Is your doctor telling you the truth? Possibly not, according to a new survey in Health Affairs of nearly 1,900 doctors around the country.
The researchers found that 55% of the doctors said that in the last year they had been more positive about a patient s prognosis (预判) than his medical history. And 10% said they had told their patients something that wasn’t true. About a third of the doctors said they did not completely agree that they should disclose medical errors to their patients, and 40% said they didn’t feel the need to disclose financial ties to drug companies.
Really? The study’s lead author, Dr. Lisa Iezzoni, a medicine professor at Harvard Medical School and director of the Mongan Institute for Health Policy at Massachusetts General Hospital, was surprised to learn how dishonest her colleagues were. “Some of the numbers were larger than I expected they might be,” she says.
Why the white lies? In some cases, Iezzoni says it was for self- protection. Nearly 20% of the doctors admitted that they didn’t disclose a medical error to their patients because they were afraid of being punished for improper treatment. In other cases, it may have been for the patient’s benefit. Some might spare an anxious patient from hearing about the slightly abnormal results of a lab test, for example, if it has no negative effect on the patient’s health.
“After all doctors are human too,” says Iezzoni. “ They don’t want to upset their patients, they don’t want their patients to look unhappy or burst into tears. But they also need to be professionals; so they need to tell themselves that if there is a difficult truth they need to tell their patients, they need to work out a way of communicating that effectively.”
That’s important for doctors to appreciate, because as well-intentioned as their lies may be, other studies consistently show that patients prefer the truth, and would rather hear unpleasant news than remain ignorant about an awful medical condition. Being fully informed is a way that patients can prepare for whatever might occur. Therefore, it is necessary for doctors to learn to express themselves.
1. About the new survey in Health Affairs, we can learn that .A.10% of the doctors admitted that they had lied to their patients |
B.about half of the doctors were unwilling to disclose medical errors |
C.40% of the doctors preferred to work in drug companies |
D.about 30% of the doctors were positive on predicting the patients’ disease |
A.were trying to defend themselves | B.wanted to prove they were professionals |
C.knew little about the patients’ situations | D.wanted the patients to spend more money |
A.report some medical errors | B.talk about the needs of patients |
C.persuade doctors to improve skills | D.discuss the doctor-patient relationship |
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【推荐1】One of the important, but seldom-discussed, problems in healthcare reform is how to take care of our aging population as people continue to live longer. According to a new study from the MacArthur Research Network on an Aging Society, by 2050 Americans may live 3.1 to 7. 9 years longer than the government expects. That would mean women would live 89 to 93 years and men 83 to nearly 86 years. The researchers base their conclusion on "rapid advances in biomedical(生物医药)technology that delay the start and progression of major deadly diseases or that slow the aging process・”
While this is good news, especially for the young, the life expectancy, which is in excess of(超过)the government's estimates, would raise costs sharply for Medicare and Social Security. If the study's predictions are accurate, the total cost for those two programs through 2050 could be between $ 3. 2 trillion and $ & 3 trillion higher than the US Census Bureau(人口普查局)and the Social Security Administration currently expect.
And that's only the beginning. With anticipated scientific breakthroughs in coming decades, people could eventually live to 150 years of age, says Dr. Steven Joyal, an official of the Life Extension Foundation (LEF) a nonprofit organization that promotes research on how we can live longer and healthier. The MacArthur paper, in fact, says that some experts believe the average life expectancy could hit 100 by 2060.
What's more, Joyal says, the conquest(战胜)of disease and the slowing of the aging process will lead to a sharp decline in disability, allowing people of advanced age to function as well as they did when they were much younger. "In other words, a 90-year-old person could have the same mental and physical capacity as somebody 40 or 50 years old."
1. What does the new study show?A.Americans will live much longer by 2050 than they do now. |
B.Great progress has been made in the US in public security. |
C.Few people pay attention to the health care reform in the US. |
D.Fewer Americans suffer from deadly disease now than before. |
A.Social security. |
B.Biomedical technology. |
C.Healthcare reform. |
D.New research in health cam. |
A.The aging process will speed up. |
B.It adds to the chance of being disabled. |
C.The old will have some mental problems. |
D.It will increase public costs for the government. |
A.Life for Senior Citizens in the US |
B.The Longer Life Expectancy in the Future |
C.The Disadvantage of Longer Life Expectancy |
D.What Can Be Done to Support So Many Aged People |
【推荐2】A blocked airway can kill someone in three to four minutes, but it can take more than eight minutes for an ambulance to arrive. So a simple procedure such as opening someone’s airway can save their life while they’re waiting for emergency medical help. This means you’re more likely to give first aid to someone you know than a stranger.
