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93

6/28/2016

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​Behind the Closed Doors of the Shogun’s Harem
男子禁制「大奥」の扉の向こうは？
Picture
about - as - at - during - for - from - in - on - to
​Foreign Student (hereinafter FS): The Imperial Palace stands (1________) what was once Edo Castle, and I’ve heard that there was a harem (2________) that castle. Is that true?
留学生（以下、留）：皇居はかつての江戸城だった場所にあり、そこにハーレムがあったと聞きました。本当ですか。


Teacher (hereinafter T): Ah! You’re talking (3________) Ohoku, which was founded in the early 17th century.
先生（以下、先）：あぁ、17世紀の初めにつくられた大奥のことですね。


The Ohoku was established (4________) the era of the second shogun, Tokugawa Hidetada, and (5________) the reign of the third shogun, Iemitsu, the system was altered so that the only man who could enter was the shogun.
2代将軍徳川秀忠の時代に大奥ができ、3代家光の時代に大奥へ入れる男性は将軍のみとなりました。


The first shogun, Ieyasu, brought the long lasting Warring States period (6________) a close by subjugating all of Japan. In order to maintain stability, it was important to ensure there would be an heir (7________) the throne
初代将軍家康は、長く続いた戦国時代を終わらせるため全国を平定しました。 安定をはかる ためには世継ぎが大切でした。
FS: How was the shogun’s harem organized?
留：大奥はどのような仕組みだったんですか。


T: It was a pyramid system, (8________) which only the women in the top five ranking classes were able to see the shogun. These women were selected (9________) high class families
先：ピラミッド型の組織で、上位5 段階までの女性のみが将軍に会うことができました。女性達は身分の高い家柄から選ばれました。


It is said that the maids serving these women were distributed between six workplaces. These maids could be chosen (10________) among ordinary citizens, and the number of maids was (11________) one time as many as 1,000.
彼女達を支える女中は6つの職場に配属されました。女中は町民から選ばれ、多いときで千人はいたといわれます。


(12________) it was a great honor to join the Ohoku, an entrance exam was conducted.
大奥に入るのはたいへんな名誉で、試験が行われました。


Official wives were chosen (13________) political reasons. Women whose status rose as managers (14________) the Ohoku, or concubines that gave birth to boys – that might one day be heirs (15________) the throne – wielded more political power than daimyou (lords).
正室は政略結婚で選ばれました。大奥をしきる地位についたり、世継ぎの可能性のある男子を生んだ側室は、大名よりも大きな権力を持ちました。


FS: How were they treated? 留： 待遇はどうだった んです か。
at - during - every - for - In - of - on - under - with - without
​T: The highest ranked women received the equivalent of over 20 million yen a year. (16________) addition, there were many benefits, such as being awarded a house.
先：トップクラスだと、現在の2 千万円以上の年収がありました。また、屋敷を与えられる など、さまざまなはからいがありました。


An event was held (17________) month at which the women could sample regional specialties. Furthermore, they lived extravagantly. Official wives never wore the same kimono twice.
毎月イベントがあり、各地の名物料理を食べることができました。また、暮らしぶりはぜいたくでした。正室は同じ着物を2度着ることはありませんでした。


(18________) the other hand, many scandals regarding love affairs occurred.
その一方で、恋愛に関するスキャンダルが数多く起きました。


A well-known incident is that of a senior woman who was accused of committing adultery (19________) a popular kabuki actor. Another one is group (20________) women who committed adultery with monks while visiting a temple (21________) the pretext of praying for a safe childbirth.
有名なのは人気歌舞伎役者と密通したとされるトップクラスの女性の事件。もう一つは集団で安産祈願の名目で寺を訪れ僧侶と密通していた事件です。


FS: Weren’t the women at the Ohoku involved (22________) politics?
留：大奥の女性が政治に関わることはなかったのですか。


T: The Tokugawa period lasted (23________) 260 years, and two Ohoku women played historically important roles (24________) the reign of the 15th and last shogun, Yoshinobu.
先：徳川時代は260年続きましたが、最後の15代将軍慶喜のとき、大奥にいた二人の女性が歴史的に大きな役割を果たしました。


