Five years ago, Meredith Arthur, a 45-year-old San Francisco resident, arrived at a neurologist appointment. She spoke a mile a minute, explaining why she thought it might hold clues to her neck pain, frequent dizziness and headaches. “I was presenting my inexpert case to an expert, who stopped me and said, ‘I know what’s wrong. You have generalized anxiety disorder.’”
Arthur is one of the 40 million American adults who experience an anxiety disorder—the most common form of mental illness—every year. Its major factor is the uncertainty about situations in daily life.
“I describe anxiety as a future-oriented emotional response to a perceived threat,” says Joel Minden, PhD, a clinical psychologist. “We anticipate that something bad will happen. Maybe we have evidence. Maybe we don’t. But we have a belief that something catastrophic might occur.”
Almost immediately, Minden says, your sympathetic nervous system kicks into high gear. This leads to the release of adrenaline and cortisol, two of the crucial hormones (荷尔蒙) that drive your body’s fight-freeze-flight response and cause anxiety’s physical symptoms. Your heart races, your blood pressure rises, your pupils dilate, you get short of breath.
Meanwhile, cortisol curbs functions that your brain considers non-essential: It affects immune system responses and suppresses (抑制) the digestive system, the reproductive system, and growth processes. This was helpful for our ancestors trying to outrun tigers but is not so much when you can’t stop struggling with the problem whether you might have caught COVID-19 when the guy behind you in line at the grocery store coughed.
Anxiety can show itself in many ways. You might perceive something as threatening even when it isn’t or go to great lengths to avoid uncomfortable situations. You might constantly overthink plans or spend all of your time creating solutions to worst-case scenarios. Maybe you feel indecisive and fear making the wrong decision. Or you might find yourself restless, nervous, and unable to relax.
The good news is that anxiety is very manageable with some combination of medication, therapy, and lifestyle adjustments.
1. What does the underlined word “curbs” in paragraph 5 most probably mean?A.activates | B.restricts | C.damages | D.removes |
A.Social factors are to blame for anxiety disorders. |
B.Anxiety is the most common illness in the US. |
C.Mental well-being has been Meredith Arthur’s concern. |
D.anxiety disorders can be controlled with certain treatments. |
A.Trying to find solutions to the worst situation from time to time. |
B.Hesitating to make the final decision for fear of mistakes. |
C.Heart racing and blood pressure rising at the imagined situation. |
D.Feeling restless or nervous even when there’s nothing threatening around. |
A.The advance of science and technology. |
B.The effects of the anxiety disorders. |
C.Tips to minimize negative effects of anxiety. |
D.The anticipation of Meredith Arthur. |
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【推荐1】The U. S. Food and Drug Administration (FDA) has approved a debatable Alzheimer's treatment, the first that promises to slow the disease's destruction in the brain.
The drug, aducanumab, is also the first new Alzheimer's treatment approved since 2003.However, in 2019, aducanumab was nearly abandoned after it appeared unlikely to succeed in two clinical trials. But after reanalyzing more data, the drug's developer Biogen saw signs indicating the drug might work, and decided to pursue FDA approval.
Still, today's decision concerns some doctors and scientists because they aren't convinced that the drug actually works. Approving a drug that's not effective would offer patients false hope, those experts argue. “This is a great day for Biogen but a dark day for the field of Alzheimer's research,” says Michael Greicius, a neurologist at Stanford. Pushing forward on the “illusion of progress,” he says, “will come at a cost to genuine progress in finding an effective treatment for this destructive disease.”
Others disagree that the evidence is slim, and are excited about having a new tool to fight a disease that has escaped an effective treatment for so long. “We have been waiting decades for this,” says Maria Carrillo, an expert at the Alzheimer's Association. A drug that delays decline due to Alzheimer's promises patients “to sustain independence and to hold onto memories longer,” she says.
The drug targets the sticky protein—A-beta(淀粉样蛋白). Some researchers suspect that in Alzheimer's, A-beta confuses connections between nerve cells and damages brain tissue, ultimately causing Alzheimer's symptoms. But that idea is still unsettled. Brain scans reveal that aducanumab is effective at reducing A-beta in the brain. What's less clear is whether this reduction comes with consistent improvements in people's quality of life.
