学术英语 医学 Unit 2

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学术英语医疗Unit分析解析讲义

学术英语医疗Unit分析解析讲义

Unit 2 Resurgent and Emergent Diseases
Unit Contents
Lead-in Text A Text B Text C Listening Speaking Writing Get ready for Unit 3
Unit 2 Resurgent and Emergent Diseases
学术英语医
疗Unit分析 解析
Unit 2 Resurgent and Emergent Diseases
Listening
Listening
• Finding Major Points
– Pausing before starting an important point – Using repetition to emphasize a point – Changing the pitch, volume and rhythm of his/her
Text C
Suggested answers
Key to Task 2 of Listening
• Project HOPE – A calling on the U.N.: strong actions on • Treatment • Prevention – The health-based NGO: programs in 35 countries on 5 continents • Project HOPEL the HOPE Center located in Johannesburg, South Africa
Listening
Suggested answers
Key to Task 1 of Listening

学术英语—医学Unit 2整理

学术英语—医学Unit 2整理

Academic English for MedicineMedical Terminology (2)hepat/o, liverhepatitis, the inflammation of livervs. endo/crino/logyRule 1: Drop the combining vowel(usually) before a suffix beginning with a vowel.Rule 2: Keep the combining vowel between two roots: gastroenterology not gastrenterology Rule3:Read the meaning of medical terms from the suffix back to the beginning of the term and across, i.e. the study of stomach andintestine(gastr/o and enter/o)Vocabulary常见的医学英语词缀:(1)……炎: the inflammation of …// -itis hepatitis肝炎; hepat/o: liverarteritis动脉炎; arter/o: arteryvasculitis血管炎; vascul/o: vas/o: vesselnephritis肾炎; nephr/o: kidneypancreatitis胰腺炎; pancreat/o: pancreasovaritis; oophoritis卵巢炎;pleuritis胸膜炎; pleur/o:pleura (2)……术…operation of….●缝合术:-orrhaphyaneurysmorrhaphy (suture) ;动脉瘤缝术aneurysm:动脉瘤●切除术: ectomy: removalpharyng ectomy咽切除appendectomy: 阑尾切除术append/o: appendic/o: appendix阑尾●固定术: -pexy: fixingrectopexy直肠固定术rect/o: rectum(3)方位/时间方面的词缀●上: upper//superior; epi-; supra- epithelium上皮组织;●下:lower//inferior; infra-; sub-subcutaneous 皮下的; cutane/o: skin●前:front//anterior//prior// fore-; ante-;pre-; antero-forehead前额; anteroposterior前后的precirrhosis前期肝硬化;cirrh/o:orange硬变●后:back//posterior// post-; retro-postheptical肝后的; heptic/o: liver; retrocardiac心后的;cardi/o:heart ●内:inner//internal// in-; endo-; ento-;entro-; intro-;inhale, inhalation吸入endoscopy内窥镜检; -scopy:visual exam●外:outer//external//ex-; exo-; ultra-;extra-;extract抽出; exhale呼出excretion排泄物; exocardial心外的●间:inter-; between;intermuscular肌肉间的;常见药物词缀:●-cillin 青霉素类药物阿莫西林(羟氨苄青霉素) amoxicillin 片剂、胶囊剂氨苄西林钠(氨苄青霉素) ampicillin sodium 注射剂羧苄青霉素钠carbencillin双氯青霉素dicloxacillin常见的医学英语词缀(1)…痛… headache, stomachache….the pain of ; ache, -algia; -agra; -dynia neuralgia神经痛; neur/o: nerve;gastralgia胃痛 ; gastr/o: gaster, stomach arthralgia关节痛; arthr/o: joint abdominalgia腹痛; abdomin/o: abdomen(2).与检查有关的词缀镜检:-scopy镜检法; scope镜gastroscopy 胃镜法;量具:-meter: instrument for measuringcardiometer心力计;thermometer温度计心电图: electrocardiogram =ECG;( electrocardiograph心电图仪) 脑电图: electroencephalogram=EEGB超:type B ultrasonicCT:computerized tomography计算机x射线断层尿检 urine analysis血常规 blood routine其他词缀●怕,畏惧–phobia: fearphotophobia畏光 , phot/o:light困难 dys-: bad, difficultydysfunction功能障碍; dyspepsia消化不良dyspnea 呼吸困难, -pnea:breathing●不良 mal-: badmalnutrition营养不良; malpractice事故malfunction机能障碍malignant恶性的maladministration管理不善●好,正, eu-: goodeugenic优生的adj.eugenics优生学; gen/o: producingeuthanasia安乐死; -thanasia: death●瘤,肿块–oma: tumor; cancer; swelling lymphoma淋巴瘤; hematoma血肿血症–emia: blood conditionleukemia白血病; septicemia败血症●高:hyper- :high,above; hyperdynamia: 肌力过度;hypertension高血压( high blood pressure)●低:hypo-; low; belowhypotonia hypotonic张力/压力过低(的)hypotension ;low blood pressure,hyposensitivedynam/o: power, force; dynamic adj. dynamics 疗法:-therapyradiotherapy放疗; radiotherapist(放疗专家) chemotherapy化疗physiotherapy理疗psychotherapy心理疗法therapist治疗师●无,没有 a- an-: withoutatypical 非典型性的asexual无性的asymptomatic无症状的anemia贫血anorexia厌食症 orex/o: appetiteanesthesia麻醉(感觉缺失: esthesi/o: feeling, perception )●Cef-头孢类药物头孢氨苄cefalexin头孢羟氨苄cefadroxil头孢克洛Cefaclor头孢吡肟Cefepime头孢丙烯Cefprozil头孢拉定cephradine Words to be remembered in Unit 21.doom2.microbial3.vulnerable4.penicillin5.regression6.respiratory7.cholera8.venue9.mutation10.pandemic、11. influenza12. antigen13. immune14. complication15. infrastructure16. deteriorate17. exotic18. lethal19. eradicate20. prevalence21. toxicity22. immigration23. diagnostic24. pathogen25. chronic26. gastric27. ulcer28. pesticide29. Smallpox30. pathogenic31. surveillance32. vaccination33. panacea34. plague35. radiograph36. screen37. attend to38. be infected with39. hit the headline40. contribute to。

