\-overall cognitive evaluative dimension (no pain, mild, excruciating)
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Injured cells release substances that
1\. cause local inflammation
2\. stimulate nerve endings
\-start of anterolateral or spinothalamic system that transmits sensations of pain & temp to the brain
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trp system
transient receptor potential vanilloid type 1 (TRPV1 or vanilloid receptor 1) exists in the skin to detect thermal nociceptive stimuli; respond to heat & histamine
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Capsaicin
\-a compound that is responsible for the hot in chili peppers (evolved to ward off mammalian predators)
\-ligand that binds to & activates TRPV1 receptors
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TRP1 receptors are on___ unmyelinated C fibers so…
thin unmyelinated ... so...
\-conduct more slowly, producing lasting pain
\-dull ache
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TRP2
transient receptor potential 2
\-detects hotter temperatures than TRPV1
\-does not respond to capsaicin
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TRP2 receptors are on___ myelinated A delta fibers so….
large myelinated...so
\-conduct very rapidly (
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A delta & C fibers carry info to where?
dorsal horn of the spinal cord
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In the spinal cord what do the A delta & C fibers release?
glutamate (NT) & substance P (peptide neuromodulator)
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In the anterolateral pathway where do axons decussate?
spinal cord
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Where is pain information integrated?
cingulate cortex
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cingulate cortex
extent of activation in cingulate correlates to how much discomfort diff ppl report to same mildly painful stimulus
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why can controlling pain be difficult?
cuz pain is a biopsychosocial phenomenon
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gate-control theory (dominant model of pain transmission)
hypothesizes the spinal cord contains a neurological "gate" that blocks pain signals or allows them to pass on to the brain
\-effective pain relief may depend on finding ways to cut off pain signal by keeping "gates closed"
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analgesia
absence or reduction of pain
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Opiate drugs and endogenous opioids
\-opiate drugs mimic endogenous opioids (endorphins and enkephalins)
\-bind to specific receptors in brain to reduce pain, including in the periaqueductal gray (brainstem)
\-can inject locally
\-Epidural (next to spinal cord) or intrathecal (under arachnoid membrane)
relieves pain by stimulating nerves around the source of pain or injured area
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placebo effect
relief of a symptom, such as pain, even though treatment is an inert substance
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electrical stimulation & placebo are mediated…
partially by opioid mechanisms
\-naloxone (narcan) opioid antagonist that can block the analgesic effect of TENS & placebo
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Cannabis
stimulates cannabinoid receptors in spinal cord & brain
\-helpful for chronic pain
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acupuncture
relieves pain by inducing endorphin release
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stress
can activate analgesia symptoms
\-likely acts by opioid & non-opioid analgesia systems
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A pure tone is described by two measures:
amplitude or intensity and frequency
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amplitude or intensity
\-measured in decibals (dB)
\-perceived as loudness
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Frequency
number of cycles per second of vibration
\-measured in Hertz (Hz)
\-perceived as pitch
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Amplitude
sine wave representation of the pressure waves above
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amplitude doubled =>
frequency same as above
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amplitude same as original =>
frequency doubled
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major parts of the ear
external ear, middle ear, inner ear
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external ear
captures, focuses, and filters sound
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Parts of the external ear
pinna and ear canal
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middle ear
concentrates sound energies
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middle ear parts
tympanic membrane (eardrum; stretched across auditory canal); ossicles (3 small bones that vibrate in response to tympanic membrane; malleus->incus->stapes)
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ossicles
malleus, incus, stapes
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\ Two muscles of the middle ear
tensor tympani and stapedius
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tensor tympani
attaches to malleus & eardrum
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stapedius
attached to stapes
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inner ear
auditory portion; cochlea
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spiral-shaped cochlea converts ____ into ____
vibrations into neural activity
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3 parallel canals of cochlea
1\. Vestibular canal/Scala vestibuli
2\. Middle Canal/Scala media
3\. Tympanic Canal/Scala tympani
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basilar membrane
flexible; separates tympanic canal from middle canal (also base of organ of corti)
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Organ of Corti
part of the cochlea that converts sound into neural activity
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The hair cells of the ear are
receptor/sensory cells of auditory system
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Inner Hair Cells (IHC)
transmit (send) acoustic stimuli; single row near central axis
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Outer Hair Cells (OHC)
modulate acoustic stimuli; 3 rows
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stereocilia
small stiff hairs that extend from the top of hair cells
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tectorial membrane
lies on top of organ of Corti; stereocilia extend into it
