Visceral Reflex Arcs Can Bypass Cns Neurons in ________ Reflexes.

14.iii: Autonomic Synapses, Effects and Reflexes

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    22349
    • Faculty at Reedley Higher, Butte College, Pasadena City College, & Mt. San Antonio College
    • Publisher/Source: ASCCC Open up Educational Resource Initiative

    Past the end of this section, you will be able to:

    • Describe the synapses, signaling molecules and receptors involved in advice within the 2 divisions of the autonomic nervous system
    • Determine the outcome of the autonomic nervous system on the regulation of the various organ systems
    • Explain autonomic tone and dual innervation
    • Compare the structure of somatic and autonomic reflexes and differentiate between short and long reflexes

    Autonomic Synapses

    Where an autonomic neuron connects with a target, at that place is a synapse. What are referred to here as synapses may not fit the strictest definition of synapse. The construction of postganglionic connections are not the typical synaptic end seedling that is institute at the neuromuscular junction, only rather are chains of swellings along the length of a postganglionic fiber. This place of connection is chosen a varicosity and is typical of the autonomic nervous system (ANS) (Effigy \(\PageIndex{one}\)). Each postganglionic axon has a loftier number of these endings resembling a string of beads. At each varicosity, synaptic vesicles containing neurotransmitters are nowadays and ready to merge with the plasma membrane of the axon to release the neurotransmitters. On the target organ (shine muscle, cardiac muscle or glands) neurotransmitter receptors are present.

    A nerve presents an enlargement with circles inside representing vesicles with neurotransmitters.
    Figure \(\PageIndex{ane}\): Autonomic Varicosities. The connexion between autonomic postganglionic fibers and target effectors is chosen a varicosity. Multiple varicosities are present along the length of postganglionic axons forming an extended network of connections on the target effector. Inside the varicosity, synaptic vesicles containing the neurotransmitters are ready to merge with the plasma membrane and release their content. In this pic, the target effector is shine muscle and receptors for the neurotransmitters are present on its sarcolemma. (Image credit: "Autonomic Varicosities" by OpenStax is licensed under CC BY 3.0)

    Autonomic Neurotransmitters

    Signaling molecules can belong to ii broad groups. Neurotransmitters are released at synapses, whereas hormones are released into the bloodstream. Even so, the same molecule (for example epinephrine) tin be released past neurons within the brain as a neurotransmitter or past the adrenal medulla into the bloodstream every bit a hormone, blurring the lines between these definitions. The chief signaling molecules of the autonomic nervous system are acetylcholine (ACh) and norepinephrine (NE, besides called noradrenaline). The adrenal medulla which is a modified sympathetic ganglion releases epinephrine (or adrenaline). These molecules will bind to specific receptors on the target cells. Cells that release acetylcholine are called cholinergic, while cells that release norepinephrine or epinephrine are called adrenergic. Acetylcholine can bind to both nicotinic receptors and muscarinic receptors. Norepinephrine and epinephrine can bind to adrenergic receptors. For each of these classes of receptors, there are multiple subtypes (which we will non talk over in this volume) that make the cells respond differently to the binding of the same molecule. Depending on the receptor type and subtype, the molecules released will cause either stimulation or inhibition. Thus, the effects of the autonomic divisions depend on the type of signaling molecule and receptor involved.

    All preganglionic fibers, both sympathetic and parasympathetic, are cholinergic and release ACh (Table \(\PageIndex{1}\)). All ganglionic neurons (the targets of these preganglionic fibers) take nicotinic receptors in their jail cell membranes, which leads to the stimulation and firing of an action potential from the ganglionic fibers in both sympathetic and parasympathetic divisions. Well-nigh sympathetic postganglionic fibers are adrenergic and release norepinephrine. The adrenal medulla which is function of the sympathetic division is also adrenergic and releases epinephrine. Withal, parasympathetic postganglionic fibers are cholinergic and release ACh. This design assures that effector organs under the control of both sympathetic and parasympathetic systems can respond differently. Target cells can incorporate various types and subtypes of receptors and their response volition vary depending on the type of receptor and on the neurotransmitter released on them.

