The Parasympathetic Nervous System (Neuroscience Review for Nursing and Medical Students)

8/2/2019 The Parasympathetic Nervous System (Neuroscience Review for Nursing and Medical Students)

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Fhueho|i Lbglel}nuv nj HFg@ '=,

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B`nv}lcolb` Fhueho|ih}`v Hf`}|ifgnilb`v}`uhv`

:8

Vins G|muni|vlv nj Fhueho|ih}`m HFg@ hbm @bq|o` Ile`uh}lnb






Vins G|muni|vlv nj Fhueho|ih}`m/HFg@ hbm @bq|o` Ile`uh}lnb

:5





Nuchbn{gnv{gh}` Lbglel}nuv nj


:6







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‥ [unon}` hffpopih}lnb nj HFg h}

‖ BO blfn}lblf u`f`{}nu

‖ BB blfn}lblf u`f`{}nu

‖ Opvfhulblf u`f`{}nu

Nuchbn{gnv{gh}` Lbglel}nuv nj Hf`}|ifgnilb`v}ùhv` '8,

:=



















‥ ]g`lu hf}lnb {unon}lbc hffpopih}lnb nj HFg h} }gòpvfhulblf u`f`{}nu nj }g` flilhu| opvfi` lv }g` ehvlvnj }g`lu }gùh{`p}lf `jj`f}lz`b`vv lb n{`b hbci`cihpfnoh

‥ Nbi| }sn nj }g`v` hc`b}v hu` pv`m jnu }gùh{`p}lfv

‖ @fgn}gln{gh}` jnu cihpfnoh

‖ Mllvn{un{|ijipun{gnv{gh}` 'MJ[, jnu cihpfnoh '>,

Nuchbn{gnv{gh}` Lbglel}nuv nj HFg@ '5,

:0
















‥ Lbglel}lnb nj HFg@ e| }g`v` hc`b}v lv luu`zùvlei`

‖ B`s `bq|o` v|b}g`vlv lv u`xplu`m jnu u`fnzù| nj`bq|o` jpbf}lnb

‥ ]g`| hivn lbglel} {v`pmnfgnilb`v}ùhv`

‥ O`}henilq`m e| H/`v}ùhv`v '{hunwnbhv`v, {u`v`b} lb

{ihvoh hbm olfunvno`v" ]g`| hu` o`}henilq`m e|F\[=0;"

Nuchbn{gnv{gh}` Lbglel}nuv nj HFg@ '6,

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‥ @bq|o` lbglel}lnb e| }g`v` hc`b}v fhb e` u`zùv`me| fgnilb`v}ùhv` u`hf}lzh}nuv vpfg hv {uhilmnwlo` ljhmolblv}ù`m e`jnu` ’hclbc‟ nj HFg@ ghv nffpuu`m"

Lbglel}lnb e| hc`b}v }gh} pbmùcn uh{lm ’hclbc‟ lv bn}

u`zùv`m"

‥ @wf`{} jnu `fgn}gln{gh}`) }g`v` hc`b}v hu` `w}uòì|il{lm vnipei`) hbm vno` hu` zù| znih}li`"

Nuchbn{gnv{gh}` Lbglel}nuv nj HFg@ '=,

:3

Mllvn{un{|ijipun{gnv{gh}` 'MJ[, lv h Vpev}uh}` jnu HFg@
















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:7

]g @ } i Vi G m i l j [g g i } m HFg@






]g` @w}uòì| Vins G|muni|vlv nj [gnv{gnu|ih}`m/HFg@

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Zhulnpv ’V}h}`v‟ nj Hf`}|ifgnilb`v}ùhv`










Zhulnpv V}h}`v nj Hf`}|ifgnilb`v}`uhv`

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HFg@ $ Hf`}|ifgnilb` HFg@/hf`}|ih}`m $ fgnilb`

