3 2021 05 1012 46 42 Am
3 2021 05 1012 46 42 Am
• The respiratory system brings oxygen into the body for transportation to the cells. It
also removes carbon dioxide and some water waste from the body. For descriptive
purposes, the respiratory system is divided into upper and lower respiratory tracts.
• The upper respiratory tract consists of the nose, mouth, pharynx, epiglottis, larynx,
and trachea.
• The lower respiratory tract consists of the bronchial tree and lungs. These structures
are located within, and protected by, the thoracic cavity which is also known as the
rib cage.
1
Suffixes for Respiration
2
Roots for the Lungs and Breathing
Root Meaning Example Definition of Example
phrenic
phren/o diaphragm pertaining to the diaphragm
FREN-ik
phrenicectomy partial excision of the
phrenic/o phrenic nerve
fren-i-SEK-tō-mē phrenic nerve
pleurodesis
pleur/o pleura fusion of the pleura
plū-ROD-e-sis
pulm/o, extrapulmonary
lung outside the lungs
pulmon/o EKS-tra-pul-mō-ner-ē
3
Symptoms, Conditions and Disorders: continue
4
Lec 2 College of Dentistry, Al Mustansiriyah University د ﺑﺎن اﻏﺎ
Blood circulates throughout the body in the cardiovascular system, which consists of the
heart and the blood vessels. This system forms a continuous circuit that delivers oxygen and
nutrients to all cells and carries away waste products. The lymphatic system also functions in
circulation. Its vessels drain fluid and proteins left in the tissues and return them to the
bloodstream. The lymphatic system plays a part in immunity and in the digestive process as
well.
1. The Heart
The heart is located between the lungs, with its point, or apex, directed toward the inferior
and left. The wall of the heart consists of three layers (Figure 1), all named with the root cardi,
meaning “heart.” Moving from the innermost to the outermost layer, these are the (Figure
2):
1. Endocardium—a thin membrane that lines the chambers and valves (the prefix endo-
means “within”).
2. Myocardium—the thick muscle layer that makes up most of the heart wall (the root my/o
means “muscle”).
3. Epicardium—a thin membrane that covers the heart (the prefix epi- means “on”).
A fibrous sac, the pericardium, contains the heart and anchors it to surrounding structures,
such as the sternum (breastbone) and diaphragm (the prefix peri- means “around”).
Each of the heart’s upper receiving chambers is an atrium (plural: atria). Each of the lower
pumping chambers is a ventricle (plural: ventricles).
The chambers of the heart are divided by walls, each of which is called a septum. The
interventricular septum separates the two ventricles; the interatrial septum divides the two
atria. There is also a septum between the atrium and ventricle on each side. The heart pumps
blood through two circuits. The right side pumps blood to the lungs to be oxygenated through
the pulmonary circuit. The left side pumps to the remainder of the body through the systemic
circuit (Figure 2).
5
Figure 1. The heart
6
2. The Vascular System
The vascular system consists of:
1. Arteries that carry blood away from the heart
2. Arterioles, vessels smaller than arteries that lead into the capillaries
3. Capillaries, the smallest vessels, through which exchanges take place between the blood
and the tissues
4. Venules, small vessels that receive blood from the capillaries and drain into the veins
5. Veins that carry blood back to the heart
All arteries, except the pulmonary artery (and the umbilical artery in the fetus), carry highly
oxygenated blood. They are thick-walled, elastic vessels that carry blood under high pressure.
All veins, except the pulmonary vein (and the umbilical vein in the fetus), carry blood low in
oxygen. Veins have thinner, less elastic walls and tend to give way under pressure. Like the
heart, veins have one-way valves that keep blood flowing forward.
