Which of the following actions describes a doctor performing a physical examination right now?

The doctor is examining the patient.

The doctor will examine the patient.

The doctor is going to examine the patient.

The doctor examined the patient.

Which sentence correctly describes a nurse who was administering medication last night?

The nurse was administering medication last night.

The nurse will administer medication.

The nurse is administering medication.

The nurse is going to administer medication.

Which of the following sentences describes a medical student planning to study for an exam next week?

The student is going to study for the exam next week.

The student will study for the exam next week.

The student studies for the exam next week.

The student studied for the exam last week.

Which of the following sentences indicates that a surgeon will operate on a patient tomorrow?

The surgeon will operate on the patient tomorrow.

The surgeon is operating on the patient.

The surgeon operated on the patient yesterday.

The surgeon is going to operate on the patient.

Which sentence best describes a patient who is currently experiencing symptoms of a cold?

The patient is experiencing cold symptoms.

The patient is going to experience cold symptoms.

The patient experienced cold symptoms.

The patient will experience cold symptoms.

Which of the following sentences indicates that a researcher was analyzing data last week?

The researcher was analyzing data last week.

The researcher is going to analyze data.

The researcher will analyze data.

Which sentence describes a paramedic who is about to provide care for a patient in an emergency situation?

The paramedic is going to provide care for the patient.

The paramedic provides care for the patient.

The paramedic provided care for the patient.

The paramedic will provide care for the patient.

Which of the following sentences correctly describes a doctor who frequently sees patients for check-ups?

The doctor sees patients for check-ups.

The doctor was seeing patients for check-ups.

The doctor is seeing patients for check-ups.

The doctor will see patients for check-ups.

Which of the following sentences describes a patient who will begin a new treatment plan next month?

The patient will begin a new treatment plan next month.

The patient is going to begin a new treatment plan next month.

The patient is beginning a new treatment plan next month.

The patient began a new treatment plan last month.

Which of the following sentences accurately describes a nurse who was preparing medication for a patient earlier today?

The nurse was preparing medication for the patient earlier today.

The nurse is going to prepare medication for the patient.

The nurse prepares medication for the patient.

The nurse will prepare medication for the patient.

Medical terms with present progressive, past progressive, future with will, and future with going to.