学术英语(医学)Unit1~4课文翻译

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。

(完整版)学术英语(医学)课后问题答案

(完整版)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 doctor2、Mrs. Osorio’s condition:·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 —:the form signed by her doctor.—request”·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 Union? TB in urban centers like New York City? Rising 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 patient?Correct 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 group? Tendency to produce comparable groups? Guaranteed validity of statistical tests of significanceLimitations:? Difficulty in generalizing the results obtained from the selected sampling to the population as a whole? A poor choice for research where temporal factors are anissue?Extremely heavy resources, requiring very large samplegroups? Quasi-experimentsAdvantages:? Control group comparisons possible?Reduced 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 groups? Cohort studiesAdvantages:?Clear indication of the temporal sequence between exposure and outcome? Particular use for evaluating the effects of rare or unusual exposure? Ability to examine multiple outcomes of a single risk factorLimitations:? Larger, longer, and more expensive? Prone to certain types of bias? Not practical for rare outcomes? Case-control studiesAdvantages:? The only feasible method in the case of rare diseases and those with longperiods between exposure and outcome? Time 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 nature? Difficult to establish the timeline of exposure to disease outcometrials? “N=1”Advantages? Easy to manage? InexpensiveLimitations:? Findings difficult to be generalized to the whole population? Weakest 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 stress? Pain? Hardships·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 vitality? A certain zip in gait? A 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-truth? Fearful fictions? Blatant 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 dimensions? Building our wellness toolbox slowly? Picturing our whole state of being·Attention to the little stuff:? Examining our lives honestly and setting clear intentions to change? Striving to maintain a balance of our mind, body and spirit? Taking 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 therapy? Notable departures 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 form? Adequate information as the premise? A 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: fairness? At the social level: distinction between classes。

