Английский язык для медиков: конспект лекций

ВВОДНАЯ ЛЕКЦИЯ History of medicine

Medicine is among the most ancient of human occupations. It began as an art and gradually developed into a science over the centuries. There are 3 main stages in medicine development: Medicine of Ancient Civilizations, Medicine of Middle Ages and Modern Medicine.

Early man, like the animals, was subject to illness and death. At that time medical actions were mostly a part of ceremonial rituals. The medicine-man practiced magic to help people who were ill or had a wound. New civilizations, which developed from early tribes, began to study the human body, its anatomic composition. Magic still played an important part in treating but new practical methods were also developing. The early Indians, e. g., set fractures and practiced aromatherapy. The Chinese were pioneers of immunization and acupuncture. The contribution of the Greeks in medicine was enormous. An early leader in Greek medicine was Aesculapius. His daughters, Hygeia and Panacea gave rise to dynasties of healers (curative medicine) and hygienists (preventive medicine). The division in curative and preventive medicine is true today. The ethic principles of a physician were summarized by another Greek, Hippocrates. They are known as Hippocrates Oath.

The next stage of Medicine's development was the Middle Ages. A very important achievement of that time was the hospital. The first ones appeared in the 15-th century in Oriental countries and later in Europe. Another advance of the Middle Ages was the foundation of universities during 13-14-th centuries. Among other disciplines students could study medicine. During 18-th century new discoveries were made in chemistry, anatomy, biology, others sciences. The advances of that time were invention of the stethoscope (by Rene Laennec), vaccination for smallpox, discovery of anesthetics and development of immunology and scientific surgery.

The next century is rise of bacteriology. Important discoveries were made by Louis Pasteur and Robert Koch. The development of scientific bacteriology made possible advances in surgery: using antiseptics and control of wound infection.

Medicine in the 20-th century made enormous contribution in the basic medical sciences. These are discovery of blood groups and vitamins, invention of insulin and penicillin, practice of plastic surgery and transplantation.

New words

medicine – медицина

ancient – древний

human – человеческий

occupation – занятие

art – искусство

to develop – развивать

science – наука

century – век

civilization – цивилизация

Middle аges – Средние века

modern – современный

animal – животное

subject – предмет

illness – заболевание

death – смерть

contribution – вклад

discovery – открытие

blood – кровь

Артикли

Перед каждым нарицательным существительным должен стоять артикль. В английском языке существуют два вида артиклей: неопределенный (indefinite) «А», «AN» и определенный (definite) «THE». Если слово употребляется в первый раз, используется неопределенный артикль» «А», «AN». Во второй и последующие разы употребляется определенный артикль «THE». Артикль не употребляется, если перед существительным стоит притяжательное или указательное местоимение, другое существительное в притяжательном падеже, количественное числительное или отрицание «ио».

Вставьте артикль, где необходимо.

1. This is… book. It s my… book.

2. Is this your… pencil? No, it is not my pencil, it is my sister's pencil.

3. I have… sister. My… sister is… engineer. My sister's… husband is… doctor.

4. I have no. handbag.

5. Is this… watch?

– No, it isn't… watch, it's… pen.

6. This… pen is good, and that… pen is bad.

7. I can see pencil on your… table, but I can see pencil on, but I can see no… paper.

8. Give me… chair, please.

9. They have… dog and two… cats.

10. I have… spoon in my… plate, but I have no… soup in it.

Answer the questions.

1. When the history of medicine began?

2. How did it begin?

3. How many the main stages are there in the history of medicine?

4. What practices medicine-men?

5. What role did magic play at those times?

6. Who began to study medicine?

7. Who were the pioneers of immunization and acupuncture?

8. Who was the early leader in Greek medicine?

9. When appeared the first hospitals?

10. What Louis Pasteur and Robert Koch discovered?

Make the sentences of your own using the new words (10 sentences).

Find the definite and indefinite articles in the text.

Find one word, which is a little bit different in meaning from others (найдите одно слово, которое немного отличается от других по смыслу):

1) a) medicine; b) theatre; c) doctor;

2) a) patient; b) lamp; c) pain;

3) a) dance; b) science; c) studying;

4) a) mushroom; b) human; c) man;

5) a) century; b) age; c) honey.

