Universidad Juarez Autonoma de Tabasco. Division Academica de Ciencias de la Salud. Anthology Ingles Basico. Teacher: Portilla Manica Norma Isabel. English is internationally recognized as the language of science. Most of the knowledge related to health is in english.
Universidad Juarez Autonoma de Tabasco. Division Academica de Ciencias de la Salud. Anthology Ingles Basico. Teacher: Portilla Manica Norma Isabel. English is internationally recognized as the language of science. Most of the knowledge related to health is in english.
Universidad Juarez Autonoma de Tabasco. Division Academica de Ciencias de la Salud. Anthology Ingles Basico. Teacher: Portilla Manica Norma Isabel. English is internationally recognized as the language of science. Most of the knowledge related to health is in english.
There are many reasons to learn English but one of the most important reason for me is that in the medical field it is the universal language. Learning English is 1
actually a medical advantage. English is becoming more and more important with regards to health, learning English will enable me to a better communicate with English speakers. Be able to speak English can be helpful for me in my career. Knowing medical English can open me the way to different important fields in medicine. Actually in the medicine field prefer to hire people who speak more of one language and they are right, sometimes something very important could get lost in translation when medical English translator is used. If I learn to speak medical English I will be able to communicate with foreign patients and work partners, it will provide me a better position in my career and also I will have the option to apply for jobs requiring English. The truth is that English is internationally recognized as the language of science. Most of the knowledge related to health is in English. Being able to use English in my researches on the Web will give me unlimited access to knowledge.
INDEX Introduction ........................................................................................................................................ 0 Unidad no. 1.- Tcnicas para la obtencin de conceptos generales de textos en ingls. .... 4 The skeleton .................................................................................................................................. 4 2
Body Parts: .................................................................................................................................... 6 Main nerve system ....................................................................................................................... 8 Circulatory system ........................................................................................................................ 9 Respiratory system ..................................................................................................................... 11 Digestive system ......................................................................................................................... 12 Urinarium system ........................................................................................................................ 13 The senses .................................................................................................................................. 14 Reproductive System ................................................................................................................. 15 Unidad No. 2 TCNICAS PARA LA APLICACIN DE CONECTORES ............................... 18 Cellular and chemical structures .............................................................................................. 18 How membrane cells work and functions ............................................................................... 20 How nerve cells communicate .................................................................................................. 21 How cells divide .......................................................................................................................... 22 The mitosis cell cycle ................................................................................................................. 23 ....................................................................................................................................................... 23 The meiosis cell cycle ................................................................................................................ 23 ....................................................................................................................................................... 23 How cells communicate ............................................................................................................. 24 Structure of the cell membrane ................................................................................................ 25 Unidad No. 3 TCNICAS PARA LA OBTENCIN DE INFORMACIN ESPECFICA....... 27 Unidad No. 4 CASOS CLNICOS EN INGLS .......................................................................... 31 Conclusion ....................................................................................................................................... 32 Glosary ............................................................................................................................................. 34 Annexus: .......................................................................................................................................... 38
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Unit 1
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Unidad no. 1.- Tcnicas para la obtencin de conceptos generales de textos en ingls. The skeleton
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Body Parts:
9 Forarm 17 Knee 25 Chest 33 foot 10 Wrist 18 Toes 26 Upper abdomen 34 toes 11 Thumb 19 Hair 27 Lower abdomen 12 Palm 20 Eye 28 Penis 13 Fingers 21 Nose 29 Abdomen 14 Groin 22 Ear 30 Hand 15 Penis 23 Cheek 31 Leg 16 Thigh 24 Neck 32 Elbow 1 Head 2 Head 3 Face 4 Mouth 5 Chin 6 Armpit 7 Arm 8 Elbow 7
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Main nerve system It is a complex group of nerves and neurons that transmit signals between different parts of the body. The nervous system is the anatomical elements that permits to the body react before a stimulus. The nerve system controls the organisms activities. Neurons: they carry the electrical messages that are the "language" of the nervous system.The basic functioning of the nervous system depends a lot of the neurons. The brain has billions of them, and they have many specialized jobs.
Division of the nervous system
Central nervous System (CNS) It is the principal control center of the body. This system allows the control and integration of the nervous information. The brain and spinal cord constitute the CNS it is located in the cranium and spinal canal of the spine. The central nervous system includes:
The brain: lies within the skull and is shaped like a mushroom. The brain weighs approximately 1.3 to 1.4 kg. It has nerve cells called neurons and supporting cells called the glia. There are two types of matter in the brain: grey matter and white matter. Grey matter receives and stores impulses. Cell bodies of neurons and neuroglia are in the grey matter. White matter in the brain carries impulses to and from grey matter. It consists of the nerve fibers (axons).
The spinal cord: is along tube like structure which extends from the brain. The spinal cord is composed of a series of 31 segments. A pair of spinal nerves comes out of each segment. The region of the spinal cord from which a pair of spinal nerves originates is called the spinal segment. Both motor and sensory nerves are located in the spinal cord.
Peripheral nervous System (PNS) Nerves are bundles of neuron fibers. The nerves in the body and head that 9
carry information to and from the central nervous system are called the peripheral nerves. This System is a set of nervous fibers that conduct the information of the CNS for the functionality of the organism. The twelve cranial nerves and the thirty- first spinal nerves are in the splanchnocranium and distributed in the body segments.
Circulatory system The circulatory system is responsible for transporting materials throughout the entire body. It transports nutrients, water, and oxygen to your billions of body cells and carries away wastes such as carbon dioxide that body cells produce. It is an amazing highway that travels through your entire body connecting all your body cells. Parts of the Circulatory System, The circulatory System is divided into three major parts: The Heart The Blood The Blood Vessels The Heart The Heart is an amazing organ. The heart beats about 3 BILLION times during an average lifetime. It is a muscle about the size of the fist. The heart is located in the center of your chest slightly to the left. It's job is to pump your blood and keep the blood moving throughout the body.
The Blood The blood is a substance that is constantly flowing through the body. Blood Cells The Red Blood Cells, White Blood Cells and Platelets are made by the bone marrow. Bone marrow is a soft tissue inside of our bones that produces blood cells. Red Blood Cells: are responsible for carrying oxygen and carbon dioxide, pick up oxygen in the lungs and transport it to all the body cells. After delivering the oxygen to the cells it gathers up the carbon dioxide and transports carbon dioxide back to the lungs where it is removed from the body when we exhale. White Blood Cells: help to the body fight off germs, attack and destroy germs when they enter the body. Platelets: are blood cells that help stop bleeding 10
Plasma: is the liquid part of the blood. Approximately half of the blood is made of plasma. The plasma carries the blood cells and other components throughout the body. Plasma is made in the liver. The Blood Vessels Arteries Capillaries Veins Arteries: carry oxygen rich blood away from the heart. Capillaries: are tiny blood vessels, connect arteries to veins. Oxygen and wastes pass in and out of your blood through the capillary walls. Veins: carry blood back toward your heart.