In March 1868, an army intent (25________) overthrowing the shogun and restoring the Emperor to power was about to launch an all-out attack (26________) Edo with the intention of completely destroying the Tokugawa regime.
1868年3月、将軍に代わって天皇を復活させたい勢力が、徳川の壊滅をはかるために江戸を総攻撃しようとしていました。


Edo was one of the largest cities (27________) the world at that time and if that had happened, would have been consumed (28________) flames.
江戸は当時世界最大級の都市で、総攻撃が起これば火の海となります。


Kazunomiya, Emperor Komei’s sister and the official wife (29________) the 14th shogun, Iemochi sent a letter to the new government’s military commander Tomosada Iwakura – a childhood friend – pleading (30________) him to stop the attack.
孝明天皇の妹で14代将軍家茂の正室、和宮は幼なじみであり新政府の総督、岩倉具貞に、攻撃をやめるように哀願した手紙を送りました。


In addition, Tenshouin, the legal wife of the 13th shogun, Iesada, and daughter (31________) the lord of Satsuma – who was (32________) the heart of the anti-Tokugawa movement – wrote a letter to the commander (33________) the new government’s force Takamori Saigo, who was formerly her retainer.
また、反徳川の中心であった薩摩領主の娘で、13代将軍家定の妻の天璋院は、かつての臣下で新政府軍の指揮官、西郷隆盛に手紙を出しました。


Their heartfelt appeal had a huge influence (34________) the anti-Tokugawa army; the attack was halted and Edo castle surrendered to the new government (35________) bloodshed.
切々と心情を訴える二人の手紙は反徳川勢力に大きな影響を与え、攻撃は中止され、江戸城は無血で新政府にあけわたされました。


This is where the history (36________) the shogun’s harem ends; the women left the castle and each went their separate ways.
大奥の歴史はこれをもって終わります。女性たちは城を出て、それぞれの道を歩んでいきました。  
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Mostly vs Almost

6/26/2016

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​★ mostly「大抵の場合は、大部分は」
★almost「もう少しで～だった」：あと少しでその状態に至るときに使います。

  1. I ________cried.
    私は泣きそうになった。
  2. I ________ vomited.
    私は吐きそうになった。
  3. I ________ cannot comprehend English.
    私は英語がほとんど聞き取れません。
  4. I ________ cannot drink alcohol.
    私はお酒をほぼ飲めない。
  5. I ________ don't understand that.
    私はそれをほとんど理解していない。
  6. I________ read books.
    私は主に本を読みます。
  7. I'm ________ 38.
    私はもうすぐ38歳です
  8. It is ________time for dinner.
    そろそろ晩御飯ですね。
  9. It ________ doesn't snow here.
    ここでは雪はほとんど降りません。
  10. It's ________ three o'clock.
    もう少しで 3 時だ.
  11. Kabukicho is ________ dirty.
    歌舞伎町はほとんど汚い。
  12. My life was ________ happy.
    私の人生は概ね幸せだった。
  13. My stomach is ________bursting.
    お腹がパンクしそうだ. 
  14. That crack ________ disappeared.
    その隙間がほぼ無くなった。
  15. That is ________correct.
    大体正しい。
  16. That is ________ not broken.
    それはほとんど壊れていない。
  17. The number of pages was ________ 180.
    ページ数は180弱。
  18. Those fish ________ live in ponds.
    その魚の主な生息地は池です。
  19. We're ________ there.
    あと一息だ。
  20. Winter is________ over.
    冬はだいたい過ぎた.
Answers
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​7 Long-Term Care and Treatment 

6/24/2016

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Fill in the blanks using the below terms
​affecting - cardiologist - detects - forming - heal
images - routine - specializes - stress - twists
​
  1. a doctor who __________in treating blood disorders in children.
    小児の血液疾患の治療を専門とする医師。
  2. a drug that helps prevent blood clots from__________.
    血餅形成の予防に有効な薬物。
  3. a sonograph that creates an__________of the heart and its abnormalities
    心臓およびその異常のイメージを作成するソノグラフ
  4. I am going to relieve my__________.
    私はストレスを発散する。
  5. My__________advised me to avoid fast food and smoking.
    心臓病専門医はファストフードと喫煙を避けるように忠告した。
  6. Reading books is a part of my daily__________.
    私は本を読むことが日課です。
  7. The injury will __________quickly.
    傷が早く治ります。
  8. The spool sensor __________the rotation speed of the spool.
    スプールセンサは、スプールの回転速度を検出する。
  9. __________the strips of dough
    パン生地を細くねじってください
  10. We have not heard anything yet, which is__________ our business.
    今日まで何の連絡もなく、業務に支障を来たしております。

