hemoglobin[hi:m'gloubın]nhemoqlabin (гемоглобин) Text В
Kidney Diseases There are three structures of the kidney which are susceptible to disease: the glomeruli, the tubules and the blood vessels. However, it is rare that only one of these structures is affected; what happens to one frequently affects the others as well.
The disease in which the glomeruli are particularly involved is called glomerulo-nephritis. It may be acute or chronic, the first frequently leading to the second. It is often a sequel to such a childhood infectious disease as scarlet fever. In glomerulo-nephritis, the glomeruli become clogged with exudate and cell debris so that the blood no longer flows through them. Here a clearance test is useful; it will show that much smaller quantities of filtrate are being formed than normally. The glomeruli being still open become permeable to protein and albuminuria becomes very marked. This leads to edema.
Diseases involving the tubules are called nephroses. They are usually caused by poisons of various kinds, such as mercury, bismuth, uranium, or carbolic acid. Some degree of tubular degeneration occurs, however, in such diseases as diabetes, malaria and pernicious anaemia, and also in traumatic shock. Finally, athero-sclerosis of the kidney may occur, reducing the total blood flow through the kidney’s blood vessels.
What happens to the kidneys when incompatible blood has been used in a transfusion? Hemolysis of red cells occurs, of course, and the liberated hemoglobin circulates in the blood. Passing through the kidney, hemoglobin (although its molecular weight is 68.000) passes through the membrane into the tubules. If the amount is small, reabsorption occurs, but in the amounts increased after an incompatible transfusion the hemoglobin, passing through the tubules, is precipitated. This blocks the tubules; they cease to function and finally die. Patients having received the wrong type of blood can often be saved if the blood is thoroughly alkalin- ized; an alkaline filtrate is formed and thus prevents precipitation.
A common disease of the kidney, known as Bright’s disease, includes a number of different conditions. Bright was a physician establishing a connection between degenerative changes in the kidney and the presence of albumin in the urine. The discovery of albumin in the urine usually indicates a faulty working of the kidneys. It means that albumin from the blood plasma is being allowed to pass through the renal tubules, and thus be excreted in the urine. At the same time the damaged tubules fail to eliminate fluid. This fluid collects in the tissues and causes swelling, or edema, of various parts of the body. The fluid is more likely to collect in the legs and in the eyelids. Hence the pufly face and swollen legs of the sufferers from advanced Bright’s disease.
It must not be assumed, however, that the presence of a small amount of albumin in the urine is necessarily a sign of Bright’s disease. It is often transient and of no great significance. Çalışma 1. B mətnində verilmiş mülahizələri daha dolğun ifadə edən cümlələri tapin və onları ucadan oxuyun.
Упражнение 1. Найдите в тексте В предложения, более полно выражающие мысль данных суждений, и прочтите их вслух.
There are three structures of the kidney which are susceptible to disease. 2. A clearance test is a diagnosing procedure in glomerulonephritis. 3. Nephroses are caused by poisons. 4. The patients who have received the wrong type of blood can be saved. 5. The presence of albumin in the urine is a symptom of a number of conditions known under the heading of Bright’s disease.
Çalışma 2. B mətnində təsvir olunan böyrək xəstəliklərinin adini çəkin.
Упражнение 2. Назовите заболевания почек, описанные в тексте В.
III hissə
Часть III
19 –cu dərsə dair umumiləşdirici yoxlama çalışmaları
Контрольно-обобщающее упражнение к уроку 19 Çalışma 3. Aşağıdakı cümlələrdə təyin funksiyasını yerinə yetirən feli sifətləri tapın.
Упражнение 3. Найдите в следующих предложениях причастия, выполняющие функцию определения.
1. Case 5 had his blood pressure raised over all period of investigation. 2. Transient or reversible albuminuria accompanied by oliguria and highly concentrated urine can be due to functional changes in the glomerular membrane. 3. When damaged the glomerular epithelium becomes permeable to the blood coloids. 4. Oliguria or deceased secretion of urine, may be due to a number of renal factors. 5. Albuminuria is common in passive congestion accompanying cardiac decompensation. 6. Intravenous pyelography having been performed, the patient was operated on.
V. Environmental Medicine
LESSON TWENTY
THE AIR AND HEALTH Təkrar: Ing formaları
Повторение:Ing-формы I hissə
I hissəyə dair sözlər
Часть I
Слова к части I
rate[reıt] n temp, sürət; темп, скорост
pollutant[pə'lu:tant] n çirklənmə; загрязняюшее вешество
associate[ə'sou∫ıeıt] v birləşmək; соединиться, связывать
sufferer [sə'septəbl] n əziyyət çəkən; страдающий
Çalışmalar
Упражнения Çalışma 2. Aşağıdakı cerundlu cümlələri tərcümə edin; onun funksiyalarını təyin edin.
Упражнение 2. Переведите следующие предложения с герундием; определите его функции.
