Disease I Diagnosis, Treatment and Prevention

    Disease may be defined as the abnormal state in which part or all of the body is not properly adjusted or is not capable of carrying on1 all its required functions. There are marked variations in the extent of the disease and in its effect on the person.

    In order to treat a disease, the doctor obviously must first determine the nature of the illness —that is, make a diagnosis2. A diagnosis is the conclusion drawn from a number of facts put together. The doctor must know the symptoms, which are the changes in body function felt by the patient; and the signs (also called objective symptoms) which the doctor himself can observe. Sometimes a characteristic group of signs (or symptoms) accompanied a given disease. Such a group is called a syndrome. Frequently certain laboratory tests are performed and the results evaluated3 by the physician in making his diagnosis.

     Although nurses do not diagnose, they play an extremely valuable role in this process by observing closely for signs, encouraging the patient to talk about himself and his symptoms, and then reporting this information to the doctor. Once the patient’s disorder is known, the doctor prescribes a course of treatment, also referred to as therapy4. Many measures in this course of treatment are carried out by the nurse under the physician’s orders.

    In recent years physicians, nurses and other health workers have taken on increasing responsibilities in prevention5. Throughout most of medical history, the physician’s aim has been to cure a patient of an existing disease6. However, the modern concept of prevention seeks to stop disease before it actually happens — to keep people well through the promotion of health. A vast number of organizations exist for this purpose, ranging from the World Health Organization (WHO) on an international level down to local private and community health programs7. A rapidly growing responsibility of the nursing profession is educating individual patients toward the maintenance of total health — physical and mental.


词汇:

marked / mɑ:kt/  adj.显着的 

syndrome /"sɪndrəʊm/ n. 综合征,症候群
symptom /"sɪmptəm/ n.症候,症状 

therapy /"θerəpɪ/ n.疗法,治疗 

sign /saɪn/ n. 病体;体征


注释:

1.carry sth. on:继续;进行;维持下去
2.make a diagnosis:做出诊断
3....the results evaluated…:此句中在evaluated之前省略了与前面are performed相同的助动词are
4.also referred to as therapy:也被称为疗法(过去分词短语作a course of treatment的定语)refer to...:谈及,提及refer to sth. /sb. as...:把……称为……例如:Don’t refer to the matter again.不要再提这件事了。We refer to such a science as physiology.我们把这样一门科学称为生理学。
Don’t refer to your brother as a silly cow.不要把你兄弟说成是头笨牛。
5.have taken on increasing responsibilities in prevention:在预防方面承担越来越多的责任take sth. on:承担,接受You have taken on too much.你承担的工作太多了。
6.to cure a patient of an existing disease:治疗病人的现有疾病cure sb. of...:给某人治疗(或治愈)某病 例如:This medicine should cure you of your cold.此药准能治好你的感冒。
7.ranging from... health programs:从国际这一级的世界卫生组织一直到下面地区的私人和社区医疗机构(现在分词短语作状语)range from... to...:从…………的范围(分布或变动)The children’s ages range from 5 to 15.这些孩子小的5岁,大的15岁。Its prices range from twenty to thirty dollars.价钱从20美元到30美元不等。

The diagnostic aids are indispensable in any case for a physician to diagnose a disease

