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Khamis, 10 September 2015

Amalan Pemakanan Sehat



Makanan berkhasiat merupakan makanan yang harus dimakan untuk memastikan tubuh badan seseorang berfungsi secara normal. Makanan seimbang seharusnya memberikan kita tenaga yang mencukupi yang mengandungi karbohidrat, protein dan lemak secara optimum dan kandungan fiber yang mencukupi. Makanan yang memberi tenaga dapat membina badan dan dapat menjauhi kita daripada penyakit.

Berikut merupakan sedikit panduan kepada anda yang gemar makan ’10 HEALTHY EATING HABITS THAT WILL CHANGE YOUR LIFE’. Artikel ini sedikit sebanyak membantu saya menyemak cara dan pengambilan makanan saya agar makan dengan lebih bertanggungjawab.

Berikut adalah 10 amalan pemakanan tersebut:

Jangan tidak makan karbohidrat
Sesetengah dari kita merasakan dan mempercayai dengan mengambil karbohidrat menyebabkan mereka gemuk dan mampu mengundang pelbagai penyakit. Ini mendorong mereka bertindak untuk meninggalkan pengambilan nutrien tersebut secara total serta menggantikannya dengan kaedah diet lain yang mungkin menyebabkan berlakunya malnutrisi.

Rancang apa yang hendak dimakan
Sekiranya berhasrat untuk mengambil makan malam yang lebih berat seperti stik dan kentang, kurangkan atau elakkan pengambilan makanan berdaging dan berkanji untuk waktu makan yang lain dan begitulah seterusnya. Imbang dan rancang pengambilan kategori makanan.

Makan tengahari semahu anda
Mungkin anda pernah dengar sarapan pagi adalah penting dan makan dengan banyak untuk memulakan hari anda tetapi ramai diantara kita yang tidak bersedia untuk makan dalam jumlah yang banyak seawal pagi. Kebenarannya ialah waktu makan paling penting ialah waktu makan tengahari di mana sistem penghadaman kita telah bersedia sepenuhnya. Di waktu itu juga badan amat memerlukan makanan untuk berfungsi sepenuhnya seharian. Namun begitu makan semahunya bukan bermakna anda boleh makan apa sahaja dalam jumlah yang banyak tetapi perlulah dirancang dan diimbang sebaik mungkin

Makan makanan berwarna pelangi
Sayuran hijau, oren, anggur, kobis ungu, lada benggala dan pelbagai warna sayuran dan buah-buahan akan membantu memberi tubuh badan dengan pelbagai nutrien yang akan membantu melawan penyakit.

Berhenti sebelum kenyang
Makan itu bukan untuk menjadi kenyang sebaliknya makan itu bertujuan memenuhi keperluan tubuh badan dengan nutrien yang membolehkan tubuh berfungsi sebaiknya. Praktis ini sememangnya amat membantu kerana ianya membolehkan sistem pencernaan berfungsi lebih optimum dan ini dapat mengelakkan dari perut kembung serta mengurangkan kadar risiko penyakit berkaitan usus dan perut.

Tetapkan pola waktu makan yang seragam
Waktu makan yang tidak tetap akan menyebabkan kecenderungan untuk makan dalam kuantiti yang yang banyak

Minum segelas air suam 20 minit sebelum makan
Mampu mengurangkan jumlah makanan yang diambil serta membantu sistem penghadaman.

Kurangkan pengambilan gula di dalam makanan
Pengurangan pengambilan gula membantu mengurangkan jumlah kalori di dalam pemakanan seharian. Pengambilan gula secara berlebihan dalam jangka masa panjang boleh meningkatkatkan berat badan dan menyebabkan obesiti.

Menguyah makanan secara perlahan-lahan
Di dalam air liur terdapat enzim amalyse yang membantu menguraikan makanan dan seterusnya membantu sistem pencernaan. Makan dengan cepat akan menyebabkan air liur tidak dapat menguraikan makanan dengan baik.

Tidur secukupnya
Amalkan tidur yang secukupnya bagi mempastikan tubuh badan dapat berfungsi dengan baik termasuk sistem penghadaman.


Rabu, 5 Ogos 2015

Heart Rate Training: Finding the Right Zone for You

 


Heart rate training makes use of the fact that the demand for oxygen rises with exercise intensity. As would be expected heart rate has a close relationship to oxygen consumption, especially at exercise intensities between 50 and 90% VO2 max.