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vestibocochlear nerve (cranial nerve VIII)
contains auditory fibers that contact base of hair cells
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\ afferent nerve ending
send info to the brain CNS (leave hair cell)
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efferent nerve ending
exit CNS to PNS
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4 kinds of neural connections with hair cells
1)IHC afferents
2)IHC efferents
3)OHC afferents
4)OHC efferents
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\ 1) IHC afferents
convey action potentials that provide sound perception to the brain; release glutamate
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2) IHC efferents
lead from the brain to the IHCs--control responsiveness; release acetylcholine onto inner hair cell post synaptic terminal of afferent
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3)OHC afferents
convey information to the brain about the state of the basilar membrane; release acetylcholine
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4) OHC efferents
lead from the brain to OHCs—the brain can command changes in their length, which affects the basilar membrane; release GABA
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diff frequencies elicit maximal response at _______ membrane in cochlea
diff parts of the membrane
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_____ frequencies elicit max response near _____ of cochlea
high frequencies elicit max response near base of cochlea
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_____ frequencies elicit max response near _____
low frequencies elicit max response near apex of cochlea
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steps in conduction of sound
1. sound vibrates the eardrum 2. vibrations communicated by ossicles to the oval window 3. this causes basilar membrane to vibrate 4. hair cells in basilar membrane move, causing stereocilia to bend 5. when stereocilia bend, a link between the cilia (tip link) is distorted & this causes ion channels to open 6. K+ & Ca2+ rush in depolarizing cell 7. initial depolarization opens voltage gated Ca 2+ channels at the base of the cell 8. synaptic vesicles fuse & NT is released
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auditory pathway to brain
cochlea (brainstem)--> superior olivary nuclei--> inferior collicus (midbrain)--> medial geniculate nucleus of the thalamus (diencephalon) --> primary auditory cortex (superior temporal cortex; telencephalon)
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superior olivary nuclei
part of auditory brainstem; receive bilateral input, the first site of binaural (two-ear; info from 2 ears) processing
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inferior colliculus
auditory tectum, part of midbrain; a major site of auditory processing
\-auditory startle response
\-sound localization
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medial geniculate
auditory portion of the thalamus relays info from inferior colliculus to auditory cortex; Involved in focusing attention and provides some filtering.
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auditory cortex
portion of cortex devoted to processing sound info
\-not needed for perception of simple tones; analyze complex tones (speech & language)
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binaural detection
Locating position of a sound source using both ears
\-Relies on differences between the stimuli that reach ears (intensity & latency)
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Intensity
diff in sound level/ amplitude @ 2 ears
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latency
diff in sound arrival time @ 2 ears
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experience having an effect on sensitivity of higher functions in auditory processing ex:
portion of auditory cortex that processes music is much larger in musicians
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conduction deafness
disorders of the outer or middle ear that prevent sounds from reaching the cochlea
\-ossicles in middle ear fuse->prevent eardrum vibrations from being conveyed to oval window
\-fluid/ear wax build up
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\ sensorineural deafness
disorder of cochlea; hair cells fail to respond to movement of basilar membrane
\-tinnitus: damage in hair cells cause persistent ringing in ears
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central deafness
hearing loss caused by damage to auditory brain areas, such as by stroke, tumors, or traumatic brain injury
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word deafness
unable to recognize spoken words (not processed correctly when heard)
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cortical deafness
difficulty in recognizing all complex sounds or speech
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Deafness treatment
generate new hair cells: success in lab animals; may be possible in humans, cochlear implants
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How do cochlear implants work?
\-a microphone detects sound
\-directs the cochlear implants circuitry to electrically stimulate the cochlea at locations corresponding to sound's pitch
\-auditory nerve is excited & signals the brain as usual
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vestibular system
detects the position and movement of the head
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semicircular canals
3 fluid-filled tubes in diff planes, connected @ the ends to the utricle & saccule
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ampulla
enlarged region at base of canals, containing hair cells
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utricle and saccule
fluid-filled sacs that make up the otolith organs; also have hair cells that activate (bend) if head is bent
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Vestibular system: what happens when head rotates around axes?
\-rotation is translated into flow of gel w/in semicircular canals
\-results in deformation of hair cells in ampullae at the base, exciting the vestibulocochlear nerve
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motion sickness
experience of nausea from too much vestibular excitation
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sensory conflict theory
sickness occurs when we receive contradictory sensory such as diff between vestibular and visual input
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motion sickness hypothesis
nausea evolved to help body get rid of ingested toxins, after experiencing dizziness (led to barf up toxins) due to potential poisons