学术英语医学Unit 1
医学英语unit1课文diagnosis
医学英语unit1课文diagnosisthe prevention and preventive treatment of disease治病求本treatment aiming at the root cause of disease扶正祛邪strengthening healthy qi and dispelling pathogens Examples of therapeutic principles调整阴阳regulating yin and yang三因制宜(因时、因地、因人制宜)treating diseases in accordance with three conditions" (i. e. the climatic and seasonal condition, geographic localities and the patient's constitution)《黄帝内经》Huangdi NeijingYellow Emperor's ClassicThe Yellow Emperor's Inner Canon of Medicine The Inner Canon of MedicineThe Inner Canon of Medicine The Inner CanonThe Yellow Emperor's Canon Huangdi's Classic on MedicineCommon TCM Text Names and their English Translations《素问》Su WenBasic Questions Simple Questions Essential Questions Plain Questions《神农本草经》Shengnong Bencao JingDivine Husbandman's Classic of Materia Medica Shennong’s Materia Medica/ Shennongs Herbal Divine Farmer's Herbal Common TCM Text Names and their English Translations《伤寒杂病论》Shanghan Za Bing LunTreatise on Cold-Induced and Miscellaneous Diseases.《针灸甲乙经》Zhenjiu Jiayi JingClassic of the ABC's of Acupuncture and Moxibustion The Systematized Canon of Acupuncture and Moxibution Common TCM Text Names and their English Translations《伤寒论》Shang Han LunTreatise on Cold-Induced Diseases Discussion of Cold-induced DisordersTreatise on Cold--Induced Febrile Diseases Treatise on Injury by Cold 《诸病源候论》Zhu Bing Yuan Hou LunTreatise on The Origins and Symptoms DiseaseCommon TCM Text Names and their English Translations《金匮要略》Jin Gui Yao LÜeSynopsis of the Golden Chamber Synopsis of the Golden CabinetSynopsis of Prescriptions from the Golden Chamber Essentials from the Golden CabinetCommon TCM Text Names and their English Translations《外台秘要》Wai Tai Mi YaoArcane Essentials from the Imperial Library Secrets of a Frontier official《千金要方》Qian Jin Yao FangEssential Formulas Worth A Thousand Ducats Thousand Ducat Prescriptions(Formulas)Prescriptions Worth a Thousand Pieces of Gold Prescriptions Worth a Thousand Ducats《千金翼方》Qian Jin Yi FangSupplement to Formulas Worth A Thousand Ducats《类经》Lei JingThe Classic of Categories。
学术英语(医学)_Unit 1
Unit 1 Doctors’ Life
Text A
Difficult Sentences
2 ... I’m piling yet another pill onto her ... (Para. 3) ─ 我还要再给她另加一种药
• My subsequent ‘clinical course’ was far from uneventful. (Para. 9) – 我后来的“临床之路”远非平淡无奇 • …they had fallen from 48 to 46 the previous month! (Para. 9) – （染色体的数量）在上个月已经从48条变为46！ （人体到底有多少条染色体？这个问题经过了几十年的 反复，到1954年才确定为23对，46条。）
– 有些情况下，有个专注、出色的临床搭档，如一对一 的护士，就仿佛有了第二个大脑，不过大多数医疗预 算不会如此大方，这样配备人员。
Unit 1 Doctors’ Life
Text B
Critical Reading and Thinking
Difficult sentences
• This conventional wisdom formed the basis for daily confrontations between an increasingly restless and resentful patient and an increasingly adamant and doompredicting clinical clerk. (Para. 4)
学术英语 Unit 1
Language Focuses
Colonoscopy colon（o）-
colon（结肠）
colonoscope
Neuron overload Patients‟ high expectations Mistrust and misunderstanding between the patients and physician
A case in point to exemplify how many details a doctor needsion (Pre. 2)
A 56-year-old woman Somewhat overweight Reasonably well-controlled diabetes and hypertension cholesterol on the high side without any medications for this Not as much exercise as she should Thinning of her bones on last DEXA scan Stressful but good about keeping her appointments and getting her blood tests Generally healthy
Vocabulary derived from French and Latin is not used. Colloquial terms, slangs and many phrasal verbs are common.
学术英语(医学)Unit1~4课文翻译
Unit 1 Text A神经过载与千头万绪的医生患者经常抱怨自己的医生不会聆听他们的诉说。
虽然可能会有那么几个医生确实充耳不闻，但是大多数医生通情达理，还是能够感同身受的人。
我就纳闷为什么即使这些医生似乎成为批评的牺牲品。
我常常想这个问题的成因是不是就是医生所受的神经过载。
有时我感觉像变戏法，大脑千头万绪，事无巨细，不能挂一漏万。
如果病人冷不丁提个要求，即使所提要求十分中肯，也会让我那内心脆弱的平衡乱作一团，就像井然有序同时演出三台节目的大马戏场突然间崩塌了一样。
有一天，我算过一次常规就诊过程中我脑子里有多少想法在翻腾，试图据此弄清楚为了完满完成一项工作，一个医生的脑海机灵转动，需要处理多少个细节。
奥索里奥夫人 56 岁，是我的病人。
她有点超重。
她的糖尿病和高血压一直控制良好，恰到好处。
她的胆固醇偏高，但并没有服用任何药物。
她锻炼不够多，最后一次 DEXA 骨密度检测显示她的骨质变得有点疏松。
尽管她一直没有爽约，按时看病，并能按时做血液化验，但是她形容自己的生活还有压力。
总的说来，她健康良好，在医疗实践中很可能被描述为一个普通患者，并非过于复杂。
以下是整个 20 分钟看病的过程中我脑海中闪过的念头。
她做了血液化验，这是好事。
血糖好点了。
胆固醇不是很好。
可能需要考虑开始服用他汀类药物。
她的肝酶正常吗？她的体重有点增加。
我需要和她谈谈每天吃五种蔬果、每天步行 30 分钟的事。
糖尿病：她早上的血糖水平和晚上的比对结果如何？她最近是否和营养师谈过？她是否看过眼科医生？足科医生呢？她的血压还好，但不是很好。
我是不是应该再加一种降血压的药？药片多了是否让她困惑？更好地控制血压的益处和她可能什么药都不吃带来的风险孰重孰轻？骨密度 DEXA 扫描显示她的骨质有点疏松。
我是否应该让她服用二磷酸盐，因为这可以预防骨质疏松症？而我现在又要给她加一种药丸，而这种药需要详细说明。
也许留到下一次再说吧？她家里的情况怎么样呢？她现在是否有常见的生活压力？亦或她有可能有抑郁症或焦虑症？有没有时间让她做个抑郁问卷调查呢？健康保养：她最后一次乳房 X 光检查是什么时候做的？子宫颈抹片呢？ 50 岁之后是否做过结肠镜检查？过去 10 年间她是否注射过破伤风加强疫苗？她是否符合接种肺炎疫苗的条件？奥索里奥夫人打断了我的思路，告诉我过去的几个月里她一直背痛。
医学英语综合教程Unit1Anatomy
digestive system
CHAPTER
消化系统由口腔、食道、胃、小肠、大肠和其他消化器官组成。
结构组成
消化系统的主要功能是摄取食物、消化食物、吸收营养和排泄废物。
功能
The structure and function of the digestive system
Oral and Esophageal
04
circulatory system
CHAPTER
The heart is a crucial organ that pumps blood throughout the body. The heart is a muscular organ located in the thoracic cavity, whose primary function is to pump blood. It has four chambers: two atria and two ventricles. Blood enters the right atrium from the veins, then passes through the tricuspid valve into the right ventricle and is pumped to the lungs via the pulmonary valve. From the lungs, oxygenated blood returns to the left atrium via the pulmonary veins, then passes through the mitral valve into the left ventricle and is pumped to the rest of the body via the aortic valve.