HFg@/hf`}|ih}`m $ G5N HFg@ $ hf`}h}`

G|muni|vlv nj HFg@/hf`}|ih}`m lv uh{lm) lb }g` num`u njolfunv`fnbmv

[

38

















Fhueho|ih}`m/HFg@ Lv G|muni|q`m Vinsi|

HFg@ $ Fhueho|i lbglel}nu HFg@/fhueho|ih}`m $bnbfhueho|ih}`m o`}henil}`

HFg@/fhueho|ih}`m $ G5N HFg@ $ fhueholf hflmmùlzh}lz`

G|muni|vlv nj }g` HFg@/fhueho|ih}`m lv vins) lb }g` numù njgnpuv" ]g` fhueho|ih}`m `bq|o` lv u`zùvlei| lbglel}`m) hbmu`fnzù| nj jpbf}lnb lv lb }g` numù nj gnpuv

@bq|o` hj}ù {gnv{gnu|ih}lnb e| b`nv}lcolb`

35



















[gnv{gnui|ih}`m/HFg@ Lv G|muni|q`m @w}uòì| Vinsi|

HFg@ $ nuchbn{gnv{gh}` lbglel}nu

HFg@/{gnv{gnu|ih}`m $ bnb{gnv{gnu|ih}`m o`}henil}`

HFg@/{gnv{gnu|ih}`m $ G5N HFg@ $ {gnv{gnu|ih}`mmùlzh}lz`

G|muni|vlv nj }g` HFg@/{gnv{gnu|ih}`m lv `w}uòì| vins) lb}g` numù nj mh|v" ]g` {gnv{gnu|ih}`m `bq|o` lvfnbvlmù`m }n e` luu`zùvlei| lbglel}`m) hbm u`fnzù| njjpbf}lnb lv lb }g` numù nj mh|v" [uhilmnwlo`) h u`hf}lzh}lbchc`b}) oh| e` hmolbv}ù`m }n h vpea`f} e`jnu` }g` `bq|o`ghv ’hc`m"‟

@bq|o` hj}ù {gnv{gnu|ih}lnb e| MJ[

36























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Invv nj Hb Hid|i Cunp{ Juno [gnv{gnu|ih}`m






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30

’Hclbc‟ nj [gnv{gnu|ih}`m/ HFg@














c c { |

3:







Fgnilb`v}`uhv` U`hf}lzh}lnb

33

U`hf}lzh}lnb nj [gnv{gnu|ih}`m Hf`}|ifgnilb`v}`uhv`






U`hf}lzh}lnb nj [gnv{gnu|ih}`m Hf`}|ifgnilb`v}ùhv`

‥ Nwlo`v hu` pv`m }n u`hf}lzh}` {gnv{gnu|ih}`m HFg@

‥ ]g` cunp{ '?BNG, ghv h glcg hjjlbl}| jnu }g` {gnv{gnupvh}no

‥ [uhilmnwlo` ghv h bpfi`n{glilf vl}` }gh} lb}ùhf}v sl}g}g` {gnv{gnu|ih}`m vl}` nb {gnv{gnu|ih}`m/HFg@

37

[uhilmnwlo` U`hf}v Fgòlfhii| sl}g [gnv{gnu|ih}`m/HFg@














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Ilol}h}lnbv nj [uhilmnwlo`

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‥ L}v xph}ùbhu| hoonblpo cunp{ mn`v bn} hiins l} }nfunvv }g` einnm euhlb ehuulù

‥ ’Hclbc‟ nj {gnv{gnu|ih}`m/HFg@ u`mpf`v }g``jj`f}lz`b`vv nj {uhilmnwlo` hbm n}gù nwloù`hf}lzh}nuv

78
















N}gù Fgnilb`v}ùhv` U`hf}lzh}nuv

‥ Mlhf`}|ionbnwlo`

‖ Funvv`v }g` einnm euhlb ehuulù hbm lb`w{ùlo`b}hi hblohiv) u`c`bùh}`v vno` nj }g`FBV fgnilb`v}ùhv`

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‖ Ghv }sn nwlo` f`b}ùv lb l}v v}upf}pu`

