HUBS Progress Test 2 Flashcards
Two types of errors in Biostatistics
- Errors that make our answers more uncertain eg variability
- Errors that move us away from the truth eg bias (can be avoidable by taking a random sample from the whole population)
Terminologies for Continuous Variables
(Terminologies describe the centre and spread)
Population - Described by (population) mean and standard deviation
Sample - Described by (sample) mean and standard deviation.
Sampling Distribution - Centred on population mean (when there is no bias) and described by standard error (SD of sampling distribution).
Terminologies for Binary Variables
(Terminologies describe the centre and spread)
Population - Described by (population) proportion
Sample - Described by (sample) proportion
Sampling Distribution - Centred on population proportion (when no bias) and described by standard error = variability / SD of sampling distribution
Sampling Distribution
Sampling distribution follows the normal distribution where it is a symmetrical bell-shaped curve. Its shape depends on the mean and SD. 95% of the sample means lie within +/- 1.96 SD of the mean.
Sampling distribution will get narrower as the sample size increases (less variability)
Regression Lines
Regression lines can be determined by the equation
y = a + b x X, where a is the intercept and b is the slope. Height = a + b x variable.
Standard Error
(The approximate standard deviation of a statistical sample population. ie measures the difference between the sample mean and the actual mean.)
Can be estimated from the sample by using the formula
SE=s/√n
95% confidence Intervals
General formula = Estimate ± 1.96 × SE
This formula means that if repeated sampling was carried out, 95% of the intervals would contain the true population mean.
For means = x̄ ± 1.96 × s/√n
Interpretation of confidence intervals
We’re 95% confident that the true population mean lies between the upper and lower limit.
Population Mean and SD
Mean = a measure of the centre of the distribution. SD = Measures the spread or variability of the data around the mean.
Nervous system 2 structural divisions
- Central Nervous System (CNS)
2. Peripheral Nervous System (PNS)
CNS Structure
Consists of Brain and Spinal Cord.
Cellular structure = neurons and glia.
PNS Structure
Consists of peripheral nerves (everything other than the spinal cord and brain).
Cellular structure = neurons and glia.
Neurons
(Nerve Cells) Specialised for transmission of information.
Four types:
- Multipolar (multiple process emanate from the cell body ie normal type)
- Bipolar (two processes emanate from the cell body)
- Unipolar ( one process emanates from the cell body)
- Anaxonic (no distinct axon, all processes look alike)
Glia
(Glue) Support for neurons
Five basic types (each has a specific function)
4 in CNS and 1 in PNS
Neuron Generic structure
- Dendrites – receive input and send it to the cell body
- Cell body – Contains the nucleus/ organelles and aggregates inputs form the dendrites
- Axon – transmits electrical impulses, can be myelinated
- Axon Terminal – releases neurotransmitters
4 zones of the neuron
- Input zone - Consists of dendrites and cell body.
Receives chemical signals from other neurons - Summation zone - Consists of axon hillock (start of the axon). Summates inputs.
- Conduction zone - Consists of axon.
Transmits electrical signals between brain and spinal cord, from peripheral sensory receptors as well as to effector cells. - Output zone - Consists of axon terminals.
Synapses on input zone of other neurons or effector cells and releases neurotransmitters.
Organisation of the CNS
Group of cell bodies = Nucleus (not same nucleus as in cells)
Group of cell bodies in cerebral cortex or spinal cord = Grey Matter
Bundle of axons = Tract
Bundle of axons in cerebral cortex or spinal cord = White matter
Organisation of the PNS
Group of cell bodies = Ganglion
Bundle of axons = Nerve
Glia Types and Functions
4 types in CNS:
- Ependymal - Line fluid-filled spaces in CNS. Have cilia to circulate cerebrospinal fluid.
- Microglia - Immune cells of the CNS. Engulf microorganisms and debris.
- Astrocytes - Supply nutrients to neurons. Ensheath blood capillaries.
- Oligodendrocytes - Support nerve fibres (axons). Ensheath them with myelin.
1 Type in the PNS:
1. Schwann Cells - Support peripheral nerve fibres. Ensheath them with myelin.
Myelin Sheath
Myelin sheath is a layer of lipids that wraps around the axon, it increases conduction velocity via Nodes of Ranvier- the gaps between myelin.
The myelin sheath in the PNS consists of multiple Schwann cells in a line.
Communication between Neurons at Synapse
When an AP travels down pre-synaptic neuron, it will stimulate synaptic vesicles waiting in the axon terminals to fuse with the membranes in the output zone and undergo exocytosis to release neurotransmitter (chemical signal) into the synaptic cleft. The neurotransmitter travels across the synaptic cleft to receptors in the membrane of the input zone in the post-synaptic neuron.
Flow of information
(Information only travels in 1 direction within a nerve)
Information going into the brain = Afferent (also called ascending)
Information coming out of the brain = Efferent (also called descending)
Types of Information Transmitted
Somatic = The information that we are aware of and have control over. Examples:
Motor - somatic efferent = voluntary muscle control
Sensory - somatic afferent = Sensory information we are aware of such as touch or sight.
