学术英语(医学)_课后词组
《学术英语(医学)》课后题答案.docx
Unitl1、Some factors that may lead to the complaint:•Neuron overload•Patients* high expectations・Mistrust and misunderstanding between the patient and the doctor2、Mrs. Osorio^s condition:•A 56-year-old woman・Somewhat overweight•Reasonably well-controlled diabetes and hypertension・Cholesterol on the high side without any medications for it•Not enough exercises she should take•Her bones a little thin on her last DEXA scan3、Good things:•Blood tests done•Glucose a little better•Her blood pressure a little better but not so great Bad things:• Cholesterol not so great•Her weight a little up•Her bones a little thin on her last DEXA scan 44、The situation:•The author was i n a moderate state of panic: juggling so many thoughts about Mrs.Osorio^s conditions and trying to resolve them all before the clock ran down.•Mrs. Osorio made a trivial request, not so important as compared to her conditions.•Mrs- Osorio seemed to care only about her “innocent — and completely justified 一request'5： the form signed by her doctor.•The doctor tried to or at least pretended to pay attention to the patient while completing documentation.5> Similarities:•In computer multitasking, a microprocessor actually performs only one task at a time. Like microprocessors, we human beings carft actually concentrate on two thoughts at the same exact time. Multitasking is just an illusion both in computers and human beings. Differences:•The concept of multitasking originated in computer science.•At best, human beings can juggle only a handful of thoughts in a multitasking manner, but computers can do much better.•The more thoughts human beings juggle, the less human beings are able to attune fully to any given thought, but computers can do much better.6、•7 medical issues to consider•5 separate thoughts, at least, for each issue•7 x 5 = 35 thoughts•10 patients that afternoon•35 x 10 = 350 thoughts•5 residents under the authors supervision•4 patients seen by each resident•10 thoughts, at least, generated from each patient•5 x 4 x 10 = anther 200 thoughts•350 + 200 = 550 thoughts to be handled in total•If the doctor does a good job juggling 98% of the time, that still leaves about 10 thoughts that might get lost in the process.7、Possible solutions:・Computer-generated reminders•Case managers •Ancillary services•The simplest solution: timeUnit21、The author implies:• Peoples inadequate consciousness about the consequence of neglecting the re- emerging infectious diseases•Unjustifiability of peoples complacency about the prevention and control of theinfectious diseases•Unfinished war against infectious diseases2、Victory declarations:-Surgeon General William Stewart1 s hyperbolic statement of closing "the book oninfectious disease,•A string of impressive victories incurred by antibiotics and vaccines•The thought that the war against infectious diseases was almost over Whatfollowed ever since:-Appearance of new diseases such as AIDS and Ebola•Comeback of the old afflictions:» Diphtheria in the former Soviet Union» TB in urban centers like New York City» Rising Group A streptococcal conditions like scarlet fever•The fear of a powerful new flu strain sweeping the world3、Elaborate on the joined battle:•WHO established a new division devoted to worldwide surveillance and control ofemerging disease in October 1995.•CDC la unched a prevention strategy in 1994.-Congress raised fund from $6.7 million in 1995 to $26 million in 1997.4、The borders are meaningless to pathogenic microbes, which can travel from one country to another remote country in a very short time.5、TB:-Prisons and homeless shelters as ideal places for TB spread•Emerging of drug-resistant strain or even multi-drug-resistant strain•A ride on the HIV w A on by attacking the immunocompromisedGroup A strep:•A change in virulence•Mutation in the exterior of the bacteriumFlu:Constant changes in its coat (surface antigens) and resultant changes in its level of virulence6、Examples:•Experiment in England is seeing the waning immunity because of no vaccination.-Due to poor vaccination efforts, the diphtheria situation in the former Soviet Union is serious. f• The vaccination rates are dropping in some American cities, and it will lead to more diphtheria and whooping cough.7、The four areas of focus:•The need for surveillance•Updated science capable of dealing with discoveries in the field-Appropriate prevention and control•Strong public health infrastructure8、The infectious diseases such as TB, flu, diphtheria and scarlet fever will never really go away, and the war against them will never end.Unit31、Teny's life before•She loved practicing Tae Kwon Do•She loved the surge of adrenaline that came with the controlled combat of tournaments.•She competed nationally, even won bronze medal in the trials for the Pan American Games.•She attended medical school, practiced as an internal medicine resident, and became an academic general internist.• She got married and got a son and a daughter.2、The symptoms of MS and autoimmune disease:•Loss of stamina and strength•Problems with balance•Bouts of horrific facial pain•Dips in visual acuity3、Terry did the following before she self-experimented:•She started injections.•She adopted many pharmacotherapies.•She began her own study of literature:» She read articles on websites such as PubMed.» She searched for articles testing new MS drugs in animal models.» She turned to articles concerning neurodegeneration of all types ——dementia, Parkinson's disease, Huntington^ disease, and Lou Gehrig's disease.» She relearned basic sciences such as cellular physiology, biochemistry, andneurophysiology.4、A pproaches Terry mainly used:•Self-experimentation with various nutrients to slow neurodegeneration based on literature reports on animal models-Self-experimentation with neuromuscular electrical stimulation which is not an approved treatment for MS•Online search to identify the sources of micronutrients and having a new diet •Reduction of food allergies and toxic load5、C ases mentioned in the text:-Increased mercury stores in the brains of people with dental fillings•High levels of the herbicide atrazine in private wells in Iowa•The strong association between pesticide exposure and neurodegeneration•The association of single nucleotide polymorphisms involving metabolism of sulfur and/or B vitamins•Inefficient clearing of toxins6、W ith 70% to 90% of the risk for diabetes, heart disease, cancer, and autoimmunity being due to environmental factors other than the genes, we can take many healthproblems and the health care crisis under our control, for example, optimizing our nutrition and reducing our toxic load.Unit41、Two concepts:•Complementary medicine refers to the use of conventional therapies together withalternative treatments such as using acupuncture in addition to usual care to help lessen pain. Complementary and alternative medicine is shortened as CAM.-Alternative medicine refers to healing treatments that are not part of conventional therapies 一like acupuncture, massage therapy, or herbal medicine. They are called so because people used to consider practices like these outside the mainstream.2•TCM does not require advanced, complicated, and in most cases, expensive facilities.•TCM employs need les, cups, coins, to mention but a few.•Most procedures and operations of TCM are noninvasive.•The substances used as medicine are raw herbs or abstracts from them, and they are indeed all natural, from nature.•TCM has been practiced as long as the Chin ese history, so the efficiency i s proven and ensured.-Ongoing research around the world on acupuncture, herbs, massage and Tai Chi have shed light on some of the theories and practices of TCM3^ It may be used as an adjunct treatment, an alternative, or part of a comprehensivemanagement program for a number of conditions: post-operative and chemotherapyinduced nausea and vomiting, post-operative dental pain, addiction, stroke rehabilitation, headache, menstrual cramps, tennis elbow, fibromyalgia, myofascial pain, osteoarthritis, low back pain, carpal tunnel syndrome, and asthma.4、 A well-justified NO:•More intense research to uncover additional areas for the use of acupuncture•Higher adoption of acupuncture as a common therapeutic m odality not only in treatment but also in prevention of disease and promotion of wellness-Exploration and perfection of innovative methods of acupuncture point stimulation with technological advancement•Improved understanding of neuroscience and other aspects of human physiology and function by basic research on acupuncture•Greater interest by stakeholders•An increasing number of physician acupuncturists5、-Appropriate uses of herbs depend on proper guidance:» Proper TCM diagnosis of the zheng of the patient» Correct selection of the corresponding therapeutic strategies and principles that guide the choice of herbs and herbal formulas•Digression from either of the above guidence will lead to misuses of herbs, and will result in complications in patient6、•Randomized controlled trialsAdvantages:» Elimination of the potential bias in the allocation of participants to the interventiongroup or control group» Tendency to produce comparable groups» Guaranteed validity of statistical tests of significanceLimitations:» Difficulty in generalizing the results obtained from the selected sampling to the population as a whole» A poor choice for research where temporal factors are an issue» Extremely heavy resources, requiring very large sample groups•Quasi-experimentsAdvantages:» Control group comparisons possible» Reduced threats to external validity as natural environments do not suffer the sameproblems of artificiality as compared to a well-controlled laboratory setting.» Generalizations of the findings to be made about population since quasi・ experiments are natural experimentsLimitations :» Potential for non-equivalent groups as quasi-experimental designs do not use random sampling in constructing experimental and control groups.» Potential for low internal validity as a result of not using random sampling methods to construct the experimental and control groups•Cohort studiesAdvantages:» Clear indication of the temporal sequence between exposure and outcome» Particular use for evaluating the effects of rare or unusual exposure» Ability to examine multiple outcomes of a single risk factorLimitations:» Larger, longer, and more expensive» Prone to certain types of bias» Not practical for rare outcomes•Case-control studiesAdvantages:» The only feasible method in the case of rare diseases and those with long periodsbetween exposure and outcome» Time and cost effective with relatively fewer subjects as compared to other observational methodsLimitations :» Unable to provide the same level of evidence as randomized controlled trials as it is observational in nature» Difficult to establish the timeline of exposure to disease outcome•“N=l" trialsAdvantages» Easy to manage» InexpensiveLimitations :» Findings difficult to be generalized to the whole population» Weakest evidence due to the number of the subject7、•Synthesis of evidence is completely dependent on:» The completeness of the literature search (unavailable for foreign studies)» The accuracy of evaluation-There are situations in which no answer can be found for the questions of interest in RCTs and database analyses.•There's the requirement of using less stringent information rather than “hard data^8、-Assessment of the intrinsic value of traditional medicine in society-Research and education•Political, economic, and social factorsUnit51、• Dis-ease refers to the imbalance arising from :» Continuous stress» Pain» Hardships•Disease is a health crisis ascribable to various dis-eases.