1. What does paragraph 2 mainly tell us about aducanumab?A.Its bitter failure in clinical trials. |
B.Its tough path to getting recognized. |
C.Its medical value in treating Alzheimer's. |
D.Its challenging process of being produced. |
A.Proof. | B.Significance. | C.Prospect. | D.Misunderstanding. |
A.Unconcerned. | B.Doubtful. | C.Positive. | D.Intolerant. |
A.A-beta in human body should be removed. |
B.Aducanumab has potentially serious side effects. |
C.A-beta's decrease improves people's quality of life. |
D.Further tests on aducanumab need to be carried out. |
【推荐2】Fatima Bushin was losing her sight and was scared. She said what worried her most wasn’t the fear of a long, painful journey to blindness. She feared being unable to feed her family because blindness would keep her from working, as mothers do. The tragedy is that Bushin’s condition was preventable and, if caught in time, stoppable. She was among thousands of women in Tanzania who suffered from trachoma (沙眼), an infectious disease affecting largely poor communities in developing countries. Trachoma is one of neglected tropical diseases, or NTDs, so named because they receive less attention than other tropical diseases.
All NTDs can be controlled or cured entirely with known public health approaches and interventions. Improved sanitation (环境卫生), medicines and medical procedures have produced truly remarkable results in preventing and controlling NTDs, including trachoma, in some of the world’s poorest communities. Preventing, controlling and curing these diseases puts out poverty’s fire at its base.
We know it can be done. Through long-term efforts, several of these NTDs have been stamped out in some countries such as Laos. To wipe out extreme poverty around the world. many countries continue to invest in what is one of the most successful foreign assistance programs. For example, U.S. Agency for International Development programs to combat NTDs have reached nearly 300 million people affected by diseases that can spoil the patients’ appearance or weaken the patients physically.
For Bushin, the story ends well. Through foreign assistance program, she was able to lave the surgery needed to treat trachoma and save her eyesight. The surgery is relatively simple, performed in an hour at an outpatient clinic, and costs less than $300. In return, Bushin avoided a lifelong disability that would have recondemned her family to poverty with little hope for escape.
Jan. 30 marks the World NTD Day, a day that global public health experts say is needed to focus attention on the fight against tropical diseases. The success of the global fight against NTDs is good news for millions of people. It has been life-changing for a mother in Tanzania who continues to be able to provide for her family thanks to the constant efforts being made that kept her family out of poverty by saving her eyesight.
1. What was the greatest concern of Bushin?A.The possible loss of her eyesight. |
B.The slim chance of getting rid of poverty. |
C.The potential inability to support her family. |
D.The deliberate neglect of her by her parents. |
A.Caught. | B.Removed. | C.Tracked. | D.Analyzed. |
A.Critical. | B.Regretful. | C.Humorous. | D.Positive. |
A.NTDs could be cured earlier than expected. |
B.Poverty and disease tend to be largely connected. |
C.Infectious diseases will be the biggest global issue. |
D.International cooperation is a must for treating a disease. |
【推荐3】Face blindness, a mystifying condition that can trick us into believing we recognize people we’ve never met or make us fail to recognize those we have, has been previously estimated to affect between 2 and 2.5 percent of people in the world.Now, a new study by researchers at Harvard Medical School (HMS) and the VA Boston Healthcare System is providing fresh insights into the disorder, suggesting it may be more common than currently believed.
Published in February 2023 in Cortex, the study findings indicate that as many as one in 33 people may meet the criteria for face blindness, or prosopagnosia (面孔失认症).“This translates to more than 10 million Americans,” the research team said.
The study found similar face-matching performance between people diagnosed with prosopagnosia using stricter vs looser criteria, suggesting that diagnostic criteria should be expanded to be more inclusive. That could lead to new diagnoses among millions who may have the disorder but don’t realize it.
The study results are based on a web-based questionnaire and tests administered to 3,341 individuals.First, the researchers asked participants whether they experience difficulties recognizing faces in their everyday lives.Then they administered two objective tests to determine whether they had difficulties learning new faces or recognizing highly familiar famous faces.
The results showed that 31 individuals out of the 3,341 had major prosopagnosia, while 72 of the 3,341 had a milder form. The researchers also observed that there were no neatly divided separate groups of people with poor or good ability to recognize faces. Rather, the ability to recognize faces appeared to lie on a continuum (连续体).
