obor Zdravotnický záchranář – Anglický jazyk
Stránka 1 z 109
Anglický jazyk
Anotace předmětu:
Předmět je koncipován jako praktický a poskytuje znalosti z gramatiky a terminologie, klade
důraz na získání jasného odborného zdravotnického jazykového projevu. Zvládnutí
základní slovní zásoby je předpokladem pro komunikaci v zahraničí. Poskytuje
komunikativní dovednosti v obecných a odborných tématech.
Garant předmětu:
Bc. Barbora Drbohlavová
1 Parts of the human body
1.1 Grammar: the basics and revision
1.1.1 Articles – členy
V angličtině existují dva typy členů: neurčitý a/an a určitý the. Neurčitý člen použijeme tam,
kde v promluvě zmiňujeme předmět poprvé, u profesí, případně ve významu „nějaký“.
I had a sandwich and an apple for lunch.
I want to be a doctor.
Sit down on a chair.
Jednotná počitatelná podstatná jména vždy vyžadují člen nebo zájmeno, nemohou stát
samostatně.
She never wears a hat. (She never wears hat.) X Sugar is sweet.
Člen an se používá v případě, že výslovnost slova začíná samohláskou.
He takes pills once an hour.
This is an optimistic result.
X
The Czech Republic is a European country.
He is a young doctor.
Určitý člen se používá tam, kde je předmět již zmíněn, nebo účastníci konverzace vědí,
o jaký předmět se jedná, když mluvíme o věci, která je jedinečná, s národnostmi a před
same (stejný). Také se říká jít k doktorovi/do kina/na poštu, atd.
The sandwich was not very good but the apple was nice.
What is the longest river in the world?
I have to go to the bank.
I don't like going to the dentist.
The Spanish are famous for 'fiestas'.
My sweater is the same colour as yours.
Členy se nepoužívají před jídly (snídaně, oběd, večeře), před místy a předměty, o kterých
mluvíme obecně, před podstatnými jmény, za kterými následuje číslovka, před zeměmi,
městy, ostrovy, kontinenty, horami, vlastními jmény.
What time is dinner? I collect stamps. He is afraid of dogs.
The train leaves from platform 3. We are on page 29.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 2 z 109
I go to school every day. John is in prison. We took her to hospital. I want to go home. Mom
is at work. My father's name is Charles.
I went to France. X the United States of America, the United Kingdom, the Czech Republic
Všimněte si použití členů v následujících příkladech:
When we were on holidays, we stayed in a hotel. Sometimes we ate at the hotel and
sometimes we went to a restaurant.
Have you got a car?
I cleaned the car yesterday.
I am looking for a job.
She didn't get the job.
He took a taxi to the trainstation.
Can I speak to the manager?
Is there a bank near here?
My brother is a doctor.
1.1.2 Pronouns – zájmena
Personal Independent Reflexive
1st sg. I my me mine myself
2nd sg. you your you yours yourself
3rd sg. he, she, it his, her, its him, her, it his, hers, its himself,
herself, itself
1st pl. we our us ours ourselves
2nd pl. you your you yours yourselves
3rd pl. they their them theirs themselves
Look at me! Can you see us?
This is my book. Their mum is a very kind person.
This book is mine. Is this yours?
I drove home by myself = on my own. You have to do the homework by yourself = on your
own.
1.1.3 Determiners
Ukazovací zájmena Sg. Pl.
here this these
there that those
1.1.4 Conjunctions – spojky
and a
but ale
because protože
obor Zdravotnický záchranář – Anglický jazyk
Stránka 3 z 109
if pokud, když
whether jestli
when až, jakmile
that že, který
1.1.5 Plural nouns – množná podstatná jména
Podstatná jména jsou v angličtině pravidelná a nepravidelná. Množné číslo pravidelných
podstatných jmen se tvoří přidáním -s nebo -es.
dog – dogs
chair – chairs
bush – bushes
exercise – exercises
dress – dresses
tomato – tomatoes
hero – heroes
bra – bras
knee – knees
monkey – monkeys
Některé koncovky se ovšem mění. Jsou to slova končící na -f, -fe, -y [-aɪ].
leaf – leaves
shelf – shelves
life – lives
knife – knives
fry – fries
cry – cries
X
play – plays
way – ways
boy – boys
Nepravidelná podstatná jména pak mají své vlastní množné tvary.
man – men
woman – women
child – children
mouse – mice
calf – calves
person – people
foot – feet
tooth – teeth
Některá slova nemají množné číslo – jsou to nepočitatelná podstatná jména (uncountable
nouns) a pojí se s jednotným číslem sloves.
information, money, advice, sugar, blood is …
Existují i podstatná jména, která naopak nemají jednotné číslo a u kterých se množství
obor Zdravotnický záchranář – Anglický jazyk
Stránka 4 z 109
vyjadřuje přidáním výrazu a pair of...
glasses, trousers, scissors are...
Pokud vyžaduje množné podstatné jméno člen, tak pouze určitý člen the.
1.1.6 Place prepositions – místní předložky
in v, v autobusu, ve vlaku
at u, na (poště, zastávce, …)
at the top, at the bottom navrchu, vespod
at the front, at the back vepředu, vzadu
on na (povrchu), v autě, v taxi
on the left, on the right vlevo, vpravo
to k, směrem k
from od, z
next to vedle
under pod
above nahoře, nad
over přes
opposite naproti
in front of před
behind za
near blízko
far from daleko od
1.1.7 Present simple tense, Negatives, Questions – Přítomný čas prostý, tvoření
záporu a otázky
Anglický slovosled obvykle dodržuje sled:
podmět + přísudek + předmět + příslovečné určení
Slovesa se dělí na pravidelná a nepravidelná. Pravidelná slovesa přibírají v přítomném
čase ve třetí osobě jednotného čísla koncovku -s. Většina základních sloves je
nepravidelná.
BE Sg. Pl.
1st am are
2nd are are
3rd is are
I am a girl. He is a doctor. We are students.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 5 z 109
DO Sg. Pl.
1st do do
2nd do do
3rd does do
She does her homework every day. They do sports. I do the washing at home.
HAVE Sg. Pl.
1st have have
2nd have have
3rd has have
I have a cat. You have a problem. We have a lot of money.
Sloveso mít lze vyjádřit i formou have got ve významu něco vlastnit, získat. V tomto
případě je have pomocným slovesem a got plnovýznamovým.
I have got a dog. Have you got a car? No, I haven't.
GO Sg. Pl.
1st go go
2nd go go
3rd goes go
We go to school three times a week. I go to school by bus. We usually go skiing in Italy on
holidays.
Zápor se u slovesa be tvoří přidáním záporky not.
I am not a doctor.
He is not a dentist.
We are not tired.
They are not here.
U ostatních sloves se zápor tvoří přidáním pomocného slovesa do a záporky not před
plnovýznamové sloveso.
I do not have a car.
He does not live in Brno.
It does not matter.
They do not know about us.
We do not like running.
V neformální komunikaci lze použít zkrácené tvary záporu.
I'm not a doctor.
He's not a dentist.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 6 z 109
We're not tired.
They're not here.
I don't have a car.
He doesn't live in Brno
It doesn't matter.
They don't know about us.
We don't like running.
Otázky se tvoří změnou slovosledu. Na prvním místě je případně tázací zájmeno – kdo,
kde, kdy, co, jak, proč, čí, dále pomocné sloveso, následuje zájmeno a zbytek věty zůstává
stejný jako v oznamovací větě. Odpověď obsahuje zopakování zájmena a pomocného
slovesa.
POZOR! V otázkách a záporech nese rod pomocné sloveso: He lives in Prague ale He
does not live in Brno. He do not lives in Brno. Does he live in Brno? Do he lives in Brno?
Sloveso do může být jak pomocné, tak plnovýznamové: What do you do? – I am a doctor.
Am I a doctor? Yes, I am. No, I am not. No, I'm not.
Is he a dentist? Yes, he is. No, he is not. No, he isn't.
Are we tired? Yes, we are. No, we are not. No, we aren't.
Are they here? Yes, they are. No, they are not. No, they aren't.
Do I have a car? Yes, I do. No, I do not. No, I don't.
Does he live in Brno? Yes, he does. No, he does not. No, he doesn't.
Does it matter? Yes, it does. No, it does not. No, it doesn't.
Do they know about us? Yes, they do. No, they do not. No, they don't.
Do we like running? Yes, we do. No, we do not. No, we don't.
Přítomný čas prostý se používá při popisu obecných faktů, pravidelností a pocitů.
1.2 Vocabulary
1.2.1 Introducing yourself, your family, your hobbies
Hello, how are you? I'm fine, thanks/thank you. And you?
What is your name? My name is …
How old are you? I am twenty-one (years old).
Where do you live? I live in …
Where do you come from? Where are you from? I am from the Czech Republic/I am Czech.
Describe your family. Do you have any brothers or sisters? Yes, I have a … I live with my
parents in a block of flats in Prague. I study medicine. I am a nurse.
What do you do in your free time? I go swimming. I go out with my friends. I like to read
books. I like listening to music. I love gardening. I enjoy going to restaurants.
1.2.2 Numbers, colours, shapes, days, months
0 zero 20 twenty
obor Zdravotnický záchranář – Anglický jazyk
Stránka 7 z 109
1 one 30 thirty
2 two 40 forty
3 three 50 fifty
4 four 60 sixty
5 five 70 seventy
6 six 80 eighty
7 seven 90 ninety
8 eight 100, 200, … one hundred, two hundred, …
9 nine 1 000, 2 000, … one thousand, two thousand, …
10 ten 1 000 000, 2 000 000, … one million, two million, …
1/2 litre half a litre
1/4 kilo a quarter of a kilo
0,29 zero point twenty-nine
5 m2 five square metres
30 m3
thirty cubic metres
1st first 7th seventh
2nd second 8th eighth
3rd third 9th ninth
4th fourth 10th tenth
5th fifth 21st twenty-first
6th sixth 32nd thirty-second
yellow žlutá circle kruh, kruhový, kružnice
red červená square čtverec, čtvereční
blue modrá rectangle obdélník(ový)
green zelená triangle trojúhelník(ový)
brown hnědá oval ovál(ný)
black černá cube krychle
white bílá cubic krychlový
on Monday v pondělí in January v lednu
Tuesday úterý February únor
Wednesday středa March březen
Thursday čtvrtek April duben
obor Zdravotnický záchranář – Anglický jazyk
Stránka 8 z 109
Friday pátek May květen
Saturday sobota June červen
Sunday neděle July červenec
in 2012 v roce 2012 August srpen
in spring na jaře September září
summer léto October říjen
autumn/fall podzim November listopad
winter zima December prosinec
1.2.3 Adjectives, describing appearance
tall vysoký
short malý, krátký
thin hubený
slim štíhlý
fat tlustý
blond blonďatý
light/dark brown hair světle/tmavě hnědé vlasy
pale blue eyes bleděmodré oči
full lips plné rty
long arms dlouhé paže
1.3 Medical English
We can divide the human body in several parts:
 the head,
 the neck,
 the trunk,
 the limbs = extremities.
The head consists of the skull = cranium which protects the brain, and the face. In the face
we can distinguish the forehead, two eyebrows, two eyes with eyelids and eyelashes, the
nose with two nostrils, the mouth with two lips, the tongue and teeth, the cheeks, and the
chin which is formed by the mandible = jaw. Ears and earlobes are on the sides of the head.
The upper and back sides of the head are covered by the scalp with hair. The parts of the
head behind the forehead are called temples. The top of the head is the crown, and the part
under it is the back of the head.
The head is connected with the trunk by the neck. The inside of the neck is called the
throat. Men sometimes have a protruding Adam's apple at the front.
The trunk is divided in the chest = thorax or thoracic cavity in the upper part and the
abdomen (tummy, belly) in the lower. The back is on the other side. The chest is formed by
ribs which are connected by the sternum = breastbone. This creates the ribcage which
obor Zdravotnický záchranář – Anglický jazyk
Stránka 9 z 109
protects the lungs and the heart, and other tissues. On the chest there are breasts and
nipples.
Under the chest and on the side part of the trunk there is the waist and the hip under it.
The abdomen contains other organs such as the stomach, the duodenum, the liver, the
gallbladder, the pancreas, the spleen, the kidneys, the bladder, the small and large
intestines = bowels, and the inner reproductive organs. On the abdomen there is the navel
= bellybutton and the external reproductive organs = genitals in the groins. On the bottom
part of the back there are the loins and the buttocks under them.
The upper limbs or extremities are arms and they are formed by the shoulder, the upper
arm, the elbow which is an articulation = joint, the forearm, the wrist and the hand, which
consists of the palm and the back of the hand, and five fingers = digits. The finger opposite
the others is called the thumb. The first finger is called index finger = first finger, then the
middle finger, the ring finger, and finally the small finger = pinkie, pinky. The joints in the
fingers are called knuckles. At the tip of the fingers are nails. Under the shoulder on the
inner part of the chest there is the armpit = axilla.
The lower limbs are legs joined with the pelvis and constituted by the hip, the thigh, the
knee with the kneecap = patella, the lower leg with the shin in front and the calf in the back,
the ankle and the foot. The foot consists of the dorsum = instep, the sole, the arch, the heel
with the Achilles tendon, and five toes.
The osseous = bony framework that enables people to stand upright is the backbone =
spine = vertebral column which contains the spinal cord. The whole body is covered with
skin which protects the soft tissues under it. There might be freckles on the skin and scars
from injuries or operations.
skull [skal] lebka
forehead čelo
eyebrow obočí
eyelid oční víčko
nostril nosní dírka
cheek tvář
chin brada
earlobe ušní boltec
temple spánek
crown temeno
rib žebro
cavity dutina
tissue tkáň
nipple bradavka
waist pas
hip bok
gallbladder žlučník
spleen slezina
obor Zdravotnický záchranář – Anglický jazyk
Stránka 10 z 109
bladder měchýř
loins bedra
groins slabiny, třísla
forearm předloktí
armpit podpaždí
pelvis pánev
instep nárt
sole chodidlo
arch [arč] klenba
freckle piha
scar jizva
Some adjectives derived from Latin
abdominal břišní
cervical krční
dental zubní
frontal čelní
gastric žaludeční
hepatic jaterní
inguinal tříselný
intestinal střevní
lingual jazykový
mandibular čelistní
oral ústní
osseous kostěný,
kostní
pelvic pánevní
renal ledvinový
spinal [spainl] míšní
umbilical pupeční
urinary močový
vascular cévní
vertebral páteřní
Be careful about irregular nouns:
1 tooth – 2 teeth, 1 foot – 2 feet!
obor Zdravotnický záchranář – Anglický jazyk
Stránka 11 z 109
Parts of the human body
Source: Glendinning a Howard, 2007, s. 130
obor Zdravotnický záchranář – Anglický jazyk
Stránka 12 z 109
Homework
1) Writing
Write an article of around 150 words about yourself. Describe yourself, your life, your family,
your hobbies etc.
2) Grammar
Do exercises in Murphy: Unit 2, Units 72 – 79.
Extra
Practice grammar in jokes and hangman:
http://englishcocktail.blogspot.cz/2012/11/fun-in-hospital.html
Literatura:
BULDOV, Sergej V., MAXEROVÁ, Marie. English for Nurses. Praha: Scientia Medica, 1996.
ISBN 80-85526-61-1.
GLENDINNING, Eric H. a HOWARD, Ron. Professional English in Use – Medicine.
Cambridge: Cambridge University Press, 2007, 175p. ISBN 978-0-521-68201-5.
MURPHY, Raymond. English Grammar in Use with Answers. 3rd Ed. Cambridge:
Cambridge University Press, 2005. ISBN-13 978-0-521-53289-1.
2 Cell and tissues
2.1 Grammar
2.1.1 Present continuous tense
Přítomný průběhový čas se tvoří pomocí tvaru pomocného slovesa be a gerundia.
Gerundium je tvar plnovýznamového slovesa s příponou -ing.
I am washing the dishes.
You are listening to music.
He is doing homework.
We are walking to school.
They are going home.
Zápor se tvoří přidáním záporky not, lze použít i zkrácené tvary:
I am not washing the dishes. I'm not washing the dishes. POZOR! Neexistuje tvar I amn't
washing the dishes.
You are not listening to music. You're not listening to music. You aren't listening to music.
He is not doing homework. He's not doing homework. He isn't doing homework.
We are not walking to school. We're not walking to school. We aren't walking to school.
They are not going home. They're not going home. They aren't going home.
Otázky se tvoří změnou pořadí zájmena a tvaru pomocného slovesa be:
Am I washing the dishes?
Are you listening to music?
Is he doing homework?
Are we walking to school?
Are they going home?
obor Zdravotnický záchranář – Anglický jazyk
Stránka 13 z 109
Tvoření gerundia má svá pravidla. Slovesa končící souhláskou, dlouhou samohláskou
anebo -y obvykle přibírají pouze koncovku -ing:
washing, listening, walking, raining, enjoying, trying, learning, building, playing, being,
doing, going, working, falling, growing, starting, speaking, watching, thinking; agreeing,
fleeing; carrying, worrying, etc.
Ovšem u krátkých sloves (obvykle končících na -t, -p, -n, -m, -r, -g) se poslední souhláska
zdvojuje:
getting, putting, running, tanning, sitting, nodding, rotting, betting, letting, stopping, hopping,
humming, blurring, occurring, begging, etc.
POZOR! Všimněte si, že u sloves, která mají uprostřed dlouhou samohlásku nebo
dvojhlásku, toto pravidlo neplatí:
blooming, roaming, meeting, raining, etc.
Stejně tak u sloves, která končí zdvojenou souhláskou, se třetí souhláska nepřidává:
messing, guessing, etc.
Slovesa končící -e přibírají -ing a koncovka -e zaniká:
writing, having, hoping, gaming, leasing, breathing, bathing, examining, etc.
POZOR! Dávejte pozor na správný pravopis a výslovnost – někdy jedno slovo může změnit
význam celé věty: I was hoping you could help me X I was hopping along the road.
Přítomný čas průběhový se používá pro
1) vyjádření činnosti, která se děje právě teď;
2) popis činnosti, kterou dělám v této době, v těchto dnech, ne nutně v tomto okamžiku;
3) dočasné skutečnosti;
4) popis zlozvyků nebo událostí, které se dějí velmi často nebo dokonce častěji než by
měly;
5) popis budoucí činnosti, která je naplánovaná.
1) I am doing my homework right now.
2) Are you reading the book that I gave you?
3) He is living with some schoolmates at the moment.
4) You're always biting your nails! I'm losing my keys all the time.
5) I'm going to the dentist tomorrow at 8 a.m.
Některá slovesa v průběhovém čase většinou nepoužíváme. Jsou to hlavně slovesa pocitů,
myšlenkových pochodů, smyslová a další:
like love hate want need prefer
know realise suppose mean understand believe remember
belong fit contain consist seem
see hear smell taste – tato slovesa se často používají se slovesem can
I love him. I'm loving him. X I'm loving it = Tohle prostě miluji (i ironicky).
I prefer tea to coffee.
I remember what he said a year ago.
It fits you well!
Can you smell the curry?
obor Zdravotnický záchranář – Anglický jazyk
Stránka 14 z 109
Sloveso think lze použít v přítomném čase prostém i průběhovém, ale s rozdílnými
významy:
- ve významu „myslet si“, „mít názor“ použijeme přítomný čas prostý: I think she is a nurse,
but I'm not sure. What do you think about my idea?
- ve významu „přemýšlet“, „posuzovat“ můžeme použít přítomný čas průběhový: I'm
thinking about what happened. I often think about it. The employees are thinking of giving
up their jobs.
Podobně tak sloveso do:
What are you doing? = your activity now X What do you do? = What is your job?
V obou časech lze použít i slovesa look a feel bez rozdílu významu:
You look great today! = You're looking great today!
Do you feel better? = Are you feeling better?
Tvar (be) being:
Tento tvar se používá při popisu, jak se někdo chová, jak jedná v daný moment:
He is being so selfish today! = He is behaving selfishly today.
2.1.2 Wh- words and relative clauses
Wh- words mají v angličtině funkcí tázacích a vztažných zájmen a příslovcí.
what co What is your name? What do you do? What happened is bad.
who kdo, komu Who is that woman? Who are you? Who did it? Who will you
help?
whom* koho Whom do you see?
which jaký, který Which colour do you prefer? Which one is better?
whose čí Whose dog is it? Whose idea do you support?
where kde, kam Where do you live? Where are my keys? Where are we going?
when kdy, když, až When will we have lunch? – When we get home.
what time v kolik What time did you get up today? What time do we start?
why proč Why did you do that? Why are you writing that email?
how jak How do you say “pes” in English? How are you?
* whom se používá stále méně, objevuje se už téměř jen ve formálních psaných textech.
Při skloňování a tvorbě dalších tvarů se wh- words často pojí s předložkami, které patří na
konec věty:
Who are you going out with? S kým chodíš?
Who are you taking the cake to? Komu neseš ten dort?
Who did you do it for? Pro koho jsi to udělal?
Where are you from? Odkud jsi?
Which classroom are we in? Ve které jsme třídě?
Všimněte si slovosledu ve vedlejší větě. Je to slovosled jako v oznamovací větě.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 15 z 109
Do you know who it is? It is our new teacher.
Do you remember which key it is? It is the green one.
V kombinaci s předložkou na konci věty:
I don't know which classroom we are in.
Should I ask which classroom we are in? X Which classroom are we in?
Relative clauses
Vztažné vedlejší věty jsou důležitým nástrojem, jak spojovat jednoduché věty do
komplexnějších souvětí.
Životná podstatná jména se pojí se spojkou who, neživotná s which. Oba typy podstatných
jmen lze pojit s univerzální spojkou that.
The woman lives next door. She is a doctor:
The woman who lives next door is a doctor. = The woman that lives next door is a doctor.
I know a lot of people who are unemployed. = I know a lot of people that are unemployed.
I work for a company which sells furniture. = I work for a company that sells furniture.
The blender which was broken is working again. = The blender that was broken is working
again.
POZOR! Ve vedlejší větě už se neobjevuje znovu zájmeno jako podmět. The woman who
she lives next door is a doctor.
Všechny tyto vedlejší věty jsou věty podmětné.
Naproti tomu existují věty předmětné, ve kterých lze wh- slova vypustit beze změny
významu.
The woman who I wanted to see was on holiday. (I wanted to see the woman. = předmět)
= The woman I wanted to see was on holiday.
Did you find the keys which/that you lost? = Did you find the keys you lost? (You lost the
keys.)
V podstatě lze říci, že předmětné věty jsou takové, kde za spojkou následuje zájmeno,
vlastní jméno nebo podstatné jméno.
I gave her all the money (which/that) I had.
She told me everything (that) she knew.
I found the ball (which/that) the dog lost.
I saw the girl (who) Tom was talking to.
Všimněte si umístění předložek na konci vedlejších vět:
Tom was talking to a girl. I saw her. – I saw the girl (who) Tom was talking to.