-Prompting elimination of dis-eases can alleviate some diseases.2、•Wellness is a state involving every aspect of our being: body, mind and spirit.•Manifestations of a healthy person:» Energy and vitality» A certain zip in gait» A warm feeling of peace of heart seen through behavior3、•Constant messages, positive and negative, are sent to our mind about the health of our body.•Physical symptoms are suppressed by people who go through life on automatic pilot. •Being well eq uals to being disease- or illness-free in the minds of them.•They confused wellness with an absence of symptoms.4、-People's minds are infected by spin:» Half-truth» Fearful fictions» Blatant deceit: some as a form of self-deceit•Spin is a result of unconscious living.•The kind of falseness is pandemic.5•Our body intelligence is suppressed or dormant from a lack of use.-There are tremendous amount of stress on a daily basis.・Our bodies are easily ignored for years because of a lack of recreation time.•Limiting, self-defeating and even self-destructive behaviors undermine our wellbeing and keep them from achieving our full potential.6・We grow more reluctant to take risks.•We lose the ability to feel and acknowledge our deepest feelings and the c ourage to speak our truth.•We continue to deny and repress our feelings to protect ourselves.-Fear, denial and disconnection from our bodies and feelings become anunconscious, self-protective habit, a kind of default response to life.7•A multi-faceted process:» Looking for roots of and resolutions for the issues in different dimensions» Building our wellness toolbox slowly» Picturing our whole state of being•Attention to the little stuff:» Examining our lives honestly and setting clear intentions to change» Striving to maintain a balance of our mind, body and spirit» Taking small steps in the way to perceive and resolve conflict8•Try to awaken and evolve in order to live more consciously.•Get in touch with our genuine fe elings and emotions.・Come to terms with the toxic emotionsUnit61、In the past, most people died at home. But now, more and more people are cared inhospitals and nursing homes at their end of life, which of course brings a new set of questions to consider.2、•Sixty-four years old with a history of congestive heart failure•Deciding to do everything medically possible to extend his life•Availability of around-the-clock medical services and a full range of treatment choices, tests, and other medical care・Relaxed visiting hours, and personal items from home3、Availability of around-the-clock medical resources, including doctors, nurses, andfacility.4、•Taking on a job which is big physically, emotionally, and financially•Hiring a home nurse for additional help-Arranging for services (such as visiting nurses) and special equipment (like a hospital bed or bedside commode)5、•Health insurance-Planning by a professional, such as a hospital discharge plaimer or a social worker •Help from local governmental agencies•Doctor's supervision at home6、•Traditionally, it is only about symptom care.-Recently, it is a comprehensive approach to improving the quality of life for people who are living with potentially fatal diseases.7、•Stopp ing treatment specifically aimed at curing an illness equals discontinuing alltreatment.•Choosing a hospice is a permanent decision.Unit71、• A dying patient•Decision whether to withdraw life-support machines and medication and start comfort measures•The family's refusal to make any decision or withdraw any treatments2>•The doctor as exclusive decision-maker•The patient as participant with little say in the final choice3、-Respect for the patient, especially the patient s autonomy•Patient-centered care•The patient as decision-maker based on the information provided by the doctor4、•Patients are forced to make decisions they never want to.-Patients, at least a large majority of them, prefer their doctors to make final decisions.•Shifting responsibility of decision-making to patients will bring about more stress to patients and their families, especially when the best option for the patient is uncertain.5、Doctors are very much cautious about committing some kind of ethical transgression.6、•Shouldering responsibility together with the patient may be better than having the patient make decisions on their own.•Balancing between paternalism and respect for patients autonomy constitutes a large part of medical practice.Unit81、•Research:An activity to test hypothesis, to permit conclusions to be drawn, and thereby todevelopor contribute to generalizable knowledge・Practice:Interventions solely to enhance the well-being of an individual patient or client and that have a reasonable expectation of success•Blurred distinction:» Cooccurrence of research and practice like in research designed to evaluate a therapy » Notable departures from standard practice being called "experimental" with the terms "experimental^ and "research^ carelessly defined2、-Autonomy :Individuals treated as autonomous agents .•Protection:Persons with diminished autonomy entitled to protection•A case in point:Prisoners involved in research3•"Do no hamT as the primary principle・Maximization of possible benefits and minimization of possible harms .・Balance between benefits and potential risks involved in every step of seeding the benefits4、•“Do no harm" as a fundamental principle of medical ethics•Extension of it to t he realm of research by Claude Bernard-Benefits and risks as a set "duct" in both medical practice and research5、•Unreasonable denial of entitled benefit and unduly imposed burden - Enrolment ofpatients in new drug trial: Who should be enrolled and who should not?•Equal treatment of equals:Determining factors of equality: age, sex, severity of the condition, financial status, social status6、•Definition:The opportunity to choose what shall or shall not happen to them •Application:» A process rather than signing a written form» Adequate information as the premise» A well-informed decision as the expected result7、•Requirements for consent as entailed by the principle of respect for persons•Risk/benefit assessment as entailed by the principle of beneficence•More requirements of fairness as entailed by the principle of justice:» At the individual level: fairness » At the social level: distinction between classes。
学术英语(医学)课后问题答案
Unit11、Some factors that may lead to the complaint:·Neuron overload·Patients* high expectations·Mistrust and misunderstanding between the patient and the doctor2、Mrs. Osorio’s condition:·A 56-year-old woman·Somewhat overweight·Reasonably well-controlled diabetes and hypertension·Cholesterol on the high side without any medications for it·Not enough exercises she should take·Her bones a little thin on her last DEXA scan3、Good things:·Blood tests done·Glucose a little better·Her blood pressure a little better but not so great Bad things:·Cholesterol not so great·Her weight a little up·Her bones a little thin on her last DEXA scan 44、The situation:·The author was in a moderate state of panic: juggling so many thoughts about Mrs. Osorio’s conditions and trying to resolve them all before the clock ran down.·Mrs. Osorio made a trivial request, not so important as compared to her conditions.·Mrs. Osorio seemed to care only about her “innocent —and completely justified —request”：the form signed by her doctor.·The doctor tried to or at least pretended to pay attention to the patient whilecompleting documentation.5、Similarities:·In computer multitasking, a microprocessor actually performs only one task at a time. Like microprocessors, we human beings carft actually concentrate on two thoughts at the same exact time. Multitasking is just an illusion both in computers and human beings.Differences:·The concept of multitasking originated in computer science.·At best, human beings can juggle only a handful of thoughts in a multitasking manner, but computers can do much better.·The more thoughts human beings juggle, the less human beings are able to attune fully to any given thought, but computers can do much better.6、·7 medical issues to consider·5 separate thoughts, at least, for each issue·7 x 5 = 35 thoughts·10 patients that afternoon·35 x 10 = 350 thoughts·5 residents under the authors supervision·4 patients seen by each resident·10 thoughts, at least, generated from each patient·5 x 4 x 10 = anther 200 thoughts·350 + 200 = 550 thoughts to be handled in total·If the doctor does a good job juggling 98% of the time, that still leaves about 10 thoughts that might get lost in the process.7、Possible solutions:·Computer-generated reminders·Case managers·Ancillary services·The simplest solution: timeUnit21、The author implies:• Peoples inadequate consciousness about the consequence of neglecting the re-emerging infectious diseases·Unjustifiability of peoples complacency about the prevention and control of the infectious diseases·Unfinished war against infectious diseases2、Victory declarations:·Surgeon General William Stewart's hyperbolic statement of closing “the book on infectious disease”.·A string of impressive victories incurred by antibiotics and vaccines·The thought that the war against infectious diseases was almost overWhat followed ever since:·Appearance of new diseases such as AIDS and Ebola·Comeback of the old afflictions:» Diphtheria in the former Soviet Union» TB in urban centers like New York City» Rising Group A streptococcal conditions like scarlet fever·The fear of a powerful new flu strain sweeping the world3、Elaborate on the joined battle:·WHO established a new division devoted to worldwide surveillance and control of emerging disease in October 1995.·CDC launched a prevention strategy in 1994.·Congress raised fund from $6.7 million in 1995 to $26 million in 1997.4、The borders are meaningless to pathogenic microbes, which can travel from one country to another remote country in a very short time.5、TB:·Prisons and homeless shelters as ideal places for TB spread·Emerging of drug-resistant strain or even multi-drug-resistant strain·A ride on the HIV w^on by attacking the immunocompromisedGroup A strep:·A change in virulence·Mutation in the exterior of the bacteriumFlu:Constant changes in its coat (surface antigens) and resultant changes in its level of virulence6、Examples:·Experiment in England is seeing the waning immunity because of no vaccination. ·Du e to poor vaccination efforts, the diphtheria situation in the former Soviet Union is serious. '• The vaccination rates are dropping in some American cities, and it will lead to more diphtheria and whooping cough.7、The four areas of focus:·The need for surveillance·Updated science capable of dealing with discoveries in the field·Appropriate prevention and control·Strong public health infrastructure8、The infectious diseases such as TB, flu, diphtheria and scarlet fever will never really go away, and the war against them will never end.Unit31、Terry's life before·She loved practicing Tae Kwon Do·She loved the surge of adrenaline that came with the controlled combat of tournaments.·She competed nationally, even won bronze medal in the trials for the Pan American Games.·She attended medical school, practiced as an internal medicine resident, and became an academic general internist.·She got married and got a son and a daughter.2、The symptoms of MS and autoimmune disease:·Loss of stamina and strength·Problems with balance·Bouts of horrific facial pain·Dips in visual acuity3、Terry did the following before she self-experimented:·She started injections.·She adopted many pharmacotherapies.