ЛЕКЦИЯ № 1. Cell

The cell is a smallest independent unit in the body containing all the essential properties of life. types of human cells can be grown in test tubes after beeing taken from the body. Cells which are functionally organized are often grouped together and operate in concert as a tissue, such as muscle tissue or nervous tissue. Various tissues may be arranged together to form a unit called organ as the kidney, liver, heart or lungs. Organs often function in groups called organ systems. Thus the esophagus, stomach, раnсreаs, liver and intestines constitute the digestive system.

Cells are characterized Ьуг high degree of complexity and order in both structure and function. The cell contains a number.

Of structures called cell organelles. These are responsible for carrying out the specialized biochemical reactions characterizing each. The many chemical reactions taking place in a cell require the establishment of varied chemical microenvironment.

Carefully controlled transport mechanisms along with highly effective barriers – the cell membranes – ensure that chemicals are present in the proper region of the call in appropriate concentration.

The cell membranes of a mixture of protein and lipid form its surroundings.

Membranes are an essential component of almost all cells organel-les. The membrane allows only certain molecules to pass through it.

The most visible and essential organelle in a cell is the nucleus, containing genetic material and regulating the activities of the entire cell.

The area outside of the molecules is called the cytoplasm. Cytoplasm contains a variety of organelles that have different functions.

New words

cell – клетка

independent – независимый

unit – единица

body – тело

all – все

life – жизнь

human – человеческий

together – вместе

tissue – ткань

organ systems – системы органов

to function – функционировать

to contain – содержать

membranes – мембраны

protein – протеин

nucleus – ядро

cytoplasm – цитоплазм

different – различный

Спряжение глагола to be в Present Simple.

To be – быть, находиться, являться. После следующих местоимений он меняет свою форму.

Спряжение глагола to be в Present Simple Таблица 1

For example.

1. I am a pupil. I am not a pupil. Am I a pupil?

2. She is a girl. She is not a girl. Is she a girl?

3. You are a good friend. You are not a good friend. Are you a good friend?

Поставьте глагол to be в правильную форму, заполнив пропуски.

1. I… a pupil.

2. My father. not a teacher, he… a scientist.

3.. your sister a teacher?

4. Mary. a painter.

5.. they at home?

6. My father. a worker.

7. She. at work.

8.. you a doctor?

9. He… a pilot.

10. We… students.

11. They… carpenters.

12… they at home?

13. they… not at home.

14. He… at work.

15… your sister a typist?

16… your brother at school?

17… your sister in the cabinet?

18. My sister… at home.

19… this your cat?

20. She… an actress.

21. This… my bag.

22. He… professor.

23. Helen… a singer.

24… you an engineer?

25. He… Russian.

Переведите на английский язык, употребляя глагол to be в Present Simple.

1. Я ученик. Я в школе.

2. Мой брат художник. Он не инженер.

3. Моя сестра на работе. Она врач.

4. Он студент, а не учитель.

5. Вы студент? – Нет, я ученик.

6. Моя сестра дома. Она больна.

7. Мы не в школе. Мы дома.

8. Мой брат ученик. Он в школе.

9. Ваша мама дома? – Нет, она на работе.

10. Ваш двоюродный брат дома? – Нет, он в школе.

11. Твоя сестра здорова сейчас? – Да, она здорова.

12. Ваша сестра учительница? – Нет, она студентка.

13. Твой папа на работе? Нет, он на даче.

14. Твоя сестра машинистка? – Да. Она машинистка.

15. Мой дедушка не ученый, он геолог.

16. Моя мама не учительница. Она врач.

17. Чья это ручка? – Это моя ручка.

18. Чья это книга? – Это ваша книга.

19. Чей это стол? – Это стол моего брата.

20. Чья это сумка? – Это сумка моей мамы.

21. Чей это карандаш? – Это карандаш моей сестры.

22. Это твоя тетрадь? – Да, это моя тетрадь.