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Respiratory system Respiration is the set of events that results in the exchange of oxygen from the environment and carbon dioxide from the body's cells. The process of taking air into the lungs is inspiration, or inhalation, and the process of breathing it out is expiration, or exhalation. All of this couldn't happen without the respiratory system, which includes the nose, throat, voice box, windpipe, and lungs. At the top of the respiratory system, the nostrils act as the air intake, bringing air into the nose, where it's warmed and humidified. Air can also be taken in through the mouth. These two openings of the airway meet at the pharynx, at the back of the nose and mouth. The pharynx is part of the digestive system as well as the respiratory system because it carries both food and air. At the bottom of the pharynx, this pathway divides in two, one for food (the esophagus) and the other for air. The epiglottis, a small flap of tissue, covers the air-only passage when we swallow, keeping food and liquid from going into the lungs. The larynx is the uppermost part of the air-only pipe. This short tube contains a pair of vocal cords, which vibrate to make sounds.
The trachea extends downward from the base of the larynx. It lies partly in the neck and partly in the chest cavity. The walls of the trachea are strengthened by stiff rings of cartilage to keep it open. At its bottom end, the trachea divides into left and right air tubes called bronchi, which connect to the lungs. Within the lungs, the bronchi branch into smaller bronchi and even smaller tubes called bronchioles. Bronchioles end in tiny air sacs called alveoli, where the exchange of oxygen and carbon dioxide actually takes place.
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The lungs also contain elastic tissues that allow them to inflate and deflate without losing shape and are encased by a thin lining called the pleura. This network of alveoli, bronchioles, and bronchi is known as the bronchial tree. The diaphragm plays a lead role in breathing. It moves downward when we breathe in, enlarging the chest cavity and pulling air in through the nose or mouth. When we breathe out, the diaphragm moves upward, forcing the chest cavity to get smaller and pushing the gases in the lungs up and out of the nose and mouth.
Digestive system
The digestive system helps the body digest food. In order to use the food we eat, our body has to break the food down that it can process; it also has to excrete waste. It begins in the mouth where the food is partly broken down by the process of chewing then the food enters to the esophagus that is a long tube that moves food from the back of the throat to the stomach. The stomach a stretchy sack shaped like the letter J that churns the food and bathes it in a very strong acid. After being in the stomach, food enters the small intestine that breaks down the food mixture even more so the body can absorb all the vitamins, minerals, proteins, carbohydrates, and fats. The pancreas, liver, and gallbladder send different juices to the first part of 13
the small intestine that helps to digest food and allow the body to absorb nutrients. The pancreas makes juices that help the body digest fats and protein, the juice from the liver called bile helps to absorb fats into the bloodstream. And the gallbladder serves as a warehouse for bile, storing it until the body needs it. The leftover waste parts of the food that the body can't use goes on to the large intestine where some of the water and electrolytes are removed from the food. Finally the solid waste is then stored in the rectum until it is excreted via the anus.
Urinarium system The body produces urine as a way to get rid of waste and extra water that it doesn't need. Before leaving your body, urine travels through the urinary tract. The urinary tract includes the: kidneys: that filter waste from the blood and produce urine. ureters: that take urine from the kidn ey to the bladder bladder: holds urine until it's time to go to the bathroom. urethra: carries urine from the bladde r to out of the body. 14
Once urine is produced, it travels from the kidney to the bladder, where it's stored until you need to go to the bathroom. The bladder expands as it fills; when it's full, nerve endings in the bladder wall send a message to the brain that you need to pee, the bladder walls contract and the sphincter relaxes. The urine then flows from the bladder and out of the body through the urethra. For boys, the urethra ends at the tip of the penis. For girls, it's above the vaginal opening.
The senses
The senses are based on receptor cells or groups of receptor cells called sense organs. Balance: involves the bodys sense of movement and gravity or the relationship between ones own body and the earth Proprioception: it lets us know exactly where our body parts are, how we are positioned in space and to plan our movements. Taste: Receptors for taste are located on the tongue at the taste buds. Taste buds are at the top of the tongue. There arre four different taste receptors: sweet, sour, salt, bitter. Touch: The skin is the organ, which contains the receptors for touch and temperature. The receptors are found in different concentrations at different areas of the body. Sight: Sight or vision is the capability of the eye(s) to focus and detect images of visible light on photoreceptors in the retina of each eye that generates electrical nerve impulses for varying colors, hues, and brightness Hearing: Hearing or audition is the sense of sound perception. Hearing is all about vibration. Mechanoreceptor s turn motion into electrical nerve pulses, which are located in the inner ear. Smell: is our ability to detect scent chemical, molecules in the air. Our olfactory system begins in our nose which has hundreds of olfactory receptors.
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Reproductive System Female reproductive system The external part of the female reproductive organ is called the vulva that is located between the legs and covers the opening of the vagina and other reproductive organs located inside the body. A female's internal reproductive organs are the vagina, uterus, fallopian tubes, and ovaries. The vagina is a muscular, hollow tube that extends from the vagina opening to the uterus. The vagina connects with the uterus to the cervix that has strong, thick walls. The opening of the cervix is very small.
The uterus is shaped like an upside down pear with thick muscular walls. At the upper corners of the uterus, the fallopian tubes connect uterus to the ovaries that are two oval-shaped organs that lie to the upper right and l eft of the uterus. The ovaries store and release eggs into the fallopian tub es in the process called ovulation. Once the egg is in the fallopian tube, tiny hairs in the tube's lining help push it down the narrow passage way toward the uterus.
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Male reproductive system The male reproductive system includes: The testicles: produce and store millions of tiny sperm cells and produce hormones. The duct system: made up of the epididymis and the vas deferens The accessory glands: include the seminal vesicles and prostate gland The penis: where semen and urine exit the body through the urethra. Alongside the testicles are the epididymis and the vas deferens which make up the duct system of the male reproductive organs. The vas deferens transports the sperm-containing fluid called semen. The epididymis connects to the vas deferens. The epididymis and the testicles hang in the scrotum that is a bag of skin that helps to regulate the temperature of testicles. The accessory glands, including the seminal vesicles and the prostate gland, provide fluids that lubricate the duct system and nourish the sperm. The urethra is the channel that carries the semen to the outside of the body through the penis. The penis is made up of two parts: the shaft and the glans. The shaft is the main part of the penis and the glans is the tip. At the end of the glans is a small slit or opening.