7
Root Meaning Example Definition of Example
Cardiovascular Disorders
Term Definition
angina pectoris A feeling of constriction around the heart or pain that may
an-JĪ-na PEK-tō-ris radiate to the left arm or shoulder, usually brought on by
exertion; caused by insufficient blood supply to the heart
8
Term Definition
Term Definition
9
deep vein thrombosis Thrombophlebitis involving the deep veins
(DVT)
myocardial infarction (MI) Localized necrosis (death) of cardiac muscle tissue resulting
mī-ō-KAR-dē-al in-FARK- from blockage or narrowing of the coronary artery that
shun supplies that area. Myocardial infarction is usually caused by
formation of a thrombus (clot) in a vessel
rheumatic heart disease Damage to heart valves after infection with a type of
rū-MAT-ik Streptococcus (group A hemolytic Streptococcus). The
antibodies produced in response to the infection produce
valvular scarring usually involving the mitral valve
angina pectoris A feeling of constriction around the heart or pain that may
an-JĪ-na PEK-tō-ris radiate to the left arm or shoulder, usually brought on by
exertion; caused by insufficient blood supply to the heart
patent ductus arteriosus Persistence of the ductus arteriosus after birth. The ductus
PĀ-tent DUK-tus ar-tēr-ē- arteriosus is a vessel that connects the pulmonary artery to
Ō-sus the descending aorta in the fetus to bypass the lungs
The lymphatic system is a widely distributed system with multiple functions. Its role in
circulation is to return excess fluid and proteins from the tissues to the bloodstream.
Blind-ended lymphatic capillaries pick up these materials in the tissues and carry them into
larger vessels. The fluid carried in the lymphatic system is called lymph. Lymph drains from
the lower part of the body and the upper left side into the thoracic duct (left lymphatic duct),
10
which travels upward through the chest and empties into the left subclavian vein near the
heart.
The right lymphatic duct drains the body’s upper right side and empties into the right
subclavian vein (Figure 1).
Lymphatic Circulation
Another major function of the lymphatic system is to protect the body from impurities and
invading microorganisms. Along the path of the lymphatic vessels are small masses of
lymphoid tissue, the lymph nodes. Their function is to filter the lymph as it passes through.
They are concentrated in the cervical (neck), axillary (armpit), mediastinal (chest), and
inguinal (groin) regions (Figure 2).
Other protective organs and tissues of the lymphatic system include the (Figure 3):
1. Tonsils, located in the throat (pharynx). They filter inhaled or swallowed materials and
aid in immunity early in life.
2. Thymus in the chest, above the heart. It processes and stimulates lymphocytes active
in immunity.
3. Spleen in the upper left region of the abdomen. It filters blood and destroys old red
blood cells.
4. Appendix, attached to the large intestine. It may aid in the development of immunity.
11
5. Peyer patches, in the lining of the intestine. They help protect against invading
microorganisms.
A final function of the lymphatic system is to absorb digested fats from the small intestine.
These fats are then added to the blood with the lymph that drains from the thoracic duct.
Figure 2. Lymphatic circulation: Arrows show direction of flow of lymph and blood
12
Roots for the Lymphatic System
Root Meaning Example Definition of Example
Lymphangitis is inflammation of lymphatic vessels. Note the linear red streak proximal
lim-fan-JĪ-tis to a skin infection
13
Lec 3 College of Dentistry, Al Mustansiriyah University د ﺑﺎن اﻏﺎ
Nervous System
For study purposes, the nervous system may be divided structurally into two parts (Figure
1):
§ The central nervous system (CNS), consisting of the brain and spinal cord
§ The peripheral nervous system (PNS), consisting of all nervous tissue outside the brain
and spinal cord
Functionally, the nervous system can be divided into the:
§ Somatic nervous system, which controls skeletal muscles
§ Visceral or autonomic nervous system (ANS), which controls smooth muscle, cardiac
muscle, and glands. The ANS regulates responses to stress and helps to maintain
homeostasis.
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Neurons
Two types of cells are found in the nervous system. Neurons, or nerve cells, make up the
conducting tissue of the nervous system. Neuroglia are the cells that support and protect
nervous tissue. The neuron is the nervous system’s basic functional unit. Each neuron has two
types of fibers extending
from the cell body:
■ The dendrite carries impulses toward the cell body.
■ The axon carries impulses away from the cell body.
Some axons are covered with myelin, a whitish, fatty material that insulates and protects the
axon and speeds electric conduction. Axons so covered are described as myelinated, and they
make up the white matter of the nervous system. Unmyelinated tissue makes up the nervous
system’s gray matter.