The boy (who) you are going out with is very handsome.
V angličtině nejsou pevně daná pravidla pro interpunkci a její používání se od češtiny
výrazně liší. V krátkých větách se obvykle čárka před spojovacími výrazy nepíše. Naproti
tomu se čárka obvykle píše např. před slovem too na konci věty:
I'm reading this book, too.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 16 z 109
2.2 Vocabulary
2.2.1 Verbs
V následující tabulce jsou nejzákladnější slovesa A – D vybraná ze seznamu 3000
nejčastěji se vyskytujících slov v psané a mluvené angličtině.
Jsou to tedy slova, se kterými se (s přihlédnutí ke zdravotnickému oboru) nejčastěji setkáte
a pomocí kterých lze opsat výraz, který neznáte. Pokračování tabulky je v dalších
kapitolách. Tabulka neobsahuje úplně všechna slovesa, jen ta, která na mírně a středně
pokročilé úrovni využijete.
absorb absorbovat appear objevit se begin začít
abuse zneužívat apply aplikovat, přihlásit se behave chovat se
accept přijmout arrive at,
in
přijet kam believe věřit
adapt přizpůsobit se ask zeptat se belong to patřit komu
admit přiznat, uznat,
přijmout
assist asistovat bend ohnout (se)
advise poradit assure ujistit bite kousat
agree souhlasit attach přiložit block zamezit
allow dovolit attend docházet někam blow foukat, smrkat
analyse analyzovat avoid vyhnout se boil vařit
apologise omluvit se become stát se book zarezervovat
break rozbít, zlomit cancel zrušit clean čistit
breathe dýchat care pečovat close zavřít
bring přinést carry nosit collect sbírat
brush kartáčovat catch chytit compare porovnat
build stavět cause způsobit complain stěžovat si
burn pálit cease zastavit deal with zvládat co
burst propuknout cool chladit decide rozhodnout
buy koupit correct opravit decline odmítnout
call volat cost stát (cena) delay zpozdit
connect spojit count počítat deny popřít
consider posoudit create vytvořit depend záviset
consist sestávat cross překřížit, přejít describe popsat
consult konzultovat cry plakat develop rozvinout
contain obsahovat cut řezat, stříhat die of zemřít na
continue pokračovat change změnit divide rozdělit
obor Zdravotnický záchranář – Anglický jazyk
Stránka 17 z 109
control ovládat check zkontrolovat discharge propustit
cook vařit choose vybrat drink pít
cope with zvládat co damage poničit dry sušit
Tyto seznamy byly sestaveny experty ze společností Longman a Oxford, které se zabývají
anglickým jazykem a vydávají učebnice, slovníky a další příručky pro studenty angličtiny.
Dostupné jsou ve formátech PDF z
http://www.lextutor.ca/freq/lists_download/longman_3000_list.pdf a
http://www.spellingbeemorocco.org/uploads/9/8/3/6/9836076/the_oxford_3000.pdf a bývají
také v tištěných slovnících.
Jak budou vypadat gerundia těchto sloves?
Choose, decline, decide, describe, continue, care, breathe, abuse, bite, advise, …
– koncovka -e odpadne a připojí se koncovka -ing.
Dry, delay, cry, apply, carry, …
– y je v angličtině souhláska, proto pouze přidáme -ing.
Některá slovesa mají své vlastní výjimky:
– die – dying; lie – lying; control – controlling; travel – travelling; occur – occurring; refer –
referring
2.2.2 Jobs
Who works in a hospital?
Nurses and doctors, and other medical workers.
There are many types of medical doctor specialties: general practitioners (GPs), surgeons,
physicians. Surgeons perform surgeries, operations. Physicians work in the branch of
internal medicine.
A cardiologist specializes in diseases of the heart and circulation, or cardiology.
A paediatrician is a specialist in diseases of children, or paediatrics.
An anaesthetist specializes in anaesthetics.
The name of the specialty usually ends in -ology, then the name of the specialist ends in ologist.
If the name of the specialty ends in -ics, the name of the specialist ends in -ician.
However, there are exceptions, such as anaesthetist and anaesthetics, psychiatry and
psychiatrist.
Try to make up correct names of the specialists in:
oncology: an oncologist specializes in/is a specialist in the diagnosis and treatment of
cancer.
pathology
dermatology
obstetrics
traumatology
haematology
obor Zdravotnický záchranář – Anglický jazyk
Stránka 18 z 109
geriatrics
rheumatology
physiotherapy
There is also more than one type of nurses.
A young nurse who is still in training is a called student nurse, or health care assistant. A
nurse who has completed the training and is allowed to work independently is called staff
nurse. A more experienced nurse who is in charge of/is responsible for the whole ward is
called charge nurse. And the nurse at the highest position is called nurse manager, nursing
officer or head nurse who is in charge of several wards or departments.
Unqualified staff or people with only basic qualification are called clinical support workers or
nursing auxiliaries. They assist nursing staff and are usually not allowed to work on their
own and to do important things such as giving injections.
Like doctors, nurses can also specialize. There are midwives and birth attendants who
manage pregnancy and childbirth, nutrition therapists/dietician who advise people on
healthy lifestyle and eating, optometrists/opticians who take care of patients' eyes and sight,
paramedics who help people in all kinds of accidents, dialysis nurses etc.
Nurses perform a lot of different procedures, such as general patient care, checking
temperatures, pulse rates and blood pressures, giving injections, removing sutures
(stitches), changing dressings etc. What are other nurses' responsibilities?
There are other types of workers such as X-ray technicians, and prosthetists and orthotists.
These provide artificial limbs and advise patients on rehabilitation.
general practitioner praktický lékař
surgeon chirurg
physician interní lékař
be in charge of, be responsible for být zodpovědný za
midwife, birth attendant porodní asistentka
paramedic záchranář
perform, carry out provádět
pulse rate pulz
blood pressure tlak krve
remove sutures/stitches odstranit stehy
change dressing vyměnit obvazy
X-ray technician, radiologic technologist radiologický asistent
prosthetist, orthotist protetik, ortotik
2.2.3 What is the weather like?
Když mluvíme o počasí, často říkáme “It is ...” + přídavné jméno.
Přídavná jména se odvozují od konkrétního meteorologického jevu.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 19 z 109
sun → sunny
cloud → cloudy
rain → rainy
wind → windy
snow → snowy
storm → stormy
Dále můžeme použít průběhového času.
It is raining. Prší.
It is showering. Je přeháňka.
It is pouring. Leje.
It is raining cats and dogs. Leje jako z konve.
It is snowing. Sněží.
It is hailing. Padají kroupy.
It is drizzling. Mrholí.
It is thundering. Hřmí.
The sun is shining. Slunce svítí.
The wind is blowing. Vítr fouká.
Temperature:
It is cold/warm/hot/freezing/boiling. Je chladno/teplo/horko/mrazivo/vedro.
Ostatní slova popisují další jevy:
blesk: lightning/a flash of lightning: The building was struck by lightning.
bouře: thunderstorm: A storm with thunder and lightning and usually very strong rain.
hurikán: A hurricane has very strong winds and is usually at sea.
tornádo: A tornado has very strong winds which move in a circle, often with a long narrow
cloud.
vánice: A blizzard is a snow strom with very strong winds.
vánek: A breeze is a very light wind.
zatmění: Eclipse means that you cannot see the sun or the moon.
2.2.4 Clothes
There are many types of clothes: ladies' and gentlemen's clothes, formal and informal or
casual clothes, sports and business clothes, winter and summer clothes, …
Then there are many types of shoes and accessories such as ties, bow ties, jewellery, hats,
belts, gloves, braces …
The clothes that you wear straight on your skin are called underwear. Female underwear is
called panties and bra. Then you might wear a shirt, a T-shirt, a jacket, a sweater and a
coat. Some jackets have hoods, some have zippers or buttons. A T-shirt usually has short
sleeves.
For sports you wear a sweatshirt and sweatpants or leggings and a top. There are also a
few types of coats: raincoat, trench coat, anorak, overcoat, …. On legs you can wear either
tights and a skirt or trousers (pants) and jeans over stockings or socks. Jeans usually have
pockets. If it is cold outside, you might want to wear a scarf and a hat.
If it is raining, it is good to wear wellies which are shoes made of plastic. In summer people
wear sandals or flip-flops, or tennis shoes. For formal occasions, ladies wear high-heeled
obor Zdravotnický záchranář – Anglický jazyk
Stránka 20 z 109
shoes, in winter they wear boots. Gentlemen wear waistcoats under suits and tuxedos
which are often pinstriped.
To bed people wear pyjamas and nightdresses after changing from the bathrobe and
slippers.
Most clothes are probably made of cotton. Sweaters are made of wool. Scarves are made
of silk or wool. Some clothes are made of linen or hemp. Bathrobes are made of towelling.
Jeans are made of denim. Sometimes fabrics are made of artificial materials.
accessories doplňky
casual pro volný čas
tie kravata
bowtie motýlek
jewellery šperky
belt pásek
gloves rukavice
braces šle
underwear spodní prádlo
sweater, jumper svetr
bra podprsenka
hood kapuce
button knoflík
sleeve rukáv
tights punčocháče
stockings podkolenky
pocket kapsa
scarf šátek, šála
tracksuit=sweatshirt and sweatpants sportovní souprava, tepláky a mikina
flip-flops žabky
high-heeled shoes, high-heels boty na vysokém podpatku
boots kozačky, jiné vysoké boty
waistcoat, vest vesta
suit oblek
bathrobe, dressing gown župan
slippers pantofle
cotton bavlna
wool vlna
silk hedvábí
obor Zdravotnický záchranář – Anglický jazyk
Stránka 21 z 109
linen len
hemp konopí
towelling froté
aritificial umělý
(pin)striped (vlasový) proužek
dotted tečkovaný
checked kostičkovaný
plain jednobarevný
tight těsný
loose volný
2.3 Medical English: Cell and tissues
The cell
The cell is the fundamental unit of every living thing (animals, plants). Every tissue and
every organ is made up of these units.
All cells are in a way similar. All contain a gelatinous substance composed of water,
proteins, sugars, acids, fats, and various minerals. This substance is called protoplasm.
There are bone, muscle, nerve, blood, skin cells which have specific structures in common.
Each cell is divided into several compartments.
The structure that surrounds and protects the internal environment of the cell is called cell
membrane. It determines what passes in and out of the cell. It has 3 layers: two made of
proteins and a lipid layer in between.
The nucleus is the controlling unit of the cell. It controls the way the cell reproduces, and
contains the genetic material which determines the functioning and structure of the cell. All
the material in the nucleus is called nucleoplasm or karyoplasm.
The genetic material is composed of the chromosomes. These are 23 pairs of thin strands
of DNA in the nucleus. The chromosomes contain genes which determine our hereditary
make-up. The DNA in the chromosomes regulates the activities of each cell by guiding the
formation of another substance called RNA. RNA is able to leave the nucleus, enter the
cytoplasm and direct the activities of the cell.
Chromosomes differ in size, arrangement and number. This classification is called a
karyotype. Karyotyping of chromosomes is useful in determining whether they are normal in
number and structure.
Outside the nucleus there is cytoplasm. It carries out the work of the cell, e.g. in a muscle
cell, it does the contracting, in a nerve cell, it transmits impulses.
The cytoplasm contains organelles such as mitochondria which are small bodies that
product energy in the cell by burning food in the presence of oxygen. This process is called
catabolism. During catabolism complex structures are broken down into simpler substances
and energy is released. Then there is the endoplasmic reticulum which is a series of canals
in the cell. Some canals contain small bodies called ribosomes which help make proteins
for the cell. This synthesizing process is called anabolism. The processes of anabolism and
catabolism together constitute the total metabolism of the cell. There are more types of
small bodies in the cell, see the picture.
Cells are different = specialized throughout the body to carry out their individual functions.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 22 z 109
For example, a muscle cell is long and slender and contains fibres which help the muscle
contract and relax. A skin = epithelial cell can be square and flat to provide protection. A
nerve cell can be very long and have fibrous extensions which help transmit impulses. A fat
cell contains large empty spaces for fat storage. There are many more types of cells in the
human body.
fundamental základní
unit jednotka
tissue tkáň
acid kyselina
fat, lipid tuk, tukový
substance, matter látka, hmota
compartments oddělení
surround obklopovat
layer vrstva
determine určit
strand pramen
hereditary dědičný
makeup výbava
guide řídit, vést
arrangement uspořádání
carry out vykonávat
contract stahovat
transmit přenášet
burning, combustion spalování
break down rozkládat
release uvolnit
fibre vlákno
fibrous vláknitý
slender štíhlý
square čtverec, čtvercový
flat plochý
extension výběžek
space prostor
storage zásoba, úložiště
obor Zdravotnický záchranář – Anglický jazyk
Stránka 23 z 109
Source: http://www.merckmanuals.com/media/home/figures/FUN_inside_a_cell.gif
The tissues
Epithelial tissue lines the body internally and covers it externally. It is generally attached to a
basement membrane of fibrous tissue. Internally it lines both mucous and serous
membrane. Externally it overlies the dermis to form the outer layer of the skin = epidermis.
The cells of epithelial tissue are situated continuously. There is virtually no intercellular
matrix. The cells can form one or more layers. Single layers are called simple, when there
are more than one layers the epithelium is called stratified.
There are various types of simple epithelium, classified mainly according to cell shape.
Simple epithelium with flattened cells lying edge to edge is called pavement epithelium. It
makes the smooth surface lining the serous membranes of the pleura, pericardium and
peritoneum. It is also found wherever a very thin membrane is required, e.g. in the terminal
vesicles of the renal tubules.
Columnar epithelium contains column-shaped cells. These lie edge to edge, too. Columnar
epithelium lines the mucous membrane of the stomach and the intestines. It also lines the
gallbladder and bile ducts, and the ducts of several glands. The height of the columnar cells
varies from region to region. In some parts of the body such as inside the convoluted
portions of the renal tubules, the cells are so low that their height equals their width. The
epithelium is then called cubical epithelium. In other regions a protoplasmic hair might be
attached to each columnar cell. These hairs are known as cilia and the epithelium is
referred to as columnar ciliated epithelium. It is found in many parts of the body, but most
notably in the nasal cavities.
The most important stratified epithelium is stratified squamous epithelium which forms the
epidermis. As its cells approach the surface they gradually lose their protoplasmic contents
and become flatter and more scale-like = squamous. At the same time the cells in the
superficial layers are gradually converted into keratin, especially in the palmar and plantar
regions. Stratified squamous epithelium also lined the oral cavity, the lower part of larynx,
obor Zdravotnický záchranář – Anglický jazyk
Stránka 24 z 109
the oesophagus, the anal canal and vagina. In these areas there is little keratin and the
epithelium is not so thick.
Other types of stratified epithelium are found. For example, there is a deep layer of conical
and oval cells under the epithelium that lines the mucous membrane of the trachea and the
bronchi.
line, cover pokrývat
attach přiložit, připevnit
basement základ
overlie překrývat
outer X inner vnější X vnitřní
virtually v podstatě
intercellular matrix mezibuněčná hmota
main hlavní
according to podle čeho
pavement epithelium dlaždicovitý epitel
flatten zploštit
edge okraj
smooth hladký
surface povrch
wherever kdekoli
require požadovat, vyžadovat
terminal konečný
renal tubules renální tubuly
column sloup, sloupec
column-shaped sloupcovitý
bile duct žlučovod
gland uzlina, žláza
convoluted zatočený, zahnutý, pokroucený
height výška
width šířka
nasal cavity nosní dutina
gradual postupný
scale-like šupinovitý, vypadající jako šupina
superficial povrchový
convert in/into přeměnit na
obor Zdravotnický záchranář – Anglický jazyk
Stránka 25 z 109
palmar region oblast dlaně
plantar region oblast chodidla
connective tissue (obr.) vazivo
Source: http://nursingcrib.com/wp-content/uploads/tissue-types-picture.jpg
Homework
1) Listening
Watch and listen to this video about the present continuous tense.
Pay special attention to the part about common mistakes.
http://www.youtube.com/watch?v=AEBRIBtq7q0
Write 5 sentences about what is happening around you.
2) Grammar
Do exercises in Murphy: Units 1, 3, 91—94.
Literatura:
KUŽELOVÁ, Barbara., KYBICOVÁ, Hana., WEBEROVÁ, Blažena. English for Medical
Students. Praha: Státní pedagogické nakladatelství, 1989.
MURPHY, Raymond. English Grammar in Use with Answers. 3rd Ed. Cambridge:
Cambridge University Press, 2005. ISBN 978-80-521-53289-1.
3 Blood and blood flow
3.1 Grammar
3.1.1 Past simple tense: regular and irregular verbs
Minulý prostý čas je základním časem pro vyjádření minulosti. Slovesa jsou buď pravidelná
obor Zdravotnický záchranář – Anglický jazyk
Stránka 26 z 109
nebo nepravidelná. Pro pravidelná slovesa platí jednotný způsob tvoření tvaru minulého
času. Nepravidelná slovesa mají každá svůj vlastní tvar, přestože se u nich objevují
podobnosti.
Věta v minulém čase prostém vypadá podobně jako věta v čase přítomném prostém, jen
tvar slovesa je minulý a u všech osob stejný. Nepřidává se tedy koncovka -s k třetí osobě
jednotného čísla jako u přítomného času.
Věta je tedy tvořena zájmenem a minulým tvarem slovesa, případně předmětem a dalšími
určeními.
U pravidelných sloves se minulé příčestí tvoří přidáním koncovky -ed za sloveso.
talk → talked
walk → walked
wash → washed
call → called
mess → messed
watch → watched
open → opened
cook → cooked
boil → boiled
play → played
annoy → annoyed
follow → followed
U sloves končících na -e se přidává jen -d.
agree → agreed
breathe → breathed
close → closed
bake → baked
rape → raped
Pravidelná slovesa, jejichž výslovnost končí na [-t] nebo [-d], přibírají také -ed, ale
koncovka se vyslovuje [-id].
print → printed
delete → deleted
hunt → hunted
rent → rented
complete → completed
mend → mended
start → started
U sloves, jejichž výslovnost končí na [-i], se mění pravopis na -ied.
carry → carried
marry → married
tidy → tidied
hurry → hurried
bury → buried
obor Zdravotnický záchranář – Anglický jazyk
Stránka 27 z 109
worry → worried
U některých pravidelných sloves se zdvojuje koncová souhláska. Jsou to ta, u kterých se
zdvojuje i v gerundiu.
stop → stopped
ban → banned
hop → hopped
scan → scanned
Nepravidelných sloves je asi 250 – 300, každým rokem se jejich seznam mění, protože
některá ubývají (místo dreamt se už více používá dreamed) a některá přibývají, hlavně
díky předponám a spojování s jinými slovy (babysit). Seznam nepravidelných sloves by
měl být v každém slovníku.
Pro tvorbu minulého tvaru nepravidelných sloves neexistuje žádné pravidlo, cvikem lze ale
tvar u neznámého slovesa odhadnout, protože se opakují podobné vzorce tvarů.
Každé sloveso má tři tvary: infinitiv, minulé příčestí a třetí tvar (third form), který se používá
pro tvorbu dalších minulých časů a trpného rodu. Často se každý tvar jinak vyslovuje, proto
je potřeba dávat pozor jak na pravopis, tak na výslovnost.
Mohli bychom nepravidelná slovesa rozdělit na:
1) slovesa, která mají všechny tvary stejné: cut (cut – cut – cut), bet, let, hurt, put, hit, quit,
set, shut, spread atd.
2) slovesa, která končí na -ow – -ew – -own: know – knew – known, blow – blew – blown,
throw – threw – thrown, grow – grew – grown atd.
3) slovesa, která končí na -ught: buy – bought – bought, catch – caught – caught, bring –
brought – brought, think – thought – thought (všimněte si, že všechna mají stejný druhý a
třetí tvar) atd.
4) slovesa, ve kterých se -d mění na -t : bend – bent – bent, send – sent – sent, spend –
spent – spent, build – built – built (i zde mají všechna stejný druhý i třetí tvar) atd.
5) slovesa, ve kterých se dlouhá samohláska zkracuje: bite – bit, fall – fell, feed – fed, meet
– met, shoot – shot, hide – hid, sleep – slept atd.
6) slovesa, ve kterých se dlouhá samohláska mění na jinou dlouhou: break – broke –
broken, speak – spoke – spoken, choose – chose – chosen, steal – stole – stolen (všimněte
si, že všechna tato slovesa končí na -en) atd.
7) slovesa, která dodržují vzor i—a—u: swim – swam – swum, sing – sang – sung, ring –
rang – rung atd.
Nejzákladnější slovesa be, do, have, a go jsou také nepravidelná.
be – was/were – been
do – did – done [dan]
have – had – had
go – went – gone [gon]
Zápor se u všech tvoří použitím pomocného slovesa do v minulostém tvaru a záporky not k
infinitivu kromě u slovesa be. Lze používat zkrácené formy.
did + not + infinitiv
obor Zdravotnický záchranář – Anglický jazyk
Stránka 28 z 109
I did not go out yesterday. I didn't go out yesterday. Včera jsem nešla ven.
He did not like his teacher. He didn't like his teacher. Neměl rád svého učitele.
They did not do it. They didn't do it. Oni to neudělali.
Sloveso be přibírá záporku not nikoli k infinitivu, ale přímo ke tvaru odpovídající osoby.
was/were + not
I was not happy with him. I wasn't happy with him. Nebyla jsem s ním šťastná.
She was not at home. She wasn't at home. Nebyla doma.
We were not at school. We weren't at school. Nebyli jsme ve škole.
You were not very nice to your mum. You weren't very nice to your mum. Nebyl jsi moc milý
na svou maminku.
Otázky se tvoří použitím pomocného slovesa do v minulém tvaru, infinitivu a změnou
slovosledu.
did + zájmeno + infinitiv
Did you go out yesterday? Šel jsi včera ven?
Did he do the homework? Udělal úkol?
Did we send the letter? Poslali jsme ten dopis?
Minulý čas prostý se používá pro vyjádření jednorázových minulých událostí nebo událostí,
které se staly v časovém období, které už skončilo.
I had chicken for lunch. K obědu jsem měla kuře. (Už neobědvám.)
He studied law in France. Studoval právo ve Francii. (Už ho nestuduje.)
Yesterday we went out. Včera jsme šli ven. (Včerejšek už skončil.)
3.1.2 Past continuous tense
V minulé kapitole jsme probírali přítomný průběhový čas a jeho použití. Minulý průběhový
čas je mu velmi podobný jen s tím rozdílem, že se používá pro vyjádření minulých událostí,
které 1) probíhaly po delší dobu, nebo které 2) popisujeme jako okolnosti nějakých dějů.
Tvoří se opět gerundiem slovesa a tvarem slovesa be, tentokrát v minulém čase.
was/were + gerundium
1) We were protesting against the government all day. Protestovali jsme proti vládě celý
den.