Finally, the researchers compared face-matching scores among people with prosopagnosia diagnosed using different criteria and found that using stricter diagnostic cutoffs did not correspond with lower face-matching scores.
In the new study, the researchers provide diagnostic suggestions for identifying mild and major forms of prosopagnosia based on guidelines for major and mild neurocognitive disorders in the DSM5, the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders.
1. Which of the following indicates a person has face blindness?A.Failing to identify his belongings. |
B.Being able to recognize his friends. |
C.Mistaking a stranger for an acquaintance. |
D.Misunderstanding ones’ facial expressions. |
A.Do you have trouble recognizing faces? |
B.Do you know what face blindness means? |
C.Do you know anybody with face blindness? |
D.Do you experience difficulties in everyday life? |
A.It came up based on the new study. |
B.It has experienced four revisions. |
C.It is only used to identify face blindness. |
D.It participated in and funded the new study. |
A.A fiction novel. | B.A fashion website. |
C.A health brochure. | D.A science magazine. |
【推荐1】Commuting to and from work can be a nightmare. Cars advance slowly in stop and go traffic, crawling from one traffic jam at stoplights to the next. At peak rush hour especially, there is no chance of sailing through a series of green lights. Now, thanks to artificial intelligence, German researchers have found a way to reduce time spent at the crossroads.
Called the KI4LSA project and funded by the Ministry of Transport and Digital Infrastructure, the innovation is being tested. Scientists first studied algorithms taken from a busy intersection to learn about traffic patterns and where improvements were most needed. Then, the technology, using high-resolution cameras and radar sensors, more precisely captured the actual traffic situation and detected the average speed of the cars and their waiting times. Finally, the AI uses deep enhanced learning algorithms to calculate the best switching behaviour for the traffic lights and determine the best phase sequence to shorten waiting times at the crossroads.
The results are encouraging when it is being tried out at a busy intersection in Lemgo, Germany. The intelligent lights are said to improve traffic flow by 10 to 15 percent, which results in money saved; the EU estimates that traffic jams create economic damage that adds up to 100 billion euros a year. Aside from reducing commuting time, these traffic lights will reduce noise and CO2 emissions from cars waiting at the crossroads.
Another exciting development in this research is the K14PED project, which studies pedestrians crossing the crossroads. Using AI as well as a 3D points cloud, researchers can identify how many people are waiting at a pedestrian crossing and whether some of the disabled or elder people will need extra time to cross the street. Such a needs-based system could reduce pedestrian waiting time by 30 percent, which could then decrease jaywalking (乱穿马路) by 25 percent.
Researchers are optimistic that it will be adopted by many countries after the tests in the German towns of Lemgo and Bielefeld. This technology is exciting news for pedestrians and drivers alike. It encourages safety, protects the environment, and may even give you more time to enjoy your morning coffee before heading off to work!
1. Why is AI used in the KI4LSA project?A.To study traffic algorithms to control CO2 emissions. |
B.To detect road conditions to reduce jam or speeding. |
C.To remind people to pass in sequence for a shorter wait. |
D.To adjust traffic signals to ensure efficiency at the crossroads. |
A.The intelligent lights serve the mere purpose of reducing commuting time. |
B.The better traffic flow is improved, the less economic damage is caused. |
C.The more cars are waiting at the crossroads, the more noise is reduced. |
D.The effect of traffic jams is heavier on environment than on economy. |
A.It monitors traffic conditions at intersections. |
B.It helps to estimate the number of jaywalkers. |
C.It ensures flexible crossing time for pedestrians. |
D.It improves the speed of vehicles on busy roads. |
A.The intelligent lights offer a blessing to transportation. |
B.The AI technology is bound to be a promising industry. |
C.Attentive traffic service lends a helping hand to seniors. |
D.Digital traffic systems mark the beginning of smart cities. |
【推荐2】Around the world COVID-19 has messed up children’s education. They began to be shut out of classrooms. Even in countries where schools have stayed open, lessons and tests have been interrupted. Some countries pressed ahead with national exams this year. A few others, including Britain, France and Ireland, cancelled them all. They came up with new ways of awarding grades instead. The fact that big exams have proved so vulnerable to interruption has led to new questions about their usefulness. Are there better ways of measuring what children have learned?