Each neuron is part of a pathway that carries information through the nervous system. A
neuron that transmits impulses toward the CNS is a sensory, or afferent, neuron; a neuron
that transmits impulses away from the CNS is a motor, or efferent, neuron. There are also
connecting cells within the CNS called interneurons.
A synapse is the point of contact between two neurons. At the synapse, energy is passed from
one cell to another, usually by means of a neurotransmitter and sometimes by direct transfer
of electric current.
Figure 2. A motor neuron. The break in the axon denotes length. The arrows show the direction of
the nerve impulse.
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The Brain
The brain is nervous tissue contained within the cranium. It consists of the cerebrum,
diencephalon, brainstem, and cerebellum. The cerebrum is the largest part of the brain; it is
composed largely of white matter with a thin outer layer of gray matter, the cerebral cortex.
It is within the cortex that the higher brain functions of memory, reasoning, and abstract
thought occur (Figure 1).
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THE CRANIAL NERVES
17
THE SPINAL NERVES
Thirty-one pairs of spinal nerves connect with the spinal Cord. These
nerves are grouped in the segments of the cord as follows (Figure 3):
• Cervical: 8
• Thoracic: 12
• Lumbar: 5
• Sacral: 5
• Coccygeal: 1
Figure 3. Spinal cord, lateral view. The divisions of the spinal nerves are shown.
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Root Meaning Example Definition of Example
19
Suffix Meaning Example Definition of Example
-paresis* partial hemiparesis partial paralysis of one side of the
paralysis, hem-i-pa-RĒ-sis body
weakness
-lepsy seizure narcolepsy condition marked by sudden
NAR-kō-lep-sē episodes of sleep
-phobia* persistent, agoraphobia fear of being in a public place (from
irrational fear ag-o-ra-FŌ-bē-a Greek agora, meaning
“marketplace”)
-mania* excited state, megalomania exaggerated self-importance;
obsession meg-a-lō-MĀ-nē-a “delusions of grandeur”
Key Terms
Term Definition
afferent Carrying toward a given point, such as the sensory neurons and nerves
AF-er-ent that carry impulses toward the CNS (root fer means “to carry”)
efferent Carrying away from a given point, such as the motor neurons and
EF-er-ent nerves that carry impulses away from the CNS (root fer means “to
carry”)
axon The fiber of a neuron that conducts impulses away from the cell body
AK-son
gray matter Unmyelinated tissue of the nervous system
white matter Myelinated tissue of the nervous system
synapse The junction between two neurons; also the junction between a motor
SIN-aps neuron and a muscle or gland
concussion Injury resulting from a violent blow or shock; a brain concussion usually
kon-KUSH-un results in loss of consciousness
confusion A state of reduced comprehension, coherence, and reasoning ability
kon-FŪ-zhun resulting in inappropriate responses to environmental stimuli
seizure A sudden attack, as seen in epilepsy. The most common forms of
SĒ-zhur seizure are tonic–clonic, or grand mal (gran mal) (from French,
meaning “great illness”); absence seizure, or petit mal (pet-Ē mal),
meaning “small illness;” and psychomotor seizure
epilepsy A chronic disease involving periodic sudden bursts of electric activity
EP-i-lep-sē from the brain, resulting in seizures
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Term Definition
convulsion A series of violent, involuntary muscle contractions. A tonic convulsion
kon-VUL-shun involves prolonged muscle contraction; in a clonic convulsion, there is
alternation of contraction and relaxation. Both forms appear in grand
mal epilepsy
encephalitis Inflammation of the brain
en-sef-a-LĪ-tis
dementia A gradual and usually irreversible loss of intellectual function
dē-MEN-shē-a
hemiplegia Paralysis of one side of the body
hem-i-PLĒ-jē-a
meningitis Inflammation of the meninges
men-in-JĪ-tis
narcolepsy Brief, uncontrollable episodes of sleep during the day
NAR-kō-lep-sē
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Lec 4 College of Dentistry, Al Mustansiriyah University د ﺑﺎن اﻏﺎ
Body organisation
All organisms are built from simple to more complex levels
(Figure 1). Chemicals form the materials that make up cells,
which are the body’s structural and functional units. Groups
of cells working together make up tissues, which in turn
make up the organs, which have specialized functions.