23. Это тетрадь твоего брата? – Нет, это моя.

24. Где ваш стол? – Он посередине комнаты.

25. Где твоя ручка? – Она в моем кармане.

26. Где твоя тетрадь? – Она на столе.

Answer the questions.

1. What is the cell consists of?

2. What is a membrane?

3. Is cell the smallest independent unit of the body?

4. What can be grown in test – tubes?

5. What can various tissues form, when they are together?

6. What are the organ system consist of?

7. What are cell characterized by?

8. What are cell organelles?

9. What ate membranes?

10. What is the cytoplasm?

Make the sentences of your own using the new words (10 sentences).

Find the verb to be in the text. Explain why it is used in such a way?

Find one word, which is a little bit different in meaning from others (найдите одно слово, которое немного отличается от других по смыслу):

1) a) cell; b) body; c) flower;

2) a) life; b) plate; c) people;

3) a) test-tube; b) microscope; c) pen;

4) a) curtain; b) body; c) tissue;

5) a) spoon; b) kidney; c) liver.

ЛЕКЦИЯ № 2. Tissue

A tissue is a group of cells working together to do a special job. A histologist is one who specializes in the study of tissues. The cells, of which the tissues are made, contain from 60 to 99% water. Gases, liquids and solids dissolve in the water. Chemical reactions that are necessary for proper body function are carried on much more readily in a water solution. The water solution and other materials in which the tissues are bathed is slightly salty. This substance is called tissue fluid. It must be mentioned that an insufficiency of tissues fluid is called dehydration and an abnormal accumulation of this fluid caused a condition called edema.

Tissue classification: The 4 main groups of tissues are:

1) epithelial tissue forms elands, covers surfaces and lines cavities;

2) connective tissue holds all parts of the body in Place. This can be fat, cartilage, bone or blood. Blood sometimes is considered a sort of tissue, since it contains cells and performs many of the functions of tissues. However; the blood has many other unique characteristics;

3) nerve tissue conducts nerve impulses all over the body;

4) the muscle tissue is designed for power-producing contractions. The surface of the body and of the tubes or passages leading to the exterior and the surface of the various cavities in the body are lined by cells which are closely approximated to each other; thus have a small amount of intercellular substance. This lining cellular layer is called epithelium. An epithelial layer may be one or many cells in thickness. When it is composed of a single layer, it is called a simple epithelium; when two or more cells in thickness, it is stratified. The nature and consistency of intercellular substance, the matrix, and the amount and arrangement of fibers furnish the basis for the subdivision of connective tissue into three main groups: connective tissue proper, cartilage and bone. In connective tissue the intercellular substance is soft; in cartilage it is firm, yet flexible and elastic; in bone it is rigid due to the deposition of calcium salt in the matrix. In multicellular organisms certain cells developed to a high degree the properties of irritability and conductivity. These cells form the nervous tissues.

The nervous system of higher animals is characterized by the multiplicity of cellular forms and intercellular connections and by the complexity of its functioning. This multiplicity and complexity is the chief feature that distinguishes the nervous tissues from other tissue which are essentially of uniform structure and function.

Muscle tissue is composed of elongated cells which have the power of contracting or reducing their length. This property of contraction is ultimately a molecular phenomenon and is due to the presence of protein molecules. The following three types of muscle tissue occur in the body.

Smooth muscle tissue is found in sheet or tubes forming the walls of many hollow or tubular organs, for example the bladder, the intes tines of blood vessels. The cells forming this tissue are long spin dles with a central oval nucleus. They are usually packed together with all little connective tissue between them.

Striated muscle tissue is composed of cylindrical fibres often of great at length in which separate cells cannot be distinguished. Many small nuclei are found in the fibres lie just under the surface. Cardiac muscle resembles striated muscle in its structure, but smooth one in its action.

