ans pharmacology -introduction | review of the autonomic nervous system

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  • 8/15/2019 ANS Pharmacology -Introduction | Review of the Autonomic Nervous System

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    Jcri Njgftlp Ircy, J.E.

    Ufpnis Fut`nal

    9

    Gfjlfstcsns

    Mcsni Alurfcactfjy cae Alurfpgysnf`foy fb CAY

    Alurftrcasjnttlrs

    ]lilptfrs

    ]lilptfr-@nocae Natlrcitnfas & Ynoac` Urcaseuitnfa

     Cutfafjni cae Yfjctni [gcrjcif`foy Ulrjnaf`foy

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    Jcri Njgftlp Ircy, J.E.

    Cutfafjni Alrvfus Yystlj (CAY)

    <

     Cutfafjni alrvfus systlj (CAY) ns pcrt fbalrvfus systlj rlspfasnm`l bfr gfjlfstcsns

    Lxilpt bfr sdl`ltc` jusi`l, wgnig olts ntsnaalrvctnfa brfj sfjctfjftfr alrvfus systlj,naalrvctnfa tf c`` ftglr frocas ns supp`nle my CAY

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    Jcri Njgftlp Ircy, J.E.

     CAY vs. Laefirnal Yystlj naGfjlfstcsns

    2

     Cutfafjni alrvfus systlj (CAY) ns jfjlat-tf-jfjlatrlou`ctfr fb natlrac` lavnrfajlat rlou`ctnao splinbni buaitnfas

    tgct fiiur wntgfut ifasinfus ifatrf`8 rlspnrctnfa inriu`ctnfa enolstnfa mfey tljplrcturl jltcmf`nsj swlctnao, slirltnfas fb ilrtcna laefirnal o`caes

    Laefirnal systlj, na ifatrcst , prfvnels s`fwlr, jfrlolalrc`nzle rlou`ctnfa my slirltnao gfrjfals natf tgl systljniinriu`ctnfa tf cit ct enstcat, wnelsprlce sntls fvlr plrnfes fb

    jnautls tf gfurs tf ecys

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     CAY cae Laefirnal YystljTifjjfa prfplrtnlsZ

    ?

    gnog-`lvl` natlorctnfa na tgl mrcna

    cmn`nty tf nab`ulail prfilssls na enstcat

    rlonfas fb mfey

    lxtlasnvl usl fb aloctnvl bllemcid 

    jcnatcnanao gfjlfstcsns

    mftg systljs usl igljnic`s bfrtrcasjnssnfa fb nabfrjctnfa

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    10/79Jcri Njgftlp Ircy, J.E.

    Gfjlfstcsns (=)

    3;

     C eyacjni stlcey stctl fb ifastntulats na natlrac`

    lavnrfajlat (LIB) tgct surrfuaes cae lxigcaolsjctlrnc`s wntg il``s

    Bcitfrs gfjlfstctni`y jcnatcnale nai`uel8(Ifatrf``le Rcrncm`ls)

    Ifailatrctnfa fb autrnlat jf`liu`ls Ifailatrctnfa fb F= cae IF= Ifailatrctnfa fb wcstl prfeuits pG

    Ifailatrctnfa fb wctlr, sc`ts, cae ftglr l`litrf`ytls Uljplrcturl  Rf`ujl cae prlssurl OB] 

    …cae ftglrs

  • 8/15/2019 ANS Pharmacology -Introduction | Review of the Autonomic Nervous System

    11/79Jcri Njgftlp Ircy, J.E. 33

    Alrvfus Laefirnal

    _nrl`lss_nrle

    Gfrjfals

    Ygfrt Enstcail @fao Enstcail

    I`fslalss ]lilptfr Yplinbninty

    ]cpne Faslt El`cyle Faslt

    Ygfrt Eurctnfa [rf`faole Eurctnfa

    ]cpne ]lspfasl ]lou`ctnfa

    vlrsus

    Alurftrcasjnttlrs Gfrjfals

    Ygfrt Enstcail @fao Enstcail

    Gfjlfstcsns (9)

  • 8/15/2019 ANS Pharmacology -Introduction | Review of the Autonomic Nervous System

    12/79Jcri Njgftlp Ircy, J.E.3=

    L]]F] YNOAC@

    IFJ[C]CUF] 

    YLU[FNAU

    +

    -

    IFAU]F@@LE RC]NCM@L

    (YLL ALWU Y@NEL)

    YLAYF] 

    LBBLIUF] 

    -ALOCUNRLBLLEMCID 

    Ifjpfalats fb c aloctnvlbllemcid ifatrf` systlj

    Aloctnvl bllemcid8Nantnctnfa fb rlspfasls

    tgct ifuatlr elvnctnfas fbifatrf``le vcrncm`lsbrfj tglnr afrjc` rcaol

    Jlcsurls ifatrf` vcrncm`l

    ]lifoanzls elvnctnfa fb afrjc` slt pfnat vc`ul

    ]lercwa cbtlr8 Dnmm`l HE, Gc`sly I], Gfjlfstcsns. Na8 Jlenic` [gysnf`foy -Ugl Mno [niturl 4 JiOrcw-Gn`` , =;;>4 =.

     Cttljpt tf rlstfrlslt pfnat vc`ul

    Njpfrtcat vcrncm`l jcnatcnalewntgna c afrjc` rcaol

    Lbblitfr fppfsls stnju`us

    strltig rlilptfrs, igljf-,mcrf-, fsjf-, cae tglrjf-

    rlilptfrs lti.

  • 8/15/2019 ANS Pharmacology -Introduction | Review of the Autonomic Nervous System

    13/79Jcri Njgftlp Ircy, J.E.39

    Ifatrf``le Rcrncm`l Uypnic` Ylt [fnat Rc`ul(Crtlrnc` M`ffe Ycjp`l) 

     Crtlrnc` F= pcrtnc` prlssurl Crtlrnc` IF= pcrtnc` prlssurl Crtlrnc` m`ffe pGO`uifslIfrl mfey tljplrcturlYlruj Ac+Ylruj D+

    Ylruj Ic=+Jlca crtlrnc` m`ffe prlssurlO`fjlru`cr bn`trctnfa rctl

    3;; jj Go5; jj GopG ?.5>; jo/e@ (< jJ)>7.5»B (9?»I)35; jLq/@5.; jLq/@

    5.< jLq/@>; jj Go3=; j@ /jna

    Lxcjp`ls fb [gysnf`foniIfatrf``le Rcrncm`ls & Ylt [fnats

     Cefptle brfj8 Dnmm`l HE, Gc`sly I], Gfjlfstcsns8 Na Jlenic` [gysnf`foy 8Ugl Mno [niturl.Alw ^frd, A^8 JiOrcw-Gn`` , =;;>4 9.