The protesters were shouting in the street under our windows for at least three hours.
Protestující v ulici pod našimi okny křičeli alespoň tři hodiny.
2) I was walking home yesterday when I met my friend. Šla jsem včera domů, když tu jsem
potkala mého kamaráda.
Yesterday I came home and my brother was cooking spaghetti. Včera jsem přišla domů a
můj bratr právě vařil špagety.
Přehled přítomného a minulého času prostého a průběhového
Čas Použití Příklad
Přítomný prostý přítomné děje opakované, obecná
fakta, rozvrhy a řády
Water boils at 100 °C. I am a
student. My train leaves at 9.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 29 z 109
Přítomný průběhový přítomné děje v současnosti, v této
době
I am living in the dorms this
year. He is writing a book of
his memories.
Minulý prostý minulé děje jednorázové nebo ve
skončené době
I passed my Maths exam. I
was at home at the
weekend.
Minulý průběhový minulé děje v delším časovém
období, okolnosti děje
I was doing my homework
for 2 hours! He was watching
TV when the phone rang.
Příslovce času a časové sekvence
dnes today
včera yesterday
zítra tomorrow
předevčírem the day before yesterday
pozítří the day after tomorrow
minulý rok, měsíc, týden last year, month, week
příští rok, měsíc, týden next year, month, week
v pondělí, úterý, … on Monday, Tuesday, ...
nejprve first
na začátku at the beginning
potom then, after that
později later
dále next
konečně finally, in the end
na konci at the end
předtím, dříve before (jen na začátku nebo konci věty!)
after po + časový údaj (pouze minulost)
in za + časový údaj (pouze budoucnost)
3.2 Vocabulary
3.2.1 Verbs
earn vydělat gain získat increase zvýšit
ease ulehčit (od
bolesti)
grow růst influence ovlivnit
enter vstoupit guarantee zaručit injure zranit
examine vyšetřit guess hádat justify ospravedlnit
obor Zdravotnický záchranář – Anglický jazyk
Stránka 30 z 109
excuse omluvit guide vést keep nechat si
exercise cvičit hand podat kill zabít
expect očekávat handle nakládat s knock ťukat
experience zažít hang pověsit lack postrádat
explain vysvětlit happen stát se last vydržet
fail zkazit,
zklamat,
nepovést se
heat hřát, topit lay položit
fear obávat se hide skrýt, schovat lead vést
feed krmit hold držet lie ležet
feel cítit hook zahákovat lift zvednout
fill plnit hope doufat limit omezit
fix spravit hurry pospíchat lock zamknout
fold přeložit hurt zranit maintain udržet
force nutit identify identifikovat mark označit
forget zapomenout implement zavést measure měřit
freeze mrznout,
mrazit
improve zlepšit mention zmínit
fulfil splnit include zahrnout mess špinit
3.2.2 Animals
How many animals do you know? There are millions of animal species in the world. We can
divide them in several types. Man is a mammal, just like dogs and cats and monkeys and
cows and so on.
Flies, mosquitoes, butterflies and bees are insects. Crocodiles, turtles, lizards and snakes
are reptiles. Owls and eagles and parrots are birds. Chickens and ducks and turkeys are
poultry. A shark is a fish but a whale is a mammal. Then there are spiders and frogs and
huge numbers of other types of animals.
The animals that we keep at home are pets. Do you have a pet? The most often kept pet
animals in the Czech Republic are dogs and cats.
If we eat animal meat we sometimes call it different names. For example cow meat is beef,
pig meat is pork.
Dogs and cats are soft to touch, because they are covered with fur. They are furry. People
sometimes use animal fur to make clothes. They also use animal skin such as cow or pig
skin to make leather clothes and accessories.
species [spíšíz; spísíz] druh
mammal savec
insect hmyz
reptile plaz
obor Zdravotnický záchranář – Anglický jazyk
Stránka 31 z 109
poultry drůbež
furry chlupatý, huňatý
leather kůže (zpracovaná)
Source: http://i.chzbgr.com/completestore/2010/8/25/b178ab4b-3b7a-4e55-abf0-
37976293b187.jpg
3.2.3 Nature
Nature is the environment we live in. It is the rural nature or countryside, or the urban
nature such as cities, towns and villages. It is the mountains, deserts and jungles. The
sciences that study the nature are called biology and ecology, and others. When we do
something ecological we protect nature from bad impacts of our lives.
The planet Earth is covered mostly by water, be it oceans, rivers or icebergs. There are
continents that we live on: Europe, Asia, Australia, the Americas (North and South America),
Africa, and Antarctica. The imaginary line that divides the Earth into northern and southern
hemispheres is called the equator. The weather is very hot and wet around it while it is very
cold at the poles. The Czech Republic has moderate weather which means there are cold
winters and warm summers. But global warming is changing the weather so sometimes
there are floods in winter and snow in May.
environment (životní) prostředí
rural venkovský
urban městský
impact dopad
obor Zdravotnický záchranář – Anglický jazyk
Stránka 32 z 109
be it ať už to je
iceberg ledovec
imaginary imaginární
equator rovník
moderate mírný
pole pól
floods [flads] záplavy
3.2.4 Cities
Most of European and North American populations lives in urban environment which is
cities and towns. Cities are very big towns with high population density. Houses are very
close to each other, often with many flats in one building, so called blocks of flats. There live
several families in one building, but often the neighbours do not know each other very well.
This is why cities are sometimes criticised for their anonymity. On the other hand, cities
provide a huge number of possibilities and opportunities such as jobs, services, culture,
health facilities, educational facilities and other institutes. Services are shops and offices
that provide goods and other help, e.g. supermarkets, haidressers, car shops, post offices,
newsagent's, banks and other financial services, clothes shops, book shops, pharmacies,
electronics and myriads of others.
If you are shopping for food, you can go a supermarket or to smaller shops. Supermarkets
have everything at one place, but the quality may not be the best. If you want local
products, it is a good idea to try smaller shops. You might want to go to the butcher's, the
baker's, the greengrocer's and the dairy shop. You might also stop by in a sweet shop for a
cake or pie. After the shopping you can sit down in a coffee shop or café, a restaurant, a bar
or a pub. If you are looking for some entertainment try cinemas and theatres, amusement
parks, zoos and so on.
density hustota
provide poskytovat
possibility možnost
opportunity příležitost
service služba
facility zařízení
newsagent's trafika
butcher's řeznictví
baker's pekárna
greengrocer's ovoce zelenina
dairy mléčné výrobky
amusement park zábavní park
obor Zdravotnický záchranář – Anglický jazyk
Stránka 33 z 109
3.3 Medical English: Blood and blood flow
Blood is the red liquid that flows through the vessels. It contains formed elements = blood
cells and a fluid portion called plasma. The formed elements are the erythrocytes = red
blood cells, leukocytes = white blood cells, and thrombocytes = platelets = clotting cells. All
blood cells originate from immature cells called stem cells = haemocytoblasts. These stem
cells mature in the red bone marrow tissue of adults and in the liver and spleen of the
growing fetus. As the cells mature, they differentiate and specialise. Red blood cells lack a
nucleus and carry haemoglobin which is oxygen carrying pigment. When the blood cells
wear out, they are destroyed by special liver and spleen cells. Bile pigments including
bilirubin are formed as waste products from the breakdown of haemoglobin and are
excreted out of the body.
Leukocytes are called white blood cells because they do not carry pigmentation and contain
a large nucleus. There are two major types: granulocytes which contain large granules in
their cytoplasm, and agranulocytes which do not have any. Granulocytes are then divided
into eosinophils, basophils and neutrophils. Neutrophils fight diseases by swallowing up
germs. This process is called phagocytosis.
Agranulocytes are monocytes and lymphocytes. Monocytes are also phagocytic.
Lymphocytes are made in lymphatic tissues such as lymph nodes, the spleen and the
thymus gland, and the bone marrow. They are a source of antibodies which can neutralise
and destroy antigens that might enter the body (bacteria, viruses).
Thrombocytes are the smallest cells. Their primary function is haemostasis = blood clotting.
Plasma contains 91% of water and proteins, salts and sugars, hormones, waste and food
substances. Four major plasma proteins are albumin, globulin, fibrinogen and prothrombin.
The blood and lymphatic systems have many functions. Blood carries vital materials such
as oxygen, nutrients and hormones to tissue cells and transports waste materials such as
carbon dioxide and urea away. Lymph transports needed proteins which leaked out of blood
capillaries back to the bloodstream through the veins. Molecules can leak because capillary
walls are permeable. Blood and lymph protect the human body by carrying disease-fighting
cells and antibodies which combat infection.
But sometimes even blood can become ill. In the investigation of blood diseases, the
simplest test is a full blood count (FBC). In a sample of blood, it measures the amount of
haemoglobin, the number of the three kinds of cells, the volume of the cells, and the
erythrocyte sedimentation rate (ESR) which measures how quickly erythrocytes fall down to
the bottom of the sample.
One of the commonest blood diseases of blood is anaemia. It may be due to blood loss for
example from a chronic bleeding ulcer, excessive destruction of red cells, or low production
for example because the diet lacks iron.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 34 z 109
Source: http://upload.wikimedia.org/wikipedia/commons/2/20/Illu_blood_cell_lineage.jpg
vessel céva
formed element pevná částice
fluid, liquid tekutý
clot srážet se
(im)mature (ne)zralý
stem cell kmenová buňka
bone marrow kostní dřeň
wear out opotřebovat
waste products odpadní látky
breakdown rozklad, rozkládat
excrete vylučovat
germs choroboplodné zárodky
nutrient živina
carbon dioxide CO2
urea močovina
bloodstream krevní řečistě
fight, combat bojovat
blood loss ztráta krve
ulcer vřed
obor Zdravotnický záchranář – Anglický jazyk
Stránka 35 z 109
excessive nadměrný
The heart ensures the blood can circulate. Without circulation, blood would not be able to
carry oxygen to the tissue cells. The normal resting heart rate is about 65 – 75 beats per
minute. In athletes it may be as low as 40 bpm. In extreme athletic activity, the heart rate
can go up as high as 200/min.
The heart rhythm can be regular or irregular = arrhythmia. There may be early beats which
interrupt the regular rhythm = premature beats, or the rhythm may vary with respiration, or it
may be completely irregular as in fibrillation. When patients are aware of the irregularity,
they describe it as palpitations.
Heart failure occurs when the heart is unable to maintain sufficient cardiac output = the
amount of blood pumped by the heart each minute. It may involve the left side of the heart,
the right side, or both. In the left heart failure the main symptom is breathlessness. In the
right heart failure it is peripheral oedema = swelling which starts in the feet and ankles.
Breathlessness is shortness of breath, or dyspnoea. At first this is caused by exertion =
exercise, effort, but in severe cases it may be present even at rest. A patient who is
breathless when lying flat in bed (orthopnoea) will tend to sleep on two or more pillows. The
abbreviation SOBOE is used (short of breath on exertion/on exercise/on effort).
The commonest heart disorders are a heart attack and ischaemic heart disease (IHD).
Ischaemia means lack of blood supply in a particular region. It happens when a vessel is
blocked by pieces of fat.
There are two types of circulation in the human body: the systemic circulation and the
pulmonary circulation. There are similarities and differences between then. The systemic
circulation begins at the aorta, leads oxygenated blood into the body tissues and comes
back into the right atrium through the superior and inferior vena cava. The blood then
continues to the right ventricle through the tricuspid valve. Then it heads for the main
pulmonary artery through the pulmonary valve. This is where the pulmonary circulation
starts. The artery receives the mixed venous blood and branches along the system of
airways. The pulmonary capillaries form a dense network in the alveolar wall which makes
a very efficient arrangement for gas exchange. The oxygenated blood is then collected by
the small pulmonary veins that in the end unite to form four large veins which drain in the
left atrium. Through the mitral valve the blood continues into the left ventricle and to the
aorta through the aortic valve.
At first sight, the pulmonary circulation appears to be simply a smaller version of the
systemic circulation. But there are some differences. The pressures in the pulmonary
circulation are very low. The mean pressure in the main pulmonary artery is only about 15
mm Hg, and the systolic and diastolic pressures are about 25 and 8 mm Hg respectively. By
contrast, the mean pressure in the aorta is about 100 mm Hg while the pressures in the
atria are about 2–5 mm Hg. The pulmonary arteries are thus very thin and contain quite little
smooth muscle. On the other hand, the systemic arteries and the left heart have thick walls
and a lot of smooth muscle. That is because the systemic circulation needs to supply blood
to various organs which may be far above the level of the heart. The thickness of the left
ventricle wall can be up to 1,5 cm!
obor Zdravotnický záchranář – Anglický jazyk
Stránka 36 z 109
Source: http://upload.wikimedia.org/wikipedia/commons/thumb/e/e0/Heart_diagram-
en.svg/500px-Heart_diagram-en.svg.png
ensure zajišťovat
rate míra
beats per minute (bpm) údery za minutu
vary měnit se, kolísat
respiration dýchání
be aware of uvědomovat si
cardiac output srdeční výdej
swelling otok
exertion, effort námaha
heart attack infarkt myokardu
tend to mít tendenci
systemic tělní
pulmonary plicní
atrium síň
vena cava dutá žíla
ventricle komora
tricuspid valve trikuspidální chlopeň
obor Zdravotnický záchranář – Anglický jazyk
Stránka 37 z 109
mixed venous blood smíšená venózní krev
semilunar valve poloměsíčitá chlopeň
branch větvit se
arrangement uspořádání
gas exchange výměna plynů
oxygenated okysličená
mean pressure střední tlak
smooth muscle hladká svalovina
supply dodávat
Homework
1) Reading.
Read this article and look any unknown words up in the dictionary. What other advice can
you give to a patient with this medical problem?
“VARICOSE VEINS
A Word with the DOCTOR
by Dr John Winsor
The Sunday Times of Malta
-----------------------------------------------------------
VARICOSE VEINS affect millions of people, mostly women. Although, to non-sufferers, they
may seem a trivial problem, they can cause a tremendous amount of pain and
embarrassment.
Consisting simply of swollen veins in the legs, it is commonly thought that the only answer
for varicose veins is an operation. That's not true. There are many things that a varicose
vein sufferer can do to ease the problem.
Anyone who has varicose veins and wants to know how to deal with the discomfort should
read through this check list - and follow the instructions I've provided.
Anyone who wants to avoid developing varicose veins would be well advised to read this
advice, too.
1. Avoid getting constipated. Eat plenty of fibre-rich foods such as fresh vegetables and
wholemeal bread.
2. If you're overweight, then go on a slimming diet straight away. Carrying around extra
weight makes it more likely that you'll develop varicose veins - or that if you have varicose
veins they'll become a problem.
3. Don't wear tight garters, belts, corsets or girdles. Any of these items may constrict your
circulation and contribute to the development of varicose, veins.
4. Try to ensure that you always wear comfortable shoes. High-heeled shoes put an extra
strain on your leg muscles.
5. When you sit down, try to get into a position where you can keep your feet flat on the
floor. Don't cross your legs (because that constricts the veins and makes it difficult for blood
to get back through the constricted vessels), and avoid sitting with your legs hanging freely
obor Zdravotnický záchranář – Anglický jazyk
Stránka 38 z 109
over the edge of a chair. (Don't sit on the edge of the table, for example. It compresses the
underside of your thighs and stops the circulation).
6. Do regular but gentle exercises. The best types of exercise are walking, swimming and
cycling. Don't exercise until you are exhausted or in pain.
But do try to make sure that you take some exercise every day.”
Source: http://www.englishmed.com/html/reading/varicose_veins/varicoseveins.html
(4.1.2013)
2) Do exercises in Murphy: 4, 5, 6, 121, 122
Literatura:
GLENDINNING, Eric H. a HOWARD, Ron. Professional English in Use – Medicine.
Cambridge: Cambridge University Press, 2007, 175p. ISBN 978-0-521-68201-5.
KUŽELOVÁ, Barbara., KYBICOVÁ, Hana., WEBEROVÁ, Blažena. English for Medical
Students. Praha: Státní pedagogické nakladatelství, 1989.
MURPHY, Raymond. English Grammar in Use with Answers. 3rd Ed. Cambridge:
Cambridge University Press, 2005. ISBN 978-80-521-53289-1.
4 The skeleton
4.1 Grammar
4.1.1 Modal verbs
Modální slovesa stejně jako v češtině umožňují přiřadit k plnovýznamovému slovesu
modalitu neboli způsob činnosti – možnost, povinnost atd.
Česky Přítomný tvar Minulý tvar Zápor Krátký zápor
moci (schopnost) can could cannot can't
moci (možnost) may might may not –
měl by (doporučení) shall should shall not –
by (podmínka) (will) would will not won't
muset (povinnost) must – must not (nesmět) mustn't
Mají několik vlastností, která je odlišují od plnovýznamových sloves:
- nečasují se. V třetí osobě jednotného čísla nepřibírají koncovku -s,
- nelze je použít jako infinitiv ani rozkaz,
- plní funkci pomocných sloves, tzn. následuje za nimi záporka not a v otázkách stojí na
prvním místě,
- následuje za nimi plnovýznamové sloveso v infinitivu bez to.
Oznamovací věta tedy vypadá takto:
zájmeno + modální sloveso + infinitiv
obor Zdravotnický záchranář – Anglický jazyk
Stránka 39 z 109
Srovnejte:
I can speak English. Mluvím anglicky. (Umím to.) My grandfather could speak five
languages. Můj dědeček uměl pět jazyků.
She can swim but she cannot ride a horse. Umí plavat, ale neumí jezdit na koni.
I can carry the bag for you. Můžu ti nést tašku.
I can help you. Můžu ti pomoct. I could help you. Mohl bych ti pomoct.
We could finish the task by Sunday. Do neděle bychom ten úkol mohli dokončit.
Can you turn the lights on? Můžeš rozsvítit? Could you turn the lights on? Mohla bys
rozsvítit?
Can a could se často používají se slovesy vnímání:
see hear smell taste feel remember understand
I can see the lake from my window.
Can you hear the radio?
I can't smell anything.
Can I taste the cake?
Can you feel this?
I can't remember!
I couldn't understand what the teacher said so I asked again.
Pokud mluvíme o konkrétní situaci, ne o obecné schopnosti, je vhodnější použít tvar be
able to + infinitiv.
The fire was everywhere in the building but fortunately everyone was able to escape.
May I open the window? = Can I open the window? Můžu/smím otevřít okno?
She may/might/can be there now. Už tam může být/už tam možná je.
You may not smoke inside. Vevnitř není dovoleno kouřit.
I shall go now. Už bych měla odejít.
You should go to the doctor, you look ill! Měl bys jít k doktorovi, vypadáš nemocně!
People shouldn't smoke, it's unhealthy. Lidé by neměli kouřit, je to nezdravé.
Shall I leave him a message? Mám mu nechat zprávu?
I must send this email before the PC crashes again. Musím odeslat tenhle email, než zase
zamrzne počítač.
You mustn't break the law! Nesmíš porušovat zákony!
I would like steak with mashed potatoes, please. Dal bych si steak se šťouchanými
bramborami, prosím.
I will have pea soup and bread, please. Dám si hrachovku a chléb, prosím.
I would love to go with you, but I'm really busy. Velmi rád bych s vámi jel, ale jsem opravdu
zaneprázdněný.
Will se především používá pro vyjádření budoucího času.
Minulý tvar modálního slovesa neznamená nutně minulý čas, spíše vyjadřuje větší váhání
nebo formalitu.
Minulý čas se tvoří přidáním minulého infinitivu k minulému tvaru modálního slovesa.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 40 z 109
Minulý infinitiv se tvoří pomocí slovesa have + třetí tvar plnovýznamového slovesa:
modální sloveso + have + třetí tvar
I could have been here earlier, but the traffic was jammed. Mohla jsem tu být dřív, ale byly
zácpy na silnicích.
He might have done it, I'm not sure. Možná to udělal, nejsem si jistá.
We should have bought that new x-ray. Měli jsme koupit ten nový rentgen.
The patient would have died if the doctor hadn't operated him. Pacient by byl zemřel,
kdyby ho doktor neoperoval.
She must have left before we arrived. Musela odejít, než jsme přijeli (= určitě odešla, než
jsme přijeli).
4.1.2 Simple future tense: will
Pro jednoduché vyjádření budoucího času se používá modální sloveso will.
Podobně jako ostatní modální slovesa will nelze časovat a plní funkci pomocného slovesa.
Za ním následuje plnovýznamové sloveso v infinitivu:
zájmeno + will + infinitiv
Budoucí prostý čas se používá pro vyjádření budoucnosti, o které se rozhoduje v okamžiku
promluvy, tzn. která není naplánovaná.
Will you go out tonight? – I don't know yet. I will probably stay at home. I won't go out.
Půjdeš večer ven? – Ještě nevím. Asi zůstanu doma. Nepůjdu ven.
Mary is in hospital. – Really? I will visit her tomorrow then. Mary je v nemocnici. –
Opravdu? Tak to ji zítra navštívím.
What would you like to eat? – I'll have pork ribs please. Co si dáte k jídlu? – Dám si
vepřová žebírka, prosím.
Další situace, kdy využijeme will, jsou např. nabídka pomoci, slib, žádost:
Are you too busy? I'll help you with the housework. Máš moc práce? Pomůžu ti s domácími
pracemi.
I won't tell anyone what happened. Nikomu neřeknu, co se stalo.
Will you please open the window? Otevřeš prosím okno?
Často se will vyskytuje ve větách s následujícími výrazy:
- probably: I will probably stay at home tonight. Dnes asi zůstanu doma.
- I'm sure: I'm sure you will pass the exam. Určitě tu zkoušku uděláš.
- I (don't) think: Do you think she will arrive on time? Myslíš, že přijde včas?
- I wonder: I wonder what will happen. Jsem zvědavá, co se stane.
POZOR! Po výrazu I hope se obvykle používá přítomný čas prostý, i když will je přípustné.
I hope she passes the test. Doufám, že udělá ten test.
I hope it doesn't rain tomorrow. Doufám, že zítra nebude pršet.
4.2 Vocabulary
obor Zdravotnický záchranář – Anglický jazyk
Stránka 41 z 109
4.2.1 Verbs
miss postrádat pack balit press stlačit
monitor sledovat park parkovat presume předpokládat
move hýbat, stěhovat pass projít, minout pretend předstírat
name pojmenovat pause přerušit, udělat
pauzu
prevent předcházet
něčemu
need potřebovat perceive vnímat print tisknout
negotiate vyjednávat,
obchodovat
perform předvádět proceed postupovat
note poznamenat permit dovolit protect chránit
notice všimnout si persuade přesvědčit prove dokázat
object namítat phone telefonovat provide poskytovat
observe pozorovat pick (up) zvednout punch praštit pěstí
obtain získat place umístit push tlačit
occur vyskytnout se plan plánovat put dát, položit
offer nabízet point ukázat (na něco) question dotazovat,
zpochybňovat
open otevřít possess vlastnit quit přestat, odejít
operate operovat pour nalít range být v rozsahu
order objednat, nařídit practise cvičit, trénovat reach dosáhnout
organize organizovat predict předpovídat react reagovat
overcome překonat prefer preferovat realize uvědomit si
owe dlužit prepare připravovat receive přijmout, dostat
own vlastnit present představit recognize poznat někoho
4.2.2 Holidays and travelling
Where do you like to go for holidays? Why? And what is your favourite means of transport?