学术英语(医学)_Unit 1ppt课件
• thinning of her bones on last DEXA scan
• stressful but good about keeping her appointments and getting her blood tests
• generally healthy
完整版课件
12
Unit 1 Doctors’ Life
• not making eye contact with Mrs. Osorio
• DEXA scan
• thinning of her bones / lower density
• stressful life
• keep her appointments
• blood tests
• generally healthy
• an average patient
• not excessively complica完te整d版课件
Text A
Critical reading and thinking
Useful expressions
• in my practice / in a medical practice
• overweight
• diabetes
• hypertension
• cholesterol on the high side
• The doctor tried to or at least pretend to pay attention to the patients while completing documentation.
• Complaints that doctors don’t listen might have other
学术英语(医学)Unit 1演示PPT
• Language building-up – Signpost language – Formal English – Vocabulary test
• Suggested answers
8
Unit 1 Doctors’ Life
Text A
Critical reading and thinking
Useful expressions
• a 56-year-old woman • somewhat overweight • reasonably well-controlled diabetes and hypertension • cholesterol on the high side without any medications for
Questions for discussion
• How do you interpret the title?
– neuron overload – juggling physician
9
Unit 1
Text A
Doctors’ Life
Critical reading and thinking
Topics for presentation
1 Do you agree that it is sheer neuron overload on the doctor side that leads to the complaint that doctors don’t listen?
• neuron overload • patients’ high expectations • mistrust and misunderstanding between the
学术英语(医学)Unit1~4课文翻译汇总
Unit 1 Text A神经过载与千头万绪的医生患者经常抱怨自己的医生不会聆听他们的诉说。
虽然可能会有那么几个医生确实充耳不闻，但是大多数医生通情达理，还是能够感同身受的人。
我就纳闷为什么即使这些医生似乎成为批评的牺牲品。
我常常想这个问题的成因是不是就是医生所受的神经过载。
有时我感觉像变戏法，大脑千头万绪，事无巨细，不能挂一漏万。
如果病人冷不丁提个要求，即使所提要求十分中肯，也会让我那内心脆弱的平衡乱作一团，就像井然有序同时演出三台节目的大马戏场突然间崩塌了一样。
有一天，我算过一次常规就诊过程中我脑子里有多少想法在翻腾，试图据此弄清楚为了完满完成一项工作，一个医生的脑海机灵转动，需要处理多少个细节。
奥索里奥夫人 56 岁，是我的病人。
她有点超重。
她的糖尿病和高血压一直控制良好，恰到好处。
她的胆固醇偏高，但并没有服用任何药物。
她锻炼不够多，最后一次 DEXA 骨密度检测显示她的骨质变得有点疏松。
尽管她一直没有爽约，按时看病，并能按时做血液化验，但是她形容自己的生活还有压力。
总的说来，她健康良好，在医疗实践中很可能被描述为一个普通患者，并非过于复杂。
以下是整个 20 分钟看病的过程中我脑海中闪过的念头。
她做了血液化验，这是好事。
血糖好点了。
胆固醇不是很好。
可能需要考虑开始服用他汀类药物。
她的肝酶正常吗？她的体重有点增加。
我需要和她谈谈每天吃五种蔬果、每天步行 30 分钟的事。
糖尿病：她早上的血糖水平和晚上的比对结果如何？她最近是否和营养师谈过？她是否看过眼科医生？足科医生呢？她的血压还好，但不是很好。
我是不是应该再加一种降血压的药？药片多了是否让她困惑？更好地控制血压的益处和她可能什么药都不吃带来的风险孰重孰轻？骨密度 DEXA 扫描显示她的骨质有点疏松。
我是否应该让她服用二磷酸盐，因为这可以预防骨质疏松症？而我现在又要给她加一种药丸，而这种药需要详细说明。
也许留到下一次再说吧？她家里的情况怎么样呢？她现在是否有常见的生活压力？亦或她有可能有抑郁症或焦虑症？有没有时间让她做个抑郁问卷调查呢？健康保养：她最后一次乳房 X 光检查是什么时候做的？子宫颈抹片呢？ 50 岁之后是否做过结肠镜检查？过去 10 年间她是否注射过破伤风加强疫苗？她是否符合接种肺炎疫苗的条件？奥索里奥夫人打断了我的思路，告诉我过去的几个月里她一直背痛。
学术英语Unit1~4课文翻译
Unit 1 Text A神经过载与千头万绪的医生患者经常抱怨自己的医生不会聆听他们的诉说。
虽然可能会有那么几个医生确实充耳不闻，但是大多数医生通情达理，还是能够感同身受的人。
我就纳闷为什么即使这些医生似乎成为批评的牺牲品。
我常常想这个问题的成因是不是就是医生所受的神经过载。
有时我感觉像变戏法，大脑千头万绪，事无巨细，不能挂一漏万。
如果病人冷不丁提个要求，即使所提要求十分中肯，也会让我那内心脆弱的平衡乱作一团，就像井然有序同时演出三台节目的大马戏场突然间崩塌了一样。
有一天，我算过一次常规就诊过程中我脑子里有多少想法在翻腾，试图据此弄清楚为了完满完成一项工作，一个医生的脑海机灵转动，需要处理多少个细节。
奥索里奥夫人 56 岁，是我的病人。
她有点超重。
她的糖尿病和高血压一直控制良好，恰到好处。
她的胆固醇偏高，但并没有服用任何药物。
她锻炼不够多，最后一次 DEXA 骨密度检测显示她的骨质变得有点疏松。
尽管她一直没有爽约，按时看病，并能按时做血液化验，但是她形容自己的生活还有压力。
总的说来，她健康良好，在医疗实践中很可能被描述为一个普通患者，并非过于复杂。
以下是整个 20 分钟看病的过程中我脑海中闪过的念头。
她做了血液化验，这是好事。
血糖好点了。
胆固醇不是很好。
可能需要考虑开始服用他汀类药物。
她的肝酶正常吗？她的体重有点增加。
我需要和她谈谈每天吃五种蔬果、每天步行 30 分钟的事。
糖尿病：她早上的血糖水平和晚上的比对结果如何？她最近是否和营养师谈过？她是否看过眼科医生？足科医生呢？她的血压还好，但不是很好。
我是不是应该再加一种降血压的药？药片多了是否让她困惑？更好地控制血压的益处和她可能什么药都不吃带来的风险孰重孰轻？骨密度 DEXA 扫描显示她的骨质有点疏松。
我是否应该让她服用二磷酸盐，因为这可以预防骨质疏松症？而我现在又要给她加一种药丸，而这种药需要详细说明。
也许留到下一次再说吧？她家里的情况怎么样呢？她现在是否有常见的生活压力？亦或她有可能有抑郁症或焦虑症？有没有时间让她做个抑郁问卷调查呢？健康保养：她最后一次乳房 X 光检查是什么时候做的？子宫颈抹片呢？ 50 岁之后是否做过结肠镜检查？过去 10 年间她是否注射过破伤风加强疫苗？她是否符合接种肺炎疫苗的条件？奥索里奥夫人打断了我的思路，告诉我过去的几个月里她一直背痛。
学术英语（医学）课后问题答案
Unit11、Some factors that may lead to the complaint:·Neuron overload·Patients* high expectations·Mistrust and misunderstanding between the patient and the doctorcondition:2、Mrs. Osorio’s·A 56-year-old woman·Somewhat overweight·Reasonably well-controlled diabetes and hypertension·Cholesterol on the high side without any medications for it·Not enough exercises she should take·Her bones a little thin on her last DEXA scan3、Good things:·Blood tests done·Glucose a little better·Her blood pressure a little better but not so great Bad things:·Cholesterol not so great·Her weight a little up·Her bones a little thin on her last DEXA scan 44、The situation:·The author was in a moderate state of panic: juggling so many thoughts aboutMrs. Osorio’s conditions and trying to resolve them all before the clock ran down.·Mrs. Osorio made a trivial request, not so important as compared to her conditions.and completely justified ·Mrs. Osorio seemed to care only about her “innocent ——request”：the form signed by her doctor.·The doctor tried to or at least pretended to pay attention to the patient whilecompleting documentation.5、Similarities:·In computer multitasking, a microprocessor actually performs only one task at a time. Like microprocessors, we human beings carft actually concentrate on two thoughts at the same exact time. Multitasking is just an illusion both in computersand human beings.Differences:·The concept of multitasking originated in computer science.·At best, human beings can juggle only a handful of thoughts in a multitasking manner, but computers can do much better.·The more thoughts human beings juggle, the less human beings are able to attune fully to any given thought, but computers can do much better.6、·7 medical issues to consider·5 separate thoughts, at least, for each issue·7 x 5 = 35 thoughts·10 patients that afternoon·35 x 10 = 350 thoughts·5 residents under the authors supervision·4 patients seen by each resident·10 thoughts, at least, generated from each patient·5 x 4 x 10 = anther 200 thoughts·350 + 200 = 550 thoughts to be handled in total·If the doctor does a good job juggling 98% of the time, that still leaves about 10 thoughts that might get lost in the process.7、Possible solutions:·Computer-generated reminders·Case managers·Ancillary services·The simplest solution: timeUnit21、The author implies:Peoples inadequate consciousness about the consequence of neglecting the re- emerging infectious diseases·Unjustifiability of peoples complacency about the prevention and control of theinfectious diseases·Unfinished war against infectious diseases2、Victory declarations:·Surgeon General William Stewart's hyperbolic statement of closing “the book on infectious disease”.·A string of impressive victories incurred by antibiotics and vaccines·The thought that the war against infectious diseases was almost overWhat followed ever since:·Appearance of new diseases such as AIDS and Ebola·Comeback of the old afflictions:Diphtheria in the former Soviet UnionTB in urban centers like New York CityRising Group A streptococcal conditions like scarlet fever·The fear of a powerful new flu strain sweeping the world3、Elaborate on the joined battle:·WHO established a new division devoted to worldwide surveillance and controlof emerging disease in October 1995.·CDC launched a prevention strategy in 1994.·Congress raised fund from $6.7 million in 1995 to $26 million in 1997.4、The borders are meaningless to pathogenic microbes, which can travel fromone country to another remote country in a very short time.5、TB:·Prisons and homeless shelters as ideal places for TB spread·Emerging of drug-resistant strain or even multi-drug-resistant strain·A ride on the HIV w^on by attacking the immunocompromisedGroup A strep:·A change in virulence·Mutation in the exterior of the bacteriumFlu:Constant changes in its coat (surface antigens) and resultant changes in its levelof virulence6、Examples:·Experiment in England is seeing the waning immunity because of no vaccination. ·Du e to poor vaccination efforts, the diphtheria situation in the former Soviet Union is serious. 