​Unscramble these terms and create a sentence ​
  • ​can cause disease health Kawasaki problems serious
​​___________________________________________
  • a a globulin Immune injected into is medicine that's vein
_______________________________________
  • a children fever For number of remains small
___________________________________________
Fill in the blanks using the below terms
​affecting - cardiologist - detects - forming - heal
images - routine - specializes - stress - twists
​If Kawasaki disease has affected your child's coronary arteries, he or she will need ongoing care and treatment. It's best if a pediatric __________ improve symptoms 


Preventing the disease from __________ the coronary arteries provides this care to reduce the risk of severe heart problems. A pediatric cardiologist is a doctor who __________ in treating children who have heart problems. 


Medicines and Tests 
When Kawasaki disease affects the coronary arteries, they may expand and __________. If this happens, your child's doctor may prescribe blood-thinning medicines (for example, warfarin). These medicines help prevent blood clots from __________ in the affected coronary arteries.


Blood-thinning medicines usually are stopped after the coronary arteries __________. Healing may occur about 18 months after the acute phase of the disease. 


In a small number of children, the coronary arteries don't heal. These children likely will need __________ tests, such as: 


Echocardiography. This test uses sound waves to create __________ of the heart.


EKG (electrocardiogram). This test __________ and records the heart's electrical activity.


Stress test. This test provides information about how the heart works during physical activity or __________.
Answers
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How Is Kawasaki Disease Treated?

6/17/2016

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Unscramble these terms and create a sentence
  1. a   a    globulin    Immune    injected   into   is     medicine     that's    vein.
________________________________________________________________
  1. a    as   As   aspirin   away,    dose    fever   given   goes   her   his   is   low   of   or soon
_________________________________________________________________
  1. can   disease   future   heart   help   lower   of   risk   steps   Taking   the   these
_________________________________________________________________
Fill in the blanks using the below terms
advised - cause - chicken pox - clots - high-dose - procedures - reducing - round
Medicines are the main treatment for Kawasaki disease. Rarely, children whose coronary (heart) arteries are affected may need medical _______or surgery. The goals of treatment include: _______ fever and inflammation to improve symptoms. Preventing the disease from affecting the coronary arteries 


Initial Treatment 
Kawasaki disease can _______ serious health problems. Thus, your child will likely be treated in a hospital, at least for the early part of treatment.


The standard treatment during the disease's acute phase is _______ aspirin and immune globulin. Immune globulin is a medicine that's injected into a vein. 


Most children who receive these treatments improve greatly within 24 hours. For a small number of children, fever remains. These children may need a second _______of immune globulin.


At the start of treatment, your child will receive high doses of aspirin. As soon as his or her fever goes away, a low dose of aspirin is given. The low dose helps prevent blood _______, which can form in the inflamed small arteries.


Most children treated for Kawasaki disease fully recover from the acute phase and don't need any further treatment. They should, however, follow a healthy diet and _______ healthy lifestyle habits. Taking these steps can help lower the risk of future heart disease. (Following a healthy lifestyle is _______for all children, not just those who have Kawasaki disease.) 


Children who have had immune globulin should wait 11 months before having the measles and _______vaccines. Immune globulin can prevent those vaccines from working well. ​
Answers
Picture
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Does circumcision cause autism? #2

