Beruflich Dokumente
Kultur Dokumente
BASICS
GENERAL HEALTH VOCABULARY
I
1. There were a lot of people at the doctors __________, so I had to wait for
hours.
2. Its just a small hospital, so all the beds in the surgical __________ are
occupied.
3. Theres been an accident, someone call a(n) __________!
4. You wont get this antibiotic without a __________.
5. They did a biopsy and took a __________ of the suspicious tissue.
6. The doctor gave her a painkiller to __________ the pain.
7. The flu is a highly ___________ disease.
8. I hurt my wrist yesterday playing tennis and today its ______________.
9. The cut was bleeding a lot, so he had to put on a __________.
10. The arm was broken and had to be put in a __________.
11. The usual symptom of an allergy is a __________ on your skin, or, in the
case of hay fever, a __________ nose.
12. I feel sick, I think Im going to __________.
13. She slipped and fell, and now shes got a nasty blue __________ on her
forehead and a(n) __________ on her cheek.
II
sickness
MALIGNANT
RECOVER
RELAPSE
RELIEF
REMISSION
1.
After surgery and chemo, shes in __________ and feeling fine. We all
Hope the cancers gone and there wont be a __________.
2.
3. Due to his young age, it didnt take him long to __________ after the
operation.
4. In diabetics, wounds tend to __________ with difficulty.
5. Unfortunately, the biopsy proved that the tumor was __________.
6. Diseases which run in families are called ___________.
7. An efficient antibiotic will __________ the infection in a few days.
8. The treatment is going to take some time, but Ill give you an analgesic for
pain __________.
9. A vitamin __________ can lead to serious health problems.
EYEBROW
EYELASH
EYELID
FINGER
FLANK
FOREARM
FOREHEAD
GROIN
GUM
HEEL
torso (11)
HIP
KNEE
KNUCKLE
LOBE
LOIN
NAIL
NAVEL
NIPPLE
NOSTRIL
PALM
PELVIS
SHIN
SHOULDER
SOLE
TEMPLE
THIGH
THUMB
TOE
WAIST
WRIST
Now look at each category and list the structures from top to bottom
according to their location on the body.
INTEGUMENTARY SYSTEM
FEMALE REPRODUCTIVE S.
CARDIOVASCULAR SYSTEM
DIGESTIVE SYSTEM
RESPIRATORY SYSTEM
MALE REPRODUCTIVE S.
G
H
I
J
K
MUSCULOSKELETAL SYSTEM
LYMPHATIC SYSTEM
URINARY SYSTEM
NERVOUS S. + SENSE ORGANS
ENDOCRINE SYSTEM
______________
______________
______________
______________
______________
skin + hair, nails, glands (oil /sebaceous & sweat /sudoriferous) ________
______________
______________
______________
WHAT IS IT IN ENGLISH?
There are many medical words that are also frequently used in everyday
speech. What are their equivalents in general English?
ANALGESIC (ANALGETIC)
____________________________
CEREBRAL INSULT
____________________________
DILATATION (DILATION)
____________________________
EDEMA
____________________________
FETUS
____________________________
FRACTURE
____________________________
GRAVIDITY
____________________________
HEMORRHAGE
____________________________
HYPERTENSION
____________________________
INSOMNIA
____________________________
LARYNGITIS
____________________________
MENSTRUATION
____________________________
MUCUS
____________________________
MYOCARDIAL INFARCTION
____________________________
NAUSEA
____________________________
NECROSIS
____________________________
SALIVA
____________________________
SPASM
____________________________
COLLOCATIONS
KLJUNA kost
SLOBODNA rebra
TANKO crijevo
DEBELO crijevo
arterijska STIJENKA
KUCANJE srca
SPUTENA stopala
CUREI nos
MASNA koa
MASNA kosa
MASNE naslage
_______________ bone
_______________ ribs
_______________ intestine
_______________ intestine
arterial _________
heart _________
_______________ feet
_______________ nose
_______________ skin
_______________ hair
_______________ plaques
Now match the adjectives on the left with the nouns on the right to get
some more common medical collocations:
1
2
3
4
5
6
7
allergic
bedside
bone
brain
clinical
general
general
A
B
C
D
E
F
G
death
trial
anesthetic
marrow
reaction
manner
practitioner
II From the jumble below, make as many collocations around the words
DISEASE and TREATMENT as you can. Then use some of your
collocations in sentences of your own:
DISEASE
TREATMENT
III
Spot the medical collocations in the following text and list them
under the headings below:
IN-FLIGHT EMERGENCIES
A recent study about in-flight medical emergencies estimated that there are
an average of 30 emergencies on U.S. flights every day. Most of them are
not serious; fainting, dizziness and hyperventilation are the most frequent
complaints. But 13% of them roughly four a day are serious enough to
require a pilot to change course. The most common of the serious
emergencies include heart trouble (46%), strokes and other neurological
problems (18%), and breathing difficulties (6%).
Most people agree that plane rides are stressful. First, cabin pressures at high
altitudes can be compared to living at 5,000 to 8,000 feet above sea level.
Usually people can tolerate these pressures easily, but passengers with heart
disease may experience chest pains as a result of the reduced amount of
oxygen flowing through their blood. Low pressure can also cause the air in
body cavities to expand up to 30%. Again, most people won't notice anything
beyond mild stomach cramping. But if someone has recently had an
operation, their wound could open. And if a medical device has been
implanted in your body a splint, a tracheostomy tube or a catheter it could
expand and cause damage.
Another common in-flight problem is deep venous thrombosis the so-called
economy-class syndrome. When you sit too long in a cramped position, the
blood in your legs tends to clot. Most people just feel a pain in their calves.
But blood clots could travel to the lungs, causing breathing difficulties and
even death. Such clots are easily prevented by keeping blood flowing, so you
should walk and stretch your legs when possible.
But theres no reason for panic. Emergency medical kits with automated
defibrillators in case of heart attacks have become standard equipment on
most flights since 2004.
adjective + noun
verb + noun
Now use some of the collocations from your lists in the following
sentences:
1. One of the symptoms of food poisoning is ________ ________.
2. If there is an obstruction of the upper airways, a ________ ________
may be implanted.
3. Heart attack patients usually _________ _______ ________.
4. Deep venous thrombosis is caused by a ________ ________, and if
untreated may even ________ ________.
5. Ambulances should be equipped with ________ ________.
6. Smoking may ________ serious ________ to your respiratory and
cardiovascular systems.
.
8. In case of a ________ _________, call 911.
REGISTER
By register we mean the style or level of language (vocabulary and
grammar) we use in particular situations, from highly formal to informal,
colloquial, or even vulgar.
Additionally, each profession has its own language (jargon), which is
especially true of medicine, with its huge corpus of professional
terminology.
Professional words and idioms are usually classified as formal.
I Words for some body parts and basic body functions are frequently
used in different registers, depending on the occasion. Fill in the
tables:
MEDICAL
FORMAL
NEUTRAL
INFORMAL
COLLOQUIAL
trbuh
pupak
bol u elucu
garavica
podrigivanje
nadutost
vjetrovi
munina
povraati
imati stolicu
mokriti
SPECIALIZED
NON-SPECIALIZED
painkiller
auscultation
swelling
expectoration
hidrosis
slime
feeling sick
(examination by) touching
paroxysm
percussion
pyrexia
rhinorrhea
chest
windpipe
II Copy the passage below using neutral instead of medical terms from
the table. Make any other necessary changes:
The patient presented with intense gastralgia, eructation and constant nausea
accompanied by flatulence. He reported repeated emesis and defecation in
the past 12 hours. His abdomen was tender to palpation in the umbilical area.
Now do the opposite with the passage below:
The patient reports severe coughing fits, with coughing out slime,
accompanied by fever, sweating and a runny nose lasting for 5 days.
Examination by listening to and tapping his chest revealed no swelling of the
windpipe and upper airways. A drug to bring down the fever, painkillers and
agents to make coughing out easier were prescribed.
STATISTICS
I Look at the list of 10 TOP CAUSES OF DEATH AND DISABILITY in the
US in the last decade of the 20th century (left) and the Harvard School
of Public Health projection for the year 2020 (right):
1. Respiratory infections
2. Diarrheal diseases
1. Heart disease
2. Severe depression
3.
4.
5.
6.
7.
8.
9.
10.
Complications of birth
Severe depression
Heart disease
Stroke
Tuberculosis
Measles
Traffic accidents
Congenital anomalies
3.
4.
5.
6.
7.
8.
9.
10.
Traffic accidents
Stroke
Chronic pulmonary disease
Respiratory infections
Tuberculosis
War injuries
Diarrheal diseases
HIV/AIDS
Its the year 2025, and you are at your doctors. You're feeling terrible. It's not
just a hangover after an all-night party. You're sweating. You're listless.
You're aching all over. The doctor examines you. Then she asks for your
gene card. The computer processes the rectangle of plastic you hand her,
confirming her diagnosis of flu. She sends you to the pharmacy, where they
will create a drug specially for you.
This is a very likely scenario of what will be happening when you visit your
physician 20 years from now, given molecular biology's current pace of
progress. By then scientists will have found exactly where common diseasecausing errors lie along the genome's long, interlocked chains of DNA.
10
1
2
3
hangover
listless
current pace
4
5
adverse
ailment
6
7
8
enhancer
conception
booster
A present tempo
B illness
C something that improves / increases the
quality, amount or strength of something
D fusion of egg and sperm cell
E feeling of illness after drinking too much
alcohol
F lacking energy and enthusiasm
G bad, negative
antihistamines
analgesics
antibiotics
ANTIASTHMATICS
ANTIDEPRESSANTS
ANTIRHEUMATICS
ANTICOAGULANTS
ANTIEDEMICS
ANTISEPTICS
11
II Put the following paragraphs about how people could be computerenhanced in the future into sequence:
GETTING CHIPPED
A
Implant technology is progressing at high speed. In England, cybernetics
experts are working on the next step. Implants that wirelessly connect the
nerves of a body part to a PC are being tested on volunteers. In such cases
the computer records the activity of the nervous system and stimulates the
nerves to produce small movements and sensations; such an implant could
eventually help a person suffering from paralysis to move parts of the body
the brain cant reach.
B
The operation to insert the chip is simple. An antiseptic swab, a local
anesthetic, an injection and a Band-Aid thats all it takes. Once the skin
heals, the chip is completely invisible, and you will hardly know its there.
C
An American family are the first volunteer test subjects for a new, implantable
computer device called VeriChip. In a few months, if they get approval by the
U.S. Food and Drug Administration, doctors will load a needle with a
microchip containing a few kilobytes of silicon memory and a tiny radio
transmitter and inject it under the skin of their left arms, where it will serve as
a medical identification device. It sounds like science fiction.
D
In the next few years, it will be possible to add sensors to the chip that will
read your vital signs pulse, temperature, blood sugar and so on and a
satellite receiver that can track where you are. There is already great interest
for such a device in Brazil, where kidnapping has become common, especially
among the rich and powerful.
VeriChip seems to be looking at a great future!
E
But VeriChip is real, and this family could be the first in a new generation of
computer-enhanced human beings. They are particularly well suited to test
VeriChip for use in medicine, because one of them suffers from allergies to
antibiotics and another has undergone chemotherapy. If a patient with
VeriChip is injured, an ER doctor can quickly access the victims medical
background by scanning the chip, which could be a lifesaver.
Now choose the correct answer:
1. The family have not had the VeriChip implanted yet because
a) they are still having second thoughts about it.
b) they are waiting for the FDA to approve it.
c) the device has some imperfections which need to be corrected
before implantation.
12
13
MUSCULOSKELETAL SYSTEM
WHAT IS IT IN ENGLISH?
I Provide the adjective forms of the listed bones and give their English
names:
CRANIUM
ZYGOMATIC B.
MANDIBLE / MANDIBULA
SCAPULA
CLAVICLE / CLAVICULA
STERNUM
ILIUM + ISCHIUM + PUBIS
VERTEBRAL COLUMN
COCCYX
OLECRANON
CARPALS
FEMUR
PATELLA
TIBIA
FIBULA
TARSALS
CALCANEUS
II Use the adjective forms of the nouns and verbs in brackets in the
following sentences:
1. The muscles which are attached to bones are called ________________
(SKELETON) muscles.
2. The bones of a fetus are composed of __________________ (CARTILAGE)
tissue.
3. Sphincters are _______________ _________________ (CIRCLE,
MUSCLE) structures.
4. The trachea and esophagus are some of the many ________________
(TUBE) structures in the body.
5. Bone, blood, fat and cartilage are examples of __________________
(CONNECTION) tissue.
6. Muscles and joints make the body _______________ (FLEX).
men who trained with weights for 30 minutes or more per week, lowered their risk
of coronary heart disease by 23 percent.
II Match the verbs on the left with the nouns and adjectives on the right to
get collocations from the text (there are also alternative combinations)
and use them in sentences of your own:
1
2
3
4
5
6
7
prevent
perform
keep
make
improve
reduce
lower
A
B
C
D
E
F
G
the risk
fit
glucose levels
an action
blood pressure
sure
injuries
III Give the opposites of the underlined words and change the sentences
accordingly:
1. Smoking raises the risk of lung cancer.
e.g. Smoking lowers/reduces/decreases/diminishes/lessens the chances to stay
healthy.
2. Cholesterol levels improve with an appropriate diet.
3. Exercise reduces the chances of osteoporosis.
4. There has been a rise in cardiovascular incidents.
5. A decrease in underage pregnancies has been noted.
Now complete the table of adjectives and adverbs. Which of them could
you use in the above sentences? Where would you put them?
ADJECTIVES
minimal
ADVERBS
slightly
slow
gradually
sudden
fast
fast
rapidly
sharp
steeply
considerable
greatly
maximal
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
Now rephrase the sentences below using nouns insted of verbs. Be sure to
make all the necessary changes:
1. She suffered intense pain in her hip for a long time.
Her intense
2. Her GP diagnosed severe osteoarthritis.
Her GPs
3. He said that the hip joint had degenerated badly.
He said that there was a bad
4. He referred her to an orthopedic surgeon.
He gave her a
5. After doing all the necessary tests, the surgeon replaced the hip joint.
After all the necessary tests, she got a
6. It took her some time to recover fully.
After some time she made a
GAMMA
GLOBULINS
HORMONES
IMMUNOGLOBULINS
LEUKOCYTES
LYMPHOCYTES
MONOCYTES
NEUTROPHILS
NUTRIENTS
PLASMA
PROTEINS
PROTHROMBIN
SALTS
THROMBOCYTES
VITAMINS
WATER
ANEMIA
I In this short passage about anemia, supply the missing medical terms
with the help of the definitions below:
Anemia is any condition in which the capacity of blood to carry oxygen is
reduced. It is not a disease, but a symptom of various diseases. It can be caused
either by (1) _______________ or by a decrease in the amount of
(2) _______________ within the red blood cells.