    There is one exception to this pattern in the sympathetic arrangement. The sympathetic postganglionic fibers that contact the blood vessels inside skeletal muscle and sweat glands in the integument release ACh instead of norepinephrine. This does not create any problem considering at that place is no parasympathetic input to these organs. Claret vessels of skeletal muscles and sweat glands accept muscarinic receptors and vasodilate (increase bore size) and produce and secrete sweat, respectively, in response to ACh.

    At well-nigh of the other autonomic targets that are innervate by both divisions of the autonomic system, the effector response is based on which neurotransmitter is released and what receptor is present. For example, regions of the heart that establish center charge per unit are contacted by postganglionic fibers from both systems. If norepinephrine is released, it binds to an adrenergic receptor which causes the centre rate to increment. If ACh is released, it binds to a muscarinic receptor that causes the heart rate to boring. Without this parasympathetic input, the eye would piece of work at a rate of approximately 100 beats per minute (bpm). The sympathetic system speeds that up, as it would during exercise, to 120–140 bpm, for example. The parasympathetic system slows it downwards to the resting heart charge per unit of 60–80 bpm.

    (Table \(\PageIndex{1}\)) Comparing of Sympathetic and Parasympathetic Signaling Molecules
    Sympathetic Sectionalization Parasympathetic Partition
    Preganglionic axons release ACh (cholinergic) release ACh (cholinergic)
    Ganglionic neurons incorporate nicotinic (ACh) receptors incorporate nicotinic (ACh) receptors
    Postganglionic axons

    release NE (adrenergic);

    release ACh (cholinergic) just in blood vessels of skeletal muscle and sweat glands

    release ACh (cholinergic)
    Adrenal medulla incorporate muscarinic (ACh) receptors; releases epinephrine (adrenergic)

    Autonomic Effects

    Organ systems are counterbalanced between the input from the sympathetic and parasympathetic divisions. When something upsets that residuum, the homeostatic mechanisms strive to render it to its regular state. For each organ organization, there may be more of a sympathetic or parasympathetic trend to the resting state, which is known as the autonomic tone of the system. For case, the resting heart rate is the result of the parasympathetic system slowing the heart downwards from its intrinsic rate of 100 bpm, consequently the centre tin can be said to be in parasympathetic tone.

    Many effector organs of the autonomic nervous organisation accept dual innervation, significant that they receive competing inputs from the sympathetic and parasympathetic divisions. These divisions each play a role in effecting alter, usually in competing directions. At the level of the target effector, the indicate of which organisation is sending the bulletin is strictly chemical and depending on the segmentation involved and neurotransmitter released, the furnishings would exist diverse. For case, the middle and the eye are examples of organs with dual innervation. The sympathetic system increases eye rate, whereas the parasympathetic system decreases center charge per unit. The sympathetic system dilates the student of the centre, whereas the parasympathetic system constricts the pupil.

    In some organs, opposing effects are achieved without dual innervation. For example, the arrector pili muscles, sweat glands, and blood vessels to skeletal muscles and pare are primarily under sympathetic control. Blood pressure is partially determined by the contraction of smooth musculus in the walls of blood vessels. The parasympathetic arrangement has no significant input to the systemic blood vessels, so the sympathetic organisation determines their tone. The sympathetic system causes vasoconstriction of blood vessels. Still, the increasing metabolic action of muscles causes (paracrine) vasodilation. This allows for blood flow to increase for those skeletal muscles that will be active in the fight-or-flight response.

    Not always the sympathetic and parasympathetic divisions have reverse effects and, in a few cases, the two systems cooperate. The all-time example of cooperative effects occurs in the male sexual function. In reproductive organs, blood vessels of erectile tissues are innervate with parasympathetic projection, making them an exception. Acetylcholine released by these postganglionic parasympathetic fibers cause the vessels to amplify, leading to the engorgement of the erectile tissue and penile erection. At the same time, the sympathetic nervous system stimulates ejaculation by causing the contractions of the seminal vesicle and prostate gland. This synergistic effect facilitates reproduction.

    Tabular array \(\PageIndex{2}\) summarizes the furnishings on different organs of the sympathetic and parasympathetic divisions.

