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The last chapter brings the volume full circle as it looks into the ultimate confines of perception, across the limits of death. Contrasting with the Christian sacralization of the last breath, physiological research at the time revealed various stages in death, when vital organs fail one after the other, raising the troubling possibility of sensory remanence running through nervous fibres as the body gradually dies. These specters of sensations were invested by the Romantic imagination. This chapter investigates paradoxical imaginings of sensation after death in Keats’s Isabella; or, The Pot of Basil, Percy Shelley’s ‘The Sensitive-Plant’, and Mary Shelley’s Frankenstein, which registers the dawn of sensation in a creature composed of tissues taken from the charnel-house, learning to feel through dead flesh. Such sensory experiments offer imaginative answers to the paradoxical question: what do the dead see through closed eye, through empty orbits?
This chapter looks at poetic explorations into the visionary powers of nonhumans. It examines a series of sense experiments in the works of Erasmus Darwin, Percy Shelley, and John Clare. For these poets, there is more than meets the human eye, as creativity is not limited to humankind. They draw on scientific investigations into the sensory apparatuses of animals and on research about the metabolic process later termed ‘photosynthesis’, in which the whole surface of the vegetal body is sensitive to light. That sensitivity, in which the body is both all eye and all skin, is the most vital sense, the one that truly defines plant life in its uncanny vitality. In these imaginary experiments, by endeavouring to experience the world through nonhuman senses, the poet encounters multifarious sensory modalities, as well as strangely intense forms of vision.
This article examines Charles Bell’s experimental practices by drawing historiographical attention away from the priority disputes over the spinal nerve functions for which he was most famous. I argue that Bell’s primary research interest was the expression of emotions. To this end, he developed a programme of vivisection that explored the underlying mechanisms of emotion. However, this also resulted in a profound contradiction between his experimental practices and his worldview – conducting painful experiments on beloved animals despite moral revulsion towards animal experimentation. This opens up three interconnected areas. Firstly, it allows an exploration of disciplinary identity in medicine, particularly the way that disciplines demanded specific practices and behaviours. Secondly, vivisection more generally required methods and ethics that opposed the growing anti-cruelty voice. Here, a combination of animal choice and the importation of techniques from the slaughterhouses was critical. Thirdly, vivisectors navigated a complex emotional landscape between their professional obligations and broader cultural sensibilities. These three areas are linked together using Boddice’s concept of moral economies, the affective frameworks that structured feelings. Particularly important were the sentimental and Romantic economies, both of which impacted Bell and his research. At the same time, Bell always struggled to reconcile the tensions between his disciplinary identity and his sentimental and Romantic beliefs, ultimately leading him to abandon experimentation after his assistant John Shaw’s death. I conclude by identifying the guarantees provided by character for licensing ostensibly cruel behaviours, thus allowing for the maintenance of probity within competing moral economies.
Non-code dose boluses of epinephrine are utilised in critically ill paediatric patients during periods of hemodynamic deterioration, often with the hopes of preventing a cardiac arrest. Data regarding the physiologic effects of these administrations are limited. The primary aim of this study was to use high-fidelity physiologic data to characterise the effects of intravenous non-code dose bolus epinephrine.
Methods:
Paediatric patients in the cardiac ICU who received non-code dose bolus epinephrine were identified. Those who received fluid boluses or chest compressions within 2 minutes of bolus epinephrine were excluded. Autoregressive integrated moving average analyses with exogenous variables were conducted to characterise the time-dependent changes in hemodynamic indices. Cluster analyses were then conducted to determine patterns in hemodynamic changes associated with bolus epinephrine.
Results:
A total of 71 non-code dose bolus epinephrine administrations were included in the final analyses. Heart rate, blood pressure, and renal near infrared spectroscopy all demonstrated statistically significant changes after bolus epinephrine administration. Peak change in each was 40%, 52%, and 9%, respectively, with peaks occurring between 60 seconds and 120 seconds after administration. Three response-based clusters were identified.
Conclusion:
Non-code dose bolus epinephrine is associated with a significant increase in heart rate, blood pressure, and systemic oxygen delivery. Cluster analysis using the peak change identified distinct clinical clusters.
