Many doctors ___ upon a diet which contains a lot of fat.A.frownB.crownC.drownD.brown
Many doctors ___ upon a diet which contains a lot of fat.
A.frown
B.crown
C.drown
D.brown
Many doctors ___ upon a diet which contains a lot of fat.
A.frown
B.crown
C.drown
D.brown
第1题
"The social dynamics of care are changing," says John Gomez, vice president of Eclipsys, a medical information technology company. Most patients might not yet be willing to share their latest CT scan images over Facebook, he notes, but many parents post their babies' ultrasound images, and countless patients nowadays use social networking sites to share information about conditions, treatments and doctors.
With greater access to individualized health information-whether that is through a formal electronic medical record, a self-created personal health record or a quick instant-messaging session with a physician—the traditional roles of doctors and patients are undergoing a rapid transition.
"For as long as we've known, health care has been I go to the physician, and they tell me what to do, and I do it,'" says Nitu Kashyap, a physician and research fellow at the Yale Center for Medical Informatics. Soon more patients will be arriving at a hospital or doctor's office,having reviewed their own record, latest test results and recommended articles about their health concerns. And even more individuals will be able to skip that visit altogether, instead sending a text message or e-mail to their care provider or consulting a personal health record or smart phone application to answer their questions.
These changes will be strengthened by the nationwide shift to electronic medical records,which has already began. Although the majority of U.S. hospitals and doctors' offices are still struggling to start the changeover, many patients already have electronic medical records, and some even have partial access to them. The My Chart program, in use at Cleveland Clinic, the University of Texas Southwestern Medical Center at Dallas and other facilities, is a Web portal (门户)through which patients can see basic medical information as well as some test results.
Medical data is getting a new digital life, and it is jump-starting a "fundamental change in how care is provided," Gomez says.
Which of the following is the best title for this passage?
A.The Future of Your Medical Data.
B.Challenges Against Doctors and Hospitals.
C.Benefits of the U. S. Health Care Reform.
D.How to Access and Share Your Health Information.
第2题
????????D
?Many people thought babies were not able to learn things until they were five or six month sold. But doctors now say babies begin learning on their first day of life. A baby will smile if his or her mother does something the ?baby likes. A baby learns to get the best care by smiling top lease her mother or other care givers. This is when babies learn to connect and “talk” with other people.
?Languages kills are believed to develop best in the first three years when the place is rich with sounds and sights. Scientists say children should hear the speech and language of other people again and again. The first signs of communication(交际) happen during the first few days of life, when a baby learns that crying will bring food and attention.
Research shows that most children recognize the general sounds of their native language by six months of age. By that time, a baby usually begins to make sounds. By the end of their year, most children are able to say a few simple words, although they may not understand the meaning of the words. By 18 months of age, most children can say between eight and ten words. By two years of age, most children are able to make simple sentences. By ages three, four and five, the number of words a child can understand quickly increases. It is at these ages that children begin to understand the rules of language.
When do babies begin to learn according to doctors?????
????A.Right after they are born
B.Not until they are five months old
C.When they are six months old
D.As soon as they are one year old
Babies will smile when .
A.they are wet or hungry
B.they want to get the best care
C.they want to talk to others
D.they learn sounds and words
What do most children begin to do from age three or older?A.Make sounds
B.Make simple sentences
C.Say a few words
D.Understand language rules
What would be the best title for the text?A.The Language of Babies
B.When Do Babies Learn to Talk
C.The Roles of Cry and Smile
D.How Babies Understand Words
请帮忙给出每个问题的正确答案和分析,谢谢!
第3题
Doctors have their own special sleep problems. Residents are famously short of sleep. It is not unusual for. them to work 40 hours in a row without rest. They are not in the least worried about it, confident they can still deliver the highest quality of medical care. But an article in the Journal of the American Medical Association points out that in the morning after 24 hours of sleeplessness, a person' s motor performance is comparable to that of someone who is drunk. Curiously, surgeons who believe that operating under the influence of alcohol is grounds for sacking often don' t think twice about operating without enough sleep.