Organs become components of the various systems, which
together comprise the whole organism.
The Cell
The cell is the basic unit of living organisms (Figure 2). Cells
accomplish all the activities and produce all the components
of the body. They carry out metabolism, the sum of all the
body’s physical and chemical activities. They provide the
energy for metabolic reactions in the form of the chemical
ATP (adenosine triphosphate), commonly described as the
energy compound of the cell.
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Figure 2. Generalized animal cell, sectional view. The main organelles are shown.
23
Tissues
Cells are organized into four basic types of tissues that perform specific functions (Figure 4 &
5):
1. Epithelial (ep-i-THĒ-lē-al) tissue covers and protects body structures and lines organs,
vessels, and cavities. Simple epithelium, composed of cells in a single layer, functions to
absorb substances from one system to another, as in the respiratory and digestive tracts.
Stratified epithelium, with cells in multiple layers, protects deeper tissues, as in the mouth
and vagina. Most of the active cells in glands are epithelial cells.
2. Connective tissue supports and binds body structures. It contains fibers and other non-
living material between the cells. Included in this category are blood, adipose (fat) tissue,
cartilage, and bone.
3. Muscle tissue (root: my/o) contracts to produce movement. There are three types of
muscle tissue:
a. Skeletal muscle moves the skeleton. It has visible cross-bands, or striations, that are
involved in contraction. Because it is under conscious control, it is also called voluntary
muscle.
b. Cardiac muscle forms the heart. It functions without conscious control and is described as
involuntary.
c. Smooth or visceral muscle forms the walls of the abdominal organs; it is also involuntary.
The walls of ducts and blood vessels also are composed mainly of smooth muscle.
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4. Nervous tissue (root: neur/o) makes up the brain, spinal cord, and nerves. It coordinates
and controls body responses by the transmission of electrical impulses. The basic cell in
nervous tissue is the neuron, or nerve cell.
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Roots for Cells and Tissues
Root Meaning Example Definition of Example
reticulum
reticul/o network a network
re-TIK-ū-lum
papilla
papill/o nipple projection that resembles a nipple
pa-PIL-a
Mucus, mucorrhea
muc/o increased flow (-rhea) of mucus
mucous mū-kō-RĒ-a
immature cell,
blast/o, - histioblast
productive cell, a tissue-forming cell
blast HIS-tē-ō-blast
embryonic cell
karyogenesis
gen origin, formation kar-ē-ō-JEN-e- formation of a nucleus
sis
basophilic
phil attract, absorb attracting basic stain
bā-sō-FIL-ik
formation,
hyperplasia overdevelopment of an organ or
plas molding,
hī-per-PLĀ-zē-a tissue
development
chronotropic
trop act on, affect affecting rate or timing (chron/o)
kron-o-TROP-ik
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Suffixes for Body Chemistry
Suffix Meaning Example Definition of Example
glucogenesis
gluc/o glucose production of glucose
glū-kō-JEN-e-sis
normoglycemia
sugar,
glyc/o nor-mō-glī-SĒ- normal blood sugar level
glucose
mē-a
amyloid
amyl/o starch resembling starch
AM-i-loyd
lipophilic
lip/o lipid, fat attracting or absorbing lipids
lip-ō-FIL-ik
adiposuria
adip/o fat presence of fat in the urine (ur/o)
ad-i-pō-SŪR-ē-a
steatorrhea
steat/o fatty discharge (-rhea) of fatty stools
stē-a-tō-RĒ-a
protease
prote/o protein enzyme that digests protein
PRŌ-tē-ās
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Supplementary Terms
Key terms Definition
anabolism The type of metabolism in which body substances are made; the
a-NAB-ō-lizm building phase of metabolism
catabolism The type of metabolism in which substances are broken down for
ka-TAB-ō-lizm energy and simple compounds
glycogen A complex sugar compound stored in liver and muscles and broken
GLĪ-kō-jen down into glucose when needed for energy
stem cell An immature cell that has the capacity to develop into any of a
variety of different cell types, a precursor cell
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Lec 5 College of Dentistry, Al Mustansiriyah University د ﺑﺎن اﻏﺎ
ACADEMIC WRITING
1. Clear Purpose. The goal of your paper is to answer the question you posed as your
topic. Your question gives you a purpose. The most common purposes in academic writing
are to persuade, analyse/synthesize, and inform.