  • 8/15/2019 ANS Pharmacology -Introduction | Review of the Autonomic Nervous System

    14/79Jcri Njgftlp Ircy, J.E.

    Njpfrtcat Aloctnvl BllemcidIfatrf` Yystljs

    35

    Jfenbnle brfj Icrrf`` ]O. L`slvnlr„s Natlorctle [gysnf`foy . Jfsmy, Nai. =;;?4 Ucm`l 3-9, [o.

  • 8/15/2019 ANS Pharmacology -Introduction | Review of the Autonomic Nervous System

    15/79Jcri Njgftlp Ircy, J.E.3<

    L]]F] YNOAC@

    IFJ[C]CUF] 

    YLU[FNAU

    +

    Jlca Crtlrnc` M`ffe[rlssurl (JC[)

    YLAYF] 

    LBBLIUF] 

    -ALOCUNRL

    BLLEMCID 

    Lxcjp`l8 Mcrfrlilptfr ]lb`lxifatrf` fb m`ffe prlssurl

    strltig rlilptfrs na Cfrtni crig cae

    Icrftne snaus

    A ><jj Go

    IAY|Jleu``c Fm`faoctc

    icrenciifatrcitn`nty,

    vcsiu`cr tfal,urnacry b`une

    lxirltnfa

    ]lilptfrs8• Cfrtni crig trcasjnts vnc vcous alrvl tf sf`ntcry aui`lus fb jleu``c (rlspfaesfa`y tf M[)• Icrftne snaus trcasjnts vnc o`fssfpgcryaolc` alrvl tf sf`ntcry aui`lus fb jleu``c (rlspfaes tf cae na M[)

    Yll Mcrfrlb`lx peb 

    https://docs.google.com/file/d/0B-tlCbPSHvfZT1dBX3plU3huQlU/edit?usp=sharinghttps://docs.google.com/file/d/0B-tlCbPSHvfZT1dBX3plU3huQlU/edit?usp=sharinghttps://docs.google.com/file/d/0B-tlCbPSHvfZT1dBX3plU3huQlU/edit?usp=sharing

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    16/79Jcri Njgftlp Ircy, J.E.

    Mcrfrlilptfrs (=)

    32

    • Gypftlasnfa- crtlrnc` prlssurl strltig cbblrlat mcrfrlilptfr bnrnao

    lbblrlat syjpctgltni bnrnao cae lbblrlat pcrcsyjpctgltni stnju`ctnfavcsfifastrnitnfa, G], ifatrcitn`nty, M[ njpfrtcat na rlspfasl tf slvlrl

    gljfrrgcol

    • Icrftne jcsscol - prlssurl fa icrftne crtlry strltig cbblrlatmcrfrlilptfr bnrnao G] Ica my trnle bfr Ucigyicrenc (YRU)

    • Ifatrnmutls tf Iusgnao rlcitnfa (trnce fb gyplrtlasnfa, mrceyicrenc,cae rlspnrctfry elprlssnfa) natrcircanc` prlssurl ifastrnits crtlrnf`ls

    ilrlmrc` nsigljnc cae rlb`lx syjpctgltni nairlcsl na plrbusnfa prlssurl( gyplrtlasnfa) strltig rlb`lx mcrfrlilptfr naeuile-mrceyicrenc

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    17/79Jcri Njgftlp Ircy, J.E.

    3?

    Brfj gttp8//www.zuanv.alt/pgysnf`foy/mffd/igcptlr2.gtj`

    Mcrfrlilptfrs (9)

    http://www.zuniv.net/physiology/book/chapter6.htmlhttp://www.zuniv.net/physiology/book/chapter6.html

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    18/79Jcri Njgftlp Ircy, J.E.

    37

    Jlca Crtlrnc` [rlssurl Ifatrf` cae Cutfafjni & Gfrjfac` Bllemcid @ffps

    Dctzuao & Urlvfr. [gcrjcif`foy Lxcjnactnfa & Mfcre]lvnlw 3;tg Le. Alw ^frd8 4 JiOrcw-Gn`` , =;35.

  • 8/15/2019 ANS Pharmacology -Introduction | Review of the Autonomic Nervous System

    19/79Jcri Njgftlp Ircy, J.E.

    Frocanzctnfa fb Alrvfus Yystlj

    M]CNA & Y[NAC@ IF]E ILAU]C@AL]RF\Y

    Y^YULJ (IAY)

    [L]N[GL]C@AL]RF\Y

    Y^YULJ ([AY)

     CBBL]LAU

    (Ylasfry)

    AL]RLY

    LBBL]LAU

    (Jftfr)

    AL]RLY

    LWUL]FIL[UF]Y NAUL]FIL[UF]Y YFJCUNI  C\UFAFJNI

    LBBLIUF] F]OCAY

    YDL@LUC@J\YI@LY

    YJFFUG J\YI@L,IC]ENCI J\YI@LY

     CAE O@CAEY

     RF@\AUC]^ 

    Jfafsyacptni

    NARF@\AUC]^ 

    [rl & [fst Ocao`nfani Bnmlr

  • 8/15/2019 ANS Pharmacology -Introduction | Review of the Autonomic Nervous System

    20/79Jcri Njgftlp Ircy, J.E.

    =;

    [lrnpglrc` Alrvfus Yystlj ([AY)

    [lrnpglrc` alrvls ifatcna mftg jftfr cae slasfry alurfas

    Jftfr alurfas8

    sfjctni naalrvctl sdl`ltc` jusi`ls

    cutfafjni naalrvctl sjfftg jusi`l, icrenci jusi`l,cae o`caes (cutfafjni jftfr alurfas)

    Ylasfry alurfas crl aft sumenvnele natf sfjctni caecutfafjni m/i tglrl ns fvlr`cp na buaitnfa (naput ica mlbrfj lntglr sfjctni fr CAY)

    l.o., pcna rlilptfrs ica stnju`ctl mftg sfjctni (wntgercwc` rlb`lx)cae cutfafjni rlb`lxls (nairlcsle glcrt rctl)

    O n

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    21/79Jcri Njgftlp Ircy, J.E.