医药英语教程第二单元课文翻译

医药英语教程第二单元课文翻译

Cardiac surgery:a brief history心脏外科简史Possibly some of the greatest achievements in medical science have been those made in cardiac surgery.The first successful example was carried out in 1896 by Dr Ludwig Rehn(Germany),who repaired a stab wound to the right ventricle,Open-heart surgery itself dates form the 1950s,while bypass operations began in the mid-60s. By the 1980s,two-thirds of those receiving heart transplants survived five years or more.Today,heart surgery is robotized:incisions to the heart have been reduced to a minimum and patient recovery time is down from six months to a few weeks.也许医学上最伟大的成就是在心脏外科。

第一个成功的例子是Ludwig Rehn博士(德国)在1896年修补了右心室的刀伤,心脏手术本身始于上世纪50年代,而旁路手术开始于60年代中期。

上个世纪80年代,那些接受心脏移植的人三分之二存活五年以上。

今天,心脏手术已经机械化:切口心脏被减少到最低限度,病人恢复时间从六个月减少到几周。

One of the first pioneers in the field of cardiac surgery was Dr Dwight Harken,a US army medic serving during World WAR 2.Initially,he operated on animals to improve his skills,moving on to soldiers arriving from the European front with bullets lodged in their hearts.Dislodging them almost always proved fatal,but Harken developed a technique that enable him to cut into the wall of a still beating heart and successfully remove it.With time,more and more of his patients began to survive,proving it was indeed possible to operate on the human heart.其中一个在心脏外科领域的鼻祖是Dwight Harken博士,在2次世界大战期间的一个美国陆军军医。

学术英语(医学)教师版Unit2课文翻译

学术英语(医学)教师版Unit2课文翻译

Unit 2 Text A再现疾病:今天遁形无踪,明日卷土重来?桑塔亚纳有句格言:“不能铭记过去的人注定要重蹈覆辙”,这句话用在生物学上就有这样一个推论:人们相信我们已经征服了古老的微生物这个敌人,这种信念让我们惊人地脆弱,很易受他们的攻击。

“宿敌不死。

”我们有两个选择。

按照第一种选择去做,10 年之后头条新闻要么报道国会里你死我活的争吵,要么报道哪位运动员签了几百万的合约。

而另一方面,第二种选择的结果是出现这样的标题:“新型流感变种在蔓延:死亡人数已达五十万”1969 年,美国卫生局局长威廉·斯图尔特在国会听证时说,我们可以“给传染病画上句号了。

”抗生素和疫苗带来了一个接一个了不起的胜利,从青霉素的发现到脊髓灰质炎的防治等凡此种种,让医学界欣喜不已。

他们认为这场战争几乎结束了。

今天,当我们面对各种已经被称为新现疾病和再现疾病时,我们认识更加透彻。

在《美国医学协会杂志》传染病的一期特刊中,诺贝尔奖得主,哥伦比亚生物学家约书亚·莱德伯格写道:“‘出现’其实是回归,回到上个世纪普遍盛行的水平。

”就在这期特刊中,有个报告对日益严重的传染病构成的威胁进行了量化:1980 年到 1992 年间,美国传染病的死亡率增加了 58%,其中艾滋病占了一半略多一点,而其他一些疾病,特别是呼吸道感染,也有显著贡献。

