromosome makes an exact copy of itself, forming 2 chromatids joined together by a centromere. 2. The nuclear membrane breaks down and chromosomes line up along the middle of the cell. 3. Chromatids separate and move to opposite sides of the cell becoming new chromosomes. 4. A nuclear membrane forms around each group of chromosomes to make 2 identical nuclei. 5. The cytoplasm divides and the cell membrane develops down the middle of the cell to divide it into 2 new identical cells (clones). 61 KHM Meiosis Meiosis is a type of cell division which results in the formation of cells containing half the number of chromosomes as the parent cell (haploid cells). It occurs during gamete formation. A human cell has 46 chromosomes: 23 from the mother and 23 from the father. Each chromosome from the mother pairs with a corresponding chromosome from the father. These are called homologous pairs. 1. Each chromosome makes an exact copy of itself, forming two chromatids joined together by a centromere. 2. Homologous chromosomes come together and pieces of genetic information are exchanged between chromatids (crossing over). The chromosomes line up along the middle of the cell. 3. Homologous pairs separate and move to opposite sides of the cell. 4. The cell splits to form 2 cells with the haploid number. 5. The chromosomes line up along the middle of the cell where the chromatids separate from each other. 6. The nuclear membrane form around each group of chromosomes forming 4 new different cells. Meiosis ensures that each daughter cell has the haploid number of chromosomes so that the diploid number can be restored after fertilisation. It also ensures a different combination of genes in each daughter cell for variation among offspring. Variation Variation refers to the differences between individuals of the same species, which arises as a result of genetic makeup and environmental conditions. Genetic variation is a result of genetic inheritance from parents. It is caused be: Random assortment of chromosomes during the first division of meiosis Random fertilisation ‘Crossing over’ during meiosis Mutations It ensures the survival of a species by allowing individuals of a species to adapt to and withstand changes of the environment. Examples: hair colour, height, eye colour, blood group, sex, lobed/lobe less ears. 62 KHM Environmental variation arises from the effects of the surroundings. Physical characteristics can be affected by climate, diet, culture and lifestyle. Examples: language, religion, body mass, skin colour. There are 2 types of variation: 1. Continuous Variation This refers to the range of forms of certain characteristics in a given population. It is genetically determined and more likely to be influenced by environmental conditions. Examples include height, body mass, length of forefinger, hand span. 2. Discontinuous Variation This refers to clearly defined differences within a population. It is genetically determined and is not influenced by environmental conditions. Examples include blood group, sex. Mutations A mutation occurs when there is a change in the amount or arrangement of DNA in a cell which alters a characteristic. There are 2 types of mutations: 1. Gene mutation – a change in the arrangement of a single gene. Conditions caused by such mutations include albinism, Huntington’s disease, sickle cell anaemia. 2. Chromosomal mutation – a change in the number of chromosomes in a cell or a change to the structure of the chromosome. Conditions caused by such mutations include Down’s syndrome, Turner syndrome, Klinefelter syndrome, triple X syndrome. Inheritance Gene – a segment of DNA on a chromosome Allele – different forms of the same gene that occupy the same position on homologous chromosomes. Genotype – the genetic makeup of an organism with respect to specific alleles. Phenotype – the characteristics shown due to the effect of the genotype. Homozygous – alleles at a specific position on homologous chromosomes that are the same, e.g. AA or aa Heterozygous – alleles at a specific position on homologous chromosomes that are different, e.g. Aa Dominant – the allele that shows its effect in the phenotype, even in the presence of a different allele, and controls the normal condition, e.g. A. Recessive – the allele that has no effect in the phenotype in the presence of another different allele. It is expressed only when 2 are present, e.g. a. Genetic diagrams show the phenotype and genotype of parents and the possible genotypes and phenotypes of the offspring. Monohybrid inheritance is the passing down of a single characteristic from parent to offspring and involves a single pair of genes. Carrier - a person that appears normal but has the recessive allele along with the dominant allele (heterozygous). 