'The vaccination rates are dropping in some American cities, and it will lead to more diphtheria and whooping cough.7、The four areas of focus:·The need for surveillance·Updated science capable of dealing with discoveries in the field·Appropriate prevention and control·Strong public health infrastructure8、The infectious diseases such as TB, flu, diphtheria and scarlet fever will never really go away, and the war against them will never end.Unit31、Terry's life before·She loved practicing Tae Kwon Do·She loved the surge of adrenaline that came with the controlled combat of tournaments.·She competed nationally, even won bronze medal in the trials for the Pan American Games.·She attended medical school, practiced as an internal medicine resident, and became an academic general internist.·She got married and got a son and a daughter.2、The symptoms of MS and autoimmune disease:·Loss of stamina and strength·Problems with balance·Bouts of horrific facial pain·Dips in visual acuity3、Terry did the following before she self-experimented:·She started injections.·She adopted many pharmacotherapies.·She began her own study of literature:She read articles on websites such as PubMed.She searched for articles testing new MS drugs in animal models.She turned to articles concerning neurodegeneration of all types — dementia，Parkinson's disease, Huntington's disease, and Lou Gehrig's disease.She relearned basic sciences such as cellular physiology, biochemistry, andneurophysiology.4、Approaches Terry mainly used:·Self-experimentation with various nutrients to slow neurodegeneration based on literature reports on animal models·Self-experimentation with neuromuscular electrical stimulation which is not an approved treatment for MS·Online search to identify the sources of micronutrients and having a new diet ·Reduction of food allergies and toxic load5、Cases mentioned in the text:·Increased mercury stores in the brains of people with dental fillings·High levels of the herbicide atrazine in private wells in Iowa·The strong association between pesticide exposure and neurodegeneration·The association of single nucleotide polymorphisms involving metabolism of sulfur and/or B vitamins·Inefficient clearing of toxins6、With 70% to 90% of the risk for diabetes, heart disease, cancer, andautoimmunity being due to environmental factors other than the genes, we cantake many health problems and the health care crisis under our control, for example, optimizing our nutrition and reducing our toxic load.Unit41、Two concepts:·Complementary medicine refers to the use of conventional therapies together with alternative treatments such as using acupuncture in addition to usual care to help lessen pain. Complementary and alternative medicine is shortened as CAM.·Alternative medicine refers to healing treatments that are not part of conventional therapies —like acupuncture, massage therapy, or herbal medicine. They are called so because people used to consider practices like these outside the mainstream.2·TCM does not require advanced, complicated, and in most cases, expensivefacilities.·TCM employs needles, cups, coins, to mention but a few.·Most procedures and operations of TCM are noninvasive.·The substances used as medicine are raw herbs or abstracts from them, andthey are indeed all natural, from nature.·TCM has been practiced as long as the Chinese history, so the efficiency i s proven and ensured.·Ongoing research around the world on acupuncture, herbs, massage and Tai Chi have shed light on some of the theories and practices of TCM3、It may be used as an adjunct treatment, an alternative, or part of a comprehensive management program for a number of conditions: post-operativeand chemotherapy induced nausea and vomiting, post-operative dental pain, addiction, stroke rehabilitation, headache, menstrual cramps, tennis elbow, fibromyalgia, myofascial pain, osteoarthritis, low back pain, carpal tunnel syndrome, and asthma.4、A well-justified NO:·More intense research to uncover additional areas for the use of acupuncture ·Higher adoption of acupuncture as a common therapeutic modality not only in treatment but also in prevention of disease and promotion of wellness·Exploration and perfection of innovative methods of acupuncture point stimulation with technological advancement·Improved understanding of neuroscience and other aspects of human physiology and function by basic research on acupuncture·Greater interest by stakeholders·An increasing number of physician acupuncturists5、·Appropriate uses of herbs depend on proper guidance:Proper TCM diagnosis of the zheng of the patientCorrect selection of the corresponding therapeutic strategies and principles that guide the choice of herbs and herbal formulas·Digression from either of the above guidence will lead to misuses of herbs, andwill result in complications in patient6、·Randomized controlled trialsAdvantages:Elimination of the potential bias in the allocation of participants to the intervention group or control groupTendency to produce comparable groupsGuaranteed validity of statistical tests of significanceLimitations:Difficulty in generalizing the results obtained from the selected sampling to the population as a wholeA poor choice for research where temporal factors are anissueExtremely heavy resources, requiring very large samplegroupsQuasi-experimentsAdvantages:Control group comparisons possibleReduced threats to external validity as natural environments do notsuffer the same problems of artificiality as compared to a well-controlledlaboratory setting.Generalizations of the findings to be made about population since quasiexperiments are natural experimentsLimitations：Potential for non-equivalent groups as quasi-experimental designs donot use random sampling in constructing experimental and controlgroups.Potential for low internal validity as a result of not using random sampling methods to construct the experimental and control groupsCohort studiesAdvantages:Clear indication of the temporal sequence between exposure and outcomeParticular use for evaluating the effects of rare or unusual exposureAbility to examine multiple outcomes of a single risk factorLimitations:Larger, longer, and more expensiveProne to certain types of biasNot practical for rare outcomesCase-control studiesAdvantages:The only feasible method in the case of rare diseases and those with longperiods between exposure and outcomeTime and cost effective with relatively fewer subjects as compared to other observational methodsLimitations：Unable to provide the same level of evidence as randomized controlled trialsas it is observational in natureDifficult to establish the timeline of exposure to disease outcomeN=1” trials“AdvantagesEasy to manageInexpensiveLimitations：Findings difficult to be generalized to the whole populationWeakest evidence due to the number of the subject7、Synthesis of evidence is completely dependent on:The completeness of the literature search (unavailable for foreign studies)The accuracy of evaluation·There are situations in which no answer can be found for the questions of interest in RCTs and database analyses.