Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the SubjectFiske, Annette
Science
Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject
Fiske, Annette
Human anatomy; Physiology
The rate of production of heat varies greatly in different people. One
person uses a certain amount of tissue more quickly than another, that
is, he lives faster. Moreover, size makes a difference in that a small
body has more surface to its weight than a large one and so has to
produce the same amount of heat at a faster rate in order to maintain
the right temperature. Taking food increases heat, probably because
of the muscular effort needed to eat it. Muscular work is another
factor. And finally the whole matter of heat production seems to be
under the control of the nervous system. Not much is known on this
point except that there is a heat center in the medulla which plays an
important part in heat production and whose influence is seen where
the temperature shoots way up in disease just before death. It is now
thought that fever is due to a disturbance of this nervous mechanism,
though just what the disturbance is is not known.
_Fever_ is a condition of increased bodily temperature, due to
increased production or to decreased loss of heat. As a rule, in all
fevers the metabolic changes in the body are increased. Hence the
patient becomes emaciated in a long fever. The frequent increase in the
amount of urea during fever shows an increase in protein metabolism.
The temperature in fevers rises as high as 106° and in sunstroke
sometimes to 110°. Except in sunstroke a higher temperature than 106°
generally means death. Subnormal temperature is due to a decrease in
the bodily metabolism and so to lessened heat production. As a rule,
if the functions are all active, especially that of the sweat glands,
a person can be exposed to severe heat without the temperature being
affected, though sometimes on a hot summer day it may be up half to one
degree. The cause of heat-stroke with its high fever is unknown, but
probably it is due to some effect on the heat center in the brain. Heat
prostration is also due to prolonged exposure to heat, but is generally
accompanied by a subnormal temperature. The effect of cold, as in
freezing, is to diminish all the metabolic activities of the body. The
temperature can be artificially regulated more or less by variations of
food, varying amounts of exercise, by drugs, etc.
=Sense of Touch.=--Before passing on to a discussion of the individual
parts, a few words might well be said of the sense of touch, since that
is general and resides largely in the skin, whose other functions have
just been described. It may be regarded as the form from which all
the other special senses have developed, certain portions of the body
having become more sensitive than others to certain vibrations, as the
eye to those of light. The internal organs probably have little sense
of touch.
[Illustration]
[Illustration: FIGS. 13, 14.--Meissner’s corpuscle from man; ×750.
(Böhm, Davidoff, and Huber.)]
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