63 KHM Monohybrid Recessive Inheritance This arises from the inheritance of 2 recessive alleles. The dominant allele controls the normal condition. Example: Albinism An albino lacks the skin pigment melanin and the pigment in the iris. Dominant allele for normal skin pigment: A Recessive allele for albino condition: a Example: Two parents are carriers for albinism. What are the chances of having an affected child? Their albino child grows up and has children with a normal person. What are the possible genotypes of their children? Sex Determination & Sex-Linked Characteristics Sex determination Of the 23 pairs of chromosomes in the human cell, 1 pair determines sex. There are 2 types of sex chromosomes: X and Y. Female genotype: XX Male genotype: XY There is a 50% possibility that a child could be male or female Sex-linked Characteristics These characteristics are determined by other genes on the sex chromosomes and are carried on the X chromosome. They mostly affect males. Haemophilia (bleeder’s disease) and colour blindness are sex-linked recessive conditions. Example: 1. A carrier female for haemophilia married a normal male. What is the possibility of their having a haemophiliac child? 2. A carrier female married a colour blind male. What is the possibility of their having a colour blind son? What is the possibility of their having a colour blind child? Sickle Cell Anaemia In this disorder, RBC’s take a sickle shape instead of the normal biconcave shape. Normal RBC allele: N Sickle shaped allele: S Sickle cell trait: NS (30 – 40% RBC’s are sickle shaped) Example: If 2 persons with the sickle cell trait were to marry, a. What are the possible genotypes and phenotypes of their offspring? b. What is the possibility of their having a child who suffers from sickle cell anaemia? c. What is the possibility of their having a normal child? 64 KHM Genetic Engineering Genetic engineering is the changing of one or more characteristics of an organism by inserting genes from another organism into its DNA. The foreign DNA can come from another individual of the same species, a different species or synthesised DNA. Advantages Improved food quality Resistance of crops to pests, diseases, environmental conditions and herbicides Food to match population growth Treat medical disorders Growth hormone production to treat dwarfism Insulin production for diabetics Vaccines Cancer and genetic disorders diagnosis and treatment Disadvantages Lack of understanding of the impact on human health and the environment Worked Example of Monohybrid Recessive Inheritance Using H to represent the normal condition for height and h to represent the recessive allele for short, what would be the possible genotypes of offspring produced when two heterozygous tall persons mate? 65 KHM DISEASE AND ITS IMPACT ON HUMANS Objectives Define the terms good health and disease Classify diseases Differentiate between the terms signs and symptoms State the main causes, primary symptoms and possible treatment of asthma Explain how asthma affects the respiratory tract Discuss the causes, signs/symptoms, treatment modality and prevention of chronic/lifestyle related diseases Discuss the causative agent, signs, symptoms, prevention and control of infectious diseases Discuss the cause, symptoms, mode of action, prevention and control of HIV/AIDS Describe the effects of sexually transmitted infections (STI’s) on the pregnant mother and foetus Discuss the impact of disease on the human population Discuss the effects of malaria and dengue (strain I – IV) on the human body Explain the effect of vectors on human health Describe the life cycle of the mosquito and housefly Explain the importance and methods of controlling vectors which affect human health Health and Diseases Explain how and why personal hygiene is maintained Explain the methods used to control the growth of microorganisms Distinguish between disinfectants and antiseptics Explain the use of common antibiotics and antifungal agents Explain the types of immunity Distinguish between immunity and immunization; vaccine and vaccination Discuss the use and misuse of drugs Explain the social effects of drug misuse on individuals, family and community Definition of Terms Health - a state of complete physical, mental and social well-being and free from disease or infirmity [World Health Organization (WHO)] Disease is any change from normal health in which the health of the organism is impaired. A disease can be classified as: 1. Communicable (infectious) – caused by a pathogen and can be passed from one person to another 2. Non-communicable (non-transmissible) – cannot be passed from one person to another or acquired from a disease vector Diseases are detected by signs and symptoms. Symptoms are subjective, i.e. what a person feels. Signs are objective, i.e. what an observer can detect. Pathogen - disease causing organisms, e.g. – viruses, bacteria, fungi, protozoa Vector - an organism that carries a pathogen and transmits it from on host to another. Host - an organism which a pathogen lives on or inside Venereal disease – a disease only