The symptoms accompanying most anemias include (3) ______________,
weakness, (4) _________________, paleness, (5) _________________, and a
slight fever.
1
2
3
4
5
4
5
6
7
IRON-DEFICIENCY anemia
FOLIC ACID DEFICIENCY anemia
PERNICIOUS anemia
SICKLE CELL anemia
A _________________________
-
lack of mature erythrocytes caused by low levels of vitamin B12 in the body
vitamin B12 cannot be absorbed because of the lack of intrinsic factor in
gastric juice
treatment: vitamin B12 injections
B _________________________
-
occurs due to acute (trauma, childbirth) or chronic blood loss (e.g. bleeding
ulcers)
hemoglobin levels normalize when the cause is eliminated
C _________________________
-
D _________________________
-
_________________________
_________________________
result of insufficient intake of folic acid (due to poor diet, drug therapy,
pregnancy etc.)
G _________________________
-
LYMPH CIRCULATION
I As you read about lymph circulation, provide the correct form of the
words in brackets:
Lymph (1) _______________ (ORIGIN) from blood plasma. As blood
(2) _______________ (CIRCULATION) through capillaries, small quantities of
plasma leak out into the (3) _______________ (SURROUND) tissue and
become (4) _______________ (INTERSTICE) fluid, whose function is to cleanse
and (5) _______________ (NOURISHMENT) body tissues. As that fluid enters
lymph capillaries, it becomes lymph. Lymph (6) _______________ (PASSAGE)
to larger vessels and (7) _______________ (FINAL) to lymph nodes, where it
gets (8) _______________ (FILTRATION). The large lymph vessels from the
right chest and arm join the right lymphatic duct, which (9) _______________
(DRAINAGE) into the right subclavian vein. Lymph from all other parts of the
body enters the (10) _______________ (THORAX) duct and flows into the left
subclavian vein. From these veins, lymph is redeposited into the blood and
becomes plasma, thus starting the cycle again.
It is Asia, with its huge population at risk, that will have the biggest impact on the
global spread of AIDS. The magnitude of the pandemic could range from 100
million to 1 billion, depending largely on what happens in India and China. Four
million people have already become HIV-positive in India and half a million
Chinese are now infected.
An explosive AIDS epidemic in the US is unlikely. Instead, HIV infection will still
continue in about 0.5% of the population. But the face of the epidemic will
change. New HIV infections will occur predominantly among the deprived, with
rates 10 times as high in minority groups. Nevertheless, American patients will
live quality lives for decades, thanks to advances in medical research. Dozens of
powerful and well-tolerated AIDS drugs will be developed to restore the immune
system.
A cure for AIDS in the next decade is not unthinkable. But due to economic
reality, this therapeutic progress will have only limited benefit outside the US and
Western Europe.
A vaccine is our only real hope to avert a disaster unparalleled in medical history,
and there have been promising results from experiments on animals. But even
when an AIDS vaccine gets developed, it will require an extraordinary effort of
political will to get it to the people who need it most.
Vocabulary check: Match the underlined words from the text with their
meanings:
1
2
3
4
5
6
plague
erode
life expectancy
impact
the deprived
avert
A
B
C
D
E
F
Now try to sum up the text in 3 sentences and write them down.
HYPERSENSITIVITY ALLERGIES
I Read about allergies, which are becoming more and more common.
As you are reading, mark the passages which talk about:
-
FROM
IN / WITHIN (2x)
OF (5x)
TO (5x)
According _____ recent research, children who receive antibiotics _____ the first
6 months ______ life have an increased risk ______ developing asthma and
allergies ____ pets, grass, and dust mites. Researchers investigated 448
children ____ birth ___ age 7 years, and found that those who were given at
least one antibiotic ____ the first 6 months were 1.5 times more likely to develop
allergies than were those who didnt receive antibiotics. However, infants were
less susceptible ____ these effects if they lived with at least two dogs or cats
during the first year ____ life. Maternal history ____ allergy also added ____ the
risk _____ allergy ____ children taking antibiotics.
On the basis of this article, what would be your advice regarding antibiotics
in the first 6 months of life?
difficult breathing
with bluish skin and mucous membranes, due to hypoxia
low blood pressure
feel by touching
exam by listening
rapid heartbeat
failure of circulation
sudden contraction of the smooth muscle of the bronchi
pertaining to under the skin
given
NERVOUS SYSTEM
HOW DIFFERENT ARE MALE AND FEMALE BRAINS?
For decades, neurophysiologists have been trying to identify the physiological
basis of the obvious behavior differences in men and women. The key questions:
Is the anatomy of the male brain different from that of the female brain, and how?
Do structural differences cause differences in the way the brains work?
Although preliminary evidence suggests some answers, there are no final
conclusions as yet. And even if there were, they still could not take into account
how big a role in the development of typically male or female behavior patterns is
played by environmental factors (family and society).
I Sort out the following statistically based differences in behavior and
general brain operations under male or female:
-
male
______________________________
______________________________
______________________________
______________________________
female
______________________________
______________________________
______________________________
______________________________
______________________________
at birth the brain is already of its final size, while the rest of the body is
only 1/20?
the brains of the Neanderthals were actually larger than ours in total, but that
the parts of the brain responsible for abstract thinking are larger in modern
humans?
MUSCULOSKELETAL SYSTEM
OSTEOPOROSIS
Work in pairs. One of you should look at version A of the text on
osteoporosis on this page, the other at version B on the next page. To get
the missing information, you will have to put questions to your partner, and
answer his/ her questions with the information from your text.
Write your questions below the text (the first one has been done for you):
Version A
Osteoporosis is a condition in which bones lose their normal strength and
become (1) ____________. It is caused by (2) ____________. During this
process, there is a continuous cycle of breakdown and repair which takes place
in (3) ____________. Special cells called (4) ____________ eat away or resorb
areas of old, damaged bone. Other cells called osteoblasts then fill in the empty
spaces with new bone. Osteoporosis can be caused either by (5) ____________
or ____________. The result is a bone that is weaker than normal and may
break with a minor injury, or even spontaneously. Two of the most important risk
factors for osteoporosis are (6) ____________ and ____________.
The most dramatic bone loss (about 3 5% per year) occurs at the time of
menopause. The most common bone fractures that occur in women with
osteoporosis are fractures of the hip, vertebrae and wrist. Prevention is the best
approach to osteoporosis. When bone loss has occurred, even the best
treatments available are not enough to restore normal bone density. Some
medications can improve it by 10% and possibly more, but will not make the
bones as strong as they would be if preventive steps had been taken from the
beginning. The key features of osteoporosis prevention are getting enough
calcium and vitamin D, regular exercise, and, for some women, hormone
replacement therapy after menopause. It is also very important to stop smoking,
since it increases the risk of osteoporosis significantly.
1.
2.
3.
4.
5.
6.
Version B
Osteoporosis is a condition in which bones lose their normal strength and
become porous and weak. It is caused by an imbalance in the process called
remodelling. During this process, there is a continuous cycle of breakdown and
repair which takes place in all bones throughout life. Special cells called
osteoclasts eat away or resorb areas of old, damaged bone. Other cells called
osteoblasts then fill in the empty spaces with new bone. Osteoporosis can be
caused either by too much resorption of old bone, or too little formation of new
bone.The result is a bone that is weaker than normal and may break with a minor
injury, or even spontaneously. Two of the most important risk factors for
osteoporosis are female sex and increasing age.
The most dramatic bone loss (about 3 5% per year) occurs at the time of
(1) ____________. The most common bone fractures that occur in women with
osteoporosis are fractures of the (2) ____________, ___________ and
____________. (3) ____________ is the best approach to osteoporosis. When
bone loss has occurred, even the best treatments available are not enough to
restore normal bone density. Some medications can (4) ____________, but will
not make the bones as strong as they would be if preventive steps had been
taken from the beginning. The key features of osteoporosis prevention are
(5) ____________, ____________ and, for some women, ____________. It is
also very important to (6) ____________, since it increases the risk of
osteoporosis significantly.
1.
2.
3.
4.
5.
6.
ACETABULAR RECONSTRUCTION
I Read about the most complicated kind of orthopedic surgery and mark
the passages which answer the following questions:
1.
2.
3.
4.
5.
6. How long does the postoperative period usually take and what does it
involve?
Acetabular reconstruction in patients whose hips have been shattered in an
accident are considered the most complicated, technically demanding kind of
orthopedic trauma surgery. To access the patient's shattered hip socket, the
medical team composed of surgeons, anesthesiologists, skilled nurses and Xray technicians has to avoid critical arteries, veins and nerves. Any mistake
could cause serious bleeding or nerve injury that might mean permanent
weakness or paralysis. When they reach the socket, surgeons must move in from
behind and piece it together like a jigsaw puzzle. Then they fix it in place,
screwing in plates up to eight inches long that remain in the body.
It is critically important to get this reconstruction just right, ideally within two
millimeters of perfection. Any displacement in the articular surface the place
where the ball and socket meet or articulate will expose the injured cartilage to
stresses that will eventually lead to its deterioration. And there are other potential
complications as well. The surgeons must make sure the screws dont enter the
joint space, because for the patient that would feel like walking with a pebble in
his shoe.
Still, some patients will nevertheless develop arthritis later just because of the
trauma to their cartilage.
Performing this type of surgery requires enormous stamina and concentration,
since operations may be up to 12 hours long. One advantage is the timing. Unlike
some surgical procedures that must be done immediately, acetabular fractures
can often wait for several days, or even a few weeks.
In a procedure like this, with so many potential complications, planning is crucial.
But X-rays alone may not be enough since bones block good views of the
acetabulum; it is also hard to roll an injured, hurting patient into position for the
necessary images. So CT scans are usually added to the planning mix. CT
scans have also proved to be more accurate in assessing patients postoperative
outcome.
During the postoperative recovery period which often lasts nine months or more
the team carefully monitor each patient's progress. They use video cameras
and other tools to measure stride length, walking speed and body angles, and
compare that with data on people who have not been injured.
They also assess muscle strength in various ways. In studying the results, they
have found that a good outcome seems to correlate with strength in particular
muscles around the hip.
What is the English term for acetabulum (paragraph 1)?
__________________
Put the various stages of the procedure in sequence and then tell your
partner about it:
A
B
C
D
E
F
II Complete the table with other forms of the words from the text:
NOUN
VERB
access
add
assess
ADJECTIVE
_
displacement
injury
length
perform
strength
weakness
necessary
_
ARTHRITIS
Work in pairs. Take turns to read about the four forms of arthritis to your
partner, who should simultaneously fill in the table on the next page:
Ankylosing spondylitis
Ankylosing spondylitis is a chronic inflammation and stiffening of the vertebrae. It
is characterized by bilateral sclerosos of the sacroiliac joints. The changes that
occur in the joints are similar to those found in rheumatoid arthritis. The disease
is treated with corticosteroids and anti-inflammatory drugs.
Gouty arthritis
Gouty arthritis is a metabolic disease caused by accumulation of uric acid
crystals in the blood, joints and soft tissues near them, which damage the
articular cartilage and synovial membrane. It can involve any joint, although it
typically affects the big toe, which is usually very painful. Treatment consists of
drugs which lower the production of uric acid, as well as anti-inflammatory drugs.
Besides, a special diet to avoid foods rich in uric acid is recommended.
Osteoarthritis (OA)
Osteoarthritis, also called degenerative joint disease (DJD), is the most common
type of connective tissue disease. The typical signs are destruction of articular
cartilage and new bone formation (hypertrophy of bone, or formation of bone
spurs) at the edges of joints. It mainly occurs in the hips and knees of older
patients. Aspirin and other analgesics and anti-inflammatory drugs are used in
treatment, as well as physical therapy to exercise the stiff joints. In the case of
complete immobilization of a joint in end-stage osteoarthritis, joint replacement
surgery is performed.
Rheumatoid arthritis (RA)
Rheumatoid arthritis is a chronic inflammatory disease of joints and their related
structures characterized by painful and crippling deformities. Usually the small
joints of the hands and feet are affected first, while the larger joints follow later. It
is believed to be caused by an autoimmune reaction of joint tissue. It is most
common in women. The painful and swollen joints, often accompanied by fever,
can become completely immobile. As there is no cure for RA, it is treated by heat
applications, drugs to reduce inflammation and pain, as well as antirheumatic
drugs.
Ankylosing
spondylitis
Gouty
arthritis
Osteoarthritis
Rheumatoid
arthritis
Which
structures
does it
affect?
Whom does
it affect?
Symptoms
Causes
Treatment
Translate:
Primjenom Exogena 2000, ultrazvune sprave koja koristi neinvazivni pulzirajui
ultrazvuk niskog intenziteta, uspjeno je zacijeljeno 86% nezglobnih prijeloma
kod kojih su prethodna lijeenja bila bezuspjena.
Posebice se istie vanost lijeenja prijeloma u starijih osoba. U SAD se,
primjerice, vie od polovine od ukupno 900.000 prijeloma godinje zabiljei kod
starijih od 65 godina.
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
chest muscles
shoulder muscles
thigh muscles
diminished in size, wasted away
calf muscles
heel tendon
upper arm muscles
bent or stretched out position
INTEGUMENTARY SYSTEM
I Read about the integumentary system and provide the correct form of
the words in brackets:
The skin is a dynamic interface between the body and the external environment.
It is considered an organ because it consists of various tissues (1) ___________
(STRUCTURE) arranged to function together. Together with its (2) ___________
(ACCESS) organs (hair, nails, sudoriferous and sebaceous glands) it constitutes
an independent body system with a variety of functions, ranging from mechanical
and chemical protection against external influences and pathogens to protection
against (3) ____________ (LOSE) of fluids, thermoregulation and receiving
sensations.
Covering a surface of 2 square meters on average, the skin is the largest organ
in surface area. Its (4) ____________ (THICK) varies from 6 mm on the soles
and palms to only 0.5 mm on the tympanic membrane in the ear.