    =3

    Olalrni Alurfa Cactfjy

    gttp8//la.wndnplenc.fro/wndn/Alurfa

    Mcsni struiturc` uant fb alrvfus systlj 111 alurfa

    http://en.wikipedia.org/wiki/Neuronhttp://en.wikipedia.org/wiki/Neuronhttp://upload.wikimedia.org/wikipedia/commons/a/a9/Complete_neuron_cell_diagram_en.svghttp://upload.wikimedia.org/wikipedia/commons/a/a9/Complete_neuron_cell_diagram_en.svghttp://en.wikipedia.org/wiki/Neuron

  • 8/15/2019 ANS Pharmacology -Introduction | Review of the Autonomic Nervous System

    22/79Jcri Njgftlp Ircy, J.E.

    ==

     Cutfafjni (Rnsilrc`) ]lb`lx ‐Buaitnfac` uant fb tgl CAY‚ 

     Cbblrlat bnmlrs brfj plrnpglry tf IAY IAY natlorctnfa

    Ifrtlx

    Ugc`cjus Gypftgc`cjus

    Jleu``c

    Ypnac` ifre

    Lbblrlat bnmlrs brfj IAY tf plrnpglry

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    Jcri Njgftlp Ircy, J.E.=5

    Froca rlilptfrs ( na vnsius ) 1111 slasfry (cbblrlat ) alurfa 1111IAY`ctlrc` gfra il`` fb spnac` ifre 1111 jftfr (lbblrlat) alurfa ( twfalurfas8 prl & pfst ocao`nfani ) 1111 lbblitfr froca (sjfftg, icrencijusi`l fr o`cae)

    Buaitnfac` \ant fb CAY 11 Rnsilrc` ]lb`lx Cri

     Cbblrlat bnmlrs brfj plrnpglry tf IAYIAY natlorctnfaYpnac` ifreJleu``cGypftgc`cjusUgc`cjusIfrtlx

    Lbblrlat bnmlrs brfj IAY tf plrnpglryLbblitfr rlspfasl

    http://www.alexmed.edu.eg/forums/showthread.php?2116-Today-s-lecture-gt-gt-gt-BY-M..Shttp://www.alexmed.edu.eg/forums/showthread.php?2116-Today-s-lecture-gt-gt-gt-BY-M..S

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    Jcri Njgftlp Ircy, J.E.

     CAY Alurftrcasjnttlrs

    =2

    I`css

    Yjc`` jf`liu`lUrcasjnttlrs

    Ictligf`cjnals

    Igljnic`

     Cilty`igf`nal

    Efpcjnal

    Afrlpnalpgrnal

    Yyatglsns

    Igf`nal + cilty`IfC, vnc lazyjl

    Igf`nal Cilty`trcasblrcslBrfj tgl cjnafcine tyrfsnal vnc

    tgl lazyjlUyrfsnal

    gyerfxy`cslna tgl

    ictligf`cjnalpctgwcy

    Brfj efpcjnal

    na tglictligf`cjnal

    pctgwcy

    [fstsyacptni]lilptfrs

    Aniftnani(ictnfa igcaal`)

    Jusicrnani(O-prftlna ’ifup`le)

    E3 (stnju`ctfryO- prftlna ’ifup`le)

    E= (nagnmntfryO-prftlna ’ifup`le)

    γ & ν Cerlalroni

    rlilptfrs

    Ynoac`Ulrjnactnfa

    Lxtrcil``u`crgyerf`ysns my

     Cilty`igf`nalstrcsl

    ]luptcdl

    ]luptcdl fr

    mrlcdefwa vnc tgllazyjls

    jfafcjnal fxnecslcae ictligf ̀’F-

    jltgy`trcasblrcsl

    Buaitnfas

     CAYJfvljlat

    ifatrf`Ifoantnfa

     CAYJfvljlat

    ifatrf`Olalrc`cbblit

     CAY

     C`lrtalssOlalrc`cbblit

    AM8 Lpnalpgrnal ns c ictligf`cjnal rl`lcsle upfa stnju`ctnfa fb YCAY, prfeuile na

    cerlac` jleu``c. Nt ns c alurfgfrjfal, aft ca CAY alurftrcasjnttlr

    Lbblrlat cutfafjni alrvls olalrc`

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    Jcri Njgftlp Ircy, J.E.=?

    Lbblrlat cutfafjni alrvls olalrc`crrcaoljlat

    Naalrvctnfa fb sjfftg jusi`l, icrencijusi`l, cae o`caes

    [rlocao`nfani alurfa

    [lrnpglrc` ocao`nfa - cxfelaerntni syacpsl [fstocao`nfani alurfa(s)

    Lbblitfr froca(s)

    [rl

    Ocao`nfa

    [fst

    Lbblitfrfroca

    n n n n b Y

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    Jcri Njgftlp Ircy, J.E.=7

     Cactfjni Envnsnfas fb CAY

    [crcsyjpctgltni ([CAY) (IA9,?,>,3;) & (Y=-Y5) [rlocao`nfani cxfas frnonactl na mrcna, cae scirc` spnac` ifre

    [lrnpglrc` ocao`nc crl alcr, fbtla wntgna* tgl lbblitfr frocas

    ]ctnf fb pfstocao`nfani-tf-prlocao`nfani cxfas ns sjc``, rlsu`tnao naensirltl rlspfasls

    Yyjpctgltni (YCAY) U3-@=/@9

    [rlocao`nfani cxfas frnonactl na tgl tgfrcini cae `ujmcr ifre [lrnpglrc` ocao`nc crl enstcat brfj tgl lbblitfr frocas

    ]ctnf fb pfst-tf-prlocao`nfani cxfas ns `crol, rlsu`tnao na wnel`yenstrnmutle rlspfasls

    Latlrni Alrvfus Yystlj (LAY) (Ensiussle na ON) 

    Gcs mlla elsirnmle cs c "slifae mrcna" bfr slvlrc` rlcsfas8

    fplrctl cutfafjfus fb YCAY & [CAY  Rlrtlmrctl stuenls sgfw wgla tgl vcous alrvl ns slvlrle, LAY

    ifatnauls tf buaitnfa

    * Lxilptnfas crl tgl bfur pcnrle pcrcsyjpctgltni ocao`nc fb glce cae alid 

    Yigljctnzle Cactfjni Ifjpcrnsfa fb

    http://upload.wikimedia.org/wikipedia/commons/f/f7/Gray839.pnghttp://upload.wikimedia.org/wikipedia/commons/f/f7/Gray839.png