There are various reasons to travel. To relax from work, people usually prefer to travel
further away from their homes for a longer time. They often go abroad. Some people prefer
to stay at a hotel, lie on the beach and go swimming in the sea. Others like to go hiking in
the mountains, or go sightseeing for some historical monuments.
But work holidays are not the only reason to travel. Most people have to travel to work or
school every weekday. This is called commuting. It is a regular journey to and from the
same places.
Employees at high positions often have to go on business trips. These usually involve
travelling to a certain place, staying at a hotel and having business lunch with the client, and
coming back home the next day.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 42 z 109
Recently, shopping trips became popular. Travel agencies offer cheap one-day trips to
famous shopping cities such as London, Paris, Milano or New York.
You can travel by many different means of transport. You can go by car, by bus, by train or
by plane. Sometimes you need to take a boat or ship. A trip by boat where you stop at a few
places to hop on and off the boat is called a cruise trip.
Public transport is meant for short journeys around the town or between towns. Many
capitals and huge cities have some kind of an underground train. In London, the
underground is often referred to as „the Tube“. In New York, it is called the Metro.
Sometimes your bus or train does not go by the schedule. It is delayed. On other
ocassions, you miss the bus because you were delayed.
means of transport dopravní prostředek
various různý
hiking túra
go sightseeing chodit po památkách
commute dojíždět
regular pravidelný
journey cesta
recently nedávno, v poslední době
travel agency cestovní kancelář
hop on and off naskočit a vyskočit
cruise okružní jízda
public transport veřejná doprava
schedule [šedjul, skedjul]= timetable rozvrh, jízdní řád
delayed zpožděný
ocassion příležitost
miss the bus nestihnout autobus
4.2.3 Sports
Do you like sports? Do you do any sports? What is your favourite sport?
A sport is commonly defined as a sort of game that requires physical activity and involves a
degree of competition. There are many types of sports so we need some classification. We
can divide sports in winter or summer sports and individual or team sports, indoor and
outdoor sports. Athletics involves a lot of different types of events such as running, jumping
and throwing, e.g. long jump, high jump, sprint, hurdle race, discus throw and javelin throw.
They are divided in field events and track events.
Team sports are usually very popular with fans. Football is probably the most popular sport
in the whole world, followed by ice hockey, baseball, rugby, tennis, basketball, volleyball
and so on.
Every country has their own favourite sport which they are best at. Cold northern countries
obor Zdravotnický záchranář – Anglický jazyk
Stránka 43 z 109
are usually very good at winter sports such as skiing and ice hockey, while warmer
countries like football and athletics.
If you want to be a professional sportsman, you need a coach to train you or your team how
to do better. You might need to find sponsors to provide you with money and/or some other
material help. If you are talented and train hard, you might be invited to compete at the
winter or summer Olympic games. They are held every four years in a different city. It is
always a huge event which attracts thousands of fans and journalists. The winners receive
the gold, silver and bronze medals.
Sport is also a suitable activity to keep fit. Doctors say that you should spend at least an
hour three times a week moving. It can be either running, playing football with your children,
dancing, gardening or any other physically demanding activity. This is vital to protect your
body form gaining weight and all the other negative consequences of the sedentary
lifestyle. If you feel down, stressed or numb, jump up and set off!
commonly běžně
sort druh
require vyžadovat
degree stupeň
competition soutěž, konkurence
hurdle race překážkový běh
javelin throw hod oštěpem
field hřiště, pole
track bežecká trať
coach trenér
compete soutěžit
suitable vhodný
vital významný, životně důležitý
gain weight přibrat
consequence důsledek
feel down cítit se depresivně
numb otupělý
set off vyrazit (ven, na výlet)
4.3 Medical English: The skeleton
The skeleton is the bony framework that ensures the firmness of a human body. The
skeleton of an adult consists of more than 200 bones. A typical long bone such as the
humerus or thigh bone has two ends which are wider than the middle part and are covered
by articular cartilage. The middle part is called the shaft or diaphysis and it is covered by a
membrane called periosteum. Inside the bone, there is a cavity filled with bone marrow. The
point where two bones meet is a joint or articulation. Striated = voluntary muscles contract
and relax to ensure movement.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 44 z 109
The joint cavity is enclosed by the capsule which consists of strong fibrous tissue. The
inside of the cavity is lined by synovial membrane, which secretes a viscous fluid. This and
the articular cartileges are necessary for the joint to move with ease.
Names of bones come from Latin but many have English names, too. Look at the table to
learn more.
Latin name English name český název
cranium skull lebka
mandible jaw bone čelist
vertebral column spine, backbone páteř
sternum breastbone hrudní kost
costa rib žebro
clavicle collarbone kost klíčková
scapula shoulder blade lopatka
femur thigh bone kost stehenní
patella kneecap čéška
tibia shinbone kost holenní
The skeleton can be divided in four main parts: the skull, the vertebral column, the ribcage,
and the limbs skeleton.
The skull contains 22 bones and can be divided in the bones of the cranium and the bones
of the face. The spine is composed of 33 vertebrae which are divided into 5 regions:
cervical, thoracic, lumbar, sacral, and coccygeal parts. The ribcage contains 12 pairs of ribs
which are of three types: true, false, and floating ribs. The skeleton of the limbs contains the
shoulder and pelvis girdles that attach the limbs to the trunk, and the bones of the upper
and lower limbs.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 45 z 109
Source:
http://upload.wikimedia.org/wikipedia/commons/thumb/9/94/Illu_long_bone.jpg/250px-
Illu_long_bone.jpg
cervical krční
thoracic hrudní
lumbar bederní
sacral křížový
coccygeal kostrční
Sometimes bones might break. It can happen in sport, in an injury or accident such as a car
crash, or due to a disease such as osteoporosis. This is a disease of older age when the
level of calcium in blood starts to fall which results in bone loss.
A break in a bone is called a fracture. There are a couple of types of fractures.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 46 z 109
Types of fractures
Source: Glendinning a Howard, 2007, s. 40
A greenstick fracture means that the bone is bent but not broken. It occurs mainly in
children.
A displaced fracture means that the broken pieces are separated.
A comminuted fracture means that the bone is broken into several pieces.
An impacted fracture means that the broken pieces are pushed together.
An open fracture means that the skin is open and the bone might stick out.
A pathological fracture might appear in a diseased bone. A stress or fatigue fracture is due
to repeated minor trauma such as long-distance running.
When the fragments of a broken bone join together and heal, they unite. First, the fracture
needs to be replaced – put in the anatomical position, and then fixed. Fixation can be
external, for example by a plaster cast, or internal, for example by a pin or plate and
screws. If a fracture heals displaced it might result in malunion which is an incomplete and
incorrect union.
Fracture treatment
Source: Glendinning, Howard, 2007, s. 40
obor Zdravotnický záchranář – Anglický jazyk
Stránka 47 z 109
ensure zajistit
firmness pevnost
articular cartilage kloubní chrupavka
shaft, diaphysis diafýza kosti
bone marrow kostní dřeň
enclose uzavírat, obalovat
viscous fluid viskózní tekutina
with ease jednoduše, pohodlně
due to kvůli, na základě
fracture zlomenina
greenstick fracture subperiostální zlomenina
comminuted fracture tříštivá zlomenina
impacted fracture impresivní zlomenina
fatigue fracture únavová zlomenina
heal hojit
unite spojit
plaster sádra
plate dlaha
pin, screw hřeb, šroub
displaced dislokovaný
result in vyústit v
malunion špatné spojení
Teeth are also bones. A baby grows milk teeth until about 6 years of age, after that they are
replaced by permanent teeth. A complete set of teeth in one jaw includes 4 incisors, 2
canines, 4 premolars and 6 molars including 2 wisdom teeth.
The tooth has various parts. The crown of a tooth is the part above the gum, the root is the
part embedded in a socket of the jaw bone. There is a neck between these two parts which
is slightly constricted. Raised parts on the crown are called cusps.
Enamel is the material that covers the crown. It is the hardest substance in the human body.
Dentine forms most of the tooth and is covered by cementum on the root. These materials
resemble bone in structure but are harder.
The soft parts of a tooth are pulp and periodontal membrane. The pulp consists of
connective tissue of a dense network of capillaries, lymph vessels and nerve fibres. The
periodontal membrane covers the root and lines the alveolus where it serves as the
periosteum.
If dental and oral hygiene is neglected, dental caries might appear. It happens when the
enamel is damaged by plaque which is a sticky film of bacteria. Sugars and acids attack the
enamel which eventually weakens until a cavity appears. It might lead to a complete decay
of the tooth. Everyday brushing and flossing is recommended by dentists.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 48 z 109
Source:
http://upload.wikimedia.org/wikipedia/commons/thumb/2/2e/Tooth_Section.svg/500px-
Tooth_Section.svg.png
incisor řezák
canine špičák
premolar třenový zub
molar stolička
wisdom teeth zuby moudrosti
crown korunka
root kořen
socket, alveolus zubní lůžko
neck krček
constricted zúžený
cusp hrbolek
enamel sklovina
dentine zubovina
obor Zdravotnický záchranář – Anglický jazyk
Stránka 49 z 109
cementum zubní cement
resemble podobat se
connective tissue pojivová tkáň
pulp dřeň
dense hustý
neglect zanedbávat
dental caries, tooth decay zubní kaz
plaque plak
sticky lepkavý
weaken oslabit
floss zubní nit
Revision
Do exercises in Murphy: Units 21, 22, 26—34, 37.
Write a short presentation on where you would like to work in the future and why.
Literatura:
BULDOV, Sergej V., MAXEROVÁ, Marie. English for Nurses. Praha: Scientia Medica, 1996.
ISBN 80-85526-61-1.
GLENDINNING, Eric H. a HOWARD, Ron. Professional English in Use – Medicine.
Cambridge: Cambridge University Press, 2007, 175p. ISBN 978-0-521-68201-5.
KUŽELOVÁ, Barbara., KYBICOVÁ, Hana., WEBEROVÁ, Blažena. English for Medical
Students. Praha: Státní pedagogické nakladatelství, 1989.
MURPHY, R. English Grammar in Use with Answers. 3rd Ed. Cambridge: Cambridge
University Press, 2005. ISBN-13 978-0-521-53289-1.
5 Medical English: Sense organs
5.1 Grammar
5.1.1 Zero and first conditional
Kondicionály neboli věty podmínkové jsou souvětí tvořená dvěma částmi. Obecně dodržují
strukturu „pokud – tak“, „když – tak“, „kdyby – tak by“, „až – tak“, atd.
V angličtině se podmínkové věty dělí na zero, first, second, third a mixed conditional.
V této kapitole probereme nulový a první kondicionál. Podmínkových spojek je vícero,
nejčastější jsou spojky if (když, jestli, pokud) a when (když, až).
Podmínkové souvětí obsahuje jednu větu hlavní a jednu větu vedlejší, která se nazývá ifclause.
V if-clause nelze nikdy použít budoucí tvar will (kromě výjimečných případů jako je
vysoce formální písemná komunikace).
Zero conditional se tvoří následovně:
obor Zdravotnický záchranář – Anglický jazyk
Stránka 50 z 109
If + podmět + sloveso v přítomném čase, podmět + sloveso v přítomném čase
Nulový kondicionál se používá pro vyjádření obecně platného faktu nebo pravidelného jevu
anebo pro rozkazy.
If water reaches 100 °C it boils. Když voda dosáhne 100 °C, vaří se.
When you are in love your brain is overwhelmed by hormones. Když jste zamilovaní, váš
mozek je zahlcen hormony.
Every time you smoke a cigarette you damage your lungs. Pokaždé, když vykouříte
cigaretu, ničíte si plíce.
Give me a call if you pass the test. Zavolej mi, pokud uděláš ten test.
When she gets money she goes on a shopping spree. Když dostane peníze, utratí je za
nákupy.
If you don't understand, ask your teacher again. Jestli nerozumíš, zeptej se znovu svého
učitele.
Do you tell your parents if you have troubles? Říkáte rodičům, když máte starosti?
POZOR na rozdíl mezi spojkami if a when! Někdy může záměna změnit celý význam věty.
Call me if you are free tonight. Zavolej mi, jestli budeš mít dnes večer čas.
Call me when you are free tonight. Zavolej mi, až budeš mít dnes večer čas.
Všimněte si, že v angličtině se často nepoužívá čárka mezi větami. Používá se hlavně v
dlouhých souvětích pro zlepšení srozumitelnosti.
First conditional je velmi podobný nulovému, ale nyní se v hlavní větě objevuje will pro
vyjádření budoucnosti.
If + podmět + sloveso v přítomném čase, podmět + will + infinitiv
If I pass the test I will be really happy. Jestli udělám ten test, tak budu opravdu šťastná.
If we stay in a hotel it will cost too much. Když budeme bydlet v hotelu, tak to bude příliš
drahé.
They will be very upset if we don't invite them to the birthday party. Budou hodně
naštvaní, jestli je nepozveme na tu narozeninovou oslavu.
The doctors will go on strike if the government doesn't increase the salaries. Doktoři
budou stávkovat, jestli jim vláda nezvedne platy.
When you go out, will you buy me some cheese if I give you money? Až půjdeš ven,
koupíš mi nějaký sýr, když ti dám peníze?
5.1.2 The passive
Passive neboli trpný rod se používá v případě, kdy je významnější předmět než podmět.
Všichni známe větu Made in China – vyrobeno v Číně. Není důležité, kdo to vyrobil, ale
kde. Celá věta by zněla např. This shirt was made in China. Tato košile byla vyrobena v
Číně.
V podstatě anglický passive odpovídá svým tvořením češtině a je proto velmi snadné ho
pochopit.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 51 z 109
Základem je sloveso be v určitém čase a třetí tvar plnovýznamového slovesa. Pokud
chceme přidat původce děje, použijeme předložku by.
podmět + be v čase + third form (+ předmět 1 + by + předmět 2)
Our house was built in 1921 (by some builders). Náš dům byl postaven v roce 1921
(nějakými dělníky – tato informace není podstatná a vlastně ji ani neznáme).
School is finished, you can go home! Škola skončila, můžete jít domů!
I am constantly haunted by nightmares. Neustále mě straší noční můry.
The car was repaired last month and it's broken again! To auto bylo opravované minulý
měsíc a už je zase rozbité!
The flat was redecorated before we moved in. Byt byl rekonstruován, než jsme se sem
přistěhovali.
We don't want to be disturbed. Nechceme být rušeni.
Two million pounds were stolen from the National Bank yesterday. Dva miliony liber byly
včera ukradeny z Národní banky.
Lung cancer is caused by smoking. Rakovina plic je způsobena kouřením.
When were computers invented? Kdy byly vynalezeny počítače?
Danny wasn't invited but he came anyway. Danny nebyl pozván, ale stejně přišel.
We wouldn't be frightened by scary stories. Nebáli bychom se děsivých příběhů.
You should be ashamed of yourself. Měl by ses za sebe stydět. Mělo by ti být stydno.
5.1.3 Adverbs of frequency
Adverbs of frequency jsou příslovce času, konkrétně častosti. Díky nim můžeme vyjádřit,
jak často se něco děje.
Zdroj: Bc. Barbora Drbohlavová
Jejich použití v slovosledu má dvě základní pravidla:
- před plnovýznamové sloveso: I always go to school by bus. Vždy jezdím do školy
autobusem. (Z čehož vyplývá, že se staví za pomocné sloveso: I don't always go to school
by bus. Nejezdím do školy vždy autobusem.)
- za sloveso be: I am usually happy with my family. Obvykle jsem se svou rodinou šťastná.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 52 z 109
5.2 Vocabulary
5.2.1 Verbs
recommend doporučit rescue zachránit select vybrat
record nahrát, zapsat resist odolávat separate oddělit
recover uzdravit se respond odpovídat, reagovat serve sloužit,
servírovat
reduce redukovat rest odpočívat set nastavit
refer odkázat result vyústit shake třást
refuse odmítnout retire jít do důchodu share sdílet
register registrovat return vrátit shave holit
relax odpočívat review revidovat shoot střílet
release uvolnit, propustit ring zavolat, zazvonit sign podepsat
relieve ulevit rise povstat, vstát sleep spát
rely on spoléhat na rub drhnout slip klouzat
remain zůstat run běžet, spustit (test) solve vyřešit
remember pamatovat satisfy uspokojit sort třídit
remind připomenout save zachránit, uložit specify specifikovat
remove odstranit scratch škrábat spill rozlít
repeat opakovat scream křičet split rozdělit
replace nahradit search hledat spoil zkazit
reply odpovědět secure zabezpečit spread rozšířit
report nahlásit seem zdát se, vypadat starve hladovět
require požadovat seize zachvátit stay zůstat, bydlet
5.2.2 Films, music, culture
What is your favourite film? Do you often go to the cinema? What music do you usually
listen to? Do you sometimes go to concerts? And what other kinds of cultural events do you
like going to?
What is a film, anyway? In the past, it was a series of pictures on a strip of plastic which
runs through a projector, projects on a screen and creates the illusion of moving images.
Today, films are becoming more and more digital with many special effects and computer
animation. We even have 3D movies which need to be watched with special glasses that
give you the illusion of 3-dimensional reality around you. But at the beginning, films were
silent because there were no microphones to capture the sound. We all know Charlie
Chaplin! Now we don't only have sound, but we also have complete soundtracks that sell
independently, posters, and other artifacts that fans collect. Film is not only art anymore, it
obor Zdravotnický záchranář – Anglický jazyk
Stránka 53 z 109
is also business and industry that sells and earns huge amounts of money, and sometimes
hundreds of workers are employed to work on one film! Apart from the director, actors and
actresses, the cameramen and soundmen, there are many others that help with the
shooting. Sometimes stunts are needed.
What kinds of films do you know? There are many genres. Apart from the mainstream
Hollywood romantic movies, action films and comedies there are horrors and thrillers,
westerns and alternative cinema, psychological film etc.
How about music? Do you like listening to music? What is your favourite genre?
Music is one of the oldest arts known to man. It has changed through the centuries. We
distinguish classical and modern or popular music. Today, it is quite popular to mix various
genres of music together to create new sounds and experiences.
Do you play any musical instrument? If you play a classical instrument such as a violin,
clarinet, harp or a trumpet you might play in an orchestra. Modern instruments are
electronic guitars, basses and drums. But people often like to combine what seems too
different, such as a philharmonic orchestra and a rock band.
How often do you go to theatres, museums and galleries? These venues are not dusty
places where you have to be quiet anymore. They often have programmes for children and
students to attract them to new cultural experiences. Try to find out more about your local
museum or gallery.
event událost
series série
strip pruh
silent tichý
capture zachytit
artifact artefakt
collect sbírat
actor herec
actress herečka
soundman zvukař
shooting natáčení
stunt kaskadér
genre žánr
mainstream střední proud
cinema kino, kinematografie
century století
distinguish rozlišit
violin housle
obor Zdravotnický záchranář – Anglický jazyk
Stránka 54 z 109
harp harfa
drum buben
dusty zaprášený
venue místo konání událostí
find out zjistit
5.3 Medical English: Sense organs
Humans just as any other animals have 5 senses: sight (vision), hearing (audition), taste,
touch (sensation or feeling), and smell (olfaction). The functions of these senses are
provided by sense organs. For vision it is the eyes, for audition it is the ears, for taste it is
the taste buds, for touch it is the skin, and for smell it is the olfactory regions in the nose.
There are receptors in the sense organs whose sensitive cells are activated by a particular
form of energy or stimulus in the external or internal environment. The sensitive cells
respond to the stimulus by initiating a series of nerve impulses towards afferent sensory
neurons which lead to the according region in the brain.
Sight is probably the most important sense for humans. We receive up to 80% of
information from the outer world by eyes. People who have impaired sight might be blind.
Other symptoms might be double vision (diplopia) or blurring (loss of clarity) often
connected with a glaucoma or cataract.
The black center of the eyes is called the pupil. It can dilate or constrict. Light rays pass a
mucous membrane called the conjunctiva and a transparent fibrous membrane called the
cornea and enter the eye. The cornea bends or refracts the rays of light so that they are
focused properly on the sensitive receptor cells.
The white part of the eye is called the sclera. It is continuous with the cornea on the anterior
surface of the eyeball. The choroid is a membrane that lines the insides of the sclera and
contains many blood vessels which supply nutrients to the eye.
Around the pupil there is a colourful circle called the iris. Circular and radial iris muscles
contract when they react to the amount of passing light. The ciliary body on each side of the
lens contains ciliary muscles which can adjust the shape and thickness of the lens. This
mechanism is called accommodation and it helps refract the light. The ciliary body also
produces a fluid called aqueous humour which fills the anterior chamber of the eyeball. The
fluid in the vitreous chamber is called vitreous humour.
The retina is the sensitive nerve layer of the eye. It is made up of sensitive receptor cells:
rods and cones. Light energy causes a chemical change in the rods and cones and starts
nerve impulses which then travel to the brain through the optic nerve. The place in the eye
where the optic nerve meets the retina is called the optic disc. A yellow spot in the center of
the retina is called macula lutea. In the middle of it, there is a pit called fovea centralis
which is the place of the sharpest vision. Reversely, the blind spot is the place of no vision.
The optic nerve fibres cross. This is called the optic chiasma. The nerves then form optic
tracts that synapse in the thalamus and end in the right and left visual regions of the
cerebral cortex.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 55 z 109
Source: http://academia.hixie.ch/bath/eye/HorzontalSectionOfRightEye.gif
sight zrak
taste buds chuťové pohárky
impaired poškozený
blind slepý
blur zamlžit
loss ztráta
clarity ostrost
cataract šedý zákal
pupil zornice
conjunctiva spojivka
cornea rohovka
bend, refract ohýbat
focus zaostřit
sclera skléra
continuous spojitý
iris duhovka
shape tvar
thickness tloušťka
lens čočka (POZOR! Jednotné číslo!)
accommodation zaostřování, akomodace
obor Zdravotnický záchranář – Anglický jazyk
Stránka 56 z 109
chamber komora
retina sítnice
rods and cones tyčinky a čípky
pit jamka
Hearing does not happen in the earlobe itself. The ear can be divided in three parts: outer
ear, middle ear, and inner ear. The sound waves are received by the outer ear and
transmitted by receptor cells to nerve fibres which lead to the auditory region of the brain in
the cerebral cortex. In the outer ear there is the auricle or pinna, and the external auditory
canal lined with glands that secrete yellowish substance called cerumen.
