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    ThePhysiologicalSociety

    Understanding Life -from single cells...

    to systems...

    to whole humans

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    What is Physiology?

    What does a Physiologist do?

    Physiology is the science of

    how the body works. You can

    think of anatomy as where

    it all is and physiology

    as how it all

    works. These two

    subjects together

    form the basis of medicine

    and veterinary science.

    Physiologists can be foundin a great variety of working

    environments. In order

    to understand what has

    gone wrong with the body

    during disease, the normal

    functioning must first be

    understood.

    Therefore physiologists are

    often to be found at the

    forefront of biomedical

    research.

    Similarly the benefits of taking a

    drug to cure a disease or illness must

    be weighed against the potential

    side effects, and so the need for

    physiologists by drug companies

    is never ending.

    But not all physiologists are to

    be found in laboratories.

    Many work in the area

    of sports physiology, working

    alongside athletes and

    sportsmen to try and bettertheir performance, or spend

    their lives globe-trotting,

    travelling around conferences

    reporting on the work of others for

    papers and journals.

    As scientists become more and

    more answerable to the public,

    many graduates are now engaged in

    digesting and communicating complex

    work either for government ministers

    or for the public themselves. Others

    may be found in schools, inspiring the

    next generation, or in courts of law,

    arguing over complex patent cases.

    Whichever style of work you would like

    to have, there will be a career out there

    for you once you have your degree in

    Physiology!

    What is Physiology?

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    Nutrition and nutritional supplements

    are of vital importance to top class

    athletes. Many football managers like

    Alex Ferguson monitor the diets of their

    players carefully, working with dieticians

    and physiologists to maintain correct

    nutrient intake. Ingesting complex

    carbohydrates such as pasta and rice

    allows players to maintain their energy

    levels, and not lose performance or

    pace towards the end of a gruelling 90

    minutes game.

    Expert opinion is divided about the

    never-ending ability of athletes to break

    world records. Is this the result simply of

    hard slog and better training techniques,

    or the use of drugs? Drug abuse in sport

    began as early as the 1950s, when

    weightlifters began injecting themselves

    with testosterone. Since then, the

    synthetic anabolic steroid Dianabol,

    human growth hormone (HGH) and

    human chorionic gonadotrophin have

    all been abused. Use of these drugs is

    now illegal, for the very good

    reason that long-term use ofthese would be damaging to

    their health. However, sporting

    authorities have been slow

    to react to these chemical

    challenges. When completely

    legal dietary supplements are

    broken down in the body,

    they can produce the same

    substances as when drugs

    such as nandrolone are broken

    down, thus allowing for dispute

    over test results. The battle to

    maximise performance but

    avoid prosecution is tough and

    bloody. Every top athlete now

    has a team of scientists and

    coaches working alongside them, trying

    to find the balance between exploiting

    their potential to the full and not testing

    positive for a banned substance. If you

    are keen on both sports and science, this

    could be you!

    Sports Physiology

    picture courtesy of Susan Shireffs

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    Understanding the workings of the brain

    is one of the major challenges facing

    scientists this century. Physiologists

    working in this area are taking on a variety

    of approaches, from studying movements

    of ions in and out of single nerve cells

    to working with patients suffering with

    mental illnesses such as schizophrenia

    and Alzheimers. And the aim is not only

    to cure disease. The use of illegal drugs,

    such as Ecstasy (E), is rising dramatically.

    Ecstasy increases the natural release of

    serotonin, a neurotransmitter in the brain,

    and also prevents it being inactivated.High levels of serotonin in the brain are

    thought to be responsible for the loved

    up feeling MDMA (the active component

    of E) produces. Overuse of this pathway

    causes desensitisation, meaning that

    less pleasure will be gained from normal

    activity. This can result in mood swings,

    the reported mid-week blues following

    a weekends indulgence.

    However, if this were the only

    disadvantage of the drug, it would be

    unlikely to deter clubbers.

    The horrifying deaths of Lorna Spinks and

    Leah Betts brought the dangers of taking

    Ecstasy very much into the public eye.They died from different causes - Lorna

    from heatstroke and Leah from ingesting

    too much water which caused her brain

    to swell and now many more young

    people understand the need to regulate

    water intake when using the drug.

    However, even measures such as these

    cannot negate the effect that causes most

    worry long-term mental

    damage.