·She began her own study of literature:» She read articles on websites such as PubMed.» She searched for articles testing new MS drugs in animal models.» She turned to articles concerning neurodegeneration of all types — dementia，Parkinson's disease, Huntington's disease, and Lou Gehrig's disease.» She relearned basic sciences such as cellular physiology, biochemistry, and neurophysiology.4、Approaches Terry mainly used:·Self-experimentation with various nutrients to slow neurodegeneration based on literature reports on animal models·Self-experimentation with neuromuscular electrical stimulation which is not an approved treatment for MS·Online search to identify the sources of micronutrients and having a new diet ·Reduction of food allergies and toxic load5、Cases mentioned in the text:·Increased mercury stores in the brains of people with dental fillings·High levels of the herbicide atrazine in private wells in Iowa·The strong association between pesticide exposure and neurodegeneration ·The association of single nucleotide polymorphisms involving metabolism of sulfur and/or B vitamins·Inefficient clearing of toxins6、With 70% to 90% of the risk for diabetes, heart disease, cancer, andautoimmunity being due to environmental factors other than the genes, we can take many health problems and the health care crisis under our control, for example, optimizing our nutrition and reducing our toxic load.Unit41、Two concepts:·Complementary medicine refers to the use of conventional therapies together with alternative treatments such as using acupuncture in addition to usual care to help lessen pain. Complementary and alternative medicine is shortened as CAM.·Alternative medicine refers to healing treatments that are not part of conventional therapies —like acupuncture, massage therapy, or herbal medicine. They are called so because people used to consider practices like these outside the mainstream.2·TCM does not require advanced, complicated, and in most cases, expensive facilities.·TCM employs needles, cups, coins, to mention but a few.·Most procedures and operations of TCM are noninvasive.·The substances used as medicine are raw herbs or abstracts from them, and they are indeed all natural, from nature.·TCM has been practiced as long as the Chinese history, so the efficiency i s proven and ensured.·Ongoing research around the world on acupuncture, herbs, massage and Tai Chi have shed light on some of the theories and practices of TCM3、It may be used as an adjunct treatment, an alternative, or part of a comprehensive management program for a number of conditions: post-operative and chemotherapy induced nausea and vomiting, post-operative dental pain, addiction, stroke rehabilitation, headache, menstrual cramps, tennis elbow, fibromyalgia, myofascial pain, osteoarthritis, low back pain, carpal tunnel syndrome, and asthma.4、A well-justified NO:·More intense research to uncover additional areas for the use of acupuncture ·Higher adoption of acupuncture as a common therapeutic modality not only in treatment but also in prevention of disease and promotion of wellness ·Exploration and perfection of innovative methods of acupuncture point stimulation with technological advancement·Improved understanding of neuroscience and other aspects of human physiology and function by basic research on acupuncture·Greater interest by stakeholders·An increasing number of physician acupuncturists5、·Appropriate uses of herbs depend on proper guidance:» Proper TCM diagnosis of the zheng of the patient»Correct selection of the corresponding therapeutic strategies and principles that guide the choice of herbs and herbal formulas·Digression from either of the above guidence will lead to misuses of herbs, and will result in complications in patient6、·Randomized controlled trialsAdvantages:»Elimination of the potential bias in the allocation of participants to the intervention group or control group» Tendency to produce comparable groups» Guaranteed validity of statistical tests of significanceLimitations:» Difficulty in generalizing the results obtained from the selected sampling to the population as a whole»A poor choice for research where temporal factors are anissue»Extremely heavy resources, requiring very large samplegroups• Quasi-experimentsAdvantages:» Control group comparisons possible»Reduced threats to external validity as natural environments do notsuffer the same problems of artificiality as compared to a well-controlledlaboratory setting.»Generalizations of the findings to be made about population since quasiexperiments are natural experimentsLimitations：» Potential for non-equivalent groups as quasi-experimental designs donot use random sampling in constructing experimental and controlgroups.»Potential for low internal validity as a result of not using random sampling methods to construct the experimental and control groups• Cohort studiesAdvantages:»Clear indication of the temporal sequence between exposure and outcome» Particular use for evaluating the effects of rare or unusual exposure» Ability to examine multiple outcomes of a single risk factorLimitations:» Larger, longer, and more expensive» Prone to certain types of bias» Not practical for rare outcomes• Case-control studiesAdvantages:» The only feasible method in the case of rare diseases and those with long periods between exposure and outcome» Time and cost effective with relatively fewer subjects as compared to other observational methodsLimitations：» Unable to provide the same level of evidence as randomized controlled trials as it is observational in nature» Difficult to establish the timeline of exposure to disease outcome• “N=1” trialsAdvantages» Easy to manage» InexpensiveLimitations：» Findings difficult to be generalized to the whole population» Weakest evidence due to the number of the subject7、• Synthesis of evidence is completely dependent on:» The completeness of the literature search (unavailable for foreign studies)» The accuracy of evaluation·There are situations in which no answer can be found for the questions of interest in RCTs and database analyses.·There's the requirement of using less stringent information rather than “hard data”8、·Assessment of the intrinsic value of traditional medicine in society·Research and education·Political, economic, and social factorsUnit51、·Dis-ease refers to the imbalance arising from：» Continuous stress» Pain» Hardships·Disease is a health crisis ascribable to various dis-eases.·Prompting elimination of dis-eases can alleviate some diseases.2、·Wellness is a state involving every aspect of our being: body, mind and spirit.·Manifestations of a healthy person:» Energy and vitality» A certain zip in gait» A warm feeling of peace of heart seen through behavior3、·Constant messages, positive and negative，are sent to our mind about the health of our body.·Physical symptoms are suppressed by people who go through life on automatic pilot.·Being well equals to being disease- or illness-free in the minds of them.·They confused wellness with an absence of symptoms.4、·People's minds are infected by spin:» Half-truth» Fearful fictions» Blatant deceit: some as a form of self-deceit·Spin is a result of unconscious living.·The kind of falseness is pandemic.5·Our body intelligence is suppressed or dormant from a lack of use.·There are tremendous amount of stress on a daily basis.·Our bodies are easily ignored for years because of a lack of recreation time. ·Limiting, self-defeating and even self-destructive behaviors undermine our wellbeing and keep them from achieving our full potential.6·We grow more reluctant to take risks.·We lose the ability to feel and acknowledge our deepest feelings and the courage to speak our truth.·We continue to deny and repress our feelings to protect ourselves.·Fear, denial and disconnection from our bodies and feelings become an unconscious, self-protective habit, a kind of default response to life.7·A multi-faceted process:» Looking for roots of and resolutions for the issues in different dimensions» Building our wellness toolbox slowly» Picturing our whole state of being·Attention to the little stuff:» Examining our lives honestly and setting clear intentions to change» Striving to maintain a balance of our mind, body and spirit» Taking small steps in the way to perceive and resolve conflict8·Try to awaken and evolve in order to live more consciously.·Get in touch with our genuine feelings and emotions.·Come to terms with the toxic emotions1、In the past, most people died at home. But now, more and more people are caredin hospitals and nursing homes at their end of life, which of course brings a new set of questions to consider.2、·Sixty-four years old with a history of congestive heart failure·Deciding to do everything medically possible to extend his life·Availability of around-the-clock medical services and a full range of treatment choices, tests, and other medical care·Relaxed visiting hours, and personal items from home3、Availability of around-the-clock medical resources, including doctors, nurses, andfacility.4、·Taking on a job which is big physically, emotionally, and financially·Hiring a home nurse for additional help·Arranging for services (such as visiting nurses) and special equipment (like a hospital bed or bedside commode)5、·Health insurance·Planning by a professional, such as a hospital discharge plaimer or a social worker·Help from local governmental agencies·Doctor's supervision at home6、·Traditionally, it is only about symptom care.·Recently, it is a comprehensive approach to improving the quality of life for people who are living with potentially fatal diseases.·Stopping treatment specifically aimed at curing an illness equals discontinuing all treatment.·Choosing a hospice is a permanent decision.Unit71、·A dying patient·Decision whether to withdraw life-support machines and medication and start comfort measures·The family's refusal to make any decision or withdraw any treatments2、·The doctor as exclusive decision-maker·The patient as participant with little say in the final choice3、·Respect for the patient, especially the patient s autonomy·Patient-centered care·The patient as decision-maker based on the information provided by the doctor 4、·Patients are forced to make decisions they never want to.·Patients, at least a large majority of them, prefer their doctors to make final decisions.·Shifting responsibility of decision-making to patients will bring about more stress to patients and their families, especially when the best option for the patient is uncertain.5、Doctors are very much cautious about committing some kind of ethicaltransgression.6、·Shouldering responsibility together with the patient may be better than having the patient make decisions on their own.·Balancing between paternalism and respect for patients autonomy constitutes a large part of medical practice.Unit81、·Research:An activity to test hypothesis, to permit conclusions to be drawn, and thereby to develop or contribute to generalizable knowledge·Practice:Interventions solely to enhance the well-being of an individual patient or client and that have a reasonable expectation of success·Blurred distinction:» Cooccurrence of research and practice like in research designed to evaluate a therapy» Notable departures from standard practice being called “experimental” with the terms “experimenta l”and “research” carelessly defined2、·Autonomy：Individuals treated as autonomous agents .·Protection:Persons with diminished autonomy entitled to protection·A case in point:Prisoners involved in research3·“Do no harm” as the primary principle·Maximization of possible benefits and minimization of possible harms . ·Balance between benefits and potential risks involved in every step of seeding the benefits4、·“Do no harm” as a fundamental principle of medical ethics·Extension of it to the realm of research by Claude Bernard·Benefits and risks as a set “duet” in both medical practice and research5、·Unreasonable denial of entitled benefit and unduly imposed burden：Enrolment of patients in new drug trial: Who should be enrolled and who should not?·Equal treatment of equals:Determining factors of equality: age, sex, severity of the condition, financial status, social status6、·Definition:The opportunity to choose what shall or shall not happen to them ·Application:» A process rather than signing a written form» Adequate information as the premise» A well-informed decision as the expected result7、·Requirements for consent as entailed by the principle of respect for persons ·Risk/benefit assessment as entailed by the principle of beneficence·More requirements of fairness as entailed by the principle of justice: » At the individual level: fairness» At the social level: distinction between classes。