The skin is (5) ____________ (CLINIC) important because on the basis of its
(6) ____________ (APPEAR) conclusions can be made about certain conditions
and dysfunctions. For instance, pale skin may indicate shock, whereas erythema
and warm skin may indicate fever or infection. Cyanosis occurs when there is a
lack of oxygen, which is (7) ____________ (SYMPTOM) of some cardiovascular
or respiratory diseases; if there is (8) ____________ (EXCESS) bile pigment in
the blood (hyperbilirubinemia), the skin turns yellowish (jaundice). An exanthem
may suggest allergies or local infections. Abnormal skin texture may be the result
of (9) ____________ (NUTRITION) problems.
Even the state of a persons nails can be a source of information for a physician.
Abnormalities in texture and coloring usually indicate dietary or (10) __________
(GLAND) dysfunctions, while chewed nails may suggest emotional problems.
II Spot the medical words for the following structures and conditions in
the text:
1.
2.
3.
4.
5.
sweat glands
oil glands
disease-producing organism
eardrum
abnormality of function
6.
7.
8.
9.
10.
WHAT IS IT IN ENGLISH?
Match the medical terms for skin conditions and symptoms with their
general English names:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
ALOPECIA
CALLUS
COMEDO
CONTUSION
DECUBITUS ULCER
ERYTHEMA
EXANTHEM
KELOID
LESION
MACULE
NEVUS
PAPULE
PRURITUS
SEBORRHEIC DERMATITIS
URTICARIA
VERRUCA
VESICLE
A damage
B corn
C hives
D pimple
E redness of the skin
F blister
G thickened scar
H wart
I baldness
J mole
K bedsore
L blackhead
M bruise
N rash
O freckle
P itching
R dandruff
MALIGNANT MELANOMA
How does melanoma differ from an ordinary mole? Check for the ABCDs of
melanoma:
ASYMMETRY - one half is unlike the other
BORDER
- irregular
COLOR
DIAMETER
- larger than 6 mm
Work in pairs. One of you should look at version A of the text on malignant
melanoma, the other at version B on the next page. To get the missing
information, you will have to put questions to your partner, and answer his
/ her questions with the information from your text.
Write your questions below the text (the first one has been done for you):
Version A
Melanoma develops when pigment-producing skin cells called (1) ___________
turn cancerous, a process that can be triggered by (2) ____________, especially
severe blistering sunburns during childhood. There is also evidence that
ultraviolet radiation used in indoor tanning equipment may cause melanoma.
If (3) ____________, the chance of recovery is over 95 percent. However, if the
tumor is allowed time to grow vertically down into the skin, reaching blood and
lymphatic vessels, it will easily (4) ____________, most typically the lungs or
brain. In that case, the five-year survival rates are (5) ____________.
Treatment: The first step is to surgically remove the cancerous lesion
(melanoma in situ) and a small patch of healthy skin surrounding it (a procedure
called taking margins). To determine if the melanoma has spread to the adjacent
lymph nodes, a technique called sentinel node biopsy is usually performed. In
metastatic cases, the affected nodes are excised. But if melanoma cells have
spread beyond the lymphatic system, prognosis is poor.
Risk factors: Light-colored skin and hair, freckles, moles. People with more than
50 moles (especially atypical/dysplastic moles) are at an increased risk (for the
appearance of the moles, see the ABCDs of melanoma above). Melanoma also
runs in families, so if you have a blood relative who has had it, you are at a
greater risk yourself.
Prevention: Early detection is key. Therefore, perform a monthly self-exam,
looking for irregular lesions that are growing and changing, and use the ABCD
rules. Melanoma can occur anywhere on the skin, even in places not directly
exposed to the sun, as well as in the oral cavity or the eye, but it is most common
on the backs of men and the legs of women. If you have an atypical mole, see a
dermatologist immediately and insist on a biopsy. In any case, visit a
dermatologist at least once a year for a complete skin exam.
1.
2.
3.
4.
5.
Version B
Melanoma develops when pigment-producing skin cells called melanocytes turn
cancerous, a process that can be triggered by excessive sun exposure,
BURNS
Burns are heat injuries caused by thermal, chemical, electrical or radioactive
agents. They occur on the skin, but can also involve the respiratory or digestive
tract lining. They can have a local, or, much more seriously, systemic effect.
Burns are classified into 3 categories according to how deeply the tissue has
been damaged.
Sort out the jumbled notes about the various degrees of burns under the
following headings:
-
SKIN NEWS
Work in groups of 3. Read the texts and suggest headlines for them.
Compare the suggested headlines and take turns to tell your group about
one item each. Then use the underlined collocations in sentences of your
own and write them down.
_________________________
According to the British Journal of Dermatology, a new light treatment has shown
promising results in the treatment of mild to moderate acne. In clinical trials, a
combination of red and blue light treatment led to an average improvement of
76% in the number of spots after 12 weeks. Dermatologists believe that the blue
light kills off bacteria, while the red light helps the skin to heal.
_________________________
To refresh the appearance of skin, chemical peels have been common for some
time now, but laser resurfacing is becoming more and more popular. In this
procedure, outer layers of skin are vaporized, diminishing wrinkles, spots and
scars and sometimes tightening skin as well.
However, too aggressive treatments can result in burns, scarring and permanent
changes in skin color. It may also trigger dormant herpes infections and allergies,
so caution is advised.
_________________________
Dermatologists know that inactive hair follicles arent dead, but just catatonic; a
search for an agent that would activate them again seems logical.
Experiments on mice appear promising. Scientists know that a gene named SHH
controls brain development in embryos, but in mature animals, as well as in
humans, it governs natural on-off cycles of hair growth. When researchers
inserted SHH into mouse hair follicles, the dozing follicles woke up and started
growing again.
Can SHH wake human cells in the off position? Dermatologists wont know until
they try. However, theyll have to consider side effects it is known that SHH in
big doses can trigger skin cancer. Still, the research suggests that the new hope
genetics is bringing to victims of cancer and other devastating diseases may also
cover the bald.
RESPIRATORY SYSTEM
I Match the sentence halves to get a description of the process of
RESPIRATION:
1 Respiration, the process of gas exchange, is conducted
2 The first part of the process is called external respiration (breathing or
ventilation)
3 During external respiration oxygen passes from the inhaled air into the lungs
4 At the same time, carbon dioxide passes
5 During internal respiration the cells within all body structures take oxygen from
the blood
A from the capillaries back to the lungs to be exhaled.
B while the second part is referred to as internal respiration (cellular or tissue
breathing).
C and give back carbon dioxide, which is a waste product from the energyliberating process that takes place within each cell.
D at various levels between the environment and the body, as well as within the
body.
E and then to the blood through capillaries by a process called diffusion.
II Match some of the structures of the respiratory system with their
functions:
1
2
3
4
5
6
7
8
9
NOSE
PHARYNX
LARYNX
EPIGLOTTIS
TRACHEA
BRONCHI
ALVEOLI
DIAPHRAGM
VOCAL CORDS
A
B
C
D
E
F
G
H
I
the internal surface of each lung is more than 40 times greater than the
external surface of the entire body?
it was reported that over 300 prescription drugs, ranging from antidepressants
and beta-blockers to headache pills, could lead to breathing difficulties and
permanent lung damage?
in Eastern Europe and central Asia tuberculosis is still a major public health
issue, not only something associated with drug addicts, prisoners, or the
homeless, and that people in those areas are 10 times more likely to be
infected with multidrug-rasistant TB than in the rest of the world?
Translate:
Tuberkuloza je uzrok 2 milijuna smrti godinje irom svijeta. Lijeenje zahtijeva
striktni estomjeseni reim koji ukljuuje 4 razliita antibiotika. Bolesnici esto
prekidaju lijeenje nakon 2 ili 3 mjeseca, nakon to im se stanje popravi, time
zapravo ubrzavajui razvoj sojeva otpornih na lijekove.
FIGHT THE COLD
I Read about the chances of finding a vaccine against the common cold
and then decide if the statements below are true or false, marking the
lines which helped you decide:
Colds are considered incurable today because it would take months to come up
with a vaccine for every new strain. Colds viruses mutate even while they are
infecting you, and new strains appear so often that by the time drugmakers
create a vaccine against one variation, the serum is already outdated.
However, research on flu viruses, which only mutate every few years, may point
the way toward a cold cure. Researchers have isolated a protein called M2 that
seems to be present in virtually every flu strain known to man. Using that
knowledge, they have made a vaccine that they think could protect against all
flus - old, new and those not yet in existence.
If a similar protein is found in cold viruses a protein present no matter what
strain is involved then it is possible that in the next decade children could be
routinely vaccinated against the common cold.
1.
2.
3.
4.
AUSCULTATION
CREPITATION
EPISTAXIS
EXPECTORATION
HEMOPTYSIS
HEMOTHORAX
HYDROTHORAX
8 PAROXYSM
A
B
C
D
E
F
G
9 PERCUSSION
10 PLEURAL EFFUSION
11 PNEUMOTHORAX
12 PYOTHORAX
13 SPUTUM
14 STRIDOR
15 WHEEZE
stand behind the victim and put your arms around their waist
make a fist with one hand, grasp it with the other, and place the fist on the
victims abdomen above the navel and below the rib cage
press your fist into the victims abdomen with a quick upward thrust
if necessary, repeat several times
If you are alone and choking, do whatever you can to apply force just below
your diaphragm. Press into a table, or use your own fist.
SMOKING
I Get into groups of 4-8, half smoker, half nonsmoker.
Smokers discuss: How much do you smoke? On which occasions? When and
how did you start? Would you like to stop? Why? Have you ever tried quitting?
Do your parents smoke? How do they feel about your smoking? What would you
do if your boy/girlfriend was a non-smoker and asked you to stop?
Nonsmokers discuss: Have you ever smoked? If yes, why and how did you
stop? How do you feel about so many of your smoker friends and colleagues?
Have you ever tried to persuade any of them to stop? Do your parents smoke? If
yes, does it bother you? Can you imagine having a boy/girlfriend who smokes?
Both discuss: How do you feel about the strong anti-smoking trend that
started in the US and is now spreading in EU countries, some of whom have put
a ban on all smoking in public places? What about attempts like the anti-smoking
campaign started by the Andrija tampar School of Public Health in Zagreb a few
years ago?
Should students of medicine and doctors display a greater readiness to be an
example in this matter?
II The debate on decriminalizing the possession and use of marijuana has
repeatedly been raised in various European parliaments, including the
Croatian. What is your standpoint in this matter? Discuss in small
groups.
How many colloquial expressions for marijuana can you think of?
Read the short interview with a neuroscientist and say whether you
agree.
Explain the play on words in the title:
A DOPEY IDEA
Q. How can marijuana blow the mind?
A. Drugs interfere with the careful interplay of chemical and electrical impulses
between cells, throwing out the balance of the brain either by causing too many
chemicals to be released or by stopping the cells' chemical transmitters reaching
the vital receptors. The reason marijuana is so potent is that is has its own
receptor in the brain. The more you smoke, the less sensitive the receptor
becomes.
Smoking not only causes bad breath, but also discolors teeth and fillings,
diminishes taste and smell, increases the risk of gum disease, and
consequently of tooth loss and failure of dental implants, as well as the risk of
mouth cancer.
Recent research suggests that the reason why some people are hopelessly
addicted to cigarettes may be the fact that nicotine triggers a pattern of
activity in their brains that makes quitting impossible for them. Also, this
strong neurobiological reaction to nicotine seems to be associated with hostile
personalities marked by anger, aggression and anxiety.
bronchitis 2 years ago, and intermittent runny nose. A review of systems reveals
that she has had numerous episodes of sneezing, itchy eyes, and clear
discharge from the nose. The patient states that she does not smoke cigarettes
or any other inhaled substances such as marijuana.
Physical examination: Vital signs as follows: T = 98.6 degrees F, RR = 17, HR
= 82, BP = 118 / 75 mmHg. No (1) dyspnea or (2) stridor is evident. Her color is
normal, without (3) cyanosis. The (4) tympanic membranes are mobile and
without (5) erythema or air / fluid levels. Inspection of the chest does not show
accessory muscle use or (6) intercostal, (7) suprasternal, or (8) supraclavicular
retractions. (9) Pulmonary auscultation reveals (10) inspiratory and expiratory
wheezing scattered throughout both lung fields.
1 _____________________________________________________________
2 _____________________________________________________________
3 _____________________________________________________________
4 _____________________________________________________________
5 _____________________________________________________________
6 _____________________________________________________________
7 _____________________________________________________________
8 _____________________________________________________________
9 _____________________________________________________________
10 ____________________________________________________________
__________________________
__________________________
__________________________
NERVOUS SYSTEM
NEUROLOGICAL SYMPTOMS AND DISORDERS
I Sort out the following symptoms and disorders into the categories below
and say what you know about some of them:
ALZHEIMER
COMA
BRAIN TUMORS
HERPES ZOSTER
CEREBRAL CONCUSSION
HYDROCEPHALUS
CEREBRAL CONTUSION
MENINGITIS
CEREBROVASCULAR ACCIDENT
MULTIPLE SCLEROSIS
PARKINSON
SPINA BIFIDA
SYNCOPE
Symptoms
____________________
____________________
Disorders
congenital: _______________
degenerative: _______________
infectious:
_______________
neoplastic: _______________
traumatic:
_______________
vascular:
_______________
________________
________________ ________________
________________
________________
________________
II Work in pairs. Take turns to read about the 3 types of CVA to your
partner, who should simultaneously fill in the table on the next page:
1. Thrombotic CVA: Due to a thrombus (blood clot) in the cerebral arteries,
which causes an occlusion (blocking) of the vessel. The blood vessels
become narrower over time due to atherosclerosis (accumulation of fatty
plaques on the inner arterial walls). Before total occlusion, the patient
sometimes experiences short episodes of neurological dysfunction known as
TIAs (transient ischemic attacks).
Treatment: anticoagulant drug therapy, or surgical (endarterectomy removal
of plaque from the inner arterial lining).
2. Embolic CVA: Occurs when a blood clot breaks off from somewhere in the
body (embolus) and travels to the cerebral arteries occluding a small vessel.
Embolic CVAs are usually very sudden.
3. Hemorrhagic CVA: Caused by bleeding from a cerebral artery. The bleeding
results from advanced age, atherosclerosis or high BP, all of which cause
degeneration of blood vessels. Trauma to the head or the bursting of an
aneurysm can also be the cause of cerebral bleeding. If the bleeding is large,
the stroke is often fatal; if it is small, good recovery with or without
consequent disability is possible.
Risk factors for all CVAs: hypertension, diabetes, heart disease, smoking,
obesity, high cholesterol levels.
