医学学术英语Summary of text A unit 10
学术英语医学Unit1-3-7-9课文翻译
学术英语unit1,unit3,unit4,unit9课文翻译 Unit 1 Text A神经过载与千头万绪的医生患者经常抱怨自己的医生不会聆听他们的诉说。
虽然可能会有那么几个医生确实充耳不闻，但是大多数医生通情达理，还是能够感同身受的人。
我就纳闷为什么即使这些医生似乎成为批评的牺牲品。
我常常想这个问题的成因是不是就是医生所受的神经过载。
有时我感觉像变戏法，大脑千头万绪，事无巨细，不能挂一漏万。
如果病人冷不丁提个要求，即使所提要求十分中肯，也会让我那内心脆弱的平衡乱作一团，就像井然有序同时演出三台节目的大马戏场突然间崩塌了一样。
有一天，我算过一次常规就诊过程中我脑子里有多少想法在翻腾，试图据此弄清楚为了完满完成一项工作，一个医生的脑海机灵转动，需要处理多少个细节。
奥索里奥夫人 56 岁，是我的病人。
她有点超重。
她的糖尿病和高血压一直控制良好，恰到好处。
她的胆固醇偏高，但并没有服用任何药物。
她锻炼不够多，最后一次 DEXA 骨密度检测显示她的骨质变得有点疏松。
尽管她一直没有爽约，按时看病，并能按时做血液化验，但是她形容自己的生活还有压力。
总的说来，她健康良好，在医疗实践中很可能被描述为一个普通患者，并非过于复杂。
以下是整个 20 分钟看病的过程中我脑海中闪过的念头。
她做了血液化验，这是好事。
血糖好点了。
胆固醇不是很好。
可能需要考虑开始服用他汀类药物。
她的肝酶正常吗？她的体重有点增加。
我需要和她谈谈每天吃五种蔬果、每天步行 30 分钟的事。
糖尿病：她早上的血糖水平和晚上的比对结果如何？她最近是否和营养师谈过？她是否看过眼科医生？足科医生呢？她的血压还好，但不是很好。
我是不是应该再加一种降血压的药？药片多了是否让她困惑？更好地控制血压的益处和她可能什么药都不吃带来的风险孰重孰轻？骨密度 DEXA 扫描显示她的骨质有点疏松。
我是否应该让她服用二磷酸盐，因为这可以预防骨质疏松症？而我现在又要给她加一种药丸，而这种药需要详细说明。
学术英语(第二版)医学教学课件Unit 10
• We need to provide more of some things even as we provide fewer of others.
Do you see logic connection between them?
Para. 3 Language focus
to find a way to cover all of our people
Logic
in
the
paragraph
• One urgent national need: a way to cover all of our people
• Part of the problem: money
• The answer: rationalizing
• Blanket allocation: never a good idea
- people of all ages with End-Stage Renal Disease (ESRD) (permanent kidney failure requiring dialysis or a kidney transplant).
• Medicaid is available only to certain low-income individuals and families who fit into an eligibility group that is recognized by federal and state law.
Para. 1 Language focus
medical c_o_v_e_r_a_g_e_（医疗保险支付范围） Medicare and M__e_d_ic_a_i_d_（联邦医疗保险和医
医学博士英语作文summary医患关系
医学博士英语作文summary医患关系English:The doctor-patient relationship is a crucial aspect of healthcare, with effective communication and trust being key components. Good communication between doctors and patients is essential for successful diagnosis, treatment, and overall patient satisfaction. Patients rely on doctors to provide them with accurate information, listen to their concerns, and involve them in the decision-making process regarding their health. Trust plays a significant role in the doctor-patient relationship, as patients need to have confidence in their doctor's skills, knowledge, and judgment. Building trust often requires doctors to demonstrate empathy, compassion, and respect towards their patients. In return, patients must also be honest, open, and cooperative in their interactions with their healthcare providers. Ultimately, a strong doctor-patient relationship leads to better health outcomes, increased patient compliance, and improved overall healthcare experiences for both parties.中文翻译:医患关系是医疗保健中至关重要的一个方面，有效的沟通和信任是关键组成部分。
医学学术英语unit10
医学学术英语unit10Pharmacology1. Pharmacology is the study of how drugs interact with biological systems and how they affect the body. It involves understanding the properties, uses, and effects of drugs.2. Two major areas of pharmacology are pharmacodynamics, which focuses on the mechanisms of drug action in the body, and pharmacokinetics, which studies the absorption, distribution, metabolism, and elimination of drugs.3. Drugs are classified by their chemical structure, mechanism of action, and therapeutic use. They can be categorized as stimulants, sedatives, analgesics, antibiotics, and many other types.4. Drug discovery and development is a complex process that involves many stages of research and testing. Some drugs are derived from natural sources, while others are synthesized in the laboratory.5. The safety and effectiveness of drugs are evaluated through clinical trials, which involve testing the drug on humans to determine its benefits and potential risks. Regulatory agencies such as the FDA play a key role in ensuring that drugs are safe and effective before they are approved for public use.6. Pharmacogenomics is an emerging field that studies how individual genetic differences may affect a person's response to drugs. This field has the potential to personalize drug therapy in amore precise way for patients.7. Adverse drug reactions are unwanted effects that can occur when a person takes a drug. These can range from mild side effects to life-threatening conditions. It is important for healthcare professionals to be aware of potential adverse reactions and to monitor patients closely when prescribing drugs.8. Pharmacy is the practice of preparing, compounding, dispensing, and advising patients on the use of drugs. Pharmacists play a crucial role in ensuring that patients receive the correct medication and dosage, and in providing education and counseling on medication use.9. The future of pharmacology is influenced by advances in technology, such as genomics, proteomics, and bioinformatics. These technologies will allow for the creation of new drugs and personalized therapies that are tailored to an individual's genetic makeup.10. Ethical considerations are important in pharmacology, particularly in areas such as clinical trials and drug development. It is important for researchers to adhere to ethical guidelines and to conduct studies in a responsible and transparent manner.。