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    Jcri Njgftlp Ircy, J.E.=>

    Yigljctnzle Cactfjni Ifjpcrnsfa fb

    [CAY & YCAY (3) (i`nid tf lxpcae)

    Y g tn e C t n I n

    https://docs.google.com/file/d/0B-tlCbPSHvfZRGNZLWpCcUg0SG8/edit?usp=sharinghttps://docs.google.com/file/d/0B-tlCbPSHvfZRGNZLWpCcUg0SG8/edit?usp=sharinghttps://docs.google.com/file/d/0B-tlCbPSHvfZRGNZLWpCcUg0SG8/edit?usp=sharinghttps://docs.google.com/file/d/0B-tlCbPSHvfZRGNZLWpCcUg0SG8/edit?usp=sharing

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    Jcri Njgftlp Ircy, J.E.9;

    Yigljctnzle Cactfjni Ifjpcrnsfafb [CAY & YCAY (=)

    [rl

    Ocao`nfa Lbblitfr

    froca

    [fstUgfrcini fr `ujmcrifre

    [rlOcao`nfa Lbblitfr

    froca

    [fst

    Ircanc` fr scirc` ifre[crcsyjpctgltni

    Yyjpctgltni

    Lbblitfrs8 icrenci jusi`l, sjfftg jj, vcsiu`cr laeftgl`nuj,

    lxfirnal o`caes, cae prlsyacptni alrvl tlrjnac`s

     CAY buaitnfas8 inriu`ctnfa enolstnfa rlspnrctnfa tljplrcturl swlctnao jltcmf`nsj

    sfjl laefirnalo`cae slirltnfas

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    Jcri Njgftlp Ircy, J.E.9=

    Yfjctni Alrvfus Yystlj(nai`uele bfr ifjpcrnsfa)

    Lbblrlat naalrvctnfa fb sdl`ltc` jusi`l Af plrnpglrc` ocao`nc

    ]cpne trcasjnssnfa, ensirltl ifatrf` fb jftfr

    uants

     Rf`uatcryCay spnac`slojlat

    Jftfr alurfa

    Ytrnctle jusi`l

    Jyl`nactle wn c gnog

    ifaeuitnfa vl`fintyNa ifatrcst

    [fstocao`nfani alurfas fb CAY crl uajyl`nactle w c `fwifaeuitnfa vl`finty

    Alurfigljnic` Urcasjnssnfa na

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    Jcri Njgftlp Ircy, J.E.99

    Alurfigljnic` Urcasjnssnfa na[lrnpglrc` Alrvfus Yystlj ([AY) Igf`nalroni alrvls

     Cilty`igf`nal ns alurftrcasjnttlr

    @fictnfas fb Cig [rlocao`nfani alurfas tf c`` ocao`nc

    [fstocao`nfani, pcrcsyjpctgltni alurfas

     ‐[rlocao`nfani‚ bnmlrs tf cerlac` jleu``c

    [fstocao`nfani, syjpctgltni alurfas tf swlct o`caes najfst splinls

    Yfjctni jftfr alurfas

    Igf`nal oni

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    Jcri Njgftlp Ircy, J.E.95

    Igf`nalroniAlurftrcasjnssnfa

    [rl

    Ocao`nfaLbblitfr

    frocas

    [fstUgfrcini fr `ujmcrifre

    [rlOcao`nfa Lbblitfr

    froca

    [fst

    Ircanc` fr scirc` ifre

    [crcsyjpctgltni

    Yyjpctgltni Elaftls CIg

    Elaftls CIg

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    Jcri Njgftlp Ircy, J.E.9<

     CerlalroniAlurftrcasjnssnfa

     Cerlalroni alrvls Afrlpnalpgrnal ns tgl alurftrcasjnttlr

    @fictnfas

    [fstocao`nfani, syjpctgltni cxfas

    [rl

    Ocao`nfaLbblitfr

    frocas

    [fstUgfrcini fr `ujmcrifre

    Yyjpctgltni Elaftls Afrlpnalpgrnal

    Elaftls CIg

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     Cerlac` Jleu``c

    [rlsyacptni alrvls crl igf`nalroni

    Jleu``cry il``s (*Igrfjcbbna il``s) syatglsnzlcae rl`lcsl twf, rl`ctle ictligf`cjnals natfsystljni inriu`ctnfa

    Lpnalpgrnal (cerlac`nal)

    Afrlpnalpgrnal

    Lpn cae AL stnju`ctl cerlalroni sntls

    *Ugly rl`lcsl ictligf`cjnals8 ~7;% Lpnalpgrnal cae ~=;%Afrlpnalpgrnal natf systljni inriu`ctnfa bfr systljni lbblits fa ju`tnp`lfrocas (snjn`cr`y tf slirltfry alurfas fb tgl gypftgc`cjus), ica c`sf slaepcrcirnal snoac`s, glail tgly crl ic``le alurflaefirnal il``s

    http://en.wikipedia.org/wiki/Paracrine_signallinghttp://en.wikipedia.org/wiki/Paracrine_signallinghttp://en.wikipedia.org/wiki/Paracrine_signalling

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    Cerlac` Jleu``c (=)

    Igf`nalroni alurfa

    Cerlac` jleu``c

    Lpn cae AL rl`lcslenatf systljni inriu`ctnfa

    Elaftls CIg

    Igrfjcbbna il``s crl alurflaefirnal il``s bfuae na tgljleu``c fb tgl cerlac` o`caes

    Ugly crl na i`fsl prfxnjnty tf prl-syacptni syjpctgltniocao`nc fb syjpctgltni alrvfus systlj, wntg wgnig tglyifjjuanictl

    struiturc``y snjn`cr tf pfst-syacptni syjpctgltni alurfas

    Y b C tn b YCAY & [CAY (3)

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    Yujjcry fb Citnfas fb YCAY & [CAY (3)