6/17/2016

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​conceptualized - adolescent - urging - account - correlation - consequences
therapeutic - speculative - neurodevelopmental - face - prompt
implications - suitable - likelihood - confound - skewing - premise
  1. a diagram that expresses an idea so that it can be easily ____________
    物事の概念を図式化して表した図
  2. ____________children often regard their parents as a nuisance.
    年頃の子供にとっては親の存在がときには煩わしく感じられるものだ.
  3. He has long been____________the necessity of coast-defence.
    つとに海防の必要を絶叫す
  4. How do you____________for his failure?
    彼の失敗をどう説明しますか。
  5. I believe there is a strong____________between stock prices and the market.
    私は株価と景気には強い関係があると思う。
  6. I'm so desperate now that I'll do anything, and damn the____________.
    ええい, こうなったらやけくそだ.
  7. It is publicly known that azidothymidine can be used as____________agent for AIDS.
    アジドチミジンがエイズ治療薬として使用できることは公知である。
  8. Land will no longer be subject to____________hoarding and selling.
    土地はもはや投機的な売買の対象にはならない.
  9. play a crucial role in____________processes
    神経発生的過程で決定的な役割を果たす
  10. Please don't take his words at____________value.
    あなたは彼の言葉を額面通りに受け取ってはいけません。
  11. ____________me to save passwords
    パスワードを保存する確認をする
  12. The long-term____________for this are quite staggering.
    これに対する長期的な影響はかなり驚きである。
  13. The soil is not____________for the cultivation of rice.
    地味が米作に適さない.
  14. There's a strong____________that the matter will soon be settled.
    事態はすぐに解決する可能性が強い.
  15. To love money for itself is to____________the means with the end.
    金そのものを愛するのは手段と目的を混同するのである
  16. To suppress clock____________of a semiconductor integrated circuit.
    半導体集積回路のクロックスキューを抑制する。
  17. You ought to think over whether the____________is valid or not.
    その前提が妥当かどうかよく考えるべきだ。
​conceptualized - adolescent - urging - account - correlation - consequences
therapeutic - speculative - neurodevelopmental - face - prompt
implications - suitable - likelihood - confound - skewing - premise
​“Possible mechanisms linking early life pain and stress to an increased risk of ____________, behavioral or psychological problems in later life remain incompletely ____________,”Frisch said. 

“Given the widespread practice of non-____________circumcision in infancy and childhood around the world, our findings should ____________other researchers to examine the possibility that circumcision trauma in infancy or early childhood might carry an increased risk of serious neurodevelopmental and psychological ____________,” he added.

Some experts are____________caution with the findings, according to the Daily Mail. Professor Jeremy Turk, an____________psychiatrist at Southwark Child & Adolescent Mental Health Neurodevelopmental Service, told the newspaper that while the findings of the study were “interesting,” they needed to be “considered carefully.”

“This is not a causal study, but instead compares data sets and looks for____________. While this is a valid way of doing a study, it means that we must be careful about any____________,” he said. “For example, many cases of autism are missed until children are older and as there are relatively few cases of autism this could easily____________the data.”

“Furthermore, there are many potentially____________variables which could explain raised ASD rates, which the authors do not explore or____________for,” Turk continued. “Finally, I have some issues with the____________in that their speculations regarding early pain as a cause of autism are, to say the least, highly____________.” 

Dr Rosa Hoekstra, a lecturer in psychology at the Open University, agreed, that it “takes a registered autism diagnosis at____________value, without considering cultural or social factors affecting the____________of an (early) autism diagnosis. Even in a high income country like Denmark not all children with autism are detected and given a____________autism diagnosis at an early age.”
Answers
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3 Does circumcision cause autism?

6/11/2016

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affiliated - cohort - cultural - deficits - developing - diagnosed - encountered
endure - foreskin - hyperactivity - interventions - neonates - prevalence - ritual
________circumcision, a rite practiced by many cultures and religions, could increase the odds that boys will ________ autism spectrum disorder (ASD) prior to the age of 10, claims new research published in the Journal of the Royal Society of Medicine.


Undergoing the ritual, in which the ________ or prepuce of the male penis is surgically removed, especially increased risk for infantile autism before the age of five, according to the results of a ________ study involving over 340,000 boys in Denmark from 1994 through 2013.


All of the subjects were born between 1994 and 2003 and followed through the age of nine, and during the course of the study, nearly 5,000 cases of ASD were ________. The study discovered that, regardless of their ________ background, circumcised boys could be at greater risk of developing the condition.


“Our investigation was prompted by the combination of recent animal findings linking a single painful injury to lifelong ________ in stress response and a study showing a strong, positive correlation between a country's neonatal male circumcision rate and its ________ of ASD in boys,” lead investigator Morten Frisch, a professor in the Department of Epidemiology Research at Statens Serum Institut in Copenhagen, explained in a statement.


