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《高等院校新概念医学英语系列教材:医学英语文献阅读2》适合于大学英语提高阶段的教学使用,可供医学专业高年级、七年制、八年制和硕士研究生等医科学生作为课程用书,也可供广大医学工作者在临床和教学中作为参考书使用。
内容简介
《高等院校新概念医学英语系列教材:医学英语文献阅读(2)》共12单元,每个单元包括TextA,TextB和MedicalVocabularyWorkshop三部分。TextA以医学学术文献(EAP)为主,文章全部摘自医学类经典教材或杂志、网站,如}tarrison内科学,NewEnglandJ0urnalofMedicine,theLancet等,覆盖了医科目前有代表性的各分支研究。TextB以医学职业/临床文献(EOP)为主,包括医疗实践中常用的各类文书以及临床科研中需要的标书申请和会议交流。MedicalVocabularyWorkshop则是针对广大医科师生在医学英语教学中的大困难——医学专业词汇而编写,有目的地突出了其中构词的特点归类和发音以便于学习记忆。各单元的三部分后面都附有练习,包括阅读理解、讨论拓展、词汇运用、段落翻译等。为便于自学和查阅,精读的TextA课文都提供了详细的注释,书后附有词汇表、练习参考答案、以及其他补充拓展的辅助资料。泛读的TextB临床文书前也有简洁的语篇介绍和导读。《高等院校新概念医学英语系列教材:医学英语文献阅读(2)》适合于大学英语提高阶段的教学使用,可供医学专业高年级、七年制、八年制和硕士研究生等医科学生作为课程用书,也可供广大医学工作者在临床和教学中作为参考书使用。
目录
Unit1MedicalProfessionalism
TextAHippocraticOath,TheMedicalIdeal
TextBInformedConsent
MedicalVocabularyWorkshopDiseasesandDisorders
Unit2Medical)Education
TextAAmericanMedicalEducation
TextBHistoryandPhysical
MedicalVocabularyWorkshopSystemsandOrgans
Unit3BasicMedicine
TextAPain,ModulationandManagement
TextBMedicalNotesforAdmission
MedicalVocabularyWorkshopMajorOrgans
Unit4ClinicalMedicine
TextAOutpatientManagementofSevereCOPD
TextBMedicalNotesforDischarge
MedicalVocabularyWorkshopInstrumentsandProcesses
Unit5ClinicalSurgery
TextARoboticRoux-en-YGastricBypassforMorbidObesity.
TextBOperativeReport
MedicalVocabularyWorkshopSurgicalOperations
Unit6EnvironmentalMedicine
TextAGender,ClimateChangeandHealth
TextBSOAPProgressReport
MedicalVocabularyWorkshopChemicalElements
Unit7SocialMedicine
TextAWhatisSocialMedicine?
TextBReferralandConsultation
MedicalVocabularyWorkshopShapesandForms
Unit8DisasterMedicine
TextAShort-termandMedium-termHealthEffectsof
TextBDrugDescriptionandInstruction
MedicalVocabularyWorkshopDrugs
Unit9Evidence,basedMedicine
TextAEvidence-basedMedicineorMarketing-basedMedicine?
TextBTheCochraneAbstractAndSummary
MedicalVocabularyWorkshopNumbers
Unit10PreventiveMedicine
TextAPreventiveDentalCareandCounselingforInfantsandYoungChildren
TextBGrantProposalRequest
MedicalVocabularyWorkshopColours
Unit11Nursing
TextAACaseStudyofPerson-CentredCareDevelopment
TextBInstructionforAuthors
MedicalVocabularyWorkshopDirectionsandPositions
Unit12MedicalEthics
TextAWithholdingInformationfromPatientsWhenLessIsMore
TextBConferenceAnnouncement
MedicalVocabularyWorkshopPlurals
Appendices
AppendixISupplementarySamplesinClinicalDocuments
SampleI)InformedConsentandRefusalforBloodTransfusion
SampleII)AdmissionNoteforCOPD
AppendixIIAbbreviationsCommonlyUsedinMedicalRecord
AppendixIIIKeystoExercises
AppendixIVGlossary
精彩书摘
AScomparedwithplacebo,antibioticsdecreasetherelativeriskoftreatmentfailurebyapproximately50%whenusedforCOPDexacerbations.Subgroupanalysissuggeststhatantibioticsaremosteffectivewhencoughandsputumpurulencearepresent.Mosttrialssuggestingtheefficacyofantibioticshavecomparedtheuseofolderantibioticswithplacebo.ItiSuncertainwhethernewerclassesofantibiotics,suchasmacrolidesandfluoroquinolones.aremoreeffective.Initialoutpatienttreatmentwithantibioticsshouldbebasedonconsiderationsofcost.safety,andlocaIpatternsofantibioticresistanceamongthebacterialspeciescommonlyisolatedfromsputumduringexacerbations.
Ifanexacerbationisassociatedwithincreasedbreathlessness,patientsshouldbeencouragedtoincreasetheiruseofshort-actingbronchodilators.Anticholinergicandβ2-agonistbronchodilatorsappeartobeequallyeffective,withlittleadditivebenefitfromcombineduse.AreasofUncertainty
ItremainsunclearwhetherspirometryisroutinelywarrantedtodiagnoseCOPDinpersonsatriskwhoareasymptomatic.WhereastheNationalLungHealthEducationProgramhasadvocatedwidespreadspirometrictestinginmedicaloffices(includingtestinginpersonsatriskwhodonothaverespiratorysymptoms)toidentifycasesofCOPD,anevidence-basedreportsponsoredbytheAgencyforHealthcareResearchandQualityconcludedthatscreeningpersonswhoareatriskbutareasymptomaticwouldraiseoverallcosts,falselylabelmanyofthosetestedashavingclinicallysignificantdisease,andonlymarginallyimproveclinicaloutcomes.Inrandomizedtrials,smoking-cessationrateswerenotincreasedamongpatientswithearlyCOPDwhounderwentspirometrictestingandwereinformedofabnormalresults,ascomparedwithpatientswhodidnotundergotesting.However,inarecenttrialcomparingtwoapproachestoinformingpatientsofspirometricresults-assigninga"lungage"versussimplyreportingtheFEV1--theformerapprochwasassociatedwithhighercessationratesat1year,whichsuggeststhatspirometrymayfacilitatesmokingcessationiftheresultsarepresentedtopatientsinanappropriatemanner.
Theroleofdisease-managementprogramsforpatientswithCOPDremainsuncertain.Randomized.controlledtrialsofcasemanagementforCOPDhaveshownpromiseinreducinghospitalizationrates,buttheevidenceisinsufficienttomakespecificrecommendations.Pulmonaryrehabilitationimproveshealthstatusandexercisecapabilityforselectedpatients,butnationalsurveysindicatethatfewpatientscompletesuchprograms.anditiSunclearhowbesttomaintainthebenefitsachieved.
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