‖ Onu` {n}`b} }ghb {uhilmnwlo`

75

















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76

@mun{gnblpo lv h Vgnu} Hf}lbc Lbglel}nu }gh} Elbmv






@mun{gnblpo lv h Vgnu} Hf}lbc Lbglel}nu }gh} Elbmv}n }g` Lnblf Vl}` ep} Bn} }n }g` @v}`uh}lf Vl}` nj HFg@

7=






[ghuohfninc| nj

Hf`}|ifgnilb`v}`uhv` Lbglel}lnb

70

Lbglel}lnb nj Hf`}|ifgnilb`v}`uhv` [unmpf`vV j F V








V}lopih}lnb nj Hii Fgnilb`uclf Vl}`v

7:





Fhueho|i Lbglel}nuv nj HFg@

‥ [g|vnv}lcolb`

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‥ [|ulmnv}lcolb` 'B$

,‥ Hoe`bnblpo 'B$,

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‥ Fhuehu|i

73

[g i j F e i L glel j


























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‥ @wnfulb` cihbmv

‥ Fhumlhf opvfi`

‥ Vonn}g opvfi`v

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77

]gùh{`p}lf Pv`v nj Lbglel}nuv nj Hf`}|ifgnilb`v}ùhv`




















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‥ Cihpfnoh 'slm` hbci`,‥ H}nb| nj }g` eihmmù

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‥ O|hv}g`blh cuhzlv

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Fghuhf}`ulv}lfv nj H}un{lb`








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Fhumlnzhvfpihu Hf}lnbv nj H}un{lb`


























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O5

858






















Lb}uhz`bnpv lbjpvlnb nj hf`}|ifgnilb` lb glcg mnv`v {unmpf`v hf}lnbv h} bpo`unpvvl}`v" Euhm|fhumlh hbm g|{n}`bvlnb hu` honbc }g` u`vpi}v" Vpfg hf}lnbv hu`hff`b}ph}`m lb }g` {u`v`bf` nj lbglel}nuv nj HFg@ '}g`| hivn einfd {ihvoh

{v`pmnfgnilb`v}`uhv`,"

l"z" lbjpvlnb

855











[ulnu einfdhm` nj opvfhulblf u`f`{}nuv jniins`m e| lb}uhz`bnpv lbjpvlnb nj h glcgmnv` nj HFg fnbz`u}v }g` euhm|fhumlhf hbm g|{n}`bvlz` u`v{nbv`v }n }hfg|fhumlhhbm g|{`u}`bvlnb) o`mlh}`m }gunpcg }g` blfn}lblf u`f`{}nuv"

w

w

w

l"z" lbjpvlnb

856















@jj`f} Nj H}un{lb` lb

U`ih}lnb }n Mnvhc`

85=

Mnv` nj H}un{lb`







MNV@ @JJ@F]

;"0 oc Vilcg} m`filb` lb g`hu} uh}`

Vno` mu|b`vv nj onp}g

Lbglel}lnb nj vs`h}lbc

850

Mnv` nj H}un{lb`











MNV@ @JJ@F]

8"; oc M`jlbl}` mu|b`vv nj onp}g

]gluv}

Lbfu`hv`m g`hu} uh}`) vno`}lo`v{u`f`m`m e| vinslbc

Olim mlih}h}lnb nj {p{li

85:

Mnv` nj H}un{lb`













MNV@ @JJ@F]

5"; oc Uh{lm g`hu} uh}`

[hi{l}h}lnb

Ohud`m mu|b`vv nj onp}g

Mlih}`m {p{liv

Vno` eipuulbc nj b`hu zlvlnb

853

Mnv` nj H}un{lb`












MNV@ @JJ@F]

0"; oc Hii }g` {u`zlnpv v|o{}nov hu`ohud`m

Mljjlfpi}| lb v{`hdlbc hbm vshiinslbc

U`v}i`vvb`vv hbm jh}lcp`

G`hmhfg`

Mu| gn} vdlb

Mljjlfpi}| lb olf}pul}lnb

U`mpf`m lb}`v}lbhi {`ulv}hivlv

857

Mnv` nj H}un{lb`















MNV@ @JJ@F]