A:Right B:Wrong C:Not mentioned

On Antibodies Substances foreign to the body, such as disease-causing bacteria and viruses and other infectious agents, are recognized by the body s immune system as invaders. Our natural defenses against these infectious agents are antibodies, proteins that seek out the antigens (抗原) and help destroy them. Antibodies have two very useful characteristics. First, they are extremely specific; that is, each antibody binds to and attacks one particular antigen. Second, some antibodies, once activated by the occurrence of a disease, continue to confer resistance against that disease. Classic example are the antibodies to the childhood diseases of chickenpox(水痘) and measles. The second characteristic of antibodies makes it possible to develop vaccines. A vaccine (痘苗) is a preparation of killed or weakened bacteria or viruses that, when introduced into the body, stimulates the production of antibodies against the antigens it contains. It is the first trait of antibodies, their specificity, that makes monoclonal antibody technology so valuable. Not only can antibodies be used therapeutically(在治疗上), to protect against disease; they can also help to .diagnose a wide variety of illnesses, and can detect the presence of drugs, viral and bacterial products, and other unusual or abnormal substances in the blood. Given such a diversity of uses for these diseased-fighting substances, their production in pure quantities has long been the focus of scientific investigation. The conventional method was to inject a laboratory animal with an antigen and then, after antibodies had been formed, collect those antibodies from the blood serum(血清) (Antibody containing blood serum is called antiserum (抗血清)). There are two problems with this method: It yields antiserum that contains undesired substances, and it provides a very small amount of usable antibody. Monoclonal antibody technology allows us to produce large amounts of pure antibodies. in the following way: we can obtain cells that produce antibodies naturally; we also have available a class of cells that can grow continually in cell culture (培养). If we form a hybrid (混血儿) that combines the characteristic of "immortality"(永生)with the ability to produce the desired substance, we would have, in effect, a factory to produce antibodies that work around the clock. In monoclonal antibody technology, tumor cells that can replicate (重复) endlessly are fused with mammalian cells that produce an antibody. The result of this cell fusion is a "hybridoma" (杂交瘤), which will continually produce antibodies. These antibodies are called monoclonal because they come from only one type of cell, the hybridoma cell; antibodies produced by conventional methods, on the other hand, are derived from preparations containing many kinds of cells, and hence are called polyclonal. An example of how monoclonal antibodies are derived is described below. A myeloma is a tumor of the bone marrow (骨髓) that can be adapted to grow permanendy in cell culture. When myeloma cells were fused with antibody-producing mammalian spleen cells, it was found that the resulting hybrid cells, or hybridomas, produced large amounts of monoclonal(骨髓瘤) antibody. This product of cell fusion combined the desired qualities of the two different types of cells: the ability to grow continually, and the ability to produce large amounts of pure antibody. Because selected hybrid cells produce only one specific antibody, they are more pure than the polyclonal antibodies produced by conventional techniques. They are potentially more effective than conventional drugs in fighting disease, since drugs attack not only the foreign substance but the body’s own cells as well, sometimes producing undesirable side effects such as nausea(恶心) and allergic reactions. Monoclonal antibodies attack the target molecule and only the target molecule, with no or greatly diminished side effects. Which of the following functions done NOT belong to antibodies?

A:To clone (克隆) themselves B:To be used therapeutically C:To be diagnose some diseases D:To find out whether something foreign is in the blood

{{B}}第二篇{{/B}}

? ?Speech therapists divide their cases into common and complex. An example of a complex case is a person suffering from aphasia. This is the loss of the ability to under- stand and/or use speech. There are many causes of aphasia, including partial brain dam- age that leaves the individual with the physical ability to speak. If the individual is able to speak but does not, the therapist must determine the cause of such conduct. Often, speech therapists determine that problems are emotional and refer the individuals with such problems to psychologists or psychiatrists trained to help them.
? ?While a speech therapist is not trained to help persons with severe emotional disorders, the therapist does receive extensive training in such areas as anatomy(as it relates to speech, concentrating on the diaphragm, tongue, and palate), physics(particularly relating to sound), and language and communications. Some therapists take classes in elementary psychology as well.
? ?The speech therapist must be able to diagnose the type and severity of the speech defect, then prescribe a series of treatments. While some people with severe handicaps receive individual instruction, most patients are comfortable receiving group therapy with others who have the same problem. If a patient is found to have a physical handicap that is impeding his progress, he is sent to a doctor with whom the therapist works closely.
? ?Many therapists have a high success rate with their patients. No scientific studies have yet shown whether the intervention of the therapist was in fact the sole cause of the improvement of the patients, or whether time and maturity helped as well. A recent study has shown that persons who have not received speech therapy have often been "cured’ of their problems merely by being around others without the problem. However, that same study showed that those few persons who were not treated by therapists had extremely low self-esteem and considered themselves " different" and "retarded". The therapists often are able to make the patients see that while they are different, the difference is not of their own making, that they have not done something wrong. Therapists try to reach children when they are very young, before they have had an opportunity to be teased by other children or made to feel they are "stupid". Therapists often work with whole families, encouraging the parents and siblings to listen to the patients, taking the time to help them feel they are an important part of the family, not just brushing them off because the effort of interpreting their speech is too great or time-consuming.
Which of the following is not listed as a function of the speech therapist?

A:To diagnose the nature and severity of the defect. B:To determine the cause of aphasia in children who are physically capable of speech. C:To give emotional support to a child, showing her that the defect is not fault of her own. D:To prescribe medication that will help the patient relax and use her speech muscles properly.