The lecturer told us about the difficulties of making a 24 hour urine collection in healthy children outside hospital. 2. Patients with hepatic cirrhosis develop oliguric renal failure in response to minor decrease in circulating blood volume. 3. The internal distribution of blood flow has been estimated by measuring the extraction of p-aminohippurate. 4. By investigating patients with cirrhosis a direct relationship between renal hemodynamic changes and cirrhosis of the liver may be established. 5. Developmental disorders of the body lead to stunting or to overgrowth of the skeletal system, to faulty connective or other «soft» tissues or to physical distortion and deformity. 6. I am against your taking part in this experiment.
Çalışma 3. Verilmiş sözlər qrupunu oxuyun və tərcümə edin.
Упражнение 3. Прочтите и переведите данные гнезда слов.
associate, to associate, associable, associated, association; 2. to alter, alteration, alternative; 3. sense, senseless, sensibility, sensitive, to sensitize; 4. to suffer, sufferer, suffering
Çalışma 4. A mətnini nəzərdən keçirin. Mətnin əsas məzmununu danışın.
Упражнение 4. Просмотрите текст А. Передайте основное содержание текста.
Text А
Air and Health 1.There is accumulating evidence that air pollution is producing harmful effects in man. Many studies reveal that air pollution may cause reduced visibility, eye irritation, and respiratory irritation. Some medical studies link air pollution with lung cancer, emphysema and other diseases.
2.The severity of symptoms of illness increases proportionately with concentration of pollutants in the air. The first effects of air pollutants are likely to lead to discomfort. Though not associated with the development of disease, even in sensitive groups, these effects are capable of disturbing the comfort of the population in residential or industrial areas. This level is the one at which eye irritation occurs. Also in this category are levels of pollutants that damage vegetation and reduce visibility. A more serious level of pollutants, or possibly combination of pollutants, is likely to lead to insidious or chronic diseases or to significant alteration of important physiological function in a «sensitive group» such as the aged or sufferers from chronic respiratory or heart disease.
Pollution would not necessarily be a risk for persons in good health. But under conditons of intense pollution, this «sensitive group» may die.
3. Three episodes of acute air pollution have been characterized by sudden death. These tragedies occurred in Belgium’s Meuse Valley in 1930, in Donora, Pennsylvania, in 1947, and in London in 1952. In each case a heavy fog settled over the area and did not lift; in each case the phenomenon was produced by a temperature inversion or a layer of warm air over a layer of cold air, and in each case there was a heavy concentration of smoke and pollutants.
4. During these periods, 63 deaths in Meuse Valley, 20 deaths in Donora, and 3.000 deaths in London were attributed to air pollution. Most of those who died were elderly people already suffering from diseases of the respiratory or circulatory systems. This disaster in London was a major factor in hastening the Clean Air Act of 1956. The emission of dark smoke from industrial chimneys was prohibited for the whole country.
5. Three general types of substances are known to pollute the atmospheres of all industrial environments: chemical, radioactive and biological. Chemical pollutants are the major concern because of expanding industrial, automobile and domestic wastes. However, radioactive pollutants add to the total radiation exposure in both urban and rural air. Biological dusts and pollens likewise may cause effects, especially in persons who react to them with hay fever, asthma, and other allergies. Çalışma 5. A mətnindən aşağıdakı suallara cavab tapın və onları oxuyun.
Упражнение 5. Найдите в тексте А ответы на следующие вопросы и зачитайте их
1. What effect is air pollution producing in man? 2. What are the first effects of air pollution? 3. Who were the victims of three episodes in Meuse Valley, Donora and London? 4. What did the Clean Air Act prohibit? 5.What substances are known to pollute the atmospheres of industrial environment. Çalışma 6. Mətni oxuyun və tərcümə edin. Ing-formaların funksiyalarını təyin edin.
Упражнение 6. Прочтите и переведите текст. Определите функции ing- форм.
In October 1948, the small town of Donora, Pennsylvania, was struck by a fog disaster. The town is located on the Monongahela river. On both sides of the river are hills rising about 400 to 600 feet with farmland and woods stretching in all directions. The area immediately along the river bank is occupied by a large steel mill and a large zink reduction plant. It has long been known as a district liable to heavy fogs especially in the cold weather of the late autumn, and the coal barges on the river used to anchor in midstream waiting for the fog to clear. Sunrise often brought relief but it was common for the captains to await the lifting of the «second fog» which came after sunrise.
The fog of 1948 was unusually wet and dirty and had a peculiar sulphurous smell. It became dense on Tuesday morning, 26 October, and soon Donora’s eight doctors were receiving far more calls than they could attend to. The patients complained about pain in the abdomen, splitting headache, nausea and vomiting, and some coughing up of blood. Soon there were 20 deaths directly attributable to the fog. Late Saturday afternoon it began drizzling, the air became clearer, and by Sunday morning, 31 October, the fog was gone.
