Welcome to Anatomy & Physiology This subject is a complex and comprehensive look at the body’s structure, how it fits in relation to other parts, and how each organ basically works. It will predominately focus on the macro scale, with a brief introduction into cellular function. What is expected of you is: Dedication to complete the assessment tasks To have an inquisitive mind to comprehend things that cannot be easily seen. To ask and explore questions to help you understand how the organ is working to maintain health. Comprehend how the body works as a whole, synergistically Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell.Not to be used without the expressed permission of the author. 2 By the end of the subject..... You will be able to: Learning outcomes Accurately use and describe medical and/or paramedical terminology related to human anatomy and physiology and associated health issues in the context of natural therapies Explain the structure and functioning of the cells, tissues and organ systems Describe the major components of each body system and their location in relation to other structures. Explain the principles of functional anatomy in relation to each body system Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell.Not to be used without the expressed permission of the author. 3 Explain the key factors necessary to healthy functioning of each body system and interrelationships between body systems to maintain overall health. Explain common problems associated with each body system. Recognise variations from normal functioning and determine an appropriate response in terms of: Referral to an appropriate medical, nursing or allied health professional - provision of appropriate health care services. Refer to or seek assistance from an appropriate medical or paramedical authority in relation to variations from normal functioning. Articulate scope of practice and boundaries for each individual team member Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell.Not to be used without the expressed permission of the author. 4 Assessment Procedure Your assessment will encompass a variety of activities, all designed to allow you to show your level of understanding and practical skills that you have developed over the period of study and will be assessed in 3 ways: Work book comprehensive questions and labeling to display your understanding of each organ system. This needs to be completed each week. Final assignment detailing the interrelationship of organ systems to maintain health and wellbeing. In class exams. Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell.Not to be used without the expressed permission of the author. 5 Lets Get Started Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell.Not to be used without the expressed permission of the author. 6 Structure and Function Anatomy Describes the structures of the body What they are made of Where they are located Associated structures Physiology Is the study of Functions of anatomical structures Individual and cooperative functions Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell. Not to be used without the expressed permission of the author. 7 Anatomy and Physiology Integrated Anatomy Gross anatomy, or macroscopic anatomy, examines large, visible structures Surface anatomy: exterior features Regional anatomy: body areas Systemic anatomy: groups of organs working together Developmental anatomy: from conception to death Clinical anatomy: medical specialties Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell. Not to be used without the expressed permission of the author. 8 Anatomy and Physiology Integrated Anatomy Microscopic anatomy examines cells and molecules Cytology: study of cells and their structures • cyt- = cell Histology: study of tissues and their structures Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell. Not to be used without the expressed permission of the author. 9 Anatomy and Physiology Integrated Physiology Cell physiology: processes within and between cells Special physiology: functions of specific organs Systemic physiology: functions of an organ system Pathological physiology: effects of diseases Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell. Not to be used without the expressed permission of the author. 10 Levels of Organization section 1-5 The Chemical (or Molecular) Level Atoms are the smallest chemical units Molecules are a group of atoms working together The Cellular Level Cells are a group of atoms, molecules, and organelles working together The Tissue Level Tissues are a group of similar cells working together The Organ Level An organ is a group of different tissues working together Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell. Not to be used without the expressed permission of the author. 11 Levels of Organization The Organ System Level Organ systems are a group of organs working together Humans have 11 organ systems The Organism Level A human is an organism Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell.Not to be used without the expressed permission of the author. 12 Organism Systems Organs Tissue Cells Chemistry Written by Eleshia Howell for use by AoCH (C) 2012 Not to be used without the expressed permission of the author. 13 Homeostasis Homeostasis: all body systems working together to maintain a stable internal environment Systems respond to external and internal changes to function within a normal range (body temperature, fluid balance, blood pressure etc) Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell. Not to be used without the expressed permission of the author. 14 Homeostasis Mechanisms of Regulation Autoregulation (intrinsic) Automatic response in a cell, tissue, or organ to some environmental change Extrinsic regulation Responses controlled by nervous and endocrine systems Homeostasis is maintained by control systems that detect and respond to changes in the internal environment. Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell. Not to be used without the expressed permission of the author. 