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Unit 2
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Unidad No. 2 TCNICAS PARA LA APLICACIN DE CONECTORES Cellular and chemical structures
Cell Part Function Cell (plasma) membrane Controls entry into and out of cell
Cell Wall shapes and supports a plant cell
Cytoplasm
substance within cell Endoplasmic reticulum surface for chemical activity stores and releases chemicals
Golgi bodies digestion center
Lyosome mircotubule hollow cylinder that supports and shapes cell
Mitochondria "powerhouse" of cell
Nuclear membrane holds nucleus together
Nucleolus spherical body within nucleus
Ribosomes where proteins are made
Vacuole contains water and dissolved minerals Nucleo Contains information to run cell
Nucleus: is where the DNA is kept and RNA is transcribed. RNA is moved out of the nucleus through the nuclear pores. The nucleolus is usually visible as a dark spot in the nucleus, and is the location of ribosome formation. Ribosomes: are where RNA is translated into protein. These organelles are very small, made up of 50 proteins and several long RNAs bound together. Ribosomes do not have a membrane. Ribosomes fall into two seperate units while not synthesizing protein. 19
Endoplasmic reticulum: is the transport system for molecules needed for certain changes and specific destinations, instead of molecules that float freely in the cytoplasm. There are two types of ER, rough and smooth. Rough ER has ribosomes attached to it, as mentioned before, and smooth ER does not. Lysosome: is the digestive system in the cell. It breaks down molecules into their base components digestive enzymes. This demonstrates one of the reasons for having all parts of a cell compartmentalized, the cell couldnt use the destructive enzymes if they werent sealed off from the rest of the cell. Cell membrane: functions as a semi- permeable barrier, allowing a very few molecules across it while fencing the majority of organically produced chemicals inside the cell. Electron microscopic examinations of cell membranes have led to the development of the lipid bilayer model.
Cytoplasm: was defined earlier as the material between the plasma membrane (cell membrane) and the nuclear envelope. Fibrous proteins that occur in the cytoplasm, referred to as the cytoskeleton maintain the shape of the cell as well as anchoring organelles, moving the cell and controlling internal movement of structures. Microtubules: serve as a "temporary scaffolding" for other organelles. Actin filaments are thin threads that function in cell division and cell motility. Intermediate filaments are between the size of the microtubules and the actin filaments.eeze-fracturing is able to split the bilayer. Vacuoles: are single- membrane organelles that are essentially part of the outside that is located within the cell. Mitochondria: consist s of an outer and an inner membrane. The mitochondria are the main energy source of the cell, in fact, they are often called the "power plants" of the body because this is where energy (ATP) is created. Golgi complex- It is the organelle in the cell that is responsible for sorting and correctly shipping the proteins produced in the ER. 20
How membrane cells work and functions
The cell membrane surrounds the cytoplasm of living cells, physically separating the intracellular component from the extracellular environment. The cell membrane also plays a role in anchoring the cytoskeleton to provide shape to the cell, and in attaching to the extracellular matrix and other cells to help group cells together to form tissues. The cell membrane is selectively permeable and able to regulate what enters and exits the cell, thus facilitating the transport of materials needed for survival. The movement of substances across the membrane can be either "passive", occurring without the input of cellular energy, or "active", requiring the cell to expend energy in transporting it. The membrane also maintains the cell potential. The cell membrane thus works as a selective filter that allows only certain things to come inside or go outside the cell. The cell employs a number of transport mechanisms that involve biological membranes: Passive osmosis and diffusion: Some substances such as carbon dioxide and oxygen, can move across the plasma membrane by diffusion, which is a passive transport process. Because the membrane acts as a barrier for certain molecules and ions, they can occur in different concentrations on the two sides of the membrane. Such a concentration gradient across a semipermeable membrane sets up an osmotic flow for the water. Transmembrane protein channels and transporters: Nutrients, such as sugars or amino acids, must enter the cell, and certain products of metabolism must leave the cell. Such molecules diffuse passively through protein channels such as aquaporins in facilitated diffusion or are pumped across the membrane by transmembrane transporters. Protein channel proteins, also called permeases, are usually quite specific, recognizing and transporting only a limited food group of chemical substances, often even only a single substance. Endocytosis: is the process in which cells absorb molecules by engulfing them. The plasma membrane creates a small deformation inward, called an invagination, in which the substance to be transported is captured. The deformation then pinches off from the membrane on the inside of the cell, creating a vesicle containing the captured substance. Endocytosis is a pathway for internalizing solid particles, small molecules and ions and macromolecules. Exocytosis: Just as material can be brought into the cell by invagination and formation of a vesicle, the membrane of a vesicle can be fused with the plasma 21
membrane, extruding its contents to the surrounding medium. This is the process of exocytosis. Exocytosis occurs in various cells to remove undigested residues of substances brought in by endocytosis, to secrete substances such as hormones and enzymes, and to transport a substance completely across a cellular barrier
How nerve cells communicate
The electrical signals (nerve impulses) carried by neurons are passed on to other neurons at junctions called synapses. The signal may be directly transferred at electrical synapses or, if there is no physical link between adjacent neurons, the signal is carried across the gap by chemicals called neurotransmitters. By using neurotransmitters, the nervous system can alter the way a message is passed on. Each neuron communicates with many others and this contributes to the amazing complexity of the brain. What is Synapse?
When a nerve impulse reaches the synapse at the end of a neuron, it cannot pass directly to the next one. Instead, it triggers the neuron to release a chemical neurotransmitter. The neurotransmitter drifts across the gap between the two neurons. On reaching the other side, it fits into a tailor-made receptor on the surface of the target neuron, like a key in a lock. This docking process converts the chemical signal back into an electrical nerve impulse. Neurotransmitters: Your brain uses over 50 different neurotransmitter chemicals. Although electrical signalling between neurons is quicker and more energy efficient, chemical signalling is far more versatile. The signals carried by some neurotransmitters excite the target cell while others dampen down their activity, depending on the type of neurotransmitter released at the synapse and the receptors they reach.
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How cells divide Most of the time, when a cell in the body divides, each new cell carries a complete set of chromosomes There are two types of cell division: mitosis and meiosis. Most of the time when people refer to cell division, they mean mitosis, the process of making new body cells. Meiosis is the type of cell division that creates egg and sperm cells. Meiosis is the process by which certain sex cells are created. The egg or sperm cells contain only a total of 23 chromosomes. When an egg and sperm unite to make a fertilized egg, the chromosomes add up to equal 46. Meiosis, ensures that humans have the same number of chromosomes in each generation. Mitosis is a fundamental process for life. During mitosis, a cell duplicates all of its contents, including its chromosomes, and splits to form two identical daughter cells. Because this process is so critical, the steps of mitosis are carefully controlled by a number of genes. When mitosis is not regulated correctly, health problems such as cancer can result. Mitosis describes the process by which the nucleus of a cell divides to create two new nuclei, each containing an identical copy of DNA. Almost all of the DNA duplication in the body is carried out through mitosis.