·There's the requirement of using less stringent information rather than “hard data”8、·Assessment of the intrinsic value of traditional medicine in society·Research and education·Political, economic, and social factorsUnit51、·Dis-ease refers to the imbalance arising from：Continuous stressPainHardships·Disease is a health crisis ascribable to various dis-eases.·Prompting elimination of dis-eases can alleviate some diseases.2、·Wellness is a state involving every aspect of our being: body, mind and spirit.·Manifestations of a healthy person:Energy and vitalityA certain zip in gaitA warm feeling of peace of heart seen through behavior3、·Constant messages, positive and negative，are sent to our mind about the health of our body.·Physical symptoms are suppressed by people who go through life on automatic pilot.·Being well equals to being disease- or illness-free in the minds of them.·They confused wellness with an absence of symptoms.4、·People's minds are infected by spin:Half-truthFearful fictionsBlatant deceit: some as a form of self-deceit·Spin is a result of unconscious living.·The kind of falseness is pandemic.5·Our body intelligence is suppressed or dormant from a lack of use.·There are tremendous amount of stress on a daily basis.·Our bodies are easily ignored for years because of a lack of recreation time. ·Limiting, self-defeating and even self-destructive behaviors undermine our wellbeing and keep them from achieving our full potential.6·We grow more reluctant to take risks.·We lose the ability to feel and acknowledge our deepest feelings and the courage to speak our truth.·We continue to deny and repress our feelings to protect ourselves.·Fear, denial and disconnection from our bodies and feelings become an unconscious, self-protective habit, a kind of default response to life.7·A multi-faceted process:Looking for roots of and resolutions for the issues in different dimensionsBuilding our wellness toolbox slowlyPicturing our whole state of being·Attention to the little stuff:Examining our lives honestly and setting clear intentions to changeStriving to maintain a balance of our mind, body and spiritTaking small steps in the way to perceive and resolve conflict8·Try to awaken and evolve in order to live more consciously.·Get in touch with our genuine feelings and emotions.·Come to terms with the toxic emotionsUnit61、In the past, most people died at home. But now, more and more people are caredin hospitals and nursing homes at their end of life, which of course brings a newset of questions to consider.2、·Sixty-four years old with a history of congestive heart failure·Deciding to do everything medically possible to extend his life·Availability of around-the-clock medical services and a full range of treatmentchoices, tests, and other medical care·Relaxed visiting hours, and personal items from home3、Availability of around-the-clock medical resources, including doctors, nurses, andfacility.4、·Taking on a job which is big physically, emotionally, and financially·Hiring a home nurse for additional help·Arranging for services (such as visiting nurses) and special equipment (like ahospital bed or bedside commode)5、·Health insurance·Planning by a professional, such as a hospital discharge plaimer or a social worker·Help from local governmental agencies·Doctor's supervision at home6、·Traditionally, it is only about symptom care.·Recently, it is a comprehensive approach to improving the quality of life for people who are living with potentially fatal diseases.7、·Stopping treatment specifically aimed at curing an illness equals discontinuing all treatment.·Choosing a hospice is a permanent decision.Unit71、·A dying patient·Decision whether to withdraw life-support machines and medication and startcomfort measures·The family's refusal to make any decision or withdraw any treatments2、·The doctor as exclusive decision-maker·The patient as participant with little say in the final choice3、·Respect for the patient, especially the patient s autonomy·Patient-centered care·The patient as decision-maker based on the information provided by the doctor4、·Patients are forced to make decisions they never want to.·Patients, at least a large majority of them, prefer their doctors to make final decisions.·Shifting responsibility of decision-making to patients will bring about more stress to patients and their families, especially when the best option for the patient is uncertain.5、Doctors are very much cautious about committing some kind of ethicaltransgression.6、·Shouldering responsibility together with the patient may be better than havingthe patient make decisions on their own.·Balancing between paternalism and respect for patients autonomy constitutes alarge part of medical practice.Unit81、·Research:An activity to test hypothesis, to permit conclusions to be drawn, and thereby to develop or contribute to generalizable knowledge·Practice:Interventions solely to enhance the well-being of an individual patient or client and that have a reasonable expectation of success·Blurred distinction:Cooccurrence of research and practice like in research designed to evaluate a therapyNotable departure s from standard practice being called “experimental” withl”and “research” carelessly definedthe terms “experimenta2、·Autonomy：Individuals treated as autonomous agents .·Protection:Persons with diminished autonomy entitled to protection·A case in point:Prisoners involved in research3·“Do no harm” as the primary principle·Maximization of possible benefits and minimization of possible harms .·Balance between benefits and potential risks involved in every step of seedingthe benefits4、·“Do no harm” as a fundamental principle of medical ethics·Extension of it to the realm of research by Claude Bernard·Benefits and risks as a set “duet” in both medical practice and research 5、·Unreasonable denial of entitled benefit and unduly imposed burden：Enrolment of patients in new drug trial: Who should be enrolled and who should not?·Equal treatment of equals:Determining factors of equality: age, sex, severity of the condition, financial status, social status6、·Definition:The opportunity to choose what shall or shall not happen to them·Application:A process rather than signing a written formAdequate information as the premiseA well-informed decision as the expected result7、·Requirements for consent as entailed by the principle of respect for persons ·Risk/benefit assessment as entailed by the principle of beneficence ·More requirements of fairness as entailed by the principle of justice: At the individual level: fairnessAt the social level: distinction between classes。
医学英语-unit 1解析
构架，框架 骨架，骨骼 软骨 腱 韧带，系带 股骨 大腿，股 椎骨的，脊柱的 胸的，胸廓的 胸骨 肋骨 头颅，颅盖骨
1. cranium 头盖骨
2. sternum胸骨 3. rib 肋骨
4. vertebral column 脊柱 5. femur 股骨
Vocabulary-6
• rather than • enable …to do… • protect … from • be made up of • carry out • vertebral column • thoracic cavity
难以置信的 百科全书 令人吃惊的
Vocabulary-5
• tissue • circulatory • respiratory • urinary • nervous • endocrine • reproductive • immune • skeletal • muscular • gland
liver gall bladder large intestine
appendix
larynx
lung heart diaphram spleen stomach small intestine
bladder
Exercise B-1. respiratory system
nose pharynx larynx trachea bronchus lung
Vocabulary-3
• digestive tract • divide into • be responsible for • break down • pass through
消化道 把……分成
• unbelievable • encyclopedia • amazing • tongue • spend ……doing • show sb. sth.