Heart rate is easy to monitor and for the majority of athletes it offers a practical measure for assessing exercise intensity, which is why it is so popular. 

It's important to monitor exercise intensity for a number of reasons. Firstly, the specific physiological adaptations to training change depending on what relative work load is employed. It's fundamental that the athlete or coach understands which type of endurance training (as a reflection of intensity) is best for their sport or event.

Secondly, monitoring the intensity of individual sessions allows the coach or athlete to manipulate the overall program, helping to prevent over training and in order to reach a physical peak for competition.

While heart rate is convenient and practical for most athletes, for many it can be inaccurate in determining the best exercise intensity.

The Limitations of Heart Rate Training
Most heart rate training programs are devised around an estimation of the maximum heart rate. The are two problems with this approach. The first is that maximum heart rate is estimated with the basic formula 220-age. For a significant number of athletes however, this estimation maybe out by as much as 25 beats per minute.

The only way to accurately determine maximum heart rate is perform a short, maximal stress test (to exhaustion). During the test heart rate will rise steadily until a plateau is reached despite the exercise intensity continuing to rise (assuming the individual is fit enough to last until such a time). This is a direct marker that the heart is beating as fast as possible.

The second problem is that, even if maximum heart rate is estimated accurately, prescribing exercise on the back of standardized zones makes no allowances for individual differences. For example, endurance performance improves when lactate lactate threshold as a percentage of VO2 max is increased and it can be improved with training (3,4). A standard heart rate zone of 85-90% of the age-predicted maximum is commonly prescribed to improve lactate threshold but this may not be accurate. As with maximal heart rate, the only way to determine the correct heart rate training zone for improvement of lactate threshold is to measure it during laboratory testing.

Despite these limitations, heart rate training still offers a more objective method for determining exercise intensity than nothing at all.

Heart Rate Training Zones
Different exercise intensities tax the body's energy systems in different ways.

Exercising at 60% of maximum heart rate for example, is said to predominantly tax the aerobic system in most people. If exercise duration is long enough, the major source of fuel will be fat.

This type of intensity is often favoured by people who want to lose weight and are generally de-conditioned.

A heart rate training zone of 70-80% maximum will still predominantly tax the aerobic system in fitter individuals but the main source of fuel will be carbohydrate, or more specifically, glycogen. This is the heart rate training zone that endurance athletes typically aim for.

Here is a quick example of calculating a heart rate training zone using the age-predicted maximum of 220-age:
Rachel is 35 years old and wants to train for a 10km run.
Maximum heart rate = 185bpm (220-35)
Target heart rate zone = 70-80%
Lower target heart rate = 130bpm (185 x 0.7)
Upper target heart rate = 148bpm (185 x 0.8)
Target heart rate zone = 130 - 148bpm
The Karvonen Formula (Heart Rate Reserve)

Simply using 220-age makes no allowances for individual differences. All 35-year olds will have the same heart rate training zones according to this formula.

The Karvonen formula takes into account resting heart rate making it a slightly more specific to the individual. Because resting heart rate decreases with conditioning it also makes allowances for differing degrees of fitness to some extent. 

Keeping with the example above, here's how Rachel (who has a resting heart rate of 65bpm) would use the Karvonen formula to achieve a more accurate heart rate training range for aerobic endurance conditioning.

Karvonen formula:
Maximum heart rate - resting heart rate x heart rate zone + resting heart rate
185 - 65 = 120bpm (this is called the working heart rate)
120 x 0.7 = 84bpm (70% zone)
84 + 65 = 149bpm (lower limit)
185 - 65 = 120bpm (this is called the 'working heart rate)
120 x 0.8 = 96bpm (80% zone)
84 + 65 = 161bpm (upper limit)
Target heart rate zone = 149 - 161pbm

You can see that the Karvonen formula calculates a higher training zone than just using 220-age and this is often the case.

It's often a good idea to use a rate of perceived exertion along side heart rate to make the intensity more specific to the individual. Rate of perceived exertion, although subjective, has been shown to correlate with heart rate. Essentially, it is a scale of difficulty that ranges from 6 (no exertion at all) to 20 (maximal exertion). It is often called the Borg Scale after its creator.