passed from one person to another during sexual intercourse 66 KHM Common Diseases Disease Causative Spread Influenza Virus Droplet Asthma Allergens (dust mites, pollen, fur etc.) Triggers (stress, exercise) Airborne particles Tuberculosis Bacterium Mycobacteium tuberculosis Spores in droplet Pneumonia Bacterium Pneumococcus Spores in droplet Ringworm Fungus Tinea Spores on floors, towels, skin Cholera Bacterium Contaminated Vibrio cholerae water (especially by faeces) Typhoid Bacterium Salmonella Signs and Symptoms Shivering, raised body temperature, headache, fever, sore throat Wheezing, coughing, shortness of breath, inflammation of bronchiole tubes Coughing, spitting blood, fever, becoming pale and thin Coughing, red sputum, fever, chest pain Red patches on body, itching Vomiting, severe diarrhoea, gastroenteritis, stomach pains, dehydration Contaminated Severe water and food diarrhoea, fever, rash, gastroenteritis 67 Control Treatment Flu vaccine, good ventilation Rest, hot drinks, warmth, pain killers Avoid allergens and triggers Use of corticosteroid inhaler and antihistamines Avoid overcrowding Avoid spitting, BCG vaccine Avoid overcrowding Antibiotics Thoroughly dry skin, avoid sources of infection Proper disposal of faeces, chlorination of drinking water Proper treatment of water and food, vaccination Fungicide ointments (antifungal drugs) Antibiotics Antibiotics Antibiotics KHM Types of Diseases and Examples 1. Infectious – influenza, typhoid, STIs, dengue, rabies, measles 2. Deficiency – night blindness, beri-beri, scurvy, rickets, anaemia 3. Degenerative – heart disease, Alzheimer’s disease, osteoarthritis, cancer 4. Inherited – albinism, sickle cell anaemia, haemophilia, colour blindness, Huntington’s disease 5. Mental – anxiety, neurosis, stress, depression 6. Self-inflicted – cancer, bronchitis, heart attack, addiction from cigarette smoking, excessive alcohol consumption and overeating Sexually Transmitted Infections (STIs) A sexually transmitted infection can be transmitted by sexual contact, normally sexual intercourse. STIs can be caused by: viruses (genital herpes, genital warts, HIV/AIDS), bacteria (chlamydia, syphilis, gonorrhoea) and arthropods (pubic lice). Common Sexually Transmitted Infections Disease Pathogen Gonorrhoea Bacterium gonococcus Syphilis Bacterium spirilla Genital herpes Herpes simplex type 2 virus Symptom/Sign Pus from penis, burning sensation when urinating, sterility (blocked oviduct and inflammation of prostate and testes) Hard red ulcers, rash, brain damage, insanity, death Blisters around genitals, rash, itching, pain, severe headache, muscle ache Treatment Penicillin injection Penicillin injection No cure, treatment reduces symptoms. Prevention: avoid contact with blisters/ulcers of infected persons AIDS Human immunodeficiency virus (HIV) destroys T-lymphocytes which weakens the immune response to invading pathogens. Acquired immune deficiency syndrome (AIDS) causes patients to die from other opportunistic infections, e.g. pneumonia, tuberculosis. Causative agent Human immune-deficiency virus (HIV) Spread/ infection Signs/ symptoms Control Sexual intercourse, blood transfusions, intravenous injections, mother to foetus (congenital),breast feeding Weakened immune system, cough, fever, skin rashes, swollen lymph glands, lack of WBCs Avoid sexual relationships with infected persons, avoid unprotected sexual intercourse, no sharing of intravenous needles, avoid contact with blood from other persons, screening for virus No cure, anti-retroviral drugs (expensive, many side effects), education on sexual behaviour Treatment 68 KHM Effects of STI’s on the Mother and Foetus Bacteria causing gonorrhoea and syphilis can cross placenta of mother leading to a damaged foetus, stillbirth and babies born with abnormalities, e.g. eye defects. Viruses causing HIV and hepatitis can cross placenta of mother to foetus. HIV can also be transmitted through breast milk. Mothers with herpes virus have worse symptoms during pregnancy and babies may be infected at birth leading to nervous complaint, blindness and death. Mosquito as a Vector Mosquitoes directly transfer pathogens to humans by biting or piercing the skin and are vectors for insect borne diseases. Only the female adult mosquito can bite and infect. They are attracted to the body by the smell of sweat. Mosquitoes require stagnant water for the development of their egg, larvae and pupa stages. Life Cycle of a Mosquito Eggs are laid on the surface film of water. Larvae emerge and hang down from the under-surface of water. Larvae moult about 4 times and form a comma-shaped pupa and adult structures begin to form (non-feeding stage). Pupa case splits along the back of the head and thorax and adult climbs out on water surface, allowing the outer covering to harden. Adults can live 11 – 15 days. Mosquito vector Causative agent Signs/symptoms Treatment Malaria Anopheles Protozoan Plasmodium