“There’s No Such Thing as Sound Science” by By Christie Aschwanden was a lead science writer for FiveThirtyEight. FiveThirtyEight, Science, Dec. 6, 2017 Science is being turned against itself. For decades, its twin ideals of transparency and rigor have been weaponized by those who disagree with results produced by the scientific method. Under the Trump administration, that fight has ramped up again. In a move ostensibly meant to reduce conflicts of interest, Environmental Protection Agency Administrator Scott Pruitt has removed a number of scientists from advisory panels and replaced some of them with representatives from industries that the agency regulates. Like many in the Trump administration, Pruitt has also cast doubt on the reliability of climate science. For instance, in an interview with CNBC, Pruitt said that “measuring with precision human activity on the climate is something very challenging to do.” Similarly, Trump’s pick to head NASA, an agency that oversees a large portion the nation’s climate research, has insisted that research into human influence on climate lacks certainty, and he falsely claimed that “global temperatures stopped rising 10 years ago.” Kathleen Hartnett White, Trump’s nominee to head the White House Council on Environmental Quality, said in a Senate hearing last month that she thinks we “need to have more precise explanations of the human role and the natural role” in climate change. The same entreaties crop up again and again: We need to root out conflicts. We need more precise evidence. What makes these arguments so powerful is that they sound quite similar to the points raised by proponents of a very different call for change that’s coming from within science. This other movement strives to produce more robust, reproducible findings. Despite having dissimilar goals, the two forces espouse principles that look surprisingly alike: Science needs to be transparent. Results and methods should be openly shared so that outside researchers can independently reproduce and validate them. The methods used to collect and analyze data should be rigorous and clear, and conclusions must be supported by evidence. These are the arguments underlying an “open science” reform movement that was created, in part, as a response to a “reproducibility crisis” that has struck some fields of science.1 But they’re also used as talking points by politicians who are working to make it more difficult for the EPA and other federal agencies to use science in their regulatory decision-making, under the guise of basing policy on “sound science.” Science’s virtues are being wielded against it. What distinguishes the two calls for transparency is intent: Whereas the “open science” movement aims to make science more reliable, reproducible and robust, proponents of “sound science” have historically worked to amplify uncertainty, create doubt and undermine scientific discoveries that threaten their interests. “Our criticisms are founded in a confidence in science,” said Steven Goodman, co-director of the Meta-Research Innovation Center at Stanford and a proponent of open science. “That’s a fundamental difference — we’re critiquing science to make it better. Others are critiquing it to devalue the approach itself.” Calls to base public policy on “sound science” seem unassailable if you don’t know the term’s history. The phrase was adopted by the tobacco industry in the 1990s to counteract mounting evidence linking secondhand smoke to cancer. A 1992 Environmental Protection Agency report identified secondhand smoke as a human carcinogen, and Philip Morris responded by launching an initiative to promote what it called “sound science.” In an internal memo, Philip Morris vice president of corporate affairs Ellen Merlo wrote that the program was designed to “discredit the EPA report,” “prevent states and cities, as well as businesses from passing smoking bans” and “proactively” pass legislation to help their cause. The sound science tactic exploits a fundamental feature of the scientific process: Science does not produce absolute certainty. Contrary to how it’s sometimes represented to the public, science is not a magic wand that turns everything it touches to truth. Instead, it’s a process of uncertainty reduction, much like a game of 20 Questions. Any given study can rarely answer more than one question at a time, and each study usually raises a bunch of new questions in the process of answering old ones. “Science is a process rather than an answer,” said psychologist Alison Ledgerwood of the University of California, Davis. Every answer is provisional and subject to change in the face of new evidence. It’s not entirely correct to say that “this study proves this fact,” Ledgerwood said. “We should be talking instead about how science increases or decreases our confidence in something.” The tobacco industry’s brilliant tactic was to turn this baked-in uncertainty against the scientific enterprise itself. While insisting that they merely wanted to ensure that public policy was based on sound science, tobacco companies defined the term in a way that ensured that no science could ever be sound enough. The only sound science was certain science, which is an impossible standard to achieve. “Doubt is our product,” wrote one employee of the Brown & Williamson tobacco company in a 1969 internal memo. The note went on to say that doubt “is the best means of competing with the ‘body of fact’” and “establishing a controversy.” These strategies for undermining inconvenient science were so effective that they’ve served as a sort of playbook for industry interests ever since, said Stanford University science historian Robert Proctor. The sound science push is no longer just Philip Morris sowing doubt about the links between cigarettes and cancer. It’s also a 1998 action plan by the American Petroleum Institute, Chevron and Exxon Mobil to “install uncertainty” about the link between greenhouse gas emissions and climate change. It’s industry-funded groups’ late-1990s effort to question the science the EPA was using to set fine-particle-pollution air-quality standards that the industry didn’t want. And then there was the more recent effort by Dow Chemical to insist on more scientific certainty before banning a pesticide that the EPA’s scientists had deemed risky to children. Now comes a move by the Trump administration’s EPA to repeal a 2015 rule on wetlands protection by disregarding particular studies. (To name just a few examples.) Doubt merchants aren’t pushing for knowledge, they’re practicing what Proctor has dubbed “agnogenesis” — the intentional manufacture of ignorance. This ignorance isn’t simply the absence of knowing something; it’s a lack of comprehension deliberately created by agents who don’t want you to know, Proctor said.2 In the hands of doubt-makers, transparency becomes a rhetorical move. “It’s really difficult as a scientist or policy maker to make a stand against transparency and openness, because well, who would be against it?” said Karen Levy, researcher on information science at Cornell University. But at the same time, “you can couch everything in the language of transparency and it becomes a powerful weapon.” For instance, when the EPA was preparing to set new limits on particulate pollution in the 1990s, industry groups pushed back against the research and demanded access to primary data (including records that researchers had promised participants would remain confidential) and a reanalysis of the evidence. Their calls succeeded and a new analysis was performed. The reanalysis essentially confirmed the original conclusions, but the process of conducting it delayed the implementation of regulations and cost researchers time and money. Delay is a time-tested strategy. “Gridlock is the greatest friend a global warming skeptic has,” said Marc Morano, a prominent critic of global warming research and the executive director of ClimateDepot.com, in the documentary “Merchants of Doubt” (based on the book by the same name). Morano’s site is a project of the Committee for a Constructive Tomorrow, which has received funding from the oil and gas industry. “We’re the negative force. We’re just trying to stop stuff.” Some of these ploys are getting a fresh boost from Congress. The Data Quality Act (also known as the Information Quality Act) was reportedly written by an industry lobbyist and quietly passed as part of an appropriations bill in 2000. The rule mandates that federal agencies ensure the “quality, objectivity, utility, and integrity of information” that they disseminate, though it does little to define what these terms mean. The law also provides a mechanism for citizens and groups to challenge information that they deem inaccurate, including science that they disagree with. “It was passed in this very quiet way with no explicit debate about it — that should tell you a lot about the real goals,” Levy said. But what’s most telling about the Data Quality Act is how it’s been used, Levy said. A 2004 Washington Post analysis found that in the 20 months following its implementation, the act was repeatedly used by industry groups to push back against proposed regulations and bog down the decision-making process. Instead of deploying transparency as a fundamental principle that applies to all science, these interests have used transparency as a weapon to attack very particular findings that they would like to eradicate. Now Congress is considering another way to legislate how science is used. The Honest Act, a bill sponsored by Rep. Lamar Smith of Texas,3 is another example of what Levy calls a “Trojan horse” law that uses the language of transparency as a cover to achieve other political goals. Smith’s legislation would severely limit the kind of evidence the EPA could use for decision-making. Only studies whose raw data and computer codes were publicly available would be allowed for consideration. That might sound perfectly reasonable, and in many cases it is, Goodman said. But sometimes there are good reasons why researchers can’t conform to these rules, like when the data contains confidential or sensitive medical information.4 Critics, which include more than a dozen scientific organizations, argue that, in practice, the rules would prevent many studies from being considered in EPA reviews.5 It might seem like an easy task to sort good science from bad, but in reality it’s not so simple. “There’s a misplaced idea that we can definitively distinguish the good from the not-good science, but it’s all a matter of degree,” said Brian Nosek, executive director of the Center for Open Science. “There is no perfect study.” Requiring regulators to wait until they have (nonexistent) perfect evidence is essentially “a way of saying, ‘We don’t want to use evidence for our decision-making,’” Nosek said. Most scientific controversies aren’t about science at all, and once the sides are drawn, more data is unlikely to bring opponents into agreement. Michael Carolan, who researches the sociology of technology and scientific knowledge at Colorado State University, wrote in a 2008 paper about why objective knowledge is not enough to resolve environmental controversies. “While these controversies may appear on the surface to rest on disputed questions of fact, beneath often reside differing positions of value; values that can give shape to differing understandings of what ‘the facts’ are.” What’s needed in these cases isn’t more or better science, but mechanisms to bring those hidden values to the forefront of the discussion so that they can be debated transparently. “As long as we continue down this unabashedly naive road about what science is, and what it is capable of doing, we will continue to fail to reach any sort of meaningful consensus on these matters,” Carolan writes. The dispute over tobacco was never about the science of cigarettes’ link to cancer. It was about whether companies have the right to sell dangerous products and, if so, what obligations they have to the consumers who purchased them. Similarly, the debate over climate change isn’t about whether our planet is heating, but about how much responsibility each country and person bears for stopping it. While researching her book “Merchants of Doubt,” science historian Naomi Oreskes found that some of the same people who were defending the tobacco industry as scientific experts were also receiving industry money to deny the role of human activity in global warming. What these issues had in common, she realized, was that they all involved the need for government action. “None of this is about the science. All of this is a political debate about the role of government,” she said in the documentary. These controversies are really about values, not scientific facts, and acknowledging that would allow us to have more truthful and productive debates. What would that look like in practice? Instead of cherry-picking evidence to support a particular view (and insisting that the science points to a desired action), the various sides could lay out the values they are using to assess the evidence. For instance, in Europe, many decisions are guided by the precautionary principle — a system that values caution in the face of uncertainty and says that when the risks are unclear, it should be up to industries to show that their products and processes are not harmful, rather than requiring the government to prove that they are harmful before they can be regulated. By contrast, U.S. agencies tend to wait for strong evidence of harm before issuing regulations. Both approaches have critics, but the difference between them comes down to priorities: Is it better to exercise caution at the risk of burdening companies and perhaps the economy, or is it more important to avoid potential economic downsides even if it means that sometimes a harmful product or industrial process goes unregulated? In other words, under what circumstances do we agree to act on a risk? How certain do we need to be that the risk is real, and how many people would need to be at risk, and how costly is it to reduce that risk? Those are moral questions, not scientific ones, and openly discussing and identifying these kinds of judgment calls would lead to a more honest debate. Science matters, and we need to do it as rigorously as possible. But science can’t tell us how risky is too risky to allow products like cigarettes or potentially harmful pesticides to be sold — those are value judgements that only humans can make.