    Y^JCUGLUNIBrnogt-Bnogt-fr-B`nogt wnel`y enstrnmutle rlspfasls

    [C]CY^J[CUGLUNI]lst-]l`cx-]lstfrctnfa ensirltl rlspfasls

    nairlcsl na glcrt rctl   elirlcsl na glcrt rctl

    elirlcsl na ocstrni jftn`nty   nairlcsl na ocstrni jftn`nty

    elirlcsl slirltnfa fb sc`nvcry

    cae enolstnvl o`caes

    nairlcsl na slirltnfa fb sc`nvcry

    cae enolstnvl o`caes en`ctnfa fb pupn`s   ifastrnitnfa fb pupn`s

    lhciu`ctnfa   plan`l lrlitnfa

    vcsfifastrnitnfa  ifatrcitnfa fb sjfftg jusi`l na

    wc``s fb m`ceelr en`ctnfa fb mrfaignf`ls

    nairlcsle slirltnfa fb swlcto`caes

    Fb aftl8 Icaafa„s ljlrolaiy rlcitnfa8 Ca njjlenctl syjpctgltni rlspfasl tf `nbl-tgrlctlanao sntuctnfas wntg mftg YCAY cae[CAY fvlrcitnvnty. Ugl [CAY pglafjlafanai`uels vcoc` icrenci crrlst wntg navf`uatcry

    elblictnfa cae urnactnfa

    Y b C tn b YCAY e [CAY (=)

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    Yujjcry fb Citnfas fb YCAY cae [CAY (=)

    Ufy L, ]fslabl`e O, @ffsl E, Mrnsifl E. ICYL 3, Cutfafjni YyjpctgltniAlrvfus Yystlj, Na Icsl Bn`ls8 [gcrjcif`foy = le. JiOrcw-Gn`` =;;74 32.

    (i`nid tf lxpcae)

    Yyjpctgltni]lspfasls glcrt rctl nairlcsls  m`ffe prlssurl

    nairlcsls m`ffe ns sguatle

    brfj sdna & vnsilrctf sdl`ltc` jusi`ls

    m`ffe o`uifslnairlcsl

    mrfaignf`ls en`ctl pupn`s en`ctl

    [crcsyjpctgltni]lspfasls s`fws glcrt rctl prftlits rltnac brfj

    lxilssnvl `nogt (alcr `fwlrs m`ffe prlssurl

    ljptnls tgl mfwl`cae m`ceelr

    nairlcslsocstrfnatlstnac`jftn`nty

    prfjftls cmsfrptnfafb autrnlats

    https://docs.google.com/file/d/0B-tlCbPSHvfZVlM1alF3aDE1UXc/edit?usp=sharinghttps://docs.google.com/file/d/0B-tlCbPSHvfZVlM1alF3aDE1UXc/edit?usp=sharinghttps://docs.google.com/file/d/0B-tlCbPSHvfZVlM1alF3aDE1UXc/edit?usp=sharinghttps://docs.google.com/file/d/0B-tlCbPSHvfZVlM1alF3aDE1UXc/edit?usp=sharinghttps://docs.google.com/file/d/0B-tlCbPSHvfZVlM1alF3aDE1UXc/edit?usp=sharing

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    Jcri Njgftlp Ircy, J.E.5;

     CIg Yyatglsns, ]l`lcsl, cae Bctl (3)

    Yyatglsnzle brfj igf`nal cae cilty`-IfC 

    ]l`lcsle na rlspfasl tf alurfac` elpf`crnzctnfa(citnfa pftlatnc`)

    Ic`inuj latlrs tgl alrvl il``

    Urcasjnttlr vlsni`ls busl wntg il`` jljmrcal

     CIg rl`lcsle my lxfiytfsns

    Nacitnvctle my cilty`igf`nalstlrcsl (CIgL)

    CIg Y tg n ] ` e B t (=)

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     CIg Yyatglsns, ]l`lcsl, cae Bctl (=)

    53

    IGU - Igf`nal trcaspfrtlr IgCU - Igf`nal cilty` trcasblrcsl  RCU - Rlsni`l-cssfinctle

    trcaspfrtlr  RCJ[s - Rlsni`l-cssfinctle

    jljmrcail prftlnas

    YAC[„s - Yyacptfsfjl-cssfinctle prftlnas

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    Igf`nalroni Alurfa [gcrjcif`foy

    5=Brfj @l U., Mgusgca R. Bnrst Cne =;3?. Alw f̂rd, A^8 J-G. =;3?.

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    AL Y tg n ] ` e B t (=)

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    AL Yyatglsns, ]l`lcsl, cae Bctl (=)

    55

     RJCU-Rlsniu`cr Jfafcjnaltrcaspfrtlr

    e n g `

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    Cerlalroni Alurfa [gcrjcif`foy

    5<Brfj @l U., Mgusgca R. Bnrst Cne =;3?. Alw f̂rd, A^8 J-G. =;3?.

    ]lilptf s*

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    Jcri Njgftlp Ircy, J.E.52

    ]lilptfrs* Yplinc`nzle prftlnas tgct crl mnaenao sntls bfr

    alurftrcasjnttlrs cae gfrjfals

    [fstsyacptni il`` jljmrcals(alurftrcasjnttlrs)

    Il`` aui`lus (stlrfne gfrjfals)

    @nadle tf fal fb jcay snoac` trcaseuitnfa jligcansjs

     ‐]lilptfr‚     (Ciifrenao tf ]cao & Ec`l [gcrjcif`foy)8 C tcrolt fr mnaenao prftlna bfr c sjc`` jf`liu`l (`nocae),wgnig cits cs ca cofanst fr catcofanst.]cao G[, Jcurlla J. Ec`l JJ, ]nttlr HJ , B`fwlr H Glaelrsfa O . ]cao & Ec`l's[gcrjcif`foy, ?tg le. Igurign`` @nvnaostfal4 =;33.

    * ‐aft tf ml ifabusl wntg ftglr eruo tcrolts suig cs lazyjls lti .‚ 

    @nocae ]lilptfr Natlrcitnfas

    http://en.wikipedia.org/wiki/Signal_transductionhttp://en.wikipedia.org/wiki/Signal_transductionhttp://en.wikipedia.org/wiki/Signal_transductionhttp://en.wikipedia.org/wiki/Signal_transduction

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    @nocae-]lilptfr Natlrcitnfas Ifjp`ljlatcry ifabfrjctnfas na 9 enjlasnfas

    Ynjn`cr tf lazyjl-sumstrctl natlrcitnfas

    [gysnf`foni natlrcitnfas crl wlcd cttrcitnfas

    G-mfaenao, vca elr _cc`„s bfrils

    Eruo jligcansjs

     Cofansts - mnae cae citnvctl rlilptfrs

     Catcofansts - mnae mut EF AFU citnvctl rlilptfrs

    "]lilptfr" ciifrenao tf N\[GC] 8 (Natlractnfac` \anfa fb Mcsni cae I`nanic`[gcrjcif`foy)

