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UNIT

HOSPITAL FACILITIES
Melissa Memorial Hospital
Melissa Memorial Hospital is designed as a critical access hospital providing for 24 hour emergency care. The design is intended to present an image of a facility that provides quality healthcare in a friendly environment. This facility focuses on healing the body, mind and spirit by personalizing, humanizing, and demystifying the healthcare experience for patients and their families.

Family Waiting Lounge The family lounge sits immediately adjacent to the inpatient bed wing, providing a bright and spacious place for families to gather.

Main Entry Lobby - The high ceiling main lobby space was designed with comfort in mind. Its upper windows provide a beacon when lights are on at night and its contemporary design and soft colors offer patients and their families a warm welcome and an orientation point of reference.

Nursing Station - The nursing station is centrally located to offer overlapping access and control of the inpatient bed wing, the labor and delivery suite, the emergency department, the observation beds, the family lounge as well as the outpatient waiting area. Operating Room - The new surgical suite was designed primarily for outside specialists that travel to Melissa Memorial for specialty surgeries. The new surgical area will help to increase specialty surgery volumes. Floor Plan - The Floor Plan emphasizes departmental adjacencies and clean and separate corridor flows.

Pre-operative and Recovery Areas - The hospital provides pre-operative and recovery areas adjacent to the operating room.

The total refurbishment of Melissa Memorial Hospital will be 2011. The roof will be replaced, the wards partitioned into individual cubicles to provide privacy for patients, and new nursing stations were constructed. Ceramic floor tiles give the wards a cool and clean appearance as do the acoustic ceilings in all the General Wards corridors. The next major development will be the building of an ultra-modern maternity wing. It will have eighteen beds, five are sea-facing private rooms, four semi-private rooms and eight general ward beds. It will also have its own operating theatre, a baby nursery, isolation rooms, delivery rooms, family planning area, well-baby and well-woman clinics, pediatric cardiology. The development of the hospital never really stops, because the pace of change always increases and the hospital must keep up.

THERE IS/ THERE ARE


Both expressions are used to state the something exists or to point out something in the distance. There is/There are can be used as the sentences subject. 1. "There is" - is used with the following subjects: Singular nouns Uncountable nouns 3rd person singular (he, she, my physician, his outpatient, etc.). Examples: There is my specialist on the corner. There is a lot of blood on the highway. There must have been an accident. There is a fracture here. 2. "There are" - is used with the following subjects: 3rd person plural (they, my doctors, the nurses, the practitioners, etc.) Examples: There are many nurses in this nursing station. There are practitioners there. There are three sites on the internet that are really good to study Medical English.

PREPOSITIONS

ACTIVITIES
A. THERE IS/THERE ARE. Choose the appropriate expression from the parentheses. 1. ___________ a fly in that doctor's soup. (There is, There are) 2. ______________many health centers in Huaycan. (There isn't, There aren't) 3. ________________ any viruses in this area. (There isn't, There aren't) 4. _____________________ lots of clinics in big cities. (There is, There are) 5. ______________ a blood bank here? (Is there, Are there) 6. _________________ survivors in the mine? (Is there, Are there) 7. _____________________ a blood donor I can call? (Is there, Are there) 8. _______________ an important surgery tomorrow. (There is, There are) 9. _____________________ 8 students in my Medical English class. (There is, There are) 10._________________________ many inpatients in this hospital. (There isn't, There aren't)

http://www.1-language.com/englishcourse/unit17_grammar_exs.htm

B. GROUP PROJECT. Look at the map below. Identify the Future Expansion Zones of Melissa Memorial Hospital and draw three plans distributing the areas mentioned. Then write a description for each plan using there is , there are and prepositions.

1. Ultra-modern maternity wing: eighteen beds, five are sea-facing private rooms, four semiprivate rooms and eight general ward beds; one operating theatre; a baby nursery; isolation rooms; delivery rooms; family planning area; well-baby and well-woman clinics; pediatric cardiology. 2. Third floor: two lifts; a four-bed High Dependency Unit; Renal Dialysis Unit; Radiology department. 3. Outpatient Department: Obstetrics; Gynecology; -Ear, Nose and Throat (ENT); -Dental Surgery ; Orthopedics; Dermatology; Virology; Urology; Radiation, Oncology; Obstetrics; Perinatology Consultation; Cardiology; Pathology; Psychiatry; Pulmonary Services; Neurosurgery ; Pediatrics; Internal Medicine; Endocrinology; General Surgery; Geriatrics; Gastroenterology; Electrophysiology; Neonatology; Nephrology; Rheumatology; Ophthalmology; Plastic Surgery; Otolaryngology; Pathology.

