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Principles of Medical Physiology PDF

856 Pages·2016·50.485 MB·English
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SSiirrccaarr__MMeedd--PPhhyyssiioollooggyy__99778899338822007766553377 11 1177..0022..1144 1122::1199 Principles of Medical Physiology 2nd edition SSiirrccaarr__CChhaapptteerr FFMM__nneeww..iinndddd II 2266//0055//1144 1111::0088 AAMM SSiirrccaarr__CChhaapptteerr FFMM__nneeww..iinndddd IIII 2266//0055//1144 1111::0088 AAMM Dedicated to the memory of my parents Who were the best teachers I have ever known SSiirrccaarr__CChhaapptteerr FFMM__nneeww..iinndddd IIIIII 2266//0055//1144 1111::0088 AAMM SSiirrccaarr__CChhaapptteerr FFMM__nneeww..iinndddd IIVV 2266//0055//1144 1111::0088 AAMM Principles of Medical Physiology 2nd edition Sabyasachi Sircar, MD Professor and Head of Department of Physiology All India Institute of Medical Sciences Jodhpur, Rajasthan India 811 Illustrations 116 Tables 19 Text Boxes Thieme Medical and Scientifi c Publishers Private Limited A-12, Second Floor, Sector - 2 Noida, Uttar Pradesh - 201 301, India Email: [email protected] www.thieme.in Thieme Delhi • Stuttgart • New York • Rio SSiirrccaarr__CChhaapptteerr FFMM__nneeww..iinndddd VV 2266//0055//1144 1111::0088 AAMM Thieme Publishers Delhi Important note: Medical knowledge is ever changing. A - 12, Second Floor, Sector - 2 As new research and clinical experience broaden our Noida, Uttar Pradesh - 201 301, India knowledge, changes in treatment and drug therapy may be required. The authors and editors of the material herein have consulted sources believed to be reliable Publishing Manager: Dr. Sonu Singh in their eff orts to provide information that is complete Development Editor: Dr. Gaurav Singh and in accord with the standards accepted at the time of Head Editorial Services: Rachna Sinha publication. However, in view of the possibility of human Assistant Manager - Editorial Production: Kumar Kunal error by the authors, editors, or publishers of the work Sales and Marketing Director: Arun Kumar Majji herein or changes in medical knowledge, neither the Chief Executive Offi cer: Ajit Kohli authors, editors, nor publishers, nor any other party who has been involved in the preparation of this work, warrants Copyright © 2014 by Thieme Medical and Scientifi c that the information contained herein is in every respect Publishers Private Limited. accurate or complete, and they are not responsible for any errors or omissions or for the results obtained from use of such information. Readers are encouraged to confi rm the information contained herein with other 1st Edition Published in 2007. sources. For example, readers are advised to check the product information sheet included in the package of Principles of Medical Physiology / each drug they plan to administer to be certain that the Sabyasachi Sircar, 2nd ed. information contained in this publication is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs. Some of the product names, patents, and registered designs referred to in this book are in fact registered trademarks or proprietary names even though specifi c reference to this fact is not always made in the text. Therefore, the appearance of a name without designation as proprietary is not to be construed as a representation by the publishers that it is in the public domain. Published by Thieme Publishers Delhi A - 12, Second Floor, Sector - 2, Noida - 201 301, Uttar Pradesh, India, +911204556600 Email: [email protected] www.thieme.in This book, including all parts thereof, is legally protected Printer: Saurabh Printers Pvt Ltd by copyright. Any use, exploitation, or commercialization outside the narrow limits set by copyright legislation without the publisher’s consent is illegal and liable to 5 4 3 2 1 prosecution. This applies in particular to photostat reproduction, copying, mimeographing or duplication ISBN 978-93-82076-53-7 of any kind, translating, preparation of microfi lms, and eISBN: 978-93-82076-64-3 electronic data processing and storage. SSiirrccaarr__CChhaapptteerr FFMM__nneeww..iinndddd VVII 2266//0055//1144 1111::0088 AAMM VII Preface to the Second Edition The second edition of Principles of Medical Physi- ics, and Respiratory mechanics. Chapters 16 (Char- ology remains committed to the quartet of utility, acteristics of Muscle Contraction) and 17 (Muscle lucidity, brevity, and contextual relevance of the Elasticity) of the previous edition are merged into text. The changes in this edition broadly fall in four a single chapter (Characteristics of Skeletal Muscle categories: First, the errors that crept into the first Contraction) while Chapter 38 (Circulatory Pathway edition are weeded out. Second, at the end of each & Hemodynamics) is split into two. Finally, if the chapter, revision questions are added. The ques- first edition of the book was aimed at providing a tions, which somewhat define the “learning objec- text that is “easy to understand”, the second edition tives” of the chapter, are mostly conceptual though is aimed at making the text “easy to revise” by high- some require only factual recall. Indeed, a quick look lighting important parts of the text so that the rigor- at these questions before going through the chapter ous structure of the text comes alive, making it even should provide the necessary focus for appreciating more suitable for reading at bedtime for relaxation! the text. Third, several chapters have been substan- I welcome, indeed beseech, the feedback of read- tially modified. Notable among them are the chap- ers which may be emailed to me at pmp.sircar@ ters on Membrane Excitation & Action Potential, gmail.com Electrocardiography, Cardiac Output, Hemodynam- Sabyasachi Sircar January, 2014 SSiirrccaarr__CChhaapptteerr FFMM__nneeww..iinndddd VVIIII 2266//0055//1144 1111::0088 AAMM SSiirrccaarr__CChhaapptteerr FFMM__nneeww..iinndddd VVIIIIII 2266//0055//1144 1111::0088 AAMM

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