学术英语(医学)-课后词组
学术英语（医学）课后词组Unit 11.neuron overload 神经过载2.a typical office visit 典型的诊所就诊3.DEXA scan DEXA扫描4.medical practice 行医5.blood pressure control 血压控制6.health maintenance 健康保持7.mammogram report 乳房X线检查报告8.physical examination 体检9.side effect of a medication 药物的副作用10.perpetual panic 永久的恐慌11.practicing physicians 职业医生12.transplant field 移植领域13.medical budget 医疗预算14.paracetamol tablet 扑热息痛药片15.childproof cap 防孩子打开的盖子16.randomized clinical trial 随机临床试验17.random allocation 随机分配18.patient prognosis 病人的预后19.control group 对照组20.a 10-year follow-up study 10年的跟踪研究21.a medical ward 内科病房22.infectious hepatitis 传染性肝炎23.Severe malaise 身体严重不适24.bilirubin metabolism 胆红素代谢25.permanent liver damage 永久的肝损伤26.exacerbate pathophysiology 加重病理生理状况27.medical literature 医学文献28.clinical investigation 临床调查29.incidence of relapse 复发率30.clinical epidemiology 临床流行病学31.strict bed rest 严格的卧床休息32.hospital stay 住院33.recurrent jaundice 反复发作的黄疸34.clinical course 临床病程35.intravenous morphine 静脉注射吗啡36.diastolic blood pressure 舒张压37.brain perfusion 大脑血灌输38.primary care初级保健39.aorto-coronary arterial bypass主动脉冠状动脉旁路rmed treatment decision知情治疗决41.an international humanitarian group一个国际人道组织42.the Red Cross 红十字会43.the first major relief effort第一次重大援助工作44.casualty of war 战争中的人员伤亡45.emergency relief efforts 紧急援助Unit 21.re-emerging/re-emergent/resurgent disease(再现疾病)2.new flu strain新流感变种3.antibiotics and vaccine抗生素和疫苗4.infectious disease传染病5.emergent/emergent disease新现疾病6.prevention strategy预防策略7.bubonic plague腺鼠疫8.pathogenic microbes病原微生物9.public heath authority公共卫生机构10.drug resistance抗药性11.an course of antibiotic therapy抗生素治疗疗程12.scarlet fever猩红热13.the level of virulence毒性水平14.flu pandemic流感大流行15.surface antigen 表面抗原16.genetic shift基因改变17.neurological complications 神经性并发症18.waning of immunity免疫力减弱19.public health infrastructure公共卫生基础设施20.a malaria case一个疟疾病例21.swine flu猪流感22.tuberculosis bacillus结核杆菌23.the level of morbidity/incident发病率水平24.health professional保健专业人士tent tuberculosis潜伏结核病26.tuberculin skin test结核素皮试27.screening programmes筛查计划28.interferon gamma tests γ干扰素测试29.drug toxicity药物毒性30.an curable disease一种可治愈的病31,intractable infectious disease难治的传染病32.an unknown pathogen一种未知的病原体33.chronic gastric ulcer慢性胃溃疡34.exposure to carries of disease接触带病者35,genetic recombination基因重组36.agent of bioterrorism生物恐怖活动病原37.foodborne infections通过食物传播的传染病Unit 31.the surge of adrenaline 肾上腺素激增2.an internal medicine residency 内科实习期3.an autoimmune disease 自体免疫4.loss of stamina 丧失持久力5.transient weakness 短暂的虚弱6.becoming bedridden 卧床不起7.a building block基本构件8.an animal model 动物模型9.to slow neurodegeneration减缓神经退化10.to excrete toxins排除毒素11.to optimize nutrition 优化营养12.toxic load毒素载量13.the risk of relapse 复发危险14.physician self-experimentation医生自我实验15.a clinical trial 临床试验16.neuromuscular electrical stimulation 神经肌肉电刺激17.physical therapist 理疗师18.the impact of micronutrient 微量营养素的影响19.brain function 脑功能20.track the emotional flow 跟踪情绪波动21.coordination of emotions 情绪协调22.cardiovascular reactions 心血管反应23.feeling of rapport 亲密感觉24.rapid synchronization 迅速同步25.emotional contagion 情绪传染26.to mutually regulate 互相调节27.a psychobiological unit生物心理单元28.emotional solace 情感慰藉29.functional magnetic resonance imaging功能性磁共振30.to activate brain zones激活该脑部区域31.to make it mandatory使之成为强制性32.a dubious project 无把握的项目33.medical background 医学背景34.proof of concept 概念验证35.dose regimen 剂量方案plication or concomitant conditions并发症与合并症37.anti-tumor agents 抗肿瘤的药剂38.standard therapy标准疗法39.pharmacological properties 药理学特性40.poor solubility 溶解性差41.in vivo pharmacology 体内药理学Unit 4plementary medicine 补充医学2.alternative medicine 替代医学3.a medical paradigm 医疗模式4.acupuncture and herbs 针灸和草药5.adjunct treatment 辅助治疗6.nausea and vomiting 恶心，呕吐7.post-operative dental pain 术后牙痛8.clinical trials 临床试验9.physical therapy 物理疗法，理疗10.therapeutic modalities 治疗方法11.a therapeutic intervention治疗干预12.research design 研究设计13.magnetic resonance 磁共振14.positron emission tomography 正电子发射型计算机断层成像15.analgesia effect 止痛效果16.biomedical establishment 生物医学界17.rehabilitation unit康复中心18.licensed acupuncturist 持照针灸师19.therapeutic strategy治疗策略20.herbal formula草药配方21.a wide array of complications 各式各样的并发症22.integrative East-West medicine 中西医结合23.acute abdominal pain 急性腹痛24.to administer medicines 施药，用药25.surgical procedure 外科手术26.scientific evaluation 科学评估27.prevalence statistics患病率统计28.conventional therapies 传统疗法29.evidence-based models of care询证医学模式30.stress management 压力处理31.peripheral nervous system 周围神经系统32.physiologic mechanism生理机制33.mechanistic and reductionistic studies 机制和还原式研究34.cost-effectiveness research 效益研究35.clinical outcomes 临床结果36.preclinical and clinical studies 临床前及临床研究37.plausible mechanisms可能的机制38.manipulative therapies 推拿治疗39.homeopathic medicine 顺势疗法40.naturopathic medicine 自然疗法41.meditation and yoga冥想与瑜伽Unit 51.a health crisis 健康危机2.physical symptom 身体症状3.energy and vitality 能量和活力4.be completely immune from sth.