CEREBROVASCULAR ACCIDENTS
THROMBOTIC
EMBOLIC
HEMORRHAGIC
immediate
cause
underlying
cause
symptoms
prognosis
treatment
risk factors
III Translate:
Prema nedavno objavljenoj studiji danskih znanstvenika, sniavanje tjelesne
temperature za oko 1C u prvih nekoliko sati nakon modanog udara moe
smanjiti oteenja mozga i rizik od smrti.
ALZHEIMER DISEASE
II As you read about current research on Alzheimer disease, mark the
Lines which answer the following questions:
1. Which two aspects of dealing with Alzheimer can give us hope of a cure for
this disease in the future?
2. What happens in the brains of Alzheimer sufferers?
3. According to many scientists, what is the underlying cause of Alzheimer?
4. List the 5 pharmaceutical approaches to Alzheimer that are currently
investigated:
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
plaque. But the dream isn't dead. Some pharmaceutical companies are now
developing ready-made antibodies that, if successful, will target amyloid for
removal from the brain without triggering broader attacks by the immune system.
If even half of these treatments fulfill their promise, in the future old age may
prove more pleasant than today's projections suggest.
II Alzheimer, Parkinson and multiple sclerosis are examples of
DEGENERATIVE neurological diseases. Unfortunately, many other
negative adjectives apply in cases of such diseases. Make negatives of
the listed adjectives by adding the following prefixes:
AB
able
abled
aware
balanced
coherent
conscious
continent
controlled
curable
emotional
interested
known
mobile
normal
rational
treated
visible
voluntary
DIS
IM
IN
IR
MIS
UN
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
what dyslexia is
how the brain reads
where the problem lies for dyslexics
the relation between dyslexia and intelligence
why reading certain languages (e.g. Italian) takes less effort than reading
others (e.g. English)
COMPLEX WRITING
English is notoriously illogical. For example, if tongue is pronounced tung, why
isn't argue pronounced arg? And if enough is enuff why isn't bough
pronounced buff? The arbitrary rules of English spelling and pronunciation have
always been a major problem for students of the language. But such frustrations
are small in comparison with those suffered by dyslexics, who live with a learning
disability that can make reading and writing almost impossible.
In the past two decades, scientists have learned a great deal about the
neurological causes of dyslexia. But what they hadn't yet explained is why its
incidence varies so from country to country. Now Italian, French and British
researchers suggest an answer. They offered the first convincing evidence that
the disorder has a common neurological basis across linguistic and cultural
borders.
The brain does not have an innate reading ability as it does for speech so it
deals with the written word by converting it into a familiar phonetic language.
According to prevailing theory, the reading centers of the brain break words down
into sound units known as phonemes and recognize them as the elements of a
phonetic code. Then the centers assemble that code to derive meaning from the
symbols on the page. Most of us learn to do this by the time we're seven years
old.
Dyslexics, however, often can't get past the first step breaking written words
down into phonemes. This in no way reflects on their intelligence there are
countless famous and successful dyslexics. Historical figures who may have had
the disorder include the poet W.B.Yeats and Leonardo da Vinci. Nevertheless, it
can be a lifelong challenge.
In their study, the scientists compared the reading ability of dyslexics from Britain,
France and Italy and found that Italian dyslexics read far better than their French
and English counterparts. Brain scans conducted during reading exercises
confirmed that the boundary between language and visual processing areas was
inactive in dyslexics, no matter what language they spoke. So why do Italian
dyslexics read better? The difference seems to be not in the languages
themselves, but in their writing systems, which vary in complexity.
English has 1,120 different ways of spelling its 40 phonemes. By contrast, Italian
needs only 33 combinations of letters to spell out its 25 phonemes. As a result,
reading Italian takes a lot less effort, and that's probably why the reported rate of
dyslexia in Italy is less than half of that in the US, where about 15% of the
population is affected to some degree. By some estimates, Americans spend
more than $1 billion a year to help their children cope with dyslexia.
Explaining this discrepancy isn't all that the study has accomplished. By
establishing a universal neurological basis for dyslexia, the scientists make it
clear that teachers should more often consider that children with reading
problems may be suffering from dyslexia, and treat them accordingly.
Based on this article, do you suppose that the percentage of dyslexic
children in Croatia is bigger or smaller than in the mentioned countries?
Why?
Vocabulary check match the words from the text with their meanings:
1
2
3
4
5
6
7
arbitrary
incidence
innate
converting
prevailing
assemble
discrepancy
A
B
C
D
E
F
G
current, present
difference
put together
random, not systematic
inborn
occurrence
changing
implanted in his chest. The stimulator was in turn linked to a position-sensing unit
attached to his left shoulder, over which he retains some motor control.
When he wants to pick up a glass, he moves his left shoulder upward. This
movement sends an electrical signal from the position sensor, which is worn
under his clothing, to the stimulator in his chest, which amplifies it and passes it
along to the appropriate muscles in his arm and hand. In response, the muscles
contract and his right hand closes. When he wants to release the glass, he
moves his left shoulder downward, and by the same process his right hand
opens.
This device is not for everyone, though. To benefit from it, patients must have
use of a shoulder and upper arm and partial use of their hands. Also, patients
must be constantly on guard against infection around the implanted electronics.
Another drawback is that the system provides no tactile feedback for things like
temperature, so users also have to be careful when handling hot objects such as
cigarettes or coffee.
To get around this problem, researchers are developing neural prosthetics that
can actually feel the texture of objects and transmit this information back to the
user.
This kind of sensitive prosthetic would stimulate afferent nerves to send tactile
information from paralyzed limbs to other parts of the body, where the sensations
could be perceived.
At present, all of this may seem like science fiction, but the numerous scientists
enthusiastically working all over the world will surely make the fantasies real,
maybe even sooner than we think.
II List the drawbacks and limitations of the described device.
DIGESTIVE SYSTEM
I There are several processes involved in what we usually call DIGESTION.
Match their medical names with their description:
1 INGESTION
2 MASTICATION
3
4
5
6
7
DEGLUTITION
PERISTALSIS
DIGESTION
ABSORPTION
DEFECATION
II WHAT IS IT IN ENGLISH?
Give the general English names for the digestive structures below:
ORAL CAVITY
HARD AND SOFT PALATE
GINGIVA
SALIVA
PHARYNX
ESOPHAGUS
GASTER
ILEUM
COLON
DUODENUM+JEJUNUM+ILEUM+
COLON+RECTUM
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
III Assign each of the following functions to one of the structures from
exercise II. Also, try to define the terms in italics:
chemically and mechanically breaks down chyme from stomach with help of
hepatic secretions and pancreatic juices; absorbs nutrients; transports
wastes to large intestine: ____________
transports bolus from pharynx to stomach: ____________
mechanically breaks down food mixing it with saliva; starts digestion of
carbohydrates: ____________
mixes bolus with gastric juice; starts digestion of proteins; moves chyme into
duodenum; when necessary, regurgitates food: ____________
absorbs water and electrolytes from undigested wastes; forms and expels
feces by defecation reflex: ____________
transports bolus from mouth to esophagus: ____________
Bad breath (halitosis), unpleasant as it may be, isn't an illness, but just a
symptom. In some cases, the underlying cause may be diabetes, some kidney
disorder or an infecion of the sinuses, bronchial tubes or gums.
Another cause is foods like onions or garlic, because essential oils from such
foods get into the blood, lungs and then out with each exhaled breath.
But the most common reason for bad breath are food molecules rotting in the
mouth. Mouthwash masks the smell, brushing and flossing remove larger
particles, but dentists suggest brushing the back of the tongue as well, where
food residues and bacteria congregate. The microscopic bits that remain must be
flushed down by drink or saliva (morning breath occurs because salivation shuts
down at night).
______________________________
Searching for cancers and other diseases by inserting endoscopes up the rectum
or down the throat can be painful, and some areas remain inaccessible. But the
wireless video pill, a new diagnostic device recently introduced in our country
too, allows patients to live their normal lives while it passes painlessly through
their digestive systems. For 24 hours it takes two pictures a second, sending
images to a small recorder worn at the waist; the data are downloaded to hospital
computers for analysis. However, the capsules won't make the endoscope
superflous, because endoscopes can perform biopsies and other procedures as
well. Besides, this new diagnostic method has its price: ca 600 euro per capsule.
GASTROINTESTINAL SYMPTOMS
I Gastrointestinal symptoms are important because they can signal a large
number of disorders, not only of the digestive system. Match the
symptoms with their definitions:
1 ACHLORHYDRIA
A abnormal frequency and liquidity of stools
2 ANOREXIA
B syndrome characterized by hyperbilirubinemia and deposition of bile pigment in the skin, mucosa and sclera, resulting in
yellow appearance of the patient
3 ASCITES
C bad breath
4 COLIC
D absence of hydrochloric acid from gastric
secretions
5 CONSTIPATION
E air / gas from the stomach passed through
the mouth
6 DIARRHEA
F effusion and accumulation of serous fluid
in the abdominal cavity
7 DYSPHAGIA
G unpleasant abdominal sensation often
culminating in vomiting
8 ERUCTATION
H difficulty in swallowing
9 FLATUS
I lack / loss of appetite
10 GASTROESOPHAGEAL
J heartburn
REFLUX
11 HALITOSIS
12 JAUNDICE
(ICTERUS)
13 MELENA
14 NAUSEA
15 PYROSIS
16 STEATORRHEA
Gastroesophageal reflux occurs when the valve between the esophagus and
stomach (the cardiac sphincter) weakens, and gastric fluids flow back up into the
esophagus and throat. The condition can cause symptoms ranging from
heartburn to chest pain that can be mistaken for heart disease. Some people
become hoarse and have difficulty speaking, and chronic reflux might also
increase the risk of esophageal cancer.
The most common way to diagnose reflux is to put a patient on treatment with
antacids or other drugs, and then follow the patient to see if symptoms improve
or disappear. It is also possible to diagnose reflux by examining a patient with an
endoscope, a rubber tube with a camera at the end that is slipped into the
esophagus of a sedated patient. Yet another option is 24-hour pH testing to
monitor acid levels in the esophagus, which involves running a catheter up the
patient's nose and down the back of the throat into the esophagus.
To resolve the condition, in chronic cases many patients decide on minimally
invasive surgery to strengthen the cardiac sphincter.
The Bravo diagnosing system does without the catheter entirely and is thus more
comfortable than traditional pH testing methods. It uses a small capsule that
doctors attach to the wall of the esophagus near the junction to the stomach. The
capsule transmits electrical signals to a pager-like device. After about a week,
the capsule falls away from the wall of the esophagus and passes naturally out of
the system.
The Bravo system causes less nasal and throat irritation than the trans-nasal
catheter. Patients can maintain their normal diet and activities, which enables
more representative test results to aid diagnosis and plan treatment.
Now choose 3 of the collocations in italics and put them into sentences of
your own.
GASTROINTESTINAL DISORDERS
Match the names of some common GI disorders with their simple
explanations:
1 CHOLECYSTITIS
2 CHOLELITHIASIS
3 CIRRHOSIS
4 DIVERTICULOSIS
5 ENTERITIS
6 ESOPHAGEAL
VARICES
7 GASTRITIS
8 HEMORRHOIDS
9 HIATAL HERNIA
10 IRRITABLE BOWEL
SYNDROME (IBS)
11 INGUINAL HERNIA
12 PEPTIC ULCER
13 PERITONITIS
14 ULCERATIVE COLITIS
A NEW LIVER
I DID YOU KNOW THAT...?
the ancient Greeks and Romans regarded the liver as the seat of life, and
used to predict the outcome of war by looking at the livers of sacrificed
animals before going into battle?
the liver, beside the brain, is the only organ so complex that its function
cannot be artificially supported or replaced in the event of damage or failure?
living donor liver transplantation is possible because the liver unlike any
other organ in the body has the ability to regenerate, or grow, in only a
period of weeks?
II Read the text and decide whether the statements below are true or false.
Mark the places which support your decision.
LIVER TRANSPLANTS
Several years ago, the unexpected death of a healthy donor following a liver
transplant operation in New York raised questions about how justified living
donor transplants are, even if the risks involved are minimal an estimated 0.5%
to 1%. Voices were heard asking for a national moratorium on the procedure and
recommending cadaver liver transplants instead.
Currently, about 20,000 people in the US are on the waiting list for liver
transplants, according to the United Network for Organ Sharing, which controls
the allocation of cadaver organs; only about 5,000 can expect to get a transplant
each year many will die waiting.
In living donor transplantation, a piece of liver is surgically removed from a living
person and transplanted into a recipient, immediately after the recipients
diseased liver has been entirely removed.
After the donor liver is removed, preserved and packed for transport, it must be
transplanted into the recipient within 12 to 18 hours. The surgery begins by
removing the diseased liver from the four main blood vessels and other
structures that hold it in place in the abdomen. After the recipient's liver is
removed, the new healthy donor liver is then connected and bloodflow is
restored. The final connection is made to the bile duct, a small tube that carries
bile made in the liver to the intestines.
After this demanding surgery, the postoperative course must be closely
monitored for possible complications typically involved in live liver transplants:
infection, pneumonia, blood clotting, allergic reaction to anesthesia and injury to
the bile ducts or other organs.
In comparison with the risks for liver donors, for kidney donors the risk of death
ranges from 1 in 2,500 to 1 in 4,000. That explains why nearly 40% of kidney
transplants in the US come from living donors.
The operation to transplant a liver, however, is a lot trickier than the one to
transplant a kidney. A living donor transplant works best when an adult donates a
small portion of the liver to a child. Usually only the left lobe of the organ is
required, leading to a mortality rate for living donors of 1 in 500 to 1 in 1,000. But
when the recipient is another adult, as much as 60% of the donor's liver has to be
removed, which makes the odds less favorable, both for the donor as well as for
the recipient.
Transplant centers have developed screening programs to ensure that living
donors fully understand all the risks involved in their decision. But there will
always be family members prepared, without much thought, to accept almost any
risk for a loved one. Thus the ethical committees within the medical profession
should, together with society, provide guidelines to help those involved to make
the right decision in each individual case.
1. There were requests for living donor transplants to stop because of the risks
involved for the recipient.
2. About one fourth of the patients on the US waiting list for liver transplants can
expect to be transplanted every year.