• Persuasive purpose In persuasive academic writing, the purpose is to get your readers
to adopt your answer to the question. So you will choose one answer to your question,
support your answer using reason and evidence, and try to change the readers’ point of
view about the topic. Persuasive writing assignments include argumentative and position
papers.
• Analytical purpose In analytical academic writing, the purpose is to explain and evaluate
possible answers to your question, choosing the best answer(s) based on your own
criteria. Analytical assignments often investigate causes, examine effects, evaluate
effectiveness, assess ways to solve problems, find the relationships between various
ideas, or analyse other people’s arguments. The “synthesis” part of the purpose comes
in when you put together all the parts and come up with your own answer to the
question. Examples of these assignments include analysis papers and critical analyses.
• Informative purpose In informative academic writing, the purpose is to explain possible
answers to your question, giving the readers new information about your topic. This
differs from an analytical topic in that you do not push your viewpoint on the readers,
but rather try to enlarge the readers’ view.
3. Clear Point of View. Academic writing, even that with an informative purpose, is not
just a list of facts or summaries of sources. Although you will present other people’s ideas and
research, the goal of your paper is to show what you think about these things. Your paper will
29
have and support your own original idea about the topic. This is called the thesis statement,
and it is your answer to the question.
4. Single Focus. Every paragraph (even every sentence) in your paper will support your
thesis statement. There will be no unnecessary, irrelevant, unimportant, or contradictory
information (Your paper will likely include contradictory or alternative points of view, but you
will respond to and critique them to further strengthen your own point of view).
7. Clear and Complete Explanations. This is very important! As the writer, you need
to do all the work for the reader. The reader should not have to think hard to understand
your ideas, logic, or organization. English readers expect everything to be done for them;
your thoughts and thought processes should be clearly and completely explained.
8. Effective Use of Research. Your paper should refer to a variety of current, high-
quality, professional and academic sources. You will use your research to support your
own ideas; therefore, it must be integrated into your writing and not presented
separately. That means that source material will be introduced, analysed, explained, and
then cited.
9. Correct APA Style. Some academic papers should follow the guidelines of the
American Psychological Association as found in Research and APA Style Guide 2010,
30
regarding in-text citations, the reference list, and format. Follow your instructor’s
directions.
10. Writing Style. Because this is your work, you should use your own words whenever
possible. Do not try to write like a boring, overly formal scholarly article. Use the natural
conversational style that you would use in the classroom. Your writing should be clear,
concise, and easy to read. It is also very important that there are no grammar, spelling,
punctuation, or vocabulary mistakes in academic writing. Errors convey to the reader that
you do not care.
And finally, this rule will override all the principles: ALWAYS FOLLOW THE DIRECTIONS OF
YOUR INSTRUCTOR. Every instructor has a reason for giving you an assignment, and each
instructor's requirements may differ. Follow your instructor’s directions to get the most
from an assignment.
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Lec 6 College of Dentistry, Al Mustansiriyah University د ﺑﺎن اﻏﺎ
ACADEMIC WRITING
1. Purpose
Reports are the presentation and analysis of findings from practical research. They begin
with an aim (to investigate, to explore) and probably a hypothesis (a proposition that the
research will test). Depending on the guidelines or purpose, a report may make
recommendations.
Essays begin with a question and seek to answer that question based on research into existing
theories and through the writer’s own evaluation. An essay may include results of practical
research but only in so far as it may help support the writer’s conclusions.
2. Content
Reports are generally descriptive, reporting sequential events (experiments or fixed results
from surveys etc). However, they involve an evaluation in either the conclusion or
recommendations sections.