Vocabulary List 1. Avocation Definition: A hobby or activity someone enjoys doing in addition to their main work. Example: Drawing cartoons was his favorite avocation after school. 2. Supercolossal Definition: Extremely large; even bigger than enormous. Example: They ordered a supercolossal pizza to share. 3. Repress Definition: To hold back or keep feelings or thoughts hidden. Example: She tried to repress her anger during the argument. 4. Subliminally Definition: In a way that affects the mind without someone realizing it. Example: The music subliminally made the store feel calmer. 5. Thrombosis Definition: A medical condition where a blood clot forms inside a blood vessel. Example: The doctor warned that lack of exercise can increase the risk of thrombosis. 6. Sclerosis Definition: A hardening of body tissue, especially arteries or organs. Example: The patient was diagnosed with sclerosis that affected his mobility. 7. Distortion Definition: A change that makes something appear different from what it really is. Example: The funhouse mirror caused a distortion of her reflection. 8. Philanthropy Definition: The act of giving money or help to improve the lives of others. Example: His philanthropy helped build a new library for the town. 9. Prevarications Definition: Lies or evasive statements used to avoid telling the truth. Example: The teacher grew tired of the student’s prevarications about missing homework. 10. Syndrome Definition: A group of symptoms or behaviors that occur together. Example: The doctor studied the syndrome to better understand the illness. 11. Schizophrenic Definition: Relating to a mental disorder where a person may have difficulty distinguishing reality from imagination. Example: The character in the story showed schizophrenic behavior. 12. Subsidize Definition: To support financially, usually with money from the government or an organization. Example: The city decided to subsidize public transportation. 13. Phenomenal Definition: Very remarkable or impressive. Example: The athlete gave a phenomenal performance in the race. 14. Demented Definition: Showing disturbed or irrational behavior. Example: The villain in the movie had a demented laugh. 15. Patron Definition: A person who supports or regularly visits a business, artist, or organization. Example: She was a loyal patron of the local bookstore. 16. Cultural Lag Definition: When ideas and beliefs take longer to change than technology or society. Example: Cultural lag can make it hard for laws to keep up with new technology. 17. Omens Definition: Signs believed to predict something that will happen in the future. Example: Some people think black cats are omens of bad luck. 18. Antagonistic Definition: Showing hostility or opposition. Example: The rival teams were antagonistic toward each other. 19. Voluptuous Definition: Curvy and attractive in a full, rich way. Example: The sculpture showed a voluptuous figure. 20. Oscilloscope Definition: A device used to view and measure electrical signals. Example: The scientist used an oscilloscope to study the sound waves. 21. Putrid Definition: Rotting and giving off a very bad smell. Example: The garbage smelled putrid after sitting in the sun. 22. Fixated Definition: Focused or obsessed with something. Example: He became fixated on winning the competition. 23. Mundane Definition: Ordinary, dull, or routine. Example: She was tired of the mundane chores she had to do every day. 24. Ghouls Definition: Evil or ghost-like creatures that feed on the dead in stories or legends. Example: The haunted house story was filled with ghouls and monsters. 25. Maladjusted Definition: Unable to cope well with the demands of life or society. Example: The counselor helped the maladjusted student deal with stress. 26. Incongruous Definition: Not fitting in; out of place. Example: The fancy chandelier looked incongruous in the small cabin. 27. Tribute Definition: Something done or given to show respect or admiration. Example: The concert was a tribute to the famous musician. 28. Audibly Definition: In a way that can be heard clearly. Example: He audibly sighed when the test ended. 29. Proficiency Definition: Skill or competence in doing something. Example: Her proficiency in math helped her tutor other students.