Sound waves then strike the tympanic membrane or eardrum between the outer and middle
ear. That is formed by three ossicles: the malleus, the incus and the stapes. The canal
which leads from the middle ear to the pharynx is called the eustachian tube. It prevents
damage to the eardrum and shock to the middle and inner ears. It opens when you swallow
thus balancing the atmospheric and middle ear pressures. Sound vibrations reach the inner
ear called the labyrinth. Its bony part, the cochlea, contains the organ of Corti. Cilia in this
organ receive vibrations and relay the waves to auditory nerve fibres which end in the
auditory center of the cerebral cortex.
People who lose hearing are deaf, other problems might be ringing or buzzing (tinnitus).
Talking about touch, loss of sensation is called numbness (anaesthesia), other problems
are tingling or pins and needles (paraesthesia).
Solurce: http://2.bp.blogspot.com/-
9rP5zQi8JjQ/Tgq5PyBRJMI/AAAAAAAAACA/pL2klFpficw/s1600/Ear+Anatomy8.gif
obor Zdravotnický záchranář – Anglický jazyk
Stránka 57 z 109
earlobe boltec ucha
auditory sluchový
yellowish nažloutlý
strike udeřit
eardrum bubínek
ossicle kůstka
malleus kladívko
incus kovadlinka
stapes třmínek
swallow polykat
cochlea hlemýžď
relay předat informaci
deaf hluchý
numbness necitlivost
tingling brnění
pins and needles jehličky
Revision
Do exercises in Murphy: Units 25 and 42.
Watch and listen to one episode of your favourite TV series in English without subtitles.
Then watch it again with English subtitles. Look up words and phrases that you do not
understand and try to remember a few of them.
Literatura:
BULDOV, Sergej V., MAXEROVÁ, Marie. English for Nurses. Praha: Scientia Medica, 1996.
ISBN 80-85526-61-1.
GLENDINNING, Eric H. a HOWARD, Ron. Professional English in Use – Medicine.
Cambridge: Cambridge University Press, 2007, 175p. ISBN 978-0-521-68201-5.
KUŽELOVÁ, Barbara., KYBICOVÁ, Hana., WEBEROVÁ, Blažena. English for Medical
Students. Praha: Státní pedagogické nakladatelství, 1989.
MURPHY, R. English Grammar in Use with Answers. 3rd Ed. Cambridge: Cambridge
University Press, 2005. ISBN-13 978-0-521-53289-1.
6 Medical English: The nervous systém
6.1 Grammar
6.1.1 Future tense: going to
V jedné z předchozích kapitol byl vysvětlen základní anglický budoucí čas. V angličtině se
ale pro vyjádření různých typů budoucích událostí používají různé formy budoucího času.
Tvar will se používá pro vyjádření budoucnosti, o které se rozhoduje v čase promluvy, pro
obor Zdravotnický záchranář – Anglický jazyk
Stránka 58 z 109
žádosti a nabídky a pro spekulace. Pro vyjádření budoucnosti, která je do určité míry
plánovaná nebo předpokládaná a mluvčí už o tématu přemýšlel, se použije následující
konstrukce:
be + going to + infinitiv plnovýznamového slovesa
Sloveso be je zde pomocným slovesem, takže otázky se tvoří změnou slovosledu podmětu
a zápory přidáním not.
I am going to see my friends tomorrow. Zítra uvidím své přátele. Plánuji vidět své přátele.
He is going to apply for the job. Plánuje se ucházet o to zaměstnání.
Are you going to study tonight? Budeš se dneska večer učit? Plánuješ se učit?
I'm not going to tell him. Nebudu mu to říkat.
The director is going to raise the salaries. Ředitel bude zvedat platy. Plánuje je zvedat.
Is she going to have a big birthday party? Bude mít velkou oslavu narozenin?
6.1.2 Future tense: present continuous for future arrangements
Třetím a posledním typem budoucnosti jsou stoprocentně naplánované, očekávané děje.
Typicky jsou to domluvené schůzky, lékařské prohlídky, odjezdy na dovolenou apod.
Pro tyto příležitosti se používá přítomný čas průběhový. Možná se to zdá nelogické, ale
uvědomme si, že podobně se přítomný čas pro vyjádření budoucnosti používá i v češtině:
We are leaving tomorrow at 6 p.m. Zítra odlétáme v 6 večer.
I'm seeing my dentist next Wednesday. K zubaři jdu příští středu.
Are you having dinner with your father tonight? Jdeš dnes na tu večeři se svým otcem?
He is taking the exam on Pathology next week. Jde na zkoušku z patologie příští týden.
What are you doing on Saturday night? Co děláš v sobotu večer?
POZOR! Nejsou to ovšem opakované děje jako např. jízdní řády, programy. Pro tyto situace
se používá přítomný čas prostý.
The train leaves at 8 a.m. Vlak odjíždí v 8 ráno.
Our bus arrives at the station half an hour before leaving. Náš autobus přijíždí do stanice
půl hodiny před odjezdem.
What time does the film start tonight? V kolik dnes večer začíná ten film?
6.1.3 Future tenses revision
usage examples
will unpredicted events, offers and
demands, speculation
I think it will rain today. I will
help you with that bag. Will
you come with me?
going to predicted events, plans I'm going to stay in tonight.
Are you going to invite a lot
of people? Is this going to
take long?
present continuous arrangements, planned events What do you need? I am
obor Zdravotnický záchranář – Anglický jazyk
Stránka 59 z 109
leaving in five minutes.
She is graduating this
summer.
6.2 Vocabulary
6.2.1 Verbs
steal ukrást sweep zametat
step in, on vejít, šlápnout na switch přepnout
stick to, on nalepit, vyvěsit talk povídat
store skladovat taste ochutnat
stress zdůraznit tear trhat
stretch natáhnout tell sdělit
struggle bojovat tend to mít tendenci
submit podřídit se, postoupit thank děkovat
succeed uspět think myslet, přemýšlet
suck sát threaten hrozit, ohrožovat
suffer trpět throw up zvracet
suggest navrhnout tie zavázat
suit hodit se touch dotknout se
supply zásobovat train trénovat
support podporovat transfer přeložit (jinam), poslat
survive přežít translate přeložit (jazykově)
suspect podezřívat treat léčit, pečovat
sustain udržet trust důvěřovat
swap vyměnit, prohodit try zkusit, vyzkoušet
swear nadávat, přísahat turn otočit
6.2.2 Describing personality
How do you describe someone's personality? What would you say is your best friend,
family member or boss like?
Let's divide the characteristics in two groups: positive and negative personality traits.
If someone makes friends easily we say they are friendly. Such people might be kind,
talkative, open-minded, easy-going and optimistic. They can be helpful, tolerant and witty.
Intelligent people are usually thoughtful and reasonable, but sometimes absent-minded.
We all have some negative qualities. Some people are lazy, some are intolerant of other
social groups. Sometimes we get jealous or envious. Employers might be arrogant or
bossy. Some people might be very active and chaotic, some might be rather calm and
obor Zdravotnický záchranář – Anglický jazyk
Stránka 60 z 109
quiet.
Are you an extrovert or introvert? What are you? Extroverts are people who are very
sociable, friendly, easy-going and they are not afraid of communicating with other people.
They usually like to spend their free time with their friends chatting and meeting new
people. Sometimes they tend to show off or boast. Sometimes they might be a little
eccentric and enjoy attention. Introverts on the other hand are usually very quiet and
sensitive. They do not prefer to be in a loud, crowded environment. Sometimes they appear
dreamy or shy. They might feel awkward or clumsy when they have to speak in public. But
they might be very talented and make good friends once you get to know them.
personality trait, quality vlastnost
kind laskavý
talkative ukecaný
open-minded otevřený novým idejím
easy-going pohodový
witty chytrý a vtipný
thoughtful přemýšlivý
reasonable rozumný
absent-minded roztržitý
lazy líný
jealous žárlivý
envious závistivý
bossy pánovitý
calm klidný
sociable společenský
show off, boast vychloubat se
sensitive citlivý
dreamy zasněný
shy stydlivý
awkward podivný, divný
clumsy nešikovný
6.2.3 Adjectives ending -ed and -ing
Some adjectives have both endings, -ed and -ing. But be careful! Each word has a different
meaning! Not all adjectives that end in -ed have their -ing equivalent and vice versa.
Generally speaking, -ed adjectives say how you feel, while -ing adjectives describe the
quality of a thing or another person.
For example, you wouldn't like to say you are boring. But you can use it when you speak
about somebody else:
obor Zdravotnický záchranář – Anglický jazyk
Stránka 61 z 109
This class is so boring! I hate Biology.
Her boyfriend is a really boring guy. He only talks about computers.
X
I'm so bored today! Is there nothing to do?
She is never bored. She's always doing something.
Other examples:
That film was exciting.
X
I'm excited about the concert i'm going to next week.
Oh really? That's interesting!
X
Are you interested in history of art?
The way how he explains things is confusing.
X
I'm confused by his explanation.
Yesterday I heard some disturbing news about the corruption in the government.
X
The killer had a disturbed family background.
boring nudný
bored znuděný
exciting vzrušující
excited vzrušený, nadšený
interesting zajímavý
interested zaujatý, zajímat se o
confusing matoucí
confused zmatený
disturbing šokující, velmi smutný
disturbed narušený
6.3 Medical English: The nervous system
The basic unit of the nervous system is the neuron. It consists of the cell body and its
processes. Each neuron has two types of processes: several short fibres called dendrites
and a single process called the axon which can grow branches along its course. The axon
is the main conducting fibre. Neurons which provide links between other axons are called
internuncial neurons. The dendrites relay impulses to the cell body while the axon relays
impulses away from the cell body. The axon varies in length in different kinds of neurons. In
a motor neuron it can be very long, for example from the cell body in the spinal cord to a
obor Zdravotnický záchranář – Anglický jazyk
Stránka 62 z 109
muscle in the foot. Axons in the internuncial neurons are usually short and difficult to
distinguish from the dendrites.
An unactivated nerve fibre maintains a state of chemical stability with a certain
concentration of potassium inside and outside the lining membrane of a neuron. Its ratio
inside:outside is 30:1. Thus the nerve fibre at rest is electrically charged. A nerve impulse is
a wave of depolarization created by a chemical imbalance. Sodium passes through the cell
membrane and releases potassium. The depolarization of a part of the nerve cell causes
the next segment to be depolarized too. This process goes on until the end of the fibre. The
end is not firmly connected to the next cell but there is a small gap that the chemicals skip.
This functional junction is called a synapse. The most important transmitters are
acetylcholin and noradrenalin, and there are many others, some of them unknown. Once
the synapse was made these chemicals are quickly destroyed by enzymes. The nerve fibre
recharges within milliseconds.
Source: http://webspace.ship.edu/cgboer/neuron.gif
The central nervous system (CNS) consists of the brain and the spinal cord. The peripheral
nerves are those that arise from the CNS and supply all parts of the body. These nerves are
conducting fibres which can be sensory or motor. Sensory nerves innervate our senses
such as the touch, the sight, the taste etc. Motor nerves innervate the muscles, so they are
important for movement.
There are 12 pairs of nerves that arise from the brain. These are called cranial nerves. Five
of them are both sensory and motor nerves. Of these, the most important is the vagus
which supplies the heart, most of the digestive tract, the pharynx and the larynx. Then there
are four pairs of motor nerves and three pairs of sensory nerves.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 63 z 109
In contrast, all spinal nerves contain both sensory and motor nerves. There are 8 pairs of
cervical nerves, twelve thoracic, five lumbar, five sacral and one coccygeal. The spinal
nerves divide in two branches. The posterior branch serves the muscles and the skin on the
back parts. The anterior branches of the thoracic nerves circle the thorax and supply the
intercostal muscles and skin. All the other anterior branches form plexuses or networks of
nerve fibres. These plexuses supply the cervical and pelvic regions and the upper and
lower limbs. Thus each limb nerve contains fibres from several spinal nerves. The sciatic
nerve, which emerges from the sacral plexus to serve the back of the thigh and the leg,
contains fibres from the fourth and fifth lumbar nerves and the first, second and third sacral
nerves.
The brain is a human computer. It contains inner white matter and outer grey matter which
is called the cerebral cortex. The brain can be divided in the left and right hemispheres and
four lobes: the frontal lobe, the parietal lobe, the occipital lobe, and the temporal lobe.
Another diferentiation divides the brain in the forebrain, midbrain and hindbrain, and some
older structures such as the cerebellum, medulla oblongata, hypothalamus etc.
Source: http://upload.wikimedia.org/wikipedia/commons/thumb/1/1a/Gray728.svg/500px-
Gray728.svg.png
Lobes have various functions. For example, the frontal lobe governs memory and intellect,
controls the movement of muscles, determines attitudes and vocal cords. The parietal lobe
analyses pain. The occipital lobe receives visual images. And finally the temporal lobe
receives hearing sensations and controls balance.
process výběžek
branch větev, větvit se
internuncial interneuron
imbalance, inequilibrity nerovnováha
obor Zdravotnický záchranář – Anglický jazyk
Stránka 64 z 109
release uvolnit
gap mezera
functional junction funkční spojení
recharge znovu nabít
innervate inervovat
intercostal mezižeberní
plexus pleteň
sciatic nerve ischiatický nerv
matter hmota
lobe lalok
forebrain přední mozek
midbrain mezimozek
hindbrain střední mozek
cerebellum mozeček
medulla oblongata prodloužená mícha
Homework
1) Reading. Read this article about migraines. Underline words that are new to you and
translate them. Check the pronounciation in a dictionary.
Migraines
MILLIONS of working days are lost each year through migraines and it has been estimated
that just about all of the population have had attacks from time to time.
Persistent sufferers are said to have included Lewis Carroll, Charles Darwin, Sigmund
Freud, Joan of Arc, Rudyard Kipling and Thomas Jefferson.
The symptoms vary a great deal from patient to patient but usually, in addition to a searing
headache, many patients vomit. Before this headache there may also be a warning 'aura'. It
is also common for some sufferers to see flashing lights and visual disturbances.
Migraines usually begin in the sufferer's teens and may persist throughout the unfortunate
victim's life. But the precise cause of migraine, is something of a mystery.
Attacks are triggered off by many different things. Sometimes a specific factor can be the
cause, such as chocolate, cheese, oranges, lemons, shellfish, alcohol, tobacco, bananas or
fried foods.
To find out whether or not any one of these triggers are responsible, a migraine sufferer
must keep a close record of everything that he or she consumes for a month or two. Only
then will a pattern emerge, showing some relationship between migraine attacks and a
particular food.
A more general cause of migraine is stress. When this is the cause, the attack usually
occurs when the individual is relaxing -- often at the weekend, for example.
When an attack occurs, the pain and extreme discomfort can often be relieved to a degree
by the use of ordinary painkillers such as aspirin or paracetamol. If these don't work, then
it's probably best to get a doctor's prescription for one of the more powerful products
available.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 65 z 109
It isn't always easy to deal with the pain and discomfort efficiently and I strongly recommend
that any sufferer try to identify a cause. If the cause is a particular food, then the obvious
answer is to cut it out of the diet -- for a year or two at least.
If stress is the cause, then the answer is either to cut back on stress-producing activities, or
to learn how to relax more efficiently. Preventing migraines takes some effort, but the effort
is usually worthwhile.
Source: http://www.englishmed.com/html/reading/migraines/migraines.html
2) Do units in Murphy: Units 19, 20 and 23.
Literatura:
KUŽELOVÁ, Barbara., KYBICOVÁ, Hana., WEBEROVÁ, Blažena. English for Medical
Students. Praha: Státní pedagogické nakladatelství, 1989.
MURPHY, R.. English Grammar in Use with Answers. 3rd Ed. Cambridge: Cambridge
University Press, 2005. ISBN-13 978-0-521-53289-1.
7 Medical English: The digestive and urinary systems
7.1 Grammar
7.1.1 Present perfect tense
Předpřítomný čas je druh minulého času, který ale v češtině nemá analogii, takže někdy
bývá obtížné jej správně vysvětlit. Jeho logika je ale velmi jasná. Základním použitím
předpřítomného času je jev, který začal v minulosti a trvá doteď. Proto je to čas minulý, ale
jmenuje se předpřítomný – protože má vztah k přítomnosti. Jedná se o nedávný nebo
neukončený děj, životní zkušenost, anebo je důležitý výsledek děje.
Tvoří se pomocným slovesem have/has a třetím tvarem plnovýznamového slovesa. Jeho
tvar tedy vypadá následovně:
podmět + have/has + třetí tvar slovesa
Otázka se tvoří jako jindy změnou slovosledu a zápor přidáním záporky not.
Předpřítomný čas se typicky pojí se slovy jako never, ever, already, yet, just, this week,
this month, this year, today, this morning, since, for atd.
POZOR! Při použití slovesa be jako popisu místa se namísto obvyklé předložky in používá
předložka to.
Příklady životní zkušenosti:
I have never been to India. Nikdy jsem nebyla v Indii.
Have you ever eaten sushi? Jedl jsi někdy sushi?
He has never been married. Nikdy nebyl ženatý (a stále je svobodný).
Have you ever seen a film by Hitchcock? Viděl jsi někdy nějaký film od Hitchcocka?
Nedávný nebo neukončený děj:
They have been married for ten years now. Už jsou deset let manželé.
I have just bought a new carpet this week. Zrovna jsem si tenhle týden koupila nový
obor Zdravotnický záchranář – Anglický jazyk
Stránka 66 z 109
koberec.
Have you done your homework? Máš hotové úkoly?
He hasn't finished yet. Ještě neskončil.
Výsledek:
I haven't passed the exam. Tu zkoušku jsem neudělala.
I have sent the application today. Dnes jsem poslala tu přihlášku.
Have you already washed the dishes? Už jsi umyl nádobí?
He has studied Portuguese since he was ten years old. Učil se portugalsky od deseti let.
Předpřítomný čas má podobně jako přítomný a minulý čas i svou průběhovou formu.
Použití je v podstatě totožné s důrazem na druh situací, ve kterých se předpřítomné časy
používají. Především se klade důraz na výsledek děje a jeho delší průběh.
Tvoří se pomocí třetího tvaru slovesa be a plnovýznamovým slovesem v gerundiu:
podmět + have/has + been + -ing
Examples:
The ground is wet. It has been raining. Země je mokrá. Zrovna pršelo.
Where are you? I've been waiting here for half an hour! Kde jsi? Čekám na tebe už půl
hodiny!
Have you been drinking? Your breath smells. Ty jsi pil? Je ti cítit z úst.
I haven't been working hard today so I need to hurry up to finish my tasks. Moc jsem dnes
nepracoval, tak si musím pospíšit, abych dokončil své úkoly.
7.1.2 Countable and uncountable nouns
Podstatná jména mohou být v angličtině počitatelná a nepočitatelná. Počitatelná podstatná
jména mají jednoduché a množné číslo, např. apple—apples. Lze s nimi použít určitý a
neurčitý člen: an apple—the apples. Pojí se s číslovkami neurčitými many (mnoho) a
few/a few (několik).
Neproti tomu nepočitatelná podstatná jména mají jen jeden tvar, např. sugar a
nepoužíváme člen. Jejich slovesa jsou v jednotném čísle. Pojí se s číslovkami much (moc)
a a little (málo).
POZOR! Některá podstatná jména mohou být v různých kontextech počitatelná nebo
nepočitatelná.
Např.:
There is not enough room in my flat. X There is a free room in my flat.
Nemám v bytě dost místa. X V bytě mám volný pokoj.
There is a hair in my soup. X You have beautiful hair!
Mám v polévce vlas. X Máš krásné vlasy!
Nepočitatelná podstatná jména jsou typicky materiály jako sugar, flour, coal, water, beer,
bread, blood a abstraktní pojmy jako music, love, money, violence atd.
7.1.3 Quantifiers
obor Zdravotnický záchranář – Anglický jazyk
Stránka 67 z 109
Slova jako some, much, many, a lot of, enough se nazývají kvantifikátory, většinou jsou to
číslovky neurčité. Používáme je ve chvíli, kdy chceme vyjádřit množství. Některé se pojí jen
s počitatelnými (C) nebo nepočitatelnými (UC) podstatnými jmény, jiné jsou univerzální.
Následující tabulka shrnuje jejich význam a použití.
C UC example
a lot of mnoho X X There are a lot of cars on roads today. There is a lot
of salt in the meal.
lots of mnoho X X There are lots of cars on roads. There is lots of salt.
many mnoho X There are many cars on roads. Are there many cars?
much hodně X There is much salt in the meal. Is there much salt?
a few několik X There are a few cars in the parking lot.
few málo X There are few chairs. Bring some more!
a little trochu X There is a little salt. Can you buy some?
a (big, small)
number
počet X There was a huge number of cars in the parking lot.
a (big, small)
amount
množství X There was a tiny amount of morphium in his dosage.
some nějaký,
nějací
X X There are some people in the lobby. There is some
dust on the shelves.
any jakýkoli,
žádný
X X There are not any people in the lobby. There is not
any dust on the shelves. Are there any people? Is
there any dust?
no žádný,
jakýkoli
X X There are no people in the lobby. There is no dust on
the shelves.
K číslovkám many a much lze přidat slovo too pro zesílení:
There are too many cars on roads today. Na silních je dnes příliš mnoho aut.
There is too much salt in the meal. V tom jídle je příliš mnoho soli.
Jak je vidět, some lze obvykle použít pouze v oznamovacích větách, pro otázky a zápory
se používá any ve významu žádný nebo jakýkoli. Some v otázkách lze použít ve významu
nějaký nebo trochu, např.:
Can you buy some sugar? Can you buy some apples?
Můžeš koupit (trochu) cukru? Můžeš koupit (nějaká) jablka?
Slovo enough (dost, dostatečně) je trochu zvláštní případ. Ve spojení s podstatnými jmény
stojí před nimi, ve spojení s přídavnými jmény stojí za nimi.
Example:
There is enough room in my flat. V bytě mám dost místa.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 68 z 109
Do you have enough money? Máš dost peněz?
Are there enough chairs? Je tam dost židlí?
X
I am not strong enough to lift this bag. Nemám dost síly zvednout tu tašku.
He is tall enough to reach the upper shelf. Je dost vysoký, aby dosáhl na horní poličku.
Are ready enough for the conference? Jsme dostatečně připravení na tu konferenci?
POZOR! Ve větách, kde se vyskytují podstatná jména se svými přídavnými jmény, je
potřeba dávat pozor na správné umístění slova enough tak, aby nedošlo ke změně
významu.
Example:
There are enough tall boys. Je tam dostatek (vysokých) kluků.
X
There are tall enough boys. Jsou tam dostatečně vysocí kluci.