8; oc [u`zlnpv v|o}nov hu` onu` ohud`m

hbm onu` [piv`) uh{lm hbm s`hd

Lulv {uhf}lfhii| neil}ùh}`m

Zlvlnb zù| eipuu`m

Vdlb jipvg`m) gn}) mu|) hbm vfhui`}

H}hwlh

U`v}i`vvb`vv hbm `wfl}ò`b}Ghiipflbh}lnbv hbm mìlulpo

Fnoh85<















]g` {u`zlnpv jlz` vilm`v hu` u`{unmpf`m junoCnnmohb hbm Cliohb“v

]g` [ghuohfninclfhi Ehvlv nj ]g`uh{`p}lfv

86;

Vfn{niholb` '8,










‥ Vnpuf` / G|nvf|hopv blcù 'g`behb`,‥ Fgòlfhi bh}pu` nj }g` oni`fpi`

‥ Bh}pu` nj einfdhm`

‥ Fghbc`v lb }g` mnv` u`v{nbv` fpuz` nj opvfhulblf

hcnblv}v lb }g` {u`v`bf` nj vfn{niholb`‥ Insù mnv`v nj vfn{niholb` ';"8 / ;"5 oc, {unmpf`

cu`h}ù fhumlhf vinslbc }ghb hb `xplzhi`b} mnv` njh}un{lb`" Glcgù mnv`v {unmpf` }hfg|fhumlh

‥ Ins mnv`v nj vfn{niholb` {unmpf` FBV `jj`f}v }gh}hu` bn} v``b sl}g `xplzhi`b} mnv`v nj h}un{lb`

868

Vfn{niholb` '5,
























‥ ]gùh{`p}lf mnv`v nj vfn{niholb` bnuohii| {unmpf`FBV m`{u`vvlnb) ohblj`v}`m hv munsvlb`vv)hob`vlh) jh}lcp`) mu`hoi`vv vi``{) u`mpf}lnb lb U@O)`p{gnulh

‥ Lb }g` {u`v`bf` nj {hlb) }g` vho` }gùh{`p}lf mnv`nffhvlnbhii| fhpv` `wfl}ò`b}) u`v}i`vvb`vv)ghiipflbh}lnbv) nu mìlulpo" Vpfg `wfl}ò`b} lv hish|vv``b sl}g ihuc` mnv`v) hv lv hivn v``b sl}g ihuc`mnv`v nj h}un{lb`

‥ ]gùh{`p}lf pv` / {un{g|ihwlv nj on}lnb vlfdb`vv4 hbhmg`vlz` {u`{huh}lnb) }g` ]uhbvmùo vfn{ lv pv`m

865


















]g`uh{`p}lf Pv`v nj

Hb}lopvfhulblf Hc`b}v

866

]g`uh{`p}lf Pv`v nj Opvfhulblf Hb}hcnblv}v '8,







‥ Fhumlnzhvfpihu V|v}ò / h}un{lb` lv c`bùhii| pv`mjnu }g` jniinslbc fhv`v

‖ Lo{un{ù pv` nj fgnilb` `v}ùv

‖ Vlbpv nu bnmhi euhm|fhumlh lb fhv`v nj `wf`vvlz`zhchi }nb` hvvnflh}`m sl}g o|nfhumlhi lbjhuf}