High fever, weakness Drugs e.g. quinine Dengue Aedes aegyptii (feeds after dawn and before dusk) Virus DEN 1 to 4 Fever, severe headaches, muscle and joint pain, rash No specific treatment, rest and plenty fluids Metamorphosis of the mosquito Houseflies as a Vector Houseflies transmit pathogens that enter the body in food and cause food poisoning. The major source of infection includes feeding, defecating and walking from organic waste and faeces to food eaten. Little pools of digestive juices rich in harmful bacteria is left on food after feeding. The fly may defecate while flying over food. Bacteria from hairs on the fly’s body may drop off while it walks on food. Female can lay 120 – 150 eggs in one batch with 5 batches in one lifetime. Control: Kill adults, remove breeding grounds, e.g. rubbish heaps. Disease prevention: Keep food covered, properly store cooking utensils 69 KHM Life Cycle of a Housefly Houseflies undergo complete metamorphosis with distinct egg, larva, pupa and adult stages. Eggs are laid singly but are piled in small groups. Larvae emerge within 8 – 20 hours, and immediately feed on and develop in the material in which the eggs were laid. Larvae go through 3 moults and complete their development in 4 to 13 days at optimal temperatures. Pupae complete their development in 2 – 6 days. Adults can live 15 – 25 days. Without food, adults survive only about 2 – 3 days. Metamorphosis of a housefly Rats as a Vector Rats are opportunistic survivors that often live with and near humans. As pests, they cause substantial food loss, property damage and transmit diseases that pose a threat to public health. Diseases Transmitted by Rats Causative Agent Part played by Rats Serve as hosts to vectors (fleas, Typhus Bacterium: Rickettsia ticks, lice, mites) Plague Bacterium: Bacillus Host to rat fleas (vector) Feeding, urinating and defecating Food poisoning and typhoid Bacteria on food stores Leptospirosis (Weil’s disease) Bacterium: Leptospira Urinating on food and in water Other parasites such as tapeworms and liver flukes can be spread by rats. Controlling Vectors Controlling vectors helps prevents the spread of communicable fatal diseases, e.g. leptospirosis, dengue fever, gastroenteritis. Vectors can be controlled by removing breeding grounds and destroying the vectors. Hygiene Hygiene refers to the various measures a person takes to avoid infection, maintain cleanliness and ensure good health. It is important for eliminating body odours, social acceptance, the prevention of infections and the prevention of dental carries. Ways to maintain hygiene Bathing (with soap) Washing hair (with shampoo) Use warm water while showering Dry skin thoroughly Wash hands before preparing and eating meals and after using the toilet Keep finger nails short and clean Frequently change and wash clothing Wear water proof foot wear Wear light coloured and light weight clothing (cottons and silks) Proper disposal of wastes 70 KHM Methods to Control the Growth of Microorganisms Pasteurisation Ultra-high temperature (UHT) Boiling Autoclaving Canning or bottling Refrigeration Dehydration Osmotic preservation Vacuum packaging Use of smoke Pickling Deep freezing Heat treatment to preserve liquids by destroying most bacteria present. The liquid is alternately heated and cooled to destroy bacteria that turn it sour. Food is heated to over 135⁰C and rapidly cooled before packaging to kill virtually all microbes and their spores on a wide range of foods. Water boils at 100⁰C at which few organisms can survive. Pressurised steam is used to destroy microbes. It is used for the decontamination of laboratory waste and the sterilisation of laboratory equipment. Food contents are processed and sealed in an airtight container providing long shelf life. The packaging prevents microbes from entering and proliferating inside. Food is cooled causing microbe growth to be slowed. Water is removed from food to prevent growth of microbes. Sugar or salt is added to the food making it impossible for most microbes reproduce, e.g. jams, jellies. Removal of oxygen to prevent aerobic respiration by microbes. Heat removes water which slows microbe growth. The addition of ethanoic acid lowers pH reducing growth of microbes. Food is cooled to below -18⁰C thus preventing the growth of microbes but not killing them. Definition of Terms Disinfection - the use of chemicals to destroy pathogens Disinfectants - applied to surfaces, equipment or other inanimate objects to eliminate pathogens. They are stronger and more toxic than antiseptics. Antiseptics - applied to living skin or tissue to prevent infection by eliminating pathogens. Antibiotics - a chemical produced by living organisms which destroy bacteria. Antigen - a large molecule that causes lymphocytes to make and release antibodies. Antibody - protein molecules that destroy pathogens. Antitoxin -- antibodies made to destroy toxins. Sterilisation – the complete destruction of all microorganisms present on a substance Use of Antibiotics and Antifungal Agents Antibiotics Antibiotics are used to reduce and treat infections. Penicillin is the most common antibiotic and can treat bacterial infections like tonsillitis, gingivitis, mild anthrax, syphilis, gonorrhoea, pneumonia. Popular penicillin varieties include amoxicillin and ampicillin that are used to treat bacterial strains that are immune to some penicillins. 