学术英语 医学 Unit 10 Text A 翻译
Unit 10 Text A美国医疗保健体系美国是地球上最大、最具多样性的国家，我们的医疗体系反映了这一点。
每年我们在健康保健上支付了近2万亿美元，这一数字几乎是我们国民经济的七分之一。
尽管如此，我们仍是世界上为数不多并非所有公民都享受医保的国家之一。
对许多美国人来说，健康保险最常见的是与工作绑定的福利，或是来自政府的项目，如联邦医疗保险和联邦医疗补助等。
具有讽刺意味的是，尽管美国是世界上人均在健康保健方面投入最多的国家，尽管美国拥有世界上技术最先进的医疗体系，美国却不是世界上最健康的国家。
当然，这并不能完全归咎于医疗体制。
我们的健康保健成效甚微是由公共卫生和社会问题造成的。
纵观美国社会，我们比其他国家的人相比身体更胖、承受的压力更大、生活里更缺少运动；我们的医疗体系不得不应对根源于美国人核心生活方式的公共卫生和文化问题。
也许我们早该选择欧洲模式：多假期，少聚财，但我们没有。
于是我们的生活就出现了一些问题。
但让我把这些先放在一边，回到真正的健康保健问题，即：美国的医疗保健专业人士知道如何让我们保持健康，但因为医疗体系的羁绊，他们经常不能为病人所需的关怀。
美国的医疗体系支离破碎，制度复杂（州有州规，市有市政，各自为政），私人和公共官僚机构沆瀣一气，决定着病人可以得到的治疗。
美国医生必须是天才才能了解在治疗和照顾每个病人时所要遵守的规则，不然会受到保险公司或其他机构的质疑。
但是，相对于其他国家的人民，美国人对这种支离破碎的体制更加心安理得。
纵观整个国家，我们对任何“单一”的东西持怀疑的态度：单一的健康保险支付体系即为一例。
我们国家急需找到一个让所有人都享受医保的方法，钱是症结之一。
这很简单：如果政府有足够的钱，我们就可以补贴那些没有医保的群体，让他们享受医保。
如果我们没有足够的钱，这就办不到。
目前，一个四口之家平均需要花费12,000美元来购买医疗保险。
如果要使购买医疗保险的费用变得合情合理，所需的收入要远远高于美国家庭的平均工资。
学术英语(第二版)医学教师用书Unit 7
UNIT 7 Doctor-patient Relationship Teaching ObjectivesAfter learning Unit 7, Ss are expected to accomplish the following objectives:Professio nal knowledg eTo have deep insights into the shift from paternalistic paradigmtopatient-centered paradigm in medical decision-makingTo be aware of the importance of a good doctor-patientrelationship in both the medical practice and thepatient’s recoveryTo have a clear understanding of what counts in maintaininganamicable doctor-patient relationshipTo learn how to communicate properly and effectively with the patientTo be well acquainted with such concepts as paternalistic approach and patient-centered or autonomous approach to medical decision-makingTo know how to shift from a paternalistic decision-making process to a patient-centered oneReading To understand the patient’s attitude toward patientempowerment/ autonomy and its role in doctor-patient relationshipTo be aware of the power of words when communicating withtheTeaching Activities and ResourcesPart 1 ReadingText ALead-inSuggested teaching plan1. Doctor-patient relationship is among the most controversial focuses and mostwidely talked about in medical and healthcare communities. It is a determinant factor of quality care. On the part of language, words are sometimes value-laden and possess magic power. The same relationship can be differently connoted by using different terms. Before starting the class, it is advisable to know the implications of these terms: doctor, physician, medical practitioner, provider and patient, client, customer.Doctor: referring to a “teacher ” to show, to teach, or to appear right, and carryinga connotation of being seemly fitting and decentPhysician: denoting a practitioner of the art of healingMedical practitioner: a technique term without much connotationProvider: a generic term more or less related to businessPatient: indicating a suffering or sick person under medical treatmentClient: referring to a person who is willing to pay for goods or servicesCustomer: denoting one who buys goods or servicesAwareness of the subtleties as incurred by the use of the different terms to indicate the doctor-patient relationship will contribute to a better understanding of the characteristics of an amicable and ideal doctor-patient relationship.2. Lead Ss to do Task / Lead-in .1) Ask Ss to think of at least three different situations where doctors may beasked to make “tough decisions ” for their patient s.Decide whether life-support system should be continued or withdrawn.Decide whether euthanasia should be taken into consideration.Decide whether a new therapy should be tried.Decide whether surgery should be the first choice or the last resort.Decide whether transfer or referral is needed.2) Have a quick check and a short discussion on what Ss have come up with.3. Make a summary on the discussion and introduce the topic of Text A.Text ComprehensionSuggested teaching plan1. Launch the topic of the text as a continuum of Lead-in.2. Analyze the text and lead Ss to discuss, integrating Task 2 / Critical readingand thinking / Text A into analysis and discussion. The presentation topics should be assigned to individual Ss for preparation