3. A donor liver must be implanted within a day of removal.
4. Kidney donors are at greater risk of death than liver donors.
5. Kidney transplants are less complicated than liver transplants.
6. The donor mortality rate is higher in adult-child transplants.
III Now restore the original word order in the sentences describing the liver
transplant procedure and then put the sentences into sequence:
1. the healthy donor liver / bloodflow / is restored / then / is connected / and
__________________________________________________________
2. be transplanted / the recipient / must / within 18 hours / into / it
__________________________________________________________
3. must / for possible complications / closely monitored / be / the postoperative
course
__________________________________________________________
4. surgically / from / a portion / a healthy person / removed / is / of the liver
___________________________________________________________
5. connected / the bile duct / finally / gets
___________________________________________________________
6. is preserved / for transport / and / then / it / packed
___________________________________________________________
7. that hold it in place / diseased liver / from the structures / is removed / the
recipients
___________________________________________________________
Translate:
Prema studiji objavljenoj u New England Journal of Medicine, a na temelju
istraivanja provedenog u 1500 amerikih bolnica, smrtnost nakon razliitih
kirurkih zahvata to je manja to vie takvih zahvata odreeni kirurki tim obavlja.
Tako je npr. kod sranoilnih operacija i zahvata na prostati smrtnost 25% do
40% nia u bolnicama gdje se takve operacije obavljaju 200 ili vie puta godinje.
Za neke rjee operacije, ukljuujui potpunu zamjenu kuka i odstranjenje
debelog crijeva, smrtnost je znaajno pala u bolnicama gdje se godinje obavlja
najmanje 10 do 50 takvih zahvata.
Preporuka je studije da se pojedine bolnice specijaliziraju za specifine
visokorizine zahvate, to bi rezultiralo smanjenjem rizika od smrtnog ishoda
odreenih operacija.
CASE REPORT: ACUTE PANCREATITIS
Explain the underlined medical terms using general English:
A 42-year-old female presented with an acute onset of abdominal pain and
vomiting. She had a recent 3-week history of upper respiratory infection and a 5day history of diarrhea.
PMH: Allergic (1) rhinitis, endometriosis, (2) hysterectomy, (3) appendectomy,
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
CARDIOVASCULAR SYSTEM
CIRCULATION OF BLOOD
Put the following alphabetically listed structures where they belong in the
description of pulmonary and systemic circulation:
AORTA
AORTIC VALVE
LEFT ATRIUM
LEFT VENTRICLE
LUNGS
MITRAL VALVE
PULMONARY ARTERY
PULMONARY VALVE
PULMONARY VEINS
RIGHT ATRIUM
RIGHT VENTRICLE
TRICUSPID VALVE
VENAE CAVAE
Deoxygenated blood is brought to the heart by the two largest veins in the body,
the ____________ ____________. It first enters the ____________
____________, and when that contracts, the blood is forced through the
____________ ____________ into the ____________ ____________. Its
contraction pumps blood through the ____________ ____________ into the
____________ ____________, whose branches take it to the ____________.
This is the place where gaseous exchange takes place and blood gets freshly
oxygenated, returning to the heart by way of the ____________ ____________.
Blood enters the ____________ ____________, from which it is forced, through
the ____________ ____________, into the ____________ ____________. The
contractions of its thick walls propel the blood through the ____________
____________ into the ____________, whose branches carry it all over the
body.
STOP
LOWER
LOSE
DONT COUNT ON
REDUCE
CONTROL
A
B
C
D
E
F
BLOOD PRESSURE
WEIGHT
CHOLESTEROL
STRESS
HORMONES
SMOKING
a) Chronic ____________ can increase the risk of heart disease and lead to
unhealthy habits like smoking, abusing alcohol and eating junk food. Yoga
and meditation can reduce ____________; so can getting enough sleep every
night. If you are depressed, get support or treatment as necessary.
b) ____________ more than doubles your chances of having a heart attack. If
you quit, that risk is cut in half within two years; after 10 years, the odds return
to nearly normal.
c) ____________ protect younger women against heart disease, but we know
now that ____________ replacements do not protect postmenopausal women
- and can actually increase the risk for women who have already had a heart
attack.
d) Elevated lipids - ____________ and triglycerides are important risk factors.
Although doctors have traditionally focused on levels of LDL, HDL may be a
better predictor of heart-disease risk in women. Women should maintain HDL
at levels as high as possible.
e) ____________ makes the heart work harder to move blood through the body,
so it puts you at higher risk of both heart disease and stroke. If you get short
of breath when you are physically active, dont ignore it. And if you have
____________, treat it with proper diet, exercise and medication if needed.
f) Carrying excess ____________, especially around the middle, increases your
risk of a heart attack or stroke. ____________ can also lead to diabetes, a
major risk factor. Doctors recommend a reduced-calorie diet with lots of
vegetables and whole grains, plus 30 minutes of moderate aerobic exercise a
day.
II
To figure out your body mass index (BMI), first you have to divide your weight (in
kilograms) by your height (in meters), and then divide the result by your height
once again.
e.g. 60 (kg) : 1.67 (m) = 35.92 : 1.67 = 21.5
The body mass index, a measure of the relation of weight to height, is a common
way to estimate excess weight. Most health advisers say that a BMI of under 25
is healthy, 25-30 is overweight and over 30 is obese. But according to some
studies, women should aim for an even lower BMI, as it was found that the risk of
heart disease actually increases above a BMI of 22, not 25.
Interestingly, not only the amount of weight is important, but also how that weight
is distributed. Though female fat is distributed more evenly than that of men,
overweight women fall into two categories: apples, whose fat is concentrated in
the waist, and pears, who have fatter hips and thighs. It's now widely
recognized that obese people have a greater risk of heart disease, but there is
new evidence to suggest that the pearstyle fat may actually protect against
attacks. A recent Danish study found that women with fat deposits in the legs,
hips and buttocks were less likely to have atherosclerosis.
III Work in pairs. Each of you should read one of the following items
talking about the RELATION BETWEEN WEIGHT AND CARDIAC
PROBLEMS problems and then tell your partner about it:
Although it is well known that regular exercise and weight loss are good for
your health, the results from a recent study of women with heart problems
suggest that sometimes its better to be fit than thin. Active women, no matter
how thin or fat, were much less likely to to have a heart attack and other
cardiac problems than women who didnt exercise.
Nevertheless, weight matters: another study proved that overweight women,
regardless of how much they exercised, were nine times more likely to
develop diabetes than women of normal weight.
Losing weight, especially around the waist, lowers your risk of heart disease,
high blood pressure and diabetes. But this only works if you get rid of your fat
the right way, by diet and exercise. Liposuction, a shortcut to a slim figure,
wont help. A study has shown that a group of women who each had about 10
kg of abdominal fat surgically removed, didnt show any improvement in
insulin sensitivity, cholesterol level, blood pressure or other risk factors for
heart disease three months after the operation.
Question 1: TRUE. Cholesterol is a soft, waxy substance that the body uses to
build cell membranes and make steroid hormones, such as estrogen, testosterone
and cortisone. The problem is excess cholesterol particularly the bad LDL
cholesterol, which contributes to plaque buildup in the arteries.
Question 2: FALSE. Although so-called dietary cholesterol does raise blood
cholesterol in most people, saturated fat is mostly responsible. The most effective
way to control blood cholesterol is to reduce foods high in saturated fat, such as
full-fat cheese, cream, butter and meat.
Question 3: FALSE. Red meat is high in saturated fat, which can raise
cholesterol. But lean meat can be part of a healthy diet. Reduce your daily intake
of lean meat to 150 g.
Question 4: FALSE. For most people, total cholesterol should be under 5.5. But
cholesterol comes in two basic forms. In general, bad LDL cholesterol should be
below 3.6 unless you have heart disease or diabetes, in which case you should
aim even lower. However, a low level of good HDL cholesterol - under 1.1 raises the risk for heart disease.
Question 5: FALSE. The vegetable oils found in hard margarine and many
baked products are high in saturated fat and raise blood cholesterol. Focus
instead on the other vegetable oils, preferably olive, which contain mostly
unsaturated fats.
Question 6: TRUE. People who have had one heart attack are at higher risk for a
second, but lowering cholesterol can greatly reduce that risk. If you have heart
disease, your LDL level should be less than 2.7.
Question 7: TRUE. Doctors recommend at least half an hour a day. Other
measures that can help raise HDL include losing weight and stopping smoking.
Question 8: FALSE. Before menopause, women tend to have lower cholesterol
levels than men. But afterward, their levels go up, along with their risk for heart
disease.
FEMALE HEARTS
I In groups of 3, read about how the possible causes, manifestations and
consequences of three major vascular disorders may differ in men and
women.
Take turns to sum up the information on one disorder for the group.
ANGINA
Women vs. men: More women than men complain of chest pain, but in relatively
few women angina is accurately diagnosed. Doctors are just beginning to realize
that any chest pain in women, even younger women, could be a sign of heart
trouble.
HEART ATTACK
Women vs. men: Women tend to experience heart attacks 10 to 20 years later
than men, but a woman's first heart attack is more likely to be fatal. Many women
don't experience the classic symptoms that men feel pain in the chest and arm
and shortness of breath. Some doctors believe this is because heart attacks in
women may have more to do with spasms in the heart vessels than with blocked
arteries.
CONGESTIVE HEART FAILURE
Women vs. men: One in five women with congestive heart failure will die within
one year of their diagnosis, probably because women tend to be older and their
disease more advanced when they receive the diagnosis. For the same reasons,
twice as many women as men who have a heart attack will be disabled by heart
failure.
II Read the text about HEART ATTACKS IN MEN AND WOMEN and
mark the passages which contain the following information:
-
The more scientists learn about female hearts, the more they realize that females
aren't just smaller versions of males. There are subtle but important differences in
how women's cardiovascular systems respond to various factors which may
cause heart disease.
It has been established that female hormones protect women against heart
disease before menopause, although doctors arent sure how. But all the benefits
of female hormones disappear with menopause and women end up with more or
less the same risk of heart disease as men.
Smoking is the most dangerous risk factor for both sexes, followed by diabetes,
high blood pressure, high cholesterol levels, excess weight and physical inactivity.
Some factors, however, seem to affect women more severely than men. In fact,
levels of bad cholesterol (LDL) but high levels of CRP, as measured by a new
supersensitive test, suffered the same rate of heart attacks as those with high
levels of LDL and low CRP. That doesnt mean that CRP testing should replace
cholesterol testing. Lipids tell us how much plaque has built up in an artery, and
CRP tells us how likely that plaque is to rupture and cause a heart attack.
Fortunately, there are some efficient medications to keep inflammation under
control. Aspirin may protect against heart disease not only by keeping clots from
forming but also by controlling inflammation. And the newest studies show that
even some of the statin drugs, traditionally used to lower cholesterol, are good for
decreasing CRP levels as well.
1. The majority of heart attacks in the US are caused by elevated cholesterol
levels.
2. The immune system appears to have an important role in triggering attacks in
heart patients.
3. High CRP levels are in direct proportion to inflammatory processes and
therefore also to plaques that are likely to rupture and cause a heart attack.
4. Statins are drugs primarily used to lower CRP.
IV Read about a new technique of HEART IMAGING which might be
Relevant in the process of prevention. As you are reading, supply the
correct forms of the words in brackets.
Mark the lines that answer the following questions:
1. Why did cardiologists find images of the heart unreliable until recently?
2. How is EBCT different from traditional CT scanning of the heart?
3. How do calcium deposits in the heart relate to the possibility of a heart attack?
Until recently, most cardiologists put little value on pictures of the heart. They
assumed that it was impossible to get a truly accurate image of an organ in
constant motion. But with (1) ____________ (IMPROVE) in the technology for
taking freeze-frames of the beating heart, physicians have started to (2)
____________ (RELIABLE) more and more on images of the heart not just for
looking at problem areas but also to (3) ____________ (PREDICTION) the (4)
____________ (LIKELY) of future heart trouble.
The newest device, an ultrafast form of computer scanning called electronbeam computer tomography (EBCT), notices the (5) ____________
(PRESENT) of tiny deposits of calcium in the heart. One study based on
the scan showed that patients who build up 20% or more calcium each
year have an 18-fold greater chance of suffering a heart attack than those
with less calcium in their hearts.
Although it is not yet clear whether calcium deposits spotted by EBCT can
ARRHYTHMIA
serves as a barrier, trapping abnormal electric signals in a maze. Only one path
remains intact, guiding impulses to their correct destination.
With a success rate of more than 90%, the Maze procedure revolutionized the
treatment of atrial fibrillation. However, it is technically difficult and therefore not
performed frequently. As surgeons must temporarily stop the heart in order to
make the incisions, not all patients are healthy enough to endure the operation.
Now researchers have developed an alternative: bipolar radiofrequency. The
method uses two electrodes that pass a current through a section of heart tissue.
Like Maze procedure incisions, radiofrequency energy causes scar tissue that
blocks the abnormal impulses responsible for atrial fibrillation.
So far researchers have tested this procedure on animals, at four of the standard
Maze incision locations. Each lesion took nine seconds to complete, as
compared with Maze incisions, which take 5 to 10 minutes to create.
Preliminary findings suggest that the procedure is safe to do in human patients.
Now rephrase the following sentences as suggested:
1. 20 years ago, surgeons developed the Maze procedure to control erratic
impulses.
The Maze procedure _________________________________________
2. In this procedure, surgeons make small incisions in the atria.
Small incisions ______________________________________________
3. To do that, they must temporarily stop the heart.
The heart ___________________________________________________
4. The incisions generate scar tissue.
Scar tissue __________________________________________________
5. The scar tissue traps abnormal electric signals in a maze.
Abnormal electric signals _______________________________________
6. One intact path guides impulses to their correct destination.
Impulses ____________________________________________________
7. Now researchers have developed the bipolar radiofrequency procedure.
The bipolar radiofrequency procedure ______________________________
8. In this method, they create scar tissue by means of an electric current.
Scar tissue ____________________________________________________
9. They havent tested this procedure on humans yet.
This procedure _________________________________________________
PSYCHIATRY
CLINICAL SYMPTOMS
I Below are some of the most frequently mentioned psychiatric clinical
symptoms. Match them with their definitions:
1 AMNESIA
2
3
4
5
6
ANXIETY
APATHY
COMPULSION
DELUSION
DYSPHORIA
7 EUPHORIA
8 MANIA
9 OBSESSION
10 PARANOIA
II Now make adjectives from the nouns above. Some of them are often
used in everyday speech. Give examples:
1. _________________
2. _________________
3. _________________
4. _________________
5. _________________
6. _________________
7. _________________
8. _________________
9. _________________
10. e.g. paranoid - Dont be paranoid, the teacher doesnt hate you, and youll
pass.