对某事完全免疫5.virus of falseness 虚假的病毒6.stressful lifestyle 有压力的生活方式7.robust emotion 健全的感情8.fragile health 脆弱的健康9.to balance our mind ,body and spirit平衡心理、身体和精神10.spiritual life精神生活11.the blockage to wellness 通向身心健康的“路障”12.repressed emotions 被压抑的感情13.genuine feelings and emotion真情实感14.physiological influences 心理影响15.fully integrated human beings 十全十美的人16.decaying teeth 蛀牙17.nutrition professor 营养教授18.burgeoning waistline 迅速膨胀的腰围19.bottled water 瓶装水20.caloric intake 热量摄入21.to curb appetite 节制食欲22.grains and protein 谷物和蛋白质23.childhood obesity 儿童肥胖症24.lean protein 精益蛋白质25.dietary habits 饮食习惯26.quality of life 生活质量27.diary category 乳制品类28.prevention of diabetes糖尿病的预防29.sodium content 钠的含量Unit 61.nursing homes养老院2.hospice/end-of-life care临终关怀3.congestive heart failure充血性心衰4.available around-the-clock 24小时随叫随到5.coronary care unit冠心病监护室6.to respond to treatment对治疗有反应7.skilled nursing facility专业护理机构8.end-of-life/hospice care生命终末期护理fort care舒适护理10.hospital discharge planner出院计划专员11.symptom care症状护理12.palliative care姑息疗法13.fatal illness绝症14.chronic obstructive pulmonary disease慢性阻塞性肺病15.experimental treatments实验性治疗16.spiritual advisor精神顾问17.to discontinue all treatment终止所有治疗18.to go through dialysis经历透析19.a PAP smear巴氏涂片检查20.patient-doctor relationship医患关系21.to provide care-as-usual提供常规医护22.preventive examinations预防性检查23.off the beaten path离开熟路，另辟蹊径24.to mold into a shape塑形25.To renew a prescription照旧处方再开药26.in vitro fertilization体外受精27.basic biology基础生物学28.embryonic stem cell research胚胎干细胞研究29.to collaborate with an outside与圈外人合作30.a test-tube baby试管婴儿31.reproductive sciences生殖科学32.to administer hormone施用激素33.to isolate immature eggs 分离未成熟卵子34.empirical observations经验观察35.pioneering work首创研究36.a fibre-optic endoscope光导纤维内窥镜37.ethical guidelines伦理原则38.societal concern社会关注39.infertile couples不孕不育夫妇40.inherited disease遗传疾病41.cystic fibrosis囊泡性纤维症42.ethical dilemma伦理困境Unit 71.a nursing station 护士站2.life-support machines 生命维持系统fort measure 舒适护理措施4.to withdraw treatments 停止治疗5.paternalistic decision-making process 家长式决策程序6.patient empowerment 给病人授权7.medical ethicist 医学伦理学家8.ethical principle 伦理准则9.clinical ideal 临床理念10.patient-centered care 以病人为中心的护理11.patient autonomy 病人自主权12.treatment option 治疗选择13.exclusive purview 专属领域14.emergency decisions 紧急状况下做的决定15.physician restraint 对医生的限制16.anxiety and confusion 焦虑与困惑17.ethical transgression 违背伦理18.family practice 家庭医疗19.widespread metastases 广泛转移20.aggressive treatment 积极治疗21.primary lesion 原发病灶22.to recommend follow-up 建议随访23.electronic record 电子病历24.pulmonary emboli 肺栓塞puterized tomography 计算机断层扫描CT26.bilateral infiltrates 双侧浸润27.a chest X-ray X线胸片28.left lower-lobe pneumonia 左下肺叶肺炎bored breathing 呼吸困难30.the hospice team 临终关怀团队31.chronic illness 慢性病32.psychosocial aspects 社会心理学领域33.evidence-based guideline 循证临床指南34.to implement a plan of care 实施治疗方案Unit 81.human subject 人体研究对象2.biomedical research 生物医学研究3.accepted therapy 公认的治疗4.a formal protocol 正式方案5.the principle of beneficence 有利原则6.the principle of justice 公正原则7.autonomous agents 有自主能力的行为者8.diminished autonomy 自主性减弱9.be exposed to risk of harm 使……面临受害危险10.Hippocratic Oath 希波克拉底誓言11.fairness in distribution 分配的公正性rmed consent 知情同意13.fair procedure and outcomes 公正的程序和结果14.the operating table 手术台15.an ethical obligation 伦理责任16.a pediatric neurosurgeon 儿科神经外科医生17.to perform the surgery 做手术18.blood flow 血流19.intensive care 重症监护20.adoptive father 义父21.biological father 生父22.psychological needs 心理需要23.medical judgment 医学判断24.occupational therapy 职业疗法25.to contract meningitis 感染脑膜炎26.to die of an infection 死于感染27.blood vessel 血管28.imbalances in circulation 循环的不平衡29.the welfare of human research subjects 人类研究对象的安宁30.to approve or disapprove all research activities 批准或不批准所有的研究活动31.to review a protocol 审查一个研究计划32.at risk of civil or criminal liability 有民事或刑事责任的危险Unit 91.medical school curriculum 医学院课程2.the medical education community 医学教育界3.to meet the public’s expectation 达到公众的期待4.personal attribute 个人品质5.to place value on 看重6.clinical malady 临床疾患7.diagnostic errors 诊断错误8.classic manifestation 典型临床表现9.the civic mindedness of physicians 医生的民本意识10.polite chatter 礼貌的闲谈11.bedside manner 医生对患者的态度，临床举止12.to scan hospital directory 搜索医院名录13.a integral part 不可分割的一部分14.underserved communities 服务匮乏的社区15.primary care shortage 初级保健缺乏16.certification evaluations 证书评估17.to address the needs 应对需要18.the basics of anatomy 解剖基础知识19.a teaching hospital 教学医院20.an academic medical center 学术医学中心21.to affiliate with teaching hospitals 隶属于教学医院22.continuing medical education credits 继续医学教育学分Unit 101.medical coverage 医疗保险支付范围2.Medicare and Medicaid 医疗保险和医疗救助3.a single-payer system 单一支付者系统4.to subsidize the uncovered 补贴无保险的人5.to deliver value care 提供医疗6.duplicative tests 重复的检查7.a sustained study 长期的研究8.vision deficit 视力缺陷9.a transesophageal echocardiogram （TEE）经食管超声心动图10.an trial thrombus 心房血栓11.a massive embolic stroke 大面积栓塞型脑中风mon carotid artery 颈总动脉13.intracranial branches 颅内段14.middle cerebral artery syndrome 大脑中动脉综合征15.intracranial bleeding 颅内出血16.brain-stem herniation 脑干脱疝17.neurologic recovery 神经功能恢复18.mechanical ventilation 机械通气19.anticoagulant treatment 抗凝血治疗20.intravenous infusion 静脉输液21.an academic surgeon 学术型外科医生22.hospital administrator 医院管理者23.inbound ambulance 入院的救护车24.elective surgery 可做可不做的手术25.acute myocardial infarction 急性心肌梗死26.time-critical conditions 对治疗时间要求紧迫的疾病27.cardiac arrest 心搏停止28.traumatic injuries 外伤，创伤29.percutaneous coronary intervention 经皮冠状动脉介入术30.a multi-payer model 多家支付者模式31.universal insurance programs 全民保险计划32.for-profit insurance 以盈利为目的的保险33.pharmaceutical companies 制药公司34.home-brewed remedy 自创的治疗方法35.pay the bill out-of-pocket 自掏腰包付费。