71 KHM Antifungal agents These agents are used to treat fungal infections. E.g. – Antifungal cream can be used to treat ringworm and are liberally applied to the infected area and its surroundings. Test for Bacterial Presence 1. Prepare a sterile nutrient agar plate. An agar plate is a Petri dish that contains a growth medium used to culture microorganisms. 2. Sterilise the nichrome wire loop by passing it through a flame. Nichrome is an alloy of nickel, chromium and iron. 3. Pass the cooled sterile nichrome wire loop on the surface (or in the contaminated water) to be tested. 4. Inoculate the plate by streaking the loop across the surface of the agar. Inoculate – to introduce cells or microbes into a culture medium. 5. Set up a control plate by dipping a sterile nichrome wire loop in sterile distilled water and rubbing it across a sterile nutrient agar plate. 6. Incubate the 2 plates at 25⁰C for at least 48 hours. Incubate – to keep at an optimum temperature for development to take place. 7. Observe plates for bacterial colonies. The control plate should be clear while the plate infected with bacteria should show visible clusters of bacteria. Definition of Terms Immunity - the body’s resistance to suffering from a disease. Vaccine - a biological preparation containing parts of microbes or whole microbes that have been killed or weakened to stimulate the body’s own immune system to protect against subsequent infection or disease. Immunisation - the process where a person is made immune or resistant to an infectious disease, typically by the administration of a vaccine. Vaccination - the administration of a vaccine to stimulate an individual's immune system to develop immunity to a disease. 72 KHM Types of Immunity 1. Natural innate active immunity - inborn immunity 2. Natural innate passive immunity - passed from mother to foetus and baby 3. Natural acquired active immunity - antibodies produced by a natural infection, e.g. TB 4. Artificial acquired active immunity - antibodies produced by a vaccine, e.g. polio vaccine 5. Artificial passive acquired immunity - serum injection contains antibody, e.g. antiserum to snake bites and tetanus Definition of Terms Drug - a substance taken into the body that influences chemical reactions in the body. Prescription drugs - drugs that should be taken under medical advice for the prevention or cure of diseases. Drug abuse - the taking of drugs in excess, or for reasons other than their medical use. Drug dependence - the addiction caused when a person repeatedly take a drug that they rely on for support. Psychological dependence - when an individual feels that they must have the drug in order to live. Physical dependence - when the body’s metabolism is changed due to taking the drug so that when the drug is removed strong withdrawal symptoms are produced. Classification of Drugs 1. Narcotic drugs (opiates) - opium, morphine, heroin, methadone (drugs obtained from unripe seed pods of opium poppy) 2. Sedatives - tranquillisers, sleeping pills (slows down body functions) 3. Stimulants - cocaine, amphetamines, caffeine 4. Hallucinogens - marijuana (cannabis), LSD, ecstasy 5. Performance enhancing drugs - anabolic steroids, hormones, diuretics 6. Alcohol - beer, wines, spirits (affect body tissues and change behaviour) Social Effects of Drug Misuse Signs of drug misuse Fast mood changes Alienation Dilated pupils Restless condition Shortage of money Effects of drug misuse Criminal activity - to support expensive habit Increased crime in community - competition for drug sales Suicide - drugs leads to frustrations, depression and sense of hopelessness Violence Prostitution 73 KHM THE IMPACT OF HEALTH PRACTICES ON THE ENVIRONMENT Objectives Identify pollutants in the environment Discuss the causes of water and air pollution Describe the effects of pollutants on human beings and the environment Explain methods of controlling pollution Describe the water cycle Describe simple ways of purifying water in the home Describe the processes involved in large scale water purification Test water for bacteria Discuss the impact of human activities on water supplies Explain why contaminated water is detrimental to human beings Distinguish between proper and improper sewage disposal practices Explain the impact of improper sewage disposal practices Compare the treatment of sewage by biological filter and activated sludge methods Relate the parts of the pit latrine to their functions Explain why the site