PSYCHIATRIC DISORDERS
I Sort out the following disorders into the categories below and say what
you know about some of them:
ANOREXIA NERVOSA
BIPOLAR
DEPRESSIVE
NARCISSISTIC
PARANOID
PTSD
BORDERLINE
BULIMIA
OBSESSIVE-COMPULSIVE
PANIC
anxiety disorders:
____________________
____________________
____________________
eating disorders:
____________________
____________________
mood disorders:
_____________________
_____________________
SCHIZOID
DEPRESSION
According to the Harvard School of Public Health projections for the most
frequent causes of disability and death in the next decades, depression
will soon be topping the list along with cardiovascular diseases.
Only during the 90s, the number of people in the US being treated for
depression has grown more than three times, while twice as many people are on
antidepressants than roughly 15 years ago. The ratio between
psychotherapeutic and medical treatment for depression has changed in favor of
drug treatment, which is logical in view of a better class of drugs available now,
besides being much less expensive than therapists.
Work in groups of 3. First exchange any facts on depression that you have
learned, including information on cases you might know from personal
experience. Then each of you should read about one of the approaches to
treatment and share what you have read with the group.
1. MEDICAL THERAPY FOR DEPRESSION
There are different classes of antidepressant medications. Each type works
differently and has different side effects. Studies have shown that up to 70% of
patients on antidepressants recover from their depression in three to six weeks,
provided that the dose is sufficient and that the medication is taken as
prescribed.
Once it has been established which medication works best for the individual, the
goal of treatment is complete relief of depressive symptoms. To achieve that
goal, doctors should get the necessary feedback from their patiens concerning
how they feel. If there is improvement in three to six weeks, but some symptoms
are still present, the doctor will probably increase the dose of the antidepressant.
If the patient cannot tolerate a higher dose, the doctor may switch to another
medication. If symptoms are no better or worse after three or four weeks, the
doctor should suggest a different antidepressant.
If two adequate antidepressant regimens fail to help an individual, he or she is
considered to have treatment-resistant depression and should see a
psychiatrist immediately.
Once depression is under control, patients should continue taking their
medications at the same dose for 9 to 12 months to prevent a relapse. After a
second depressive episode, the doctor may prescribe an antidepressant for as
long as two years. Patients who have had three or more episodes of depression
have a very high risk of recurrence. These patients may need to take an
antidepressant for an indefinite period (possibly for life) to decrease the chance
of future depressive episodes.
PLUS...
The latest studies have shown that drugs precribed to treat depression in
children actually increase suicidal thoughts and behavior in about 4% of
them. As a consequence, the British government decided to prohibit use of
most antidepressants in children and teens, while the FDA obliged all
antidepressant manufacturers to add black-box warnings to doctors,
making them aware of the risk.
SCHIZOPHRENIA
Scan the text on new insights into the physiology of schizophrenia and the
new medications in use. Note down some of the information below the text:
In paranoid schizophrenia, the patient becomes convinced of beliefs unrelated to
reality, hears voices or sees images that exist nowhere but in his mind.
Neuroscientists have now traced such hallucinations to malfunctions of the brain.
Scanning the brains of schizophrenics while they were having hallucinations,
they found evidence of activity in the parts of the sensory cortex that process
movement, color and objects.
Deep within the brain during hallucinations, structures involved in memory (the
hippocampus), emotions (the amygdala) and consciousness (the thalamus) all
light up like lamps. Usually sensory signals are transported deep into the brain,
where they link up with memories and emotions. But the neuronal traffic might go
the other way, too, with activity in the emotional and memory regions triggering
voices and visions.
Scientists still cant explain why the content of hallucinations differs from patient
to patient, but it probably reflects personal experience.
So while some parts of the schizophrenic mind are hyperactive, another key
brain area is nearly silent. Schizophrenia is marked by abnormally low activity in
the frontal lobes. These regions control the emotional system, provide insight and
evaluate sensory information. In other words, they provide a reality check.
The absence of a reality check makes willing oneself out of schizophrenia
practically impossible. Even among people who have had the illness for decades,
and who have periods of clarity thanks to medication, only some learn to
distinguish between the voices everyone hears and the voices only they can
hear.
Identifying what happens in the brain during schizophrenic hallucinations doesnt
mean understanding why they happen. The old theory that cold, rejecting
mothers make their children schizophrenic has long been discredited. Scientists
now know that the age of the father may be a contributing factor. The 0.5% risk
of a 25-year-old potential father nearly doubles when he is 40, and triples when
he passes 50. Viruses or stresses that interfere with a fetus's brain development
also raise the risk; mothers who suffer rubella or malnutrition while pregnant have
a greater chance of bearing children who develop the disease. And if there is
schizophrenia in family, you run a higher-than-average risk of developing it.
There is, as yet, no cure for schizophrenia. But drugs can alleviate the
symptoms. Schizophrenics have a surplus of the neurochemical dopamine.
Thorazine, an early antipsychotic, blocked dopamine receptors, with the result
that dopamine had no effect on neurons. But since dopamine is also involved in
movement, Thorazine leaves patients slow and stiff, with the characteristic way
of walking called the Thorazine shuffle. Dopamine also flows through circuits
responsible for attention and pleasure, so Thorazine puts patients in a mental fog
and deadens feelings.
The new antipsychotics, called atypicals, allow people with schizophrenia to
hold jobs and have families. Still, they increase appetite, and may alter
metabolism, resulting in considerable weight gain. Another side effect is foggy
thinking and a loss of libido.
For the time being, even the new drugs are only treatment, and not a cure.
BULIMIA N.
Type of
personality
typically
affected
Accompanying
medical
complications
ONCOLOGY
CANCER VOCABULARY
Match these frequent oncological terms with their definitions:
1 ANAPLASIA
2 BENIGN
3 CARCINOGEN
4 CARCINOMA
5 CHEMOTHERAPY
6 DIFFERENTIATION
7 ENCAPSULATED
8 EXCISIONAL BIOPSY
9 GRADING
10 INFILTRATIVE
11 IN SITU
12 INVASIVE
13 MALIGNANT
14 METASTASIS
15 NEOPLASM
16 RADIOTHERAPY
17 RELAPSE
18 REMISSION
9 SARCOMA
20 STAGING
BENIGN OR MALIGNANT?
Sort out the following characteristics of benign and malignant neoplasms
in the form of opposed pairs into the table below:
BENIGN NEOPLSMS
MALIGNANT NEOPLASMS
Free of normal restraints, the now malignant cells break all the rules. They divide
uncontrollably, become less attached to their neighbors and invade the space
occupied by normal cells.
II Now look at the WEAPONS in development and those currently used
TO FIGHT THE CANCER at each level and assign them to the
appropriate steps above:
Step _____ weapons: Antiangiogenesis
In clinical trials, agents attack the tumors blood supply in an effort to prevent the
flow of nutrients.
Step _____ weapons: Cancer prevention
This stage involves eating right, not smoking and avoiding sunburns.
Antioxidants like vitamin E may also help.
Steps _____ and _____ weapons: Surgery / Chemotherapy / Radiation
Surgery: Early detection leads to less invasive operations and more cures.
Chemotherapy: Although less toxic than before, these poisons still kill both
healthy and cancerous cells.
Radiation: Even though radiation beams are localized, they still kill a large
amount of healthy cells.
Step _____ weapons: Targeted therapy
Targeted therapy is a general term that refers to a medication that targets a
specific pathway in the growth or development of a tumor. The targets are
various molecules known or suspected to have a role in cancer formation. The
various approaches include:
Antigrowth: A generation of new drugs that aim to block the biological signals
that promote cancer-cell growth.
Cell suicide: Unlike healthy cells, which die at the end of their natural life span
or when they are no longer needed, cancer cells continue
CANCER NEWS
I In groups of 3, read two of the items each and suggest headlines for
them. Then share your information with the group:
______________________________
It is well known that stress is accompanied by increased glucocorticoid secretion,
which can inhibit the immune system (that is why these steroids are often used in
the treatment of autoimmune diseases). Consequently, there is evidence that
prolonged stress can result in an increased incidence of cancer.
______________________________
According to a recent paper in the British Medical Journal, 20% of mothers who
had been diagnosed with cancer dont discuss their illness with their children,
even if they are facing surgery.
It is felt that parents in this situation should get expert help in deciding if, how and
when to talk with their children in order to avoid unnecessary anxiety within the
family. But in any case, talking is better than keeping silent, experts agree.
______________________________
Three recent studies revealed potentially useful, but by no means conclusive,
links between breast cancer and diet.
Mexican researchers reported that a high-carbohydrate diet, typical of that
country, seems to increase the risk of breast cancer. They explained that
increased levels of insulin resulting from such a diet could trigger cells to grow
abnormally.
A Danish study found that girls experiencing peak growth early in puberty, before
the age of 14, were at greater risk of developing breast cancer later in life. The
It is well known that cytotoxins used in the therapy of certain kinds of cancer
usually affect hair cells as well, because they, like cancerous tissue, also divide
rapidly.
The newly discovered substance, currently undergoing clinical trials, is
expected to be specially effective in cases of lung cancer.
Task 1: Suggest an alternative headline for the text.
Task 2: Write down synonyms for the bolded words.
Task 3: Write a one-sentence summary of the text.
Task 4: Decide whether the following statement is true or false and mark the
line(s) which helped you: Cancer cells, unlike hair cells, are
characterized by rapid division.
Task 5: Write down all the verbs and adjectives commonly used with the word
therapy.
Task 6: Use some of the underlined and bolded words in sentences of your
own, in a different medical context.
Task 7: Write short explanations of the underlined words.
Task 8: Translate the sentence in italics.
BREAST SELF-EXAMINATION
Read about possible DRAWBACKS OF BREAST SELF-EXAMINATION and
then decide whether the following statements are true or false. Mark the
lines that helped you decide:
A new study of women with a family history of breast cancer in the UK adds to
evidence that excessive breast self-examination is counterproductive, because it
increases anxiety and may make early detection of breast cancer more difficult.
833 women aged 17-77 years, from families with histories of breast cancer were
surveyed. 18% claimed to examine their breasts daily or weekly, 56% once or
twice a month, and 26% rarely. General anxiety and cancer-specific anxiety were
lowest among women who examined themselves least often, and highest among
the hypervigilant women.
Women who examine their breasts may be unaware that it can be normal to have
lumps and may interpret any they find as evidence of cancer. This reinforces
feelings of anxiety and may reduce the efficacy of the procedure itself.
The official policy is now one of breast awareness rather than self-examination.
In self-examination, if a woman finds a lump she gets worried, but if she does not
find a lump, she still gets worried because she assumes that she has missed it.
The emphasis now is to check for normality and only see your doctor if
something in your breast suddenly changes. Women are advised to examine
their breasts once a month.
Fundamentally, there is no evidence that frequent self-examination allows
women to detect cancers in a way that will influence the course of the disease
although time is important, a few days more or less dont matter for the chance of
a successful outcome.
1.
2.
3.
4.
The women that took part in the study belonged to a higher risk group.
Anxiety grew proportionally with the frequency of self-examination.
All lumps are evidence of cancer.
Physicians suggest women should check for normality rather than
abnormality.
5. The advice for women is a weekly check.
6. The outcome of the detected cancer depends on whether the woman has
consulted a doctor within days of its detection.
Vocabulary check - suggest SYNONYMS for the words from the text that could
be substituted in the same context:
excessive
_______________
efficacy
_______________
detection
_______________
awareness
_______________
surveyed
_______________
assumes
_______________
claimed
_______________
fundamentally
_______________
CANCER RESEARCH
Scan the paragraphs below and mark the key words that helped you decide
which of them talk about:
1
2
3
4
5
A
Experts agree: the earlier a cancer is diagnosed, the better your chances of
controlling it. And thanks to a growing understanding of the cancer cell's natural
life cycle, doctors are learning how to detect the disease at its very earliest
stages.
Other researchers are focusing on an even earlier stage, trying to lower the risk
of developing cancer at all. Here the most exciting work centers on the
cyclooxygenase inhibitor called COX-2. This compound is contained in a pain
reliever originally developed to fight pain and inflammation in many medical
conditions (e.g. osteoarthritis and rheumatoid arthritis) by blocking specific
enzymes produced in response to inflammation. Since it was found that the same
enzymes are produced by precancerous and cancerous tissue, the hope is that
COX-2 may be useful in preventing a wider range of cancers, including
colorectal, head and neck, bladder, lung and breast cancers.
B
Eventually, the goal is to detect precisely which molecular processes have gone
wrong in an individual patient's cancer. Rather than being identified as lung
cancer or breast cancer or kidney cancer, tumors will be tagged as, for example,
COX-2 positive.
In conclusion, the researchers' biggest hope for the future is that the new
therapies could transform cancer from an uncontrollable, frequently lethal illness
to a chronic but manageable one similar to diabetes and high blood pressure.
C
Although in many countries basic research into cancer biology is funded by
national cancer institutes, the majority of drug development is done by for-profit
pharmaceutical firms. US companies claim that it costs them between $500
million and $1 billion to bring a single new medicine to market partly because it
can take 15 years for the elaborate testing in animals and humans required by
the law and partly because for every medicine finally approved, there are 5,000
others that fail. The drug companies count on that one success to pay for the
5,000 failures.
D
In the course of their research scientists have accumulated a lot of information
about how cancer works at the molecular level, from its first awakening in the
DNA of a single cell's nucleus to its overall attack on the body. Armed with that
information, they have been developing an assortment of weapons to attack the
disease at every stage of its development. Many of these therapies are just
beginning to reach clinical trials and won't be available to save lives for years to
come.
PROSTATE
SCROTUM
SEMINAL VESICLES
SEMINIFEROUS TUBULES
TESTES
VAS (DUCTUS) DEFERENS
it was as late as 1878 that the practice of castration for male singers in the
papal choir was finally abolished by Pope Leo XIII?
the terms sperm and semen are often used as synonyms, although the
first means spermatozoa, and the second sperm plus glandular secretions
that are contained in the ejaculated fluid?
the terms infertility and sterility are often used as synonyms, although
infertility is in many cases treatable, while sterility is a permanent
condition?
in some cases male infertility may be the result of the testes being
exposed to excessively high temperatures over a prolonged period of time
(e.g. in saunas, or at work as long-distance drivers)?
Translate:
MUKA MENOPAUZA - MIT ILI STVARNOST?
Andropauza je naziv za pad proizvodnje mukih hormana u tijelu
sredovjenog mukarca. Sindrom ima mnoge simptome, meu kojima je
najei nemogunost postizanja erekcije i/ili smanjen libido, depresija te
smanjivanje miine snage.