UNIT

7
THE EXCRETORY SYSTEM
Excretion - Excretion is the removal of the metabolic wastes of an organism. Wastes that are removed include carbon dioxide, water, salt, urea and uric acid. All excreted wastes travel at some time in the blood. Organs of the Excretory System Lungs - removal of excess carbon dioxide Liver - produces urea and uric acid as a by-product of the breakdown of proteins Skin - removal of excess water, salt, urea and uric acid Urinary System - kidneys filter the blood to form urine, which is excess water, salt, urea and uric acid THE SKIN Layers of the skin Epidermis - outer protective layer without blood vessels Dermis - inner layer containing blood vessels, sensory nerve endings, sweat and oil glands, hairs, and fat cells Functions of the skin Excretion - Wastes such as excess water, salt, urea and uric acid are removed from the body in sweat. Waterproofing - The skin with its oil glands prevents the entry of water into, and loss of water out of the body.

Protection from disease - The intact skin prevents invasion of micro-organisms and dust into the body. Protection from ultraviolet rays - Pigments reduce the intake of UV rays. Regulation of body temperature - The thin layer of fat cells in the dermis insulates the body. Contraction of small muscles attached to hairs forms 'goosebumps' and creates an insulating blanket of warm air. Also, sweat produced by sweat glands uses excess body heat to evaporate, providing a cooling effect. Sensory Detection - The nerve endings or receptors in the dermis detect heat, cold, touch, pressure and pain.

SOME / ANY
STATEMENT Affirmative statement Negative statements Interrogative statements SOME I have some health nuisances. They will need some calories _ _ Exception: Offer: Would you like some help? Request: Can you lend me some money? ANY _ I do not need any blood transfusion. Do you need any help? Does she have any classmates?

QUANTIFIERS WITH COUNTABLE AND UNCOUNTABLE NOUNS


Some adjectives and adjectival phrases describe quantity. Some can only go with countable nouns (nurses, inpatients, outpatients), and some can only go with uncountable nouns (sugar, fat, blood, advice). However, there are quantifiers that can be used with both countable and uncountable nouns.
ONLY WITH UNCOUNTABLE NOUNS How much? a little a bit (of) a great deal of a large amount of WITH UNCOUNTABLE AND COUNTABLE NOUNS How much? or How many? no/none not any some (any) a lot of plenty of lots of ONLY WITH COUNTABLE NOUNS How many? a few a number (of) several a large number of a great number of

Notes: 1. Much and many are used in negative and question forms.

Example: How much sugar do you consume? How many cigarettes do you smoke? There's not much blood in the blood bank. There weren't many physicians at the meeting. 2. They are also used with too, (not) so, and (not) as :

Examples There were too many physicians at the meeting. It's a problem when there are so many patients. There's not so much work to do this week. 3. In positive statements, we use a lot of:

Examples: I have a lot of work this week. There were a lot of physicians at the meeting. 4. A few (for countable nouns) and a little (for uncountable nouns) describe the quantity in a positive way: Examples: I have a few patients (= maybe not many, but enough) I have a little money (= I have enough to live on) 5. Few and little describe the quantity in a negative way:

Few people visited him in hospital (= he had almost no visitors) He had little money (= almost no money)

ACTIVITIES
A. QUANTIFIERS. In the following sentences, fill in the gaps with one of the following quantifiers: much, many, a lot of, most, a little, little, a few, few

1. It seems to me that we haven't had ____________ assignments in English this term. 2. How _______________ material can we be expected to read in one week? 3. I've unfortunately had _________________ headaches already because of stress. 4. Our yard looks awful this summer. There are too _____________ weeds. 5. I didn't use _____________ fertilizer last spring, and that has made a difference. 6. Also, I've paid very_________________ attention to how rain we've had. 7. I'm afraid it's rained ________________ times this summer, and that is why the grass is turning brown and dying. Farmers are very upset. 8. How _______________ good would it do if we watered the plants ourselves? . 9. ________________ advice I have ever received from so-called "experts" has been useless. 10. They said that just _________________ help could make a big difference. 11.________________________ people know as much about computers as Tomas does. 12. It does us _________________________ good when the banking system collapses. http://www.learn4good.com/languages/evrd_grammar/quantifier.htm B. GROUP PROJECT. You are a doctor who needs to know your patient routine. Write a 30line dialogue using quantifiers in each sentence. Use affirmative, negative and interrogative statements.

