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题型:阅读理解-阅读单选 难度:0.65 引用次数:302 题号:19214576

Delivering life-saving drugs directly to the brain in a safe and effective way is a challenge for medical providers. One key reason: the blood-brain barrier, which protects the brain from tissue-specific drug delivery. Methods such as an injection or a pill aren’t as precise or immediate as doctors might prefer, and ensuring delivery right to the brain often requires invasive, risky techniques.

A team of engineers from Washington University in St. Louis has developed a new nano-particle generation-delivery method that could someday vastly improve drug delivery to the brain, making it as simple as a sniff.

“This would be a nano-particle nasal spray, and the delivery system could allow medicine to reach the brain within 30 minutes to one hour,” said Ramesh Raliya, research scientist at the School of Engineering & Applied Science.

“The blood-brain barrier protects the brain from foreign substances in the blood that may injure the brain,” Raliya said. “ But when we need to deliver something there, getting through that barrier is difficult and invasive. Our non-invasive technique can deliver drugs via nano-particles, so there’s less risk and better response times.”

The novel approach is based on aerosol science and engineering principles that allow the generation of mono-disperse nano-particles, which can deposit on upper regions of the nasal cavity via spread. The nano-particles were tagged with markers, allowing the researchers to track their movement.

Next, researchers exposed locusts’ antenna to the aerosol, and observed the nano-particles travel from the antennas up through the olfactory nerve, which is used to sense the smell. Due to their tiny size, the nano-particles passed through the brain-blood barrier, reaching the brain and spreading all over it in a matter of minutes.

The team tested the concept in locusts because the blood-brain barriers in the insects and humans have similarities. “The shortest and possibly the easiest path to the brain is through your nose,” said Barani Raman, associate professor of biomedical engineering. “Your nose, the olfactory bulb and then olfactory cortex: two steps and you’ve reached the cortex.”

To determine whether or not the foreign nano-particles disrupted normal brain function, Saha examined the physiology response of olfactory neurons in the locusts before and after the nano-particle delivery and found no noticeable change in the electro-physiological responses was detected.

This is only a beginning of a set of studies that can be performed to make nano-particle-based drug delivery approaches more principled, Raman said. The next phase of research involves fusing the gold nano-particles with various medicines, and using ultrasound to target a more precise dose to specific areas of the brain, which would be especially beneficial in brain-tumor cases.

1. What is the passage mainly about?
A.A novel method of drug delivery.B.A challenge facing medical staff.
C.A new medicine treating brain disease.D.A technique to improve doctor’s ability.
2. What can we learn from the passage?
A.Doctors prefer using methods like an injection to treat diseases.
B.Locusts were tagged with markers to track their movement.
C.The blood-brain barrier lowers the effectiveness of a pill.
D.The medicine could reach the brain within half an hour.
3. The researchers focused their study on locusts because        .
A.human and locusts have similar structures that protect brain from foreign substances
B.the delivery process consists of the olfactory bulb and the olfactory cortex
C.locusts have changeable electrophysiological responses to nanoparticles
D.the shortest and possibly the safest path to the brain is through human’s noses

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【推荐1】Telemedicine is the name for when doctors give advice to patients by telephone or the Internet, or when health care providers in rural areas connect with specialists in big cities.

Telemedicine has existed for a long time, but the rise of smart phones, tablets and webcam-equipped computers is raising telemedicine to new levels. Some health care systems in the United States now offer Virtual Urgent Care, patients see a doctor by video chat without having to leave home.

Diana Rae is a nurse educator in the western state of Washington. She recently showed how Virtual Urgent Care works. She used an iPad tablet and skype — the video chat service.

Doctor Green has the patient describe her symptoms, then the doctor performs a physical exam by demonstrating what he wants her to do. Doctor Green decides that the problem is a silence infection. For medicine, he prescribes an antibiotic. He says about 3 out of 4 patients have health problems that can be treated like this —through Virtual Urgent Care, that means a video chat could replace a visit to the doctor's office.

The Franciscan Health System is based in Tacoma, Washington. Franciscan charges $35 for this kind of virtual house call, that is much less than the cost of going to an emergency room, a doctor's office or an urgent care clinic.

After trying the video conference, Diana Rae says, “I would've paid twice that for the convenience of getting taken care of without having to sit in a waiting room, wait, and get exposed to everyone else's germs.”

Franciscan has a deal with a company called Carena to add virtual urgent care by Skype or phone. Carena is one of several companies doing this kind of work around the country. But a company official says state rules have not kept progress with developments in telemedicine. The workers who provide virtual urgent care must be separately licensed in each state where the company does business. For now, that means Carena doctors can treat patients in Washington state and California for example, but not in neighboring Oregon or Idaho.