7.2 Vocabulary
7.2.1 Verbs
twist otočit, zkroutit wash mýt wish přát
understand chápat, rozumět waste plýtvat withdraw přestat, vybrat
peníze
vary různit se, kolísat watch sledovat wonder divit se
visit navštívit wave mávat worry trápit se
wait čekat wear nosit (oblečení) worsen zhoršit
wake vzbudit weigh vážit wound zranit
walk jít pěšky,
procházet se
welcome vítat wrap zabalit, obalit
want chtít whisper šeptat write psát
warn varovat wipe vytřít, setřít
7.2.2 Going shopping and a healthy lifestyle
What is your shopping style? Do you make a shopping list before going out or do you
choose the goods when you see them in the shop?
What you buy of course depends on how you cook and eat. What and how you eat is called
a diet. Some people have a special dietary regime, for instance if they are ill with diabetes
they cannot eat whatever they want, but have to cut down on sugary food. Others limit their
diet voluntarily, for example vegetarians do not eat any meat or meat products. A more
extreme version are vegans who do not eat anything that comes from animals, not even
eggs or milk. There are usually ideologic reasons for this, such as care for nature and the
conditions in which farm animals live and are killed.
Some people suffer from congenital disorders like gluten or lactose intolerance. For them
going shopping is complicated because gluten or milk is in so many products that they have
obor Zdravotnický záchranář – Anglický jazyk
Stránka 69 z 109
to choose carefully. Gluten is in wheat products such as bread and pastry, milk is in dairy
products such as yogurts, cheese, creams etc. These disorders are basically allergies, but
there are many more types of allergies. Typical allergens are red fruits such as strawberries
and tomatoes, soya and nuts – mostly peanuts. If you know you are allergic to some foods
you need to be very careful about the ingredients of a product.
Your health depends on what you eat but also on what your general lifestyle is. The basic
rule of a healthy body is a balanced diet that ensure a balanced caloric intake. You can see
in the picture that the bottom line shows eight glasses of water. Liquids are extremely
important for the human body as it is 70% water. Enough volume is important for all organs,
but mainly for the kidneys. The biggest part of a day's intake should be rice and pasta, and
cereals. They contain carbohydrates, proteins and minerals. The next stage is represented
by fruits and vegetables, both containing vitamins and other essential substances such as
selen and iron. A lesser part is dedicated to dairy products like milk and cheese that contain
calcium which is necessary for strong bones, and meat and nuts which again bring proteins
and minerals. Only the smallest part of your diet should be fatty and sweet foods as they
make you gain weight.
Generally speaking, your caloric intake should be in balance with your energy output. If you
want to lose some weight, you should think about what you eat and in what amounts. A
sedentary job is not very helpful either. Remember that it is good for your health to do some
kind of an intensive movement three times a week, be it a long walk, a run with your dog,
exercising in a fitness centre or cycling. This is not only vital to lose some weight but also to
make your heart stronger and protected against a heart attack.
Source: http://www.whale.to/a/food_pyramid.gif
obor Zdravotnický záchranář – Anglický jazyk
Stránka 70 z 109
7.3 Medical English: The digestive and urinary systems
The digestive system is also called the gastrointestinal tract. The process of digestion
begins in the oral cavity = mouth. The mouth contains the tongue and teeth. There are three
pairs of salivary glands that produce a fluid called saliva. It is released from the parotid,
submaxillary and sublingual glands and poured in the mouth.
Food passes from the mouth to the pharynx which contains the tonsils. They act as a filter
to protect the body against microorganisms and produce lymphocytes which are able to
fight disease. The pharynx opens in the oesophagus. It is a muscular tube that leads to the
stomach.
The stomach has three parts: the fundus, the body with its greater and lesser curvatures,
and the antrum. The openings that allow the food go in and out of the stomach are
controlled by rings of muscles called sphincters. The cardiac sphincter is at the end of the
oesophagus and the pyloric sphincter lets the food go on after digestion. The lining mucous
membrane in the stomach secretes a huge amount of mucus, hydrochloric acid and
enzymes. Then there are gastric juices secreted that produce an enzyme pepsin to convert
proteins to smaller substances called peptones. Hydrochloric acid is necessary for the
proper action of pepsin. The stomach serves to prepare food chemically and mechanically
for the passage in the small intestine, further digestion and absorption.
The small intestine begins with the duodenum from where the food passes in peristaltic
waves to the jejunum and finally to the ileum. The wall of the small intestine is covered with
tiny finger-like structures called villi (sg. villus). They have a dense capillary network so they
ensure the passage of food nutrients to the blood stream.
The colon = large intestine extends from the ileum to the anus. It is composed of the cecum
with the vermiform appendix (blind intestine), the ascending, transverse and descending
colon, the pelvic or sigmoid colon, and the rectum. The large intestine receives the fluid byproducts
of digestion. Water is reabsorbed in the blood stream and solid materials are
excreted from the body as faeces = stool in the process of defecation.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 71 z 109
Source:
http://upload.wikimedia.org/wikipedia/commons/thumb/8/82/Stomach_colon_rectum_diagra
m.svg/500px-Stomach_colon_rectum_diagram.svg.png
The liver, the gallbladder and the pancreas access the digestive system. They are key for
proper digestion and absorption of nutrients. The liver produces a thick fluid called bile
which is stored in the gallbladder. Without bile, most of the food would remain undigested.
The liver also keeps the amount of glucose in blood at a normal level, produces protein
substances, destroys worn-out red cells, removes poisons and toxins form the blood, forms
antibodies to fight diseases, produces urea, etc.
The pancreas is both an exocrine and endocrine organ. It secretes pancreatic juice which
helps to break down food. It produces a hormone called insulin which controls the use of
sugars in the body.
Source: http://askus.unitedspinal.org/index.php?pg=file&from=2&id=236
digestion trávení, zažívání
salivary glands slinné žlázy
saliva sliny
tonsil mandle
curvature záhyb
sphincter svěrač
intestine střevo
obor Zdravotnický záchranář – Anglický jazyk
Stránka 72 z 109
colon tlusté střevo
vermiform appendix červovitý přívěsek
ascending vzestupný
descending sestupný
solid pevný
faeces/feces = stool stolice
bile žluč
poison jed
The urinary system is composed of several parts. The most important are of course the
kidneys. They are two bean-shaped organs situated behind the abdominal cavity in the
lumbar region. They are embedded in a cushion of adipose tissue and surrounded by
fibrous connective tissue for protection. They consist of an outer cortex part and an inner
medulla part.
Then there are two ureters which lead urine in peristaltic waves from the kidneys to the
urinary bladder. They are muscular tubes lined with mucous membrane.
The urinary bladder is a hollow, muscular, distensible sack in the pelvic cavity. It serves as a
temporary reservoir for urine.
Finally, the membranous tube through which urine is discharged from the bladder is the
urethra. The discharge is called micturition.
Source: http://s2.hubimg.com/u/7624645_f260.jpg
The kidneys are a very sensitive organ that produces urine. Blood leads to the kidneys
directly from the aorta through renal arteries. Each of these arteries branches in many
arterioles which are thin so the blood passes through them slowly. Blood flow through the
obor Zdravotnický záchranář – Anglický jazyk
Stránka 73 z 109
kidneys is essential so they have their own special mechanism to maintain it. If blood
pressure falls so that the blood flow decreases, the kidneys produce renin and discharge it
in the blood. Renin stimulates the contraction of arterioles so that the blood pressure
increases and the blood flow returns to normal.
Each arteriole in the kidney cortex breaks up in tiny intertwined capillaries in the shape of a
ball called glomeruli (sg. glomerulus). There are thousands of them in one kidney.
The process of urine formation begins in the glomerulus as water, salts, sugar, urea and
other wastes such as creatinin and uric acid filter out in a cup-like structure called
Bowman's capsule which encloses each glomerulus. Large molecules such as proteins
remain in the blood stream and cannot pass through the walls.
But it is not desirable to discharge water, sugars etc. These substances need to be
reabsorbed back in the blood stream. This process takes place through the tubules that
lead from Bowman's capsules. They are called renal tubules. Now the fluid is quite
concentrated and contains only waste and water. Renal tubules reabsorb about 90% of the
primary urine.
Moreover, acids and other unnecessary substances are secreted in the distal renal tubules
from the blood stream. They merge and form the renal pelvis, a space that fills most of the
kidney medulla. They narrow in the ureter which carries the urine to the bladder. The exit
area between the bladder and the urethra is closed by sphincters which keep the urine in
the bladder. When it fills up, though, the muscles begin to contract which causes the desire
to urinate.
Source:
http://www.urologyhealth.org/urology/articles/images/anatomy_Kidney_midsagital.jpg
embed uložit
obor Zdravotnický záchranář – Anglický jazyk
Stránka 74 z 109
cushion vycpávka
surround obklopovat
cortex kůra
medulla dřeň
ureter močovod
urine moč
urinary bladder močový měchýř
urethra močová trubice
micturition močení
hollow dutý
distensible roztažitelný
discharge vylučovat
intertwine proplést
desirable žádoucí
merge spojit se
renal pelvis ledvinová pánvička
narrow úzký, zúžit
Homework
1) Writing. What are your shopping and eating habits? Describe your lifestyle in 350 words.
2) Grammar. Do Units in Murphy: Units 7—14, 69—71, 85—87, 103.
Literatura:
KUŽELOVÁ, Barbara., KYBICOVÁ, Hana., WEBEROVÁ, Blažena. English for Medical
Students. Praha: Státní pedagogické nakladatelství, 1989.
MURPHY, R. English Grammar in Use with Answers. 3rd Ed. Cambridge: Cambridge
University Press, 2005. ISBN-13 978-0-521-53289-1.
8 Medical English: The respiratory systém
8.1 Grammar
8.1.1 Used to
Tvar used to lze považovat za druh minulého času. Používáme ho při popisu událostí, které
se především ve vzdálené minulosti děly pravidelně a opakovaně. V češtině jsou
ekvivalentem tvary „bývalo“, „chodívala jsem“, „jezdívali jsme“ atd.
Druhým významem je popis jevů, které už neplatí.
Jeho tvoření je velmi jednoduché. Za tvar used to přidáváme pouze infinitiv. Je potřeba
dávat pozor, aby se v záporných větách a otázkách tvar used to změnil na use to.
podmět + used to + infinitiv
obor Zdravotnický záchranář – Anglický jazyk
Stránka 75 z 109
Examples:
I used to go to my granma's house for holidays when I was small. Jezdíval jsem k babičce
na prázdniny.
My parents used to travel a lot when they were young. Moji rodiče hodně cestovali, když
byli mladí.
You didn't use to smoke when we were in high school. Když jsme byli na střední, tak jsi
nekouřil.
I didn't use to like him but then I found out he's not so bad. Neměla jsem ho ráda, ale pak
jsem zjistila, že není tak špatný.
Did you use to be a little overweight when you were a child? Bývals jako dítě trochu při
těle?
I used to live alone but I no longer do. Dřív jsem žil sám, ale teď už ne.
Velmi často tento tvar používáme, když mluvíme o dětství. Je to takzvaný vyprávěcí čas,
hodí se pro popis událostí v příběhu, který se odehrával v minulosti.
8.1.2 Second conditional
V páté kapitole jsme probrali zero a first conditional, které se používají pro popis
obecných faktů a jednoduchých podmínek s vysokou mírou pravděpodobnosti.
Druhý kondicionál se používá pro vyjádření podmínek, které jsou málo pravděpodobné, a
pro velmi formální žádosti.
Jeho tvar je odvozen od prvního kondicionálu s tím, že se celá tato podmínka posune do
minulého času v hlavní větě a podle časové souslednosti do would ve vedlejší větě:
If + podmět + sloveso v minulém čase + podmět + would + infinitiv
Examples:
If I won a lottery I would buy a Ferrari. Kdybych vyhrála v loterii, koupila bych si Ferrari.
If you woke up on time we wouldn't be late now! Kdybys vstal včas, neměli bychom teď
zpoždění!
I would travel around the world if I had the money. Kdybych měla tolik peněz, cestovala
bych kolem světa.
Would he do it for you if you asked him? Udělal by to pro tebe, kdybys ho o to požádala?
I wouldn't hesitate if I had the opportunity! Neváhal bych, kdybych měl tu příležitost!
If I could have a superpower I would like to be invisible. Kdybych mohla mít nějakou
nadlidskou vlastnost, chtěla bych být neviditelná.
8.1.3 Comparatives and superlatives
Komparativy a superlativy jsou stupňovací tvary přídavných jmen a příslovcí. V angličtině je
jejich tvoření téměř pravidelné kromě několika málo výjimek.
Obecně lze jejich tvoření rozdělit na dva způsoby: pro krátká slova se přidává koncovka -er
pro komparativ a pro superlativ se přidává určitý člen the a koncovka -est. U dlouhých slov,
tzn. u většiny slov o dvou a více slabikách, se nepřidávají žádné koncovky, ale stupňování
se vyjadřuje přidáním slov more pro komparative a the most pro superlativ.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 76 z 109
Examples:
Short words:
cheap → cheaper → the cheapest
long → longer → the longest
nice → nicer → the nicest
rich → richer → the richest
U slov končících na -y [-i] a slov s krátkou samohláskou a jednou souhláskou na konci
dochází ke změnám v pravopisu:
happy → happier → the happiest
healthy → healthier → the healthiest
easy → easier → the easiest
friendly → friendlier → the friendliest
thin → thinner → the thinnest
big → bigger → the biggest
sad → sadder → the saddest
hot → hotter → the hottest
Long words:
important → more important → the most important
patient → more patient → the most patient
exciting → more exciting → the most exciting
Lze stupňovat i příslovce a to jako dlouhá slova:
more slowly
more quietly
more carefully
Superlativ příslovcí se většinou nepoužívá, bývá nahrazen superlativem přídavného jména.
Nepravidelná přídavná jména a příslovce jsou good/well, bad/badly a far.
good → better → the best
bad → worse → the worst
far → further → the furthest
Pro srovnávání vlastností dvou objektů používáme slovo than = než:
Lze použít i quantifiers, tedy slova, která dodají další rozměr, jako jsou much (mnohem), a
little, a bit (trochu) apod. Nelze použít slova many a very.
I am taller than you. Jsem vyšší než ty.
He runs faster than her. On běží rychleji než ona.
This film was more interesting than the one we saw on Monday. Tenhle film byl
zajímavější než ten, který jsme viděli v pondělí.
I know her better than you do. Znám ji lépe než ji znáš ty.
This album si the best they have recorded. It's much better than the last one. Tohle album
je to nejlepší, co nahráli. Je mnohem lepší než to poslední.
Is this the most important issue? Let's talk about something more relevant. Je tohle to
obor Zdravotnický záchranář – Anglický jazyk
Stránka 77 z 109
nejdůležitější téma? Pojďme se bavit o něčem relevantnějším.
Se superlativy se často používá předpřítomný čas:
His paintings are by far the ugliest I have ever seen. Jeho obrazy jsou zdaleka to
nejošklivější, co jsem kdy viděla.
This was the best party I've been to in ages. Tohle byla nejlepší party, na které jsem za
dlouhou dobu byla.
8.2 Vocabulary
8.2.1 Living faster, living in cities
It seems that the world is spinning faster today as we witness an unbelievably rapid
technology development, increased migration of people and communication hype. There is
more of everything: news, information, mobile phone numbers... Especially in cities, the life
is incredibly fast. People are forced to work harder to succeed, they want to travel further,
climb higher mountains, see more places, be more independent, feel and look younger, live
longer and better than their parents and grandparents. Such a lifestyle might be stressful to
many people, especially the older ones who have troubles trying to adapt to the increased
speed of life.
Living in big cities involves the possibility to meet many interesting people, but also greater
anonymity. In smaller towns people know each other better and are more ready to help
each other. Big cities might offer more culture but less nature, towns are quieter but might
lack services. These are reasons why people move. Younger people usually prefer the
urban lifestyle and migrate for education and new life challenges. Older people would
probably go for less chaos and a closer community.
“High speed” is probably today's motto. We want everything quick: internet connection,
public transport, highways, careers. We want to have holidays, gifts, houses, cars,
electronic appliances right now so we take loans from banks or private companies and then
we pay them back at high interests. We prefer careers to families and suffer from infertility.
Of course this is not true for everyone, but the overall trend is to achieve our goals more
quickly, more efficiently and more independently.
spin otáčet se
witness být svědkem
unbelievably, incredibly neuvěřitelně
hype horečka, vzrušení
be forced to být nucen
succeed uspět
lack postrádat
challenge výzva
electronic appliance elektronické zařízení
loan půjčka
interest úrok
obor Zdravotnický záchranář – Anglický jazyk
Stránka 78 z 109
infertility neplodnost
overall celkový
achieve a goal dosáhnout cíle
8.3 Medical English: The respiratory system
The respiratory system describes how breathing = respiration and gas exchange take place
in the human body.
Air enters the body through the nose and passes through the nasal cavities which are lined
with mucous membrane and fine hairs called cilia. These hairs help filter out foreign bodies
and warm and moisten the incoming air. Behind the nasal cavities there are the paranasal
sinuses which are located within the cranium and filled with air. They also have mucous
membrane lining and their function is to provide the lubricating fluid mucus as well as to
lighten the skull bones and help produce sound.
Then the air reaches the throat = pharynx. We can divide it in three parts top-down: the
nasopharynx, which contains the adenoids. They might obstruct airways if enlarged. Closer
to the mouth is the oropharynx where the tonsils are located. And the third part is the
hypopharynx = laryngopharynx. Here the pharynx divides in two passageways: the larynx
for air, and the oesophagus for the food. The larynx contains the vocal cords and cartilages
for support. The vocal cords are the key organ that lets people produce sounds. Those are
made as air is expelled from the lungs and the cords vibrate. Their tension determines the
high or low pitch of the voice.
Epiglottis is the little valve that prevents food from entering the airways. It is a flap of
cartilage attached to the root of the tongue which acts as a lid over the larynx. It lies over
the mouth of the larynx which is called glottis. When we swallow the glottis moves under the
epiglottis automatically and closes off the larynx so that food cannot enter it.
After passing the larynx the air goes on to the trachea = windpipe. In the region of
mediastinum, the trachea divides in two branches called bronchi. Each bronchus leads to a
separate lung and subdivides into smaller and finer tubes. The tiniest tubes are called
bronchioles. At their end there are clusters of air sacks called alveoli. They have very thin
walls which allow for the exchange of gases between the alveolus and the capillaries. The
blood which flows through the capillaries accepts oxygen from the alveolus and deposits
carbon dioxide in the alveolus to be exhaled.
Each lung is enveloped in a double folded membrane called the pleura. Its outer layer is the
parietal pleura and the inner layer is the visceral pleura. The two lungs are not identical.
The right lung is divided into three lobes while the left one in only two lobes. The lungs
extend from the collar bone to the diaphragm in the thoracic cavity. The diaphragm is a
muscular partition which separates the thoracic and abdominal cavities. The diaphragm
contracts and descends with each inspiration = inhaling, breathing in, and relaxes and
ascends with expiration = exhaling.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 79 z 109
Source: http://webschoolsolutions.com/patts/systems/lungs.gif
gas exchange výměna plynů
enter vstoupit do
nasal cavities nosní dutiny
cavity, sinus dutina
foreign bodies cizí tělesa
warm and moisten ohřát a zvlhčit
lighten odlehčit
adenoids žlázy
airways dýchací cesty
obstruct blokovat
enlarged zvětšený
tonsils mandle
vocal cords hlasivky
expell vyloučit, vytlačit
tension napětí
pitch tón
gadget pomůcka
obor Zdravotnický záchranář – Anglický jazyk
Stránka 80 z 109
flap cíp
lid poklička
windpipe průdušnice
tiny drobný
cluster hrozen, trs
alveolus plicní sklípek
deposit odložit
carbon dioxide oxid uhličitý, CO2
envelope obalit
lobe lalok
diaphragm bránice
partition přepážka
ascend – descend stoupat – klesat
inspiration – expiration nádech – výdech
Some complications connected with the respiratory system
A cough is a common symptom of upper respiratory tract infection and lung disease. A
cough may be productive = loose, where the patient coughs up sputum= phlegm, or nonproductive
= dry, where there is no sputum. Sputum may be clear or white (mucoid), yellow
due to the presence of pus (purulent), or blood-stained (as in haemoptysis). Lung diseases
are often connected with dyspnoea, which is basically getting short of breath.
Doctors examine the patient's breathing by auscultation = listening to the chest with a
stethoscope. There are two main added sounds: crackles which sound like hairs being
rubbed together and suggest the presence of fluids in the lungs, and wheezes which are
more musical, perhaps like whistling, and indicate narrowing of the airways. This is typical
for asthma. The sound heard when the pleural surfaces are inflamed as in pleurisy is called
a pleural rub. The doctor might ask the patient to say some words to check their vocal
resonance. It may be increased as in pneumonia or decreased as in pneumothorax.
There are more lung diseases such as tuberculosis which is quite infectious and life
threatening although patients might live many years after contracting it.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 81 z 109
Healthy lungs
Source: http://4.bp.blogspot.com/-
9JadtjswWKY/UBqypjyWhiI/AAAAAAAAABs/eaysS4wmUjY/s1600/X-ray-Chest.gif
obor Zdravotnický záchranář – Anglický jazyk
Stránka 82 z 109
Lungs that suffer from tuberculosis
Source: http://www.healthyfeeds.com/wp-content/uploads/2010/03/tuberculosis-xray.jpg
cough kašel, kašlat
phlegm [flem] hlen
pus hnis
auscultation poslech
whistle pískat
narrow úzký, zúžit
inflamed zanícený
get short of breath nemoci popadnout dech
threaten hrozit, ohrožovat
contract (a disease) onemocnět čím
Homework
Grammar. Murphy Units 18, 105—108.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 83 z 109
Literatura:
GLENDINNING, Eric H. a HOWARD, Ron. Professional English in Use – Medicine.
Cambridge: Cambridge University Press, 2007, 175p. ISBN 978-0-521-68201-5.
KUŽELOVÁ, Barbara., KYBICOVÁ, Hana., WEBEROVÁ, Blažena. English for Medical
Students. Praha: Státní pedagogické nakladatelství, 1989.
MURPHY, Raymond. English Grammar in Use with Answers. 3rd Ed. Cambridge:
Cambridge University Press, 2005. ISBN-13 978-0-521-53289-1.
9 Medical English: Diseases
9.1 Grammar
9.1.1 Expressing opinions, agreement and disagreement
To say you agree or disagree with your partner in conversation and to say what you think is
vital in any language. In English, there are various phrases how to do that. Let's look at
expressing your own opinions first.
The most often used phrase will probably be “I think (that)“. But to use only this one would
be a little boring. Let's spice up our vocabulary by some more useful phrases. There are a
few that have a quite similar meaning to “I think (that)“:
I guess (that) ... Hádám, že ...
I reckon (that) ... Počítám, že ...
I bet (that) ... Vsadím se, že ...
I suppose (that) ... Předpokládám, že ...
I believe (that) ... Věřím, že ...
I feel (that) ... Cítím, že ...