UNIT

THE URINARY SYSTEM


Urine

The first nitrogenous waste to be formed from the breakdown of protein is ammonia, a highly toxic chemical that is quickly converted by the liver to urea and uric acid. These are less toxic than ammonia and are transported in the blood to the kidneys for excretion in urine. Urine consists of excess water, excess salt, urea and uric acid. Parts of the Urinary System

Renal Arteries Two renal arteries constantly transport blood to the kidneys. Renal Veins Two renal veins return useful nutrients back into the bloodstream. Ureters Two ureters carry urine from the kidneys to the urinary bladder. Urinary Bladder The urinary bladder temporarily stores urine until it is released from the body. Urethra

The urethra is the tube that carries urine from the urinary bladder to the outside of the body. The outer end of the urethra is controlled by a circular muscle called a sphincter. Kidneys The human kidneys are the major organs of bodily excretion (see Figure 1 ). They are bean-shaped organs located on either side of the backbone at about the level of the stomach and liver. Blood always enters the kidneys through renal arteries and leaves through renal veins. Tubes called ureters carry waste products from the kidneys to the urinary bladder for storage or for release.

Figure 1 Details of the human excretory system. Position and allied structures of the kidneys (top). A cross section of the kidney showing the two major portions (left). Details of the nephron, the functional unit of the kidney (right).

The product of the kidneys is urine, a watery solution of waste products, salts, organic compounds, and two important nitrogen compounds: uric acid and urea. Uric acid results from nucleic acid decomposition, and urea results from amino acid breakdown in the liver. Both of these nitrogen products can be poisonous to the body and must be removed in the urine. Nephron The functional and structural unit of the kidney is the nephron. The nephron produces urine and is the primary unit of homeostasis in the body. It is essentially a long tubule with a series of associated blood vessels. The upper end of the tubule is an enlarged cuplike structure called the Bowman's capsule. Below the Bowman's capsule, the tubule coils to form the proximal tubule, and then it follows a hairpin turn called the loop of Henle. After the loop of Henle, the tubule coils once more as the distal tubule. It then enters a collecting duct, which also receives urine from other distal tubules. Within the Bowman's capsule is a coiled ball of capillaries known as a glomerulus. Blood from the renal artery enters the glomerulus. The force of the blood pressure induces plasma to pass through the walls of the glomerulus, pass through the walls of the Bowman's capsule, and flow into the proximal tubule. Red blood cells and large proteins remain in the blood. After plasma enters the proximal tubule, it passes through the coils, where usable materials and water are reclaimed. Salts, glucose, amino acids, and other useful compounds flow back through tubular cells into the blood by active transport. Osmosis and the activity of hormones assist the movement. The blood fluid then flows through the loop of Henle into the distal tubule. Once more, salts, water, and other useful materials flow back into the bloodstream. Homeostasis is achieved by this process: A selected amount of hydrogen, ammonium, sodium, chloride, and other ions maintain the delicate salt balance in the body. The fluid moving from the distal tubules into the collecting duct contains materials not needed by the body. This fluid is referred to as urine. Urea, uric acid, salts, and other metabolic waste products are the main components of urine. The urine flows through the ureters toward the urinary bladder. When the bladder is full, the urine flows through the urethra to the exterior.

FREQUENCY ADVERBS
Adverbs of frequency are used to say how often you do something. Adverbs of frequency are often used with the present simple because they indicate repeated or routine activities. For example, They often go out for dinner The most common frequency adverbs in English are: Always Frequently Usually Often Sometimes Occasionally Seldom Rarely Never Note: The percentages here are rough estimates only. Frequency adverbs can be placed at various points in the sentence, but are most commonly used before the main verbs and after be verbs. That surgeon always come to work on time. Those doctors are seldom home when we call. He's usually taking her pills at this time. She's never been to Cayetano Heredia Hospital. A: Do you come here often? B: Yes. I'm here occasionally. A: What do you usually do here? B: Sometimes I just sit and wait for a blood transfusion. 100% 90% 80% 70% 50% 40% 20% 10% 0%

