pertaining to digestion.
the organs that have as their particular function the ingestion, digestion, and absorption of food or nutritive elements. They include the mouth
, and intestines
. The accessory organs of digestion, which contribute secretions important to digestion, include the salivary glands
, and gallbladder
. (See also color plates.)
. The mouth is the entrance to the alimentary canal; in it the teeth, tongue, and jaws begin the process of digestion by mastication
is secreted into the mouth by three separate pairs of glands (the salivary glands
) located under the tongue, inside the lower jaw, and in the cheek. Saliva softens and lubricates the food, and dissolves some of it; it also contains an enzyme called ptyalin
that begins the conversion of starches into sugar. Saliva also moistens the inside of the mouth, the tongue, and the teeth, and rinses them after the food has departed on the next stage of its journey.
Four passageways meet at the back of the throat: the oral and nasal passages, the larynx
, and the esophagus
. In the act of swallowing
, the entrances to the nasal passages and the larynx
are each sealed off momentarily by the soft palate
and the epiglottis
, so that the food can pass into the esophagus
without straying into the respiratory tract
. Propelled by rhythmic muscular contractions called peristalsis
, the food moves rapidly through the esophagus
, past the cardiac sphincter
(a circular muscle at the base of the esophagus) and into the stomach. Here the peristaltic motions are stronger and more frequent, occurring at the rate of three per minute, churning, liquefying, and mixing the foods with the gastric juice. In the juice are the enzymes pepsin
and, in infants, rennin
; a secretion called mucin
, which coats and protects the stomach lining; and hydrochloric acid
. Together the pepsin
and hydrochloric acid
begin the splitting of the proteins in the food. The lipase
in the stomach is a rather weak fat-splitting enzyme, able to act only on fats that are already emulsified, such as those in cream and the yolk of egg; the intestine has a stronger lipase
, and it is there that most fats are digested.
The average adult stomach holds about 1.5 liters. The stomach reaches its peak of digestive activity nearly 2 hours after a meal and may empty in 3 to 4½ hours; a heavy meal may take as long as 6 hours to pass into the small intestine.
. The food leaves the stomach in the form of chyme
, a thick, liquid mixture. It passes through the pylorus
, a sphincter muscle opening from the lower part of the stomach into the duodenum
. This sphincter is closed most of the time, opening each time a peristaltic wave passes over it. The stomach is much wider than the rest of the canal and also has a J-shaped curve at its bottom, so that the passage of food through the pylorus is automatically slowed until the food is of the right consistency to flow through the narrow opening into the intestine.
The small intestine is about 6 meters (20 feet) long. The lining of the small intestine has deep folds and fingerlike projections called villi
that give it a surface of about 9 square meters (100 square feet) through which absorption of food can take place.
, a C-shaped curve with a length of about 25 cm (10 in), is the first and widest part of the small intestine. Into it flows the pancreatic juice, with enzymes that break down starch, protein, and fats. The common bile duct also empties into the duodenum. The bile emulsifies fats for the action of the fat-splitting enzymes.
Just below the duodenum is the jejunum
, the longest portion of the small intestine, and beyond that is the ileum
, the last and narrowest section of the small intestine. Along this whole length, carbohydrates, proteins, and fats are broken down into sugars, amino acids, fatty acids, and glycerin. The lining of the small intestine absorbs these nutrient compounds as rapidly as they are produced. The bulky and unusable parts of the diet pass into the large intestine.
. At the junction of the small and large intestines is the ileocecal valve
, so called because it is at the end of the ileum and the beginning of the cecum
. A small blind tube called the vermiform appendix
is attached to the cecum
. The longer part of the large intestine is called the colon
and is divided into the ascending, transverse, and descending colon, and the sigmoid flexure, an S-shaped bend at the distal end of the colon. The sigmoid colon empties into the rectum.