There are many misconceptions surrounding first aid. Below are the "most popular" ones with details of what you should do.
Top four first aid misconceptions:
You should put butter or cream on a burn. The only thing you should put on a burn is cold water—keep the butter for cooking. Put the affected area under cold running water for at least ten minutes
The best way to treat bleeding is to put the wound under a tap. If you put a bleeding wound under a tap, you wash away the body`s clotting agents(凝血剂)and make it bleed more. Instead, put pressure on the wound with whatever is available to stop or slow down the flow of blood. As soon as possible call 911. Keep pressure on the wound until help arrives.
Nosebleeds are best treated by putting the head back. If you put the head back during a nosebleed, all the blood goes down the back of the airway. Instead, advise them to tilt(倾斜)their head forwards and ask them to pinch(捏)the end of their nose and breathe through their mouth.
You need lots of training to do first aid. You don’t—what you mostly need is common sense. You can learn enough first aid knowledge in a few minutes to save someone`s life—whether it`s from reading a book, attending a course or watching videos online.
Remember that anyone can save a life.
1. The most important point to save an airway blocked person’s life is to________.A.keep his airway open |
B.ensure the ambulance’s arriving time |
C.keep the surroundings quiet |
D.ask for emergency medical help immediately |
A.put some cream on the burn area |
B.heat up some butter for the burn |
C.place the burn under cold running water |
D.wash the affected area for a long time |
A.It will help the bleeding stop at once. |
B.The wound will help produce more clotting agents. |
C.It will produce more pressure on the wound. |
D.The wound will bleed more and it is hard to stop the bleeding. |
A.When a person’s nose bleeds, please put the head back. |
B.You can learn first aid quickly in different ways. |
C.When a person is burnt, keep pressure on the burn until help arrives. |
D.Not everyone can do first aid to save a life. |
A.how to learn first aid by yourself |
B.some misunderstandings about first aid |
C.the importance of first aid |
D.how to help the medical team save a life |
【推荐3】There was a time when the word “surgery” used to scare people, and they would try their best to avoid a surgical procedure. The feeling is understandable, as the idea of a large cut on your body is discomforting in many ways. However, thanks to the advances in medical science, surgical techniques have improved considerably.
Compared with the traditional open surgery, minimally invasive surgery (微创手术)has several benefits to offer. Not only is the procedure quick and less painful, but also ensures rapid recovery. Now, surgical procedures, either big or small, are done within a few minutes to a few hours. The best part about the minimally invasive surgery is the painless procedure. The advanced techniques are helping with quality treatments to patients who have to undergo (进行) surgical procedures.
Unlike the traditional open surgery that requires a large cut, a surgeon makes multiple tiny cuts of less than an inch. For the process, the surgeon uses small surgical instruments, such as a tiny tube with a mini camera at one end. Once the surgeon marks the cuts, he then passes the tiny tube through one of the cuts. The doctor monitors the images taken by the mini camera on the screen and uses them as a reference. These images give the surgeon a clear picture of the area undergoing the surgery. After the surgery, the surgeon cleans the cuts and sometimes places a bandage for additional support.
Minimally invasive surgery has become the first choice of patients with multiple medical conditions. In fact, it would not be wrong to say that these surgeries are now the standard surgical procedures for many routine operations. Whether you have a minor issue or want a surgical intervention for a major health condition, it is the best option.
1. What makes people afraid of surgery?A.The large cut. |
B.The great risk. |
C.The high expense. |
D.The slow recovery. |
A.The previous treatment plan. |
B.The images by the mini camera. |
C.The standard surgical procedures. |
D.The advice from other surgeons. |
A.Patients in need of additional support. |
B.Patients lack of regular checkups. |
C.Patients with several medical conditions. |
D.Patients scared of surgical instruments. |
A.Disapproving. |
B.Objective. |
C.Doubtful. |
D.Supportive. |
【推荐1】Games have already become a good companion for people. Whether kids or adults, they prefer to spend their spare time in playing games. Why are games so popular? Firstly, they can attract people easily and secondly, they are easy to upgrade . Each day, thousands of games come out. And no matter which kind of game you like, there is always a game that suits you. Now when people meet, they would like to talk about the newest games.