宣布胜利的日子里,人们飘飘然起来,然而后来突然出现了像艾滋病和埃博拉之类的各种新型疾病,虽然人们认为那些已有的病魔已经被降服,但是他们已经再次暴发。

白喉在前苏联正卷土重来。

虽然上层社会的歌剧迷们也许觉得结核病只是歌剧《波西米亚人》中的创作,而事实上,结核病就从来没有消失过,再次成为包括纽约市在内的城市中心的威胁。

甲型链球菌传染病正在增多,这意味着猩红热可能再次为大家熟知。

每一位在传染病领域的工作者都害怕,终有一日一种强大的新型流感菌株会席卷全球。

“战争胜利了,” 最近有位科学家嘲弄道,“是对方(传染病)获胜。

医学英语阅读uint2中英对照

医学英语阅读uint2中英对照

第一篇人体疾病第一章对人体的简要概述使我们对两个被认为是医学基础的不同学科有了初步认识,这两个学科就是解剖学与生理学。

然而不把病理学包括进去,这种概述是不完整的,因为病理学是研究疾病引起的结构和功能变化的学科。

实际上,现代对疾病的研究方法强调病理学与生理学的密切关系,并强调在治疗任何人体疾病时了解病理学与生理学基础的必要性。

The brief survey of the human body in Chapter One has given us a glimpse into two different studies that are considered the fundamentals of medical sciences, namely anatomy and physiology. However, the picture is not plete without considering pathology, the science that deals with the structural and functional changes produced by the disease. In fact, the modern approach to the study of disorder emphasizes the close relationship of the pathological and physiological aspects and the need to understand the fundamentals of each in treating any body diseases.那么什么是疾病呢?它可以被定义为正常机能或者部分机能遭受损害时的一种状态。

每一种生物,无论植物还是动物,都会生病。

例如,人类常常被微小的细菌感染,但是细菌又转而可能被更加微小的病毒感染。

学术英语Unit1~4课文翻译

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

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。

学术英语(第二版)医学教师用书Unit 2

学术英语(第二版)医学教师用书Unit 2

UNIT 2 Resurgent and Emergent Diseases Teaching ObjectivesAfter learning Unit 2, Ss are expected to accomplish the following objectives:Professional knowledge ▪To understand the current situations of the threatening resurgent and emergent diseases▪To know the causes of the emerging diseases▪To have some knowledge of the resources and measures available to combat these resurgent and emergent diseasesReading ▪To know that infectious diseases are still a great threat to human health▪To understand the true implication of “Old enemies never die.” in the context of medicine and health care▪To learn that the war against infectious diseases is far from won▪To be aware how every returning condition marches to the beat ofa different drum▪To recognize the importance of prevention and surveillance such as vaccination practices in the battle against infections▪To have a thorough knowledge of the severity of the TB resurgence as exemplified by the British situationAcademic vocabulary and discourse ▪To gain some knowledge about medical terminology in the aspects of building blocks and etymology▪To understand the ways of listing▪To further develop an awareness of formal and informal languageViewing To learn how to find major points when watching a video clip or listening to an audio recording by identifying clues and questions from the speakerSpeaking ▪To be aware of the goals of a presentation when starting preparation▪To know strategies to tailor the presentation to serve the different purposesWriting ▪To know the characteristics of a good paper title ▪To know the forms of capitalization in the titleResearching To gain a clear and comprehensive understanding of TB epidemiology and the adopted measures and policies to control and prevent itTeaching Activities and ResourcesPart 1 ReadingText ALead-inSuggested teaching plan1.Start the class by introducing the reality of the infectious diseases.2.Lead Ss to do Task / Lead-in:1)Ask Ss to fill in the blanks.2)Ask Ss to compare their answers with their partners’.3)Check Ss’ answers.The following is a list of suggested key words:Outbreak Year Cause SymptomSARS 2002-2003 SARScoronavirus(冠状病毒)•High fever•Headache•An overall feeling of discomfort•Body aches•Diarrhea (腹泻)•Cough•Shortness of breathEbola 2013-2016 Ebola virus •Tiredness•Fever•Decreased appetite •Muscular and joint pain •Headache•Sore throat•V omiting•Diarrhea •Abdominal pain (腹痛) •Shortness of breath •Swelling (肿胀) •Confusion •BleedingZika 2015-2016 Zika virus •Fever •Red eyes •Joint pain•Headache• A maculopapular rash (斑状丘疹)3.Make a summary on the discussion and introduce the topic of Text A.Text ComprehensionSuggested teaching plan1.To design and plan a well-informed class, T may browse the official website ofWHO, CDC, and China CDC for the latest news, reports, and information about the current situation of infectious diseases. As a continuation of Lead-in, introduce the topic of the text by mentioning the most pertinent information.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 usage of listing iscovered.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.In 1969, Surgeon General William Stewart, testifying before Congress, saidthat we could “close the book on infectious disease.” (P28, Para. 3)close the book on something作为一个固定搭配,意为“搁置某物,对某物已经无须耗费精力”。