"I could tell you horror stories," says Jaya Agrawal, president of the American Medical Student Association, which runs a website for residents. Some are terrifying." I was operating after being up for over 36 hours," one writes. "I literally fell asleep standing up and nearly planted my face into the wound."
"Practically every surgical resident I know has fallen asleep at the wheel driving home from work," writes another. "I know of three who have hit parked cars. Another hit a 'Jersey gate' on the New Jersey Expressway, going 105kin/h."
"Your own patients have become the enemy," writes a third, because they are "the one thing that stands between you and a few hours of sleep."
The U.S. controls the hours of pilots and truck drivers. But until such a system is in place for doctors, patients are on their own. If you're worded about the people treating you or a loved one, you should feel free to ask how many hours of sleep they have had and if more rested staffers are available.
Sleep is a funny thing because ______.
A.the longer one sleeps, the less sound sleep he gets
B.the more sleep one gets, the more likely a stroke occurs
C.many people stick to about eight hours of sleep to stay fine
D.many people who sleep six hours a night still feel energetic in the day
第4题
More than one in ten people who are regularly exposed to organophosphate pesticides(有机磷酸脂农药) will suffer unrecoverable physical and mental damage, a team of psychiatrists warns. The investigators say that theirs is the first serious attempt to estimate the number of people suffering because of chronic low-level exposure to the pesticides.
"This is a worrying high level of illness," says one researcher. The findings by the researcher, who also treats many of the victims, conflict with those of the Britain's government agency monitoring occupational health, which says there is no good evidence to suggest chronic exposure leads to widespread illness. The research team sent questionnaires to 400 farmers selected at random from a phone book. Of 179 who replied, 130 reported that they had been exposed to organophosphates. And 21 farmers complained of enough symptoms to be classed as suffering from organophosphate poisoning. Allowing for bias inherent in the survey method, they suggest that around 10 percent of farmers exposed to the pesticides suffer from poisoning.
The researchers also uncovered a consistent pattern of symptoms ranging from extreme tiredness and speech difficulty to suicidal impulses. Again this contrasts with the government agency's view that there is no clear pattern of symptoms for pesticide poisoning, making a diagnosis difficult.
They believe the real figure for poisoning is much higher, once you include cancers and heart disease linked to the pesticide. Last year, British specialists also found evidence of a link between organophosphates and severe bone abnormalities in eight men. One of the researchers, Anthony Lyons of Queen's Medical centre in Nottingham, says preliminary results from a larger follow-up study suggest the extent of bone damage may be worse than they feared.
All those who suffer from organophosphate poisoning complain of becoming "exquisitely sensitive" to any further exposure. This is bad news for any Gulf War veterans sent back to the Middle East. Many scientists and doctors are convinced that Gulf War Syndrome is at least partly caused by organophosphate pesticides, which were sprayed in tents and on clothes to protect troops from biting insects.
A spokesman for Britain's Ministry of Defense says there are no immediate plans to send ground troops to the Gulf. But the US is moving 5,000 troops into the region. Returning troops "would be more vulnerable to poisoning", says one of the leading US authorities on such poisoning.
In which area do the findings of the researchers have confliction with those Britain's Health and Safety Executive(HSE), the government agency monitoring occupational health? ______.
A.Whether exposure to organophosphate will do any harm to man
B.Whether chronic exposure to organophosphate would lead to widespread illness
C.Whether it is worthwhile to find out the number of people suffering from organophosphate poisoning
D.Whether organophosphate is a good pesticide
第5题
Doctors warned against chewing tobacco as a ______ for smoking.
A) relief B) revival C) substitute D) succession
第6题
第7题
But the Americans are in a mess. The problem is the way in which health care is organized and financed. Contrary to public belief, it is not just a free competition system. To the private system has been joined a large public system, because private care was simply not looking after the less fortunate and the elderly.