Frisch, who is also ________ with the Center for Sexology Research at Aalborg University, and co-author Jacob Simonsen also discovered that circumcision was linked to an increased risk of ________ disorder among circumcised boys in non-Muslim families.


While these days, it is considered unacceptable medical practice to perform a circumcision without proper pain relief, none of the most common ________ used to reduce such pain is capable of completely eliminating it, the study authors said. Some boys, they add, will ________ extremely painful circumcisions – especially those who are very young.


Painful experiences in ________has previously been linked to long-term changes in pain perception in animal and human studies, the researchers explained. This characteristic is also frequently ________ in children who have been diagnosed with ASD.
Answers
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5 Tests and Procedures

6/9/2016

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Put these scrambled words in order.
  • after diagnosis done is regularly test the this Thus, 
         _________________________________________________
  • affected An can disease EKG has heart Kawasaki show the whether 
         _________________________________________________
  • activity and detects electrical  heart's  records simple test the This
          _____________________________________________​
Fill in the blank with the appropriate term
affected - coronary - electrical - onset - painless
peeling - phase - structures - vessels
Tests and Procedures
Echocardiography 
If the doctor thinks that your child has Kawasaki disease, he or she will likely recommend echocardiography, or echo. This ________ test uses sound waves to create pictures of the heart and coronary arteries.

Echo also can help show the disease's effects over time, if any, on your child's coronary arteries. Often, the disease's effects on the ________arteries don't show up until the second or third week after the first symptoms appear. Thus, this test is done regularly after the diagnosis. 

Some children who have Kawasaki disease don't have the classic signs and symptoms of the acute ________. Doctors may not diagnose these children until 2 to 3 weeks after the ________ of the disease. This is when another common sign of Kawasaki disease occurs— ________ of the skin on the fingers and toes. 

If your child is diagnosed at this point, he or she will likely need echo right away to see whether the disease has ________ the coronary arteries.

Other Diagnostic Tests 
Doctors also use other tests to help diagnose Kawasaki disease, such as: Blood tests. The results from blood tests can show whether the body's blood ________ are inflamed. 

Chest x ray. This painless test creates pictures of ________inside the chest, such as the heart and lungs. A chest x ray can show whether Kawasaki disease has affected the heart. 

EKG (electrocardiogram).
This simple test detects and records the heart's ________ activity. An EKG can show whether Kawasaki disease has affected the heart.
Answers
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9 Family Planning and Contraception