Notes: 1. The adverbs seldom, rarely, never and hardly ever are considered negative. A: Do you always carry your medicines? B: (Yes,) I usually do. No, I usually don't. No, I rarely do. No, I hardly ever do. 2. The following expressions are used at the beginning and end of sentences, not before main verbs. Every day/week/month Every other day/week Once a week/month/year Twice a year/day, etc. (Every) once in a while Every so often Examples: Every once in a while I visit my outpatients. I visit my outpatients every once in a while. I every once in a while visit my outpatients. (Incorrect) 3. The adverbs regularly (according to schedule), normally (commonly nowadays), traditionally (commonly in the past) can come at various points in the sentence: Examples: I regularly floss my teeth. I floss my teeth regularly. Traditionally, that was considered child's play. I normally get up around 6 o'clock. Normally, I get up around 6 o'clock.

ACTIVITIES
A. Rewrite the complete sentence using the adverb in brackets in its correct position. Example: I play tennis on Sundays. (often) Answer: I often play tennis on Sundays.

1. He pays attention to the doctor's suggestions. (often) _____________________________________________________________________________ 2. They read a book on Anatomy. (sometimes) ______________________________________________________________________________ 3. Pete gets angry. (never) ________________________________________________________________________________ 4. Doctor Espinoza is very friendly. (usually) _______________________________________________________________________________ 5. I take sugar in my coffee. (sometimes) _______________________________________________________________________________ 6. Ramon and Frank are hungry. (often) _______________________________________________________________________________ 7. My dermatologist goes for a walk in the evening. (always) _______________________________________________________________________________ 8. Nurses help surgeons in the operating rooms. (usually) ________________________________________________________________________________ 9. Patient watch TV after 9 pm. (never) _______________________________________________________________________________ 10. Christine smokes. (never) _______________________________________________________________________________

11. Nurse Hellen is upset (frequently) ________________________________________________________________________________ 12. My workmates are in a hurry (usually) _______________________________________________________________________________ B. FREQUENCY ADVERBS. Read the text below and insert the frequency adverbs from the box. usually, normally (2), regularly, always (2), never, sometimes

Control of kidney function. The activity of the nephron in the kidney is ____________ controlled by a person's choices and environment as well as hormones. For example, if a person __________ consumes large amounts of protein, much urea will be in the blood from the digestion of the protein. Also, on a hot day, a body will retain water for sweating and cooling, so the amount of urine is reduced. Humans ______________ produce a hormone called antidiuretic hormone (ADH), also known as vasopressin, which is secreted by the posterior lobe of the pituitary gland. It ___________ regulates the amount of urine by controlling the rate of water absorption in the nephron tubules. _____________ some individuals suffer from a condition in which they secrete very low levels of ADH. The result is excessive urination and a disease called diabetes insipidus. Another unrelated form of diabetes, diabetes mellitus, is more widespread. Persons with this disease ___________ produce sufficient levels of insulin. Insulin _________ transports glucose molecules into the cells. But when insulin is not available, the glucose remains in the bloodstream. The glucose is _____________removed from the bloodstream in the nephron; to dilute the glucose, the nephron removes large amounts of water from the blood. Thus, the urine tends to be plentiful. Hormones from the cortex of the adrenal glands also control the content of urine. These hormones promote reabsorption of sodium and chloride ions in the tubules. Thus, they affect the water balance in the body, because water flows in the direction of high sodium and chloride content.

C. TRANSLATION. Translate the text above. ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ead more: http://www.cliffsnotes.com/study_guide/Human-Excretory-System.topicArticleId8741,articleId-8714.html#ixzz0zWFI53ca

UNIT

9
THE REPRODUCTIVE SYSTEM
Introduction Sexual reproduction is the process of producing offspring for the survival of the species, and passing on hereditary traits from one generation to the next. The male and female reproductive systems contribute to the events leading to fertilization. Then, the female organs assume responsibility for the developing human, birth, and nursing. The male and female gonads (testes and ovaries) produce sex cells (ova and sperm) and the hormones necessary for the proper development, maintenance, and functioning of the organs of reproduction and other organs and tissues. 1. MALE REPRODUCTIVE SYSTEM These external structures include the penis, scrotum, and testicles.

