Пользуясь ключевыми словами, напишите историю болезни:
to be admitted to the hospital, to complain of, on physical examination, symptoms, to reveal, laboratory findings, antitoxin treatment, the course of the disease, convalescence
CLASS ASSIGNMENTS
Translate the following word combinations:
1. летальный исход; 2. мазок крови; 3. обложенный язык; 4. тяжелое отравление крови; 5. бредовое состояние; 6. чрезвычайное утомление; 7. выздоровление было гладким (без осложнений)
Choose a noun that can be used as an attribute of each of the nouns given below:
blood, diphtheria, lymph node, barium, emergency, tissue, incubation
antitoxin, biopsy, meal, surgery, degeneration, period, smear
Choose the verbs to be used with the nouns:
to complain of, to support, to prescribe, to sterilize, to eliminate, to remove
a strict diet, chills, the danger, the theory, a benign tumour, surgical instruments
Translate the following sentences:
1. If chemotherapy had not been discontinued last week liver damage would have become too severe. 2. Profuse external bleeding had to be controlled in time lest the patient would die. 3. The physician insisted that the patient should follow a strict diet. 4. This idea is likely to be supported by everybody. 5. It is important that all surgical instruments be sterilized adequately.
Translate the following sentences paying attention to the words given in bold type:
1. Looking back at the great discoveries of science many of them seem so simple. 2. Having been sterilized for only a few minutes the instruments were not considered to be harmless. 3. A little barium meal was given to the patient when the filling defect was being revealed. 4. Does the atmospheric air contain little or much moisture at the seaside? 5. Few effects of gastric ulcer are marked in patients during remissions, but inadequate diet is responsible for their recurrence.
1. Translate the extract using a dictionary. 2. Entitle it. Say what Dr. Martin undertook to save the girl’s life:
TextD
Mary was a child of seven or eight. Doctor Marlin found her lips and fingers blue, and her face pale. From time to time she made an effort to breathe deeply and coughed up much saliva with grayish specks.
It was, he considered, quinsy or diphtheria. Probably diphtheria. No time now for bacteriological examinations and many other clinical tests. The doctor was watching the girl nervously trying her pulse again and again.
Doctor Martin decided to get diphtheria antitoxin from me nearby town and asked the child’s father to ring up the chemist’s there.
Martin was waiting nervously looking at the child. Her hoarse breathing became terrible. Should he operate: cut into the larynx so that she might breathe? He had to do something. “Get a few hot towels and keep them around her neck,” Martin said to the child’s mother. At that moment the child’s father appeared telling him that there was nobody at the chemist’s. “Then listen. I am afraid this may be serious. I must get some antitoxin. I am going to drive to town myself. You continue these hot applications. And the room must be moister. So keep a little boiling water here. No use of medicine now. I’ll be back soon.”
From “Arrowsmith” by Sinclair Lewis. (Adapted)
LESSON 50
HOME ASSIGNMENTS Revision
Повторите лексический, текстовой и грамматический материал, цикл VI (уроки 48,49).
Ответьте на следующие вопросы:
1. В каких предложениях употребляется сослагательное наклонение?
Какими способами передается сослагательное наклонение в английском языке?
Переведите следующие предложения:
1. If the patient had been infected with food poisons he would have suffered from acute abdominal pains. 2. It is necessary that the patient should be rehospitalized next week. 3. The physician suggested that a sufficient dose of vaccine should be injected subcutaneously. 4. It is important that diphtheria antitoxin treatment should contribute to the convalescence of the patient. 5. The patient was recommended to follow the treatment for another week lest chills and backache should recur.
Вставьте нужные по смыслу слова:
1. (Little, a little) blood is sufficient to carry out the clinical analysis. 2. If (many, much) leucocytes and rapid sedimentation rate are revealed the physician may suggest the presence of infection. 3. During the operation the surgeon noted that (much, many) of the peritoneum had been involved in the pathologic process.
1. Прочтите текст A. 2. Дайте определение 4-х групп инфекционных заболеваний. 3. Выпишите английские эквиваленты следующих словосочетаний:
особый путь проникновения, во время кашля иЛи разговора, в виде капель, различные предметы
Text A. The Origin of Infections
The infectious diseases of man are usually divided into two large groups. Some diseases affect only men, others affect both man and animals, with man most frequently infected from animals.
