Part 26

Exercise should always be limited by fatigue, which brings with it fatigue poisons. This is nature's signal when to rest. If one's use of diet and air is proper, the fatigue point will be much further off than otherwise. One should learn to _relax_ when not in activity. The habit produces rest, even between exertions very close together, and enables one to continue to repeat those exertions for a much longer time than otherwise. The habit of lying down when tired is a good one.

The Relation of Tight Clothing to Correct Breathing.--It is impossible to breathe correctly unless the clothing is worn loosely over the chest and abdomen. Tight corsets and tight belts prevent the walls of the chest and the abdomen from pushing outward and interfere with the drawing of air into the lungs. They may also result in permanent distortion of parts of the skeleton directly under the pressure. Other organs of the body cavity, as the stomach and intestines, may be forced downward, out of place, and in consequence cannot perform their work properly.

Suffocation and Artificial Respiration.--Suffocation results from the shutting off of the supply of oxygen from the lungs. It may be brought about by an obstruction in the windpipe, by a lack of oxygen in the air, by inhaling some other gas in quantity, or by drowning. A severe electric shock may paralyze the nervous centers which control respiration, thus causing a kind of suffocation. In the above cases, death often may be prevented by prompt recourse to artificial respiration. To accomplish this, place the patient on his back with the head lower than the body; grasp the arms near the elbows and draw them _upward_ and _outward_ until they are stretched above the head, on a line with the body. By this means the chest cavity is enlarged and an inspiration produced. To produce an expiration, carry the arms downward, and press them against the chest, thus forcing the air out of the lungs. This exercise, regularly repeated every few seconds, if necessary for hours, has been the source of saving many lives.

Common Diseases of the Nose and Throat.--Catarrh is a disease to which people with sensitive mucous membrane of the nose and throat are subject. It is indicated by the constant secretion of mucus from these membranes. Frequent spraying of the nose and throat with some mild antiseptic solutions is found helpful. Chronic catarrh should be attended to by a physician. Often we find children breathing entirely through the mouth, the nose being seemingly stopped up. When this goes on for some time the nose and throat should be examined by a physician for _adenoids_, or growths of soft masses of tissue which fill up the nose cavity, thus causing a shortage of the air supply for the body. Many a child, backward at school, thin and irritable, has been changed to a healthy, normal, bright scholar by the removal of adenoids. Sometimes the tonsils at the back of the mouth cavity may become enlarged, thus shutting off the air supply and causing the same trouble as we see in a case of adenoids. The simple removal of the obstacle by a doctor soon cures this condition. (See page 395.)

Organs of Excretion.--All the life processes which take place in a living thing result ultimately, in addition to giving off of carbon dioxide, in the formation of organic wastes within the body. The retention of these wastes which contain nitrogen, is harmful to animals. In man, the skin and kidneys remove this waste from the body, hence they are called the organs of excretion.

The Human Kidney.--The human kidney is about four inches long, two and one half inches wide, and one inch in thickness. Its color is dark red. If the structure of the medulla and cortex (see figure above) is examined under the compound microscope, you will find these regions to be composed of a vast number of tiny branched and twisted tubules. The outer end of each of these tubules opens into the _pelvis_, the space within the kidney; the inner end, in the cortex, forms a tiny closed sac. In each sac, the outer wall of the tube has grown inward and carried with it a very tiny artery. This artery breaks up into a mass of capillaries. These capillaries, in turn, unite to form a small vein as they leave the little sac. Each of these sacs with its contained blood vessels is called a _glomerulus_.

Wastes given off by the Blood in the Kidney.--In the glomerulus the blood loses by osmosis, through the very thin walls of the capillaries, first, a considerable amount of water (amounting to nearly three pints daily); second, a nitrogenous waste material known as urea; third, salts and other waste organic substances, uric acid among them.

These waste products, together with the water containing them, are known as _urine_. The total amount of nitrogenous waste leaving the body each day is about twenty grams. It is passed through the _ureter_ to the _urinary bladder_; from this reservoir it is passed out of the body, through a tube called the _urethra_. After the blood has passed through the glomeruli of the kidneys it is purer than in any other place in the body, because, before coming there, it lost a large part of its burden of carbon dioxide in the lungs. After leaving the kidney it has lost much of its nitrogenous waste. So dependent is the body upon the excretion of its poisonous material that, in cases where the kidneys do not do their work properly, death may ensue within a few hours.