学术英语医学课后词组(终审稿)
学术英语医学课后词组 TPMK standardization office【 TPMK5AB- TPMK08- TPMK2C- TPMK18】Unit 1 动脉旁路1.neuron overload 神经过载2.a typical office visit 典型的诊所就诊3.DEXA scan DEXA扫描4.medical practicing 行医5.blood pressure control 血压控制6.health maintenance 健康保持7.Mammogram report 乳房X线检查报告8.physical examination 体检9.side effect of a medication 药物的副作用10.perpetual panic 永久的恐慌11.practicing physicians 职业医生12.transplant field 移植领域13.medical budget 医疗预算14.paracetamol tablet 扑热息痛药片15.childproof cap 防孩子打开的盖子16.randomized clinical trial 随机临床试验17.Random allocation 随机分配18.patient prognosis 病人的预后19.control group 对照组20.a 10-year follow-up study 10年的跟踪研究21.a medical ward 内科病房22.infectious hepatitis 传染性肝炎23.Severe malaise 身体严重不适24.bilirubin metabolism 胆红素代谢25.permanent liver damage 永久的肝损伤26.exacerbate pathophysiology 加重病理生理状况27.Medical literature 医学文献28.clinical investigation 临床调查29.incedence of relapse 复发率30.clinical epidemiology 临床流行病学31.strict bed rest 严格的卧床休息32.hospital stay 住院33.recurrent jaundice 反复发作的黄疸34.clinical course 临床病程35.intravenous morphine 静脉注射吗啡36.diastolic blood pressure 舒张压37.brain perfusion 大脑血灌输38.primary care初级保健39.aorto-coronary arterial bypass主动脉冠状助工作rmed treatment decision 知情治疗决41.an international humanitarian group一个国际人道组织42.the Red Cross 红十字会43.The first major relief effort 第一次重大援44.casualty of war 战争中的人员伤亡45.emergency relief efforts 紧急援助Unit 31.the surge of adrenaline 肾上腺素激增2.an internal medicine residency 内科实习期3.an autoimmune disease 自体免疫4.loss of stamina 丧失持久力5.transient weakness 短暂的虚弱6.becoming bedridden 卧床不起7.a building block基本构件8.an animal model 动物模型9.to slow neurodegeneration减缓神经退化10.to excrete toxins排除毒素11.to optimize nutrition 优化营养12.toxic load毒素载量13.the risk of relapse 复发危险14.physician self-experimentation医生自我实验15.a clinical trial 临床试验16.neuromuscular electrical stimulation 神经肌肉电刺激17.physical therapist 理疗师18.the impact of micronutrients 微量营养素的影响19.brain function 脑功能20.track the emotional flow 跟踪情绪波动21.coordination of emotions 情绪协调22.cardiovascular reactions 心血管反应23.feeling of rapport 亲密感觉24.rapid entrain 迅速同步25.emotional contagion 情绪传染26.to mutually regulation 互相调节27.a psychobiological unit生物心理单元28.emotional solace情感慰藉29.functional magnetic resonance imaging功能性磁共振成像30.to activate brain zones激活该脑部区域31.to make it mandatory 使之成为强制性32.a(n) dubious project无把握的项目33.medical background医学背景34.proof of concept概念验证35.dose regimen 剂量方案plications or concomitant conditions并发症与合并症37.anti-tumor agents 抗肿瘤的药剂38.standard therapy标准疗法39.pharmacology properties 药理学特性40.poor solubility 溶解性差41.in vivo pharmacology 体内药理学Unit 51.a health crisis 健康危机2.physical symptoms 身体症状3.Energy and vitality 能量和活力4.be completely immune from sth.对某事完全免疫5.virus of falseness 虚假的病毒6.stressful lifestyle 有压力的生活方式7.robust emotion 健全的感情8.fragile health 脆弱的健康9.to balance our mind ,body and spirit平衡心理、身体和精神10.spiritual life精神生活11.the blockage to wellness 通向身心健康的“路障”12.repressed emotions 被压抑的感情13.genuine feelings and emotion真情实感14.physiological influences 心理影响15.fully integrated human beings 十全十美的人16.decaying teeth 蛀牙17.nutrition professor 营养教授18.burgeoning waistline 迅速膨胀的腰围19.bottled water 瓶装水20.caloric intake 热量摄入21.to curb appetite 节制食欲22.grains and protein 谷物和蛋白质23.childhood obesity 儿童肥胖症24.lean protein 精益蛋白质25.dietary habits 饮食习惯26.quality of life 生活质量27.diary category 乳制品类28.prevention of diabetes糖尿病的预防29.sodium content 钠的含量Unit 71.a nursing station 护士站2.life-support machines 生命维持系统fort measures 舒适护理措施4.to withdraw treatments 停止治疗5.paternalistic decision-making process 家长式决策程序6.patient empowerment 给病人授权7.medical ethicists 医学伦理学家8.ethical principles 伦理准则9.clinical ideal 临床理念10.patient-centered care 以病人为中心的护理11.patient autonomy 病人自主权12.treatment options 治疗选择13.exclusive purview 专属领域14.emergency decisions 紧急状况下做的决定15.physician restraint 对医生的限制16.anxiety and confusion 焦虑与困惑17.ethical transgression 违背伦理18.family practice 家庭医疗19.widespread metastases 广泛转移20.aggressive treatment 积极治疗21.primary lesion 原发病灶22.to recommend follow-up 建议随访23.electronic record 电子病历24.pulmonary embolism 肺栓塞puterized tomography CT，计算机断层扫描26.bilateral infiltrates双侧浸润27.a(n) chest X-ray(X线胸片)28.left lower-lobe pneumonia左下肺叶肺炎borcd breathing呼吸困难30.the hospice team临终关怀团队31.chronic illness慢性病32.psychosocial aspects 社会心理学领域33.evidence-based guidelines 循证临床指南34.to implement a plan of care 实施治疗方案。
医学学术英语主要词汇汇总单词
医学学术英语主要词汇汇总单词以下是医学学术英语中的一些主要词汇：
1. Anatomy - 解剖学
2. Physiology - 生理学
3. Pathology - 病理学
4. Pharmacology - 药理学
5. Microbiology - 微生物学
6. Genetics - 遗传学
7. Immunology - 免疫学
8. Epidemiology - 流行病学
9. Diagnosis - 诊断
10. Treatment - 治疗
11. Surgery - 外科手术
12. Radiology - 放射学
13. Cardiology - 心脏病学
14. Oncology - 肿瘤学
15. Neurology - 神经病学
16. Gastroenterology - 胃肠病学
17. Obstetrics - 产科学
18. Pediatrics - 儿科学
19. Dermatology - 皮肤病学
20. Psychiatry - 精神病学
21. Anesthesia - 麻醉学
22. Endocrinology - 内分泌学
23. Cardiac - 心脏的
24. Respiratory - 呼吸的
25. Digestive - 消化的
26. Nervous - 神经的
27. Muscular - 肌肉的
28. Skeletal - 骨骼的
29. Vascular - 血管的
30. Immune - 免疫的
这只是医学学术英语中的一小部分词汇，医学领域非常广泛，还有很多其他词汇和专业术语。
医学英语课文重要词汇和词组
1. Seasonal Influenza病毒感染viral infection疫苗vaccine体征sign症状symptom咳嗽cough关节痛joint pain咽喉痛sore throat流鼻涕runny nose高危人群people at high risk/ high-risk group 潜伏期incubation period并发症complication抗病毒药antiviral drug住院治疗hospitalization新陈代谢metabolism2. Diabetes胰腺pancreas胰岛素insulin激素hormone血糖blood sugar/ glucose血脂blood lipid高血糖hyperglycemia, raised blood sugar, high blood sugar血管blood vessel胰岛素依赖型insulin-dependent多尿polyuria烦渴polydipsia视网膜病retinopathy神经病变neuropathy视网膜retina麻木numbness截肢amputation肾衰kidney failure胆固醇cholesterol妊娠期的gestational出生前的prenatal3. Ear Infection中耳middle ear鼓膜ear drum急性中耳炎acute otitis media咽鼓管Eustachian tube黏液mucus 听力迟钝dulled hearing穿孔v. perforate耳痛earache缓解v. relieve; ease抗生素antibiotic开处方v. prescribe副作用side-effect腹泻diarrhea乳突炎mastoiditis4. Cardiovascular Disease心血管疾病cardiovascular disease冠心病coronary heart disease心脏病发作heart attack脑血管疾病cerebrovascular disease高血压raised blood pressure/ high blood pressure/ hypertension外周动脉疾病peripheral artery disease风湿性心脏病rheumatic heart disease先天性心脏病congenital heart disease心力衰竭heart failure中风stroke脂肪沉积fatty deposit内壁inner wall血管blood vessel动脉粥样硬化atherosclerosis血块blood clot呼吸短促shortness of breath呼吸困难difficulty in breathing头晕的light-headed/ faint冷汗cold sweat恶心nausea呕吐vomit麻木numbness失去知觉unconsciousness绝经，更年期menopause5. Obesity and Overweight肥胖obesity超重overweight卡路里calorie高热量食物energy-dense food维生素vitamin矿物质mineral微量营养素micronutrient骨关节炎osteoarthritis营养不良undernutrition6. HIV and AIDS免疫缺陷immunodeficiency逆转录酶病毒retrovirus免疫系统immune system机会感染opportunistic infection晚期the advanced stage输血blood transfusion妊娠期pregnancy哺乳期breastfeeding传播transmission免疫细胞immune cell分娩delivery发病机理pathogenesis营养不良malnutrition7. Hepatitis发炎inflammation横膈膜diaphragm腹部abdomen肝动脉hepatic artery门静脉portal vein主动脉aorta肝细胞hepatic cell慢性肝炎chronic hepatitis自体免疫的autoimmune乙肝携带者carriers of hepatitis B性传播疾病sexually transmitted disease 肿胀swell肝硬化cirrhosis脓pus黄疸jaundice血浆plasma疤痕scar糖原glycogen荨麻疹hives粪便feces碳水化合物carbohydrate换气过度hyperventilation 8. Cancer恶性的malignant良性的benign肿瘤tumor, neoplasm转移metastasis死亡率mortality发病率morbidity癌前病变precancerous lesion遗传因素genetic factor物理致癌物physical carcinogen化学致癌物chemical carcinogen生物致癌物biological carcinogen电离辐射ionizing radiation寄生虫parasite细胞修复机制cellular repair mechanism 肿块lump疼痛的；痛处sore持续性消化不良persistent indigestion 乳房X线照相术mammography细胞学cytology巴氏涂片pap smear宫颈癌cervical cancer外科手术surgery放疗radiotherapy化疗chemotherapy超声ultrasound内镜检查endoscopyX线照相术radiography病理学pathology9. Hypertension高血压hypertension, high blood pressure 心搏heart beat泵pump收缩压systolic pressure舒张压diastolic pressure高血压前期prehypertension原发性高血压essential hypertension继发性高血压secondary hypertension 心律不齐irregular heartbeat胸痛chest pain电解质electrolyte心电图electrocardiogram超声心动图echocardiogram抑制剂inhibitor利尿剂diuretic阻滞剂blocker血管扩张剂vasodilator复发relapse10. Basic Anatomy --- Tissues and Organs 上皮组织epithelial tissue结缔组织connective tissue肌肉组织muscle tissue神经组织nerve tissue肌腱tendon韧带ligament软骨cartilage神经元neuron神经胶质细胞glial cell脊髓spinal cord表皮epidermis真皮dermis皮下层subcutaneous layer脂肪组织adipose tissue骨骼系统skeletal system肌肉系统muscular system循环系统circulatory system神经系统nervous system呼吸系统respiratory system消化系统digestive system泌尿系统urinary system内分泌系统endocrine system生殖系统reproductive system淋巴/ 免疫系统lymphatic/ immune system 骨骼肌skeletal muscle平滑肌smooth muscle心肌cardiac muscle营养物质nutrient激素hormone食管esophagus肠intestine淋巴lymph淋巴结lymph node淋巴管lymph vessel白细胞white blood cell / leukocyte腺体gland 11. The Disease SARS严重急性呼吸道综合征severe acute respiratory syndrome高烧high fever寒战chill干咳dry/ nonproductive cough低氧症hypoxia机械通气mechanical ventilation肺炎pneumonia非典型的atypical冠状病毒coronavirus呼吸飞沫respiratory droplet飞沫传播droplet spread呼吸窘迫综合症respiratory distress syndrome打喷嚏v. sneeze空气传播airborne spread接触传染的contagious预防precaution抗病毒的antiviral样品specimen培养culture12. Fracture外伤性骨折traumatic fracture病理性骨折pathologic fracture开放性骨折open fracture闭合性骨折closed fracture稳定性骨折stable fracture不稳定性骨折unstable fracture断裂disruption骨膜periosteum青枝骨折greenstick粉碎性骨折comminuted fracture局部疼痛localized pain畸形deformity触痛tenderness水肿edema肌肉痉挛muscle spasm瘀斑ecchymosis复位reduction骨化ossification固定immobilization无血管性坏死avascular necrosis静脉血栓形成venous thrombosis 脂肪栓塞fat embolism休克shock病原体pathogen机能障碍dysfunction术前准备preoperative preparation 便秘constipation肾结石renal calculi萎缩atrophy低血压hypotension门诊病人outpatient13. Respiratory System咽pharynx喉larynx气管trachea支气管bronchus横隔diaphragm分子molecule扩散作用diffusion氧化oxygenation代谢废物metabolic waste酸碱平衡acid-base balance上呼吸道upper respiratory tract 下呼吸道lower respiratory tract 换气ventilation吸气inhalation呼气exhalation呼吸衰竭respiratory failure毛细血管capillary肺气肿emphysema支气管炎bronchitis哮喘asthma微生物microbe酸中毒acidosis碱中毒alkalosis14. Depression抑郁症depression心悸palpitation出生后的postnatal抗抑郁剂antidepressant。
医学学术英语主要词汇汇总单词
医学学术英语主要词汇汇总单词以下是医学学术英语中的一些主要词汇：1. Anatomy 解剖学2. Physiology 生理学3. Pathology 病理学4. Pharmacology 药理学5. Epidemiology 流行病学6. Microbiology 微生物学7. Immunology 免疫学8. Genetics 遗传学9. Biochemistry 生物化学10. Molecular biology 分子生物学11. Biotechnology 生物技术12. Radiology 放射学13. Cardiology 心脏病学14. Neurology 神经病学15. Oncology 肿瘤学16. Gastroenterology 胃肠病学17. Pediatrics 儿科学18. Obstetrics and gynecology 妇产科学19. Psychiatry 精神病学20. Dermatology 皮肤病学21. Ophthalmology 眼科学22. Orthopedics 骨科学23. Anesthesiology 麻醉学24. Surgery 外科学25. Cardiac surgery 心脏外科学26. Neurosurgery 神经外科学27. Radiography 放射线摄影术28. Ultrasound 超声波29. Magnetic resonance imaging (MRI) 磁共振成像30. Laboratory 实验室31. Clinical 临床的32. Diagnosis 诊断33. Treatment 治疗34. Prognosis 预后35. Symptoms 症状36. Disease 疾病37. Virus 病毒38. Bacteria 细菌39. Infection 感染40. Immune system 免疫系统41. Cell 细胞42. DNA DNA43. RNA RNA44. Protein 蛋白质45. Enzyme 酶46. Antibiotic 抗生素47. Epidemic 流行病48. Pandemic 大规模的流行病49. Outbreak 爆发50. Vaccine 疫苗。