Penis: This is the male organ used in sexual intercourse. It has three parts: the root, which attaches to the wall of the abdomen; the body, or shaft; and the glans, which is the cone-shaped part at the end of the penis. The glans, also called the head of the penis, is covered with a loose layer of skin called foreskin. This skin is sometimes removed in a procedure called circumcision. The opening of the urethra, the tube that transports semen and urine, is at the tip of the penis. The penis also contains a number of sensitive nerve endings.

Scrotum: This is the loose pouch-like sac of skin that hangs behind and below the penis. It contains the testicles (also called testes), as well as many nerves and blood vessels. The scrotum acts as a "climate control system" for the testes. For normal sperm development, the testes must be at a temperature slightly cooler than body temperature. Special muscles in the wall of the scrotum allow it to contract and relax, moving the testicles closer to the body for warmth or farther away from the body to cool the temperature. Testicles (testes): These are oval organs about the size of large olives that lie in the scrotum, secured at either end by a structure called the spermatic cord. Most men have two testes. The testes are responsible for making testosterone, the primary male sex hormone, and for generating sperm. Within the testes are coiled masses of tubes called seminiferous tubules. These tubes are responsible for producing sperm cells.

The internal organs of the male reproductive system, also called accessory organs, include the following:

Epididymis: The epididymis is a long, coiled tube that rests on the backside of each testicle. It transports and stores sperm cells that are produced in the testes. It also is the job of the epididymis to bring the sperm to maturity, since the sperm that emerge from the testes are immature and incapable of fertilization. During sexual arousal, contractions force the sperm into the vas deferens. Vas deferens: The vas deferens is a long, muscular tube that travels from the epididymis into the pelvic cavity, to just behind the bladder. The vas deferens transports mature sperm to the urethra, the tube that carries urine or sperm to outside of the body, in preparation for ejaculation.

Ejaculatory ducts: These are formed by the fusion of the vas deferens and the seminal vesicles (see below). The ejaculatory ducts empty into the urethra. Urethra: The urethra is the tube that carries urine from the bladder to outside of the body. In males, it has the additional function of ejaculating semen when the man reaches orgasm. When the penis is erect during sex, the flow of urine is blocked from the urethra, allowing only semen to be ejaculated at orgasm. Seminal vesicles: The seminal vesicles are sac-like pouches that attach to the vas deferens near the base of the bladder. The seminal vesicles produce a sugar-rich fluid (fructose) that provides sperm with a source of energy to help them move. The fluid of the seminal vesicles makes up most of the volume of a man's ejaculatory fluid, or ejaculate. Prostate gland: The prostate gland is a walnut-sized structure that is located below the urinary bladder in front of the rectum. The prostate gland contributes additional fluid to the ejaculate. Prostate fluids also help to nourish the sperm. The urethra, which carries the ejaculate to be expelled during orgasm, runs through the center of the prostate gland. Bulbourethral glands: Also called Cowper's glands, these are pea-sized structures located on the sides of the urethra just below the prostate gland. These glands produce a clear, slippery fluid that empties directly into the urethra. This fluid serves to lubricate the urethra and to neutralize any acidity that may be present due to residual drops of urine in the urethra.

How does the male reproductive system function? The entire male reproductive system is dependent on hormones, which are chemicals that stimulate or regulate the activity of cells or organs. The primary hormones involved in the functioning of the male reproductive system are follicle-stimulating hormone (FSH), luteinizing hormone (LH) and testosterone. FSH and LH are produced by the pituitary gland located at the base of the brain. FSH is necessary for sperm production (spermatogenesis), and LH stimulates the production of testosterone, which is necessary to continue the process of spermatogenesis. Testosterone also is important in the development of male characteristics, including muscle mass and strength, fat distribution, bone mass and sex drive. 2.

FEMALE REPRODUCTIVE SYSTEM Labia majora: The labia majora enclose and protect the other external reproductive organs. Literally translated as "large lips," the labia majora are relatively large and fleshy, and are comparable to the scrotum in males. The labia majora contain sweat and oil-secreting glands. After puberty, the labia majora are covered with hair. Labia minora: Literally translated as "small lips," the labia minora can be very small or up to 2 inches wide. They lie just inside the labia majora, and surround the openings to the vagina (the canal that joins the lower part of the uterus to the outside of the body) and urethra (the tube that carries urine from the bladder to the outside of the body). Bartholin's glands: These glands are located beside the vaginal opening and produce a fluid (mucus) secretion. Clitoris: The two labia minora meet at the clitoris, a small, sensitive protrusion that is comparable to the penis in males. The clitoris is covered by a fold of skin, called the prepuce, which is similar to the foreskin at the end of the penis. Like the penis, the clitoris is very sensitive to stimulation and can become erect.