Swimming is a Little Different Maximum heart rate while swimming tends to be lower than for running events. To adjust for this subtract 13 from your maximum heart rate i.e. use 207-age rather than 220 - age. Use this adjustment for the Karvonen formula also.

The Conconi Test for Measuring Lactate Threshold
As mentioned earlier, the simplest method for determining the lactate threshold is to assume it occurs at 85-90% of the maximum heart rate. An alternative is to use the Conconi test.

In 1982 Conconi et al, stated that the lactate threshold was linked to a deflection point in heart rate data. Heart rate plateaus briefly before rising sharply again and this is said to correspond with a sudden rise in blood lactate concentrations. 

There are various protocols used to elicit the plateau Conconi and co-workers refer to. Here is an example:
Equipment
Treadmill (with metric setting - km/hr and meters)
Heart rate monitor
Assistant to take recordings
Procedure

Begin by warming up at a light pace for 5 to 10 minutes. Set the treadmill to a 1% incline.
The run should last between 2.5km and 4km to allow sufficient data to be collected.

Gauge your starting speed. Speed is gradually increased every 200m so start too quickly and you won't last long enough. Start too slowly and you'll be there all day.

As a guideline 8 - 10 km/hr is a good starting point.
Increase the speed every 200m by 0.5 km/hr.
Record the heart rate and speed at each 200m interval.
Continue until exhaustion and complete a 10 minute cool down.
You can now plot a simple heart rate graph like the one below and read off lactate threshold:

You can see from the graph above the obvious plateau and deflection in heart rate. It seems to correspond with a heart rate of 172bpm. In theory, then an athlete could train at or just above this heart rate training zone and improve their lactate threshold. However, caution is required when using this test as subsequent research has questioned its validity (7,8). It has been argued that the deflection point occurrs only in a certain number of those tested and that it underestimates the lactate threshold exercise intensity.

Heart Rate Training to Increase Lactate Threshold
Here's a simple heart rate training program to increase lactate threshold...
Assuming your heart rate at lactate threshold is 170bpm
Start by completing two 6-10 minute runs approximately 5% below the lactate threshold heart rate. In this case it would be 162bpm.
Rest for 2-3 minutes between runs and complete this twice a week.
Gradually build up the length of each run or the number of repetitions (up to 6). Also increase your target heart rate up to your threshold (170bpm).
The target eventually is to reach a sustained 20minute run at or just above your threshold heart rate.

Complete a thorough cool down at the end of each session. Also re-test your lactate threshold every 6-8 weeks.

Ahad, 5 April 2015

Endurance Training

The objective of this page is to provide some suggested programs for young or inexperienced athletes developing their technique and knowledge of the 800 metres, 1500 metres, 5 km, 10 km, walks and steeplechase events.

Before You Start
Prior to starting any training, it is recommended you have a medical examination to ensure it is safe for you to do so. Any application of this training program is at the athlete's own discretion and risk.

Overview
The seasons training program is based on the six phases detailed on my Planning page where each phase comprises of a repeated four week plan. The workload in the first three weeks of the plan should increase each week (easy, medium, hard) and the 4th week comprise of active recovery and evaluation tests to monitor training progress. The aim of the 4 week cycle is to build the athlete up to a level of fitness(3 weeks), allow a recovery (1 week), build you up to higher level of fitness, allow a recovery and so on. Remember a plan is athlete specific and the results of the tests in the 4th week can be used to adjust the training in the next four week cycle to address any limitations.

Year Training Program
The plan is based on three training sessions per week with the major competition being in phase 5. The duration of each phase could be as follows:
Phase 1 - 16 weeks
Phase 2 - 8 weeks
Phase 3 - 8 weeks
Phase 4 - 8 weeks
Phase 5 - 8 weeks
Phase 6 - 4 weeks

The objective of each phase is as follows:
Phase 1 - General development of strength, mobility, endurance and basic technique
Phase 2 - Development of specific fitness and advanced technical skills
Phase 3 - Competition experience - achievement of qualification times for main competition
Phase 4 - Adjustment of technical model, preparation for the main competition
Phase 5 - Competition experience and achievement of outdoor objectives
Phase 6 - Active recovery - planning preparation for next season

Suggestions as to the sessions for each phase are detailed below. I leave the content of each four week cycle to you.