But even with this huge public part of the system, which this year will eat up 84.5 billion dollars—more than 10 percent of the U.S. budget—large numbers of Americans are left out. These include about half the 11 million unemployed and those who fail to meet the strict limits on income fixed by a government trying to make savings where it can.
The basic problem, however, is that there is no central control over the health system. There is no limit to what doctors and hospitals charge for their services, other than what the public is able to pay. The number of doctors has shot up and prices have climbed. When faced with toothache, a sick child, or a heart attack, all the unfortunate person concerned can do is pay up.
Two-thirds of the population are covered by medical insurance. Doctors charge as much as they want knowing that the insurance company will pay the bill.
The medical profession has as a result become America's new big businessmen. The average income of doctors has now reached $100,000 a year. With such vast incomes the talk in the doctor's surgery is as likely to be about the doctor's latest financial deal, as about whether the minor operation he is recommending at several thousand dollars is entirely necessary.
The rising cost of medicine in the U.S.A. is among the most worrying problem facing the country. In 1981 the country's health cost climbed 15.9 percent—about twice as fast as prices in general.
In the U.S. patients can expect, in medical treatment, ______.
A.occasional mistakes by careless doctors
B.a great deal of personal attention
C.low charge by doctors and hospitals
D.stacking nurses and bad services
第8题
Section B
A)Last July, Julie Baldocchi's mother had a massive stroke and was paralyzed. Baldocchi suddenly had tobecome a family caregiver, something that she wasn't prepared for. "I was flying by the seat of my pants," saysBaldocchi, an employment specialist in San Francisco. Both of her parents are 83, and she knew her fathercouldn't handle her mother's care. The hospital recommended putting her mother in a nursing home. Baldocchiwasn't willing to do that. But moving her back into her parents' home created other problems. Baldocchi,48, ismarried and lives about a mile away from her parents. She has a full-time job and has back problems thatmake it difficult for her to lift her mother. "I couldn't do it all," she says. "But I didn't even know how to findhelp."
B)
With help from the Family Caregiver Alliance, she eventually hired a live-in caregiver. "But even if you planintellectually and legally, you're never ready for the emotional impact," Baldocchi says. In the first two monthsafter her mother's stroke, she lost about 30 pounds as stress mounted. More than 42 million Americans providefamily caregiving for an adult who needs help with daily activities, according to a 2009 survey by the AARP.An
additional 61.6 million provided at least some care during the year. And many are unprepared.
C)
While many parents lack an advance care directive, it's the most basic and important step they can take. Thedirective includes several parts, including: a durable power of attorney, which gives someone legal authority tomake financial decisions on another's behalf; a health care proxy, which is similar to the power of attorney,except it allows someone to make decisions regarding medical treatment; and a living will that outlinesinstructions for end-of-life care. (For example, parents can say if they want to be kept alive by artificialmeasures.) "It's invaluable for the kids, because it's hard to make those decisions for a parent," says JenniferCona, an elder-law attorney at Genser Dubow Genser & Cona in Melville, N.Y. An advance care directive isthe first line of defense if a situation arises, says Kathleen Kelly, executive director of the Family CaregiverAlliance, which supports and educates caregivers. Without an advance directive, the family will have topetition the court to be appointed the parent's legal guardian, says AgingCare.com.
D)
It's important for families to talk about long-term care so the adult children know their parents' preferences,wishes and goals, says Lynn Feinberg, a caregiving expert at AARP. But ifs not an easy conversation. Elderlyparents are sometimes suspicious of their children's financial motives, says Susan John, a financial planner atFinancial Focus in Wolfeboro, N.H. One client asked John to hold a family meeting because they needed anintermediary to talk about financial issues, she says. And when there are many siblings, the family decisionscan become a three-ring circus with much acrimony, says Ann-Margaret Carrozza,
an elder-law attomey inGlen Cove, N.Y. Families who need information and help sorting out disagreements can call on elder-lawattorneys, financial planners, geriatric care managers and caregiver support groups. In February, AARP said itwill offer its members a new caregiving support service through financial services firm Oenworth.