Along the 1.7 meters (5.5 feet) or so of the large intestine, the liquid in the waste is gradually reabsorbed through the intestinal walls. Thus the waste is formed into fairly solid feces and pushed down into the rectum for eventual evacuation. This takes from 10 to 20 hours. The evacuation consists of bacteria, cells cast off from the intestines, some mucus, and such indigestible substances as cellulose. The normal dark brown color of the feces
is caused by bile pigments.
1. a set or series of interconnected or interdependent parts or entities (objects, organs, or organisms) that act together in a common purpose or produce results impossible by action of one alone.
an organized set of principles or ideas. adj., adj
The parts of a system can be referred to as its elements or components; the environment of the system is defined as all of the factors that affect the system and are affected by it. A living system is capable of taking in matter, energy, and information from its environment (input), processing them in some way, and returning matter, energy, and information to its environment as output.
system is one in which there is an exchange of matter, energy, and information with the environment; in a closed
system there is no such exchange. A living system cannot survive without this exchange, but in order to survive it must maintain pattern and organization in the midst of constant change. Control of self-regulation of an open system is achieved by dynamic interactions among its elements or components. The result of self-regulation is referred to as the steady state; that is, a state of equilibrium. homeostasis
is an assemblage of organic regulations that act to maintain steady states of a living organism.
A system can be divided hierarchically into subsystems, which can be further subdivided into sub-subsystems and components. A system and its environment could be considered as a unified whole for purposes of study, or a subsystem could be studied as a system. For example, the collection of glands in the endocrine system can be thought of as a system, each endocrine gland could be viewed as a system, or even specific cells of a single gland could be studied as a system. It is also possible to think of the human body as a living system and the endocrine system as a subsystem. The division of a system into a subsystem and its environment is dependent on the perspective chosen by the person studying a particular phenomenon.
Systems, subsystems, and suprasystems. Within the environment there are suprasystems, such as human society, and systems within the suprasystem, such as the educational and industrial systems and the health care delivery system. Within the health care delivery system are subsystems, such as the patient, family members, the nurse, the physician, and allied health care professionals and paraprofessionals.
in the behavioral system model
of nursing, the patterned, repetitive, and purposeful behaviors of an individual.
the heart and blood vessels, by which blood is pumped and circulated through the body; see also circulatory system
) a system for classifying cell-surface markers
expressed by lymphocytes based on a computer analysis of monoclonal antibodies
against hla antigens
, with antibodies having similar specificity characteristics being grouped together and assigned a number (CD1, CD2, CD3, etc.); these CD numbers are also applied to the specific antigens recognized by the various groups of monoclonal antibodies
. See also CD antigen
(CGS) (cgs) a system of measurements in which the units are based on the centimeter
as the unit of length
, the gram
as the unit of mass
, and the second
as the unit of time
the neurons in the central core of the brainstem
from the thalamus to the medulla oblongata, connecting the cerebral hemispheres
conduction system (conductive system (of heart)) the system of atypical cardiac muscle fibers, comprising the sinoatrial and atrioventricular nodes, internodal tracts, atrioventricular bundle, bundle branch, and terminal ramifications into the Purkinje network.
Emergency Medical Services (EMS) system a comprehensive program designed to provide services to the patient in the prehospital setting. The system is activated when a call is made to the EMS operator, who then dispatches an ambulance to the patient. The patient receives critical interventions and is stabilized at the scene. A communication system allows the health care workers at the scene to contact a trauma center for information regarding further treatment and disposition of the patient, followed by transportation of the patient to the most appropriate facility for treatment.
the system of ductless glands and other structures that produce internal secretions (hormones
) that are released directly into the circulatory system, influencing metabolism and other body processes; see endocrine glands
expert system a set of computer programs designed to serve as an aid in decision making.
gateway system a software interface between an online searcher and one or more search systems, facilitating the use of the system by searchers who are unfamiliar with it, or with online retrieval in general.
a haversian canal
and its concentrically arranged lamellae, constituting the basic unit of structure in compact bone (osteon
Haversian system: Structures of compact and spongy bone with the central haversian canal surrounded by the lamellae. From Applegate, 2000.
heterogeneous system a system or structure made up of mechanically separable parts, as an emulsion or suspension.