This chapter opens with the discussion of vital unity, a problem at the intersection of medicine and philosophy. Broadly speaking, medicine is concerned with the preservation of a living whole, but for many ancient thinkers, like Galen, the practice of medicine was informed by a highly theoretical understanding of the relationship between the parts and the whole. The first section of the Introduction sets out the key preoccupation of the study: Galen’s understanding of the role that different body parts and systems have in maintaining the functioning of the living whole. Subsequent sections contextualise Galen’s work within the phusiologia tradition, as well the debate between empiricism and rationalism, and briefly outline key classifications to be discussed in later chapters, before turning to the content of individual chapters, situating the present study within the existing scholarship and, finally, briefly explaining how this work approaches the much-debated problem of the substance of the soul.
This paper examines the history of the ‘lower cavity’ of the gastrointestinal tract, a distinctive anatomical feature in Greco-Roman medicine that described a second stomach-like organ in the large intestine. It traces how a bipartite model of the digestive system emerged in fourth-century bce Greek medical and philosophical thought and persisted in the works of influential figures such as Galen, Vesalius, and Glisson, despite shifts in terminology, anatomical observations, and physiological theories. The study demonstrates that this understanding arose primarily from three complementary factors: a specific terminology that paired the stomach with a lower cavity, systematic animal dissections that revealed pronounced caeca in certain species, and emerging physiological theories that required separate bodily receptacles for digested food and residues. Through this case study, the paper illuminates how premodern anatomical knowledge was articulated by a constant negotiation between animal bodies, human bodies, and past textual authorities, facilitating the surprising longevity of ideas like the ‘lower cavity’ in the gastrointestinal tract.
Galen of Pergamum, known as 'the prince of medicine', is an important figure not only for the history of medicine but also for ancient philosophy, history of ideas and cultural history. In this book, Aistė Čelkytė explores Galenic physiology and examines how this highly influential figure theorised the unity of the multi-part, ever-moving and ever-changing human body. She approaches this question by first studying how Galen 'takes the body apart', that is, the different divisions of the body into parts that he proposes, and then how he 'puts it back together', that is, his use of philosophical tools to posit the vital unity among these parts. She then looks at Galen's theorisation of human nature, his understanding of parthood, the hierarchies between the parts that underpin vital functions, the 'mechanisms' that make the body one, and Galen's understanding of the body as a multifaceted but unified whole.
The important role of the saccule is the sensing of gravity. In other words, gravity always stimulates the macula of the saccule.
Objectives
The aim of this study was to clarify whether nystagmus and dizziness occur by intentional changes upon stimulation to the saccules.
Methods
The subjects were eight healthy humans. Experiment 1: Subjects were asked to maintain a supine position to check for nystagmus and dizziness. Experiment 2: Subjects were asked to tilt their heads 45º to the left in the supine position to check for nystagmus and dizziness. Experiment 3: Subjects were asked to maintain a left-ear-down 90º position to check for nystagmus and dizziness.
Results
In all the experiments, no one revealed nystagmus and no one complained of dizziness.
Conclusion
Neither nystagmus nor dizziness occurs by intentional changes in the stimulation to the saccules.
Respiratory regulation comprises respiratory rhythmogenesis, formation of the respiratory motor pattern, control of blood oxygen and carbon dioxide, increase of minute ventilation during physical activity, adaptation of respiration to the sleep-wake cycle, coordination of breathing with swallowing, cough, sneezing, choking and voluntary activity such as speech or singing. Other factors such as growth and maturation, emotion, pregnancy, injury, disease, body temperature, pain and aging lead to changes in respiration. The presence of a respiratory rhythm generator in the brainstem is now known to be a common feature of all vertebrates. Knowledge about respiratory regulation is mainly derived from animal models, but respiratory regulation in humans is subject to an increasing number of physiological, electrophysiological, neuroradiographic, histopathological and genetic studies. This chapter provides an overview of respiratory regulation, focused on neuroanatomical, neurophysiological and clinical apsects.