    The long-term effects of Ecstasy on

    the brain are very contentious. Some

    physiological studies have shown

    neuronal damage in heavy users, but

    others have refuted these findings.

    The studies tend to have very

    small sample sizes, and many

    subjects who use E also use other

    substances thus confounding

    results. The poverty of the data

    in this area is alarming on

    the one hand lseots of young

    people may be permanently

    damaging their brains, andon the other our Government

    may be spending unnecessary

    money to police the use of

    the drug. The answer surely

    is for good scientific research,

    on which the public and

    police can rely. Wouldnt

    you like to be involved in

    solving this mystery?

    Neurophysiology - Use of Ecstasy

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    Curing disease

    Cholera kills more than 150,000 peoplein developing countries each year. The

    majority of these deaths occur among

    young children. The dehydration

    produced by acute diarrhoea results in a

    high fever, which if not treated can lead

    to death. Often the cost of treatment

    for disease in developing countries

    is prohibitive, however, in this case

    understanding the physiology of fluid

    regulation within the body provides a

    cheap and effective method of dealing

    with this deadly disease. Oral rehydration

    therapy is based on administering

    cocktails of household sugars and salts.

    First, the patient receives a rehydrating

    solution containing salt, sugar, baking

    soda and potassium chloride. This

    replaces lost electrolytes, and lowers the

    osmotic potential of cells and interstitial

    fluid. Next, a maintenance solution

    is given. This solution contains the

    same salts, but at lower concentration.

    This means that the patient is able

    to reabsorb more water from the

    maintenance solution, and in addition

    will not lose the absorbed electrolytes.

    Where properly administered, this

    therapy can provide a complete cure for

    cholera and other diseases whose major

    symptom is diarrhoea.

    The key to the development ofsuccessful rehydration therapy lay in

    understanding the transporters that

    take glucose into cells. These cannot

    work without sodium hence the need

    for both sugar and salt in the mixture.

    Huge numbers of physiologists work on

    the movement of substances in and out

    of cells, as problems with ion channels

    are responsible for a range of diseases.

    Cystic fibrosis is one of the most common

    channelopathies, and many potential

    therapies are based around correcting

    the faulty chloride channel responsiblefor this deadly disease. So far, although

    some avenues look promising, a cure

    still remains elusive. Would you like to be

    responsible for developing a successful

    treatment?

    Laura Cowell (pictured, left) looks like

    any normal teenager. However, she

    suffers from cystic fibrosis and must take

    over 50 tablets a day and 4 injections

    to combat the disabling symptoms. Her

    life expectancy at the moment is only

    around 30 years. Only a new treatment

    can save her. Wouldnt you like to be

    responsible for finding one?

    picture courtesy of UNICEF India

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    Over 80,000 people in the UK have

    multiple sclerosis and an estimated

    2,500 people are diagnosed with MS

    every year. Multiple sclerosis (MS) is a

    chronic, debilitating disease that affects

    your central and peripheral nervous

    system.

    It is thought to be an autoimmune

    disease. Antibodies and white blood cells

    attack the myelin sheaths surrounding

    nerves, leading to inflammation and

    injury to the sheath and finally to the

    nerves themselves. The damage slowsor blocks muscle coordination, visual

    sensation and other nerve signals.

    Symptoms may include weakness or

    paralysis in one or more limbs, impaired

    vision, fatigue, muscle spasms and

    slurred speech. The majority of sufferers

    experience muscular pain, tingling and

    electric shock sensations.

    A cure or vaccine for MS is still eluding

    researchers. Current treatments combat

    individual symptoms, and of these

    dealing with chronic and acute pain is

    a priority. The pain relieving qualities

    of cannabis have been exploited for

    centuries.

    However, as an illegal drug in this

    country, research into its properties

    is controversial and funding difficult

    to secure. Opponents would say that

    it is possibly addictive and leads to

    other drug use, but patient groups

    are campaigning for its widespread

    prescription. Do you think we should be

    researching in this area?

    Multiple sclerosis and cannabinoids

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    Post-genomic physiologySequencing the human genome has

    been compared with splitting the

    atom, going to the moon and even

    the works of Shakespeare. It is certainly

    long over 750,000 pages would be

    filled if it was typed on A4 paper. Gene

    technology holds the key to science

    and medicine in the 21st century, with

    predictions of designer drugs, designer

    babies and even immortality!