Neka su istraivanja pokazala da lijeenje testosteronom djeluje na isti nain
kao i lijeenje estrogenom kod ena u menopauzi. No kako su nepoeljni
uinci testosterona pogoravanje postojeih bolesti prostate ili krvoilnog
sustava, mukarci s takvim bolestima nee biti obuhvaeni u daljnjim
istraivanjima.
Translate:
SMOKING AND ERECTILE DYSFUNCTION
Beside other possible physiological causes, vascular impairment in particular
is highly associated with erectile dysfunction. Among vascular diseases that
are recognized as risk factors, myocardial infarction, coronary bypass surgery,
stroke, peripheral vascular disease, and hypertension have been singled out.
Recent interest has turned towards cigarette smoking as a risk factor of
erectile dysfunction, presumably along the basis that the harmful substances
PROSTATE CANCER
Read about a study on how lifestyle may relate to the risk of developing
prostate cancer, and then decide if the statements below are true or
false. Mark the lines which support your decision:
A recent study suggests that men might reduce their risk of developing
prostate cancer by adopting a low-fat diet and taking regular aerobic exercise.
It was reported that the growth of androgen-dependent prostate cancer cells
in serum samples from overweight, sedentary men aged 42 73 years old
decreased by 30% after 11 days on a low-fat, high-fibre diet, and exercise
program. Serum from men of the same age who had been following the same
diet and exercise program in an extended study lasting approximately 14
years reduced cell growth by a further 15%. There was no difference in the
growth of androgen-independent prostate cancer cells in serum samples
taken before and after the program of diet and exercise.
1.
2.
3.
4.
5.
Regular exercise and a low-fat diet may help to prevent prostate cancer.
The surveyed men were fat, middle-aged to elderly and manual workers.
They went on a two-week diet and exercise program.
Urine samples were obtained from the surveyed men.
The growth of androgen-dependent cancer cells in the trial diminished by
30%.
6. There was another long-term study group of men involved.
7. The growth of androgen-independent cancer cells was reduced by 15%.
PLUS...
Complete the text with the correct form of the words in brackets:
The accepted fact that early (1) _____________ (DETECT) of prostate cancer
depends on the PSA (prostate-specific antigen) test, in which an
(2) _____________ (ELEVATE) of the protein tumor marker PSA indicates
the (3) _____________ (PRESENT) of prostate cancer, is becoming
(4) _____________ (CONTROVERSY). First, studies showed that many men
who were (5) _____________ (DIAGNOSIS) with cancer had normal levels of
PSA. Further research then suggested that the rate of increase of PSA, and
not its absolute level, was a (6) _____________ (RELY)
(7) _____________ (INDICATE) of the risk of the (8) _____________
(POSSIBLE) fatal disease.
(9) _____________ (CONSEQUENCE), new standards for interpreting PSA
readings have been (10) _____________ (SUGGESTION), but for the time
being it is felt that they would result in too many unnecessary biopsies and
cases of overtreatment.
CHLAMYDIAL INFECTION
GENITAL HERPES
GONORRHEA
HPV INFECTION
SYPHILIS
PLUS...
Researchers have developed a vaccine that appears to be 100% effective
against the two strains of HPV that cause 70% of cervical cancers.
II Read the text about SAFE SEX and mark the lines that give you the
following information:
-
chlamydia. The FPA fears the official ____________ are only the tip of the
iceberg, as many of the infected are unaware of it because the infection is so
often ____________.
If symptoms occur, women may ____________ discharge or pain during sex.
Men are likely to feel burning while ____________ urine.
Chlamydia can spread quickly and unnoticed into a womans internal
genitals, where it causes the majority of cases of pelvic ____________
disease (PID). Untreated, it can damage the ____________, resulting in
infertility. In-vitro fertilization (IVF) may then be the last resort.
Chlamydia can also cause ____________ pregnancy, where the fertilized egg
____________ in the fallopian tube instead of the uterus. A single
_______________ of antibiotics is usually prescribed to ____________ the
infection.
7
8
9
10
11
12
13
13
URINARY SYSTEM
THE PRODUCTION OF URINE
I Put the following sentences into sequence to describe the process of
urine production:
A Each renal tubule containing urine ends in a larger collecting tubule.
B From the Bowman capsule they pass through the renal tubule, from where
most of the water, all of the sugar and some salts (sodium) return to the
bloodstream. (glomerulus + renal tubule = nephron)
C All collecting tubules lead to the renal pelvis, an area in the central part of
the kidney, which contains small cup-like regions called calices.
D Blood enters the kidneys through the renal arteries.
E In the final process of urine formation, some metabolic waste products
(acids, potassium, drugs) from the bloodstream are SECRETED into the
renal tubule.
F There are about 1 million glomeruli in the renal cortex.
G The renal pelvis narrows into the ureter, which carries the urine to the
urinary bladder, where the urine is temporarily stored before being
EXCRETED through the urethra out of the body.
H The renal arteries branch into smaller arteries. The smallest, arterioles, are
located throughout the cortex of the kidney.
I As blood passes through the glomerular walls, it is FILTERED water,
salts, sugar and urea with creatinine and uric acid leave the bloodstream,
while proteins and blood cells are retained.
J This process is called REABSORPTION.
K The filtered materials are collected in the Bowman capsule, which
surrounds each glomerulus.
L Each arteriole branches into a mass of tiny intertwined capillaries, shaped
like a ball and called glomerulus.
tubular structure continuous with the renal tubule, leding to the renal
pelvis: _______________
a hard blow to the lumbar region can cause blood in the urine, because
the kidneys are highly vascular organs that are especially susceptible to
hemorrhage?
the pain from a kidney stone (renal calculus) that has been lodged in the
ureter is one of the most extreme kinds of pain?
women are much more susceptible to urinary bladder infections (cystitis)
because the female urethra is much shorter than the male one?
since urine is sterile at the moment of leaving a healthy body, it has been
used as a disinfectant in emergency situations?
since both alcohol and caffeine are diuretics, beer is not the best choice to
quench your thirst, neither is coffee a cure for a hangover, which is caused
by dehydration?
ANURESIS
ANURIA
DIURESIS
DYSURIA
ENURESIS
A
B
C
D
E
GLYCOSURIA
HEMATURIA
OLIGURIA
POLYURIA
PROTEINURIA
PYURIA
UREMIA
F
G
H
I
J
K
L
13 URINALYSIS
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_________________________
_________________________
_________________________
10
2. CYSTOSCOPY
In the case of a urinary problem, a cystoscopy, the visual examination of the
urinary bladder through the urethra, may be indicated. The cystoscope, a thin
tubular instrument with a light at the tip, allows the doctor to focus on the inner
surfaces of the urinary tract by means of lenses. Many cystoscopes have
extra tubes to guide other instruments for procedures to treat urinary
problems.
Concerning the procedure itself, it requires no special preparation, apart from
signing a consent form, since it involves a small risk of injury. After gently
inserting the tip of the cystoscope into the urethra, the doctor will slowly glide
it up into the bladder. A sterile liquid (water or saline) will flow through the
cystoscope to slowly fill the patients bladder and stretch it so that the doctor
has a better view of the bladder wall.
As the bladder reaches capacity, the patient will feel some discomfort and the
urge to urinate.
The time from insertion of the cystoscope to removal may be only a few
minutes, or it may be longer if the doctor finds a stone and decides to remove
it. Taking a biopsy will also make the procedure last longer. In most cases, the
entire examination, including preparation, will take about 15 to 20 minutes.
After the procedure, the patient may have a mild burning feeling when
urinating, and may see small amounts of blood in the urine. However, these
problems should not last more than 24 hours.
Medical term for urination ___________________
biopsy = ___________________
11
Explain:
hereditary
= ______________________________________
asymptomatic = ______________________________________
4. HEMODIALYSIS
Dialysis is a treatment for people in the later stage of chronic kidney disease
(kidney failure). This treatment cleans the blood and removes wastes and
excess water from the body, which is normally done by healthy kidneys.
Sometimes dialysis is a temporary treatment. However, when the loss of
kidney function is permanent (as in end-stage kidney failure), it must be
continued on a regular basis. The only other treatment for kidney failure is a
kidney transplant.
There are two types of dialysis: hemodialysis and peritoneal dialysis. In
hemodialysis, the patients blood is passed through an artificial kidney
machine to clean it. Peritoneal dialysis uses a filtration process similar to
hemodialysis, but the blood is cleaned inside the body rather than in a
machine.
Hemodialysis means cleaning the blood - and that is exactly what this
treatment does. Blood is circulated through a machine which contains a
dialyzer (also called an artificial kidney). The dialyzer has two spaces
separated by a thin semipermeable membrane. Blood passes on one side of
the membrane and dialysis fluid passes on the other. The wastes and excess
water pass from the blood through the membrane into the dialysis fluid, which
is then discarded. The cleaned blood is returned to the patients bloodstream.
Each hemodialysis treatment normally takes four to five hours, and usually
three treatments a week are needed. More frequent, shorter treatments or
longer treatments may be indicated for certain patients. Only a small amount
of the patients blood is out of the body at one time. Therefore the blood must
circulate through the machine many times before it is cleaned.
Explain:
peritoneal =
___________________________________________
semipermeable = ___________________________________________
1
2
3
4
5
6
7
8
9
10
13
The average age of menarche is later in girls who are very active
physically, due to a requirement for a minimum percentage of body fat for
menstruation to begin.
Menstrual cycles as long as 36 days or as short as 21 days are considered
within the normal range.
Although most women dont know when exactly their ovulation occurs,
about 30% of them experience a sharp, cramplike pain at the time of
ovulation, which is sometimes confused with the symptoms of appendicitis.
Amenorrhea, the absence of menstruation, is classified as normal,
primary, or secondary. Normal amenorrhea occurs during pregnancy
(sometimes also during lactation) and after menopause. Primary
amenorrhea is the absence of menarche, usually due to endocrine
disorders. Secondary amenorrhea occurs in women who have
menstruated previously, and can be due to various endocrine
disturbances, but also to psychological causes, intense training, or eating
disorders (anorexia nervosa), which considerably reduce the percentage
of body fat.
14
15
III Look at some advice for pregnant women on how to REDUCE THE
RISK OF AN EMERGENCY C-SECTION and supply the missing
words:
Before the birth:
Ask about the hospital policy, e.g. if you can walk during ____________.
Do __________ exercises to train and firm the muscles which will be
involved in the process of giving birth. A yoga class for pregnant women
may also be a good idea.
For a few weeks before the birth, massage the ____________, i.e. the
area between the vagina and anus. Massaging with vegetable oil
encourages the skin to stretch to double its normal capacity.
If your baby is ____________, ask about external version and vaginal
delivery in spite of this position.
If you are significantly ____________ before pregnancy, get advice on an
appropriate eating plan.
During labor:
16
CLEAR
HAND
CUT
MAKE
DELIVER
OPEN
DO
PERFORM
17
5 ___________________________________________________________
6 ___________________________________________________________
7 ___________________________________________________________
8 ___________________________________________________________
9 ___________________________________________________________
10 ___________________________________________________________
VII Translate:
Trudovi i porod mogu izazvati simptome posttraumatskoga stresa, koji se
obino povezuje s ratom i drugim oblicima nasilja, izvjeuju britanski
psiholozi. Ustanovili su da treina majki proivljava strah, tjeskobu i none
more, te da ih jo tjednima poslije poroda progone neugodne misli i
flashbackovi, posebno ako je trudnoa bila neeljena ili se ena bojala za
svoje zdravlje.
Nedavno je objavljena prva opsena studija koja je trudove i porod povezala s
traumom. Ispitane su 264 ene 72 sata poslije poroda i ponovno nakon 6
tjedana. U drugom ispitivanju etvrtina ena pokazivala je znakove
zabrinutosti, razdraljivosti ili nervoze, a tri posto ena pokazivalo je jake
simptome posttraumatskoga stresa.
FERTILITY
I In groups of 3, read the short description of one of the METHODS OF
ART (ASSISTED REPRODUCTION TECHNOLOGY) each, and then
report to the group.
Together, decide which underlying problem might be the basis for
each of these procedures:
In vitro fertilization (IVF)
A woman's eggs are extracted and mixed with her partner's sperm in a Petri
dish. The resulting embryo is transferred to her uterus through the cervix.
At least 60,000 IVF procedures are performed in the US annually, with an
average birthrate of 25%.
Intracytoplasmic sperm injection (ICSI)
To counteract problems with sperm count, quality or mobility, doctors inject a
single sperm directly into a mature egg to increase the chance of fertilization.
ICSI accounts for approximately 24,000 IVF procedures annually. Average
birthrate: 30%.
Egg donation
When the problem is aging eggs, a young woman may donate her eggs to a
couple. Fertilized with the man's sperm, the resulting embryo is implanted in
the older woman's womb.
More than 5,000 eggs are donated yearly. After the eggs are fertilized, the
birthrate is approximately 40%.
18
19
CONTRACEPTION
I Put the following CONTRACEPTIVE DEVICES AND MEASURES into
the categories below. In small groups, discuss what you know about
each of them:
CONDOM
INTRAUTERINE DEVICE (IUD)
CONTRACEPTIVE PATCH
MORNING AFTER PILL
DIAPHRAGM
ORAL CONTRACEPTION (THE
PILL)
FEMALE CONDOM
SPERMICIDE (CREAM, FOAM,
GEL)
HORMONAL IMPLANT
STERILIZATION (TUBAL
LIGATION, VASECTOMY)
INJECTABLE CONTRACEPTION
(THE JAB)
Hormonal methods (5):
Long-term mechanical methods (2):
Barrier methods (4):
II Read about the ORAL CONTRACEPTIVE PILL (OCP) and supply the
missing words:
The female sex hormones ____________ and ____________are two
hormones which direct many of the processes surrounding the ____________
cycle. Artificial analogues of these have proven an efficient form of
____________ control. To ____________ pregnancy a woman takes a pill
daily which ____________ both of these hormones. This is the combination
pill, or simply the pill.
The estrogen works by preventing an egg from being ____________ from the
ovaries (i.e. ____________) most of the time. Both hormones make the
____________ a hostile environment for a(n) ____________ by causing a
thinning of the uterine ____________. As modern combination pills contain
less estrogen than their predecessors, an egg will leave the ovaries 2 10%
of the time. If ____________occurs, the embryo will be unable to
____________ in the uterus, resulting in its death.
Oral contraceptives also have some uncommon but serious risks associated
with their use, especially among smokers; these include abnormal blood
____________ and heart attacks, cancer, and gallbladder disease.
____________ effects include headaches, acne, weight ____________,
vaginal infections, and depression.