学术英语Unit1~4课文翻译

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 Unit 2

学术英语 医学 Unit 2

• “New Flu Strain Spreads: Death Toll Reaches Half Million.”
• • • • •
1. 通行费 toll gate 2. (死亡、事故或灾难的)总数 3. 造成恶果(或不利影响、痛苦等) Winter takes its toll on your health... 冬天对健康不利。


Suggested answers
Page 26
Unit 2 Resurgent and Emergent Diseases
Text A
Critical reading and thinking
Topics for presentation
“Old enemies never die.”
Page 26 - 30
Unit 2 Resurgent and Emergent Diseases
• “New Flu Strain Spreads: Death Toll Reaches Half Million.”
• • • • • •
1. (人的)血缘,世系;种 She is of a noble strain. 她出身名门。 2. (动植物的)种,品种 This strain of wheat can grow during a cold spring. 这种品系的小麦能在寒冷的春天生长。
Text C
Suggested answers
Key to Task 2 of Listening
• the mission of Project HOPE center – Diabetes clinic with the latest diagnostic and treatment options – Peer support groups to help people • manage their disease • make healthier lifestyle changes – Training government health workers about NCDs to help raise general awareness

学术英语医学Unit

学术英语医学Unit

第18页/共101页
Unit 1
Text A
Doctors’ Life
Critical reading and thinking
Useful expressions
• the diet-and-exercise discussion • not making eye contact with Mrs. Osorio
第16页/共101页
Unit 1
Text A
Doctors’ Life
Critical reading and thinking
Topics for presentation
4 Describe the situation when Mrs. Ororio might send the author ’s delicately balanced three-ring circus tumbling down.
• Mrs. Osorio made a trivial request, not so important as compared to her conditions.
• Mrs. Osorio seemed to care only about her “ innocent— and completely justified—request”: the form signed by her doctor.
• Suggested answers
第7页/共101页
Unit 1eading and thinking
Questions for discussion
• How do you interpret the title?
– neuron overload – juggling physician