Of the 7 billion people on Earth roughly 0:02 6 billion own a cell phone which is 0:05 pretty shocking given that only 4 and2 0:07 billion have access to a working toilet 0:09 so how are these popular gadgets 0:11 changing your body and brain If you're 0:13 looking down at your phone right now 0:15 your spine angle is equivalent to that 0:17 of an 8-year-old child sitting on your 0:19 neck which is fairly significant 0:21 considering people spend an average of 0:23 4.7 hours a day looking at their phone 0:26 this combined with the length of time 0:28 spent in front of computers has led to 0:30 an increase in the prevalence of myopia 0:32 or nearsightedness in North America in 0:34 the 1970s about one quar of the 0:36 population had myopia where today nearly 0:39 half do and in some parts of Asia 80 to 0:41 90% of the population is now nearsighted 0:44 and it can be hard to put your phone 0:46 down take for example the game Candy 0:48 Crush as you play the game you achieve 0:50 small goals causing your brain to be 0:52 rewarded with little bursts of dopamine 0:54 and eventually you're rewarded in the 0:56 game with new content this novelty also 0:58 gives little bursts of dopamine and 1:00 together create what is known as a 1:01 compulsion Loop which just happens to be 1:04 the same Loop responsible for the 1:05 behaviors associated with nicotine or 1:07 cocaine our brains are hardwired to make 1:10 us novelty seeking and this is why apps 1:12 on our phones are designed to constantly 1:14 provide us with new content making them 1:16 hard to put down as a result 93% of 1:19 young people aged 18 to 29 report using 1:21 their smartphone as a tool to avoid 1:23 boredom as opposed to other activities 1:26 like reading a book or engaging with 1:27 people around them this has created a 1:29 new term nomophobia the fear or anxiety 1:32 of being without your phone we also see 1:35 a change in brain patterns Alpha rhythms 1:37 are commonly associated with wakeful 1:39 relaxation like when your mind wanders 1:41 off whereas gamma waves are associated 1:44 with conscious attentiveness and 1:46 experiments have shown that when a cell 1:47 phone is transmitting say during a phone 1:49 call the power of these Alpha Waves is 1:52 significantly boosted meaning phone 1:54 Transmissions can literally change the 1:56 way your brain functions your smartphone 1:58 can also disrupt your sleep the screen 2:00 emits a blue light which has been shown 2:02 to alter our circadian rhythms 2:03 diminishing the time spent in deep Sleep 2:06 which is linked to the development of 2:07 diabetes cancer and obesity Studies have 2:10 shown that people who read on their 2:11 smartphone at night have a harder time 2:13 falling asleep and produce less 2:15 melatonin a hormone responsible for the 2:17 regulation of sleep wake Cycles Harvard 2:20 medical school advises the last 2 to 3 2:22 hours before bed be technology free so 2:24 pick up a book before bed instead of 2:26 course smartphones also completely 2:28 change our ability to access information 2:30 most notably in poor and minority 2:32 populations 7% of Americans are entirely 2:35 dependent on smartphones for their 2:37 access to the internet a 2014 study 2:40 found that the majority of smartphone 2:41 owners use their phone for online 2:43 banking to look up medical information 2:45 and searching for jobs so while phones 2:47 are in no way exclusively bad and have 2:50 been part of a positive change in the 2:51 world there's no denying that they are 2:53 changing us but many successful people 2:56 have now decided to take smartphone 2:58 vacations in order to increase 3:00 productivity in our new ASAP thought 3:01 video we break down the top six reasons 3:04 you should take a smartphone vacation 3:06 and how it could benefit your life right 3:08 now and subscribe for more weekly 3:09 science videos