New words

tissue – ткань

group – группа

to work – работать

to do – делать

special – особенный, специальный

job – работа

water – вода

gas – газ

liquid – жидкость

epithelial – эпителиальный

layer – слой

muscle – мышца

to occur – встречаться

body – тело

flexible – гибкий

elastic – эластичный

nucleus – ядро

smooth – гладкий

fibre – волокно

cardiac – сердечный

Неопределенный артикль a (an) может употребляться только с исчисляемыми существительными, стоящими в единственном числе. Перед неисчисляемыми существительными или существительными во множественном числе неопределенный артикль опускается. Определенный артикль the употребляется и с исчисляемыми, и с неисчисляемыми существительными как в единственном, так и во множественном числе.

E. g. This is a book. The book is interesting (исчисляемое в единственном числе).

This is – meat. The meat is fresh (неисчисляемое).

These are – books. The books are good (множественное число).

Вставьте артикль, где необходимо.

1. This is… pen… pen is red.

2. These are pencils.. pencils are black.

3. This is… soup… soup is tasty.

4. In the morning I eat… sandwich and drink… tea.

5. She gave me… coffee and. cake.. coffee was hot and. cake was tasty.

6. Do you like… ice-cream?

7. I see… book in your… hand. Is… book interesting?

8. She bought… meat,… butter and… potatoes yesterday.

9. She also bought… cake… cake was very… tasty. We ate… cake with. tea.

10. This is… bag… bag is brown.

11. It is my sister's… bag.

12. And this is my… bag. It is… yellow.

13. This is. tree.. tree is green.

14. I can see… boys… boys are playing.

15. I have.bicycle… bicycle is black. My friend has no… bicycle.

16. Our… room is large.

17. We wrote… dictation yesterday… dictation was long.

18. She has two… daughters and one… son. Her… son is… pupil.

19. My… brother's… friend has no… dog.

20. This… pencil is broken. Give me that… pencil, please.

21. She has… ball… ball is… big.

22. I got… letter from my… friend yesterday… letter was interesting.

Answer the questions.

1. What is tissue?

2. What are the tissues made of?

3. How many per cents of water do the cells contain?

4. What is dissolved in water?

5. What reactions are necessary for proper body function?

6. What substance is called tissue fluid?

7. How many groups are in the tissue classification?

8. What is lining cellular layer called?

9. What cells form the nervous tissues?

10. Where is smooth muscle tissue found?

Make the sentences of your own using the new words (10 sentences).

Find the definite and indefinite articles in the text.

Find one word, which is a little bit different in meaning from others (найдите одно слово, которое немного отличается от других по смыслу):

1) a) tissue; b) body; c) pen;

2) a) water; b) cell; c) circle;

3) a) muscle; b) arm; c) cold;

4) a) elastic; b) smooth; c) brick;

5) a) fibre; b) cardiac; c) line.

ЛЕКЦИЯ № 3. Epidermis

The integument consists of the skin (epidermis and dermis) and associated appendages (sweat glands, sebaceous glands, hairs, and nails). Considered the largest body organ, the integument comprises approximately 16% of total body weight. It is a highly specialized organ that functions to protect the body from injury, desiccation, and infection. It also participates in sensory reception, excretion, thermoregulation, and maintenance of water balance.

Epidermis is the outermost layer of the integument. It is a stratified squamous epithelial layer of ectodermal origin.

Layers of the epidermis from deep to superficial consist of four strata. Stratum basale (stratum germinativum) is a proliferative basal layer of columnar-like cells that contain the fibrous protein keratin. Stratum spinosum is a multilaminar layer of cuboidal-like cells that are bound together by means of numerous cytoplasmic extensions and des-mosomal junctions.

Stratum granulosum consists of flat polygonal cells filled with ba-sophilic keratohyalin granules. Viewed at the electron microscopic level, these cells also contain numerous mem brane-coating granules. Stratum corneum is the superficial stratum of dead cells and consists of several to many layers of flat, anucleated, and cornified (kerati-nized) cells. In the epidermis of the palms and soles, a thin, transitional zone of flat eosinophilic or pale-staining anucleated cells may occur as the stratum lucidum. This layer is found only in regions with a thick strata corneum.

Cells of the epidermis: keratinocytes are the most numerous and are responsible for the production of the family of keratin proteins that provide the barrier function of the epidermis.