学术英语医学答案unit2

学术英语医学答案unit2

学术英语医学答案unit21、He used to get up at six in the morning,()? [单选题] *A. used heB. did heC. didnt he (正确答案)D. should he2、64.Would you like to drink ________?[单选题] *A.something else(正确答案)B.anything elseC.else somethingD.else anything3、—It’s too noisy outside. I can’t fall asleep.—I can’t, either. We have to ______ new ways to solve the problem.()[单选题] *A. come up with(正确答案)B. get on withC. make up withD. catch up with4、You are getting too old for football.You had better _____tennis instead. [单选题] *A.take up(正确答案)B.take inC.take forD.take over5、Can I _______ your order now? [单选题] *A. makeB. likeC. giveD. take(正确答案)6、In crowded places like airports and railway stations, you___ take care of your luggage. [单选题] *A. canB. mayC. must(正确答案)D. will7、( ) What other books have you read___ this English novel? [单选题] *A. besides(正确答案)B. exceptC.inD. about8、I am worried about my brother. I am not sure _____ he has arrived at the school or not. [单选题] *A. whether(正确答案)B. whatC. whenD. how9、We have ______ homework today. ()[单选题] *A. too manyB. too much(正确答案)C. much tooD. very much10、Have you kept in()with any of your friends from college? [单选题] *A. contractB. contact(正确答案)C. continentD. touching11、()of the twins was arrested because I saw them both at a party last night. [单选题] *A. NoneB. BothC. Neither(正确答案)D. All12、This year our school is _____ than it was last year. [单选题] *A. much more beautiful(正确答案)B. much beautifulC. the most beautifulD. beautiful13、( ) What _____ fine weather we have these days! [单选题] *A. aB. theC. /(正确答案)D. an14、( ) It ___ the Chinese people 8 years to build the Dam. [单选题] *A. took(正确答案)B. costsC. paidD. spends15、You have coughed for several days, Bill. Stop smoking, _______ you’ll get better soon. [单选题] *A. butB. afterC. orD. and(正确答案)16、Either you or the president()the prizes to these gifted winners at the meeting. [单选题] *A. is handing outB. are to hand outC. are handing outD. is to hand out(正确答案)17、55.There is a ________ on in the bookshop. Let's go to buy some books. [单选题] *A.movieB.matchC.sale(正确答案)D.concert18、Then the speaker _____the various factors leading to the economic crisis. [单选题] *A.went onB.went afterC.went into(正确答案)D.went for19、The firm attributed the accident to()fog, and no casualties have been reported until now. [单选题] *A. minimumB. scarceC. dense(正确答案)D. seldom20、His handwriting is better than _____. [单选题] *A. mine(正确答案)B. myD. me21、What he said sounds _______. [单选题] *A. pleasantlyB. nicelyC. friendly(正确答案)D. wonderfully22、——Have you()your friend Bill recently? ———No, he doesnt often write to me. [单选题] *A. heard aboutB. heard ofC. heard from (正确答案)D. received from23、31.That's ______ interesting football game. We are all excited. [单选题] *A.aB.an(正确答案)C.theD./24、Tom is very _______. He never cleans his room. [单选题] *A. lazy(正确答案)B. activeC. shyD. healthy25、If the manager had to choose between the two, he would say John was _____ choice. [单选题] *A. goodB. the bestC. betterD. the better(正确答案)26、Hearing that he had passed _____ health examination, he immediately made _____ call to his parents. [单选题] *A. a; /B. the; /C. the; a(正确答案)D. a; the27、46.The pants look cool.You can ________. [单选题] *A.try it onB.try on itC.try them on(正确答案)D.try on them28、If you want to _______, you’d better eat more healthy food and do more exercise. [单选题] *A. keep fatB. keep calmC. keep healthy(正确答案)D. keep on29、—The weather in Shanghai is cool now, ______ it? —No, not exactly. ()[单选题] *A. doesn’tB. isC. isn’t(正确答案)D. does30、He held his()when the results were read out. [单选题] *A. breath(正确答案)B. voiceC. soundD. thought。