Comprehensive knowledge of the anatomy and physiology of the respiratory system is crucial in respiratory medicine. A profound understanding of physiology allows the practitioner to deduce pathological processes and initiate therapeutic steps based on rational decisions. The choice of a suitable ventilation mode or setting typically stems from an understanding of the pathophysiological processes. Understanding the respiratory chain at the cellular level, ventilation and perfusion, as well as the delicate interplay of macroscopic and microscopic mechanisms, supports the development of precise and individualized ventilation strategies. Knowledge of mucociliary clearance and the various lung volumes is also crucial to ensure optimal management of tracheobronchial secretions, oxygen supply and CO2 elimination.
We evaluated the physiological condition of the Pygoscelis penguins at Isla 25 de Mayo/King George Island (Antarctica Peninsula). Samples were collected from adults and chicks of Adélie (Pygoscelis adeliae, n = 20 each), gentoo (Pygoscelis papua, n = 20 chicks and n = 24 adults) and chinstrap penguins (Pygoscelis antarcticus, n = 18 each). We analysed haematological and biochemical parameters as indicators of health, immune response and nutrition. Gentoo penguin chicks exhibited higher haematocrits, indicating development linked to erythropoiesis and reticulocyte release from bone marrow or signalling dehydration related to fasting periods in chicks. Adélie penguins had increased total leukocyte counts, basophils and eosinophils, whereas gentoo penguins showed elevated heterophils and decreased lymphocytes, resulting in a higher heterophil/lymphocyte ratio stress index, possibly due to the impact of human activities. Chinstrap penguins from a remote area exhibited the lowest heterophil/lymphocyte ratio values. Adélie penguins showed more erythrocytic nuclear abnormalities, indicating sensitivity to environmental deterioration due to human impacts. The biochemical results were less consistent; Adélie penguins had higher cholesterol, whereas gentoo penguins had elevated triglycerides. Gentoo penguins showed dietary adaptability based on prey availability in this area. Our findings highlight the vulnerability of Adélie penguins and contribute to a 20 year physiological monitoring dataset for Antarctic penguins, which will aid future comparative studies.
In 1995, Roger Bannister, the first man to break four minutes in the mile, gave new life to an old debate. He argued that Black runners had “certain anatomical advantages” that made them all but unbeatable on the track and the roads. Some condemned his remarks. Bannister had, they said, failed to acknowledge the role of culture. Nature or nurture? commentators asked and asked again. The disagreement between the two sides hid a larger consensus: that the Black athlete constitutes a coherent scientific classification, a classification that, in a society that values the natural above the social sciences (and all sciences above the humanities), enters the collective consciousness in biological form. Chapter 1 tells the longer story of that consensus and how science and science writers used a naturalized male/female binary to naturalize a Black/white racial binary – a rhetorical move that the movement to bar trans athletes from competing in women’s and girls’ divisions has borrowed and reversed.
Pneumothorax is an important complication in anaesthesia, trauma and medicine. This oral will concentrate both on the precise mechanisms by which pneumothoraces occur and on details of recognition and treatment. A pneumothorax can develop rapidly into a life-threatening emergency, and so you must ensure that your management is competent.
Laryngopharyngeal reflux disease can affect functioning of Eustachian tube which is responsible for maintenance of normal middle ear physiology. Our study aims to assess the effect of laryngopharyngeal reflux disease on middle ear physiology and whether any functional derangement can be reversed by anti-reflux therapy.
Methods
Patients with both laryngopharyngeal reflux disease and asymptomatic middle ear dysfunction (n = 50) were prescribed anti-reflux therapy and followed up for eight weeks. Audiometric evaluations were done routinely to assess changes.
Results
Post-intervention, 72 per cent of affected ears had improved thresholds with reduction in mean and median over each serial evaluation (p = 0.003). Tympanograms showed reversal to normal in 38 per cent of cases with increasing compliance over each successive visit (p < 0.001).
Conclusion
Laryngopharyngeal reflux disease can result in middle ear dysfunction. Early detection and treatment is crucial for restoration of normalcy and prevention of progression to other complications.
Edited by
Dharti Patel, Mount Sinai West and Morningside Hospitals, New York,Sang J. Kim, Hospital for Special Surgery, New York,Himani V. Bhatt, Mount Sinai West and Morningside Hospitals, New York,Alopi M. Patel, Rutgers Robert Wood Johnson Medical School, New Jersey
This chapter covers respiratory physiology, including lung volumes and mechanics, ventilation and perfusion, compliance, diffusion, oxygen transport, carbon dioxide transport, effects of hypercarbia and hypoxemia, arterial blood gas interpretation, work of breathing, control of ventilation, non-respiratory functions of the lung, and the effects of perioperative smoking. The material is presented in a concise review format, with an emphasis on key words and concepts.