of pit latrines is important Assess the use of pit latrines in the Caribbean Evaluate the efficiency of the methods of domestic refuse disposal Describe the operations at a landfill Discuss the importance of landfills in the Caribbean Evaluate the impact of solid waste on the environment Analyse measures used to control solid waste volumes Distinguish between the terms biodegradable and non-biodegradable Pollution is the changing and harming of the environment by the action of humans. A pollutant refers to any substance or form of energy that causes harm when released into the environment. Pollution can be categorized according to its source. Source of Pollutant 1. Domestic Detergents Sewage 2. Industrial CO2 SO2 Heavy metals, e.g. mercury and lead 3. Agricultural Pesticides Fertilisers and farmyard manure Methane Effects on Humans and the Environment Contains phosphates (a plant nutrient), causes eutrophication Improper disposal causes eutrophication and water contamination A greenhouse gas contributing to global warming Damages plants, forms acid rain, irritates respiratory systems Accumulates in food chains; harms the immune and reproductive systems of marine mammals Kills non-target species, so reducing biodiversity Run-off into water, causes eutrophication Emitted by anaerobic bacteria in flooded rice fields and by cattle; also by landfill sites 74 KHM Air Pollution Air pollution is the contamination of air by any pollutant that modifies the natural characteristics of the atmosphere. The types of air pollution, their origin(s) and their consequences Type of Pollution Causes Damage Global warming Carbon monoxide, methane, nitrogen dioxide Acid rain Sulphur dioxide, nitrogen dioxide Depletion of ozone layer Chlorofluorocarbons, hydrocarbons Carbon monoxide Car exhausts, gas appliances, cigarettes Drills, loudspeakers, cars, lorries, aeroplanes Increase in global temperature causes: Polar Ice caps to melt.sea levels rise and low lying areas are flooded Rainfall is reduced in tropics leading to droughts and famine Stronger winds which lead to more storms and hurricanes Low pH in rivers leads to death of fish Low pH of soil leads to less photosynthesis by plants Breathing problems in humans Damage to limestone and concrete buildings More ultra-violet (UV) light reaches the Earth’s surface, increasing mutations which can give rise to cancers caused Reduction in the transport of oxygen by the blood Noise Hearing problems, headaches, stress Water Pollution Water pollution is the alteration of water by pollutants so that it is no longer suitable for the human needs. The types of water pollution, their origin(s) and their consequences Type of Pollution Causes Damage Eutrophication Nitrates and phosphates in Increases in plant growth on the surfaces of sewage, farmyard slurry, ponds, rivers and lakes leading to an algal bloom. detergents/washing Oxygen depletion leads to death of aerobic powders and fertilisers organisms. Suspended solids Domestic and industrial Makes the water very murky so no light can get to waste the plants. Photosynthesis is therefore prevented. Toxic chemicals Lead, mercury, zinc, iron, Miscarriages, birth defects, severe learning pesticides, oil difficulties in children. Oil can harm much animal and plant life. Radioactivity Nuclear power stations, Genetic defects, death waste from hospitals Heat Heated water from Aerobic organisms in rivers and streams die industry 75 KHM The Water Cycle Domestic Water Purification 1. Boiling Boiling water for a few minutes generally destroys all the harmful organisms and makes the water safe. 2. Addition of chlorine/bleach Chlorine or bleach will purify water (acts as a disinfectant) but will give the water ‘taste’. Sterilising tablets that release chlorine can also be used. 3. Use of filter beds Sand filters may not completely purify the water and the sand needs frequent changing. 4. Desalination plants Desalination plants remove salt from seawater and are often used where fresh water supplies are short. 5. Distillation Distillation involves boiling the water and condensing the steam on a cool surface. Stages in Large Scale Water Purification The parts of the water treatment works and the processes that occur include: Water source: lake, reservoir or spring Screening to remove large floating matter Pump to move the water Settlement to remove particles of inorganic matter Iron and aluminium salts may be added to cause smaller particles to flocculate (clump together) and settle more quickly Filtration to remove fine particles, organic matter and microorganisms Digestion by bacteria, fungi and protozoa to get rid of organic matter and most bacteria Chlorination to kill any remaining bacteria and other microorganisms Transport and storage in the dark to prevent the growth of algae 76 KHM Proper vs. Improper Sewage Disposal Sewage refers to human waste (faeces and urine) from toilets, dirty water from sinks, showers