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The mitosis cell cycle
The meiosis cell cycle
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How cells communicate 1. Signals travel into cells: Cells communicate by sending and receiving signals. Signals may come from the environment, or they may come from other cells. In order to trigger a response, these signals must be transmitted across the cell membrane. Sometimes the signal itself can cross the membrane. Other times the signal works by interacting with receptor proteins that contact both the outside and inside of the cell. In this case, only cells that have the correct receptors on their surfaces will respond to the signal.
2. Signals pass from protein to protein: Once inside the cell, the signal continues on its way. Its ultimate destination depends on the nature of the signal, with some signals traveling to the nucleus or to other structures inside the cell. Signals most often move through the cell by passing from protein to protein, each protein modifying the next in some way. Collectively, the proteins that relay a signal to its destination make up a signaling pathway. A signaling pathway can have few or many steps. Some signaling pathways branch out in different directions, sending signals to more than one place in the cell. As a signal is transferred from protein to protein, it can also be amplified. By dividing and amplifying a signal, the cell can convert a small signal into a large response. 3. Proteins direct cellular responses. Once a signal reaches its target molecule (usually a protein), it works to change the behavior of the cell. Depending on the signaling molecules involved, the cell can respond in a variety of ways. 4. Cells integrate multiple signals: Each cell receives a complex combination of signals which simultaneously trigger many different signaling pathways. Each step in a signaling pathway provides an opportunity for cross-talk between different signals. Through cross-talk, the cell integrates information from many different signaling pathways to initiate an appropriate response.
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Structure of the cell membrane The chemical composition of the plasma membrane between cells varies depending on the function or tissue in which they are, but you can study generally. The plasma membrane consists of a double layer of phospholipids, by non- covalently bound proteins to the bilayer, and sugars covalently bound to lipids, or proteins. The largest molecules are lipids, and it is estimated that there are lipid per 50 proteins. However, proteins, due to their larger size, represent approximately 50 % of the mass of the membrane. Lipids 98% of the lipids present in the cell membrane are amphipathic that is that they have a hydrophilic end and a hydrophobi. The most abundant are phosphoglycerides and sphingolipids , which are found in all cells ; followed glycolipids and steroids. The latter are absent or scarce in the plasma membranes of prokaryotes. There are also neutral fats , which are amphipathic lipids , but they represent only 2% of total membrane lipids. Phosphoglycerides: a glycerol molecule with a phosphoric acid and two long chain fatty acid is esterified; Membrane major phosphoglycerides are phosphatidylethanolamine or cephalin , lecithin or phosphatidylcholine , phosphatidylinositol and phosphatidylserine . Sphingolipids: Membrane lipids are composed of; Family only has sphingomyelin phosphorus; and other carbohydrates have therefore called glycosphingolipids or simply glycolipidsCholesterol: Molecules are small compared to most other amphipathic lipids. Is arranged with the hydroxyl group to the outside of the cell. Cholesterol is an important factor in the fluidity and membrane permeability factor, occupying the gaps left by other molecules. A greater amount of cholesterol, less permeable membrane is fluid .
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Unit 3
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Unidad No. 3 TCNICAS PARA LA OBTENCIN DE INFORMACIN ESPECFICA Potential new Alzheimer's treatment may come from an unexpected protein A protein implicated in producing aggregates harmful to the body may protect against Alzheimer's. Ongoing research into how this mechanism might work has led one team of researchers to the verge of creating a new drug to prevent or delay Alzheimer's symptoms. Transthyretin (TTR) is a protein that acts as a transporter, carrying vitamin A and the hormone thyroxine through the body via cerebrospinal fluid and the bloodstream. TTR is mostly produced in the liver and in the brain regions where cerebrospinal fluid is made, although recent studies have found that it can be produced at low levels in neurons. To act efficiently as a transporter, TTR forms a structure called a "tetramer" comprised of four subunits. However, these tetramers can break down in people carrying a TTR gene mutation, and in old people. When this happens, the subunits of the tetramer fold into tough aggregates called amyloids, which accumulate in the heart, kidneys, peripheral nerves and elsewhere. Build-ups of these amyloids are associated with familial amyloid polyneuropathy and senile systemic (cardiac) amyloidosis - diseases that are known to shorten lifespan. TTR as tool to prevent Alzheimer's In the mid-1990s, reports began to emerge that TTR was able to bind to amyloid-beta, the protein associated with Alzheimer's, and prevent it from aggregating. If correct, these reports would suggest that TTR may protect against Alzheimer's. The Scripps Research Institute's Prof. Joel N. Buxbaum, co-author of the new study, was skeptical. "At the time it seemed unlikely that one amyloidogenic precursor would have a beneficial effect on the aggregation of another," he told Medical News Today. "The in vitro experiments were technically suspect, but turned out to be essentially correct. "
A proposed new molecule compound would modestly boost HSF1 activity and TTR production in neurons in order to prevent or delay the symptoms of Alzheimer's Following the initial report of the link in 1995, Prof. Buxbaum points out the laboratory in question did not publish any further papers on the subject for another 10 years, suggesting that the results might not be reproducible. "Given that background, I was predisposed to be skeptical," he told us, "which was probably a good thing since it made me look at the data from our genetic experiments very critically. I figured if the results convinced me, they should convince anyone." However, in a 2008 study, Prof. Buxbaum and colleagues expanded their current work on TTR 28
amyloidoses to test the Alzheimer's theory. In transgenic mice bred to overproduce amyloid-beta - and so display symptoms of Alzheimer's - Buxbaum's team experimented with also overproducing TTR. It worked. The team found that the TTR reduced the aggregating amyloid-beta in the mice's brains and improved their memory. Subsequent studies by Buxbaum's team further probed the TTR's binding mechanism and how this prevents amyloid-beta from forming harmful aggregates in the brain. Utilizing other proteins to boost TTR's protective properties In their latest study, Prof. Buxbaum and lead authors Xin Wang and Francesca Cattaneo analyzed DNA near the TTR gene. The researchers wondered whether transcription factors - special DNA-binding proteins produced in "the promoter region" - could increase activity of the TTR gene. One of these transcription factors, Heat Shock Factor 1 (HSF1), was able to bind to the promoter of the TTR gene, boosting TTR production. Interestingly, this boost in TTR production could only occur in neuronal-type cells and not in the liver cells where the bulk of the body's TTR is produced. In fact, HSF1 seemed to slightly decrease TTR production in liver cells. "This result was completely unexpected when we started this research," says Prof. Buxbaum. "But now we realize that it could indicate a new approach for Alzheimer's prevention and therapy." To examine how this might apply to Alzheimer's, the researchers compared a group of transgenic "Alzheimer's mice" with a group of ordinary lab mice. They found that the frequency of HSF1 binding to the TTR gene promoter was doubled in the Alzheimer's mice. This has led the team to the early stages of developing a small molecule compound that could be delivered in a pill. This compound would modestly boost HSF1 activity and TTR production in neurons in order to prevent or delay the symptoms of Alzheimer's. Medical News Today recently reported on another study that looked at amyloid-beta's influence on Alzheimer's in a mouse model. Administering the mice with a compound to regulate production of amyloid-beta, the researchers behind that study reported promising results in "reversing" the symptoms of Alzheimer's. Written by David McNamee