Key to notations and terms used
1-4 × 2-5 × 300-600m
1 to 4 sets of 2 to 5 repetitions of a distance between 300 and 600 metres

Phase 1
Tuesday:
  • General strength - Circuit or Weight training
  • 30 minute runs with alternating pace each 800m 
Thursday:
  • 30 minutes easy run (Heart rate 60%-70% MHR)
  • 30 to 45 minutes continuous relay.
 Sunday:
  • 2nd event technique
  • 30 to 40 minutes. Fartlek or Cross country 
Notes:
  • Steeplechase athletes may include hurdles in Thursday sessions
  • Running technique must remain sound.
  • Walks - Walk on Tuesday and Thursday, run on Saturday
  • All events will probably elaborate on the 3 day program with at least one other day when the athlete runs 30 to 40 minutes. easy (Heart rate 60%-70% MHR).
  • Each training session to include an appropriate warm up and cool down 
Phase 2
Tuesday:
  • General strength - Circuit or Weight training
  • 45 minutes run with alternating pace each 1 km 
Thursday:
  • 30 minutes easy run
  • Repetition runs: 1-4 x 2-5 x 300-1,000m or 2-4 x (600m, 400m, 300m, 200m, 100m)
Sunday:
  • 30 minutes easy run or interval training
  • 45 minutes Fartlek with 10 to 12 hills of 100 to 200m or Cross country.
Notes:
  • Steeplechase athletes should work over hurdles on track units -and should also work technique over the water jump.
  • Walkers walk on Tuesday and Thursdays - run on Sundays.
  • All events will probably elaborate on the 3 day program with at least one other day where the athlete runs 30 to 45 minutes easy (Heart rate 60%-70% MHR).
  • Each training session to include an appropriate warm up and cool down.
Phase 3
Tuesday:
  • 30 minutes easy run
  • Repetition runs - 1-4 x 2-4 x 300-600m or 2-3 x (600m, 400m, 300m, 200m, 100m) or 3-6 x differential 400m (i.e. first 200m at 80% racing speed, second 200m as fast as possible).
Thursday:
  • 30 to 45 minutes easy run
  • Repetition runs 2-3 x 3-6 x 150m or 2-4 x 3-8 x 100m or pyramid 30m, 50m, 70m, 90m, 110m, 130m, 150m - then back down. 
Sunday:
  • Competition 
Notes:
  • Steeplechasers will use hurdles on the Tuesday.
  • Walkers will use 2 x 30 minutes on Tuesday and use Tuesday's repetition distances (or longer) on Thursday, following 45 minutes walk.
  • Each training session to include an appropriate warm up and cool down 
Phase 4
Tuesday:
  • General strength - Circuit or Weight training
  • 45 minutes run with alternating pace each 1 km 
Thursday:
  • 30 minutes easy run
  • Repetition runs - 1-4 x 2-5 x 300m -1,000m or 2-4 x (600m, 400m, 300m, 200m, 100m ) 
Sunday:
  • 30 minutes easy run or Interval training
  • 45 minutes Fartlek with 10 to 12 hills of 100-200m or Cross country. 
Notes:
  • Steeplechase athletes should work over hurdles on track units -and should also work technique over the water jump.
  • Walkers walk on Tuesday and Thursdays - run on Sundays.
  • All events will probably elaborate on the 3 day program with at least one other day where the athlete runs 30 to 45 minutes easy (Heart rate 60%-70% MHR).
  • Each training session to include an appropriate warm up and cool down. 
Phase 5
Tuesday:
  • 30 minutes easy run
  • Repetition runs - 1-4 x 2-4 x 300-600m or 2-3 x (600m, 400m, 300m, 200m, 100m) or 3-6 x differential 400m (i.e. first 200m at 80% racing speed, second 200m as fast as possible). 
Thursday:
  • 30 to 45 minutes easy run
  • Repetition runs 2-3 x 3-6 x 150m or 2-4 x 3-8 x 100m or pyramid 30m, 50m, 70m, 90m, 110m, 130m, 150m - then back down. 
Sunday:
  • Competition 
Notes:
  • Steeplechasers will use hurdles on the Tuesday.
  • Walkers will use 2 x 30 minutes on Tuesday and use Tuesday's repetition distances (or longer) on Thursday, following 45 minutes walk.
  • Each training session to include an appropriate warm up and cool down 
Page Reference
The reference for this page is:
  • MACKENZIE, B. (2007) Endurance Training [WWW] Available from: http://www.brianmac.co.uk/tplans/enduranc.htm [Accessed 5/10/2011]