II hissə
Часть II
II hissəyə dair söz
Слова к части II amount[ə'maunt]n miqdar, cəm, nəticə (количество; сумма, итог); (to) v çatmaq, cəmini təşkil etmək, bərabər olmaq (доходить до; составлять (сумму), равняться)
contrary ['kntrərı](to) а əks (противоположный)
reduce[rı'dju:s]v azaltmaq, ixtisar etmək (уменьшать, сокращать)
contaminant[kən'tæmınənt]n çirkləndirici maddə (загрязняющее вещество)
alarm[ə'la:m]n həyəcan, qorxutmaq, narahat etmək (тревога; v пугать, волновать)
deplete[dı'pli:t] v zəiflətmək, sona çatmaq (ehtiyatlar) (истощать, исчерпывать(запасы))
vast[va:st]а geniş, böyük (обширный, огромный)
trouble['trΛbl]n pis hadisə, bədbəxtlik, narahatlıq (неприятность, беда, беспокойство); v narahat etmək, çətinliyə salmaq (беспокоить, тревожить; затруднять)
hazardous['hæzədəs]а təhlükəli, riskli (опасный, рискованный) Çalışmalar Çalışma 1. Verilmiş cümlələrdə seçilmiş sözlərin mənasını təyin edin.
Упражнение 1. Определите значение выделенных слов в данных предложениях.
1. Since the amountof contamination until recent years was small in relation to the vastness of the atmosphere, little trouble resulted. «Pure» air is, of course, a mixture of many kinds of gases and varying amounts of water vapour, (степень, количество, общаясумма) 2. Some authorities feel we may eventually run into oxygen depletionproblems with the elimination of green plants, (истощение, опустошение) 3. Instead of pollutants being diluted through twelve miles of atmosphere, they may be held within several hundred feet of the ground, (разбавлять, растворять, ослаблять) Text B
Air Pollution A man can live without food for weeks and without water for days, but he can live without air for only a few minutes. Accordingly, air is the most immediately vital resource.
Since the amount of contamination until recent years was small in relation to the vastness of the atmosphere, little trouble resulted. In the last few decades, however, continuing contamination is producing concentration that are harmful to men, animals and plants.
Air pollution is produced by different air contaminants in different areas. By general definition, air pollution is the introduction of hazardous materials into the atmosphere as the result of man’s activities.
Some pollutants, such as smoke from forest fires, may stem from either natural or human causes. Pollution, as discussed here, will imply the possibility of control. v
In order to understand the problem of air pollution more fully, let us briefly examine the nature and size of our atmosphere. «Pure» air is, of course, a mixture of many kinds of gases, including about 78 per cent nitrogen, 21 per cent oxygen, less than 1 per cent argon, 0,03 per cent carbon dioxide, traces of several other gases and varying amounts of water vapour. So far, contrary to popular belief, the percentage of oxygen in the air has not been reduced significantly with the advent of air pollution. However, man’s activities are reducing the world supply of green plants which are the only sources of oxygen at an alarming rate. An acre of foodcrop plants produces far less oxygen than the acre of forest it may have replaced. An acre of pavement produces no oxygen at all. Thus, some scientists feel we may eventually run into oxygen depletion problems with problems are more pressing at this time.
The problem of air pollution is further complicated by the existence of inversion layers over many of the world’s major cities. An inversion layer is a layer of warmer air over a cooler surface layer of air, and results from an area’s topographical character and proximity to water. The inversion layer acts as an air trap, preventing air pollutants from mixing with upper layers of air. Thus, instead of pollutants being diluted through twelve miles of atmosphere, they may be held within several hundred feet of the ground. i; 3
The problem of air pollution is of great social importance. Russian research workers have established, after analysing the results of hundreds of medical checkups that there is a definite correlation between the degree of air pollution and rates of incidence and death from bronchitis, pneumonia and lung cancer. The researchers believe that if air pollution were decreased by 50 per cent then the incidence of these diseases would go down by 25 per cent.
An adequate number of facts has now been established which prove that there is a connection between air pollution and the death-rate from all types of cancer. Çalışma 2. Aşağıdakı mülahizələri oxuyun. B mətnində bu mülahizələri daha dolğun ifadə edən cümlələri tapın və onları ucadan oxuyun.
Упражнение 2. Прочтите нижеприведенные суждения. Найдите в тексте В предложения, более полно выражающие мысль данных суждений, и прочтите их вслух.
1. In the last few decades continuing contamination has become harmful to men, animals and plants. 2. Air pollution is produced in different ways. 3. Man’s activities are significantly reducing the percentage of oxygen in the air. 4. The inversion layer acts as an air trap. 5. There is a definite correlation between air pollution and the death-rate from cancer and lung diseases. Çalışma 3. B mətninə əsaslanaraq müasir şəhərdə havanın çirklənməsinin əsas mənbələrini söyləyin.
Упражнение 3. Основываясь на тексте В, назовите основные источники загрязнения воздуха в современном городе. III hissə