学术英语Unit1~4课文翻译
Unit 1 Text A神经过载与千头万绪的医生患者经常抱怨自己的医生不会聆听他们的诉说。
虽然可能会有那么几个医生确实充耳不闻，但是大多数医生通情达理，还是能够感同身受的人。
我就纳闷为什么即使这些医生似乎成为批评的牺牲品。
我常常想这个问题的成因是不是就是医生所受的神经过载。
有时我感觉像变戏法，大脑千头万绪，事无巨细，不能挂一漏万。
如果病人冷不丁提个要求，即使所提要求十分中肯，也会让我那内心脆弱的平衡乱作一团，就像井然有序同时演出三台节目的大马戏场突然间崩塌了一样。
有一天，我算过一次常规就诊过程中我脑子里有多少想法在翻腾，试图据此弄清楚为了完满完成一项工作，一个医生的脑海机灵转动，需要处理多少个细节。
奥索里奥夫人 56 岁，是我的病人。
她有点超重。
她的糖尿病和高血压一直控制良好，恰到好处。
她的胆固醇偏高，但并没有服用任何药物。
她锻炼不够多，最后一次 DEXA 骨密度检测显示她的骨质变得有点疏松。
尽管她一直没有爽约，按时看病，并能按时做血液化验，但是她形容自己的生活还有压力。
总的说来，她健康良好，在医疗实践中很可能被描述为一个普通患者，并非过于复杂。
以下是整个 20 分钟看病的过程中我脑海中闪过的念头。
她做了血液化验，这是好事。
血糖好点了。
胆固醇不是很好。
可能需要考虑开始服用他汀类药物。
她的肝酶正常吗？她的体重有点增加。
我需要和她谈谈每天吃五种蔬果、每天步行 30 分钟的事。
糖尿病：她早上的血糖水平和晚上的比对结果如何？她最近是否和营养师谈过？她是否看过眼科医生？足科医生呢？她的血压还好，但不是很好。
我是不是应该再加一种降血压的药？药片多了是否让她困惑？更好地控制血压的益处和她可能什么药都不吃带来的风险孰重孰轻？骨密度 DEXA 扫描显示她的骨质有点疏松。
我是否应该让她服用二磷酸盐，因为这可以预防骨质疏松症？而我现在又要给她加一种药丸，而这种药需要详细说明。
也许留到下一次再说吧？她家里的情况怎么样呢？她现在是否有常见的生活压力？亦或她有可能有抑郁症或焦虑症？有没有时间让她做个抑郁问卷调查呢？健康保养：她最后一次乳房 X 光检查是什么时候做的？子宫颈抹片呢？ 50 岁之后是否做过结肠镜检查？过去 10 年间她是否注射过破伤风加强疫苗？她是否符合接种肺炎疫苗的条件？奥索里奥夫人打断了我的思路，告诉我过去的几个月里她一直背痛。
学术英语(医学)重点翻译
1
2 3 4 5 6
colonoscopy hypertension mammogram neuron nutritionist
结肠镜检查（术） examination of the colon with a colonoscope 高血压 乳房X线照片 abnormally elevated blood pressure an x-ray image of the breast one who is trained or an expert in the field of nutrition a disease in which the bones become weak and break easily
如果病人冷不丁提个要求，即使所提要求十分中肯，也会 让我那内心脆弱的平衡乱作一团，就像井然有序同时演出 三台节目的大马戏场突然崩塌一样。
Unit 1 Doctor s’ Life
2. ... I‘m piling yet another pill onto her ... (Para. 3)我还要再给她另加一种药
3 …she's caught one of my neurons in mid-fire… (Para. 4) 她让我如火如荼的思绪戛然而止… 4. My instinct is to put one hand up and keep all interruptions at bay. (Para. 4)
8
9
refill transplant
再配（处方） 移植
10
Text B
• This conventional wisdom formed the basis for daily confrontations between an increasingly restless and resentful patient and an increasingly adamant and doompredicting clinical clerk. (Para. 4) 有的病人越来越焦躁不安、越来越愤愤不满，有的临床医生 越来越固执己见、越来越热衷于生死决断。这种传统智慧 就成了这些病人和临床医生之间天天对抗不断的基础 。 My suwas far from uneventful. (Para. 9) 我后来的“临床之路”远非平淡无奇
《学术英语(医学)(第二版)》Unit1翻译及课后习题答案
UNIT 1 A Doctor’s LifeTeaching ObjectivesAfter learning Unit 1, students (Ss) are expected to accomplish the following objectives:Teaching Activities and ResourcesPart 1 ReadingText ALead-inSuggested teaching plan1.Start the class by sharing your experiences with doctors.2.Brainstorming task:1)Ask Ss to brainstorm what they know about a doctor’s life and practice.2)Write down the key words on the chalkboard.3)Ask Ss to have a short discussion on different aspects of a doctor’s life. Ssare encouraged to use the key words in discussion.The following is a list of suggested key words:3.Make a summary on the discussion and introduce the topic of Text A.Text ComprehensionSuggested teaching plan1.When preparing for and planning the class, the teacher (T) can search “doctor’slife” on the Internet and find out what people say and think about a doctor’s life.Start the class by introducing the findings. This is a natural continuation of Lead-in.2.Analyze the text and lead Ss to discuss, integrating Task 2 / Critical reading andthinking / Text A into analysis and discussion. The presentation topics should be assigned to individual Ss for preparation at least one week in advance. Ask other Ss to preview the text with the guidance of the presentation topics.3.Integrate Task 2/ Language building-up/ Text A when a parentheticalstatement is dealt with.4.When analyzing the text, ask Ss to pay special attention to the sentences listed inLanguage focus below.5.If time allows, ask Ss to do Task 1 / Critical reading and thinking / Text A inabout five minutes. Check out the task by asking one or two Ss to read their answers. This is done to get an overview about the text.Language focus1.… that one stray request from a patient—even one that is quite relevant—might send the delicately balanced three-ring circus tumbling down. (P2, Para. 1)两个破折号之间是插入语，补充说明病人冷不丁提出的要求（stray request）也可能是相当中肯的（relevant），即便如此，对聚精会神的医生来说也是“灾难性的”。
学术英语医学一单元
Good Things
Blood tests done Glucose a little better Her blood pressure good but not great
Bad Things
Her weight a little up Her bones a little thin on the DEXA
我还要再给她另加一种药
Language Focuses
Key to Task 3 Formal English
Good thing she did her blood tests. Glucose is a little better. Cholesterol isn't great. May need to think about starting a statin. Are her liver enzymes normal?