Rabu, 25 Mac 2015

Urinary system

Announcements
Urinary system
- Lab Practical Week after Spring Break
- Practical Review this Sunday 23rd at 3-5 pm

Functions of Urinary System
Kidneys carry out four functions:
(a) Filter nitrogenous wastes, toxins, ions, etc. from blood to be excreted as urine.
(b) Regulate volume and chemical composition of blood (water, salts, acids, bases).
(c) Produce regulatory enzymes.
(d) Renin – regulates BP/ kidney function                                                           (e) Erthropoeitin – stimulates RBC production from marrow.
(f) Metabolism of Vitamin D to active form.

Urinary System
(a) Two Kidneys
- Perform all functions except actual excretion.
(b) Two Ureters
- Convey urine from Kidneys to Urinary Bladder
(c) Urinary Bladder
- Holds Urine until excretion
(d) Urethra
-  Conveys urine from bladder to outside of body

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Kidney general info
Lie against posterior abdominal wall at level of T12-L3.
- Right kidney is lower than left kidney due to the shape of the liver.
- Lateral surface of kidney is convex while medial is concave : (a) Concave side has a cleft - Renal Hilus  (b) Inside hilus is Renal sinus - Where kidneys receive renal vessels and nerves.

Kidney External Anatomy
Average size – 12cm x 6cm x 3 cm
- Weights 150 grams or 5 oz
- Surrounded by three membranes (deep to superficial) : (a) Renal capsule – fibrous barrier for kidneys (b) Adipose capsule – fatty tissue designed for protection / stability (c) Renal fascia – dense fibrous CTP anchors kidneys/ adrenals/ membrane 1 and 2 to surroundings.

Kidney Anatomy
Renal arteries and veins
- Renal cortex
- Renal medulla
- Nephron
- Renal pyramids (6-10)
- Renal papilla
- Calyx (ces)
- Renal pelvis
- Ureter






Nephron
Blood processing unit which serves to produce urine
- 1 million per kidney
- Consists of a glomerulus and tubules




Urinary system : Kidney and Nephron


Urine Formation III
Countercurrent Multiplication in the Nephron Loop:
(a) Descending limb
- Goes into medulla  - increasing salt gradient
- Water leaves
- Fluid concentrates

(b) Ascending limb
- Goes up toward cortex - decreasing salt gradient
- Na+ pumped out
- Fluid relatively diluted



Urine Formation IV
Collecting duct
- Travels down into medulla
- Water leaves tubule and enters blood
- Urine becomes concentrated and enters renal papilla
- ADH controls water channel
- ADH – Antidiuretic hormone


Urine Formation : Micturition
(a) Ureters
- 25 cm long
- Enters on the floor of bladder

(b) Urinary Bladder
- Muscular sac on floor of pelvic cavity
- Muscle layer formed by detrusor muscle
- Average bladder volume is 500 ml
- Max capacity is 700-800 ml

(c) Urethra
- Conveys urine out of body
- Female urethra – 3 - 4 cm
- Opens into external urethral oriface
- Lies between vaginal oriface and clitoris
- Male urethra – 18 cm
- 3 regions:
(i) Prostatic urethra – 2.5 cm
(ii) Membranous urethra – 0.5 cm
(ii) Penile urethra – 15 cm




Kidney stones
- A hard granule of calcium, phosphate, uric acid and protein.
- Form in renal pelvis and get lodged in pelvis or ureter.
- Caused by urinary tract infections, dehydration, pH imbalances, or an enlarged prostate gland.
- Treated with stone dissolving drugs, surgical removal, or lithotripsy (ultrasonic vibrations).


Rabu, 11 Mac 2015

Cardiovascular

Cardiac Cycle and Heart Sounds
  • Cardiac Cycle refers to one complete heartbeat.
  • The heart is actually 2 pumps situated side by side, so a complete cycle consists of contractions of both atria and both ventricles.
  • The average resting heart rate is approximately 75 beats per minute
  • Resting heart rate will vary with degree of physical conditioning as well as with disease states
  • The familiar “lub-dub” associated with the function of the heart are known as heart sounds.
  • The heart sounds are made by the heart valves snapping closed under contractile pressure.       