Structure and Use of Sweat Glands.--If you examine the palm of your hand with a lens, you will notice the surface is thrown into little ridges. In these ridges may be found a large number of very tiny pits; these are the pores or openings of the sweat-secreting glands. From each opening a little tube penetrates deep within the epidermis; there, coiling around upon itself several times, it forms the sweat gland. Close around this coiled tube are found many capillaries. From the blood in these capillaries, cells lining the wall of the gland take water, and with it a little carbon dioxide, urea, and some salts (common salt among others). This forms the excretion known as _sweat_. The combined secretions from these glands amount normally to a little over a pint during twenty-four hours. At all times, a small amount of sweat is given off, but this is evaporated or is absorbed by the underwear; as this passes off unnoticed, it is called _insensible perspiration_. In hot weather or after hard manual labor the amount of perspiration is greatly increased.

Regulation of Heat of the Body.--The bodily temperature of a person engaged in manual labor will be found to be but little higher than the temperature of the same person at rest. We know from our previous experiments that heat is released. Muscles, nearly one half the weight of the body, release about five sixths of their energy as heat. At all times they are giving up some heat. How is it that the bodily temperature does not differ greatly at such times? The temperature of the body is largely regulated by means of the activity of the sweat glands. The blood carries much of the heat, liberated in the various parts of the body by the oxidation of food, to the surface of the body, where it is lost in the evaporation of sweat. In hot weather the blood vessels of the skin are dilated; in cold weather they are made smaller by the action of the nervous system. The blood thus loses water in the skin, the water evaporates, and we are cooled off. _The object of increased perspiration, then, is to remove heat from the body._ With a large amount of blood present in the skin, perspiration is increased; with a small amount, it is diminished. Hence, we have in the skin an automatic regulator of bodily temperature.

Sweat Glands under Nervous Control.--The sweat glands, like the other glands in the body, are under the control of the sympathetic nervous system. Frequently the nerves dilate the blood vessels of the skin, thus helping the sweat glands to secrete, by giving them more blood.

"Thus regulation is carried out by the nervous system determining, on the one hand, the _loss_ by governing the supply of blood to the skin and the action of the sweat glands; and on the other, the _production_ by diminishing or increasing the oxidation of the tissues."--FOSTER AND SHORE, _Physiology_.

Colds and Fevers.--The regulation of blood passing through the blood vessels is under control of the nervous system. If this mechanism is interfered with in any way, the sweat glands may not do their work, perspiration may be stopped, and the heat from oxidation held within the body. The body temperature goes up, and a fever results.

If the blood vessels in the skin are suddenly cooled when full of blood, they contract and send the blood elsewhere. As a result a congestion or cold may follow. Colds are, in reality, a congestion of membranes lining certain parts of the body, as the nose, throat, windpipe, or lungs.

When suffering from a cold, it is therefore important not to chill the skin, as a full blood supply should be kept in it and so kept from the seat of the congestion. For this reason hot baths (which call the blood to the skin), the avoiding of drafts (which chill the skin), and warm clothing are useful factors in the care of colds.

Hygiene of the Skin.--The skin is of importance both as an organ of excretion and as a regulator of bodily temperature. The skin of the entire body should be bathed frequently so that this function of excretion may be properly performed. Pride in one's own appearance forbids a dirty skin. For those who can stand it, a cold sponge bath is best. Soap should be used daily on parts exposed to dirt. Exercise in the open air is important to all who desire a good complexion. The body should be kept at an even temperature by the use of proper underclothing. Wool, a poor conductor of heat, should be used in winter, and cotton, which allows of a free escape of heat, in summer.

Cuts, Bruises, and Burns.--In case the skin is badly broken, it is necessary to prevent the entrance and growth of bacteria. This may be done by washing the wound with weak antiseptic solutions such as 3 per cent _carbolic acid_, 3 per cent _lysol_, or _peroxide of hydrogen_ (full strength). These solutions should be applied immediately. A burn or scald should be covered at once with a paste of baking soda, with olive oil, or with a mixture of limewater and linseed oil. These tend to lessen the pain by keeping out the air and reducing the inflammation.

Summary of Changes in Blood within the Body.--We have already seen that red corpuscles in the lungs lose part of their load of carbon dioxide that they have taken from the tissues, replacing it with oxygen. This is accompanied by a change of color from purple (in blood which is poor in oxygen) to that of bright red (in richly oxygenated blood). Other changes take place in other parts of the body. In the walls of the food tube, especially in the small intestine, the blood receives its load of fluid food. In the muscles and other working tissues the blood gives up food and oxygen, receiving carbon dioxide and organic waste in return. In the liver, the blood gives up its sugar, and the worn-out red corpuscles which break down are removed (as they are in the spleen) from the circulation. In glands, it gives up materials used by the gland cells in their manufacture of secretions. In the kidneys, it loses water and nitrogenous wastes (_urea_). In the skin, it also loses some waste materials, salts, and water.