    Table \(\PageIndex{2}\) Furnishings of Sympathetic and Parasympathetic Divisions
    Target Effector Sympathetic Effect Parasympathetic Outcome
    Arrector pili muscles Contraction to cause hair erection None
    Sweat glands Secretion None
    Salivary glands Inhibits Stimulates
    Pupils Dilation Constriction
    Ciliary muscle None Wrinkle for near vision
    Center Increases centre rate Decreases heart charge per unit
    Blood vessels of the eye (coronary) Vasoconstriction or vasodilation Vasodilation
    Blood vessels to skeletal muscles Vasodilation None
    Blood vessels to pare and other organs Vasoconstriction to increment blood pressure None
    Blood vessels to gastrointestinal (GI) tract Vasoconstriction Vasodilation
    Bronchi of lungs Dilation Constriction
    Gastrointestinal (GI) tract gland secretion Inhibits Stimulates
    Gallbladder Inhibits Stimulates
    Peristalsis (move) Inhibits Stimulates
    Sphincters Contraction (close) Relaxation (open up)
    Urinary bladder Relaxation Contraction
    Internal urethral sphincter Contraction (close) Relaxation (open)
    Penis Stimulates ejaculation Stimulates erection
    Clitoris None Stimulates erection

    Autonomic Reflexes

    The autonomic nervous system regulates organ systems through circuits that resemble the reflexes described in the somatic nervous arrangement. A somatic reflex, such as the withdrawal reflex, involves a . An autonomic reflex, also called visceral reflex, consists of contractions of smooth or cardiac muscle, or secretion past glands that are mediated by a reflex arc in response to a stimulus. Examples of autonomic reflexes are the initial release of urine (micturition), alteration of heart charge per unit or blood pressure, regulation of digestion and modification of the student size. Somatic and visceral reflexes present similarities and differences.

    1 similarity between a somatic reflex and a visceral reflex is the afferent branch, that brings information towards the CNS. Sensory neurons receiving input from the periphery—with cell bodies in the sensory ganglia, either of a cranial nerve or a dorsal root ganglion adjacent to the spinal cord—projection into the CNS to initiate the reflex.

    Many of the inputs to visceral reflexes are from special or somatic senses, simply particular senses are associated with the viscera that are not office of the conscious perception of the environment through the somatic nervous system. For example, at that place is a specific type of mechanoreceptor, chosen a baroreceptor, in the walls of the aorta and carotid sinuses that senses the stretch of those organs when blood book or pressure increases. You exercise not have a witting perception of having high claret pressure, simply that is an important afferent branch of the cardiovascular and, particularly, vasomotor reflexes. The sensory neuron is essentially the same as whatsoever other general sensory neuron, a unipolar neuron that has a prison cell body in a sensory ganglion. The baroreceptors from the carotid arteries accept axons in the glossopharyngeal nerve, and those from the aorta take axons in the vagus nerve.

    Though visceral senses are not primarily a office of conscious perception, those sensations sometimes get in to conscious awareness. If a visceral sense is strong plenty, information technology will be perceived. The sensory homunculus—the representation of the torso in the primary somatosensory cortex—only has a small region allotted for the perception of internal stimuli. If you swallow a big bolus of food, for instance, y'all will probably feel the lump of that food as it pushes through your esophagus, or even if your stomach is distended after a large meal. If yous inhale especially cold air, you tin can feel information technology as it enters your larynx and trachea. These sensations are not the same as feeling loftier blood pressure or blood sugar levels.

    When especially strong visceral sensations rise to the level of conscious perception, the sensations are frequently felt in unexpected places. For instance, stiff visceral sensations of the middle volition be felt every bit pain in the left shoulder and left arm. This irregular pattern of projection of conscious perception of visceral sensations is called referred pain. Depending on the organ system affected, the referred pain volition project to different areas of the body (Figure \(\PageIndex{ii}\)). The location of referred pain is not random, but a definitive explanation of the mechanism has not been established. The almost broadly accepted theory for this miracle is that the visceral sensory fibers enter into the same level of the spinal cord every bit the somatosensory fibers of the referred hurting location. By this caption, the visceral sensory fibers from the mediastinal region, where the heart is located, would enter the spinal cord at the same level every bit the spinal nerves from the shoulder and arm, so the brain misinterprets the sensations from the mediastinal region equally beingness from the axillary and brachial regions.