6/6/2016

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between - bleed - carefully - condom - contraceptives - diabetes - fever  -  heavy - illnesses - nasty - periods - planning - suffered - vagina
Doctor: Good morning. Come and sit down. Now.... you've come for advice on family _________?
Patient: Yes Doctor.
Doctor: Have you used any form of _________ before?
Patient: No, Doctor.
Doctor: What about your husband? Has he been using a _________?
Patient: No. He doesn't fancy them, but he tries to be careful.
Doctor: Did you plan _________ for the last two babies?
Patient: No, not really. I just seem to get pregnant in spite of him being careful and that's why I've come to see you today.
Doctor: Right. Now tell me a bit more about yourself. Have you ever had any serious _________ or operations?
Patient: Well, I had chicken pox when I was little – but other than that, no.
Doctor: What about your family? Anyone with _________ or high blood pressure?
Patient: No.
Doctor: Do you _________ from headaches?
Patient: No.
Doctor: How do you feel just before you _________?
Patient: Oh – a bit irritable, but not too badly really.
Doctor: What about your legs – any _________ veins?
Patient: No.
Doctor: Ever have trouble with your legs?
Patient: No.
Doctor: Ever have trouble with yellow jaundice, hay _________ or asthma?
Patient: No.
Doctor: Now tell me about your periods. When was your last one?
Patient: The 25th of December.
Doctor: How many days do you _________?
Patient: Five
Doctor: Are your periods _________?
Patient: Well, the first two days are pretty heavy and I see clots, but after that, they sort of ease off.
Doctor: Any pain?
Patient: No.
Doctor: Do you bleed any _________ periods?
Patient: No.
Doctor: Good. Have you ever had any trouble with your _________?
Patient: No.
below - covered - examine - forms - husband - intercourse - leaves
life - reliable - sperm - squat - squeeze - tip - tummy - up - views
Doctor: What about your sex _________? Is that all right?
Patient: Yes.
Doctor: Okay. Did you tell your _________ you were coming to the clinic?
Patient: Yes.
Doctor: Does he have any _________ on the choice of contraceptives?
Patient: No. He said to ask you.
Doctor: Well now. There are four main _________ of contraceptive. There is the condom, cervical cap, the pill and IUD coil. Your husband doesn't like condoms, so that leaves us to think about the others.
Patient: What's the cervical cap?
Doctor: Well, this is something which is put inside you by the doctor and it stops you from having a baby. It's not a hundred percent _________ and not really very suitable for people with heavy periods. How to you feel about the pill?
Patient: I don't really fancy that.
Doctor: Well, that _________ us with the cervical cap.
Patient: Yes. I'd like that.
Doctor: Right then. Will you come and lie on the couch. I'm just going to _________ you. Open your mouth. Let me listen to your chest. Now I'm going to feel your _________. Now I'm going to have a look at you down _________. Now I'm going to examine you inside. Good. Everything seems to be all right there. I'm going to put a cap in for you. Get _________ and go see the nurse and she'll show you how to use the cap.
Patient: Thank you.
Nurse: The doctor has left the cap in. _________ down and put your finger into the front passage. Can you feel the cap?
Patient: Yes.
Nurse: Put your finger a little further back. Can you feel a lump that feels rather like the _________ of your nose?
Patient: Yes.
Nurse: That is the neck of your vagina and that is the part that must be _________ by the cap. When you put in the cap, squash it from side to side like this and then slide it into your front passage pushing backwards.
(Nurse takes out cap and patient practices inserting it.)
Nurse: Good. Now in addition to the cap, it is important to use a chemical which will kill the _________. This tube of spermicidal chemical should be used every time you put the cap in. _________ two inches in the center like this and then half way around the rim like this. Put your cap in every night before you go to bed and always leave it in for 10 hours after _________.
Answers
This homework based on the book ​Manual of English for the Overseas Doctor
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2 Understanding Autism

6/4/2016

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baffle - biological - diagnosed - disorder - epidgenetic
evaluated - molecular - passed - run
​Dad’s sperm may be to blame for autism
The search for a cause to autism continues to ________ scientists, but a new study from Johns Hopkins University School of Medicine has found that ________ tags, or the factors that affect genes, could be behind the developmental ________ – according to a new study published in the International Journal of Epidemiology.


The new study is based on past autism research that has found the condition tends to ________ in families.


"We wondered if we could learn what happens before someone gets autism," says Andrew Feinberg, a professor of ________ medicine at Johns Hopkins.


"If epigenetic changes are being ________ from fathers to their children, we should be able to detect them in sperm," noted study author Daniele Fallin, a professor and autism expert in the Bloomberg School of Public Health.


In the study, the team ________ the epigenetic tags in sperm from 44 fathers who were part of a continuing study to assess the factors that affect a child in early stages of development, before they are ________ with autism. The study also includes pregnant mothers who currently have a child with autism. ________ samples and data are collected from the parents and the babies after they are born. A year after the child was born, they were examined for early signs of autism using the Autism Observation Scale for Infants (AOSI).
affected - background - contrasted - functions - notion - related - syndrome
​After combing through epigenetic tags at 450,000 different positions throughout sperm genomes, the team ________ the odds of a tag being in a specific site with the AOSI rating of each child. The team found more than 190 different sites where a tag was significantly ________ to the autism scores.


Upon specific examination of the tags, the team discovered that many of them were near genes that played a role in developmental ________, particularly in neural development. Of particular interest were four of the 10 locations most clearly linked to the AOSI scores were near genes linked to Prader-Willi ________, a genetic condition that includes many of the same symptoms as autism. Many of the ________ epigenetic patterns were also discovered in people with autism, giving support to the ________ that they might be associated with autism.


The researchers said they plan to expand their work by looking at the occupational and environmental ________ of the fathers in the study to see if there might be a common factor.
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