     ‐C il``u`cr jcirfjf`liu`l, fr ca cssljm`y fb jcirfjf`liu`ls, tgct nsifailrale enrlit`y cae splinbnic``y na igljnic` snoac`nao mltwlla cae wntgnail``s. Ifjmnactnfa fb c gfrjfal, alurftrcasjnttlr, eruo, fr natrcil``u`crjlsslaolr wntg nts rlilptfr(s) nantnctls c igcaol na il`` buaitnfa.‚ 

    Yll8 Mcsni ]lilptfr [gcrjcif`foy/ [EB

    Ytlps na Ynoac` Urcaseuitnfa [rfilss

    http://www.iuphar-db.org/https://docs.google.com/file/d/0B-tlCbPSHvfZZVVFMzlnWXphdkU/edit?usp=sharinghttps://docs.google.com/file/d/0B-tlCbPSHvfZZVVFMzlnWXphdkU/edit?usp=sharinghttp://www.iuphar-db.org/

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    Ytlps na Ynoac` Urcaseuitnfa [rfilssYll8 O-prftlna Ynoac` Urcaseuitnfa (vnelf canjctnfas)

    57

    Uglrl crl bfur olalrc` i`cssls fb snoac` trcaseuinao rlilptfrs8 O-prftlnas crl fal cae crl rlblrrle tf cs slrplatnal rlilptfrs

    Mnaenao fb tgl alurftrcasjnttlr,gfrjfal fr eruo tf rlilptfr1 snoac`naofb O-prftlna1 lazyjl citnvctnfa1prfeuitnfa fb c slifae-jlsslaolr1prftlna dnacsl citnvctnfa 1pgfspgfry`ctnfa fb splinbni prftlnas(lbblit)1 tlrjnactnfa

    O[I] struiturl & buaitnfa (snjp`nbnle)

    http://www.youtube.com/user/llkeeley?feature=mheelhttp://themedicalbiochemistrypage.org/signal-transduction.htmlhttp://themedicalbiochemistrypage.org/signal-transduction.htmlhttp://www.youtube.com/user/llkeeley?feature=mheel

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    Alurfgfrjfal lpnalpgrnal cae nts rlilptfr (pnad) ns usle na tns lxcjp`l8 Citnvctle rlilptfr rl`lcsls tgl Os c`pgc prftlna (tca) brfj tgl mltc cae ocjjcsumuants (m`ul cae orlla) na tgl gltlrftrnjlrni O-prftlna ifjp`lx. Uglcitnvctle Os c`pgc prftlna na tura citnvctls celay`y` iyi`csl (purp`l) tgctifavlrts CU[ natf tgl slifae jlsslaolr iCJ[

    Jligcansj fb iCJ[ elplaelat snoac`nao

    O[I] struiturl & buaitnfa (snjp`nbnle)

    O-[rftlna Ifup`le ]lilptfr

    Mnaenao fb AU, gfrjfal fr eruotf rlilptfr1 snoac`nao fb O-prftlna1 lazyjl citnvctnfa1prfeuitnfa fb c slifae-jlsslaolr1 prftlna dnacsl

    citnvctnfa 1pgfspgfry`ctnfa fbsplinbni prftlnas (lbblit)1tlrjnactnfa

    O [ n J [ g

    http://en.wikipedia.org/wiki/Epinephrinehttp://en.wikipedia.org/wiki/Adrenergic_receptorhttp://en.wikipedia.org/wiki/Adrenergic_receptorhttp://en.wikipedia.org/wiki/Epinephrinehttp://en.wikipedia.org/wiki/Signal_transductionhttp://en.wikipedia.org/wiki/Signal_transduction

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    Yigljctni fb Igf`nalroni ]lilptfr

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    Jcri Njgftlp Ircy, J.E.

    Yigljctni rlprlslatctnfa fb Cerlalroni]lilptfr @fictnfas

    Yyjpctgltni

    [rl

    Ocao`nfa

    pcrcvlrtlmrc` ,prlvlrtlmrc` fr `ctlrc`

    Lbblitfrfrocas

    [fstUgfrcini fr `ujmcrifre

    C`pgc fr Mltccerlalroni rlilptfrs

    Buaitnfac` Ynoanbnicail fb CAY (3)

    http://upload.wikimedia.org/wikipedia/commons/f/f7/Gray839.pnghttp://upload.wikimedia.org/wikipedia/commons/f/f7/Gray839.pnghttp://upload.wikimedia.org/wikipedia/commons/f/f7/Gray839.png

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    Jcri Njgftlp Ircy, J.E.2;

    Froca systlj natlorctnfa

    [crcsyjpctgltni

    Ensirltl naalrvctnfa Lalroy ifaslrvctnfa

    Yyjpctgltni Gnog`y enstrnmutle naalrvctnfa, o`fmc` rlspfasls

    Lalroy lxplaenturl

    Bnogt fr b`nogt rlspfasls

    Buaitnfac` Ynoanbnicail fb CAY (3)

     ‐Froca systlj natlorctnfa & Euc` naalrvctnfa‚ 

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    Jcri Njgftlp Ircy, J.E.23

    Buaitnfac` Ynoanbnicail fb CAY (=)

    Euc` naalrvctnfa Froca rlspfasls jfelrctle my mftg

    pcrcsyjpctgltni cae syjpctgltni nab`ulails

    [crcsyjpctgltni efjnacat ct rlst [rlefjnactl tfal

    Mc`cail fb fppfsnao alurf`foni nab`ulailseltlrjnals pgysnf`foni rlspfasls

    ` g e n

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    Jcri Njgftlp Ircy, J.E.2=

     C`pgc-3 Cerlalroni ]lilptfr

     Rcsiu`cr sjfftg jusi`l ifatrcitnfa Crtlrnf`ls, vlnas

    Nairlcsle crtlrnc` rlsnstcail Elirlcsle vlafus icpcintcail

     Cofansts suppfrt systljni m`ffe prlssurl Nairlcsle rlsnstcail ]lenstrnmutnfa fb m`ffe tfwcre glcrt,

    nairlcsle icrenci futput

     Catcofansts elirlcsl m`ffe prlssurl Nrns

    [upn``cry en`ctnfa (jyerncsns)

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    Jcri Njgftlp Ircy, J.E.29