"The Effect of Alcohol on Body Heat.--It is usually believed that 'taking a drink' when cold makes one warmer. But such is not the case. In reality alcohol lowers the temperature of the body by dilating the blood vessels of the skin. It does this by means of its influence on the nervous system. It is, therefore, a mistake to drink alcoholic beverages when one is extremely cold, because by means of this more bodily heat is allowed to escape.

"Because alcohol is quickly oxidized, and because heat is produced in the process, it was long believed to be of value in maintaining the heat of the body. A different view now prevails as the result of much observation and experiment. Physiologists show by careful experiments that though the temperature of the body rises during digestion of food, it is lowered for some hours when alcohol is taken. The flush which is felt upon the skin after a drink of wine or spirits is due in part to an increase of heat in the body, but also to the paralyzing effect of the alcohol upon the capillary walls, allowing them to dilate, and so permitting more of the warm blood of the interior of the body to reach the surface. There it is cooled by radiation, and the general temperature is lowered."--MACY, _Physiology_.

Effect of Alcohol on Respiration.--Alcohol tends to congest the membrane of the throat and lungs. It does this by paralyzing the nerves which take care of the tiny blood vessels in the walls of the air tubes and air sacs. The capillaries become full of blood, the air spaces are lessened, and breathing is interfered with. The use of alcohol is believed by many physicians to predispose a person to tuberculosis. Certainly this disease attacks drinkers more readily than those who do not drink. Alcohol interferes with the respiration of the cells because it is oxidized very quickly within the body as it is quickly absorbed and sent to the cells. So rapid is this oxidation that it interferes with the oxidation of other substances. Using alcohol has been likened to burning kerosene in a stove; the operation is a dangerous one.

Effects of Tobacco on Respiration.--Tobacco smoke contains the same kind of poisons as the tobacco, with other irritating substances added. It is extremely irritating to the throat; it often causes a cough, and renders it more liable to inflammation. If the smoke is inhaled more deeply, the vaporized nicotine is still more readily absorbed and may thus produce greater irritation in the bronchi and lungs. Cigarettes are worse than other forms of tobacco, for they contain the same poisons with others in addition.

Effect of Alcohol on the Kidneys.--It is said that alcohol is one of the greatest causes of disease in the kidneys. The forms of disease known as "fatty degeneration of the kidney" and "Bright's disease" are both frequently due to this cause. The kidneys are the most important organs for the removal of nitrogenous waste.

Alcohol unites more easily with oxygen than most other food materials, hence it takes away oxygen that would otherwise be used in oxidizing these foods. Imperfect oxidation of foods causes the development and retention of poisons in the blood which it becomes the work of the kidneys to remove. If the kidneys become overworked, disease will occur. Such disease is likely to make itself felt as rheumatism or gout, both of which are believed to be due to waste products (poisons) in the blood.

Poisons produced by Alcohol.--When too little oxygen enters the draft of the stove, the wood is burned imperfectly, and there are clouds of smoke and irritating gases. So, if oxygen unites with the alcohol and too little reaches the cells, instead of carbon dioxide, water, and urea being formed, there are other products, some of which are exceedingly poisonous and which the kidneys handle with difficulty. The poisons retained in the circulation never fail to produce their poisonous effects, as shown by headaches, clouded brain, pain, and weakness of the body. The word "intoxication" means "in a state of poisoning." These poisons gradually accumulate as the alcohol takes oxygen from the cells. The worst effects come last, when the brain is too benumbed to judge fairly of their harm.

REFERENCE BOOKS

ELEMENTARY

Hunter, _Laboratory Problems in Civic Biology_. American Book Company. Davison, _Human Body and Health_. American Book Company. Gulick, _Hygiene Series, Emergencies, Good Health_. Ginn and Company. Hough and Sedgwick, _The Human Mechanism_. Ginn and Company. Macy, _General Physiology_. American Book Company. Ritchie, _Human Physiology_. World Book Company.

XXIII. BODY CONTROL AND HABIT FORMATION

_Problems.--How is body control maintained? (a) What is the mechanism of direction and control? (b) What is the method of direction and control? (c) What are habits? How are they formed and how broken? (d) What are the organs of sense? What are their uses? (e) How does alcohol affect the nervous system?_

LABORATORY SUGGESTIONS

_Demonstration._--Sensory motor reactions.

_Demonstration._--Nervous system. Models and frog dissections.

_Demonstration._--Neurones under compound microscope (optional).