学术英语（医学）课后问题答案
Unit11、Some factors that may lead to the complaint:·Neuron overload·Patients* high expectations·Mistrust and misunderstanding between the patient and the doctorcondition:2、Mrs. Osorio’s·A 56-year-old woman·Somewhat overweight·Reasonably well-controlled diabetes and hypertension·Cholesterol on the high side without any medications for it·Not enough exercises she should take·Her bones a little thin on her last DEXA scan3、Good things:·Blood tests done·Glucose a little better·Her blood pressure a little better but not so great Bad things:·Cholesterol not so great·Her weight a little up·Her bones a little thin on her last DEXA scan 44、The situation:·The author was in a moderate state of panic: juggling so many thoughts aboutMrs. Osorio’s conditions and trying to resolve them all before the clock ran down.·Mrs. Osorio made a trivial request, not so important as compared to her conditions.and completely justified ·Mrs. Osorio seemed to care only about her “innocent ——request”：the form signed by her doctor.·The doctor tried to or at least pretended to pay attention to the patient whilecompleting documentation.5、Similarities:·In computer multitasking, a microprocessor actually performs only one task at a time. Like microprocessors, we human beings carft actually concentrate on two thoughts at the same exact time. Multitasking is just an illusion both in computersand human beings.Differences:·The concept of multitasking originated in computer science.·At best, human beings can juggle only a handful of thoughts in a multitasking manner, but computers can do much better.·The more thoughts human beings juggle, the less human beings are able to attune fully to any given thought, but computers can do much better.6、·7 medical issues to consider·5 separate thoughts, at least, for each issue·7 x 5 = 35 thoughts·10 patients that afternoon·35 x 10 = 350 thoughts·5 residents under the authors supervision·4 patients seen by each resident·10 thoughts, at least, generated from each patient·5 x 4 x 10 = anther 200 thoughts·350 + 200 = 550 thoughts to be handled in total·If the doctor does a good job juggling 98% of the time, that still leaves about 10 thoughts that might get lost in the process.7、Possible solutions:·Computer-generated reminders·Case managers·Ancillary services·The simplest solution: timeUnit21、The author implies:Peoples inadequate consciousness about the consequence of neglecting the re- emerging infectious diseases·Unjustifiability of peoples complacency about the prevention and control of theinfectious diseases·Unfinished war against infectious diseases2、Victory declarations:·Surgeon General William Stewart's hyperbolic statement of closing “the book on infectious disease”.·A string of impressive victories incurred by antibiotics and vaccines·The thought that the war against infectious diseases was almost overWhat followed ever since:·Appearance of new diseases such as AIDS and Ebola·Comeback of the old afflictions:Diphtheria in the former Soviet UnionTB in urban centers like New York CityRising Group A streptococcal conditions like scarlet fever·The fear of a powerful new flu strain sweeping the world3、Elaborate on the joined battle:·WHO established a new division devoted to worldwide surveillance and controlof emerging disease in October 1995.·CDC launched a prevention strategy in 1994.·Congress raised fund from $6.7 million in 1995 to $26 million in 1997.4、The borders are meaningless to pathogenic microbes, which can travel fromone country to another remote country in a very short time.5、TB:·Prisons and homeless shelters as ideal places for TB spread·Emerging of drug-resistant strain or even multi-drug-resistant strain·A ride on the HIV w^on by attacking the immunocompromisedGroup A strep:·A change in virulence·Mutation in the exterior of the bacteriumFlu:Constant changes in its coat (surface antigens) and resultant changes in its levelof virulence6、Examples:·Experiment in England is seeing the waning immunity because of no vaccination. ·Du e to poor vaccination efforts, the diphtheria situation in the former Soviet Union is serious. 'The vaccination rates are dropping in some American cities, and it will lead to more diphtheria and whooping cough.7、The four areas of focus:·The need for surveillance·Updated science capable of dealing with discoveries in the field·Appropriate prevention and control·Strong public health infrastructure8、The infectious diseases such as TB, flu, diphtheria and scarlet fever will never really go away, and the war against them will never end.Unit31、Terry's life before·She loved practicing Tae Kwon Do·She loved the surge of adrenaline that came with the controlled combat of tournaments.·She competed nationally, even won bronze medal in the trials for the Pan American Games.·She attended medical school, practiced as an internal medicine resident, and became an academic general internist.·She got married and got a son and a daughter.2、The symptoms of MS and autoimmune disease:·Loss of stamina and strength·Problems with balance·Bouts of horrific facial pain·Dips in visual acuity3、Terry did the following before she self-experimented:·She started injections.·She adopted many pharmacotherapies.·She began her own study of literature:She read articles on websites such as PubMed.She searched for articles testing new MS drugs in animal models.She turned to articles concerning neurodegeneration of all types — dementia，Parkinson's disease, Huntington's disease, and Lou Gehrig's disease.She relearned basic sciences such as cellular physiology, biochemistry, andneurophysiology.4、Approaches Terry mainly used:·Self-experimentation with various nutrients to slow neurodegeneration based on literature reports on animal models·Self-experimentation with neuromuscular electrical stimulation which is not an approved treatment for MS·Online search to identify the sources of micronutrients and having a new diet ·Reduction of food allergies and toxic load5、Cases mentioned in the text:·Increased mercury stores in the brains of people with dental fillings·High levels of the herbicide atrazine in private wells in Iowa·The strong association between pesticide exposure and neurodegeneration·The association of single nucleotide polymorphisms involving metabolism of sulfur and/or B vitamins·Inefficient clearing of toxins6、With 70% to 90% of the risk for diabetes, heart disease, cancer, andautoimmunity being due to environmental factors other than the genes, we cantake many health problems and the health care crisis under our control, for example, optimizing our nutrition and reducing our toxic load.Unit41、Two concepts:·Complementary medicine refers to the use of conventional therapies together with alternative treatments such as using acupuncture in addition to usual care to help lessen pain. Complementary and alternative medicine is shortened as CAM.·Alternative medicine refers to healing treatments that are not part of conventional therapies —like acupuncture, massage therapy, or herbal medicine. They are called so because people used to consider practices like these outside the mainstream.2·TCM does not require advanced, complicated, and in most cases, expensivefacilities.·TCM employs needles, cups, coins, to mention but a few.·Most procedures and operations of TCM are noninvasive.·The substances used as medicine are raw herbs or abstracts from them, andthey are indeed all natural, from nature.·TCM has been practiced as long as the Chinese history, so the efficiency i s proven and ensured.·Ongoing research around the world on acupuncture, herbs, massage and Tai Chi have shed light on some of the theories and practices of TCM3、It may be used as an adjunct treatment, an alternative, or part of a comprehensive management program for a number of conditions: post-operativeand chemotherapy induced nausea and vomiting, post-operative dental pain, addiction, stroke rehabilitation, headache, menstrual cramps, tennis elbow, fibromyalgia, myofascial pain, osteoarthritis, low back pain, carpal tunnel syndrome, and asthma.4、A well-justified NO:·More intense research to uncover additional areas for the use of acupuncture ·Higher adoption of acupuncture as a common therapeutic modality not only in treatment but also in prevention of disease and promotion of wellness·Exploration and perfection of innovative methods of acupuncture point stimulation with technological advancement·Improved understanding of neuroscience and other aspects of human physiology and function by basic research on acupuncture·Greater interest by stakeholders·An increasing number of physician acupuncturists5、·Appropriate uses of herbs depend on proper guidance:Proper TCM diagnosis of the zheng of the patientCorrect selection of the corresponding therapeutic strategies and principles that guide the choice of herbs and herbal formulas·Digression from either of the above guidence will lead to misuses of herbs, andwill result in complications in patient6、·Randomized controlled trialsAdvantages:Elimination of the potential bias in the allocation of participants to the intervention group or control groupTendency to produce comparable groupsGuaranteed validity of statistical tests of significanceLimitations:Difficulty in generalizing the results obtained from the selected sampling to the population as a wholeA poor choice for research where temporal factors are anissueExtremely heavy resources, requiring very large samplegroupsQuasi-experimentsAdvantages:Control group comparisons possibleReduced threats to external validity as natural environments do notsuffer the same problems of artificiality as compared to a well-controlledlaboratory setting.Generalizations of the findings to be made about population since quasiexperiments are natural experimentsLimitations：Potential for non-equivalent groups as quasi-experimental designs donot use random sampling in constructing experimental and controlgroups.Potential for low internal validity as a result of not using random sampling methods to construct the experimental and control groupsCohort studiesAdvantages:Clear indication of the temporal sequence between exposure and outcomeParticular use for evaluating the effects of rare or unusual exposureAbility to examine multiple outcomes of a single risk factorLimitations:Larger, longer, and more expensiveProne to certain types of biasNot practical for rare outcomesCase-control studiesAdvantages:The only feasible method in the case of rare diseases and those with longperiods between exposure and outcomeTime and cost effective with relatively fewer subjects as compared to other observational methodsLimitations：Unable to provide the same level of evidence as randomized controlled trialsas it is observational in natureDifficult to establish the timeline of exposure to disease outcomeN=1” trials“AdvantagesEasy to manageInexpensiveLimitations：Findings difficult to be generalized to the whole populationWeakest evidence due to the number of the subject7、Synthesis of evidence is completely dependent on:The completeness of the literature search (unavailable for foreign studies)The accuracy of evaluation·There are situations in which no answer can be found for the questions of interest in RCTs and database analyses.·There's the requirement of using less stringent information rather than “hard data”8、·Assessment of the intrinsic value of traditional medicine in society·Research and education·Political, economic, and social factorsUnit51、·Dis-ease refers to the imbalance arising from：Continuous stressPainHardships·Disease is a health crisis ascribable to various dis-eases.