A ______________ is the smallest military unit, typically consisting of 3-5 soldiers and working closely within a tactical operation. A ______________ consists of 8-12 soldiers and is led by a squad leader. A ______________, typically consisting of 30-50 soldiers, is commanded by a lieutenant and subdivided into smaller squads. The ______________ is a company-level unit of about 100-200 soldiers, typically commanded by a captain. A ______________ is made up of several companies, usually commanded by a lieutenant colonel, and consists of 300-1,000 soldiers. A ______________ typically consists of 3-5 battalions, is commanded by a colonel, and can operate independently in large-scale operations. A ______________ is made up of several brigades and is commanded by a major general, usually numbering 10,000-20,000 soldiers. A ______________ is a larger military formation made up of multiple divisions, commanded by a lieutenant general. The term ______________ refers to units designed for direct engagement with enemy forces, such as infantry, armor, and artillery. ______________ is a branch specializing in close-combat tactics and foot soldiers, serving as the backbone of ground forces. ______________ units provide long-range firepower to support ground forces, using cannons, howitzers, and rocket systems. ______________ are specialized units equipped with tanks and other armored vehicles for breakthrough and exploitation missions. The ______________ is responsible for building infrastructure like bridges, roads, and fortifications in combat and non-combat settings. The ______________ provides protection against nuclear, biological, and chemical weapons on the battlefield. ______________ are elite units trained for unconventional warfare, counter-terrorism, and specialized missions. ______________ are responsible for maintaining law and order within military ranks and ensuring security in both combat zones and bases. ______________ provide medical care to soldiers, ensuring health and emergency treatment in battlefield conditions.

Medical Terms

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