    Body regions of referred pain connected to the involved organ.
    Figure \(\PageIndex{two}\): Referred Hurting Nautical chart. Referred hurting is the conscious perception of visceral sensations. Represented here is a map that associates the hurting perceived in certain regions with the visceral organs. Some sensations are felt locally, whereas others are perceived as affecting areas that are quite distant from the involved organ. (Prototype credit: "Referred Hurting Chart" by OpenStax is licensed under CC Past 3.0)

    One departure between a somatic and visceral reflex is in the efferent co-operative. The output of a somatic reflex is the lower motor neuron in the ventral horn of the spinal cord that projects direct to a skeletal muscle to crusade its wrinkle. The output of a visceral reflex is a two-footstep pathway starting with the preganglionic cobweb emerging from a lateral horn neuron in the spinal cord, or a cranial nucleus neuron in the brainstem, to a ganglion—followed by the postganglionic fiber projecting to a target effector (Figure \(\PageIndex{iii}\)).

    Neuron from spinal cord connects to autonomic ganglion (top panel) and to skeletal muscle (below panel).
    Effigy \(\PageIndex{iii}\): Comparison of Somatic and Visceral Reflexes. The efferent branches of somatic and visceral reflexes are unlike. (a) Visceral reflexes involve a project from the central autonomic neuron to a ganglion through autonomic preganglionic (presynaptic) axons which are myelinated. This is followed by a second projection from the ganglion to the target effector (in this case smooth muscle) through autonomic postganglionic (postsynaptic) axons which are unmyelinated. These axons end in postganglionic varicosities. (b) Somatic reflexes involve a direct connexion from the ventral horn of the spinal string to the skeletal muscle through a myelinated central cobweb. This axon ends in a synaptic terminal. (Epitome credit: "Comparison of Somatic and Visceral Reflexes" by OpenStax is licensed nether CC BY 3.0)

    Brusk and Long Reflexes

    Somatic reflexes involve sensory neurons that connect sensory receptors to the cardinal nervous system (CNS) and motor neurons that projection dorsum out to the skeletal muscles. Visceral reflexes that involve the sympathetic or parasympathetic systems share similar connections. However, in that location are reflexes that do not demand to involve any CNS components. A long reflex has afferent branches that enter the spinal string or brain and involve the efferent branches. A brusque reflex is completely peripheral with sensory neurons synapsing with motor neurons in autonomic ganglia; the CNS is not involved (Effigy \(\PageIndex{4}\)).

    A partition of the nervous system that is related to the autonomic nervous system is the enteric nervous system. The word enteric refers to the digestive organs, so this represents the nervous tissue that is role of the digestive organisation. In that location are a few myenteric plexuses in which the nervous tissue in the wall of the digestive tract organs tin can directly influence digestive function. If stretch receptors in the tum are activated by the filling and distension of the stomach, a short reflex volition directly actuate the polish musculus fibers of the tummy wall to increase motion to digest the excessive food in the stomach. No CNS involvement is needed because the stretch receptor is straight activating a neuron in the wall of the stomach that causes the shine musculus to contract. That neuron, connected to the smoothen muscle, is a ganglionic parasympathetic neuron that can be controlled by a fiber institute in the vagus nerve.

    Long reflex on top panel passes through spinal cord. Short reflex passes through peripheral ganglion.
    Figure \(\PageIndex{4}\): Autonomic Short and Long Reflexes. Sensory input can stimulate either a short or a long reflex. A sensory neuron tin can project to the brain or spinal cord or to an autonomic ganglion. The long reflex involves integration in the spinal cord or brain. In this reflex, a sensory signal coming from a sensory receptor cell reaches a central motor neuron, which then extends a preganglionic axon to a peripheral ganglion. The postganglionic axons extend to the organ effector. A short reflex involves the straight stimulation of a ganglionic neuron past the sensory neuron. In this reflex, a sensory receptor cell synapses onto a ganglionic neuron, whose axons extend to the organ effector. (Image credit: "Brusk and Long Reflexes" by OpenStax is licensed under CC Past iii.0)

    DISORDERS OF THE...

    Nervous Organization: Kehr'southward Sign

    Kehr'due south sign is the presentation of pain in the left shoulder, chest, and neck regions following rupture of the spleen. The spleen is in the upper-left abdominopelvic quadrant, but the hurting is more than in the shoulder and neck. How can this exist? The sympathetic fibers connected to the spleen are from the celiac ganglion, which would be from the mid-thoracic to lower thoracic region whereas parasympathetic fibers are found in the vagus nerve, which connects in the medulla of the brainstem. However, the neck and shoulder would connect to the spinal string at the mid-cervical level of the spinal cord. These connections exercise not fit with the expected correspondence of visceral and somatosensory fibers entering at the same level of the spinal string.