Essays can be descriptive, discursive, evaluative, etc. This is dependent on the process given
in the essay question. Content usually involves a synthesis of knowledge gained from existing
texts and from the author's own opinions and argument.
3. Format
Both essays and reports use an introduction and conclusion format. The main content,
findings, analysis etc. come inbetween.
A report generally has a fixed structure. The choice of sections will depend on the purpose
of your report and, while at university, the preferences of your tutor or department.
In an essay, the thought process taken from the question dictates the structure of the main
body of an essay.
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Parts of a Report
• Title page
• Table of contents
• Executive Summary
• Introduction
• Findings
• Conclusions
• Recommendations
• Bibliography
• Appendices Write this first before the rest
of the report
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Differences between an academic Report and an Essay
Report Essay
The topic based on reading and/or based on reading and critical thinking
practical work May be:
May be: • a question
• a problem • a proposition
• a case study
• an experiment
The purpose to investigate, present and to articulate a well-argued response
analyse information
May be:
to make recommendations
The outcome presentation of findings conclusion drawn from evaluation or
may recommend action or argument
change may recommend action or change
The reader May be: lecturer
• lecturer
• client
• manager
The format • sections with headings • sections may include headings
• headings numbered • headings not numbered
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Lec 7 College of Dentistry, Al Mustansiriyah University د ﺑﺎن اﻏﺎ
ACADEMIC WRITING
Plagiarism
Plagiarism is taking the words, theories, creations or ideas of another person and passing
them off as your own.
Plagiarism can be deliberate – copying a passage from a book or journal or pasting something
from the internet into an assignment without referencing the original source.
You can also commit inadvertent plagiarism which is where you unintentionally repeat some
of the information you have read in the course of your research. You must ensure you
do reference ALL material that comes from another source so question yourself as to
whether you have read the information elsewhere and go back to your sources to locate the
reference.
Plagiarism can also result from not referencing correctly. You must ensure you know how to
reference your work using the style advised by your tutor.
Imprint it on your brain – Plagiarism is always wrong; there are no times when it is acceptable.
If you use someone else’s words or ideas, you must always reference them.
35
Citing your source within the text
As the name suggests, the citation in the text normally includes the name(s) (surname only)
of the author(s) and the date of the publication. This information is usually included in
brackets at the most appropriate point in the text.
When a publication has several authors, It is usual to give the surname of the first author
followed by et al. (an abbreviation of the Latin for 'and the others') although for works with
just two authors both names may be given, as shown in the above example.
Research using techniques such as ICP-OES (optical emission spectrometry in inductively
coupled plasma) or ICP-MS (inductively coupled plasma mass spectrometry) may provide
answers to questions related to the release of, for example, silver or zirconium ions from
composites containing S–P (Sleibi et al, 2019).
For particularly important points, or for parts of texts that you might wish to quote word for
word, also include in your notes the specific page reference. There are different styles of
using references and bibliographies.
36
Referencing styles
There are many different referencing conventions in common use. Each department will
have its own preferred format, and every journal or book editor has a set of 'house rules’.
The commonly used formats, the 'author, date' system. The most popular styles are:
MLA style: Agha, Bahn, and Ama Johal. "Facial phenotype in obstructive sleep apnea–
hypopnea syndrome: a systematic review and meta-analysis." Journal of sleep research 26.2
(2017): 122-131.
APA style: Agha, B., & Johal, A. (2017). Facial phenotype in obstructive sleep apnea–
hypopnea syndrome: a systematic review and meta-analysis. Journal of sleep
research, 26(2), 122-131.
Harvard style: Agha, B. and Johal, A., 2017. Facial phenotype in obstructive sleep apnea–
hypopnea syndrome: a systematic review and meta-analysis. Journal of sleep
research, 26(2), pp.122-131.
Vancouver style: Agha B, Johal A. Facial phenotype in obstructive sleep apnea–hypopnea
syndrome: a systematic review and meta-analysis. Journal of sleep research. 2017
Apr;26(2):122-31.
Book references
The simplest format, for a book reference, includes the following:
• the surnames and forenames or initials of both the authors;
• the date of publication;
• the book title;
• the place of publication;
• the name of the publisher.