On Antibodies Substances foreign to the body, such as disease-causing bacteria and viruses and other infectious agents, are recognized by the body s immune system as invaders. Our natural defenses against these infectious agents are antibodies, proteins that seek out the antigens (抗原) and help destroy them. Antibodies have two very useful characteristics. First, they are extremely specific; that is, each antibody binds to and attacks one particular antigen. Second, some antibodies, once activated by the occurrence of a disease, continue to confer resistance against that disease. Classic example are the antibodies to the childhood diseases of chickenpox(水痘) and measles. The second characteristic of antibodies makes it possible to develop vaccines. A vaccine (痘苗) is a preparation of killed or weakened bacteria or viruses that, when introduced into the body, stimulates the production of antibodies against the antigens it contains. It is the first trait of antibodies, their specificity, that makes monoclonal antibody technology so valuable. Not only can antibodies be used therapeutically(在治疗上), to protect against disease; they can also help to .diagnose a wide variety of illnesses, and can detect the presence of drugs, viral and bacterial products, and other unusual or abnormal substances in the blood. Given such a diversity of uses for these diseased-fighting substances, their production in pure quantities has long been the focus of scientific investigation. The conventional method was to inject a laboratory animal with an antigen and then, after antibodies had been formed, collect those antibodies from the blood serum(血清) (Antibody containing blood serum is called antiserum (抗血清)). There are two problems with this method: It yields antiserum that contains undesired substances, and it provides a very small amount of usable antibody. Monoclonal antibody technology allows us to produce large amounts of pure antibodies. in the following way: we can obtain cells that produce antibodies naturally; we also have available a class of cells that can grow continually in cell culture (培养). If we form a hybrid (混血儿) that combines the characteristic of "immortality"(永生)with the ability to produce the desired substance, we would have, in effect, a factory to produce antibodies that work around the clock. In monoclonal antibody technology, tumor cells that can replicate (重复) endlessly are fused with mammalian cells that produce an antibody. The result of this cell fusion is a "hybridoma" (杂交瘤), which will continually produce antibodies. These antibodies are called monoclonal because they come from only one type of cell, the hybridoma cell; antibodies produced by conventional methods, on the other hand, are derived from preparations containing many kinds of cells, and hence are called polyclonal. An example of how monoclonal antibodies are derived is described below. A myeloma is a tumor of the bone marrow (骨髓) that can be adapted to grow permanendy in cell culture. When myeloma cells were fused with antibody-producing mammalian spleen cells, it was found that the resulting hybrid cells, or hybridomas, produced large amounts of monoclonal(骨髓瘤) antibody. This product of cell fusion combined the desired qualities of the two different types of cells: the ability to grow continually, and the ability to produce large amounts of pure antibody. Because selected hybrid cells produce only one specific antibody, they are more pure than the polyclonal antibodies produced by conventional techniques. They are potentially more effective than conventional drugs in fighting disease, since drugs attack not only the foreign substance but the body’s own cells as well, sometimes producing undesirable side effects such as nausea(恶心) and allergic reactions. Monoclonal antibodies attack the target molecule and only the target molecule, with no or greatly diminished side effects. Which of the following functions done NOT belong to antibodies?

A:To clone (克隆) themselves B:To be used therapeutically C:To be diagnose some diseases D:To find out whether something foreign is in the blood

On Antibodies Substances foreign to the body, such as disease-causing bacteria and viruses and other infectious agents, are recognized by the body s immune system as invaders. Our natural defenses against these infectious agents are antibodies, proteins that seek out the antigens (抗原) and help destroy them. Antibodies have two very useful characteristics. First, they are extremely specific; that is, each antibody binds to and attacks one particular antigen. Second, some antibodies, once activated by the occurrence of a disease, continue to confer resistance against that disease. Classic example are the antibodies to the childhood diseases of chickenpox(水痘) and measles. The second characteristic of antibodies makes it possible to develop vaccines. A vaccine (痘苗) is a preparation of killed or weakened bacteria or viruses that, when introduced into the body, stimulates the production of antibodies against the antigens it contains. It is the first trait of antibodies, their specificity, that makes monoclonal antibody technology so valuable. Not only can antibodies be used therapeutically(在治疗上), to protect against disease; they can also help to .diagnose a wide variety of illnesses, and can detect the presence of drugs, viral and bacterial products, and other unusual or abnormal substances in the blood. Given such a diversity of uses for these diseased-fighting substances, their production in pure quantities has long been the focus of scientific investigation. The conventional method was to inject a laboratory animal with an antigen and then, after antibodies had been formed, collect those antibodies from the blood serum(血清) (Antibody containing blood serum is called antiserum (抗血清)). There are two problems with this method: It yields antiserum that contains undesired substances, and it provides a very small amount of usable antibody. Monoclonal antibody technology allows us to produce large amounts of pure antibodies. in the following way: we can obtain cells that produce antibodies naturally; we also have available a class of cells that can grow continually in cell culture (培养). If we form a hybrid (混血儿) that combines the characteristic of "immortality"(永生)with the ability to produce the desired substance, we would have, in effect, a factory to produce antibodies that work around the clock. In monoclonal antibody technology, tumor cells that can replicate (重复) endlessly are fused with mammalian cells that produce an antibody. The result of this cell fusion is a "hybridoma" (杂交瘤), which will continually produce antibodies. These antibodies are called monoclonal because they come from only one type of cell, the hybridoma cell; antibodies produced by conventional methods, on the other hand, are derived from preparations containing many kinds of cells, and hence are called polyclonal. An example of how monoclonal antibodies are derived is described below. A myeloma is a tumor of the bone marrow (骨髓) that can be adapted to grow permanendy in cell culture. When myeloma cells were fused with antibody-producing mammalian spleen cells, it was found that the resulting hybrid cells, or hybridomas, produced large amounts of monoclonal(骨髓瘤) antibody. This product of cell fusion combined the desired qualities of the two different types of cells: the ability to grow continually, and the ability to produce large amounts of pure antibody. Because selected hybrid cells produce only one specific antibody, they are more pure than the polyclonal antibodies produced by conventional techniques. They are potentially more effective than conventional drugs in fighting disease, since drugs attack not only the foreign substance but the body’s own cells as well, sometimes producing undesirable side effects such as nausea(恶心) and allergic reactions. Monoclonal antibodies attack the target molecule and only the target molecule, with no or greatly diminished side effects. Which of the following functions done NOT belong to antibodies?