Marine aerosols can enter the terrestrial environment via sea spray which is known to affect the stable isotope fingerprint of coastal samples (plants, animals/humans), including δ13C. However, the impact of sea spray on 14C dating of terrestrial organisms at coastal sites has not been investigated so far. Besides a direct effect, sea spray is accompanied by physiological effects, e.g., due to salinity. In an artificial sea spray experiment in the greenhouse, the effect of sea spray on 14C in plant tissue was investigated. Beach grass was sprayed with mineral salt solutions containing only traces of NaCl or with brackish water from the Schlei inlet or the Baltic Sea. These plants should give a 14C signal close to the modern atmospheric 14CO2 composition. However, three treatment groups showed variable radiocarbon concentrations. Plants sprayed with water from the Schlei inlet, Baltic Sea water, or with a mineral salt solution with very high HCO3– concentration are depleted in 14C content relative to contemporary atmospheric composition. While δ13C reflects physiological effects in the plants, caused either by salinity (NaCl) or HCO3– stress, resulting in decreased discrimination against 13C, the uptake of high amounts of 14C (ca. 53–67%) from DIC (dissolved inorganic carbon) partly masks the underlying physiological reactions, as is visible in the radiocarbon signature of the plant tissues. This preliminary study indicates that sea spray effects on plant tissue could potentially influence faunal tissue 14C composition at coastal sites. Further research is required to better understand the observed reservoir effect.
Time is ripe to complement the question 'what is health and disease?' in philosophy of medicine with a 'philosophy of physiology.' Indeed, the actors in this debate share the conviction that a 'foundational' concept dictates to this scientific field what is to be considered healthy or pathological and leaves it to explore only facts and mechanisms. Rejecting this presupposition, philosophy of physiology accepts that biomedical sciences explore and redefine their own object: the healthy, the pathological. Indeed, various theories of disease and health, that philosophers have rarely studied, form the core of biomedical research, too hastily considered as a science 'without theories.' The Element identifies them, and clarifies their content, presuppositions, and scope. Finally, it proposes a new question about the unity of the pathological phenomenon: not 'what do all diseases have in common?' but rather, 'why is the susceptibility to disease a universal and necessary characteristic of living beings?'
New information on the growth analysis for different cassava genotypes grown under different irrigation managements during the early growth phase could support decision-making to improve crop productivity. This study aimed to determine the performance of 20 cassava genotypes grown under different irrigation management practices during the early growth phase. A strip-plot design with four replications was used during two growing seasons (2019/2020 and 2020/2021). Three levels of irrigation from 30 to 180 days after planting (DAP) were assigned as factor A (W1 = 100%, W2 = 60% and W3 = 20% of the crop water requirement), whereas 20 cassava genotypes were assigned as factor B. Crop data were recorded on SPAD chlorophyll meter reading (SCMR), specific leaf area (SLA) and leaf area index (LAI) at 180 and 330 DAP, relative growth rate (RGR) from 180 to 330 DAP and harvest index (HI) at 330 DAP. The genotypes CMR36-31-381 and Huay Bong 90 had high values of HI, indicating a good partitioning of photosynthate to the storage root. These two genotypes also showed superior performances in terms of SCMR, SLA and RGR inW2 and W3 treatments when compared to the other genotypes. They also had LAI values within the optimum range during the period of maximum canopy size. Therefore, the genotypes CMR36-31-381 and Huay Bong 90 could be used as genetic resources to improve cassava productivity under different irrigation levels.
Chapter 23 sets Goethe’s Farbenlehre (Theory of Colours) in context. Colour had been the subject of intensive study, both aesthetic and scientific, in the eighteenth century, and the chapter reconstructs the many influences on Goethe and his contemporaries, from the recent discoveries of Herschel and Ritter, to earlier figures, above all Newton, but even Aristotle and Hippocrates. The chapter also presents the central tenets of Goethe’s Farbenlehre, with a particular focus on the theoretical first part, which offers a physiological theory of colours and deals with the physical nature of light.