·Prompting elimination of dis-eases can alleviate some diseases.2、·Wellness is a state involving every aspect of our being: body, mind and spirit.·Manifestations of a healthy person:Energy and vitalityA certain zip in gaitA warm feeling of peace of heart seen through behavior3、·Constant messages, positive and negative，are sent to our mind about the health of our body.·Physical symptoms are suppressed by people who go through life on automatic pilot.·Being well equals to being disease- or illness-free in the minds of them.·They confused wellness with an absence of symptoms.4、·People's minds are infected by spin:Half-truthFearful fictionsBlatant deceit: some as a form of self-deceit·Spin is a result of unconscious living.·The kind of falseness is pandemic.5·Our body intelligence is suppressed or dormant from a lack of use.·There are tremendous amount of stress on a daily basis.·Our bodies are easily ignored for years because of a lack of recreation time. ·Limiting, self-defeating and even self-destructive behaviors undermine our wellbeing and keep them from achieving our full potential.6·We grow more reluctant to take risks.·We lose the ability to feel and acknowledge our deepest feelings and the courage to speak our truth.·We continue to deny and repress our feelings to protect ourselves.·Fear, denial and disconnection from our bodies and feelings become an unconscious, self-protective habit, a kind of default response to life.7·A multi-faceted process:Looking for roots of and resolutions for the issues in different dimensionsBuilding our wellness toolbox slowlyPicturing our whole state of being·Attention to the little stuff:Examining our lives honestly and setting clear intentions to changeStriving to maintain a balance of our mind, body and spiritTaking small steps in the way to perceive and resolve conflict8·Try to awaken and evolve in order to live more consciously.·Get in touch with our genuine feelings and emotions.·Come to terms with the toxic emotionsUnit61、In the past, most people died at home. But now, more and more people are caredin hospitals and nursing homes at their end of life, which of course brings a newset of questions to consider.2、·Sixty-four years old with a history of congestive heart failure·Deciding to do everything medically possible to extend his life·Availability of around-the-clock medical services and a full range of treatmentchoices, tests, and other medical care·Relaxed visiting hours, and personal items from home3、Availability of around-the-clock medical resources, including doctors, nurses, andfacility.4、·Taking on a job which is big physically, emotionally, and financially·Hiring a home nurse for additional help·Arranging for services (such as visiting nurses) and special equipment (like ahospital bed or bedside commode)5、·Health insurance·Planning by a professional, such as a hospital discharge plaimer or a social worker·Help from local governmental agencies·Doctor's supervision at home6、·Traditionally, it is only about symptom care.·Recently, it is a comprehensive approach to improving the quality of life for people who are living with potentially fatal diseases.7、·Stopping treatment specifically aimed at curing an illness equals discontinuing all treatment.·Choosing a hospice is a permanent decision.Unit71、·A dying patient·Decision whether to withdraw life-support machines and medication and startcomfort measures·The family's refusal to make any decision or withdraw any treatments2、·The doctor as exclusive decision-maker·The patient as participant with little say in the final choice3、·Respect for the patient, especially the patient s autonomy·Patient-centered care·The patient as decision-maker based on the information provided by the doctor4、·Patients are forced to make decisions they never want to.·Patients, at least a large majority of them, prefer their doctors to make final decisions.·Shifting responsibility of decision-making to patients will bring about more stress to patients and their families, especially when the best option for the patient is uncertain.5、Doctors are very much cautious about committing some kind of ethicaltransgression.6、·Shouldering responsibility together with the patient may be better than havingthe patient make decisions on their own.·Balancing between paternalism and respect for patients autonomy constitutes alarge part of medical practice.Unit81、·Research:An activity to test hypothesis, to permit conclusions to be drawn, and thereby to develop or contribute to generalizable knowledge·Practice:Interventions solely to enhance the well-being of an individual patient or client and that have a reasonable expectation of success·Blurred distinction:Cooccurrence of research and practice like in research designed to evaluate a therapyNotable departure s from standard practice being called “experimental” withl”and “research” carelessly definedthe terms “experimenta2、·Autonomy：Individuals treated as autonomous agents .·Protection:Persons with diminished autonomy entitled to protection·A case in point:Prisoners involved in research3·“Do no harm” as the primary principle·Maximization of possible benefits and minimization of possible harms .·Balance between benefits and potential risks involved in every step of seedingthe benefits4、·“Do no harm” as a fundamental principle of medical ethics·Extension of it to the realm of research by Claude Bernard·Benefits and risks as a set “duet” in both medical practice and research 5、·Unreasonable denial of entitled benefit and unduly imposed burden：Enrolment of patients in new drug trial: Who should be enrolled and who should not?·Equal treatment of equals:Determining factors of equality: age, sex, severity of the condition, financial status, social status6、·Definition:The opportunity to choose what shall or shall not happen to them·Application:A process rather than signing a written formAdequate information as the premiseA well-informed decision as the expected result7、·Requirements for consent as entailed by the principle of respect for persons ·Risk/benefit assessment as entailed by the principle of beneficence ·More requirements of fairness as entailed by the principle of justice: At the individual level: fairnessAt the social level: distinction between classes。
(完整版)学术英语(医学)课后问题答案
Unit11、Some factors that may lead to the complaint:·Neuron overload·Patients* high expectations·Mistrust and misunderstanding between the patient and the doctor2、Mrs. Osorio’s condition:·A 56-year-old woman·Somewhat overweight·Reasonably well-controlled diabetes and hypertension·Cholesterol on the high side without any medications for it·Not enough exercises she should take·Her bones a little thin on her last DEXA scan3、Good things:·Blood tests done·Glucose a little better·Her blood pressure a little better but not so great Bad things:·Cholesterol not so great·Her weight a little up·Her bones a little thin on her last DEXA scan 44、The situation:·The author was in a moderate state of panic: juggling so many thoughts about Mrs. Osorio’s conditions and trying to resolve them all before the clock ran down.·Mrs. Osorio made a trivial request, not so important as compared to her conditions.·Mrs. Osorio seemed to care only about her “innocent —and completely justified —request”：the form signed by her doctor.·The doctor tried to or at least pretended to pay attention to the patient whilecompleting documentation.5、Similarities:·In computer multitasking, a microprocessor actually performs only one task at a time. Like microprocessors, we human beings carft actually concentrate on two thoughts at the same exact time. Multitasking is just an illusion both in computers and human beings.Differences:·The concept of multitasking originated in computer science.·At best, human beings can juggle only a handful of thoughts in a multitasking manner, but computers can do much better.·The more thoughts human beings juggle, the less human beings are able to attune fully to any given thought, but computers can do much better.6、·7 medical issues to consider·5 separate thoughts, at least, for each issue·7 x 5 = 35 thoughts·10 patients that afternoon·35 x 10 = 350 thoughts·5 residents under the authors supervision·4 patients seen by each resident·10 thoughts, at least, generated from each patient·5 x 4 x 10 = anther 200 thoughts·350 + 200 = 550 thoughts to be handled in total·If the doctor does a good job juggling 98% of the time, that still leaves about 10 thoughts that might get lost in the process.7、Possible solutions:·Computer-generated reminders·Case managers·Ancillary services·The simplest solution: timeUnit21、The author implies:• Peoples inadequate consciousness about the consequence of neglecting the re-emerging infectious diseases·Unjustifiability of peoples complacency about the prevention and control of the infectious diseases·Unfinished war against infectious diseases2、Victory declarations:·Surgeon General William Stewart's hyperbolic statement of closing “the book on infectious disease”.·A string of impressive victories incurred by antibiotics and vaccines·The thought that the war against infectious diseases was almost overWhat followed ever since:·Appearance of new diseases such as AIDS and Ebola·Comeback of the old afflictions:» Diphtheria in the former Soviet Union» TB in urban centers like New York City» Rising Group A streptococcal conditions like scarlet fever·The fear of a powerful new flu strain sweeping the world3、Elaborate on the joined battle:·WHO established a new division devoted to worldwide surveillance and control of emerging disease in October 1995.·CDC launched a prevention strategy in 1994.·Congress raised fund from $6.7 million in 1995 to $26 million in 1997.4、The borders are meaningless to pathogenic microbes, which can travel from one country to another remote country in a very short time.5、TB:·Prisons and homeless shelters as ideal places for TB spread·Emerging of drug-resistant strain or even multi-drug-resistant strain·A ride on the HIV w^on by attacking the immunocompromisedGroup A strep:·A change in virulence·Mutation in the exterior of the bacteriumFlu:Constant changes in its coat (surface antigens) and resultant changes in its level of virulence6、Examples:·Experiment in England is seeing the waning immunity because of no vaccination. ·Du e to poor vaccination efforts, the diphtheria situation in the former Soviet Union is serious. '• The vaccination rates are dropping in some American cities, and it will lead to more diphtheria and whooping cough.7、The four areas of focus:·The need for surveillance·Updated science capable of dealing with discoveries in the field·Appropriate prevention and control·Strong public health infrastructure8、The infectious diseases such as TB, flu, diphtheria and scarlet fever will never really go away, and the war against them will never end.Unit31、Terry's life before·She loved practicing Tae Kwon Do·She loved the surge of adrenaline that came with the controlled combat of tournaments.·She competed nationally, even won bronze medal in the trials for the Pan American Games.·She attended medical school, practiced as an internal medicine resident, and became an academic general internist.·She got married and got a son and a daughter.2、The symptoms of MS and autoimmune disease:·Loss of stamina and strength·Problems with balance·Bouts of horrific facial pain·Dips in visual acuity3、Terry did the following before she self-experimented:·She started injections.·She adopted many pharmacotherapies.