_Demonstration._--Reflex acts are unconscious acts: show how conscious acts may become habitual.

_Home exercise_ in habit forming.

_The senses.--Home exercises._--(1) To determine areas most sensitive to touch. (2) To determine or map out hot and cold spots on an area on the wrist. (3) To determine functions of different areas on tongue.

_Demonstration._--Show how eye defects are tested.

_Laboratory summary._--The effects of alcohol on the nervous system.

The Body a Self-directed Machine.--Throughout the preceding chapters the body has been likened to an engine, which, while burning its fuel, food, has done work. If we were to carry our comparison further, however, the simile ceases. For the engineer runs the engine, while the bodily machine is self-directive.

Moreover, most of the acts we perform during a day's work are results of the automatic working of this bodily machine. The heart pumps; the blood circulates its load of food, oxygen, and wastes; the movements of breathing are performed; the thousand and one complicated acts that go on every day within the body are _seemingly_ undirected.

Automatic Activity.--In addition to this, numbers of other of our daily acts are not thought about. If we are well-regulated body machines, we get up in the morning, automatically wash, clean our teeth, dress, go to the toilet, get our breakfast, walk to school, even perform such complicated processes as that of writing, without _thinking_ about or _directing_ the machine. In these respects we have become creatures of habit. Certain acts which once we might have learned consciously, have become automatic.

But once at school, if we are really making good in our work in the classroom, we begin a higher control of our bodily functions. Automatic control acts no longer, and sensation is not the only guide--for we now begin to make _conscious choice_; we weigh this matter against another,--in short, we _think_.

Parts of the Nervous System.--This wonderful self-directive apparatus placed within us, which is in part under control of our will, is known as the nervous system. In the vertebrate animals, including man, it consists of two divisions. One includes the brain, spinal cord, the cranial and spinal nerves, which together make up the _cerebro-spinal nervous system_. The other division is called the _sympathetic nervous system_ and has to do with those bodily functions which are beyond our control. Every group of cells in the body that has work to do (excepting the floating cells of the blood) is directly influenced by these nerves. Our bodily comfort is dependent upon their directive work. The organs which put us in touch with our surroundings are naturally at the _surface_ of the body. Small collections of nerve cells, called _ganglia_, are found in all parts of the body. These nerve centers are connected, to a greater or less degree, with the surface of the body by the nerves, which serve as pathways between the end organs of touch, sight, taste, etc., and the centers in the brain or spinal cord. Thus sensation is obtained.

Sensations and Reactions.--We have already seen that simpler forms of life perform certain acts because certain outside forces acting upon them cause them to _react_ to the stimulus from without. The one-celled animal responds to the presence of food, to heat, to oxygen, to other conditions in its surroundings. An earthworm is repelled by light, is attracted by food. All animals, including man, are put in touch with their surroundings by what we call the organs of sensation. The senses of man, besides those we commonly know as those of sight, hearing, taste, smell, and touch, are those of temperature, pressure, and pain. It is obvious that such organs, if they are to be of use to an animal, must be at the outside of the body. Thus we find eyes and ears in the head, and taste cells in the mouth, while other cells in the nose perceive odors, and still others in the skin are sensitive to heat or cold, pressure or pain.

But this is not all. Strangely enough, we do not see with our eyes or taste with our taste cells. These organs receive the sensations, and by means of a complicated system of greatly elongated cell structures, the message is sent inward, relayed by other elongated cells until the sensory message reaches an inner station, in the central nervous system. We see and hear and smell in our brain. Let us next examine the structure of the nerve cells or _neurons_ part of which serve as pathways for these messages.

Neurones.--A nerve cell, like other cells in the body, is a mass of protoplasm containing a nucleus. But the body of the nerve cell is usually rather irregular in shape, and distinguished from most other cells by possessing several delicate, branched protoplasmic projections called _dendrites_. One of these processes, the axon, is much longer than the others and ends in a muscle or organ of sensation. The axon forms the pathway over which nervous impulses travel to and from the nerve centers.

A nerve consists of a bundle of such tiny axons, bound together by connective tissue. As a nerve ganglia is a center of activity in the nervous system, so a cell body is a center of activity which may send an impulse over this thin strand of protoplasm (the axon) prolonged many hundreds of thousands of times the length of the cell. Some neurones in the human body, although visible only under the compound microscope, give rise to axons several feet in length.

Because some bundles of axons originate in organs that receive sensations and send those sensations to the central nervous system, they are called _sensory nerves_. Other axons originate in the central nervous system and pass outward as nerves producing movement of muscles. These are called _motor nerves_.