Example:
Knapper, C.K. and Cropley, A. 1991: Lifelong Learning and Higher Education. London: Croom
Helm.
Lecture References
Full references to unpublished oral presentations, such as lectures, usually include the
speaker's name, the date of the lecture, the name of the lecture or of the lecture series, and
the location:
Agha, B. 2020 (7 July): Cell, Tissue and Organ Terminology, Lecture 4. College of Dentistry,
Al-Mustansiriyah University.
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Web page or website Reference
Information on the internet changes rapidly and web pages move or are sometimes
inaccessible meaning it can often be difficult to validate or even find information cited from
the internet. When referencing web pages it is helpful to include details that will help other
people check or follow up the information.
An example:
Little, J.W. and Parker, R. 2010. How to read a scientific paper.
[http://www.owlnet.rice.edu/~cainproj/courses/HowToReadSciArticle.pdf]. Accessed
August 24, 2011.
Sometimes the link is very long and then you may shorten the URL, but think of that you lose
useful information included in the original link i.e. the name of governmental body or
university responsible for the document.
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Lec 8 College of Dentistry, Al Mustansiriyah University د ﺑﺎن اﻏﺎ
When to refer
You can work within your knowledge, professional competence and physical abilities. Refer
patients for a second opinion and for further advice when it is necessary, or if the patient
asks. Refer patients for further treatment when it is necessary to do so.
As such, the need for referral may be that the situation lies outside:
• the knowledge;
• the skill;
• the experience; or
• the facilities available to the referring dentist.
How to refer
Many attempts have been made to produce standard pro forma letters to simplify the process
of referral. Standard letters are also considered by some to improve the information, which
is provided by prompting the referrer for information.
39
Emergency referrals may also be made by telephone call. It is important to keep a record of
the telephone conversation, and best practice is to follow this up with a letter. The letter
should refer to the telephone conversation and provide the appropriate details expected in
any referral. The use of electronic mail or online referral of patients has yet to become
common practice, but many centres are now developing this service.
Reported information
Other than the essential demographic data required to contact the patient, the nature of the
problem is the next most important information. This should follow the order of a simple
patient assessment. Where appropriate, the patient’s presenting complaint and history of the
complaint should be given, along with the treatment history subsequent to presentation.
40
Referral Template
[Senders Name]
[Address line]
[Providence]
[Letter Date]
[Recipients Name]
[Address line]
[Providence]
Good day! I am Dr. Bahn Agha, an orthodontist under the consultancy Group of Al-
Mustansiriyah Dental Hospital.
I would like to refer to you Samih Mohammed, a 14-year old boy who I have treat him
since he was 12 years old. He is being recently suffering from dental pain in the upper left
region of the upper arch. I am confident that your clinic is very able to see to the health
needs of this child.
Sincerely,
[Senders Name]
[Senders Title] -Optional-
41
Sample
Dear Dr Agha
I am writing to refer the above named patient for assessment and subsequent treatment
of a grossly carious 46, the tooth is being unrestorable. The 46 has been dressed and the
patient is currently asymptomatic, as such an urgent appointment is not required.
Mr Ali had a laryngeal cancer treated in Al Amal Hospital, December 2015, managed with
surgery and subsequent radiation. No other medical problems were noted, the patient
currently taking no medications. Mr Ali smokes 29 cigarettes per day.
I enclose a recent periapical radiographs and would be grateful for its return on
completion of treatment.
Signed:
Print name:
Email template
Below is a template you can follow and adjust when you want to email a lecturer, tutor, or
coordinator. Each element is numbered and explained further underneath.
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• (5) I have a question regarding the lecture presented last [insert day/date] which I
couldn't find the answer to.
• Should our essay draw only on readings listed on the syllabus or can I incorporate scholarly
articles I read on my own, as long as it fits with the subject of the assignment?
• I look forward to hearing from you.
• (6) Kind regards,
[Your name]
4) Introduce yourself
Tell your lecturer who you are, especially if this is the first email you've written to
them. They may have hundreds of students across different subjects.
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