Heart Sounds and Cardiac Output
  • The “lub” is caused by the closure of the AV valves
  • The “dub” is caused by the closure of the semi-lunar valve.
  • Cardiac output (CO) is the amount of blood pumped out of each side of the heart      ( meaning the ventricles ) in one minute
  • The value of CO is calculated as the product of the Heart Rate ( HR) multiplied by the Stroke Volume (SV)
  • SV generally increases as the force of the ventricular contractions increases.
  • CO = HR  x SV
  • CO = 75 beats per min x 70mls per beat
  • CO = 5250 ml/min
  • Generally speaking, blood starting in the heart should complete a circuit of the body and arrive back in the heart in one minute.
  • According to Starling’s Law of the heart, stroke volume is influenced by the amount of stretching force applied to the muscle cells of the heart.
  • The more the cells are stretched, the great the contraction will be
Starling’s Law of the Heart
  • A healthy, efficient heart only pumps about 60% of the volume of blood in the ventricles.
  • Venous return is critical to the amount of stretching the heart undergoes.
  • If one side of the heart begins to pump more blood than the other, the increase in venous return to the opposite ventricle will force it to pump a larger volume of blood.
  • This helps prevent back ups and increased pressures in the system.
  • Anything that increases the volume or speed of venous return will also increase the SV and CO.
  • The squeezing actions of skeletal muscles on veins also plays a major role in increasing venous return.



Regulation of Heart Rate
  • Coronary contraction does not depend on stimulus from the nervous system, because the heart has it’s own intrinsic pacemakers ( SA and AV nodes)
  • HOWEVER—heart rate can be temporarily influenced by stimulus from the autonomic nerves.


  • Sympathetic nerves can act to increase or decrease the heart by stimulating the SA or AV nodes.
  • Parasympathetic nerves act to decrease the heart rate
  • Being excited or startled can cause a rapid increase in heart rate.
  • Heart rate can also be influenced by hormones
  • Epinephrine and Thyroxine mimic the effects of the sympathetic nerves.
  • Ion concentrations also has a rofound influence on the heart.
  • Decreased Ca+ will depress the heart rate
  • Excessive Ca+ will cause prolonged contractions, and possibly stop the heart from beating. 

CHF and Blood Vessels
  • When the pumping efficiency of the heart is depressed so that circulation is inadequate to meet tissues needs, congestive heart failure (CHF) results.
  • CHF is usually a progressive condition, and in most cases reflects diminished coronary circulation by coronary atherosclerosis
  • Each side of the heart can fail independently
  • If the left side fails, pulmonary congestion will occur.
  • The right side continues to pump blood, but the left side is unable to push oxygenated blood into systemic circulation
  • The blood vessels of the lungs become swollen with blood, and the increased pressure forces fluids to leak from circulation and into the lung tissue, resulting in pulmonary edema.
  • Suffocation will result if this condition is untreated.
  • If the right heart fails, blood is not moved out of the systemic circulation, and peripheral congestion will occur.
  • This results in edema in distal parts of the body, such as the feet, ankles and hands.
  • Failure of one side of the heart places increased strain on the opposite side of the heart—eventually leading to whole heart failure

Blood Vessels 
  • Blood circulates through the body within the vasculature.
  • In decreasing size order, vessels carrying blood away from the heart are, arteries, arterioles, capillary beds.
  • In increasing size order, vessels carrying blood back towards the heart from the capillary beds are, venules, and veins
  • The walls of most blood vessels consist of three layers called tunics.
  • The innermost layer is called the tunica intima.
  • Tunica intima consists of a thin layer of closely fitted endothelial cells.
  • It is very smooth, to allow for smooth flow of blood
  • The tunica media is the middle layer of tissue, and is primarily smooth muscle tissue and elastic connective tissue.
  • This smooth muscle is controlled by the sympathetic nervous system, which changes the diameter of the blood vessels
  • The tunica externa is the outer-most layer, and is mostly fibrous connective tissue that supports and protects the vessel.
  • The walls of arteries are usually thicker than those  of the veins.
  • Veins are subject to less pressure than ateries, but move blood against gravity.
  • Veins contain one way valves to prevent backflow of blood 

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