    The incorrect supposition would exist that the visceral sensations are coming from the spleen straight. In fact, the visceral fibers are coming from the diaphragm. The nerve connecting to the diaphragm takes a special route. The phrenic nerve is connected to the spinal cord at cervical levels 3 to 5. The motor fibers that make up this nerve are responsible for the muscle contractions that drive ventilation. These fibers take left the spinal cord to enter the phrenic nerve, meaning that spinal cord damage beneath the mid-cervical level is not fatal past making ventilation impossible. Therefore, the visceral fibers from the diaphragm enter the spinal cord at the aforementioned level as the somatosensory fibers from the neck and shoulder.

    The diaphragm plays a part in Kehr'south sign because the spleen is just inferior to the diaphragm in the upper-left quadrant of the abdominopelvic cavity. When the spleen ruptures, blood spills into this region. The accumulating hemorrhage and then puts pressure on the diaphragm. The visceral sensation is actually in the diaphragm, so the referred pain is in a region of the body that corresponds to the diaphragm, not the spleen

    Concept Review

    The synapses in the autonomic system are non always the typical type of connexion first described in the neuromuscular junction. Instead of having synaptic end bulbs at the very end of an axonal cobweb, they may have swellings called varicosities along the length of a fiber so that information technology makes a network of connections inside the target tissue. All preganglionic fibers are cholinergic and release acetylcholine (ACh). All ganglionic neurons (the targets of these preganglionic fibers) have nicotinic receptors in their cell membranes. Most sympathetic postganglionic fibers are adrenergic and release norepinephrine. The adrenal medulla which is function of the sympathetic partition is also adrenergic and releases epinephrine. Parasympathetic postganglionic fibers are cholinergic and release ACh. Target cells can incorporate diverse types and subtypes of receptors and their response will vary depending on the type of receptor and on the neurotransmitter released on them. The sympathetic postganglionic fibers that contact the blood vessels inside skeletal muscle and sweat glands in the integument release ACh instead of norepinephrine. This does not create any problem because at that place is no parasympathetic input to these organs.

    For each organ arrangement, there may be more of a sympathetic or parasympathetic tendency to the resting state, which is known as the autonomic tone of the system. Many effector organs of the autonomic nervous system accept dual innervation, significant that they receive competing inputs from the sympathetic and parasympathetic divisions. The sympathetic system increases eye rate, whereas the parasympathetic system decreases heart rate. The sympathetic system dilates the educatee of the heart, whereas the parasympathetic organisation constricts the student. The competing inputs tin can contribute to the resting tone of the organ system. Heart rate is normally under parasympathetic tone, whereas blood pressure is normally under sympathetic tone. The middle rate is slowed past the autonomic system at remainder, whereas blood vessels retain a slight constriction at residue. In a few systems of the torso, the competing input from the two divisions is not the norm. The sympathetic tone of blood vessels is caused past the lack of parasympathetic input to the systemic circulatory organisation. But certain regions receive parasympathetic input that relaxes the shine muscle wall of the claret vessels. Sweat glands are another case of organs that only receive input from the sympathetic arrangement. Not always the sympathetic and parasympathetic divisions have opposite effects and, in a few cases, the two systems cooperate.

    Autonomic nervous arrangement function is based on the visceral reflex, which is similar to the somatic reflex. Similar the somatic reflex, the afferent co-operative is composed of sensory neurons receiving input from the periphery projection into the CNS to initiate the reflex. The cell bodies of these sensory neurons are located in the sensory ganglia, either of a cranial nerve or a dorsal root ganglion adjacent to the spinal cord. Notwithstanding, the efferent branch of a visceral reflex is composed of ii neurons. The central neuron projects from the spinal string or brainstem to synapse on the ganglionic neuron that projects to the effector. The afferent branch of the somatic and visceral reflexes is very similar, as many somatic and special senses activate autonomic responses. However, at that place are visceral senses that do not course part of conscious perception. If a visceral sensation, such as cardiac pain, is strong enough, information technology will rise to the level of consciousness. However, the sensory homunculus does not provide a representation of the internal structures to the same degree as the surface of the body, so visceral sensations are frequently experienced as referred pain, such equally feelings of pain in the left shoulder and arm in connectedness with a heart set on.

