Study instructions Demands •Active attendance at the classes – one unexcused absence possible, excuses give in to the study office •Possibility of substituting your classes in other seminar group (has to be the same week as your absence, max. twice a semester) •Taking two partial exams (in the case of successfull completion over 70 %, you get bonus 5 % for your final exam) •Regular homestudy required Methods of teaching •Preparatory course •7 units in one semester – exercises in the handbook (Prucklová, Severová – Introduction to Latin and Greek Terminology in Medicine) •Drill in the IS •Study materials under your personal administration in IS •Study literature (illustrated dictionaries) Why Latin/Greek? •universal, precise and flexible system of terms •Denote: oAnatomical structures oMedicaments oTherapeutical methods •Used in: oDiagnoses oDissection protocols oMedical prescriptions oMedical documentation --- communication between doctors from different environments/countries/fields of study o • Anatomical structures http://pctuning.tyden.cz/ilustrace3/svobodova/ergonomie1/06_lebka2.png Medicaments •Paxil: an antidepressant and anti-anxiety drug (Pax=peace in Latin) •Lunesta: a sleeping medication (Luna=moon in Latin) •Viagra: a medication for erectile dysfunction (Vi[r]= man in Latin and Agra=field, usually farmed or fertile in Latin and Greek) •Fosamax: a drug for osteoporosis, or bone thinning (Os=bone Max=great in Latin) Diagnoses • System of diagnose codes 09_Dg_padak.pdf Medical prescriptions • At the end of the course, you will be able to: •See the system in the terminology of anatomical structures ( = easier memorizing of the terms) •understand the principles of forming more complex terms •Understand a clinical diagnose •Write your own clinical diagnose •Write a medical prescription •Use the abbreviations in diagnoses and prescriptions • Latin pronunciation Vowels •Short Øa – anaemia, allergia, appendix etc. – as in cut, shut, mud etc. Øe – membrum, cerebrum, epilepsia etc. – as in very, set, let, get etc. Øi – diabetes, internus, iliacus etc. – as in live, give, sit etc. Øo – osseus, aorta, tonsilla etc. – as in original, on, also etc. Øu – purus, gutta, profundus etc. – as in good, pull, put etc. Øy = i (in words of Greek origin) •Long Øa – sanus, oblongatus, coronarius etc. – as in car, park, lard etc. Øe – vena, cera, chole etc. – as in sad, declare, care etc. Øi – minimus, spina, signum etc. – as in clear, ear, read etc. Øo – mucosus, pneumonia, novus etc. – as in door, floor, call etc. Øu – fractura, sutura, purus etc. – as in root, room, soon etc. Øy = i Ø • o Ø Diphtongs •Two vowels put together •ae – in words like anaemia, vertebrae, venae etc. pronounced always as long e as in care, declare, rare etc. •oe ØIn the words of Latin origin (usually in the middle of a word) pronounced the same as diphtong ae (long e) – e.g. lagoena ØIn the words of Greek origin (at the end of a word) pronounced as two syllables o-e – e.g. dyspno-e, diplo-e •eu – only in the words of Greek origin (pneumonia, eutrophia) pronounced in a phonetic way • Problematic consonants •c Ø[ts] – before e/i/ae/oe – cera, acidum, caecus, coeliacus Ø[k] – before a/o/u/consonant – cancer, costa, cura, clavicula •g – alwyas pronounced as in tongue, grave etc. •q(u) - [kv] – quantum, aqua •S – always pronounced as in sit, save etc. •T - if followed by –ia,-ie,-io,-iu pronounced as [ts] – patientia, substantia; however if preceded by s or x pronunciation remains [t] – ostium Ø o • • Length of syllables •Two-syllable words – accent on the first syllable • like in vita, vena, cura, ulna etc. •Three or more-syllable words oIf the last but one syllable is long, it bears an accent – angina, carcinoma, retina, dentista etc. oIf the last but one syllable is short, the preceding syllable bears an accent – fibula, tunica, valvula, vesica etc. o o oThe length of vowels is not marked nor in Latin neither in this handbook! Read the Hippocratic Oath • Iuro per Apollinem medicum et Sanitiam et Remediatiam et deos universos et universas, scitores faciens, perficiam secundem possibilitatem et actionem et iudicium meum iuramentum hoc et conscriptionem istam. eum qui docuit me artem hanc introducere inter meos, et communicare in vita, et in quo indiget dationem facere, et genus quod ab ipso fratribus aequale iudicare eligam. • • • et docebo artem hanc eos qui indigent discere absque pretio et conscriptione, et delusione et intemperantia et de reliqua universa disciplina traditionem facer filiis meis et eius qui me docuit et edoctis et temperatis et iuratis legi medicinali, alii autem nulli. dietationibusque utar omnibus iuvamento laborantium secundum possibilitatem et iudicum meum, et de incusatione et iniustitia prohibebor. neque dabo ulli farmacum rogatus mortale, neque narrabo consilium tale. • • similiter autem neque mulieri pessarium corruptivum dabo. pure vero et sancte servabo vitam meam et artem meam. non incidam autem neque lapidatatem patientes, sed dimattam hoc opus hominibus huius operationis. ad domos autem ad quotcumque ivero, ibo ad utilitatem eorum qui laborant, absque omni iniustitia spontanea et corruptive alia, et venereorum operum in mulieribus corporibus liberorum et servorum. • ea vero quae in cura videro aut audivero, vel etiam absqua cura de vitis hominum, quae non sit conveniens loqui extra, tacebo, ceu neque videre ea putans. iuramentum itaque meum et conscriptionem hanc qui perfectum facit et non confringit erit diligibilis ut augeatur et in vita et arte honorandus ab omnibus hominibus insempiterno tempore, transgredienti autem et deieranti contraria horum. Grammatical cathegories of nouns Gender •Masculine •Feminine •Neutral • •Not always intuitive – you have to learn the gender of particular words!!! Number •Singular •Plural Case •The relationships between nouns and adjectives are expressed not only by prepositions, but also by case endings (according to particular declension to which a noun belongs) •Nominative (Nom.) – the subject of sth – upright case (1st dictionary entry) •Genitive (Gen.) – functions as English preposition of, also possessive function, denotes the declension of a noun (2nd dictionary entry) •Accusative (Acc.) – the object of sth, with prepositions denoting motion towards sth – ad, prope, in •Ablative (Abl.) – expresses separation or motion away from sth, with prepositions e/ex, a/ab, de, sine, cum Declension •Each noun belongs to one of 5 declensions according to which the case endings are put to them, the division of nouns into declensions is based on their stem (according to Gen. plural form) 1.1st declension – a-stems – ven-a-rum 2.2nd declension – o-stems – nerv-o-rum 3.3rd declension Øi-stems – pelv-i-um Øconsonant stems – dolo-r-um, pon-t-um, sectio-n-um 4.4th declesion – u-stems – duct-u-um 5.5th declension – e-stems – faci-e-rum Adjectives •Adjectives always have to correspond with the noun to which they belong in gender, number and case!!!! • •fractura ulnae dextrae complicata •vertebrae thoracicae •ad lagoenam fuscam •cum anaemia perniciosa Prepositions •with accusative Øad = towards, to – ad cranium Øante = before – ante fracturam Øpost = after – post operationem Øper = through – per rectum Øin (motion)= towards, into – in lagoenam Øprope (motion) = near to – prope ulnam Øpropter = because of – propter anaemiam •with ablative Øe/ex = out of – e scatula Øa/ab = from, by – a medico Øsine = without – sine insufficientia Øcum = with – cum digito medio Øpro = for the sake of – pro adulto