Autonomic = The information we’re unaware of and cannot control. Examples:
Motor - autonomic afferent = involuntary muscle control such as heartbeat
Sensory - autonomic efferent = sensory information we’re unaware of like information regarding blood pressure.
Somatic Efferent System
Consists of 2 myelinated neurons:
1. Upper motor neuron - cell body in brain, axon in spinal cord.
2. Lower motor neuron - cell body in spinal cord, axon in peripheral nerve (PNS)
Lower motor neuron is the pre-synaptic cell which synapses onto the effector skeletal muscle (post-synaptic cell) at the neuromuscular junction. Pre-synaptic cell relases neurotransmitter acetylcholine (Ach).
Autonomic Efferent System
Consists of 3 neurons:
1. Neuron 1 - cell body in brain, axon in brain or spinal cord.
2. Neuron 2 is myelinated - cell body in brain or spinal cord, axon in PNS. Synapses onto neuron 3 in autonomic ganglion.
3. Neuron 3 is unmyelinated - cell body in PNS (autonomic ganglion), axon in PNS. Synapse onto effector organ. Neurotransmitter released is Ach or norepinephrine (NE)
Effectors include smooth muscle, cardiac muscle, glands and adipose tissue.
2 subdivisions for Autonomic Nervous System
- Sympathetic
2. Parasympathetic
Sympathetic division of Autonomic NS
Prepares the body for acute or stress response. The ‘fight or flight’ system.
Effects:
Increased heart rate, pupil size, sweating and blood flow to muscles (by constricting blood vessels to skin and viscera).
Decreased gastric motility, salivation.
Neurotransmitter:
From Neuron 2 -> 3 = Ach
From Neuron 3 -> Effector = NE
Structural differences in neurons:
Neuron 2 = has short axon. Cell body in thoracolumbar level of spinal cord.
Neuron 3 = long axon. Cell body close to CNS in sympathetic ganglion.
Parasympathetic division of the Autonomic NS
Prepares the body for restful situations. The ‘rest and digest system’.
Effects:
Decreased heart rate and pupil size
Increased gastric motility and salivation
Neurotransmitter:
From neuron 2 -> 3 and from neuron 3 -> effector = Ach
Structural Differences:
Neuron 2 = long axon. Cell body in cranial (brainstem) and sacral (spinal cord) levels.
Neuron 3 = Short axon. Cell body distant from CNS in parasympathetic ganglion near effector.
Sympathetic chain ganglia
The site where the pre-ganglionic neurons synapse onto input zone of the post-ganglionic neuron. It is found on each side of the vertebral column and has 21 pairs.
Action Potentials
Action Potentials are information travelling along a nerve (or muscle) cell associated with the generation of electrical impulses.
Resting Membrane Potential
In living cells, resting membrane potential is about -70mV. This is due to the distribution of cations across the membrane.
ECF = High Na+, Low K+. ICF = High K+, Low Na+.
These concentrations are caused by a sodium- potassium exchange pump which tosses out 3 Na+ ions and brings in 2 K+ ions.
RMP is negative because K+ ions can leave the cell much easier than Na+ ions can enter the cell.
K+ and Na+ gradients
K+: Chemical gradient = Out Electrical gradient = In Electrochemical (overall) gradient = Out Na+ Chemical gradient = In Electrical gradient = In Electrochemical (overall) gradient = In
Sending Information via AP
AP much reach a threshold (around -60mV) at the axon hillock. If this is met, AP will travel down the axon. Propagation occurs when voltage-gated Na+ channels open at the axon initial segment.
Voltage-gated Na+ Channels
These will open when there is a change in the membrane potential (activation gate - outer membrane surface). This allows Na+ ions to enter the cell and further depolarise the membrane. There has to be a strong enough depolarisation to open enough Na channels and generate an output. The channels can close when the membrane potential is too high (inactivation gate - inner membrane surface).
Stages of AP
- Depolarisation to threshold (-60mV):
- Change in MP is sufficient enough to depolarise cell, voltage-gated Na+ channels will open. - Activation of Na+ channels and rapid depolarisation (+10mV):
- Na+ channels are open and Na+ ions flowing into cell. - Inactivation of Na+ ion channels and activation of K+ channels (+30mV):
- Membrane is fully depolarised, inactivation Na+ gate has stopped Na+ entering the cell.
- Voltage-gated K+ channels open. (They repsond to same change in MP as Na+ channels but at a much slower rate.) K+ ions leave the cell, beginning to repolarise the membrane. - K+ ion channels close
- Because they are slow to do so, hyperpolarisation occurs.
- Membrane repolarises to RMP as K+ and Na+ channels are both closed.
Absolute refractory period
(Stages 2 and 3)
A period where a second action potential cannot be generated. Sodium channels will not reactive (open) until hyperpolarisation occurs.
Relative refractory period
(Stage 4)
A period where a second action potential cannot be generated unless there is sufficient stimulus. Na+ channels begin to reactivate to return to RMP.