His-Purkinje system the intraventricular conduction system from the bundle of His to the distal Purkinje fibers, which carries the impulse to the ventricles.
Home Health Care Classification system see home health care classification system.
homogeneous system a system or structure made up of parts that cannot be mechanically separated, as a solution.
) (hypothalamo-hypophysial portal system
) the venules connecting the hypothalamus
with the sinusoidal capillaries of the anterior lobe of the pituitary gland
; they carry releasing substances to the pituitary.
lay health system a system comprising an informal referral network and sources of treatment outside the formal biomedical sources of health care; it includes individual consultation and information-seeking through significant others and peers concerning health behaviors, symptoms, and evaluation of treatment before, during, and after consultation with health care professionals.
in the omaha system
, anything connected with law or its administration; it includes legal aid, attorney, courts, or Child Protective Services (CPS), and many other agencies and officials.
limbic system a system of brain structures common to the brains of all mammals, comprising the phylogenetically old cortex (archipallium and paleopallium) and its primarily related nuclei. It is associated with olfaction, autonomic functions, and certain aspects of emotion and behavior.
lymphoid system the lymphoid tissue of the body, collectively; it consists of primary (or central) lymphoid tissues, the bone marrow, and thymus, and secondary (or peripheral) tissues, the lymph nodes, spleen, and gut-associated lymphoid tissue (tonsils, Peyer's patches).
mononuclear phagocyte system
the group of highly phagocytic cells that have a common origin from stem cells of the bone marrow and develop circulating monocytes and tissue macrophages, which develop from monocytes that have migrated to connective tissue of the liver (kupffer's cells
), lung, spleen, and lymph nodes. The term has been proposed to replace reticuloendothelial system
, which includes some cells of different origin and does not include all macrophages.
in the self-care model
of nursing, all the actions and interactions of nurses and patients in nursing practice situations; nursing systems fall into three categories: wholly compensatory, partly compensatory, and supportive-educative.
oxygen delivery system a device that delivers oxygen through the upper airways to the lungs at concentrations above that of ambient air. There are two general types: the fixed performance or high flow type, which can supply all of the needs of a patient for inspired gas at a given fractional inspired oxygen; and the variable performance or low flow type, which cannot supply all of the patient's needs for oxygen and delivers fractional inspired oxygen that varies with ventilatory demand.
peripheral nervous system
the portion of the nervous system
consisting of the nerves and ganglia outside the brain and spinal cord.
an arrangement by which blood collected from one set of capillaries passes through a large vessel or vessels and another set of capillaries before returning to the systemic circulation, as in the pituitary gland (the hypothalamo-hypophysial portal system
) or the liver (the hepatic portal circulation).
the group of specialized organs whose specific function is to provide for the transfer of oxygen from the air to the blood and of waste carbon dioxide from the blood to the air. The organs of the system include the nose
, the pharynx
, the larynx
, the trachea
, the bronchi
, and the lungs
. See also respiration
and Plates 7 and 8.
in the general systems framework and theory of goal attainment
, an organized boundary system of social roles, behaviors, and practices developed to maintain balance for growth, development, and performance, which involves an exchange of energy and information between the person and the environment for regulation and control of stressors.
in the omaha system
, the circle of friends, family, and associates that provide love, care, and need gratification; it may include church, school, workplace, or other groupings.
unit dose system a method of delivery of patient medications directly to the patient care unit. Following review by a nurse, a copy of the physician's original order is sent to the pharmacy, where the pharmacist reviews it again. The pharmacist then fills the order and delivers the medication to the patient care unit, usually in a 24-hour supply. Each patient has an individual supply of medications prepared and labeled by the pharmacist.
the system formed in the body by the kidneys
, urinary bladder
, and urethra
, the organs concerned in the production and excretion of urine
vasomotor system the part of the nervous system that controls the caliber of the blood vessels.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.