1. The second paragraph is mainly used to show ________.
A.why telemedicine becomes popularB.the advantages of telemedicine
C.what telemedicine isD.many factors contribute to telemedicine
2. Doctor Green decides that the problem is a silence infection ________.
A.through his observation of the patientB.through a careful examination
C.by prescribing an antibioticD.by knowing what he wants her to do
3. The major health problems, in Doctor Green’s opinion, _________.
A.are tough to deal withB.can be treated through a video chat
C.should result from work pressureD.nearly cost little to recover
4. By mentioning what Diana Rae says, the author wants to show _________.
A.he finds it convenient to see a doctor by using a video chat
B.he sings high praise for this kind of treatment form
C.he must be tired of waiting too long in the hospital
D.it should be very unhealthy while staying in hospital
2018-11-28更新 | 54次组卷
阅读理解-阅读单选(约380词) | 适中 (0.65)
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【推荐2】According to a recent poll by the Kaiser Family Foundation’s Vaccine Monitor, nearly a quarter of parents surveyed in the US would not allow their teenagers to be vaccinated.

To help her peers get rid of the embarrassing situation, Kelly Danielpour, 18, from the US, runs VaxTeen, a website that aims to answer questions from teenagers seeking advice about vaccines and what rights they have to make decisions about their health.

With her father as a doctor, Danielpour started volunteering in hospitals in middle school and learned a lot about medicines. Such experiences have made her realize that vaccinations are a good way to keep teenagers from developing health issues they may not be able to get care for later on.

But as she read her peers’ posts on Reddit, a social media platform, she was shocked to find that many of her peers are disapproved to get vaccines. This trend has been more obvious during the pandemic (大流行).

“I found hundreds of posts on Reddit,” the 18-year-old told NBC News. “Every few days, I could still find at least one new post.”

To help them, the first step, she said, is providing the teenagers with information and resources about vaccines so they could get rid of parents’ misinformation. But if that didn’t work, she would get the teenagers information about their healthcare rights.

But that was not easy. Danielpour told Time magazine that every state has different laws on the choices minors can make regarding their own healthcare.

She studied state laws and bookmarked countless pages from the US Centers for Disease Control and Prevention, Healthline website reported. “I did not put anything on the website that I didn’t think would hold up,” Danielpour explained.

The effort paid off. With the help of VaxTeen, more young Americans have been vaccinated.

In fact, she plans to continue encouraging teenagers to place their own medical choices in their hands for years to come. And she advocates for a medical system that provides equal access to healthcare for all.

“This is what I’m passionate about. This is what I do,” she told Healthline.

1. What is the purpose of VaxTeen?
A.To offer legal support to teenagers.
B.To persuade teenagers to get vaccinated.
C.To give teenagers advice about communicating with parents.
D.To provide teenagers with accurate information regarding vaccines.
2. What shocked Danielpour as she read her peers’ Reddit posts?
A.Health issues teenagers cannot get care for.
B.Her peers’ lack of knowledge about medicine.
C.People’s complaints about vaccines on social media.
D.The number of teenagers not allowed to get vaccinated.
3. Why is it difficult to supply teenagers with information about their healthcare rights?
A.It’s hard to collect reliable information about it.
B.It’s illegal to post information on laws on unofficial websites.
C.Laws on minors’ healthcare decision rights vary in each state.
D.Some states have no regulations about minors’ healthcare choices.
4. Which of the following best describes Danielpour?
A.Brave and independent.B.Thoughtful and cautious.
C.Warm-hearted and devoted.D.Optimistic and knowledgeable.
2021-12-30更新 | 44次组卷
阅读理解-阅读单选(约320词) | 适中 (0.65)
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【推荐3】Late last year, a French company called Carmat received approval in Europe for its total artificial heart. It’s exactly what it sounds like; a heart made of synthetic and biological materials intended for implantation into people who need heart transplants. Now, just half a year later, the first US patient has received one of the Carmat artificial hearts (CAH).

The transplant took place last week in a 39-year-old man at Duke University Hospital in North Carolina. The man didn’t go to the hospital expecting to have a heart transplant, but it ended up saving his life.

After experiencing unexpected heart failure, he was diagnosed with advanced coronary artery disease and went in for bypass surgery.

When his condition quickly worsened, his medical team realized bypass surgery wasn’t going to do it, but by that point a traditional heart transplant had become too risky. The patient was in the right place, because not just any transplant center could have implanted an artificial heart.

The device weighs 900 grams, or just under 2 pounds (about three times the weight of the average human heart). The external setup is a bit heavier; recipients will have to carry about nine pounds of equipment, including a controller, a bag of actuator fluid, and two battery packs. In the case of the Duke patient, his artificial heart will stay remotely connected to the hospital’s system so that his doctors can monitor it and be sure it’s functioning as it should.

Just days after the US transplant, a similar transplant took place in Naples, Italy, marking Carmat’s first commercial sale of the heart (the difference being that this patient’s transplant was planned, not done as part of a trial).

1. What did the 39-year-old patient go to hospital expecting to have?
A.A heart failure.B.A heart transplant.C.A physical exam.D.A bypass surgery.
2. Why was the patient in the right place?
A.Because that hospital had something to save his life.
B.Because there were the best doctors in that hospital.
C.Because he knew his medical team well enough.
D.Because he wanted an artificial heart.
3. What does the underlined word “recipients” in Paragraph 5 mean?
A.Doctors.B.Patients.C.Researchers.D.Nurses.
4. Which of the following can be the best title?
A.CAH Transplanted into First US PatientB.Carmat Received Approval in Europe
C.First Commercial Sale of CAHD.Man Saved by CAH
2022-03-08更新 | 131次组卷
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