    Review Questions

    Q. Which of the post-obit represents a sensory input that is not part of both the somatic and autonomic systems?

    A. vision

    B. taste

    C. baroreception

    D. proprioception

    Answer

    C

    Q. What is the term for a reflex that does non include a CNS component?

    A. long reflex

    B. visceral reflex

    C. somatic reflex

    D. short reflex

    Answer

    D

    Critical Thinking Questions

    Q. A target effector, such every bit the center, receives input from the sympathetic and parasympathetic systems. What is the actual difference between the sympathetic and parasympathetic divisions at the level of those connections (i.e., at the synapse)?

    A. The postganglionic sympathetic fiber releases norepinephrine, whereas the postganglionic parasympathetic fiber releases acetylcholine. Specific locations in the heart have adrenergic receptors and muscarinic receptors. Which receptors are bound is the signal that determines how the centre responds.

    Q. Damage to internal organs will present as hurting associated with a detail surface expanse of the body. Why would something like irritation to the diaphragm, which is between the thoracic and intestinal cavities, feel like hurting in the shoulder or neck?

    A. The nerves that carry sensory information from the diaphragm enter the spinal cord in the cervical region where somatic sensory fibers from the shoulder and neck would enter. The brain superimposes this feel onto the sensory homunculus where the somatic nerves are connected.

    Glossary

    acetylcholine
    neurotransmitter that binds at a motor terminate-plate to trigger wrinkle
    adrenergic
    cells that release norepinephrine or epinephrine, which demark to adrenergic receptors
    adrenergic receptor
    receptors to which epinephrine and norepinephrine bind
    afferent branch
    component of a reflex arc that represents the input from a sensory neuron, for either a special or general sense
    autonomic reflex
    reflex involving an internal organ as the effector, under the control of the autonomic nervous system; likewise known equally visceral reflex
    autonomic tone
    tendency of an organ system to exist governed by one sectionalisation of the autonomic nervous system over the other, such as middle rate beingness lowered past parasympathetic input at rest
    baroreceptor
    mechanoreceptor that senses the stretch of blood vessels to indicate changes in blood pressure level
    cholinergic
    cells that release acetylcholine, which binds to muscarinic or nicotinic receptors
    dual innervation
    innervation of a target organ past both sympathetic and parasympathetic divisions
    efferent branch
    component of a reflex arc that represents the output, with the target being an effector, such every bit muscle or glandular tissue
    epinephrine
    signaling molecule released from the adrenal medulla into the bloodstream equally role of the sympathetic response
    long reflex
    reflex arc that includes the cardinal nervous system
    muscarinic receptor
    blazon of acetylcholine receptor poly peptide that is characterized by also binding to muscarine
    neurotransmitter
    chemical point that is released from the synaptic cease seedling or varicosities of a neuron to cause a alter in the target prison cell
    neurotransmitter receptor
    receptor specific for a neurotransmitter
    nicotinic receptor
    type of acetylcholine receptor protein that is characterized by also binding to nicotine
    norepinephrine
    signaling molecule released as a neurotransmitter by near postganglionic sympathetic fibers as part of the sympathetic response, or as a hormone into the bloodstream from the adrenal medulla
    referred hurting
    the conscious perception of visceral sensation projected to a dissimilar region of the body, such as the left shoulder and arm pain equally a sign for a heart attack
    reflex arc
    circuit of a reflex that involves a sensory input and motor output, or an afferent branch and an efferent branch, and an integrating center to connect the two branches
    brusque reflex
    reflex arc that does not include any components of the key nervous system
    somatic reflex
    reflex involving skeletal muscle as the effector, under the control of the somatic nervous system
    varicosity
    enlargement of neurons that release neurotransmitters into synaptic clefts
    visceral reflex
    reflex involving an internal organ as the effector, nether the command of the autonomic nervous organization; as well known as autonomic reflex

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    Source: https://med.libretexts.org/Bookshelves/Anatomy_and_Physiology/Human_Anatomy_(OERI)/14%3A_Autonomic_Nervous_System/14.03%3A_Autonomic_Synapses_Effects_and_Reflexes

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