Neuron overload Patients’ high expectations Mistrust and misunderstanding between the patients and physician
Language Focuses
neuron/ neuronal overload（神经过载） ________________ …that one stray request from a patient— even one that is quite relevant—might send the delicately balanced three-ring circus tumbling down.
学术英语(医学)-Unit
Choose appropriate academic English (medical)
textbooks
Select texts that align with learning objectives
Look for books that focus on the language and concepts relevant to the medical field.
Oral expression skills in medical reports
准确描述病情
能够用口头方式准确描述患者的 病情、症状和体征，为医生提供
全面的患者信息。
清晰解释治疗方案
能够用口头方式清晰解释治疗方案、 手术过程和药物使用等方面的信息。
流利汇报检查结果
能够流利地汇报检查结果，包括实 验室检查、影像学检查和病理检查 结果等。
04
了解国际医学研究动态 和趋势，拓展学术视野 和知识储备。
02
Vocabulary and Expression of Academic English (Medical)
Learning and Accumulation of Medical Vocabulary
总结词
积累专业词汇
详细描述
医学英语中有很多专业术语，如拉丁语、希腊语等，需要 理解这些术语的含义和用法。可以通过查阅词典、学习专 业术语表等方式加深对专业术语的理解。
Abstract
A concise summary of the article, including objectives, methods, results, and conclusions.
Introduction
Describes
学术英语—医学Unit 1整理
Academic English for MedicineMedical Terminology● Lead inCardiac adj. 心脏的Cardiomyopathy n. 心肌病 Cardiovascular adj. 心血管的 Cardiology n.心脏病学 Myocarditis n.心肌炎 Electrocardiogram n. 心电图Words are formed from roots, prefixes, and suffixes.Combining FormsWhen a suffix beginning with a consonant isadded to a root, a vowel (usually an o) is inserted between the root and the suffix to aid in pronunciation.Root O Suffix eg.neur + o + logy = neurology (study of the nervous system)A root with a combining vowel is often called a combining form.希腊词素 连合元音 希腊词素 连合元音 希腊词素英语医学词汇的基本特征 医学词汇的多源化比如：汉语的“臀部”或“屁股”，英语词汇就有7个。
前4个词均为口语词汇或俗语，好比汉语的“屁股”；后3个词为著述所用，是书面语，好比汉语的“臀部”。
一词多义由于人类最早的医学活动与巫术、神话有关；到公元前800年至公元前300年，人类的医学活动与哲学密切相关；到公元1、2世纪，世界名医辈出，医学词汇的应用更广。
医学词汇就出现了其他的循环意义。
比如: heart3、医学词汇一词三式医学英语词汇还体现在横向关系上, 大多数关于人体解剖的医学词汇都是同一个词义,有盎格鲁-撒克孙, Medical Terminology● Exercises1.adren/o: adrenal gland(肾上腺) adrenal -al, pertaining to,hence pertaining to adrenal gland adrenaline -lin/line, substance,hence ___________________ adrenalitis -itis, inflammation,hence ___________________2. –ar: pertaining tovascular vascul/o, blood vessel.hence______________cellular ________________molecular ______________3. bi/o: lifebiomedical _______________biology -logy, the study of,hence _______________biophysical _______________4. chrom/o, chromomat: colorchromosomes -somes, bodies,hence the color body, the substance that carries genetic features from parents to children chromatin -in, substance,hence a protein substance in the nucleus ofa cell, component of chromosomes5. crin/o: secreteendocrinology ____________crinogenic gen/o+ic, pertaining to the production,hence ________________crinology ________________6. –cyte: cellerythrocyte erythr/o, red,hence _______________leukocyte leuk/o, white,hence _______________lymphocyte lymph/o, lymph(淋巴)hence ________________7. cyt/: cellcytology __________cytochemistry _________cytobiology _________8. embry/o: embryo (胚胎)embryology ________embryoma -oma, tumorhence _________embryopathologypathology, the study of disease,hence ______________9.endo-: innerendocrinology _________endocardial __________endocellular ___________ Words to be remembered in Unit 11. neuron2. ovrload3. diabetes4. hypertension5. cholesterol6. medication7. consultation8. enzyme9. osteoporosis10. pneumonia11. vaccine12. prescription13. simultaneous14. resident15. overwhelming16. prioritize17. simulate18. omniscient19. tablet20. eligibility21. criterion22. prognosis23. ward24. infectious25. hepatitis26. metabolism27. exacerbate28. relapse29. epidemiology30. intravenous31. arterial32. humanitarian33. malaria34. tuberculosis35. integral。
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Unit 1 Doctors’ Life
Listening
News Report
Prediction
Task 2 Watch the video and take notes about the following points.
• design of the survey
– Over 550 physicians in the department of internal medicine at a large academic medical center
Unit 1
Listening
Doctors’ Life
Prediction
Task 2 Watch the video and take notes about the following points.
• criteria for burnout
– emotional exhaustion – depersonalization – a low sense of personal accomplishment
• findings of the survey
– 34% burnout
– 88% respondents who said they spent at least 20% of their working time on the most personally meaningful activities had about half the burnout rate of those who did not
Discussion
• 1. Why do you choose to be a medical student?
• 2. How do you think of the present doctorpatient relationship?
Unit 1
Listening
Doctors’ Life
Prediction
– Depending on background information and common sense
– An effective way of processing speech
Unit 1
Listening
Doctors’ Life
Prediction
Task 2 Watch the video and take notes about the following points.
– questions about job satisfaction, emotional well-being, and the aspects of the job that are most meaningful
Unit 1
Listening
Doctors’ Life
Prediction
Task 2 Watch the video and take notes about the following points.
– Let me summarize the main points again
Visual aids
➢Keep it simple and clear ➢Use an appropriate font size ➢Make information relevant ➢Use it as an aid but not a script ➢Use contrasting colours
• consequences of physician burnout
– Increased risk for substance abuse – Damage to personal relationships – Increased risk for developing
inappropriate prescribing patterns
Unit 1
Listening
Doctors’ Life
Prediction
Task 2 Watch the video and take notes about the following points.
• implication of the survey
学术英语 医学
Academic English for Medicine
ห้องสมุดไป่ตู้
Course Requirement
• 1. Active Participation • 2. Full Attendance • 3. Completion of Assignment
Structure
• Introduction
Dictation
• Twice, every 3 units • For each unit, 10 words from the vocabulary
list (Text A & C)
Unit 1
Doctors’ Life
Doctors are thought as noble, respectable, and caring, but it is really common to read or hear about the complaints of doctors’ being impatient and careless. What are the causes for such complaints? How can ordinary incidents influence the way doctors practice medicine? This unit explores doctors’ life from different perspectives so that you can understand them better.
– Good morning everyone, welcome to today’s presentation
• Objective
– Our presentation is about….
• Main part
– Our presentation consists of 3 parts…
• Conclusion