The main external structures of the female reproductive system include:

The internal reproductive organs in the female include:

Vagina: The vagina is a canal that joins the cervix (the lower part of uterus) to the outside of the body. It also is known as the birth canal. Uterus (womb): The uterus is a hollow, pear-shaped organ that is the home to a developing fetus. The uterus is divided into two parts: the cervix, which is the lower

part that opens into the vagina, and the main body of the uterus, called the corpus. The corpus can easily expand to hold a developing baby. A channel through the cervix allows sperm to enter and menstrual blood to exit.

Ovaries: The ovaries are small, oval-shaped glands that are located on either side of the uterus. The ovaries produce eggs and hormones. Fallopian tubes: These are narrow tubes that are attached to the upper part of the uterus and serve as tunnels for the ova (egg cells) to travel from the ovaries to the uterus. Conception, the fertilization of an egg by a sperm, normally occurs in the fallopian tubes. The fertilized egg then moves to the uterus, where it implants into the lining of the uterine wall.

How does the female reproductive system function? The female reproductive system is designed to carry out several functions. It produces the female egg cells necessary for reproduction, called the ova or oocytes. The system is designed to transport the ova to the site of fertilization. Conception, the fertilization of an egg by a sperm, normally occurs in the fallopian tubes. The next step for the fertilized egg is to implant into the walls of the uterus, beginning the initial stages of pregnancy. If fertilization and/or implantation does not take place, the system is designed to menstruate (the monthly shedding of the uterine lining). In addition, the female reproductive system produces female sex hormones that maintain the reproductive cycle.
AFFIRMATIVE STATEMENTS SUBJECT I You We They He She It NEGATIVE STATEMENTS SUBJECT I You AUXILIARY VERB analyze remove COMPLEMENT a microbe a tumor analyzed removed caught drank had had had VERB COMPLEMENT a microbe a tumor a cold a cough syrup genital herpes chlamydia syphilis

We They did not / didnt He She It INTERROGATIVE STATEMENTS AUXILIARY Did SUBJECT I you we they he she it AUXILIARY

catch drink have have have

a cold a cough syrup genital herpes chlamydia syphilis

VERB analyze cure have have have have have SUBJECT

COMPLEMENT the results ? the patient a stiff neck a sunburn genital herpes ? chlamydia syphilis COMPLEMENT

QUESTION MARK

Did

WH QUESTION WORDS How often

VERB

QUESTION MARK ?

did

When Why

did did

I you we they he she it

analyze cure have have have have have

the results the patient a stiff neck a sunburn genital herpes chlamydia syphilis

For further information go to HTTP://WWW.SABERINGLES.COM.AR/CURSO/LESSON14/04.HTML

ACTIVITIES
A. 1. 2. 3. 4. PUT IN ORDER TO MAKE SENTENCES its 46-Mb / we/ nuclear genome/ sequenced _____________________________________________________________________ reviewed / in/ journals/ the/ articles/ authors/ relevant ______________________________________________________________________ dysfunction/ patients/ a sexual/ female/ reported ______________________________________________________________________ dysfunction/ in/ all/ explored/ men/ studies/ sexual ______________________________________________________________________

5. 6. 7.

problem/ dysfunction /an under-recognized/was / sexual/ men/ in ______________________________________________________________________ our/ showed/ Georgian population/ degrees of ED/ lesser ______________________________________________________________________ mastered/ on / student physicians/ function / information / healthy sexual/ fundamental ______________________________________________________________________

8. an overall improvement/ described/ with long standing UC/ after surgery/function/ patients/ sexual/ their/in . ______________________________________________________________________ B. COMPLETE THE FOLLOWING TEXT WITH THE WORDS IN THE BOX
fetus- genital-ovum- pelvic-reproductive-sperm-testes-zygote

The human male ____________system (or male _________system) consists of a number of sex organs that are a part of the human reproductive process. In the case of men, these sex organs are located outside a man's body, around the _________region. The main male sex organs are the penis and the ____________which produce semen and _________, which as part of sexual intercourse fertilize an _________ in a woman's body and the fertilized ovum (_________) gradually develops into a _________, which is later born as a child.

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