Exams have plenty of problems. They are often unreliable; a study in Israel found that test-takers’ performance can be affected by smog. Many children find them stressful. Plenty of places run them badly. Poorly written test papers in developing countries lead to wild swings in pass rates. Countries, including Algeria and Ethiopia, have shut down the Internet at exam time to prevent cheating.
Yet most of the world’s best-performing school systems keep some kind of important tests, and for good reason. Other kinds of assessments are rarely better and many are worse. For example, if teachers are responsible for assessing their pupils, they may strengthen their own biases. Studies have caught them giving lower grades to students from ethnic minority or those who are fat. Giving up exams does not always ease pupils’ anxiety. Some would rather be tested at the end of their course than have their work constantly assessed. Coursework can waste students’ efforts by encouraging them to make slight changes to a few projects endlessly. That leaves less time for other kinds of learning.
Governments may need to adjust next year’s tests. That could mean cutting the amount of material to be tested. Exam boards may also have to increase the grades of pupils who have spent the most time out of the classroom. Many pupils have studied harder throughout this difficult year. They should have the chance to sit exams to earn the grades they deserve.
1. What effect has COVID-19 had on exams?A.People are questioning the existence of the exams. |
B.Different approaches have been taken to the exams. |
C.All kinds of exams have to be cancelled in European countries. |
D.Children themselves have to decide whether to take exams or not. |
A.They encourage cheating with the Internet. |
B.They are always affected by weather conditions. |
C.They may not show children’s real academic performance. |
D.They can’t be passed because the written test papers are poorly made. |
A.Self-assessment. | B.Group assessment. |
C.Parents’ assessment. | D.Coursework assessment. |
A.Positive. | B.Negative. |
C.Doubtful. | D.Cautious. |
【推荐3】You’re out to dinner. The food is delicious and the service is fine. You decide to leave a big fat tip. Why? The answer may not be as simple as you think.
Tipping, psychologists have found, is not just about service. Instead, studies have shown that tipping can be affected by psychological reactions to a series of different factors from the waiter’s choice of words, to how they carry themselves while taking orders, to the bill’s total. Even how much waiters remind customers of themselves can determine how much change they pocket by the end of the night.
“Studies before have shown that mimicry(模仿) brings into positive feelings for the mimicker,” wrote Rick van Baaren, a social psychology professor. “These studies show that people who are being mimicked become more generous toward the person who mimics them.”
So Rick van Baaren divided 59 waiters into two groups. He requested that half serve with a phrase such as. “ Coming up !” Those in the other hall were instructed to repeat the orders and preferences back to the customers. Rick van Baaren then compared their take-home pay. ’The results were clear—it pays to mimic your customer. The copycat(模仿者) waiters earned almost double the amount of tips to the other group.
Leonard Green and Joel Myerson, psychologists at Washington University in St. Louis, found the generosity of a tipper maybe limited by his bill. After research on the1,000 tips left for waiters, cabdrivers, hair stylists, they found tip percentages in these three areas dropped as customers’ bills went up. In fact, tip percentages appear to plateau(稳定期) when bills topped $100 and a bill for $200 made the worker gain no bigger percentage tip than a bill for $100.
“That’s also a point of tipping,” Green says. “You have to give a little extra to the cabdriver for being there to pick you up and something to the waiter for being there to serve you. If they weren’t there, you’d never get any service. So part of the idea of a tip is for just being there.”
1. How many factors affect the customers’ tipping?A.6. |
B.5. |
C.4. |
D.3. |
A.Mimicry brings into very bad feelings for the mimicker. |
B.The waiter who mimics people usually gets less tip that they give. |
C.The mimic waiters can get more money than those who don’t mimic others. |
D.Tipping can be affected by physical reactions to many different waiters. |
A.He gives his generous tip to waiters very often. |
B.He agrees with Mr Green and Rick van Baren about tipping. |
C.He objects to Mr Green’s idea about tipping. |
D.He thinks part of Mr Green’s explanation is reasonable. |
A.How Much to Tip |
B.What Is Tip |
C.Where to Leave a Big Fat Tip |
D.Tipping Is Very Important |