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Language focus

GRAMMAR/USE OF ENGLISH

4. Read the following text and fill in the gaps using articles a, an, the where necessary. Consult the table in your grammar book (fce Use of English, p. 148-149).

GETTING A GOOD NIGHT’S SLEEP

Did you sleep well last night? "Sleep is (1) ______behavior and, like all behaviors, it varies greatly among people," explains Dr. Carol Landis, sleep researcher and associate professor in biobehavioral nursing and health systems at (2) _____ University of Washington School of Nursing. "(3) _____ greatest differences occur in (4) ____ timing of sleep and (5) _____ amount of sleep – (6) ____factors which are most important in determining whether you will wake up feeling rested."

(7) ____amount of sleep (8) _____average adult needs each night also varies. Some people may be fine with six hours sleep, while others need up to nine hours per night. Landis points out that those who follow (9) ____regular sleep schedule are more apt to function better on fewer hours, but she adds that most adults need at least six hours of sleep each night.

"(10) ____person's sleeping patterns aren't set in concrete," Landis stresses. Gradually altering

(11) ___timing of sleep can help change sleep patterns. (12) ____"evening person" who needs to get to work early in (13) ____morning can try upping the time they go to bed by 30 minutes every few days. Within (14) _____few weeks, this slow adjustment will help "reset" (15) _____internal body clock.

Dr. Landis offers (16) ____following tips on practicing good sleep hygiene:

- Avoid alcohol in (17) ____evening.

- Don't sleep in (18) ____warm environment. People who sleep in (19) ____well-heated room or use (20) ____electric blanket may not sleep as soundly.

«And you'll feel better in (21) ___long run," says Dr. Landis.

5. Complete the following text with can, can’t, may, might, should, need. The first one is given as an example.

What causes the sore throat?

Many things (1) ___can____cause a sore throat. These causes include infections with viruses or bacteria, or sinus drainage and allergies, among others. You (2) ______see your doctor right away if you have a sore throat with a high fever, if you have problems breathing or swallowing, or if you feel very faint. If you have a sore throat and a fever, but you just feel mildly ill, you (3) _____ visit your doctor within the next day or two. If you have a cold with sinus drainage, you (4) ______use over-the-counter medicines, like Sudafed or Actifed. Visit your doctor if this cold lasts for more than two weeks, or if it gets worse.

How does the doctor decide if I (5) _____antibiotics?

The decision to prescribe antibiotics (6) _____ be based only on your history and physical exam. Antibiotics usually are prescribed only for patients who (7) ______ have "strep throat," an infection caused by a bacterium called Streptococcus. A patient with strep throat (8) ______ have a sore throat with fever that starts suddenly, without a cough or cold symptoms. Strep throat is very common in children from 5 to 12 years of age. The exam (9) _____ show a red throat, with pus on the tonsils and swollen neck glands. If you have these signs, the doctor

(10) _____do other tests to see if you (11) _____an antibiotic.

Why not just give everyone antibiotics?

Antibiotics have a small risk of causing an allergic reaction every time they are given. Some of these reactions are serious. Antibiotics (12) _____also cause other side effects, such as an upset stomach or diarrhea. An even more serious problem is that bacteria (13) _____become resistant to antibiotics if these medicines are used frequently in a lot of people. Then antibiotics wouldn't be able to cure people's illnesses.

If my doctor doesn't give me antibiotics, what (14) _____I do to feel better?

It will take several days for you to feel better, no matter what kind of sore throat you have. You (15) _____do several things to help your symptoms. If you have a fever or muscle aches, you (16) ____take a pain reliever like acetaminophen (Tylenol), aspirin or ibuprofen (Advil). Your doctor (17) _____tell you which pain reliever will work best for you. Cough drops or throat sprays (18) ______help your sore throat. Sometimes gargling with warm salt water helps.

(19) _______I be concerned about any other symptoms that occur after I visit my doctor?

Sometimes symptoms change during the course of an illness. Visit your doctor again if you have any of the following problems:

Fever that does not go away in five days.

Throat pain that gets so bad you (20) _____ swallow.

Inability to open your mouth wide.

A fainting feeling when you stand up.

Any other signs or symptoms that concern you.

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