I estimate (that) ... Odhaduji, že ...
I doubt (that) ... Pochybuji, že ...
In my opinion, ... Podle mého názoru ...
According to (what I think/what I read/my mum/these numbers/...) Podle (toho, co si
myslím/co jsem četl/mámy/těchto čísel/...)
Expressing your own opinions is a monologue, but in a conversation you often need to
react to what your partner is saying. You agree or not, and there are more than one way
how to do that.
Of course, you can just plainly state that you agree with what he or she just said, but we
can also use a grammar way.
Now this is a little complicated because it involves using auxiliary verbs. They are be and
do, and modal verbs.
When we agree with a positive statement we can say “Me too,“ or “So [auxiliary/modal verb]
[subject]“.
Examples:
A: I like bananas.
B: Me too. / So do I.
A: I can swim.
B: Me too. / So can I.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 84 z 109
A: I am a nurse.
B: Me too. / So am I.
A: My father is a taxi driver.
B: Mine too. / So is my father. / So is mine. (Můj taky.)
When we agree with a negative statement we can say “Me neither,“ or “Neither/nor
[auxiliary/modal verb] [subject]“ or “[Subject] [auxiliary/modal verb] either.
Examples:
A: I don't like beans.
B: Me neither. / Neither do I. / Nor do I. / I don't either.
A: I can't fly.
B: Me neither. / Neither can I. / Nor can I. / I can't either.
A: I'm not a superman.
B: Me neither. / Neither am I. / Nor am I. / I'm not either.
A: My great grandmother isn't alive anymore.
B: Mine neither. / Neither/nor is my great grandmother. / Neither/nor is mine. / My great
grandmother isn't either. / Mine isn't either.
Now let's look at disagreeing. When you disagree with a negative statement you simply say
you do something (compared to your partner who does not do it). And when you disagree
with a positive statement you say you do not do it (compared to the partner who does). It
works the same with the modal verbs. You can see that the logic is very clear.
A: I don't like beans.
B: Oh, I do.
A: I can't fly.
B: Oh, I can.
A: I'm not a superman.
B: I am!
A: My great grandmother isn't alive anymore.
B: Oh, mine is. / My great grandmother is.
A: I like bananas.
B: I don't.
A: I can swim.
B: Oh, I can't.
A: I am a nurse.
B: I'm not.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 85 z 109
A: My father is a taxi driver.
B: My father isn't. / Mine isn't.
If you're replying to a question and want to express your agreement, you can say “I think
so.“ If you want to disagree, say “I don't think so.“
Don't ever say anything like “I think that yes.“ It is a typical mistake, but this phrase does
NOT exist in English!
There are other similar phrases like:
I expect so / I don't expect so
I hope so / I hope not
I'm afraid so / I'm afraid not
I guess so / I guess not
I suppose so / I don't suppose so / I suppose not
9.1.2 Giving orders, advice, suggestions, asking for help, saying thank you
Orders are meant to make people do things. We use imperatives which are basic forms of
verbs.
Examples:
Buy some apples!
Shut up!
Sit down!
Don't touch it!
But sometimes we want to make orders sound a little more polite, so we can add “will
you?“ at the end of the sentence.
Examples:
Open the window, will you?
Pass me the salt, will you?
Be quiet, will you?
When you want to advise someone on something, you are basically giving your opinion on
the subject. You can use the modal verb should/should not or opinion phrases as in 1.1.
Another option is to use the second conditional and say something like “If I were you, I
would...“
Examples:
A: My belly aches.
B: You should go to the doctor.
A: I cough up yellow phlegm.
B: You shouldn't smoke. You should give up/quit/stop smoking.
A: I am confused by the tax questionnaire.
B: If I were you I'd ask a tax counsellor to help me.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 86 z 109
A: I hesitate about buying that old house.
B: I wouldn't do it if I were you.
Suggestions are made by using the phrase “Let's...“ + (not) + infinitive. To emphasize it we
might add “shall we?“ at the end of the sentence.
Examples:
Let's go to the cinema tonight!
Let's talk about it later, shall we?
Let's not talk about it right now.
Let's buy some icecream, shall we?
Sometimes we also need to ask for help. There are more way how to say it. Let's look at
some common phrases.
Can you...?
Could you...?
Can/could/may I ask you to...?
Would you do me a favour? I need...
Would you be so kind and...?
Examples:
Can you open the window, please?
Could you pass me the pencil sharpener please?
May I ask you to leave?
Would you do me a favour? I need to borrow CZK 1000 until tomorrow. I would pay back
the next day.
Would you be so kind and send me more details on the job?
After we receive some favour it is polite to say thanks.
We can say...
... thank you.
... thanks (use this with friends or small favours).
... thank you very much.
... thank you so much!
... thank you, that's very kind of you.
Your partner might reply something like:
You're welcome.
My pleasure.
That's nothing. (with friends)
That's alright. (with friends)
9.2 Vocabulary
9.2.1 Civilization, environment, ecology
When we say “civilization” we often think about how it is changing our living environment
and how it is changing people's lives. Some diseases are considered to be diseases of
civilization, sometimes also called diseases of longevity or lifestyle diseases. There is much
obor Zdravotnický záchranář – Anglický jazyk
Stránka 87 z 109
discussion among scientists as to which diseases are connected to a high level of
development and which existed in the past at the same rates.
Civilization has other meanings, too. For the “first world“, Europe and North America, it
means a rapid technology development and a high economic level. This comes along with a
lot of air, water and soil pollution. This causes not only diseases but also major changes in
the nature and the atmosphere. The ozone layer is more and more damaged so it is losing
its capability to protect us from harmful ultraviolet radiation from the Sun. That in return
exposes us to higher rates of skin cancers. Emissions that stay in the air prevent the Sun
radiation from leaving the atmosphere thus warming it up. This is called the greenhouse
effect which is responsible for global warming. Other changes are taking place, too. Animal
species are dying out, gas supplies are decreasing, icebergs are melting and threatening to
flood the land. Scientists are not yet sure if it is necessarily a negative influence on the
nature. It might just be a part of a natural cycle.
However, when or better before we run out of gas we will have to come up with some new
ways how to substitute engine fuels and plastics. The car industry invented electronic and
hybrid cars, but plastics are difficult to replace. That is why it is vital to recycle our waste.
The “3R“ strategy is promoted: Reduce, Reuse, Recycle. Reducing means to try to use less
plastics than we need, for example packing our bread in a paper bag. Reusing suggests
using a plastic product more than once. Recycling demands a little more effort but is quite
effective. Look for recycling containers in your neighbourhood and separate your waste:
plastic, paper, glass, metal. Many countries refund glass bottles, some even plastic bottles.
This separated waste is then used to make new plastic, paper and glass products.
(living) environment (životní) prostředí
longevity dlouhověkost
development rozvoj, vývoj
pollution znečištění
major changes velké změny
ozone layer ozónová vrstva
harmful škodlivý
greenhouse effect skleníkový efekt
die out vymřít
gas supplies zásoby ropy
species živočišný druh, druhy
melt tát
threaten hrozit
flood zaplavit, záplava
natural cycle přírodní cyklus
substitute, replace nahradit
engine fuel palivo pro stroje
effort úsilí
obor Zdravotnický záchranář – Anglický jazyk
Stránka 88 z 109
neighbourhood sousedství
refund vrátit zálohu
9.3 Medical English: Diseases
Until this chapter we have talked about the anatomical functions of the human body. But
people are not always healthy and sometimes they suffer from various disorders, be it
functional illnesses or infectious diseases. Let's look at some common disorders.
We can divide the long list of disorders according to which body system they attack. There
are blood diseases, heart function disorders, oncological diseases, digestive system
disorders, reproduction system disorders, mental illnesses, congenital disorders and many
others. We shall discuss infectious diseases first.
Infection is an invasion and multiplication of microorganisms in body tissues which then
causes inflammation. Inflammation is the body's immune reaction. The quality of immunity
of the individual influences the probability of contracting the given disease. Infectious
diseases are those that are transmitted from person to person or from animal to person,
often by droplet infection. By definition it is a transmission of respiratory patogens on
droplets from an infected individual to a healthy one. The droplets are produced by
coughing, sneezing and even talking, landing on oral, nasal or other tissues. Droplet
illnesses are for example cold, influenza (flu), mumps, measles, rubella (these three being
common children diseases), tuberculosis etc. Flu is a virus infection so it is not cured by
antibiotics. Infectious diseases are often accompanied by high temperature or even fever.
Other diseases might be transmitted through another vector such as hands (typically
hepatitis A) or blood (hepatitis B and C, HIV virus), or food (salmonella, botulism). A specific
group are sexually transmitted diseases such as gonorrhoea, syphilis and AIDS (HIV).
Diseases transmitted by animals are for example lyme borelliosis/lyme disease, tick-borne
encephalitis, or lyssa/rabies. Some diseases might be transmitted from mother to foetus =
unborn baby such as hepatitis or AIDS.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 89 z 109
Mumps are highly infectious
Source: http://finkorswim.com/wp-content/uploads/2012/11/mumps.jpg
Some medical and common terms
Source: Glendinning, Howard, 2007
Congenital disorders include anomalies and malformations such as cleft palate, and genetic
disorders such as the Down's syndrome or lactose intolerance. An interesting phenomenon
are Siamese twins. They might be connected in heads, hips or another part of their bodies.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 90 z 109
A huge part of human disorders are oncological illnesses and cardiovascular diseases.
These two are responsible for the majority of deaths in adults. Children are more prone to
death by accidents. Cardiovascular diseases are those that affect the heart and the vessels.
They are for example ischaemic heart disease, cerebrovascular disease (stroke), bacterial
endocarditis, heart failure etc. Risk factors include older age, smoking and air pollution, high
blood pressure and fatty diet.
Oncological illnesses are cancers or so called malignant neoplasms. They are a broad
group of various diseases which involve unregulated cell growth. Cells divide uncontrollably
and form tumors. Not all of them have to be malignant, some might be benign. It is difficult
to say why cancers appear in a person, but the best known variables connected with cancer
are smoking, radiation, obesity, environmental pollution, hereditary causes etc. The most
common cancers are colorectal cancer, lung cancer, prostate cancer, breast cancer,
melanoma (skin cancer) caused by sun radiation, and blood cells disorders such as
lymphoma and leukemia (the latter being the most frequent cancer in children). Often a
person might live long without any symptoms. That is the reason why cancers are such an
enemy to people.
Signs of melanoma
Source: http://4.bp.blogspot.com/-
jnzt_tpI0l4/TsgAykpt6cI/AAAAAAAAAJ0/pn8lLDFaTuo/s1600/skin_cancer%255B1%255D.jp
g
Many disorders are caused by people's unhealthy lifestyle. Lung cancer is common in
tobacco smokers, cirrhosis is caused by excessive consumption of alcohol, bones and
joints suffer from lack or excess of physical activity. Another frequent disease is diabetes. It
basically means that the patient has high blood sugar which is not absorbed into cells to be
used as fuel or storage. There are two main types of diabetes mellitus – the first one results
obor Zdravotnický záchranář – Anglický jazyk
Stránka 91 z 109
from the inability of the body to produce insulin (formed in pancreas) and is often hereditary,
the second type is based on insulin resistance and is triggered by the person's lifestyle –
obesity, high blood pressure and smoking. Typical symptoms of diabetes are frequent
urination and increased thirst and hunger.
Mental diseases might be connected to incorrect brain chemistry or an unbalanced lifestyle.
Depressions, mood and anxiety disorders, and schizophrenia are common along with posttraumatic
stress disorder and drug addiction. Stomach ulcers and heart attacks are believed
to result from a stressful lifestyle too.
The 10th revision of the International Statistical Classification of Diseases and Related
Health Problems (ICD-10) is a list of more than 14 000 health disorders.
disorder porucha
disease, illness onemocnění, nemoc
inflammation zánět
transmit, transmission přenášet, přenos
droplet kapénka
sneeze kýchat
mumps příušnice
measles spalničky
rubella, German measles zarděnky
gonorrhoea kapavka
tick-borne přenášený klíštětem
lyssa, rabies vzteklina
congenital vrozený
cleft palate rozštěp patra
prone to náchylný k
stroke mrtvice
heart failure srdeční kolaps
fatty diet tučná strava
broad široký
variable proměnná
hereditary dědičný
the latter ten druhý
excessive nadměrný
fuel palivo
storage zásoba
triggered by podpořen čím
obor Zdravotnický záchranář – Anglický jazyk
Stránka 92 z 109
Homework
Grammar. Murphy Units 37, 51, 52.
Literatura:
GLENDINNING, Eric H. a HOWARD, Ron. Professional English in Use – Medicine.
Cambridge: Cambridge University Press, 2007, 175p. ISBN 978-0-521-68201-5.
MURPHY, Raymond. English Grammar in Use with Answers. 3rd Ed. Cambridge:
Cambridge University Press, 2005. ISBN-13 978-0-521-53289-1.
Cancer. http://en.wikipedia.org/wiki/Cancer. [online; retrieved 28-03-13].
Cardiovascular disease. http://en.wikipedia.org/wiki/Cardiovascular_disease. [online;
retrieved 28-03-13].
Diabetes mellitus. http://en.wikipedia.org/wiki/Diabetes_mellitus. [online; retrieved 28-03-
13].
ICD-10. http://en.wikipedia.org/wiki/ICD-10. [online; retrieved 28-03-13].
10 Medical English: Genetics and reproduction
10.1 Grammar
10.1.1 Past perfect
Předminulý čas je čas, který se v češtině nevyskytuje, ale jeho použití není složité. Používá
se pro popis jevů, které se staly před jinými minulými jevy. Existuje jak v prosté formě, tak
ve formě průběhové.
Jeho tvoření je podobné předpřítomnému času, jen je pomocné sloveso have v minulém
čase:
podmět + had + 3rd form
podmět + had + been + -ing
Při jeho použití je první část promluvy v minulém čase a druhá část vyjadřuje událost, která
se stala před popisovanou událostí, proto je v předminulém čase.
Examples:
When I came home last night I found out somebody had broken into my flat. Když jsem
včera večer přišla domů, zjistila jsem, že se mi někdo vloupal do bytu.
I was really tired yesterday because I had been running all over the town with my friends
who were visiting. Včera jsem byla hrozně unavená, protože jsem celý den běhala po
městě s kamarády, kteří přijeli na návštěvu.
I couldn't go to work yesterday because I had been in severe pain the night before. Nemohl
jsem jít včera do práce, protože jsem měl noc předtím strašné bolesti.
When they introduced us I realized I had seen him before. Když nás představili, uvědomila
jsem si, že už jsem ho předtím viděla.
I was scared to try parachute jump. I had never done anything crazy like that before. Bál
jsem se skočit s padákem. Nikdy předtím jsem nic takového šíleného neudělal.
10.1.2 Have something done
V případech, kdy potřebujeme vyjádřit, že jsme si něco nechali udělat někým jiným, se
používá vzor have something done. Používá se i pro případ, že se někomu něco stane a
obor Zdravotnický záchranář – Anglický jazyk
Stránka 93 z 109
příčinou je někdo jiný*. Lze jej kombinovat s jakýmkoli slovesným časem – minulým,
přítomným i budoucím. Je to vlastně druh trpného rodu, kdy podmětem jsme my a
předmětem věc, která se mění.
podmět + tvar slovesa have + předmět + 3rd form
Examples:
I had my hair cut last week. Minulý týden jsem se nechala ostříhat.
I need to have my car repaired. Potřebuji si nechat opravit auto.
We are having our house redecorated. Necháváme si vymalovat dům.
Have you already had your eyesight checked? Už sis nechal zkontrolovat zrak?
*Have you ever had your wallet stolen? Ukradli ti někdy peněženku?
V hovorové angličtině uslyšíte i tvar get something done:
I got my hair cut last week. Minulý týden jsem se nechala ostříhat.
10.2 Vocabulary
10.2.1 Technology and inventions
Here is a short overview of some medical and health-connected inventions, ordered from
the oldest to the newest. It is not of course a complete list, just a quick journey to the world
of technology and inventions.
Toothbrush, 1498
For millennia people have used a fantastic array of implements to keep their teeth brilliant.
Frayed twigs, chewing sticks, birds' feathers and porcupine quills; all have been discovered
in the excavated remains of the earliest bathrooms. An unknown Chinese was the first, at
the turn of the 15th century, to mount bristles at right angles to a handle – the spines were
plucked from hogs and set into bamboo or bone. By the 17th century toothbrushes were
widely used in Europe.
Microscope, 1590
When the British polymath Robert Hooke published his 1665 masterpiece, Micrographia,
people were blown away by its depictions of the miniature world. Samuel Pepys called it
"the most ingenious book that I ever read in my life". Until then, few people knew that fleas
had hairy legs or that plants comprised cells (Hooke coined the term "cell"). Zacharias
Janssen, a Dutch spectacle maker, had invented the first microscope in 1590, although it
was then regarded as a novelty rather than a revolution in science.
Thermometer, 1592
It is difficult to place the thermometer in the history of modern invention; it is one of those
devices that would inevitably appear. Galileo Galilei is most commonly credited, but his
clumsy air thermometer, in which a column of air trapped in water expanded when warmed,
was the culmination of more than 100 years of improvement. The classic mercury-in-glass
thermometer, still in use today, was conceived by Daniel Fahrenheit in the 1720s.
Condom, 1640
Egyptians used them on 3,000 years ago and the 16th-century Italian gynaecologist
obor Zdravotnický záchranář – Anglický jazyk
Stránka 94 z 109
Gabriele Falloppio first advocated their use to prevent the spread of disease. The earliest
remains of a condom, which date from 1640, were discovered in Dudley. In modern times,
condoms, which until the 1960s were made from animal gut, have allowed generations of
couples to avoid unwanted pregnancies and saved an inestimable number of lives by
preventing the spread of diseases such as AIDS.
Stethoscope, 1819
You would think in this age of electron microscopes and robot surgeons that a bit of rubber
tubing attached to headphones and a diaphragm would have joined the head mirror and the
cauterising iron in the graveyard of medical innovation. But so simple and effective is the
stethoscope that the sight of one on the shoulders of a white coated doctor remains as
familiar as ever. A Frenchman, René Théophile Hyacinthe Laënnec, invented the first
device that amplified the sounds of the human body.
Syringe, 1844
Syringe devices have been in use since the 9th century, when an Egyptian surgeon used a
glass suction tube to remove cataracts from a patient, but the first hypodermic syringes with
needles fine enough to pierce skin did not appear until the 1840s. The Irish physician
Francis Rynd used the first syringe to inject a sedative to treat neuralgia, revolutionising
medicine with a single push of a plunger.
Aspirin, 1899
Little tablets of acetylsalicylic acid have probably cured more minor ills than any other
medicine. Hippocrates was the first to realise the healing power of the substance – his
related ancient Greek treatment was a tea made from willow bark, and was effective
against fevers and gout. Much later, in turn-of-the-century Germany, chemist Felix Hoffman
perfected the remedy on his arthritic father, marketing it under the trade name Aspirin.
The Pill, 1951
The contraceptive pill not only empowered women, but marked a turning point in medicine –
it was the first drug used by "healthy" people to prevent something rather than by the sick to
treat an ailment. It was developed by a team headed by Carl Djerassi, a chemist, in 1951,
but wasn't marketed in the UK until 1962. Since then, more than 300 million women are
thought to have used the Pill; in the UK, an estimated three million women use it each year.
Cardiac pacemaker, 1958
It wasn't long ago that if you had a terminally disordered heart you would be sent to hospital
and hooked up to a large, static piece of kit. Swedish doctors Rune Elmqvist and Ake
Senning designed the first implantable pacemaker. Their device failed within hours and it
took the US engineer Wilson Greatbatch to build a reliable model in his garden shed. He
tested a prototype on a dog in 1958 and, in 1960, Henry Hannafield, 77, became the first
human recipient.
array seznam, skupina
frayed roztřepený
feather brk
porcupine dikobraz
obor Zdravotnický záchranář – Anglický jazyk
Stránka 95 z 109
quills ostny
excavate vykopat (archeologie)
turn of the century přelom století
bristles fousky, štětiny
handle držadlo, rukojeť
spine osten, trn
pluck vytrhávat
hog vepř
polymath vzdělanec
blown away šokovaný
depiction zobrazení
ingenious důmyslný
flea blecha
comprise sestávat
spectacle maker výrobce brýlí
regarded as považováno za
novelty novinka
inevitably nevyhnutelně
clumsy nešikovný
trapped uvězněný, zachycený
advocate podporovat
inestimable nesčetný
diaphragm membrána
cauterising vypalovací
graveyard hřbitov
suction sací
plunger píst
pierce propíchnout
realise uvědomit si
willow vrba
bark kůra
gout dna, pakostnice
contraceptive antikoncepční
turning point zvrat
ailment neduh
obor Zdravotnický záchranář – Anglický jazyk
Stránka 96 z 109
terminally smrtelně
kit sada, souprava
recipient příjemce
10.3 Medical English: Genetics and reproduction
Genetic factors, DNA and the genes that it carries play key roles in morphologic and
physiologic abnormalities that characterize disease entities. Techniques of chromosomal
analysis and nuclear sex determination have shown correlations with abnormal sex
differentiation, Down's syndrome, mental retardation, somatic defects, infertility and
metabolic disorders. The recognition of heterozygote carriers of latent genetic abnormalities
may be of great value in directing prophylactic measures (special dietary controls, use of
appropriate medication, avoidance of aggravating drugs and environmental factors) and in
marriage counselling.
The nucleus of the normal human cell contains 46 chromosomes. Two of these are sex
chromosomes – XX in women and XY in men. The remainder can be classified on the basis
of physical appearance and segregated into 22 pairs. With technology, it is possible to
discern alterations in form and number of chormosomes in cells obtained from blood, bone
marrow, skin, mucosa, and othe tissues of specific interest. Recent advances in staining
techniques have led to the identification of many normal variants.
The sperm and the ovum normally contain one autosomal chromosome from each pair and
one sex chromosome, that is 23 unpaired (haploid) chromosomes. Upon fertilization, the full
number of 46 diploid chromosomes is reconstituted. In the normal state, the chromosomal
pattern (karyotype) of somatic cells is identical.
Each chromosome is composed of thousands of genes arranged in regular order. The
corresponding genes (alleles) on a chromosome carry identical gene instruction
(homozygous) or dissimilar instruction (heterozygous). If the genes are heterozygous one
may be expressed as a bodily characteristic (dominant), while the other is unexpressed
(recessive).
At fertilization, the reassortment of chromosomes is purely random so that either one of a
pair of chromosomes from one parent has an equal chance of combining with either one of
the corresponding pair from the other parent. Normal as well as abnormal characteristics
are inherited in the same way, either as autosomal dominant, autosomal recessive or xlinked
(sex-linked). The term genotype denotes the hereditary constitution or combination of
genes that characterizes a give individual or group of genetically identical organisms. The
term phenotype denotes the recognizable morphologic or functional characteristics
expressed by a genetic trait.