Every infectious disease has not only characteristic clinical manifestations but also its own specific way of invasion into the human body.
Such a disease as dysentery [‘disntri], which is one of the diseases of the intestinal infections, is spread through the intestines and stools.
The infections of the respiratory tract compose the second subgroup. During coughing or talking the pathogens are discharged from the infected organism with the mucus from the membranes of the respiratory tract into the air in the form of drops. The infection is spread when the air containing drops of mucus with the pathogens in it, is breathed in. The diseases of this subgroup are diphtheria, smallpox, etc.
The diseases of the third subgroup are spread through the skin and the mucosa in which the pathogens multiply. In some cases it is the skin, in others it is the mucous membrane of the eye. Direct contact and various things belonging to the sick may be responsible for spreading the infective agent.
The diseases of the fourth subgroup are spread by living insects. The pathogens causing these infections circulate in the blood or lymph and are not discharged from the organism. The insects become infected as they ingest (сосут) the blood of a diseased man. They become infectious for other people after the pathogens have multiplied in their organism. All these diseases, of which encephalitis is an example, are called blood infections [in’sefolaitis],
CLASS ASSIGNMENTS Revision
Find the prefixes, explain their meaning, translate the words:
indirect, subcutaneous, intratracheal, extrahepatic, aseptic, abnormality, disappear, inadequate, impossible, readmit
Give the words of
the close meaning: an end, to use, former, a shortage, a recovery, to damage, having connection with;
the opposite meaning: to evacuate, an outcome, artificial, favourable, previous, to connect, relative
Translate the following word combinations:
1. жизненная емкость легких; 2. природный иммунитет;
искусственный иммунитет: 4. при различных условиях;
последующие инфекции; 6. предыдущий приступ; 7. достаточное количество; 8. вводить вакцину подкожно; 9. предупреждать распространение бактерий; 10. вызывать лейкоцитоз; 11. поражать жизненные органы; 12. активная сопротивляемость
Make up the sentences choosing the appropriate subject:
The patient was always and still is one of the most
common and fatal diseases of the tropics.
Malaria is characterized by persisting temperature
which varies slightly during the night.
Continuous fever in children, the weak and the aged is
influenced more favourably by warm, moist air.
Bronchitis who had injured his right arm and had
several deep wounds on it was injected 1,500 units of antitetanic (противостолбнячная) serum.
Answer the following questions:
1. What are infections caused by? 2. What is immunity? 3. What are toxins?
What are antitoxins? 5. How can artificial immunity be produced? 6. What role do phagocytes play in the human body? 7. What are vaccines used for? 8. What is sepsis? 9. What analysis is performed to confirm the evidence of diphtheria? 10. What is a severe case of diphtheria characterized by?
Translate the following sentences:
1. If the resistance of the organism to infections were insufficient any man would suffer from numerous infectious diseases. 2. The physician wanted to know if the patient had been given diphtheria vaccination previously. 3. If the man is operated on for appendicitis he is given local anaesthesia. 4. If he had not been ill with diphtheria the membrane would not have extended over the tonsils, pharynx and larynx.
Translate the following using the Subjunctive Mood:
На вашем месте:
Я бы ввел это лекарство подкожно. 2. Я бы применил вакцинацию в этом случае. 3. Я бы исследовал, как размножаются патогенные микроорганизмы.
Read Text В and retell it:
Text В. Edward Jenner
Edward [‘edwad] Jenner [‘d^ena] was born in 1749. He was an English physician, the discoverer of vaccination. Jenner studied medicine in London. He began practice in 1773 when he was twenty-four years old.
Edward Jenner liked to observe and investigate ever since he was a boy. His persistent scientific work resulted in,-the .discovery of vaccination against smallpox. For many years every infant when it was about a year old was vaccinated against this disease. The vaccination was effective for a prolonged period, of time. Now vaccination against smallpox is not carried out because this disease has been stamped out (искоренять) in our country.
In Jenner’s days one out of every five persons in London carried the marks of this disease on his face. But there were few people who recovered from the disease, because in the 18th century smallpox was one of the main causes of death.
The disease had been common for centuries in many countries of Asia. The Turks (турки) had discovered that a person could be prevented from a serious attack of smallpox by being infected with a mild form of the disease.