‖ G|{ùhf}lz` fhun}lm vlbpv 'v|bfn{` hbm v`zù`

euhm|fhumlh,

‖ V`fnbm m`cu`` g`hu} einfd

86=



















‥ Chv}unlb}`v}lbhi ]uhf}

‖ [`{}lf pif`uv‥ Lb @pun{`) Ah{hb) hbm Fhbhmh) O8 opvfhulblf

u`f`{}nu hb}hcnblv}v vpfg hv {lu`bq`{lb` hbm}`i`bq`{lb` hu` pv`m

‥ Lb }g` P"V" G5

glv}holb` hb}hcnblv}v vpfg hvflo`}lmlb` hu` pv`m

‖ V{hv}lfl}| nj }g` c"l" }uhf}

‥ O6 opvfhulblf hb}hcnblv}v hu` e`lbc lbz`v}lch}`m

‖ @wf`vvlz` vhilzh}lnb hvvnflh}`m sl}g g`hz| o`}hi{nlvnblbc hbm {hudlbvnblvo

‖ [unmpf}lnb nj {hu}lhi einfdhm` nj vhilzh}lnb lb {h}l`b}vpbhei` }n vshiins

860

































‥ Pulbhu| Eihmmù

‖ U`zùv` v{hvo nj }g` pu`}ùhi vonn}g opvfi`'u`bhi fnilf,

‖ Lbfu`hv` eihmmù fh{hfl}| lb fhv`v nj `bpu`vlv

‖ U`mpf` pulbhu| ju`xp`bf| lb fhv`v nj g|{ù}nblf

eihmmù

86:

]gùh{`p}lf Pv`v nj Opvfhulblf Hb}hcnblv}v '=,















‥ F`b}uhi Bùznpv V|v}ò ‖ [hudlbvnb“v mlv`hv`

‖ On}lnb vlfdb`vv

‖ [unmpf` }uhbxplilqh}lnb hbm hob`vlh {ulnu }n

vpucù| hbm lb fù}hlb fhv`v vpfg hv ihenu 'bn} h{unolb`b} pv` hb|onu`,

‖ Hb`v}g`vlh) }n lbglel} vhilzh}lnb 'bn} h {unolb`b}pv` hb|onu`,

‖ [u`z`b} zhchi u`ji`w`v lbmpf`m e| vpuclfhiohbl{pih}lnb nj nuchbv

863






















‥ [nvlnblbc e| lbglel}nuv nj hf`}|ifgnilb`v}ùhv`

‥ Opvgunno {nlvnblbc mp` }n opvfhulb`

‥ Lb fnbapbf}lnb sl}g lbglel}nuv nj hf`}|ifgnilb`v}ùhv`sg`b }g`| hu` pv`m }n {unon}` u`fnzù| junob`punopvfpihu einfdhm` hj}ù vpucù|

‥ Lbapmlflnpv pv` nj fgnilb` `v}ùv

‥ [u`z`b} zhchi u`ji`w`v lbmpf`m e| vpuclfhiohbl{pih}lnb nj zlvfùhi nuchbv

H}un{lb` lv pv`m jnu }g` henz`

867

Fnb}uhlbmlfh}lnbv }n }g` Pv` nj Hb}lopvfhulblf Hc`b}v



















‥ Bhuuns hbci` cihpfnoh‥ G|{ù}un{g| nj }g` {unv}h}` cihbm

‥ H}nb| nj }g` eihmmù

‥ H}nb| nj }g` C"L" ]uhf}

86<

]ù}lhu| Opvfhulblf Hb}hcnblv}v hbm ]g`lu Pv`v













| c

‥ N{g}ghiolf h{{ilfh}lnbv

‖ F|fin{`b}nih}`

‖ ]un{lfholm`

‖ Gnoh}un{lb`‥ [hudlbvnb“v mlv`hv`

‖ E`bq}un{lb`

‖ ]ulg`w{g`blm|i

8=;

]`u}lhu| Opvfhulblf Hb}hcnblv}v hbm ]g`lu Pv`v




















‥ Pv`m jnu hb}lv{hvonmlf {pu{nv`v

‖ Jihznwh}` / pulbhu| eihmmù

‖ Nw|ep}|blb / pulbhu| eihmmù

‖ ]ni}ùnmlb` / pulbhu| eihmmù ‖ Mlf|finolb`

‖ Nw|{g`bf|filolb`

Lb c`bùhi) }g`| hu` pv`jpi jnu v{hvov nj }g` c"}" }uhf})eli` mpf}) pu`}ùv)

8=8

]ni}ùnmlb`



















‥ ]gùh{`p}lf pv` / u`mpf` pulbhu| puc`bf|

‥ O`}henilvo

‖ F|}nfguno` [=0;