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Reflection about the article I found the article surprising, because technological advances are contributing significantly to the development of preventive and pharmacological methods in diseases that once were considered like incurable. I think that the different studies on scientific and health research contributing significantly to the hope of the people that are sick. It's amazing how thoroughly researching results can be had at the time not thinking or was assumed to be negative. This article caught my attention since I read the title because Alzheimer 's disease is considered a progressive and incurable disease which can only be controlled and in some cases is achieved only reduce symptoms but do not stop . It's amazing how a single protein can help so much , at least I think , but of course the side effects are significant but to be the first study that protein results consider them effective , because its effectiveness was discovered when scientists and researchers will driven to attempt to counteract the harmful effects such as heart and liver diseases
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Unit 4
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Unidad No. 4 CASOS CLNICOS EN INGLS 1. Case study: A 63-year-old lawyer complained of increasing fatigue and sleepiness over several months. He became short of breath when walking but had no problem breathing at rest. He did not feel rested when he awoke in the morning and often had morning headaches. When he was five-years-old he had polio and was treated with an iron lung. A physical examination showed that his chest wall movement was diminished. He had severe curvature of the spine, and his abdomen did not rise during inspiration, which indicated a weak diaphragm. His pulmonary function (breathing) test showed a sharply reduced lung volume and an inability to sustain a maximal breathing effort. His blood carbon dioxide was high and his oxygen low. A sleep study showed that his breathing slowed down even more at night, which was associated with a severe decrease in his oxygen level. He was prescribed a ventilator to use when he slept that delivered pressurized air to his lung via a mask strapped over his nose and mouth. His sleep improved and his morning headaches went away but he still became short of breath when he walked fast.
2. Case study
A 70-year-old man was admitted to the intensive care unit with acute hypoxemic respiratory failure. 48 hours earlier, he underwent a surgical resection of the lower lobe of the left lung for stage IIIB adenocarcinoma of the lung. During the 6-hour operation, he received a total fluid infusion of 5.5 L (including 3 units of packed red blood cells). The cumulative fluid infusion given during the peri-operative period (during surgery and the first 24 hours post-op) was 8.0 L with a net negative 0.7L. While the patient was in the recovery room, the endotracheal tube was removed without complications, and he transferred to the ward a few hours later. Approximately 36 hours later, dyspnea and hypoxemia were noted, and after 4 hours of continued hypoxemia, the trachea was inutbated to facilitate mechanical ventilation. 32
Conclusion
I think that having medical English classes could really be a good way for improve my writing and speaking skills. How ever i really dont speak English very vey well but at list i try. Actually, during the last classes I tried a lot to participe in class taking away the fear and shy. I know that there are different ways to enhance my knowledge of English so I will continue to practice the words that I learned this months. I alredy know that English can improve my life, it can let me get smarter, meet people, earn more money, etc. During the course the important thing was my teacher becayse she has broad knowledge and well preparated for the class. The way she teached in class was different because she made spoke English and tried to everyone. My favorite part of the course was learned the systems. I feel that my oral, written have grown significantly. I had the opportunitie to learned general knowledge about medicine.
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Glosary
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Glosary abdomen el abdomen ache, pain el dolor ambulance la ambulancia ankle el tobillo antibiotic el antibitico antihistamine el antihistamnico antiseptic el antisptico Anus ano anus el ano Appendix apndice arch el empeine del pie arm el brazo armpit el sobaco, la axila artery la arteria arthritis la artritis artificial respiration el respiratin artificial Ascending colon Colon ascendente aspirin la aspirina back la espalda bald calvo adj bald spot el claro bandaid curita belly button el ombligo bellyache el dolor de barriga biceps los bceps Bile bilis bite la mordedura bite (bird, insect) la picadura bladder la vejiga Bladder vejiga bleeding la sangra blood cell la clula sanguneo Blood pressure presin arterial blood sugar la glicemia, la glucemia blood-donor donante de sangre blood-pressure presin sangunea blood-test el anlisis de sangre blood-type el grupo sanguneo blood-vessel el vaso sanguneo bloody ensangrentado/a bone el hueso brain el cerebro, los sesos broken bone el hueso roto bruise el moretn, el cardenal bulbourethral glands: glndula bulboretral buttocks las nalgas, las cachas calf la pantorrilla cancer el cncer capillaries los vasos capilares capsule la cpsula, la pildora cartilage el cartlago cast el enyesado, la escayola Cecum ciego cheeks las mejillas, los carrillos chest cold el resfriado de pecho chest, bosom el pecho Chime quimo chin la barba, la barbilla, el mentn collarbone la clavcula colon el colon concussion la conmocin cerebral constipation el estreimiento cough la tos (toser) cough-drop la pastilla para la tos crotch la horcajadura crutch la muleta cut (in skin) la cortadura dead muerto/a death el muerte decompression sickness la enfermedad de descompresin decongestant descongestionante dental cavity la caries dental filling la obturacin, el empaste dentist odontlogo Descending colon Colon descendente diabetic el/la diabtico/a diagnosis el diagnstico Diaphragm El diafragma diarrhea la diarrea 35
disease el morbo, la dolencia dosage la dosificacin, la dosis dose la dosis drug frmaco earache el dolor de odos eardrops las gotas para el odos eardrum el tmpano ears las orejas Ectopic pregnancy embarazo ectpico Egg ovulo elbow el codo Embyro embrin Equilibrium equilibrio Estrogen estrgeno examination el reconocimiento mdico eyebrow la ceja eyelash la pestaa eyelid el prpado eyes los ojos face la cara fallen arches los pies planos Fallopian tubes trompas de falopio fever la fiebre calentura finger el dedo fingernail la ua fingertip la punta del dedo fist el puo follicle el folculo foot el pie forearm el antebrazo forehead la frente foreskin prepucio Gall bladder vescula biliar gums las encas hair el pelo hallucinate (verb) alucinar hallucinogenic drug droga alucingena hand el mano hayfever el fiebre del heno He is allergic to penicillin Tiene una alergia a la penicilinia. He is running a fever. tiene fiebre.