Melanocytes are derivatives of neural crest ectoderm. They are found in the dermis and are also scattered among the keratinocytes in the basal layers of the epidermis. These dendritic cells produce the pigment melanin in the form melanosomes that are transferred to kerati-nocytes.

Langerhans cells are dendritic cells but are members of the immune system and function as antigen-presenting cells. They have also been found in other parts of the body, including the oral cavity and lymph nodes.

Merkel cells are found in the basal epidermis and appear function in concert with nerve fibers that are closely associated with them. At the electron microscopic level, their cytoplasm contains numerous membrane-bound granules that resemble those of catecholamine-pro-ducing cells.

New words

epidermis – эпидермис

dermis – дерма

largest – самый большой

approximately – приблизительно

weight – вес

to protect – защищать

injury – рана

cytoplasmic – цитоплазматический

several – несколько

level – уровень

flat – плоский

palm – ладонь

thick – толстый

pigment – пигмент

melanin – меланин

nerve – нерв

closely – тесно

Запомните следующие словосочетания, в которых артикль не употребляется.

1) at – school;

2) at – home;

3) at – work.

Вставьте артикль, где необходимо.

1. I have two… sisters. My… sisters are… students.

2. We are at… home.

3. My… brother is not at… home, he is at. school.

4. My. mother is at… work. She is… doctor.

5. I am not… doctor.

6. I have no… sisters.

7. He is not… pilot.

8. I have thirty-two… teeth.

9. He has. child.

10. She has two… children. Her children are at… school.

11. Is your father at… home? – No, he is at… work.

12. Where is your… brother? – He is at… home.

Answer the questions.

1. What is epidermis?

2. What is the largest body organ?

3. How many per cents does the integument comprise of total body weight?

4. What is the main function of the integument?

5. Where it also participates in?

6. What is the outermost layer of the integument?

7. What is stratum granulosum consists of?

8. Where is the a thin, transitional zone of flat eosinophilic?

9. What keratin proteins provide?

10. What cells produce the pigment melanin?

Make the sentences of your own using the new words (10 sentences).

Find the definite and indefinite articles in the text.

Find one word, which is a little bit different in meaning from others (найдите одно слово, которое немного отличается от других по смыслу):

1) a) rain; b) epidermis; c) dermis;

2) a) weight; b) person; c) poster;

3) a) palm; b) foot; c) shoes;

4) a) brush; b) pigment; c) skin;

5) a) lash; b) wound; c) injury.

ЛЕКЦИЯ № 4. Dermis

Dermis is a connective tissue layer of mesodermal origin subjacent the epidermis and its basement membrane. The dermis-epidermal junction, especially in thick skin, is characterized by numerous papillary interdigitations of the dermal connective tissue and epidermal epithelium. This increases the surface area of attachment and brings blood vessels in closer proximity to the epidermal cells. The epidemis, like epithelia in general, is devoid of blood vessel. Histologically, der-mis consists of two identifiable regions.

Papillary layer, associated principally with the dermal papillae, is the most superficial layer. It consists of a loosely packed, irregular meshwork of collagen fibrils that contain fine blood vessels and nerve endings.

Reticular layer is the deeper dermal layer and consists of coarse collagen bundles intertwined with elastic fibers in a gel matrix. This layer is a typical dense irregular connective tissue.

HYPODERMIS: this layer of loose vascular connective tissue is infiltrated with adipocytes and corresponds to the superficial fascia of gross anatomy. However, since it contains the deepest portions of the cutaneous glands and hairs, it is also an important part of the skin. The hypodermis fastens the skin to underlying muscles and other structures.

New words

dermis – дерма

connective – соединительный

membrane – мембрана

junction – соединение

to be characterized by – характеризоваться чем-то

numerous – значительный

to increase – увеличивать

surface – поверхность

area – площадь

bring – приносить

to consists of – состоять из

to contain – содержать

collagen – коллагеновый

Если перед существительным употребляется прилагательное, оно стоит между артиклем и существительным.

E. g. This is a book. This is a good book.

Вставьте артикль, где необходимо

1. We have… large… family.

2. My granny often tells us… long… interesting… stories.