    So wheres the catch? Well, much

    as we have a fairly good idea of the

    sequence of the 30,000 or so genes,we have little idea what proteins the

    majority of these produce or how these

    interact with each other in the body.

    In order to understand a disease such

    as Alzheimers, we will not only need

    to know which genes and therefore

    proteins are involved, but also how

    their healthy counterparts work. And

    not all of the work will be targeted

    towards understanding disease.

    In Japan, a research group is sequencing

    the entire genome of humankinds

    nearest relative, the chimpanzee, in the

    hope of shedding light on the origins

    of language, logic and thinking. Once

    again, understanding the interactions

    of proteins will be crucial.

    Most scientists agree that this next

    step trying to use all the information

    gathered, will be much harder than

    the last. Which discipline will have

    the correct knowledge of how the

    whole body works, and be able to

    put together the work of biochemists,

    geneticists and molecular biologists?

    Which group of scientists will be at the

    forefront of this new era for science,

    and will you be a part of it?

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    Alcohol is the worlds favourite

    recreational drug. In the UK an average

    man drinks over 550 pints of beer a year,

    a figure that has been rising steadily over

    the last decade. However, in one way

    or another alcohol is responsible for 20-

    50,000 deaths a year. We are all familiar

    with the risks of attempting to drive

    while drunk, but what about simply

    enjoying a few glasses of wine a day?

    Can that really be a problem?

    Unfortunately, it can.

    Cirrhosis, a deadly disease

    of the liver, has been linked

    with drinking as few as 2

    units a day for a woman

    and 3-4 for a man (a unit is equivalent

    to a half pint of normal strength beer).

    The liver, the largest organ in the

    body, is essential in keeping the body

    functioning properly. It performs a host

    of functions from neutralising poisons

    (such as the breakdown products

    of alcohol) to making proteins that

    regulate blood clotting. You cannot live

    without a functioning liver.

    For years, the only complete cure was

    to have a transplant. Owing to a better

    understanding of the immune system,

    and improved drugs and surgical

    techniques, many more people survive

    transplants than they used to. However,

    a liver transplant is a major operation

    and even if the patient is fit enough tosurvive there are never enough donor

    organs to go around. Stem cell research

    offers new hope in this area. A stem

    cell is a cell

    that can give

    rise to many

    others that is

    its pluripotent.

    The most

    obvious source

    of these cells is

    from embryos,

    but parts of the

    body such as the bone marrow are also

    a possibility. Some lines of research are

    looking at applying cloning technology,

    and transferring a nucleus of a patients

    liver cell into a de-nucleated embryo,

    in the hope that this will divide and

    make more liver cells. These would

    be identical to the persons own liver,

    and could therefore be transplanted

    back in with no fear of rejection. Other

    researchers have found that some stem

    cells are effectively hidden from the

    immune system, and could therefore

    be transplanted between people with

    ease. Either way, this hope of growing

    new organs has the potential to help all

    those in need of a new liver, heart or any

    other organ.

    Research like this requires clinicians,

    physiologists, immunologists

    and many other

    scientists working

    side by side in the

    fight against

    disease.

    If you like

    working in a

    team, and want to

    work at the cutting

    edge of medical

    science, why not

    consider a career in

    physiology!

    Liver physiology and alcohol abuse

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    Tim Davis, Research Assistant, Drug

    Discovery, Pfizer Ltd

    Tim graduated from Newcastle

    University in July 2000 with a BSc (Hons)

    in Physiological Sciences. After that

    he spent a year doing temporary jobs

    including working as a lab technician

    and an admin job at Pfizer.

    What does he do?

    I am currently working on an AIDS

    project. I am responsible for screening the

    library of potential drugs (compounds)

    here at Pfizer to see if we have any that

    are effective against the AIDS virus. I work

    with leading-edge technology and have

    learned so much since I started. A good

    scientific background is important but

    you dont have to be a genius. Most of

    my everyday understanding of my work, I

    have picked up since I joined the company

    enthusiasm and flexibility are very

    important.

    The application and interview

    process for Pfizer is pretty tough.

    Was it worth it?

    Pfizer is currently the worlds leading

    Pharmaceutical company and is now

    the 4th biggest company in the world!

