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Introduction to Health Physics: Fourth Edition - Ruang Baca FMIPA UB

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288 CHAPTER 7<br />

Information, <strong>to</strong>o, is transferred by two different mechanisms: by the nervous<br />

system, in which electrical impulses pass along nerves at a rate of meters per second,<br />

and by hormones that are secreted by endocrine (ductless) glands, such as the<br />

thyroid, directly in<strong>to</strong> the blood and are carried by the blood <strong>to</strong> the specific recep<strong>to</strong>r<br />

organs that respond <strong>to</strong> these hormones.<br />

Metabolism: Tissue Building and Energy Conversion<br />

Cells, from which all tissues and organs are made, go through life cycles of their<br />

own. They are born from relatively undifferentiated progeni<strong>to</strong>r cells—such as the<br />

basal layer in the skin and the stem cells in the bone marrow—go through a period<br />

of maturation, grow old, die, and are sloughed off. The time for cellular death,<br />

called apop<strong>to</strong>sis, and the instructions for the synthesis of new tissue is contained<br />

in the information encoded in the DNA molecules within the cells. In addition <strong>to</strong><br />

building tissue, the body also synthesizes protein molecules such as enzymes and<br />

hormones that serve specific functions. These undifferentiated cells are much more<br />

sensitive <strong>to</strong> radiation damage than the mature cells that develop from them. The<br />

raw materials used in this tissue-building process comes from the food and water<br />

we consume. The energy necessary <strong>to</strong> drive these vital processes comes from the<br />

release of the intramolecular bonding energy that is s<strong>to</strong>red in the chemical bonds<br />

of the food. The processes by which the complex food molecules are disassembled<br />

and then reassembled in<strong>to</strong> cellular material and specialized proteins, and by which<br />

energy that is s<strong>to</strong>red in the food is converted in<strong>to</strong> useful energy are collectively called<br />

metabolism.<br />

The food and drink that we consume—proteins, carbohydrates, fats, and water—<br />

supply the materials for the manufacture of new tissue and for the synthesis of specialized<br />

molecules. In the process called metabolism, the foodstuffs are broken down<br />

in<strong>to</strong> their constituent subunits—amino acids, sugars, fatty acids, and glycerols—and<br />

then these units are reassembled in<strong>to</strong> the cellular constituents needed for building<br />

tissues and organs. Metabolic processes include a number of oxidation–reduction<br />

reactions that result in the transfer of energy s<strong>to</strong>red in the intramolecular bonds<br />

of the foodstuffs in<strong>to</strong> energy-consuming reactions that drive all the vital processes.<br />

Oxygen for these oxidation reactions is brought in<strong>to</strong> the body through the respira<strong>to</strong>ry<br />

system. Useful energy is supplied mainly by the carbohydrates and fats, while<br />

the proteins supply most of the material for the synthesis of new protein. Whereas<br />

the initial steps in the metabolism of the different nutrients differ, eventually all the<br />

subunits are integrated in<strong>to</strong> a common metabolic pool from which new molecules<br />

are synthesized.<br />

All the chemical reactions in the metabolic process can occur only in solution.<br />

To this end, the human body is about 60% water by weight (about 42 L water in the<br />

reference person), of which about two-thirds is contained within the cells of the body<br />

and is therefore called intracellular fluid. The remaining one-third is outside the<br />

cells and is called extracellular fluid. About one-third of the extracellular fluid is in<br />

the blood and the remainder is in the interstices between the cells, thereby providing<br />

the cells with an aquatic environment. These various spaces can be thought of as<br />

compartments. Thus, we have the vascular compartment, which contains the blood;<br />

the interstitial compartment; and the intracellular compartment. Water enters the<br />

system via the GI tract and leaves by way of the kidneys as urine, by way of the GI

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