医学英语unit2

医学英语unit2

Phone interviews and health assessments of more then 500 women and 200 men who had reached 100.
Thቤተ መጻሕፍቲ ባይዱ result :
2/3 of them significant age – related ailments.
——11妇幼
袁秋月
作业
Male survivors : 3/4
Men were functioning better than the women
Women : 1/3
No medicines
Don’t smoke
Rosa McGee Now 104
Beautiful living habits
Don’t drink Take walks
It is get your shoes on ,get out there ,and do some exercise . These are some things you can do to increase the chances of a long life. It is never too late to adopt a healthier lifestyle.
Get medical attention Genes
“It is not just luck ,it is not genetics …it is lifestyle ” that seems to make a big difference.
Lager study of men in their 70s found that those avoided smoking ,obesity , inactivity , diabetes and high blood pressure greatly improve d their chances of living into their 90s. In fact ,they had a 54 percent chance of living that long .
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Text C
Suggested answers
Key to Task 2 of Listening
• rise in food prices and health – Diet change as a result of sharp rise in food price • A major blow to the poor • Less healthy food (fruits and vegetables) but more cheaper, less healthy food – Decline of overall health of a country
Unit 2 Resurgent and Emergent Diseases
• “New Flu Strain Spreads: Death Toll Reaches Half Million.”
• • • • • •
1. (人的)血缘,世系;种 She is of a noble strain. 她出身名门。 2. (动植物的)种,品种 This strain of wheat can grow during a cold spring. 这种品系的小麦能在寒冷的春天生长。
Unit 2 Resurgent and Emergent Diseases
Text A
Critical reading and thinking
Useful expressions • • • • • Surgeon General “close the book on infectious disease.” medical community Journal of the American Medical Association respiratory infections
Lead-in
• Issues to be covered • Task
Unit 2 Resurgent and Emergent Diseases
Lead-in
• information-filling task
Outbreak Year Cause Prevalence
SARS Avian flu Swine flu
Text C
Suggested answers
Key to Task 2 of Listening
• the mission of Project HOPE center – Diabetes clinic with the latest diagnostic and treatment options – Peer support groups to help people • manage their disease • make healthier lifestyle changes – Training government health workers about NCDs to help raise general awareness
Unit 2 Resurgent and Emergent Diseases
Text A
Critical reading and thinking Topics for presentation
2. How has the medical condition changed since 1969? – Appearance of new diseases such as AIDS and Ebola – Comeback of the old afflictions • Diphtheria in the former Soviet Union • TB in urban centers like New York City • Rising Group A streptococcal conditions like scarlet fever • The fear of a powerful new flu strain sweeping the world
• “New Flu Strain Spreads: Death Toll Reaches Half Million.”
• • • • •
1. 通行费 toll gate 2. (死亡、事故或灾难的)总数 3. 造成恶果(或不利影响、痛苦等) Winter takes its toll on your health... 冬天对健康不利。
Unit 2 Resurgent and Emergent Diseases
Listening
Listening
• Finding Major Points
– Pausing before starting an important point – Using repetition to emphasize a point – Changing the pitch, volume and rhythm of his/her voice for emphasis – Using introductory phrases to precede an important idea. For instance, “It is essential for you to know …”, “Remember that …” – Use facial gestures or body movement when they are emphasizing a point
Unit 2 Resurgent and Emergent Diseases
Unit Contents
Lead-in Text A
Text B Text C Listening Speaking Writing Get ready for Unit 3
Unit 2 Resurgent and Emergent Diseases
Text C
Suggested answers
Key to Task 2 of Listening • strained public health system in South Africa – A well documented problem with HIV and TB – More people going into the clinics with diabetes and hypertension

Hale Waihona Puke •Suggested answers
Page 26
Unit 2 Resurgent and Emergent Diseases
Text A
Critical reading and thinking
Topics for presentation
“Old enemies never die.”
Page 26 - 30
Text C
Suggested answers
Key to Task 2 of Listening
• Project HOPE – A calling on the U.N.: strong actions on • Treatment • Prevention – The health-based NGO: programs in 35 countries on 5 continents • Project HOPEL the HOPE Center located in Johannesburg, South Africa
Page 26
Unit 2 Resurgent and Emergent Diseases
• • • •
We know better. 更明白事理, 没愚蠢到…,不会上当 Fools may believe you, but I know better. 傻子或许会相信你, 我可不会。
Unit 2
Resurgent and Emergent Diseases Although great progress has been made in the treatment and prevention of diseases in the last century, there is no reason for complacence. Human health is constantly threatened not only by emerging diseases but also by re-emerging ones once thought to have been controlled or eradicated. What causes new diseases? Why do the old enemies resurge? What resources are available for us to meet such challenges? What measures should we take to prevent and reduce those threats? This unit helps you to gain
Unit 2 Resurgent and Emergent Diseases
Text A
Critical reading and thinking
Topics for presentation
1. What do the two choices imply?
Page 26
Unit 2 Resurgent and Emergent Diseases
Listening
Suggested answers
Key to Task 1 of Listening
1. 2. 3. 4. 5.
as incomes rise, health can decline diabetes, obesity, cardiovascular disease and cancer a change in lifestyle / in diet the decline of overall health of a country the local community and the South African government
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