    As such, they do look after you and it is

    a very exciting place to work. I wanted

    a job where I could use my science degree

    and also a job where my work was going

    to be meaningful. Each day I have to

    think for myself, plan experiments and

    present my results to the projectteam. Ultimately my findings

    could lead to discovering

    a drug which could

    enhance the lives of

    thousands of people. Im

    really enjoying it so far

    and would recommend a

    career in the industry. Its an

    excellent starting point for anyone

    considering a career in science.

    Tims advice for prospective

    students?

    Always choose a degree that truly

    interests you. Dont be put off by careers

    that you think will be too hard to get

    into. You dont know unless you try and

    enthusiasm gets you a long way!

    John Reid, Senior House Officer,

    Aberdeen Royal Infirmary

    Rather than go straight to medical school,

    John chose to do a first degree in BiologicalSciences specialising in neuroscience at

    Edinburgh University.

    Fascinated by diseases of the brain, he

    then went on to do a PhD at Oxford

    looking at the role of potassium channels

    in the brain in Parkinsons disease. Having

    obtained his PhD, he then studied for

    a further 3 years at Southampton to

    become a doctor of medicine.

    My science background made exams

    easier during the training. I want to

    specialise in neurology and my degrees

    in neuroscience definitely help when

    applying for jobs. In the end, I want to

    combine research and medicine and the

    doctorate will be invaluable then.

    Being a senior house officer is hard work.

    John is on call overnight one night a week,

    and has to work a lot of weekends.

    So why does he do it?

    I enjoy getting to know the patients, and

    working in a challenging environment

    where Im always learning new things.

    What advice would you give

    someone considering their career

    options?

    Follow your interests! Physiology can

    lead to many different careers, and even if

    you are just fascinated by biology thats a

    good enough reason.

    Real stories of real physiologists...

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    Real stories of real physiologists...John Macgill

    John Macgill is the

    Director of a Scottish

    firm of political

    consultants, a role

    he moved to at the

    beginning of 2002

    after seventeen years

    as a journalist.

    John graduated from Dundee University

    in 1985 with a BSc (Hons.; 2.1) in

    Physiology. Although he enjoyed hisdegree, John was clear that he wanted to

    follow a career as a broadcast journalist.

    Having gained voluntary work experience

    on local radio stations, John was accepted

    onto the BBCs Local Radio Journalist

    Training Scheme.

    My physiology degree helped,

    says John, not least because

    it made me different from

    the hundreds of graduates

    with degrees in English or

    Media Studies. The skills I

    developed studying for a BSc

    were almost identical to those

    required of a journalist: time

    management, research, presenting

    and summarising facts and being

    able to defend your work under scrutiny.

    Journalists have to be able to communicate

    in a way that is appropriate for their

    particular audience. They need to have

    enquiring minds, and must not be afraid

    to ask questions or disagree with accepted

    wisdom. These are skills which should be

    second nature to any scientist.

    John has worked across radio and

    television including posts as a reporter and

    correspondent, and later as a magazine

    editor before being lured away to political

    consultancy.

    I suspect my time in the Physiology

    Department at Dundee is to blame for

    the many arguments over science and

    medicine stories that I had with editors

    while I was a reporter.

    It certainly influenced my approach, as an

    editor, to consumer scares and apparent

    medical breakthroughs.

    Even in my present job, which is all about

    research and the presentation of facts on

    behalf of clients, the skills and disciplines

    acquired as a science undergraduate

    continue to play an important part.

    Zai Ahmad, MPhil student and

    research assistant, University of

    Leeds

    Zai has a variety of qualifications,

    including an HNC in applied biologyand a BSc in Marine studies. However,

    she now knows she wants to pursue

    an academic career in neuroscience.

    She is currently taking an MPhil using

    immunohistochemistry to determine

    how the brain regulates blood pressure,

    which will form an excellent basis for a

    PhD and academic career.

    Why has Zai chosen to stay in

    academia?

    Research in academia allows you to

    work independently. I have always

    been interested in medical research,

    but was not sure which field to pursue

    until I started studying neuroscience. Im

    enjoying taking the MPhil and it will give

    me a greater understanding and hands-

    on experience which I will need to develop

    my own research project. Although my

    supervisor is normally on hand to discuss

    ideas, you are encouraged to drive your

    own research, which makes the project

    feel like your own.

    Travelling to conferences is excellent,

    as you get to present and discuss your

    research with a broad spectrum of

    people, some of whom may present

    you with ideas you hadnt considered

    before.