head la cabeza head cold el resfriado de cabeza headache el dolor de la cabeza Hearing oido heart el corazn heart-attack la ataque cardaco heartburn la aceda heel el taln, el calcaar hemorrhoids los hemorroides high blood- pressure la hipertensin hip la cadera hyperglycemic hiperglucmico/a hypoglycemic hipoglucmico/a illness la enfermedad index finger el dedo ndice infection la infeccin, el contagio injection la inyeccin injury la herida, la lesin insulin la insulina intestines los intestinos Jejunum yeyuno joint la articulacin kidney el rin Kidney: rin knee la rodilla kneecap la rtula, la choquezuela knuckle el nudillo la membrana celulsica cell membrane leg la pierna ligament el ligamento lips los labios little finger el dedo meique Liver hgado lungs los pulmnes lymph gland el ganglio linftico malaria el paludismo, la malaria malignant maligno/a marrow la mdula, el tutano, el meollo 36
mastectomy mastectoma medical emergency la urgencia Metabolic wastes Desechos metablicos middle finger el dedo del corazn mole el lunar motion sickness el mareo moustache el bigote, el mostacho mouth la boca muscle el msculo Nasal cavity La cavidad nasal nausea la nusea, las bascas neck el cuello needle la aguja hipodrmica nerve el nervio nipple el pzon nitrogen bubbles las burbujas del nitrgino nitrogen narcosis la narcosis de nitrgeno nose la nariz nosebleed la hemorragia nasal nurse la enfermera operation operacin Oral cavity La cavidad bucal palm la palma penis el pene penis pene Pharynx La faringe physical examination la exploracin fsica pill pastilla Pleural cavity La cavidad pleural poison el txico pores los poros prescription la prescripcin prostate la prstata prostate gland prstata pulse, heartbeat el pulso, el latido del corazn rabies la rabia rash la erupcin rectum el recto Rectum recto respiration el respiracin rest el descanso, el reposo rest (verb) descansar, reposar rib la costilla Right bronchus el bronquio derecho ring finger el dedo anular Salivary glands glndulas salivales scalp el cuero, el cabelludo scrotum el escroto scrotum escroto seminal vesicles vesculas seminales shin la espinilla shinbone la espinilla, la tibia shoulder el hombro side el costado, el lado sideburns las patillas Sight Vista Sigmoid colon: Colon sigmiode sinus el seno skin la piel Smell olfato snakebite la mordedura de serpiente snoring los ronquidos sore la llaga, la lcera sore inflamado, dolorido Sperm espermatozoide Sphincter esfnter spine el espinazo, la columna vertebral splint la tablilla stomach el estmago Stomach estmago suppository el supositorio surgeon el cirujano surgery la ciruga surgical quirrgico tablet la tableta Taste gusto teeth los dientes, las muelas temple la sien 37
testicle el testculo, la turma the injured person la persona herida thigh el muslo throat la garganta throbbing pain el dolor pungente thumb el pulgar to die morir toe el dedo de pie toenail la ua del dedo del pie tongue la lengua tonsils las anginas, las amgdalas toothache el dolor de muelas torso el torso Touch tacto Transverse colon: Colon transverso tumor el tumor Ureter ureter Urethra uretra Urinate orinar Uterus tero vaccination la vacunacin vaccine la vacuna vagina la vagina vein la vena venom el txico, el veneno vomiting el vmito waist la cintura, el talle wart la verruga wrist la mueca
2.- Match the injuries and the causes. 1.- he burned his finger. He touched a hot burner on the stove. 2.- He twisted his ankle. He missed a step walking downstairs. 3.- He cut his foot. He walked barefoot on some glass. 4.- He has a bullet wound in his arm. He was Shot during a robbery. 5. He has a concussion. He fell down and banged his head. 3.- Look at the pictures and write the story.
In the number 1 observed a male person, falling from a tree lie both in number 2 a frightened Miss, marking Oh for an ambulance to the scene, Issue 3 comes ambulance attend to the injured and take him to the hospital to diagnose internal lessons, finally the rugged number 4 is recovering.
4.- Answer these questions about yourself. If posible, ask another person the same questions. 1.- Have you ever broken your arm or leg? I have never broke my arms or leg. 2.- Have you ever needed stitches? I have never neede stitches. Noun Verb Injury Injured Shot Shoot Treatment Treat wound Wounded 1 2 4 3 39
3.- Have you ever had a concussion? I have never had a contussion. 4.- Have you ever been unconscious? I have never been unconscious. 5.- Have you ever had a blood test? I had a blood test three months ago. 6.- Have you ever been in an ambulance? Ive never been in a ambulance.
Health: injuries A) Common injuries An injury is damege to part of you body, usually caused by an accident at home, in a car, or playing sports, e.g., soccer. Here are some Common injuries:
Whats the problem? How did it happen? Result Solution 1.- I cut my finger. usinng a knife Its bleeding. A Band-Aid 2.- I have a concurssion. playing soccer Im confused; I dont know where I am. Rest 3.- I twisted my ankle. running for a bus I cant walk on it easily. Rest + Bandage 4.- I burned my hand. taking something out of a hot oven Its very painful. Special cream 5.- I broke my arm. I fell off my bike. I cant use it. a cast and sling 6.- I have a bruise on my arm I hit it on the side of my desk. Its swollen and black and blue. Ice pack
B) Hospital treatment Jane fell off a chair, it her head on the floor, and knocked herself unconscious. Her husband called an ambulance, and she was still unconscions when it arrived. She was rushed to the hospital (taken very quickly), where they kept her for two days for observacion (the hospital staff watched her watched her to decide if anything was wrong).
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I jumped for the ball and collided with another player. (We ran into/ hit each other.) We both had cuts on our heads, but I hand to go to the hospital for eight stitches.
C) Woun ds and injuries Wound (n., v.) and injury are both used to describe harm to the body, but a wound is generally caused by a weapon (e.g., gun or knife) and is often intentional. (Note the pronunciation of wound/wund/.)
He Shot the man in the chest. (A bulled wound, from a gun, in the chest) He stabbed the woman in the back. (A knife wound in the back). He got into a fight and got beaten up. He han a black eyes and two broten Ribs.