20
III As you read about the INTRAUTERINE DEVICE (IUD), supply the
correct forms of the words in brackets:
The intrauterine device is a small plastic or metal device that is placed inside
the uterus by a gynecologist for an (1) ____________ (EXTENSION) period
of time.The IUD prevents (2) ____________ (IMPLANT) of an embryo and
makes it more difficult for sperm to enter. The copper in some types of IUD
has a (3) ____________ (SPERMICIDE) effect, and recent studies cite the
(4) ____________ (INTERCEPTION) action as a major factor. To make the
IUD more (5) ____________ (EFFECT), some contain progestin, which also
(6) ____________ (INTERFERENCE) with implantation. It has also been
stated that the IUD may mechanically dislodge an embryo after implantation.
The IUD carries with it a number of serious health risks, which have caused
many manufacturers to stop (7) ____________ (DISTRIBUTE). These risks
include pelvic (8) ____________ (INFLAMMATION) disease, permanent
(9) ____________ (INFERTILE), and ectopic pregnancy. Because the risks to
fertility, the IUD is usually not recommended to women who havent had
children yet.
IV Translate:
21
MENOPAUSE
I DID YOU KNOW THAT...?
22
Placebo
Difference
Breast cancer
3.8
3.0
+ 26%
Heart disease
3.7
3.0
+ 23%
Stroke
2.9
2.1
+ 38%
Blood clots
2.6
1.3
+ 100%
Hip fractures
1.0
1.5
- 33%
Colon cancer
1.0
1.6
- 37%
1. __________________________________________________________
2. __________________________________________________________
3. __________________________________________________________
23
THE EAR
HOW WE HEAR
Most of the missing words in this simple description of the process of
hearing are the MAIN STRUCTURES OF THE EAR:
Sound travels down the ____________ ____________ and strikes the
____________, which is taut like the skin of a real drum, so it ____________
when sound waves hit it. The motions are passed down the ____________
(____________, ____________ and ____________) to the ____________ ,
which is the main structure in the ____________ ____________. The
vibrations make the ____________ in the ____________ move. This
movement in turn makes the ____________ ___________ move, thus
producing tiny ____________ ____________ which are picked up by the
____________ ____________. The cells at one end of the cochlea send low
pitch sound information in these signals and those at the other end send high
pitch sound information. These electrical signals pass up the ____________
____________ to the ____________, which interprets them as
____________.
COCHLEAR IMPLANTS
24
25
26
ENDOCRINE SYSTEM
WHICH GLAND IS IT?
I Match the GLANDS (numbers) with their LOCATIONS (capital letters)
and FUNCTIONS (small letters):
1. ADRENAL GLANDS
2.
3.
4.
5.
OVARIES
PANCREAS (ISLETS OF LANGERHANS)
PARATHYROID GLANDS
PINEAL (EPIPHYSIS)
6. PITUITARY
(HYPOPHYSIS)
7. TESTES
8. THYMUS
9. THYROID
a
b
c
d
II Write down the name of the gland(s) which produces the hormones
below:
______________________:
______________________:
______________________:
______________________:
______________________:
______________________:
PTH
thymosin
estrogens, progesterone
STH, TSH, ACTH, FSH, LH, PRL; ADH, OT
T4, T3, calcitonon
corticosteroids, catecholamines
1
______________________: testosterone
______________________: insulin, glucagon
______________________: melatonin
III Which endocrine tissues, apart from the major glands, secrete the
following hormones / hormone-like substances? What do you know
about their functions?
cholecystokinin ____________________________
erythropoietin ____________________________
gastrin
____________________________
HCG
____________________________
prostaglandins ____________________________
secretin
____________________________
vitamin D
____________________________
PLUS...
The endocrine system is different from all other body sytems in that its
glands are widely scattered over different locations in the body, and not in
any way physically connected.
FLUCTUATE
HYPERSECRETION
HYPOSECRETION
INHIBITED
INTERMITTENTLY
MAINTAIN
REGULATE
SECRETE
ENDOCRINE DISORDERS
Put the following disorders into the table below:
ACROMEGALY
ADDISON DISEASE
CRETINISM
CUSHING DISEASE
DIABETES INSIPIDUS
DIABETES MELLITUS
DWARFISM
GLAND
Adrenal
Pancreas
Parathyroid
Pituitary
ENDEMIC GOITER
EXOPHTHALMIC GOITER
GIGANTISM
GRAVES DISEASE
HYPERINSULINISM
HYPERPARATHYROIDISM
HYPOPARATHYROIDISM
HYPERSECRETION
HYPOSECRETION
Thyroid
9
10
11
12
13
DIABETES
I Put the passages about NORMAL AND DIABETIC SUGAR
METABOLISM into sequence:
A Insulin-resistant cells can't create the portals needed to absorb glucose
from the blood.
B Normally, insulin molecules bind to receptors on muscle cells, preparing
them to absorb glucose from the blood.
C As glucose is absorbed and burned by muscle cells, the level in the
bloodstream quickly returns to normal.
D Any increase in blood glucose causes the pancreas to release insulin, a
hormone that helps the cells absorb the sugar.
E Many foods contain carbohydrates, chains of sugar molecules of
different shapes and sizes.
F In the case of diabetes, overworked receptors on cell surfaces become less
responsive to insulin.
G As carbohydrates enter the small intestine, they break down into glucose, a
Simple sugar that can enter the bloodstream.
H Consequently, glucose builds up in the bloodstream, obstructing vital
Processes and damaging vessel walls.
I Activated by insulin, the muscle cells create portals which glucose
molecules can enter.
II In pairs, go through the CHECKLIST OF WARNING SIGNS FOR
DIABETES and ask each other about possible symptoms. Be sure to
use the correct question forms!
e.g. Do you feel hungry and / or thirsty all the time?
1 type-1 diabetes
2 type-2 diabetes
3 physiological causes of diabetes and its symptoms
4 long-term effects of diabetes
5 the spread of diabetes relating to onset-age
6 diabetes and obesity
7 genetic factors
8 new drug therapies
9 recommended diet and lifestayle
A
The correlation between type-2 diabetes and obesity is overwhelming: as
people get fatter, the risk of diabetes goes up dramatically. The exact nature
of the relationship is extremely complex and not yet fully understood, but the
simplest way to think about it may be that for unknown reasons, the same
factors that make you fat - lack of exercise and a high-calorie diet - also put
you at risk for diabetes.
B
Researchers are still investigating all the ways in which high blood-sugar
levels do damage. One obvious effect is on the arteries, especially in the
eyes, kidneys and extremities; sugar seems to both weaken the capillary walls
and clog the small vessels. Hemorrhages destroy the retina; impaired
circulation leads to ulcers in the legs and feet for which amputation may be
the only cure. The risk of heart disease doubles for men and increases four
times for women.
C
Most alarming is the spread of diabetes across age barriers. The enormous
rise in type-2 disease, which has so far been considered the adult variety,
among teenagers should be a great concern because diabetes can take
decades to reveal its effects including ulcerating sores, blindness, kidney
failure, strokes and heart disease. The implications for health-care systems
are obvious.
D
With conscientious monitoring of their blood sugar, regular exercise and the
right attitude, many diabetics can now allow themselves an occasional sweet,
if it is part of the same low-fat, high-fiber, low-calorie diet that researchers
recommend for practically every other major health problem. Sophisticated
patients don't just stick to a diet, but monitor what they eat strictly, measuring
their blood-sugar levels with a blood-glucose meter and a drop of blood from
a finger as often as five times a day.
E
Type 2 is a more complicated disease, a spiraling disorder linking the
pancreas, liver (which stores and releases glucose), muscles, nerves, fat cells
and brain. In diabetics, the muscle cells refuse to absorb glucose from the
blood, a phenomenon called insulin resistance. At least in the early stages of
the disease, type-2 diabetics usually have normal insulin production. They
may even have above-normal insulin, as their pancreas produces more and
more of it in an unsuccessful attempt to keep up with the rise in blood sugar.
However, gradually patients may need more insulin than their pancreas can
supply and so become dependent on insulin injections.
F
The complexity of the glucose-insulin cycle provides various ways to intervene
with therapies. The obvious therapy is insulin. For years the only available
form was harvested from cows or pigs, but now human insulin is being
manufactured directly by recombinant DNA techniques. Besides, drug
companies are coming out with new and improved insulin, engineered with
molecular changes to make it last longer in the body or be absorbed more
easily into cells.
For decades, many diabetics have been taking some form of drugs that
stimulate production and release of insulin by the pancreas. But newer drugs,
available for the last few years, offer far more possibilities for control.
Glucophage is one - it controls blood sugar directly by promoting glucose
storage in the liver. A class of drugs called TZDs make muscle and fat cells
more sensitive to insulin, fighting the disease right at the source. And there
are drugs that work in the gut to inhibit starch digestion, slowing the process
enough to flatten the glucose spike.
G
Genetics seems to play a role in this disorder as well. Recently researchers
have identified a variant form of a gene on human chromosome 1 that
appears to increase the risk of type-2 disease by about 25 %.
H
The relatively uncommon type-1 diabetes is marked by a straightforward
shortage of insulin, which typically occurs around puberty, and is due to a
hyposecretion of the posterior lobe of the pituitary gland. Researchers
consider it an autoimmune disease, possibly caused by a viral infection. The
treatment is simple in concept, if not always in practice: the missing insulin is
supplied, if necessary by injecting it before meals. Although the name
juvenile diabetes is common, it's a life-long disease. Fortunately, there's no
evidence that its incidence is on the rise.
I
Diabetes is a disorder that takes place at the molecular level. Its main
characteristic is a failure to metabolize glucose, the sugar molecule carried
by the bloodstream to fuel every part of the body. If they dont get their prime
energy supply, muscle and nerve cells slow their function, which is why early
diabetes may manifest itself as permanent tiredness and irritability.
At the same time, glucose accumulates in the patient's blood, and can reach
concentrations two to three times normal and even higher. The excess is
eventually excreted by the kidneys, which require large quantities of water as
a dilutant thats why constant thirst is another typical symptom.
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tissue death
radiographic examination of blood vessels
afferent blood vessel of the spleen
pathologically changed tissue
afferent blood vessel of the pancreas
supplied with blood vessels
THE EYE
HOW WE SEE
Most of the missing words in this simple description of the process of
seeing are the MAIN STRUCTURES OF THE EYE:
Light rays enter the dark center of the eye, the ____________, passing
through two transparent structures that extend over it, the ____________ and
the ____________, as well as through the ____________ ____________,
which is filled with ____________ ____________ and positioned anterior to
the pupil.
Then the rays hit the _____________, a refractive structure whose shape is
adjusted for close or distant vision with the help of the ____________
____________ on either side of it. This process is called ____________.
Next the light rays pass through the ____________ ____________, which
contains ____________ ____________, a soft jelly-like substance that fills
and shapes the eyeball. Finally the rays fall on the ____________, a delicate
inner nerve layer of the eye. It contains millions of sensitive receptor cells:
____________ (responsible for dim and peripheral vision) and ____________
(responsible for bright, color and central vision). They initiate ____________
____________ that travel to the brain by means of the ____________
____________, which meets the retina in the region called the ____________
____________ or the blind spot. The area beside it is the location of sharpest
vision called the ____________.
SIGHT or VISION?
sight
vision
1. sight def. 1
2. sight def. 2
3. visual clarity
e.g. Although theres nothing wrong with his sight, his vision was blurred
because of the rain.
The following adjectives, used with SIGHT or VISION, all form medically
relevant collocations. (Two of them are used with both words, although
with different meanings find out which with the help of a medical
dictionary.)
Sort them out:
CENTRAL
COLOR
DAY
FAR / LONG
NEAR / SHORT
NIGHT
PERIPHERAL
SECOND
TUNNEL
DOUBLE
OLD
sight:
________________
________________
________________
________________
________________
________________
vision:
________________
________________
________________
________________
________________
________________
________________
all newborns have blue eyes because melanin, which determines eye
color, is concentrated in the folds of the iris at the time of birth, and only
moves to the surface after a few months, giving the baby his / her
permanent eye color?
blinking, which occurs every 7 seconds on average, keeps your eyes from
drying out by moving fluid over the eyeballs?
color vision deficiency, popularly called color blindness, which results from
a lack of one type of cones, is a hereditary condition affecting males much
more than females?
puncture wounds to the eye may cause blindness, especially if the object
stuck in the eyeball is removed, because this can allow the humors to
drain and the retina to detach?
____________________________________________
____________________________________________
____________________________________________
Mark the lines that advise you about what to watch out for when
shopping for sunglasses:
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Many sunglasses on the market don't fully block the two main types of
ultraviolet radiation (A and B) that have been linked to skin aging, sunburn
and skin cancer. Ophthalmologists warn that prolonged exposure can lead to
various vision problems as well.
Sometimes the effects of sun exposure are immediate - water skiers, or snow
skiers, can develop a type of temporary blindness called photokeratitis, that
occurs when reflected sunlight burns the cornea. Other conditions may be
triggered after years of exposure. Studies have linked UV radiation to an
increased risk of cataracts, in which the lenses of the eyes become cloudy, as
well as to macular degeneration, in which the cells in the central part of the
retina slowly deteriorate.
The right pair of sunglasses doesn't have to be expensive. You just have to
make sure there's an official label indicating that the lenses absorb 99% to
100% of the UVA and UVB rays. However, you should be suspicious of any
nonspecific wording such as UV block or maximal UV protection. Specific
numbers should always be attached.
Also, deep tinting without the right label can actually be more harmful:
normally our eyes widen and let in more light when we wear dark glasses.
Unless the lenses are already designed to absorb ultraviolet light, the risk of
damaging the eyes only grows.
For extra safety, choose lenses that are polarized. This decreases glare by
deflecting the sunlight that is reflected off such smooth surfaces as sand,
water and pavement.
The style of the frames can be as important as the lenses, as they should
protect your eyes not only from direct light but also from the light that comes
from different angles, from above or the sides. Wraparound frames that fit
against your face are most effective at closing off the open spaces around the
eye sockets.
And dont put away your sunglasses when summer is over - ultraviolet
radiation doesnt disappear on cloudy days or in winter!
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STRUCTURE
Appearance / changes
RETINA
CORNEA
LENS
SCLERA
PUPIL
OPTIC DISC
INDICATED CONDITIONS /
POTENTIAL PROBLEMS
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