One day Jenner heard a woman say: “I cannot catch smallpox, I’ve had the cowpox (телячья оспа).” That moment led to Jenner’s continuous investigations and experiments.
The first child whom Jenner introduced the substance from cowpox vesicles [‘vesiklz] (пузырек) obtained from the wound of a diseased woman was Jimmy Phipps. It was in 1796. For the following two years Jenner continued his experiments. In 1798 he published the report on his discovery. He called his new method of preventing smallpox “vaccination”, from the Latin word vacca, that is “a COW”.
At first people paid no attention to his discovery. One doctor even said that vaccination might cause people to develop cow’s faces.
But very soon there was no part of the world that had not taken up vaccination. Thousands of people were given Vaccination and smallpox began to disappear as if by magic.
CYCLE VII. PUBLIC HEALTH
Грамматика: Случаи употребления should и would. Союзы и союзные слова. Признаки сказуемого.
LESSON 51
HOME ASSIGNMENTS
Выучите следующие слова и словосочетания: power [раиэ] п. власть, сила; мощь; держава population [.popju’leifn] п население
quality [‘kwoliti] га .качество government [‘gAvanmant] п правительство standard of public health уровень здравоохранения mortality [mo:’taeliti] n смертность citizen [‘sitizn] n гражданин
expense [iks’pens] n стоимость; затрата, расход; at the expense of за счет
equip [I’kwip] v оборудовать
ambulance [‘asmbjulans] n машина скорой помощи
life-span [‘laif spaen] n продолжительность жизни
pollution [pa’lurjn] n загрязнение
noise [naiz] n шум
Образуйте глаголы от следующих существительных. Переведите существительные и глаголы: *
service, protection, prevention, extension, government, pollution, requirement, equipment
* Определите, в каких предложениях выделенные слова являются предлогами и в каких — союзами. По каким признакам вы определите это?
1. Since the establishment of the Soviet power in our country the standard of public health has been gradually becoming better. 2. The doctor often visited
her patients in their homes for she wanted to know their environmental conditions.
Great research work has been carried out on the structure of the cell since it is the basic unit of all living matter. 4. After an attack of severe cardiac pain the patient was carried to the hospital by ambulance. 5. Before the Great October Revolution the mortality rate among children was very high due to the lack of adequate medical aid. 6. After extensive health measures were taken the life span of the population of our country increased. 7. Vaccination is used for prevention of some infections diseases. 8. Before the patient with myocardial infarction is admitted to the hospital the ambulance doctor gives him an injection to relieve a sharp cardiac pain.
Переведите следующие предложения, обращая внимание на выделенные слова:
1. Thanks to extensive preventive measures the mortality rate has considerably decreased in the USSR since the Great October Socialist Revolution. 2. In some industrial countries the incidence of lung cancer has increased because of the pollution of air with cancerogenic substances. 3. A call is made to the First Aid Station in case of any emergency. 4. It has been determined that some disturbances of the nervous system are due to the extensive traffic (уличное движение) noise in large cities. 5. According to the Soviet system of Public Health numerous sanatoriums and rest houses provide our population with qualified medical aid.
Переведите предложения и объясните употребление ‘should’ и ‘would’: (см. таблицу 20, стр. 292)
1. The doctor was sure that the patient would walk soon. 2. We thought we should have a lecture the next day at 12 sharp. 3. If the patient were better he would be discharged. 4. If I were you I should administer this patient streptomycin injections. 5.1 should call in the ambulance immediately. 6. The physician should always do his best to save the life of his patient. 7. It is necessary that the blood group should be determined before the transfusion is given. 8. The physician suggested that chemotherapy should be discontinued.
1. Прочтите и определите, какой частью речи являются выделен ные слова. 2. Выучите их. 3. Предложения переведите:
1. The physician wanted to know where the tenderness was localized. 2. In order to prevent the fatal outcome the emergency surgery was performed. 3. The patient has injured his left leg as well as the right arm. 4. Though cardiac insufficiency has been controlled the patient is still following a bed regimen. 5. The backache was not so sharp as that in the chest. 6. The patient recovered sooner than we had expected. 7. The doctor knew well how to prevent the development of delirium and prostration in case of diphtheria.
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