15 The 3 basic components of these control systems are: Receptor Receives the stimulus Control center Processes the signal and sends instructions Effector Carries out instructions Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell. Not to be used without the expressed permission of the author. 16 Fig 1.4 Example of negative feedback mechanism pg 6 Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell. Not to be used without the expressed permission of the author. 17 Negative and Positive Feedback The Role of Negative Feedback The response of the effector decreases or negates the effect of the original stimulus, maintaining or restoring homeostasis. Body is brought back into homeostasis Normal range is achieved Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell. Not to be used without the expressed permission of the author. 18 FIGURE 1–4 Negative Feedback in the Control of Body Temperature. (Martini & Nath) Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 19 The Role of Positive Feedback Cascade or amplifier system to progressively increase the response. The response of the effector increases change of the stimulus, speeding up the response. Body is moved away from homeostasis Normal range is lost Eg. Blood clotting; child birth Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell. Not to be used without the expressed permission of the author. 20 FIGURE 1–5 Positive Feedback: Blood Clotting. (Martini & Nath) Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 21 Systems Integration When all of the physiological systems work together to maintain balance (homeostasis) . When there is a break in this balance, disease or even death may result. Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell. Not to be used without the expressed permission of the author. 22 The organs and their corresponding systems. Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 23 Survival needs and related body activities. Survival Need Communication Body Activities Transport systems: blood, circulatory system, lymphatic system. Internal communication: nervous system, endocrine system. External communication: special senses, verbal and non-verbal communication. Intake of raw materials & elimination of Oxygen; nutrition. waste. Urine, faeces, carbon dioxide. Protection and survival p8 Ross & Wilson External environment = skin Internal environment = immunity, resistance Body movement Reproduction. Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell.Not to be used without the expressed permission of the author. 24 Includes Communication transport Blood and lymphatics communication. Involves receiving, collating and responding to appropriate information Internal maintains homeostasis and regulates vital body functions, includes: endocrine Nervous External includes: Special senses Verbal & non – verbal communication Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell.Not to be used without the expressed permission of the author. 25 1. Transport Blood – transports substances around the body via a network of vessels (veins, arteries, capillaries). Blood contains: Plasma - high content of water + nutrients, oxygen, hormones, cell waste products. Blood cells – Red, white, clotting factors. Heart – specialised muscle which pumps blood through vessels to the entire body. Lymphatic system – the body’s filtration system! Vessels Lymph fluid Lymph nodes Lymph organs / tissue Written by Leah Marmulla for use by AoCH (C) 2012. Adapted for use by Eleshia Howell.Not to be used without the expressed permission of the author. 26 2. Internal Communication NERVOUS SYSTEM: Central Nervous System (CNS) Brain and spinal cord Peripheral Nervous System (PNS) Sensory (afferent) nerves – transmit signals from the body to the brain Motor (efferent) nerves – transmit from the brain to effector organs eg muscle. Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell.Not to be used without the expressed permission of the author. 27 Somatic/common senses Pain Touch Heat Cold - Arise from stimulation of specialised sensory receptors at nerve endings located in the skin. Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted by Eleshia Howell. Not to be used without the expressed permission of the author. 28 Neural Communication 29 Internal Communication Endocrine System Discrete glands situated in different parts of the body. Synthesise and secrete chemical messengers – hormones, which circulate through the blood. Hormones are made in one part of the body and effect a specific target glands or tissue else where, influencing metabolism, and regulating bodily functions. Endocrine glands operate via biofeedback system, to monitor Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. and respond to homeostatic Adapted by Eleshia Howell. Not to be used changes. without the expressed permission of the author. 30 3. External Communication Special Senses – sight, smell, hearing, taste, balance. Verbal communication – speech, sound Non- verbal communication – posture, body language, facial expression. Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted by Eleshia Howell. Not to be used without the expressed permission of the author. 31 Ingestion & Elimination INTAKE OF OXYGEN: Respiratory system Upper Above the pharynx Lower systems lungs Bronchial tubes Alveoli Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell.Not to be used without the expressed permission of the author. 32 INGESTION OF NUTRIENTS Digestive system Several organs are involved. Each has a separate role in the digestion of food , absorption, assimilation of the nutrients Nutrients are grouped as Macro: - Carbohydrates (CHO) - Proteins - Fats - Water - Fibre or Micro nutrients – vitamins, minerals & EFA Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell.Not to be used without the expressed permission of the author. 33 Nutrients are vital to maintaining functional homeostasis Maintenance of water balance Energy production, Synthesis of large and complex molecules Cell building, growth and repair Metabolism – the sum total of chemical activity in the body Anabolism - building or synthesis of large and complex substances Catabolism – breaking down substances to provide energy and raw materials for anabolism and substances for excretion as waste. Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 34 Elimination Carbon dioxide – lungs Helps to maintain pH Urine – kidneys and associated organs Water and water soluble products Regulates fluid balance Blood pH Large intestine Faecal matter Indigestible good residue that can not be absorbed Bile from liver and fat soluble wastes Bilirubin from RBC recycling Microbes/bacteria Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 35 Protection & Survival Protection against: external environment - skin Infection - immunity Movement – essential for activities but also avoiding injury, reproduction etc. Reflexes. Survival of the species: Transmission of inherited characteristics reproduction Written by Leah Marmulla for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Adapted for use by Eleshia Howell.Not to be used without the expressed permission of the author. 36 Summary... This section has provided an overview of Chapter 1 in your Ross & Wilson textbook. Chapter 2, Intro to Chemistry of Life, will be covered in another Subject (Biochem ??). We will now begin to look at Chapter 3...starting with the building blocks of life....the CELL! Written by Eleshia Howell for use by AoCH (C) 2012. Not to be used without the expressed permission of the author. 37 The Human Cell Written by Eleshia Howell for use by AoCH (C) 2012. Not to be used without the expressed permission of the author. 38 Cells are the building blocks of all plants and animals. All cells come from the division of pre-existing cells. Cells are the smallest units that perform all vital physiological function Each cell maintains homeostasis at the cellular level. Cells are surrounded by a plasma membrane, or cell membrane, and filled with intracellular fluid (cytoplasm). Written by Eleshia Howell for use by AoCH (C) 2012 .Not to be used without the expressed permission of the author. 39 Types of Cells... Sex Cells (Germ cells) = Reproductive cells Spermatazoon (Male) Zygote Oocytes (Female) Somatic Cells (soma = body) All other cells within the body. Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 40 The Anatomy of a Cell... Plasma Membrane – the cell wall Cytoplasm – liquid suspension for cell contents Organelles – tiny organs of specialised function within the cell. Nucleus – contains the genetic material of cell Let’s take a look at these structures individually... Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 41 Plasma Membrane see Figure 2.2, p29 Ross & Wilson. © Eleshia Howell 2012. AoCH. 42 Consists of two layers of phospholipids, with protein, sugar (Carbs) and cholesterol molecules embedded within. The proteins perform several functions: - provide transport channels across the cell membrane - provide immunologic identity - can act as receptors for hormones or other chemical messengers - may act as enzymes (catalysts for chemical reactions) - help to stabilise the structure of plasma membrane Cell wall provides structure & regulates activity of cell Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 43 Cytoplasm All materials inside the cell and outside of the Nucleus Cytosol: Fluid filled with dissolved nutrients, ions, proteins and waste products. Organelles: Tiny organs within the cell that perform specialised functions. Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 44 Organelles Subdivided into two categories... 1. Membranous – covered in a plasma membrane to isolate them within the cytosol. These include: Endoplasmic Reticulum (ER) Golgi apparatus Lysosomes Peroxisomes Mitochondria Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 45 2. Non-membranous – no membrane, therefore have direct contact with cytosol. These include: Cytoskeleton Microvilli Centrioles Cilia Ribosomes Proteasomes Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 46 The Nucleus Every cell in the body (except mature RBC’s) contains a Nucleus....some, such as skeletal muscle cells, contain many nuclei. It is the largest of the organelles and is contained within its own membrane (nuclear envelope) allowing selective permeability. Has own fluid – nucleoplasm. Contains the body’s genetic material (46 chromosomes – DNA!) Nucleolus involved in manufactures and assembly of ribosome components. Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 47 Written by Eleshia Howell for use by AoCH (C) 2012 .Not to be used without the expressed permission of the author. 48 Mitochondria p29 Ross & Wilson Smooth outer body with inner folded membrane (cristae)....look like a peanut! Often described as the “powerhouse” of the cell Responsible for energy production - via aerobic respiration, the mitochondria take chemical energy from food (carbohydrates) and convert to a substance called ATP. When the cell breaks down this ATP molecule, energy is released for cellular activity. The more active the cell, the more mitochondria are present. Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 49 Written by Eleshia Howell for use by AoCH (C) 2012. Not to be used without the expressed permission of the author. 50 Ribosomes p29 Ross & Wilson Tiny granules of RNA and protein Synthesize proteins from amino acids, either for use IN the cell (Free ribosomes will be found in the cytoplasm) or to export FROM the cell (Fixed ribosomes will be found on the rough endoplasmic reticulum). Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 51 Endoplasmic Reticulum (ER) p30 An extensive series of interconnecting membranous canals in the cytoplasm. Two types....smooth and rough Smooth ER – synthesizes lipids and steroid hormones and helps to detoxify some drugs / medications. The lipids may be used to repair / replace membranes of the cell and organelles. Rough ER – covered in Ribosomes; active in protein synthesis; encloses substances in transport vesicles ready to send to Golgi Apparatus. Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 52 Written by Eleshia Howell for use by AoCH (C) 2012. Not to be used without the expressed permission of the author. 