E)
Many families are unprepared for quick decisions, especially when they find out that Medicare doesn't pay forlong-term care, Feinberg says. The median cost of a year in a private room at a nursing home in 2011 was$77,745, according to Genworth. And only those who have spent most of their assets can qualify for Medicaidto pay for the nursing home.
F)
Assisted living is another option. Residents can have their own apartment to maintain some independence. Butthe facilities generally provide personal care services, such as meals, housekeeping and assistance withactivities. Still, it's not cheap: The national median cost in 2011 was $39,135, according to Genworth. Assistedliving isn't covered by Medicaid.
G)
If they have a choice, at least 90% of elderly parents prefer to stay at home as long as they can, according toAARP research. But if the parents can no longer safely live at home, it can be hard for children to move theminto an adult care facility. There may be another option. Sometimes the home can be modified so a parent canstay there. For example, Baldoechi put in a chair lift for her mother. She also arranged for a home caregiver.
H) Family caregivers take over many responsibilities. One might manage a parent's finances, while anothersibling will take the parent to doctors' appointments and shopping. Those who move in with a parent take on asignificant and sustained burden of care. Jan Walker moved into her mother's home in Leesburg, Fla. After hermother, who is 83, had fallen, she wasn't able to get around as well. Walker,55, has three brothers. But she isthe only daughter, is divorced and has no children. "I always knew that this was the role that I would have, andI guess my mind was prepared for it," says Walker, who now is a full-time caregiver and works from home asa tutorial instructor for a digital scrapbooking website. "When you get into the trenches, it's literally baptismby fire," she says. "New things come up. It's not just about advance planning for finances or medical care. It'severything," she says.
I) Carcgivers need to also watch their own health. "There is such a thing as caregiver burnout," Cona says.Among female caregivers 50 and older,20% reported symptoms of depression, according to a 2010 study onworking caregivers by MetLife. "It's a hard job," Walker says. "But most worthwhile things are hard. She wasalways there for me when I needed a helping hand. It's only natural that I be here for her now."
根据以上内容,回答46-56题。
46、When elderly parents cannot live at home safely, their children can change their home instead of sending them to an adult care facility.
47、To talk about long-term care is not easy because sometimes aged parents are suspicious of their children's financial motives.
48、Besides advance planning for finances or medical care, family caregivers take over many other responsibilities.
49、The difference between a durable power of attorney and a health care proxy is that the latter allows someone tomake decisions regarding medical treatment.
50、Baldocehi did not want to send her mother to a nursing home, but she had difficulty taking care of her.
51、Over 42 million caregivers helped an adult with everyday activities in the USA in 2009.
52、If a family needs information or help to sort out disagreements, there are many people they can call on.
53、Caregivers should pay attention to their own health, or they may bum out or.become depressed.
54、One will have to petition the court to be the parent's legal guardian, if there is no advance directive.
55、The national median cost of assisted living in 2011 was $39,135 and it is not covered by Medicaid.
第9题
American time is “on the dot”(准确地). If something is supposed to happen at eight o'clock, it will begin at eight. Americans value promptness(准时)and may become angry if a person is more than 15 minutes late __22__ a good reason. If you know you are going to be late, call in advance and let someone know. __23__ you arrive late, you should apologize and explain why. Americans arrive __24__ time for doctors' appointments. The doctor may keep you __25__, but if you keep the doctor waiting, you may get a bill with the doctor's time!
21)、
A.for
B.waiting
C.on
D.if
E.without
22)、
A.for
B.waiting
C.on
D.if
E.without
23)、
A.For
B.Waiting
C.On
D.If
E.Without
24)、
A.for
B.waiting
C.on
D.if
E.without
25)、
A.for
B.waiting
C.on
D.if
E.without
第10题
A、many ways
B、the many ways
C、many ways which
D、the many ways which