Exercises
5. Cover the opposite page. What are the main symptoms for these conditions? 1 a cold: sneezing, a runny nose, a sore throat, a cough. 2.- flu: body aches, dhills, dizziness, flushing of the face, headache, decay, nausea and vomiting. 3.-hay fever / allergies: dery cough, fever, headache, joint pain, muscle aches. 4.- diarrhea: decreased urine (fewer wet diapers in infants), dizziness or lightheadedness, dry mouth, funken eyes, few tears to mourn. 5.-asthma: lips and Face blueness, decreased level of alertness such as severe drowsiness or confusion, during an asthma attack, shortness of breath extreme, rapid pulse, severe anxiety due to shortness of breath, sweating.
6. Look at the underlined letters in these pairs of woeds. Is the pronunciation the same or different? Examples: ache pain same/ eI/ Shot stomach different/ a/, / ^/ 1.- disease diarrhea 4.- virus illness 2.-chemist ache 5.- flu pharmacy 41
3.-hurt ailergic 6.- cough enough 7.- Look at the pictures and write happened in the space below. In you description, use the words in the box. dentist filling Injection Painful painless
I had a horrible painfut and had to go to the dentist, first anesthetized (injection) did not hurt that after you filling completed the damaged tooth and problem solved paimess. 8.-Fill in the blanks with an appropriate word. 1.- I hit my hand on the desk, and now it really hurts. 2.- They say she died of a heart attack. 3.- She hand some apples that werent ready to eat, and now she has a painful. 4.- Ive got this terrible painfut in my neck from sleeping in the wrong position. 5.- He died of lung cancer, even though he never smoken a cigarette in his life. 6.- I went to the doctor, and she gave me a prescription for some medication. 7.- Pollution makes his asthma worse, and its difficult for him to breathe. 8.- I hurt my back when I fell off that chair.
9.- Look at the opposite page again. Have you had any of these illnesses recently? No Have you hand any aches and pains recently? No Are there any other illnesses you have had or still have? If I suffer from low platelets. If so, find the name for ti/ them in English. 42
If suffering from low platelets.
Health: illness and disease Common problems
Shes sneezing. Shes coughing. She has a sore throat. Shes blowing her nose. She has a temperature / fever
Whats the matter? How do you Know? ( the symptoms) Cause of illness I have a cold.
I have the flu.(U) (more serious than a cold) I have hay fever. (U) / I have allergies. I have diarrhea.
I feel nauseous. Sneezing, a runny nose, a sore throat, a cough. Symptoms for a cold + aching Muscles and a temperature/fever sneezing, a runny, itchy Eyes. I have a stomachache and keep Going to the bathroom. Afraid I may vomit / throw up. A virus
A virus
Allergic reaction to pollen From grass, tres, plants Often food, or a virus
Food, a virus
Note: For some of these illnesses, you can see a doctor, who may give you a prescription [A paper with an order for medicine] that you get from a pharmacy, or you can buy an over- counter medication [medicine that doesnt require a prescription]
A) Aches and pains Nouns: We ache with the following: 43
I have a toothache, a stomachache, a backache, an earache, and a headache: for other parts of the body. we use pain, I woke up during the night with a terrible pain my chest.
Verbs: You can use ache for some thing, e.g., mu back aches; but hurt is more common to describe real pain, and it can be used with or without a direct object:
She hurt / Injured foot when she jumped off the bus and fell over. Or She hurt herself when she jumped off the bus and fell over. I hit my leg against table, and now it really hurts. [Gives me a terrible pain]
Adjetives: A common objetive is painful [painless]:
U had an Injection / a shot yesterday and it was very painful. A: Did it hurt when you had your filling? [When the Dentist fills a hole / cavity in the Tooth] B: No, it was painless. C: Seriuos illnesses, Doctors believe smoking is the major cause of lung cancer. He had a heart attack and died almost immediately: Asthma has become more common. [Chest illness causing breathing problems].
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Blank Skeleton Diagram to Label
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How Do You Feel Today? 46
Main bones of the human Skeleton System Clavicle: A doubly curved short bone that connects the upper arm (at the shoulder) to the body, right above the first rib. Also known as the collar bone. Cranium: The cranium is also referred to as the skull. The cranium supports the structures of the face and protects the head from injury. Femur: The thigh bone, extending from the hip to the knee. It is the largest, and strongest bone of the body. Fibula: The fibula is located on the outer side of the lower leg. It is smaller than the tibia and attaches below the tibia and forms the outer part of the ankle joint. Humerus: The upper arm bone. The longest and largest bone of the upper body. Ilium: The Ilium is the uppermost and largest bone of the pelvis. It is often referred to as the hip bone. Mandible: The mandible forms the lower jaw and holds the lower teeth in place. Patella: A flat triangular bone located at the front of the knee joint. Also called kneecap. Protects and covers the knee joint. Radius: The radius is located on the thumb side of the forearm. The radius is the forearm bone of the hand. Ribs:The ribs are long curved bones which, along with the sternum, form a rib cage. They enable the lungs to expand and they also protect the lungs, heart and other internal organs. Sacrum:The sacrum is a large bone that is located at the base of the spine and at the upper back part of the pelvis where it is inserted between the two hip bones or two Iliums. Scapula: The bone, located on the upper back that connects the humerus with the clavicle. Often referred to as the shoulder blade. Sternum :A long flat bone in the middle of the chest. Supports the clavicle. The sternum along with the ribs form the rib cage that protects the heart, lungs, and major blood vessels from damage. Tibia: The tibia is the second largest bone in the body. The tibia is located on the inside of the lower leg. It connects the knee with the ankle bones. It is also known as the shin bone. 47
Ulna: The ulna is located on the little finger side of the forearm. The ulna is the forearm bone of the elbow.
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Common diseases, illnesses and conditions A disease is, in general terms, a process and also the consequent status of condition of a living being, characterized by a harmful alteration of your health. Health and disease are an integral part of life, the biological process and the environmental and social interactions. Generally understood to disease such as loss of health, the negative effect is due to a structural or functional impairment of a body at any level.