A:To clone (克隆) themselves B:To be used therapeutically C:To be diagnose some diseases D:To find out whether something foreign is in the blood

On Antibodies Substances foreign to the body, such as disease-causing bacteria and viruses and other infectious agents, are recognized by the body s immune system as invaders. Our natural defenses against these infectious agents are antibodies, proteins that seek out the antigens (抗原) and help destroy them. Antibodies have two very useful characteristics. First, they are extremely specific; that is, each antibody binds to and attacks one particular antigen. Second, some antibodies, once activated by the occurrence of a disease, continue to confer resistance against that disease. Classic example are the antibodies to the childhood diseases of chickenpox(水痘) and measles. The second characteristic of antibodies makes it possible to develop vaccines. A vaccine (痘苗) is a preparation of killed or weakened bacteria or viruses that, when introduced into the body, stimulates the production of antibodies against the antigens it contains. It is the first trait of antibodies, their specificity, that makes monoclonal antibody technology so valuable. Not only can antibodies be used therapeutically(在治疗上), to protect against disease; they can also help to .diagnose a wide variety of illnesses, and can detect the presence of drugs, viral and bacterial products, and other unusual or abnormal substances in the blood. Given such a diversity of uses for these diseased-fighting substances, their production in pure quantities has long been the focus of scientific investigation. The conventional method was to inject a laboratory animal with an antigen and then, after antibodies had been formed, collect those antibodies from the blood serum(血清) (Antibody containing blood serum is called antiserum (抗血清)). There are two problems with this method: It yields antiserum that contains undesired substances, and it provides a very small amount of usable antibody. Monoclonal antibody technology allows us to produce large amounts of pure antibodies. in the following way: we can obtain cells that produce antibodies naturally; we also have available a class of cells that can grow continually in cell culture (培养). If we form a hybrid (混血儿) that combines the characteristic of "immortality"(永生)with the ability to produce the desired substance, we would have, in effect, a factory to produce antibodies that work around the clock. In monoclonal antibody technology, tumor cells that can replicate (重复) endlessly are fused with mammalian cells that produce an antibody. The result of this cell fusion is a "hybridoma" (杂交瘤), which will continually produce antibodies. These antibodies are called monoclonal because they come from only one type of cell, the hybridoma cell; antibodies produced by conventional methods, on the other hand, are derived from preparations containing many kinds of cells, and hence are called polyclonal. An example of how monoclonal antibodies are derived is described below. A myeloma is a tumor of the bone marrow (骨髓) that can be adapted to grow permanendy in cell culture. When myeloma cells were fused with antibody-producing mammalian spleen cells, it was found that the resulting hybrid cells, or hybridomas, produced large amounts of monoclonal(骨髓瘤) antibody. This product of cell fusion combined the desired qualities of the two different types of cells: the ability to grow continually, and the ability to produce large amounts of pure antibody. Because selected hybrid cells produce only one specific antibody, they are more pure than the polyclonal antibodies produced by conventional techniques. They are potentially more effective than conventional drugs in fighting disease, since drugs attack not only the foreign substance but the body’s own cells as well, sometimes producing undesirable side effects such as nausea(恶心) and allergic reactions. Monoclonal antibodies attack the target molecule and only the target molecule, with no or greatly diminished side effects. Which of the following functions done NOT belong to antibodies?

A:To clone (克隆) themselves B:To be used therapeutically C:To be diagnose some diseases D:To find out whether something foreign is in the blood

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