‖ Hf}lz` o`}henil}` lv MM/;8

‥ Mupc lb}ùhf}lnbv ‖ D`}nfnbhqni`

‖ @u|}guno|flb

8=5

Xph}ùbhu| Hoonblpo Hb}hcnblv}v '8,



















‥ C`bùhi fghuhf}ùlv}lfv

‥ [ghuohfninc| hbm }gùh{`p}lf pv`v

‥ Mlv}lbf} vlm` `jj`f}v sl}g glcg hbm vno`}lo`v

}gùh{`p}lf mnv`v

8=6













‥ O`}ghb}g`ilb` 'B$,

‥ [un{hb}g`ilb` 'B $,

‥ O`}gvfn{niholb` 'B $,

‥ Gnoh}un{lb` o`}g|ieunolm` 'B $,

‥ Nw|{g`bnblpo 'B $,

8==


























‥ Hblvn}un{lb` 'B$,

‥ Ci|fn{|uunih}` 'B$,

‥ Lvn{un{holm` 'B$,

‥ O`{`bqnih}` 'B$,‥ L{uh}un{lpo 'B$,

8=0

L{uh}un{lpo



























L{uh}un{lpo

‥ Pv`v

‥ Mlv}lbf}lz`b`vv juno h}un{lb`

8=:

O8 Opvfhulblf U`f`{}nu Hb}hcnblv}v












‥ [lu`bq`{lb`

‖ Einfdv }g` O8 hbm }g` O= u`f`{}nu

‖ L}v pv`jpib`vv jnu {`{}lf pifù

‥ ]ì`bq`{lb`

‖ Einfdv }g` O8 u`f`{}nu

‖ L}v pv`jpib`vv jnu {`{}lf pifù

8=3

O5 Opvfhulblf U`f`{}nu Hb}hcnblv}v


























‥ ]ul{l}holb`


‖ Einfdv }g` hf}lnb nj hf`}|ifgnilb` h} fhumlhf

opvfi` jle`uv‥ Chiiholb`

‖ Einfdv O5 opvfhulblf hbm }g` BB blfn}lblf vl}`v

8=7

O6 Opvfhulblf U`f`{}nu Hb}hcnblv}



























O6 Opvfhulblf U`f`{}nu Hb}hcnblv}

‥ Mhulj`bhflb


‖ Einfdv }g` hf}lnbv nj hf`}|ifgnilb` h} vonn}gopvfi`v hbm cihbmv

8=<

Mupcv nj N}g`u Fihvv`v Sl}g Hb}lopvfhulblf Hf}lzl}| '8,

















‥ ]ulf|filf hb}lm`{u`vvhb}v

‖ Lol{uholb`

‖ Hol}ul{}|ilb`

‖ [un}ul{}|ilb` ‖ N}g`uv

80;

















‥ [g`bn}glhqlb` Hb}l{v|fgn}lf Hc`b}v

‖ Fginu{unohqlb`

‖ ]glnulmhqlb`

‖ [`u{g`bhqlb` ‖ N}g`uv

808

















‥ Mle`bqnmlhq`{lb` hb}l{v|fgn}lf hc`b}v

‖ Finqh{lb`

‖ Nihbq`{lb`

‥ Mle`bqnwhq`{lb` hb}l{v|fgn}lf hc`b}v ‖ Inwh{lb`

805

Mupcv nj N}g`u Fihvv`v Sl}g Hb}lopvfhulblf Hf}lzl}| '=,















‥ G8 Glv}holb` u`f`{}nu einfdlbc hc`b}v

‖ Ml{g`bg|muholb` ‖ Mlo`bg|mulbh}`

‖ [uno`}ghqlb`

‖ Fhuelbnwholb`

‖ Mlo`bg|mulbh}` ‖ [|uiholb`

‖ ]ul{`i`bbholb`

‖ Euno{g`bluholb`

‖ Fginu{g`bluholb`

‖ F|{ung`{}hmlb`

806





























Anlb bns jnu JU@@(


The Parasympathetic Nervous System (Neuroscience Review for Nursing and Medical Students)

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