Allergy: is a condition of being very sensitive to things such as food, animals, medicine, dust, etc., which often results in rashes or difficulty in breathing. Amnesia: is the medical condition of not being able to remember anything. It is usually caused by the damage to the brain after an accident, diseases, etc. Anaemia: is an unhealthy condition in which you have too few red cells in your blood, which makes you look pale and feel tired. Anorexia: is a serious illness common mostly in young women. They lose the desire to eat because they feel they are unattractive because they are too fat, even when they are not. Asthma: is a long-lasting chest disease which at times makes breathing very difficult. Cancer: is a serious disease which may cause death, in which the cells in your body increase rapidly and uncontrollably, producing abnormal growths. Catarrh: is an inflammation of the nose and throat which, like having a cold, makes your nose feel blocked up. Chill: is a mild illness which can give you a slight fever, a headache and your body might shake. Cold: is a mild, very common illness which makes you sneeze a lot and gives you a sore throat or a cough. Coma: is a deep, unnatural sleep-like state, usually caused by illness or an injury, especially to the brain. 52
Concussion: is an injury to the brain caused by a blow to your head. It is not normally long-lasting. Cramp: is a strong pain caused by the sudden tightening of a muscle. You often get it during or after violent exercise. Diabetes: is a disease in which there is too much sugar in the blood. If you suffer from it, you may have to inject insulin into your body every day. Without insulin, you may go into a coma and die. Dyslexia: is a problem with reading caused by difficulty in seeing the difference between the shapes of letters. It is also known as word-blindness Epilepsy: is an illness of the brauin which causes you to suddenly lose consciousness or to have fits. Fever: is a condition associated with many illness where you develop a high temperature. Flu: is an infectious disease which is like a bad cold. When you have it you feel very weak and your muscles ache. Food poisoning: is a painful stomach disorder caused by eating food which has gone bad. Heart attack: is a serious medical condition, sometimes fatal, in which your heart begins to beat irregularly or fails to pump your blood properly so that it caused a lot of pain. Indigestion: is a pain that you get in your stomach when you find it difficult to digest your food. Inflammation: is a painful swelling and soreness of part of the body, which is often red and hot to the touch. Insomnia: is the condition of being constantly unable to sleep. Malaria: is a common disease in hot countries. It is spread by mosquitoes and causes attacks of fever and shivering. Malnutrition: is poor health caused by not eating enough food or by not eating enough of the right kinds of food. Measles: is an infectious illness where you have a fever and small red spots on your face and body. 53
Miscarriage: is losing a baby because it is born too early for eat to live. It is usually because of illness, shock, etc. Nervous breakdown: is an illness where you suffer from deep depression, worry and tiredness. You often cry uncontrollably and find it almost impossible to do your normal work activities. Pneumonia: is a serious disease which affects your lungs and make it difficult for you to breath. Rheumatism: is an illness that makes your joints or muscles stiff and painful.
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Stroke: is a sudden and severe illness which affects your brain and which can kill you or make you paralysed in one side of your body. Medical equipment, etc. Look at the drawings on these pages and write the correct numbers 1-20 3. Adhesive tape 10.Bandage 2.Capsule 17.Cotton wool 2.Crutch 13.Hearing aid 19.(hypodermic) needle 4.Ointment 1.Pill/tablet 15.Plaster cast 20.Safety pin 11.Sling 5Stethoscope 9.Stretcher 16.Thermometer 12.Tweezers 8.Walking frame 7.Walking stick 4.Wheelchair 6.X-ray
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Whos who in medicine
A casualty: is a person who has been injured or killed in an accident, a fire or a war.
A chiropodist: is a person who is trained to treat and care for peoples feet.
A chiropractor: is a person who treats diseases by feeling and pressing the bones, especially those of the back and neck.
A consultant: is a high-ranking and very esperienced hospital doctor who gives specialist advice in one particular area of medicine.
A district nurse: is a nurse, employed by the local authority, who visits and treats people in their own homes.
A general practitioner: is a doctor trained in general medicine who treats people in certain local area for all kinds or illnesses. He or she is usually the first doctor people go to when they are ill.
A home help: is a person who is employed by the medical and social services to help people who are old ori ll with their cleaning, cooking, shopping, etc.
A matron: is the woman in charge of the nurses in a hospital. Nowdays she is officially called a senior nursing officer.
A midwife: is a person, usually woman who has been trained to advise pregnant women and to help them when they are giving birth.
A nurse: is a person who looks after patients in hospital.
An optician: is a person who tests peoples eyesight and provides glasses and contact lenses.
An osteopath: is a person who treats illness and physical problems by moving and pressing muscles and bones.
A paediatrician: is a doctor who specializes in treating sick children.
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A pharmacist: is a person who is qualified to prepare and sell medicines.
A physiotherapist: is a person who is trained to treat patients by giving exercise or massage, often to help them walk again after an accident or operation.
A psychiatrist: is a person who treats people suffering from mental illnesses.
A specialist: is a doctor who specializes in one area of medical treatment, e.g. an eye.
A surgeon: is a doctor whose job is to perform operations.
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Skin and body disorders. 58
At the doctors: Fill in the missing words. Last week I phoned my GP to make an appointment to see her, as I had been feeling a bit under the wheater recently. When I arrived at her surgery , there were only two other people in the waiting- room. I gave my name to the receptionist and sat down to await my turn. Fortunately I didnt have to wait long. The doctor asked me what was wrong, so I told her my symptoms, namely that I had been feeling very tired and often had difficulty to breathing. She told me to lie down on the couch and gave me an examination. First, she felt my pulse. Then se took my blood preasure, wich was very high. Next sge took my temperature. It was 37.9 C. Finally she listened to my breathing throught her stethoscope. She didnt think tgere was anything seriosly wrong with me I was just run down. So she wrote out a prescription for some medicine which she said would make me feel better. She also advise me, as she always did, to stop smoking and reminded me that if I didnt, then one dat I might get lung cncer. As usual, I promised First aid: Lie the casualty on his* back and tilt back his head while supporting the back of his neck with the other hand. Keep the chin up and blow air deeply and slowly into either the mouth or the nose (sealing the oter to prevent air escaping) until the ches trises, showing that you have inflated the lungs. If the chest fails to rise, chechk that you have the casualtys head in the correct position. If it still does no trise after this, check for an obstruction in the air way. Remove your mouth and allow the air to escape from the lungs. Watch the chest fall. A blue-grey pallor towards pinkness. Give the first six to ten inflations fairly promptly, one after the other, then work according to the reaction of your casualty. If he is pinkish, he is probably getting enough oxygen so just keep going steadily. If he is still pale blue-grey, he is not getting an adequate supply of oxygen, so try to get more air into him quickly. But always wait for all the air to escape before you blow in again. If the casualty begins to breathe again himself, let your inflations coincide with his own breathing in, and continue until you feel that he can cope alone. It can seem hopeless to go on with artificial respiration but persistence in 59
sometimes rewarded even after as long as an hour, so keep going (as long as the heart is beating). When the casualty is breathing naturally, place him in the recovery position and watch to make sure that breathing continues. Useful verbs to do with health 1: 1. Ampute- a leg 2. Convalesce-after an illness 3. Cure-the desease 4. Cut-yourself with a knife 5. Deaden-the pain 6. Deliver-a baby 7. Dislocate-your shoulder 8. Dress-a wound 9. Inject-penicillin into the bloodstream 10. Inoculate-against diseases 11. Nick-yourself with a knife 12. Nurse-someone back to health 13. Prescribe-some medicine 14. Pull-a muscle 15. Sprain/twist-your ankle 16. Transplant-a heart or a kidney