·She began her own study of literature:» She read articles on websites such as PubMed.» She searched for articles testing new MS drugs in animal models.» She turned to articles concerning neurodegeneration of all types — dementia，Parkinson's disease, Huntington's disease, and Lou Gehrig's disease.» She relearned basic sciences such as cellular physiology, biochemistry, and neurophysiology.4、Approaches Terry mainly used:·Self-experimentation with various nutrients to slow neurodegeneration based on literature reports on animal models·Self-experimentation with neuromuscular electrical stimulation which is not an approved treatment for MS·Online search to identify the sources of micronutrients and having a new diet ·Reduction of food allergies and toxic load5、Cases mentioned in the text:·Increased mercury stores in the brains of people with dental fillings·High levels of the herbicide atrazine in private wells in Iowa·The strong association between pesticide exposure and neurodegeneration ·The association of single nucleotide polymorphisms involving metabolism of sulfur and/or B vitamins·Inefficient clearing of toxins6、With 70% to 90% of the risk for diabetes, heart disease, cancer, andautoimmunity being due to environmental factors other than the genes, we can take many health problems and the health care crisis under our control, for example, optimizing our nutrition and reducing our toxic load.Unit41、Two concepts:·Complementary medicine refers to the use of conventional therapies together with alternative treatments such as using acupuncture in addition to usual care to help lessen pain. Complementary and alternative medicine is shortened as CAM.·Alternative medicine refers to healing treatments that are not part of conventional therapies —like acupuncture, massage therapy, or herbal medicine. They are called so because people used to consider practices like these outside the mainstream.2·TCM does not require advanced, complicated, and in most cases, expensive facilities.·TCM employs needles, cups, coins, to mention but a few.·Most procedures and operations of TCM are noninvasive.·The substances used as medicine are raw herbs or abstracts from them, and they are indeed all natural, from nature.·TCM has been practiced as long as the Chinese history, so the efficiency i s proven and ensured.·Ongoing research around the world on acupuncture, herbs, massage and Tai Chi have shed light on some of the theories and practices of TCM3、It may be used as an adjunct treatment, an alternative, or part of a comprehensive management program for a number of conditions: post-operative and chemotherapy induced nausea and vomiting, post-operative dental pain, addiction, stroke rehabilitation, headache, menstrual cramps, tennis elbow, fibromyalgia, myofascial pain, osteoarthritis, low back pain, carpal tunnel syndrome, and asthma.4、A well-justified NO:·More intense research to uncover additional areas for the use of acupuncture ·Higher adoption of acupuncture as a common therapeutic modality not only in treatment but also in prevention of disease and promotion of wellness ·Exploration and perfection of innovative methods of acupuncture point stimulation with technological advancement·Improved understanding of neuroscience and other aspects of human physiology and function by basic research on acupuncture·Greater interest by stakeholders·An increasing number of physician acupuncturists5、·Appropriate uses of herbs depend on proper guidance:» Proper TCM diagnosis of the zheng of the patient»Correct selection of the corresponding therapeutic strategies and principles that guide the choice of herbs and herbal formulas·Digression from either of the above guidence will lead to misuses of herbs, and will result in complications in patient6、·Randomized controlled trialsAdvantages:»Elimination of the potential bias in the allocation of participants to the intervention group or control group» Tendency to produce comparable groups» Guaranteed validity of statistical tests of significanceLimitations:» Difficulty in generalizing the results obtained from the selected sampling to the population as a whole»A poor choice for research where temporal factors are anissue»Extremely heavy resources, requiring very large samplegroups• Quasi-experimentsAdvantages:» Control group comparisons possible»Reduced threats to external validity as natural environments do notsuffer the same problems of artificiality as compared to a well-controlledlaboratory setting.»Generalizations of the findings to be made about population since quasiexperiments are natural experimentsLimitations：» Potential for non-equivalent groups as quasi-experimental designs donot use random sampling in constructing experimental and controlgroups.»Potential for low internal validity as a result of not using random sampling methods to construct the experimental and control groups• Cohort studiesAdvantages:»Clear indication of the temporal sequence between exposure and outcome» Particular use for evaluating the effects of rare or unusual exposure» Ability to examine multiple outcomes of a single risk factorLimitations:» Larger, longer, and more expensive» Prone to certain types of bias» Not practical for rare outcomes• Case-control studiesAdvantages:» The only feasible method in the case of rare diseases and those with long periods between exposure and outcome» Time and cost effective with relatively fewer subjects as compared to other observational methodsLimitations：» Unable to provide the same level of evidence as randomized controlled trials as it is observational in nature» Difficult to establish the timeline of exposure to disease outcome• “N=1” trialsAdvantages» Easy to manage» InexpensiveLimitations：» Findings difficult to be generalized to the whole population» Weakest evidence due to the number of the subject7、• Synthesis of evidence is completely dependent on:» The completeness of the literature search (unavailable for foreign studies)» The accuracy of evaluation·There are situations in which no answer can be found for the questions of interest in RCTs and database analyses.·There's the requirement of using less stringent information rather than “hard data”8、·Assessment of the intrinsic value of traditional medicine in society·Research and education·Political, economic, and social factorsUnit51、·Dis-ease refers to the imbalance arising from：» Continuous stress» Pain» Hardships·Disease is a health crisis ascribable to various dis-eases.·Prompting elimination of dis-eases can alleviate some diseases.2、·Wellness is a state involving every aspect of our being: body, mind and spirit.·Manifestations of a healthy person:» Energy and vitality» A certain zip in gait» A warm feeling of peace of heart seen through behavior3、·Constant messages, positive and negative，are sent to our mind about the health of our body.·Physical symptoms are suppressed by people who go through life on automatic pilot.·Being well equals to being disease- or illness-free in the minds of them.·They confused wellness with an absence of symptoms.4、·People's minds are infected by spin:» Half-truth» Fearful fictions» Blatant deceit: some as a form of self-deceit·Spin is a result of unconscious living.·The kind of falseness is pandemic.5·Our body intelligence is suppressed or dormant from a lack of use.·There are tremendous amount of stress on a daily basis.·Our bodies are easily ignored for years because of a lack of recreation time. ·Limiting, self-defeating and even self-destructive behaviors undermine our wellbeing and keep them from achieving our full potential.6·We grow more reluctant to take risks.·We lose the ability to feel and acknowledge our deepest feelings and the courage to speak our truth.·We continue to deny and repress our feelings to protect ourselves.·Fear, denial and disconnection from our bodies and feelings become an unconscious, self-protective habit, a kind of default response to life.7·A multi-faceted process:» Looking for roots of and resolutions for the issues in different dimensions» Building our wellness toolbox slowly» Picturing our whole state of being·Attention to the little stuff:» Examining our lives honestly and setting clear intentions to change» Striving to maintain a balance of our mind, body and spirit» Taking small steps in the way to perceive and resolve conflict8·Try to awaken and evolve in order to live more consciously.·Get in touch with our genuine feelings and emotions.·Come to terms with the toxic emotions1、In the past, most people died at home. But now, more and more people are caredin hospitals and nursing homes at their end of life, which of course brings a new set of questions to consider.2、·Sixty-four years old with a history of congestive heart failure·Deciding to do everything medically possible to extend his life·Availability of around-the-clock medical services and a full range of treatment choices, tests, and other medical care·Relaxed visiting hours, and personal items from home3、Availability of around-the-clock medical resources, including doctors, nurses, andfacility.4、·Taking on a job which is big physically, emotionally, and financially·Hiring a home nurse for additional help·Arranging for services (such as visiting nurses) and special equipment (like a hospital bed or bedside commode)5、·Health insurance·Planning by a professional, such as a hospital discharge plaimer or a social worker·Help from local governmental agencies·Doctor's supervision at home6、·Traditionally, it is only about symptom care.·Recently, it is a comprehensive approach to improving the quality of life for people who are living with potentially fatal diseases.·Stopping treatment specifically aimed at curing an illness equals discontinuing all treatment.·Choosing a hospice is a permanent decision.Unit71、·A dying patient·Decision whether to withdraw life-support machines and medication and start comfort measures·The family's refusal to make any decision or withdraw any treatments2、·The doctor as exclusive decision-maker·The patient as participant with little say in the final choice3、·Respect for the patient, especially the patient s autonomy·Patient-centered care·The patient as decision-maker based on the information provided by the doctor 4、·Patients are forced to make decisions they never want to.·Patients, at least a large majority of them, prefer their doctors to make final decisions.·Shifting responsibility of decision-making to patients will bring about more stress to patients and their families, especially when the best option for the patient is uncertain.5、Doctors are very much cautious about committing some kind of ethicaltransgression.6、·Shouldering responsibility together with the patient may be better than having the patient make decisions on their own.·Balancing between paternalism and respect for patients autonomy constitutes a large part of medical practice.Unit81、·Research:An activity to test hypothesis, to permit conclusions to be drawn, and thereby to develop or contribute to generalizable knowledge·Practice:Interventions solely to enhance the well-being of an individual patient or client and that have a reasonable expectation of success·Blurred distinction:» Cooccurrence of research and practice like in research designed to evaluate a therapy» Notable departures from standard practice being called “experimental” with the terms “experimenta l”and “research” carelessly defined2、·Autonomy：Individuals treated as autonomous agents .·Protection:Persons with diminished autonomy entitled to protection·A case in point:Prisoners involved in research3·“Do no harm” as the primary principle·Maximization of possible benefits and minimization of possible harms . ·Balance between benefits and potential risks involved in every step of seeding the benefits4、·“Do no harm” as a fundamental principle of medical ethics·Extension of it to the realm of research by Claude Bernard·Benefits and risks as a set “duet” in both medical practice and research5、·Unreasonable denial of entitled benefit and unduly imposed burden：Enrolment of patients in new drug trial: Who should be enrolled and who should not?·Equal treatment of equals:Determining factors of equality: age, sex, severity of the condition, financial status, social status6、·Definition:The opportunity to choose what shall or shall not happen to them ·Application:» A process rather than signing a written form» Adequate information as the premise» A well-informed decision as the expected result7、·Requirements for consent as entailed by the principle of respect for persons ·Risk/benefit assessment as entailed by the principle of beneficence·More requirements of fairness as entailed by the principle of justice: » At the individual level: fairness» At the social level: distinction between classes。