    Is it all a bed of roses?

    I wish! Its easy to become disillusioned

    when the project isnt progressing as a

    result of failed experiments. Sometimes

    lab work can be a little repetitive, and

    hours can be long. However, your time

    is your own, so you can work when and

    how you want.

    If you had your time over again,

    would you do anything different?

    I think getting good careers advice

    is really important! A degree in

    physiology will definitely open up a lot

    of possibilities.

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    Careers in PhysiologyThe case studies will have given you

    a taste of what some of the career

    possibilities are if you choose to do a

    degree in physiology. There is a wealth

    of different possibilities for students

    interested in studying in research,

    from the commercially driven, cutting

    edge world of industry to the blue skies

    creativity of a university laboratory.

    Working for a pharmaceutical company

    often opens up possibilities of moving

    into management, marketing or sales

    rather than staying on the bench. Good

    with words and science?

    Why not consider a career in scientific

    journalism or publishing, going

    around the world to report on

    discoveries and ensuring the correct

    and effective communication of ideas.

    The leisure industryis one of the fastest

    growing areas, employing many sports

    physiologists. You could even be working

    alongside one of our top athletes.

    Many A level or Higher students are

    interested in medicine or veterinary

    sciencebut are intimidated by entrance

    grades and long periods of study.

    Graduate entry into these courses is

    becoming more and more common,

    and allows you to both keep your options

    open and increase your chances of

    securing a place. Physiology is a perfect

    grounding for either of these careers. In

    fact many physiology graduates go on

    to do a postgraduate course in other

    subjects allied to medicine, such as

    radiotherapy, optometry or speech

    science.

    There are many other possible career

    choices available to you, such as

    patent law, science communication,

    teaching and technology transfer.

    A percentage of physiology graduatesdo not stay in science but choose careers

    instead in other areas such as finance,

    marketing or the media.

    Employers know that science degrees

    are rigorous and that science graduates

    will have excellent transferable skills.

    A degree in business studies will only

    prepare you for careers in business,

    whereas a physiology degree will keep

    all doors open to you. Which would you

    rather choose?

    Only you will know what is the best

    career for you, and make sure you make

    an informed a choice as possible. The

    Life Science Careers Fairs organised

    by a group of societies including the

    Physiological Society are the only

    careers fairs targeted at biological

    science students. They run each year

    in November at Universities around

    the country. Be sure to attend one in

    your 2nd or 3rd year, and also to check

    out some of the sources of further

    information given below. Remember

    there are loads of possible careers out

    there waiting for you, it is up to you to

    make it happen!

    Getting there

    OK, so you have decided you want to

    do a degree in physiology or a related

    science, so what next? Where should

    you go? Almost every university offers

    a degree of some kind in a physiological

    science. Most will want post sixteen

    qualificationsinbiologyandchemistry.

    Exactly what grades are required varies

    hugely and it is best to check individual

    universities on the UCAS website for

    details. Make sure that whichever course

    you go for you get lots of choice for

    which modules to take every year, and

    that there is a large practical component.

    Also if you have a burning interest in the

    brain, sports science or bio-informatics

    look at University websites for groups

    of scientists specialising in these

    areas. Dont be scared of contacting a

    department you are interested in and

    asking for graduate recruitment statistics

    or third year project topics.

    The choices you are about to make will

    affect the rest of your life. Make your

    own decisions and make sure they are

    the right ones for you!

    For further information please contact:

    Education Officer

    The Physiological SocietyPO Box 11319

    London WC1X 8WQ

    Email [email protected]

    Tel 020 7269 5710

    Website www.physoc.org

    Other useful websites include:

    www.biology4all.com

    www.ucas.ac.uk

    www.biocareers.org.uk

    www.nextwave.org

    www.pfizer.co.uk

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    The Physiological Society, PO Box 11319, London WC1X 8WQ

    Website www.physoc.org

    The Physiological Society is a registered charity, no 211585.

    This booklet was produced by The Physiological Society, with the help

    of Dr David Pepper and Year 12 students Cassandra Cooke, Susie Flexer

    and James Hunt from Newcastle Under Lyme School. The Physiological

    Society gratefully acknowledges the support of Pfizer Ltd.

    Graphic Design by Terry Bambrook - [email protected]

    ThePhysiologicalSociety