and baths, drain water and waste from industry, hospitals and abattoirs. Improper sewage disposal can spread disease pathogens and contaminate drinking water. It occurs when sewage is disposed into open water, or on land the land and when cracked sewage pipes are used. Proper sewage disposal occurs when sewage is removed from houses in pipes together with water to flush it along. Sewage Treatment The process involved in sewage treatment includes: 1. Piping sewage from houses and factories to treatment plant 2. Screening which removes large objects that are incinerated or sent to landfill 3. Grit settling tank where grit and sand settle out, are collected and sent to landfill 4. First sedimentation tank where large particles settle and become sludge 5. Sludge is removed and treated to form methane or agricultural fertiliser Sludge can be treated by using: i. Biological filter or percolating filter where sewage is sprayed onto stones covered with microorganisms, e.g. bacteria and protozoa, which feed on the organic matter and convert it into simple inorganic matter. ii. Activated sludge where compressed air is pumped through aeration tanks containing microorganisms which break down the organic material. 6. Any remaining water (effluent) is then sufficiently unpolluted to be passed into a river or the sea Pit Latrines A pit latrine is a hole at least 3m deep into which faeces and urine drop. Pit Latrines should be located several meters from the house and some distance away from streams, wells or any source of drinking water in order to avoid contamination. N.B. - Disinfectant should not be added since it kills the bacteria that decomposes the faeces. 77 KHM Solid Waste Management Landfill Sites A sanitary landfill site should be dug out of the ground and lined to prevent toxic liquid wastes leaching away into the soil and entering waterways or ground water. The topsoil is removed first, then pits are dug and the waste tipped in. The topsoil is replaced so that the land will not be wasted. Pits made by mining are often filled in this way (land reclamation). Landfill sites uses machinery to compact the volume, sort out, to recycle and select for different uses the various wastes. Compacting refuse makes it difficult for vectors, e.g. rats, to penetrate and reduces the volume to make it easier to handle and take up less space at landfill sites. Soil bacteria and fungi decompose the organic components of the rubbish into carbon dioxide and methane. As a result, gases are given off and the volume of rubbish decreases. Reasons for poor solid waste management in the Caribbean include: Lack of space for developing proper sanitary landfill sites Not enough finance to purchase and develop suitable sites for waste management Objections by local people to incinerators Populations that are too small to provide enough waste to support new technologies, e.g. incinerating waste for generating power Domestic Refuse and its Disposal Domestic refuse (garbage) is all the unwanted solids that build up after use in the home. There are two main components of domestic refuse: i. Organic matter, such as waste food and garden waste. This can act as a breeding place for vectors of various diseases ii. Solid waste refers to all unwanted solids that accumulate after use in the home, e.g. paper, plastic, metal tins, glass and textiles. These can act as breeding ground for various vectors and may cause water pollution. Proper disposal practices include: Place waste in bins with tightly fitted lids Inspect and clean bins regularly and when necessary Ensure waste collection at least once a week Avoid kitchen slops Measures Used to Control Solid Waste Volumes Most efficient methods – reuse, reduce, recycle. Reuse: Use again, for the same or different purpose, e.g. bottles Reduce: Try to buy only what is needed, avoiding unnecessary materials, e.g. extra packaging on goods Recycle: Use to make new products, e.g. wood to make paper 78 KHM Advantage Resources and materials will last longer and cost less for future generations Generate income from recycling Fewer landfill sites Less pollution from decomposing waste Disadvantage Time consuming to sort waste Specialized lorries needed for collection Other methods to control solid waste volumes: i. Composting – biodegradable waste produced from households can be made into compost. ii. Incineration – burning is an effective way of removing waste so that it does not have to go to a landfill. Biodegradable vs. Non-biodegradable Biodegradable waste refers to waste that is broken down by organisms. It allows nutrients to be recycled to the environment. This waste does not take up much space provided the decay is not prevented. Example: waste food, paper, some plastics. Non-biodegradable waste refers to waste that will not decay. Such material should be compacted for disposal in landfill sites if cannot be recycled. Example: most plastics, metal, rubber, glass. 79