Genes may undergo transformations (mutations) that may produce new somatic or
functional characteristics. The older the parenteral age, the greater the incidence of such
fresh mutations. They might be inapparent but in many circumstances they can be
correlated with the sudden appearance of heritable disease. The mutations are in number
or shape of chromosomes, e.g. Down's syndrome appears when the 21st chromosome is
tripled.
Genetic counselling is the process of managing the problems associated with the
occurence or risk of occurence of a genetic disorder in a family. An appropriately trained
proffesional counsellor attempts to help an individual or a family to understand the
diagnosis of a genetic disorder, its cause and the available methods of treatment, the
contribution of heredity to the disorder, and the risk of reoccurence in specific blood
obor Zdravotnický záchranář – Anglický jazyk
Stránka 97 z 109
relatives. Informed genetic counselling often requires the use of diagnostic services such as
karyotyping, biochemical tests for inborn errors of metabolism, syndrome recognition and
amniotic fluid analysis.
Example of a hereditary genetic trait
Source: http://upload.wikimedia.org/wikipedia/commons/a/a3/XlinkRecessive.jpg
Pregnancy and childbirth
The process by which the fetus and the placenta are pushed out of the uterus is called
labour. It is divided into four stages. Labour can be premature, prolonged, spontaneous,
induced or also false. Childbirth is also referred to by doctors as parturition. Delivery is the
process of helping the child to be born. A spontaneous vaginal delivery (SVD) is a normal
delivery. If there are complications, the baby may be delivered by caesarian section
(surgically removed).
A full-term pregnancy is 40 weeks, divided into three trimesters. A baby born before this is
premature, born after this is postmature. A baby who is born dead, for example because the
umbilical cord is around its neck, is stillborn. The expected date of delivery is the date on
which a woman is expected to give birth to the child she is carrying (pregnant with). It is
calculated by adding 280 days or 40 weeks to the first day of the last menstrual period. A
pregnancy may end before term spontaneously with a miscarriage (spontaneous abortion)
obor Zdravotnický záchranář – Anglický jazyk
Stránka 98 z 109
or be deliberately terminated with an induced abortion.
Fetal lie is the position of the fetus in the uterus. The normal lie is longitudinal, and the
abnormal lie is transverse. Fetal presentation refers to the part of the fetus which occupies
the central pelvic canal and which the examining finger feels on vaginal examination. The
normal presentation is with the head (vertex presentation). Breech presentation means the
buttocks are presenting. Abnormal presentation may require delivery with forceps.
The field of medicine that deals with pregnancy and childbirth is called obstetrics and the
doctor is an obstetrician. If women experience troubles becoming pregnant they undergo
assisted conception in specialized centres.
Ultrasound scan (pregnancy sonogram) of a fetus
Source: http://blogs.babble.com/being-pregnant/files/2011/03/profile11.jpg
entity ucelená jednotka
infertility neplodnost
carrier nositel
prophylactic ochranný
avoid vyhnout se
aggravate zhoršit
counsel radit
remainder zbytek
discern rozlišit
alteration změna
obor Zdravotnický záchranář – Anglický jazyk
Stránka 99 z 109
staining techique barvicí technika
dissimilar různý, nestejný
reassortment znovuuspořádání
random náhodný
denote označovat
hereditary dědičný
trait vlastnost, znak
undergo podstoupit
parenteral age stáří plodu
inapparent nezjevný
occurence výskyt
premature předčasný, nevyspělý
prolonged prodloužený
induced indukovaný
caesarian section císařský řez
umbilical cord pupeční šňůra
forceps kleště
conception početí
Homework
1) Murphy Units 15, 16, 46.
2) Write a 10-minute presentation about your favourite technical invention. Find out details
about its history, its use and its future.
Literatura:
GLENDINNING, Eric H. a HOWARD, Ron. Professional English in Use – Medicine.
Cambridge: Cambridge University Press, 2007, 175p. ISBN 978-0-521-68201-5.
KUŽELOVÁ, Barbara., KYBICOVÁ, Hana., WEBEROVÁ, Blažena. English for Medical
Students. Praha: Státní pedagogické nakladatelství, 1989.
MURPHY, Raymond. English Grammar in Use with Answers. 3rd Ed. Cambridge:
Cambridge University Press, 2005. ISBN-13 978-0-521-53289-1.
11 Medical English: Medical examination and hospital care
11.1 Grammar
11.1.1 Reported speech
Reported speech neboli nepřímá řeč slouží pro vyprávění nebo zopakování přímé řeči. V
angličtině stojí až na vrcholu gramatiky, protože vyžaduje všechny slovesné časy, modální
slovesa a další gramatické jevy.
V nepřímé řeči můžeme přímou řeč posouvat do minulosti (backshift) anebo ji nechat v
obor Zdravotnický záchranář – Anglický jazyk
Stránka 100 z 109
přítomnosti. Z přímé řeči se v souvětí stává vedlejší věta.
V nepřímé řeči v přítomném čase se mění pouze zájmena, zatímco časová a místní určení
zůstávají stejná, protože se držíme ve stejné časové rovině. Při posunu do minulosti je
přísudek hlavní věty v minulém čase, proto se přísudek věty vedlejší posouvá o jeden
stupeň „dozadu“, do minulosti nebo do jiné pevně dané struktury.
Nejprve se podíváme na tvoření nepřímé řeči pro přítomnost v oznamovacích větách.
He says, „I speak English.“ → He says (that) he speaks English.
She says, „My mum doesn't have time today.“ → She says (that) her mum doesn't have
time today.
They say, „We will go out tonight.“ → They say (that) they will go out tonight.
She says, „I had to leave early last week.“ → She says (that) she had to leave early last
week.
Vidíme, že se mění pouze zájmena, časy zůstávají stejné a časová určení také, protože
přísudek v hlavních větách je v přítomném čase.
Při posunu hlavní věty do minulosti se ale bude měnit i čas přísudku věty vedlejší.
Pro tyto posuny máme tato pravidla:
Direct speech Reported speech
Present simple Past simple
Present continuous Past continuous
Past simple
Past perfect simplePresent perfect simple
Past perfect simple
Past continuous
Past perfect continuousPresent perfect continuous
Past perfect continuous
Am, are, is going to Was, were going to
Will
Would
Would
V zásadě tedy přítomný čas posouváme do minulého, minulý do předminulého a
dodržujeme formu prostou nebo průběhovou.
Modální slovesa (could, should, might, must atd.) se obvykle nemění.
Významný je také posun časových a místních určení. Ze současného označení se také
musí stát minulé, z místního vzdálenější. Např.:
Direct speech Reported speech
today that day
tonight that night
obor Zdravotnický záchranář – Anglický jazyk
Stránka 101 z 109
yesterday the day before
tomorrow the next day / the following day
last week the week before
.... days ago ... days before
next year the following year
here there
this that
these those
He said, „I speak English.“ → He said (that) he spoke English.
She said, „My mum doesn't have time today.“ → She said (that) her mum didn't have
time that day.
They said, „We will go out tonight.“ → They said (that) they would go out that night.
She said, „I had to leave early last week.“ → She said (that) she had had to leave early
the week before.
Přísudky v hlavních větách jsou v minulém čase, proto se vedlejší věty posouvají podle
pravidel do minulosti a předminulosti.
U převádění tázacích vět je potřeba dbát na převedení vedlejší věty na nepřímou otázku.
Mění se tedy nejen slovesný čas, ale i slovosled! Tzn. nejprve je zájmeno, poté následuje
sloveso. Díky tomu se v kladných větách z nepřímé řeči ztrácí pomocné sloveso.
„Why don't you speak English?“ → He asked me why I didn't speak English.
„Where did she live?“ → He asked me where she had lived. (pomocné sloveso do
zmizelo)
U uzavřených otázek (odpovědět na ně lze obecně jen ano/ne) je nutné přidat spojku
whether/if (jestli):
„Do you speak English?“ → He asked me whether I spoke English.
Třetím typem převodu jsou žádostí a rozkazy. V češtině obvykle používáme účelové věty
vedlejší se spojkou aby, v angličtině ji nahrazuje spojka to:
„Zavři okno!“ → Řekla mi, abych zavřela okno.
„Close the window!“ → She told me to close the window.
Všimněte si, že sloveso ve vedlejší větě je infinitiv, protože následuje za spojkou to.
V záporných rozkazech se před tento infinitiv přidává záporka not to:
„Don't be sad!“ → I told him not to be sad.
Rady vyjádřené slovesy must a should se obvykle převádějí na nepřímou řeč pomocí
slovesa advise:
„You must read that book!“ → He advised me to read that book.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 102 z 109
Návrhy v podobě fráze Let's... se převádějí pomocí slovesa suggest spojeného s
gerundiem nebo s frází that we should:
„Let's go to the cinema!“ → He suggested going to the cinema. / He suggested that we
should go to the cinema.
Posun do minulého času se nepoužívá, pokud se mluví o nějakém obecně platném faktu a
ve 2. kondicionálu:
She said that Canberra is the capital of Australia.
He said that if he had more time, he would learn French.
Při převádění souvětí se spojkami and a but se za ně přidává spojka that v případě, že za
ní nenásleduje sloveso:
He said that he had seen her but that she hadn't seen him.
He said that she was a nurse and worked in a hospital.
11.2 Vocabulary
11.2. Wards in a hospital
Function
A hospital ward is an area or floor of a hospital in which patients with similar needs are
placed together. The function of hospital wards is to keep similar patients together, either
according to age, disease, or condition. An emergency ward, floor or unit, groups patients
with immediate care needs, while a dialysis ward groups together patients receiving dialysis
treatments.
Types
Some of the common types of wards found in hospitals include emergency rooms,
maternity, pediatrics, psychiatric, geriatrics, oncology, wards for a specific organ such as the
renal ward and dialysis ward and so on. Wards may also have different names from one
hospital to another, with some hospitals referring to the maternity ward as the mother and
baby unit.
Effects
Grouping together similar patients is an effective method of treating patients and cutting the
costs of keeping the hospital running. If patients are just put in any available room, extra
specialized equipment is necessary in order to ensure the that the equipment is available to
each patient who would immediately need that device in an emergency. However, when
similar patients are grouped together in the same area or ward, one or two devices can be
placed nearby for patients who would need them in an emergency. In addition to cutting the
cost of equipment, grouping together similar patients in hospital wards allows the hospital to
employ specialists for each ward of the hospital. Employing ward specialists creates a
better quality of care and keeps the necessary specialists also grouped in a specific area,
meaning that care is more immediate than if specialists were all over the hospital.
Types of healthcare:
obor Zdravotnický záchranář – Anglický jazyk
Stránka 103 z 109
Outpatient: short visit to hospital that lasts one day at the most.
Inpatient: hospital visit that requires at least one night's stay on a ward.
Some usual wards:
Accident and emergency (A&E)
This department (sometimes called Casualty) is where you are likely to be taken if you
called an ambulance in an emergency. It's also where you should come if you have had an
accident, but can make your own way to hospital.
These departments operate 24 hours a day, every day and are staffed and equipped to deal
with all emergencies.
Anaesthetics
Doctors in this department give anaesthetic for operations. They are responsible for the
provision of acute pain services (pain relief after an operation), chronic pain services (pain
relief in long-term conditions such as arthritis), critical care services (pain relief for those
who have had a serious accident or trauma), and obstetric anaesthesia and analgesia
(epidurals in childbirth and anaesthetic for caesarean sections).
Cardiology
This department provides medical care to patients who have problems with their heart or
blood circulation. It treats people on an inpatient and outpatient basis. Typical procedures
performed include electrocardiogram (ECG) and exercise tests to measure heart function,
echocardiograms (ultrasound scan of the heart), 24-hour blood pressure tests, insertion of
pacemakers, cardiac catheterisation (coronary angiography) to see if there are any blocks
in your arteries etc.
Intensive or critical care, ICU – Intensive care unit
This unit is for the most seriously ill patients. It has a relatively small number of beds and is
staffed by specialist doctors and nurses, as well as by consultant anaesthetists,
physiotherapists and dietitians. Patients requiring intensive care are often transferred from
other hospitals or from other departments in the same hospital.
Diagnostic imaging
Formerly known as X-ray, this department provides a full range of diagnostic imaging
services including general radiography (X-ray scans), ultrasound scans, angiography (X-ray
of blood vessels), CT scanning (scans that show cross-sections of the body), MRI scanning
(3D scans using magnetic and radio waves) etc.
Ear, nose and throat (ENT)
The ENT department provides care for patients with general ear, nose and throat diseases,
and also cancers of the head and neck area, tear duct problems, balance and hearing
disorders, snoring and sleep apnoea, ENT allergy problems, salivary gland diseases, voice
disorders etc.
Gastroenterology
Run by consultants specialising in bowel-related medicine, this department investigates and
treats upper and lower gastrointestinal diseases, as well as diseases of the pancreas and
bile duct system. This includes endoscopy and nutritional services. Endoscopy involves a
small thin tube with a camera on the end. This is guided down the throat to investigate
problems in your oesophagus and digestive system. Small surgical instruments can be
guided down in the same way, meaning it can be used for diagnosis and treatment.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 104 z 109
Sub-specialities include colorectal surgery, inflammatory bowel disease and swallowing
problems.
General surgery
The general surgery ward covers a wide range of surgery, for example thyroid surgery,
kidney transplants, colon surgery, laparoscopic cholecystectomy (gallbladder removal), and
many other types. Day surgery units have a high turnover of patients who attend for minor
surgical procedures such as hernia repairs.
Gynaecology
These departments investigate and treat problems of the female urinary tract and
reproductive organs, such as endometritis, infertility and incontinence.
They also provide a range of care for cervical smear screening and post-menopausal
bleeding checks.
Haematology
Haematology services work closely with the hospital laboratory. These doctors treat blood
diseases and malignancies linked to the blood, with both new referrals and emergency
admissions being seen.
Maternity departments and obstetrics ward
Women now have a choice of who leads their maternity care and where they give birth.
Care can be led by a consultant, a GP or a midwife. Maternity wards provide antenatal care,
care during childbirth and postnatal support. Antenatal clinics provide monitoring for both
routine and complicated pregnancies.
Nephrology
This department monitors and assesses patients with kidney (renal) problems.
Nephrologists (kidney specialists) supervise the dialysis day unit for people who are waiting
for a kidney transplant or who are unable to have a transplant for any reason.
Neurology
This unit deals with disorders of the nervous system, including the brain and spinal cord. It's
run by neurologists and their staff. There are also paediatric neurologists who treat children.
Neurologists may also be involved in clinical research and clinical trials.
Specialist nurses (epilepsy, multiple sclerosis) connect with patients, consultants and GPs
to help with any problems that may occur between outpatient appointments.
Oncology
This department provides radiotherapy and a full range of chemotherapy treatments for
cancerous tumours and blood disorders.
Staffed by specialist doctors and nurses trained in oncology (cancer care), it has close links
with surgical and medical teams in other departments.
Orthopaedics
Orthopaedic departments treat problems that affect your musculoskeletal system. That is
the muscles, joints, bones, ligaments, tendons and nerves. The doctors and nurses who run
this department deal with everything from setting bone fractures to carrying out surgery to
correct problems such as torn ligaments and hip replacements.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 105 z 109
Urology
The urology department is run by consultant urology surgeons and their surgical teams. It
investigates all areas linked to kidney and bladder-based problems. The department
performs flexible cystoscopy bladder checks, prostate assessments and biopsies,
shockwave lithotripsy to break up kidney stones etc.
pain relief úleva od bolesti
insertion vložení, zavedení
imaging zobrazování
cross-section průřez
tear duct slzný kanálek
snoring chrápání
guide down zavádět
turnover obrat
cervical smear stěr z děložního čípku
clinical trial klinický test
appointment schůzka, kontrola
full range široký rozsah
11.2.2 Some surgical instruments
Surgical forceps
In many surgeries, the surgeon has to grasp, lift and displace tissue, blood vessels and
organ walls. They must do so without causing further injury to the patient. There are various
sizes of forceps the surgeon can choose to use, and they each have different opposing tips.
Opposing tips are the ends of the forceps and may be straight, curved, serrated or toothed.
Surgical scissors
Surgical scissors are used for cutting and dissecting tissues. They also cut bandages and
sutures. Each procedure has a separate pair of scissors that is used to complete it. Surgical
scissors are required in any surgery and have value and durability not seen in regular
scissors. Surgical scissors come in many shapes and varieties. They can be made from
materials such as stainless steel or titanium. They also come in varieties depending on their
use such as bandage scissors, dissecting scissors, operating scissors, stitch scissors,
plastic surgery scissors etc.
Surgical retractors
Retractors hold back underlying organs and tissues so that the parts under the incision may
be operated. They also separate the sides of a surgical cut. They are available in many
shapes and sizes. They are important because they expose hidden areas and have a tight
grip, allowing the surgeon to work easily on a particular section. There are two types of
retractors. The first kind is a self-retaining retractor. This kind of retractor does not require
an assistant to hold them in place. Instead they can be locked in place. Rib spreaders fall
obor Zdravotnický záchranář – Anglický jazyk
Stránka 106 z 109
under this category because they hold the ribs apart and are locked in place during
operations. The second kind is a hand-held retractor. These require an assistant to hold
them. It must be held firmly and steadily by an assistant and expose the maximum area.
Surgical scalpels
Scalpels are extremely sharp knives used to cut and make incisions in a surgery. They are
fine blades and require steady and fine cutting. Scalpels are composed of two parts: the
handle and the blade. A surgeon must decide which blade is to be used in each surgery
depending on the tissue that is to be cut. The blades are curved and angled for greater
precision. They are made of specialized and specific materials such as obsidian, medical
grade fine steel or a diamond knife blade.
And last but not least...
Autoclave
When you go to the hospital you want to be sure that the equipment and instruments being
used are sterile. To ensure that this is the case, the hospital will use an autoclave. This is a
type of machine that heats water to produce a pressurized steam that kills all germs on the
instruments placed in it.
grasp, grip držet pevně
serrated zubatý, pilovitý
tip špička
sutures, stitches stehy
spread roztáhnout
firm, tight pevný
blade čepel
Surgical instruments.
Source: Glendinning, Howard, 2007.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 107 z 109
11.3 Medical English: Medical examination and hospital care
Patients in need of medical treatment usually go to see the GP – the general practitioner. In
order to make the patient's diagnosis the GP must learn about common symptoms, the
subjective manifestations of the patient's chief complaint. He or she may complain of sore
throat, cough, nausea, weakness, tremor or pain. The physician will want to know if the
patient has a high temperature and will measure it with a thermometer. The most common
symptoms include sweating, general body ache, headache, backache, muscle or joint ache,
diarrhoea or constipation, and breathlessness.
On examination the doctor may find rash, swelling, distension or tumor. These belong under
objective findings called signs which also include the results of routine laboratory
examination of the blood, sputum, urine, stools and sometimes even the cerebrospinal fluid.
For example the blood or erythrocyte sedimentation rate (BSR or ESR) and blood count,
simple or differential, are important guides for a reliable diagnosis. So is the examination of
sputum for bacilli of tuberculosis, pneumococci, staphylococci, pus or blood. The urine is
analyzed for the presence or exact proportions of albumin, sugar, acetone, blood, bilirubin
as well as for colour, specific gravity and total quantity per 24 hours.
In order to obtain a clear clinical picture, the doctor may want to have the patient x-rayed or
send him or her for ECG or EEG test. Perhaps gastric juices might be analyzed or a
bronchoscopy etc. performed. Usually these examinations are carried out in a hospital
rather than in a GP's consulting room.
A normal ECG.
Source: Glendinning, Howard, 2007.
In the GP's office they are likely to use the four classical methods: inspection to observe
visible signs of the patient's condition, palpation to feel tumors, swelling etc., percussion –
tapping on the chest or other parts of the body and listening to the quality of the sound, and
obor Zdravotnický záchranář – Anglický jazyk
Stránka 108 z 109
auscultation to hear chest sounds, irregularity of the heart beat or peristaltic sounds in the
abdominal cavity.
In examining the patient the doctor proceeds top down, from the head over the chest and
abdomen to the limbs. Together with the patient's past history and family history the
examinations help establish a reliable diagnosis and determine what kind of treatment the
patient needs. The GP then writes a prescription for drugs, recommends bed rest or
hospitalization, or refers the patient to a specialist.
Symptoms and patients' expressions. Source: Glendinning, Howard, 2007.
Hospital care
The practice of medicine is concerned with the prevention, investigation, diagnosis and
treatment of diseases, the alleviation of suffering and promotion of medical knowledge and
education. The career system in the United Kingdom is different from the Czech system. In
the UK there are GPs – general practitioners also called family doctors. Doctors engaged in
specialist practice (surgery, pathology, radiology etc.) are referred to as specialist. The
specialists who hold consultant posts in hospitals are called consultants. This is the most
senior grade in medical posts. Doctors occupying medical assistant's posts have many
years of experience but lack the appropriate training to become consultants. Doctors who
have the highest degree of their chosen specialty hold medical or surgical registrar posts. A
house officer or houseman is a junor doctor who si gaining experience in a hospital. He or
she is often resident in the „house“, that is the hospital. A nursing officer or ward sister is in
charge of the ward administration. These workers are responsible to the medical staff and
the head nurse. Nursing officers are assisted by fully qualified staff nurses, enrolled nurses
with shorter training, student nurses, pupil nurses, nursing auxiliaries and ward orderlies.
obor Zdravotnický záchranář – Anglický jazyk
Stránka 109 z 109
Links with the community are provided by health visitors and medical social workers who
help the patients with their problems. In addition to these there might be other people
working in allied professions, for example chiropodists, dieticians, physiotherapists,
laboratory technicians etc., referred to as paramedical staff.
general practitioner praktický lékař
chief hlavní
sweating pocení
constipation zácpa
swelling otok
distension roztažení
specific gravity specifická váha
palpation pohmat
percussion poklep
tap poklepat
establish ustanovit
determine určit
bed rest klid na lůžku
alleviation úleva
houseman sekundář
enrolled nurse ošetřovatelka
ward orderly sanitář
allied příbuzný, připojený
Homework
1) Murphy Units 47, 48.
2) Read and listen to this audio: http://learnenglish.britishcouncil.org/en/magazinearticles/asthma.
Then answer the questions about asthma and check if you were right.
Literatura:
GLENDINNING, Eric H. a HOWARD, Ron. Professional English in Use – Medicine.
Cambridge: Cambridge University Press, 2007, 175p. ISBN 978-0-521-68201-5.
KUŽELOVÁ, Barbara., KYBICOVÁ, Hana., WEBEROVÁ, Blažena. English for Medical
Students. Praha: Státní pedagogické nakladatelství, 1989.
MURPHY, Raymond. English Grammar in Use with Answers. 3rd Ed. Cambridge:
Cambridge University Press, 2005. ISBN-13 978-0-521-53289-1.