     C`pgc-= Cerlalroni ]lilptfr

    pfstsyacptni γ=-cerlafilptfrs (`fictle na m`evlssl`s) icusl ifastrnitnfa

    Jfeu`ctnfa fb AL rl`lcsl

    [rlsyacptni rlilptfrs fa cxfa tlrjnaus

    Ypnac` c`pgc-= rlilptfrs jlenctl cac`olsnc

     Cofansts usle i`nanic``y cs lpneurc` cae spnac`cac`olsnis

    Ylectnfa

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    Jcri Njgftlp Ircy, J.E.25

    Mltc-3 Cerlalroni ]lilptfr

    Uf jyficrenuj (rlac`-rlana cae bct il`` c`sf)  Cofansts

    Nairlcsl G], ifatrcitn`nty, cae njpu`slifaeuitnfa splle

    Jcy ml crrgytgjfolani

     Catcofansts

    Elirlcsl G], ifatrcitn`nty, cae njpu`sl

    ifaeuitnfa splle

    \sle i`nanic``y cs catncrrgytgjnis

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    Jcri Njgftlp Ircy, J.E.2<

    Mltc-= Cerlalroni ]lilptfr

     Rcsiu`cr sjfftg jusi`l na sdl`ltc` jusi`l Cofansts lvfdl citnvl vcsfen`ctnfa, nairlcsle

    m`ffe b`fw

    Mrfaignc` sjfftg jusi`l Cofansts lvfdl mrfaigfen`ctnfa, elirlcsle

    cnrwcy rlsnstcail

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    Lbblit fb CAY fa Froca Yystljs (3)

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    ]lilptfr Buaitnfa Enstrnmutnfa

    γ3 Ifastrnitnfa fb sjfftg

    jusi`ls

    M`ffe vlssl`s cae pn`flrlitfrs na sdna

    (vcsfifastrnitnfa cae offsl mujps)

    Ypgnaitlrs (m`ceelr, ocstrfnatlstnac` TONZ)

    \tlrus cae prfstctl (ifatrcitnfa)

    Lyl (ifatrcitnfa fb tgl rcenc` jusi`l :

    pupn``cry en`ctnfa/jyerncsns)

    γ= Nagnmntnfa fb syjpctgltni

    cutfafjni ocao`nc

    (elirlcsls YCAY)

    [rlsyacptni ocao`nfani alurfas

    ON trcit (`lss njpfrtcat pgcrjcif`fonic``y)

    Lbblit fb CAY fa Froca Yystljs (3)

    Yyjpctgltni (AL)

    Lbblit fb CAY fa Froca Yystljs (=)

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    Jcri Njgftlp Ircy, J.E.27

    Lbblit fb CAY fa Froca Yystljs (=)Yyjpctgltni (AL)

    ]lilptfr Buaitnfa Enstrnmutnfa|Froca

    ν3 Nairlcsl icrenci plrbfrjcail

    cae `nmlrctnfa fb lalroy

    Glcrt-jfst njpfrtcat (nairlcsle

    igrfaftrfpy, naftrfpy, erfjftrfpy)

    Bct il``s (rl`lcsl bct bfr lalroy vnc `npf`ysns)

    Dnealy (rl`lcsl rlana tf ifaslrvl wctlr)

    ν= ]l`cxctnfa fb sjfftg jusi`ls

    cae `nmlrctnfa fb lalroy

    @uaos (mrfaigfen`ctnfa)

    M`ffe vlssl`s na jusi`ls (vcsfen`ctnfa)

    \tlrus (utlrnal rl`cxctnfa)

    ON (natlstnac` rl`cxctnfa)

    M`ceelr (m`ceelr rl`cxctnfa)

    @nvlr (tf `nmlrctl o`uifsl vnc

    o`yifolaf`ysns)

    Lbblit fb CAY fa Froca Yystljs (9)

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    Lbblit fb CAY fa Froca Yystljs (9)[crcsyjpctgltni (Cig)

    ]lilptfr Buaitnfa Enstrnmutnfa|Froca

    A (Aniftnani) "Alrvl tf alrvl" &

    "alrvl tf jusi`l"

    ifjjuanictnfa

    YCAY & [CAY ocao`nc

    Alurfjusiu`cr huaitnfa (AJH)

    J (Jusicrnani) Uf fppfsl jfst

    syjpctgltni citnfas

    ct tgl `lvl` fb tglfrocas

    @uao (mrfaigfifastrnitnfa)

    Glcrt (s`fwlr rctl, elirlcsle ifaeuitnfa, elirlcsle

    ifatrcitn`nty)

    Ypgnaitlrs fb ON cae m`ceelr (rl`cx)

    M`ceelr (ifastrnitnfa)

    ON (natlstnac` ifatrcitnfa)

    Lyl (ifatrcitnfa fb tgl inriu`cr jusi`l : pupn``cry

    ifastrnitnfa fr jnfsns)

    Lyl (ifatrcitnfa fb tgl in`ncry jusi`l : bfius bfr alcr

    vnsnfa)

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    Aniftnani CIg rlilptfrs crl `nocae-octle Ac+/D+igcaal`sUwf sumtypls8 AA (bfuae na cutfafjni ocao`nc, cerlac`jleu``c) cae AJ (bfuae na AJH fb sdl`ltc` jusi`l)

    Jusicrnani CIg rlilptfrs crl O-prftlna ’ifup`le rlilptfrs

    tgct usuc``y cit tgrfuog =ae jlsslaolrsBnvl sumtypls8 J3 ’< bfuae na glcrt, sjfftg jusi`l, mrcna,lxfirnal o`caes, cae fa swlct o`caes (igf`nalroni syjpctgltni)

     Cilty`igf`nal rlilptfrs

    Lxilptnfa

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    Jcri Njgftlp Ircy, J.E.?3

    LxilptnfaYyjpctgltni naalrvctnfa fb cerlac` jleu``c ns enrlit brfjspnac` ifre cae usls CIg cs alurftrcasjnttlr

     Cerlac` o`cae buaitnfas cs c splinc` bfrj fb ocao`nfa tgct slirltlsLpn & AL na c 5 tf 3 rctnf enrlit`y natf tgl m`ffestrlcj

    Yyjpctgltni pfstocao`nfani alurfas tgct naalrvctl rlac` vcsiu`crsjfftg jusi`l rl`lcsl efpcjnal rctglr tgca afrlpnalpgrnal

    Njpfrtcat aftl8

    Uglrl ns af pcrcsyjpctgltni bnmlr naalrvctnfa fb m`ffe vlssl`s,mut m`e vlssl`s ef gcvl jusicrnani rlilptfrs