53 Golgi Apparatus p30 Ross & Wilson Stacks of closely folded membranes, looks like a flattened sac. Present in all cells but appears larger in cells responsible for synthesizing and exporting proteins. Proteins move from E.R to Golgi where they are packaged into small vesicles (secretory granules) to be stored until needed. Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 54 55 Lysosomes A type of secretory vesicle formed by the Golgi apparatus, containing a variety of enzymes involved in breaking down fragments of organelles and other large molecules within the cell, eg. carbohydrates, proteins, DNA, into smaller molecules that can either be recycled or expelled as waste material. Lysosomes in White Blood Cells contain enzymes that digest foreign material, such as microbes. Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 56 Peroxisomes Smaller than Lysosomes and carry a different group of enzymes to absorb and break down fatty acids, other organic compounds and toxic substances. The by-product of this process is Hydrogen Peroxide, a potentially dangerous free radical. Other enzymes within the Peroxisome then break down the H2O2 into oxygen and water, thus protecting the cell. Metabollically active tissue, such as Liver cells, are high in peroxisomes. Written by Eleshia Howell for use by AoCH (C) 2012. Not to be used without the expressed permission of the author. 57 Cytoskeleton An extensive network of protein fibres provides structure to the internal contents of the cell Responsible for the movement of the cell with tissue Assists in cell division (cytokinesis) Contains: Microfilaments Microtubules Centrosome Cell extensions – microvilli, cilia, flagella Written by Eleshia Howell for use by AoCH (C) 2012. Not to be used without the expressed permission of the author. 58 59 Microfilament: The smallest fibres within the cytoskeleton Provide structure and support Maintain the shape of the cell Allow contraction, eg muscle cell Microtubules: Larger contractile fibres involved in the movement of organelles within the cell, chromosomes during cell division and cell extensions. Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 60 Centrosome: Directs the organisation of microtubules within the cell Consists of a pair of centrioles (small clusters of microtubules) Plays an important role in cell division. Cell Extensions: Projections from the plasma membrane that improve the function or provide movement for the cell. 3 types... Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 61 Microvilli – tiny projections that contain microfilaments. Predominantly cover cells whose main function is absorption, eg small intestine. 2. Cilia – microscopic hair-like projections which move in unison to create movement of substances along the surface of the cell, eg mucous membranes in respiratory tract. 3. Flagella – single, long, whip-like “tails” that enable movement, eg sperm. 1. Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 62 Life cycle of a Cell Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 63 Damaged, dead and worn out cells can be replaced by growth and division of other similar cells Most of our body cells have 46 chromosomes and divide by a process called MITOSIS, which results in two genetically identical daughter cells. The exception being sex cells (Gametes) such as sperm and ova, which occurs through MEIOSIS. Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 64 The period between two cell divisions is called the cell cycle ( see p31 Ross & Wilson) and it has two distinct phases: Mitosis (known as the ‘M’ Phase) and Interphase. Interphase: The longest phase, separated into 3 stages... 1. G1 – the first gap phase, when the cell grows in size and volume. The time frame varies for this phase and in some instances, can even enter a ‘resting phase’. Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 65 2. Synthesis of DNA ( ‘S’ phase) – the chromosomes replicate, forming a duplicate set. 3. Second Gap Phase (G2) – further growth and preparation for cell division. Mitosis: Four distinct phases... 1. Prophase – the replicated chromatin becomes tightly coiled. Each of the 46 chromosomes will pair up with their duplicate copy to form a double chromosome unit (chromatid). The centrioles begin to connect to microtubules known as mitotic spindles and migrate to each end of the cell. Nuclear envelope disappears. Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 66 2. Metaphase – Chromatids align on the centre of the spindle. 3. Anaphase – Centromeres separate, and one of each pair of chromosomes migrates to one side of the cell. The spindles contract to help pull them apart. 4. Telophase – The spindle disappears now, the chromatid uncoils (leaving the chromosomes free) and a new nuclear envelope appears around them. Now cytokinesis fully occurs as the cytoplasm, organelles and plasma membrane totally splits to form two identical cells. See p 32 Ross and Wilson for diagram of cell division. Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 67 Transport of Substances across cell membranes. Cell membranes have selective permeability...not all substances can cross through. Those that can, do so in different ways, depending on the size of the molecules and their individual characteristics. Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 68 Concentration Gradient Substances will always travel from an area of HIGH concentration to one of LOW concentration, unless there is a barrier to prevent this from happening. Moving down the concentration gradient until both sides are equal is known as PASSIVE transport Moving up the concentration gradient is known as ACTIVE transport. Check out this simple video to help you understand... http://www.youtube.com/watch?v=1ZFqOvxXg9M&feature =related Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 69 Other ways that substances can move across the cell membrane are: Diffusion Facilitated diffusion Osmosis Bulk transport Definitions can be found in Chapter 2, p25, as well as Chapter 32-33. Written by Eleshia Howell for use by AoCH (C) 2012 modified from Ross & Wilson 11th Ed. Not to be used without the expressed permission of the author. 70 Free time to review topics covered or to spend time on workbooks. 71