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学术英语（医学）课后词组Unit 11.neuron overload 神经过载2.a typical office visit 典型的诊所就诊3.DEXA scan DEXA扫描4.medical practice 行医5.blood pressure control 血压控制6.health maintenance 健康保持7.mammogram report 乳房X线检查报告8.physical examination 体检9.side effect of a medication 药物的副作用10.perpetual panic 永久的恐慌11.practicing physicians 职业医生12.transplant field 移植领域13.medical budget 医疗预算14.paracetamol tablet 扑热息痛药片15.childproof cap 防孩子打开的盖子16.randomized clinical trial 随机临床试验17.random allocation 随机分配18.patient prognosis 病人的预后19.control group 对照组20.a 10-year follow-up study 10年的跟踪研究21.a medical ward 内科病房22.infectious hepatitis 传染性肝炎23.Severe malaise 身体严重不适24.bilirubin metabolism 胆红素代谢25.permanent liver damage 永久的肝损伤26.exacerbate pathophysiology 加重病理生理状况27.medical literature 医学文献28.clinical investigation 临床调查29.incidence of relapse 复发率30.clinical epidemiology 临床流行病学31.strict bed rest 严格的卧床休息32.hospital stay 住院33.recurrent jaundice 反复发作的黄疸34.clinical course 临床病程35.intravenous morphine 静脉注射吗啡36.diastolic blood pressure 舒张压37.brain perfusion 大脑血灌输38.primary care初级保健39.aorto-coronary arterial bypass主动脉冠状动脉旁路rmed treatment decision知情治疗决41.an international humanitarian group 一个国际人道组织42.the Red Cross 红十字会43.the first major relief effort第一次重大援助工作44.casualty of war 战争中的人员伤亡45.emergency relief efforts 紧急援助Unit 21.re-emerging/re-emergent/resurgent disease(再现疾病)2.new flu strain新流感变种3.antibiotics and vaccine抗生素和疫苗4.infectious disease传染病5.emergent/emergent disease新现疾病6.prevention strategy预防策略7.bubonic plague腺鼠疫8.pathogenic microbes病原微生物9.public heath authority公共卫生机构10.drug resistance抗药性11.an course of antibiotic therapy抗生素治疗疗程12.scarlet fever猩红热13.the level of virulence毒性水平14.flu pandemic流感大流行15.surface antigen 表面抗原16.genetic shift基因改变17.neurological complications 神经性并发症18.waning of immunity免疫力减弱19.public health infrastructure公共卫生基础设施20.a malaria case一个疟疾病例21.swine flu猪流感22.tuberculosis bacillus结核杆菌23.the level of morbidity/incident发病率水平24.health professional保健专业人士tent tuberculosis潜伏结核病26.tuberculin skin test结核素皮试27.screening programmes筛查计划28.interferon gamma tests γ干扰素测试29.drug toxicity药物毒性30.an curable disease一种可治愈的病31,intractable infectious disease难治的传染病32.an unknown pathogen一种未知的病原体33.chronic gastric ulcer慢性胃溃疡34.exposure to carries of disease接触带病者35,genetic recombination基因重组36.agent of bioterrorism生物恐怖活动病原37.foodborne infections通过食物传播的传染病Unit 31.the surge of adrenaline 肾上腺素激增2.an internal medicine residency 内科实习期3.an autoimmune disease 自体免疫4.loss of stamina 丧失持久力5.transient weakness 短暂的虚弱6.becoming bedridden 卧床不起7.a building block基本构件8.an animal model 动物模型9.to slow neurodegeneration减缓神经退化10.to excrete toxins排除毒素11.to optimize nutrition 优化营养12.toxic load毒素载量13.the risk of relapse 复发危险14.physician self-experimentation医生自我实验15.a clinical trial 临床试验16.neuromuscular electrical stimulation 神经肌肉电刺激17.physical therapist 理疗师18.the impact of micronutrient 微量营养素的影响19.brain function 脑功能20.track the emotional flow 跟踪情绪波动21.coordination of emotions 情绪协调22.cardiovascular reactions 心血管反应23.feeling of rapport 亲密感觉24.rapid synchronization 迅速同步25.emotional contagion 情绪传染26.to mutually regulate 互相调节27.a psychobiological unit生物心理单元28.emotional solace 情感慰藉29.functional magnetic resonance imaging功能性磁共振30.to activate brain zones激活该脑部区域31.to make it mandatory使之成为强制性32.a dubious project 无把握的项目33.medical background 医学背景34.proof of concept 概念验证35.dose regimen 剂量方案plication or concomitant conditions并发症与合并症37.anti-tumor agents 抗肿瘤的药剂38.standard therapy标准疗法39.pharmacological properties 药理学特性40.poor solubility 溶解性差41.in vivo pharmacology 体内药理学Unit 4plementary medicine 补充医学2.alternative medicine 替代医学3.a medical paradigm 医疗模式4.acupuncture and herbs 针灸和草药5.adjunct treatment 辅助治疗6.nausea and vomiting 恶心，呕吐7.post-operative dental pain 术后牙痛8.clinical trials 临床试验9.physical therapy 物理疗法，理疗10.therapeutic modalities 治疗方法11.a therapeutic intervention治疗干预12.research design 研究设计13.magnetic resonance 磁共振14.positron emission tomography 正电子发射型计算机断层成像15.analgesia effect 止痛效果16.biomedical establishment 生物医学界17.rehabilitation unit康复中心18.licensed acupuncturist 持照针灸师19.therapeutic strategy治疗策略20.herbal formula草药配方21.a wide array of complications 各式各样的并发症22.integrative East-West medicine 中西医结合23.acute abdominal pain 急性腹痛24.to administer medicines 施药，用药25.surgical procedure 外科手术26.scientific evaluation 科学评估27.prevalence statistics患病率统计28.conventional therapies 传统疗法29.evidence-based models of care询证医学模式30.stress management 压力处理31.peripheral nervous system 周围神经系统32.physiologic mechanism生理机制33.mechanistic and reductionistic studies 机制和还原式研究34.cost-effectiveness research 效益研究35.clinical outcomes 临床结果36.preclinical and clinical studies 临床前及临床研究37.plausible mechanisms可能的机制38.manipulative therapies 推拿治疗39.homeopathic medicine 顺势疗法40.naturopathic medicine 自然疗法41.meditation and yoga冥想与瑜伽Unit 51.a health crisis 健康危机2.physical symptom 身体症状3.energy and vitality 能量和活力4.be completely immune from sth.对某事完全免疫5.virus of falseness 虚假的病毒6.stressful lifestyle 有压力的生活方式7.robust emotion 健全的感情8.fragile health 脆弱的健康9.to balance our mind ,body and spirit 平衡心理、身体和精神10.spiritual life精神生活11.the blockage to wellness 通向身心健康的“路障”12.repressed emotions 被压抑的感情13.genuine feelings and emotion真情实感14.physiological influences 心理影响15.fully integrated human beings 十全十美的人16.decaying teeth 蛀牙17.nutrition professor 营养教授18.burgeoning waistline 迅速膨胀的腰围19.bottled water 瓶装水20.caloric intake 热量摄入21.to curb appetite 节制食欲22.grains and protein 谷物和蛋白质23.childhood obesity 儿童肥胖症24.lean protein 精益蛋白质25.dietary habits 饮食习惯26.quality of life 生活质量27.diary category 乳制品类28.prevention of diabetes糖尿病的预防29.sodium content 钠的含量Unit 61.nursing homes养老院2.hospice/end-of-life care临终关怀3.congestive heart failure充血性心衰4.available around-the-clock 24小时随叫随到5.coronary care unit冠心病监护室6.to respond to treatment对治疗有反应7.skilled nursing facility专业护理机构8.end-of-life/hospice care生命终末期护理fort care舒适护理10.hospital discharge planner出院计划专员11.symptom care症状护理12.palliative care姑息疗法13.fatal illness绝症14.chronic obstructive pulmonary disease慢性阻塞性肺病15.experimental treatments实验性治疗16.spiritual advisor精神顾问17.to discontinue all treatment终止所有治疗18.to go through dialysis经历透析19.a PAP smear巴氏涂片检查20.patient-doctor relationship医患关系21.to provide care-as-usual提供常规医护22.preventive examinations预防性检查23.off the beaten path离开熟路，另辟蹊径24.to mold into a shape塑形25.To renew a prescription照旧处方再开药26.in vitro fertilization体外受精27.basic biology基础生物学28.embryonic stem cell research胚胎干细胞研究29.to collaborate with an outside与圈外人合作30.a test-tube baby试管婴儿31.reproductive sciences生殖科学32.to administer hormone施用激素33.to isolate immature eggs 分离未成熟卵子34.empirical observations经验观察35.pioneering work首创研究36.a fibre-optic endoscope光导纤维内窥镜37.ethical guidelines伦理原则38.societal concern社会关注39.infertile couples不孕不育夫妇40.inherited disease遗传疾病41.cystic fibrosis囊泡性纤维症42.ethical dilemma伦理困境Unit 71.a nursing station 护士站2.life-support machines 生命维持系统fort measure 舒适护理措施4.to withdraw treatments 停止治疗5.paternalistic decision-making process 家长式决策程序6.patient empowerment 给病人授权7.medical ethicist 医学伦理学家8.ethical principle 伦理准则9.clinical ideal 临床理念10.patient-centered care 以病人为中心的护理11.patient autonomy 病人自主权12.treatment option 治疗选择13.exclusive purview 专属领域14.emergency decisions 紧急状况下做的决定15.physician restraint 对医生的限制16.anxiety and confusion 焦虑与困惑17.ethical transgression 违背伦理18.family practice 家庭医疗19.widespread metastases 广泛转移20.aggressive treatment 积极治疗21.primary lesion 原发病灶22.to recommend follow-up 建议随访23.electronic record 电子病历24.pulmonary emboli 肺栓塞puterized tomography 计算机断层扫描CT26.bilateral infiltrates 双侧浸润27.a chest X-ray X线胸片28.left lower-lobe pneumonia 左下肺叶肺炎bored breathing 呼吸困难30.the hospice team 临终关怀团队31.chronic illness 慢性病32.psychosocial aspects 社会心理学领域33.evidence-based guideline 循证临床指南34.to implement a plan of care 实施治疗方案Unit 81.human subject 人体研究对象2.biomedical research 生物医学研究3.accepted therapy 公认的治疗4.a formal protocol 正式方案5.the principle of beneficence 有利原则6.the principle of justice 公正原则7.autonomous agents 有自主能力的行为者8.diminished autonomy 自主性减弱9.be exposed to risk of harm 使……面临受害危险10.Hippocratic Oath 希波克拉底誓言11.fairness in distribution 分配的公正性rmed consent 知情同意13.fair procedure and outcomes 公正的程序和结果14.the operating table 手术台15.an ethical obligation 伦理责任16.a pediatric neurosurgeon 儿科神经外科医生17.to perform the surgery 做手术18.blood flow 血流19.intensive care 重症监护20.adoptive father 义父21.biological father 生父22.psychological needs 心理需要23.medical judgment 医学判断24.occupational therapy 职业疗法25.to contract meningitis 感染脑膜炎26.to die of an infection 死于感染27.blood vessel 血管28.imbalances in circulation 循环的不平衡29.the welfare of human research subjects 人类研究对象的安宁30.to approve or disapprove all research activities 批准或不批准所有的研究活动31.to review a protocol 审查一个研究计划32.at risk of civil or criminal liability 有民事或刑事责任的危险Unit 91.medical school curriculum 医学院课程2.the medical education community 医学教育界3.to meet the public’s expectation 达到公众的期待4.personal attribute 个人品质5.to place value on 看重6.clinical malady 临床疾患7.diagnostic errors 诊断错误8.classic manifestation 典型临床表现9.the civic mindedness of physicians 医生的民本意识10.polite chatter 礼貌的闲谈11.bedside manner 医生对患者的态度，临床举止12.to scan hospital directory 搜索医院名录13.a integral part 不可分割的一部分14.underserved communities 服务匮乏的社区15.primary care shortage 初级保健缺乏16.certification evaluations 证书评估17.to address the needs 应对需要18.the basics of anatomy 解剖基础知识19.a teaching hospital 教学医院20.an academic medical center 学术医学中心21.to affiliate with teaching hospitals 隶属于教学医院22.continuing medical education credits 继续医学教育学分Unit 101.medical coverage 医疗保险支付范围2.Medicare and Medicaid 医疗保险和医疗救助3.a single-payer system 单一支付者系统4.to subsidize the uncovered 补贴无保险的人5.to deliver value care 提供医疗6.duplicative tests 重复的检查7.a sustained study 长期的研究8.vision deficit 视力缺陷9.a transesophageal echocardiogram （TEE）经食管超声心动图10.an trial thrombus 心房血栓11.a massive embolic stroke 大面积栓塞型脑中风mon carotid artery 颈总动脉13.intracranial branches 颅内段14.middle cerebral artery syndrome 大脑中动脉综合征15.intracranial bleeding 颅内出血16.brain-stem herniation 脑干脱疝17.neurologic recovery 神经功能恢复18.mechanical ventilation 机械通气19.anticoagulant treatment 抗凝血治疗20.intravenous infusion 静脉输液21.an academic surgeon 学术型外科医生22.hospital administrator 医院管理者23.inbound ambulance 入院的救护车24.elective surgery 可做可不做的手术25.acute myocardial infarction 急性心肌梗死26.time-critical conditions 对治疗时间要求紧迫的疾病27.cardiac arrest 心搏停止28.traumatic injuries 外伤，创伤29.percutaneous coronary intervention 经皮冠状动脉介入术30.a multi-payer model 多家支付者模式31.universal insurance programs 全民保险计划32.for-profit insurance 以盈利为目的的保险33.pharmaceutical companies 制药公司34.home-brewed remedy 自创的治疗方法35.pay the bill out-of-pocket 自掏腰包付费。