at least one week in advance.Ask other Ss to preview the text with the guidance of the presentation topics.3. Lead Ss to do Task 2 / Language building-up / Text A after a discussion of thetext.4. When analyzing the text, ask Ss to pay special attention to the sentences listed inLanguage focus below.5. If time allows, ask Ss to do Task 1 / Critical reading and thinking / Text A inabout five minutes. Check out the task by asking one or two Ss to read their answers. This is done to get an overview about the text.Language focus1. He was large and powerfully built…miraculously shrinking down to theireye level whenever he spoke with them. (P164, Para. 1)句子运用了对比的手法(large and powerfully built / shrink down to their eye level)，有利于加强文章的艺术效果和感染力。
医学学术英语(医学)课文翻译以及课后问题答案
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 while completing documentation.5、Similarities:·In computer multitasking, a microprocessor actually performs only one task ata time. Like microprocessors, we human beings carft actually concentrate ontwo 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 about10 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 awell-controlled laboratory setting.» Generalizations of the findings to be made about population since quasiexperiments are natural experimentsLimitations：» Potential for non-equivalent groups as quasi-experimental designsdo not 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 andoutcome» 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 emotionsUnit61、In the past, most people died at home. But now, more and more people arecared in 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,and facility.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、·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 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 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 classesUnit 1 Text A神经过载与千头万绪的医生患者经常抱怨自己的医生不会聆听他们的诉说。
学术英语(医学)_Unit 8
Text A
Critical reading and thinking
Topics for presentation
1. How are research and practice related to each other? (Pre. 1) Practice: • interventions solely to enhance the well-being of an individual patient or client and that have a reasonable expectation of success. • to provide diagnosis, preventive treatment or therapy to particular individuals
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Language building-up – Signpost language – Vocabulary test Suggested answers
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Unit 8 Principles of Biomedical Ethics
Text A
Critical reading and thinking
Conception 2: ______________ ______________ ______________ ___
A dilemma: involvement of prisoners as subjects of research
an equal share
according to __________ ______
Unit 8 Principles of Biomedical Ethics
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Summary of Text A Unit 10
The United States spends the most money per capita on health care, and has the most technological advanced medical system in the world, but is not the healthiest society on earth. Many people are uncovered medical care. Putting public health and social issues aside, the American medical system, which is highly fragmented, is blame for it.
To solve the problem, an urgent national need is to find a way to cover all the people. And part of the problem is money. If the government has enough money, it can subsidize the uncovered and get them covered. So the health care system is supposed to be rationalized with a set of strategies, which means figuring out how to save money while delivering better care to more people.
The first thing we can do is wire up the medical system. With good information technology in the medical sphere, doctors will know what really needs to be done for individual patients so that all sorts of duplicative tests are able to be eliminated and patients will be engaged with their care. A second important strategy is to undertake a sustained study of comparative effectiveness. If we can track effectiveness of care over time, we can get a handle on the new drugs, the spiffy diagnostics, new medical devices, and treatment protocols to determine which really deliver better results. A third strategy is to do a better job of managing chronic diseases, spending more time and energy on prevention. But the information and financial incentives are not in the right place. No one gets paid money for preventing serious illness. That leads to the fourth set of
reforms - to change the incentives in medicine.
The commonality in these strategies is getting the money and knowledge right. In a word, rationalizing health care can make people healthier and cut cost.。