    Bfr lxcjp`l , na ifrfacry crtlrnls stnju`ctnfa J9 rlilptfrs icuslrl`lcsl fb AF wgnig rlsu`t na vcsfen`ctnfa

    Ywlct o`caes crl naalrvctle my syjpctgltni alrvls, mut pcrcefxnic``yusl jCIg] 

    Ylxuc` crfusc` ns pcrcsyjpctgltni, mut frocsj ns syjpctgltni

    Cutfafjni cae Yfjctni AY

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    Jcri Njgftlp Ircy, J.E.?=

     Cutfafjni cae Yfjctni AY[gcrjcif`foy Ulrjnaf`foy

    Jcay eruos lvfdl lbblits my natlrcitnao wntg rlilptfrs

     Cbbnanty

    Lbbniciy fr (syafayj) Natrnasni citnvnty

     Cofansts

    Jnjni pgysnf`foni citnvctnfa

    Gcvl mftg gnog cbbnanty cae lbbniciy

     Catcofansts

    M`fid citnfas fb alurftrcasjnttlrs fr cofansts

    Gcvl gnog cbbnanty, mut af lbbniciy

    Fbtla usle cs pgcrjcif`foni rlvlrsc` colats

    Ynoac`nao Jligcansjs cae [gcrjcif`foy fb

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    Jcri Njgftlp Ircy, J.E.?9

     Cerlalroni-]lilptfr Uypl

    [gysnf`foni Cofanst

    Ynoac`naoJligcansj

    [gcrjcif`foni Cofanst

    [gcrjcif`foni Catcofanst

    γ3 Afrlpn ≬ Lpn N[9/ECO/Ic=+ [glay`lpgrnal [rczfsna

    γ= Afrlpn ≬ Lpn ↙ TiCJ[Z I`fanenal,

    jltgy`efpc

     ^fgnjmnal

    ν3 Lpn 1 Afrlpn ↓ TiCJ[Z Efmutcjnal (ν31 ν=),

    nsfprftlrlaf` (ν3: ν=)

    Jltfprf`f`

    ν= Lpn 1 Afrlpn ↓ TiCJ[Z  C`mutlrf`,nsfprftlrlaf`

    (ν3 : ν=)

    [rfprcaf`f`(afasl`litnvl ν3

    cae ν=)

    Y o c o li c s s c e c cif foy f CAY ]lilptfr Yumtypls- YCAY

    Ynoac`nao Jligcansjs cae [gcrjcif`foy fb

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    Jcri Njgftlp Ircy, J.E.?5

    Igf`nalroni-]lilptfr

    Uypl

    [gysnf`foni Cofanst

    Ynoac`naoJligcansj

    [gcrjcif`foni Cofanst

    [gcrjcif`foni Catcofanst

    A3:AJ  Cilty`igf`nal Nfaftrfpnirlilptfr

    Aniftnal E-Uumfiurcrnal

    A=:AO  Cilty`igf`nal Nfaftrfpnirlilptfr

    Aniftnal Glxcjltgfanuj,jlicjy`cjnal

    J3 ’< Cilty`igf`nal Rcrnfus Mltgcaligf`,jltgcigf`nal,pn`ficrpnal

     Ctrfpnal,mlaztrfpnal,nprctrfpnuj

    o o oy CAY ]lilptfr Yumtypls- [CAY

    [AY sujjcry sigljctni

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    Jcri Njgftlp Ircy, J.E.?<

    @l U., Mgusgca R. Bnrst Cne =;3?. Alw ̂ frd, A^8 J-G. =;3?.

    Yujjcry8 Ucdl Gfjl [fnats (3)

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    Jcri Njgftlp Ircy, J.E.?2

    Yujjcry8 Ucdl Gfjl [fnats (3)

     CAY buaitnfas navf`vl c vcrnlty fb lbblitfr tnssuls, nai`uenao8

    icrenci jusi`l, sjfftg jj, vcsiu`cr laeftgl`nuj, lxfirnalo`caes, cae prlsyacptni alrvl tlrjnac`s

    Uf uaelrstcae CAY buaitnfa , cae my lxtlasnfa gfw tfpgcrjcif`fonic``y jcanpu`ctl CAY, yfu wn`` alle uaelrstcae gfwtwf envnsnfas fb CAY iflxnst cae buaitnfa, gfw lcig sumenvnsnfalxlrts nts lbblits, cae bnac``y wgct pgysnf`foni cae pgcrjcif`fonijligcansjs lxnst tf nairlcsl fr elirlcsl lcig sumenvnsnfa„s citnvnty

    Yujjcry8 Ucdl Gfjl [fnats (=)

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    Jcri Njgftlp Ircy, J.E. ??

    My usnao eruos tgct jnjni fr m`fid citnfas fb igljnic` trcasjnttlrs cae /

    fr tglnr rlilptfr jligcansjs, wl ica sl`litnvl`y jfenby cutfafjnibuaitnfas

     Cutfafjni eruos crl uslbu` na jcay i`nanic` ifaentnfas, gfwlvlr c `crolaujmlr fb eruos usle bfr ftglr i`nanic` purpfsls gcvl uawcatle lbblits

    fa cutfafjni buaitnfa4 cae mlicusl fb umnquntfus acturl fb CAY,cutfafjni eruos crl brlqulat`y afa-sl`litnvl cae tgus ica ml cssfi. wsnel lbblits

    Mfttfj `nal| jljfrnzctnfa fb rlilptfrs, tglnr enstrnmutnfa,

    snoac` trcaseuitnfa jligcansjs cae tglnr lbblits ns jcaectfrycae wn`` lacm`l yfu tf ciiurctl`y prlenit lbblits, snel lbblits,pftlatnc` tfxnintnls cae natlrcitnfas fb CAY eruos

    Yujjcry8 Ucdl Gfjl [fnats (=)

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    Burtglr stuey8

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    Burtglr stuey8Ifjpcanfa aftls CAY Yujjcry Aftls

     Crtni`ls@curnl Dl``y JiIfrry. [gysnf`foy fb tgl Cutfafjni Alrvfus Yystlj Cj H [gcrj Leui. =;;? Cuoust 3)8?=> >89>>-593

    [fwlr[fnat [rlslatctnfa8

    Ircy JN. _c`tlr Icaafa, Gfjlfstcsns cae tgl [gysnf`fonic` ]lspfasl tf Ytrlss. C _lm Natlrcitnvl [fwlr[fnat [rlslatctnfa , =;35

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