Here are the hottest new games for girls. They are Didi games. 80 percent of girls like dressing-up games. There are varieties of dressing-up games in Didi. The leading roles of them also vary from common girls to princesses. If you are lucky enough, you can be dressed up as the famous stars you admire. At the same time, wedding dressing-up games can also be found. Whether you admit it or not, all girls like things related to wedding, so most girls like to be dressed up as brides.
In order to attract kids' attention, many games choose fairies (精灵) as the leading roles, for fairies are really alluring to girls. Maybe the magic wands (魔杖) of the fairies really have supernatural powers. There are various kinds of Didi fairy games, such as Fairy of Water, Catching Flowers Contest, Winter Garden Fairy, etc.
Cooking games are also girls' favorite games. Making a cake, soup or other delicious food is a category of simple games. There are also complicated ones, for example, preparing a dinner. It is more challenging but most girls like challenges. Another category of games which attracts people must be the games related to farms. Why are they so popular? Because the games can let people enjoy the fun as farmers. There are also farm animals that kids like very much. Here you can build your own farms. Also you can experience the life of farmers.
1. What is the reason why many people like games according to the author?A.Games are usually easy to play. |
B.Playing games helps people learn a lot. |
C.Games can be updated easily and are attractive. |
D.There are many kinds of games that suit everyone. |
A.The fairies are the leading roles in the games. |
B.They have been famous for several years. |
C.They are the most popular games among girls. |
D.They are all about traditional dresses. |
A.Cooking games like making a soup. |
B.The games that are about weddings. |
C.Games that let them enjoy the country life. |
D.The games related to magic wands. |
A.confusing | B.annoying |
C.challenging | D.fascinating |
【推荐2】Do you follow fashion? If so, you know how quickly trends can change.
Fashion trends changed at a slower pace in the past. Designers produced new styles and clothing lines four times a year — once for each season.
Fast fashion refers to low-cost, quickly-made clothing that copies the latest high-end fashions. Fast fashion companies may produce new clothing weekly — 52 times per year instead of the traditional four.
Fast fashion has both advantages and disadvantages. For example, these companies seek to produce clothing as cheaply as possible, which makes it possible to sell items at much lower prices.
However, fast fashion has its downsides. The use of cheap materials means the clothing produced doesn’t last long.
A.After a few wears, it may become torn or damaged. |
B.Clothing may be in style one day and outdated the next. |
C.Consequently, far more people can afford their products. |
D.People used to make repairs to damaged clothes instead of throwing them away. |
E.Actually, there are many ways we can do to avoid fast fashion and make a difference. |
F.However, since the rapid rise of fast fashion in the last 50 years, all that has changed. |
G.Therefore, fast fashion gives more people the chance to express themselves through fashion. |
【推荐3】Cheap “blind box” plane tickets become a popular choice for travel.
A promotion offering $15 plane tickets is being advertised by an online travel platform. While such a low price sounds amazing, there is just one rule.
“Plane ticket blind box” is now a hot topic on online platforms. Fan, a marketing expert, said, “I believe young people are a big target group for this promotion, because they not only enjoy the thrill of the unknown but also like to show off their lives through these types of commercial activities.
“If it wants to be a profitable activity, the release of the tickets must be planned ahead and is not as random as it seems.
A.It will not have popular airlines. |
B.It doesn’t matter whether they finally go or not. |
C.The promotion has become a hot topic on social media. |
D.The upcoming holiday is expected to be a major travel period. |
E.But once they “lock in” their tickets, there’s no money going back. |
F.Many netizens share the screenshots (屏幕截图) of the tickets they have drawn. |
G.The purchaser is not told where the flight is heading or when it takes off. |
【推荐1】While some people might view breakfast as optional, most Shanghainese, despite living in arguably the most fast-paced city in China, won’t be caught skipping this meal no matter how busy they are.
In fact, Shanghai was even named by the Ministry of Commerce as a pilot city for the National Breakfast Demonstration Project in 2011. According to the authorities, the project is aimed at improving the quality of life and making high-quality breakfast options more accessible to the masses. Since the beginning of the project, the city has built 24 industrialized and standardized central kitchens which supply food to 7,800 stores selling breakfast items. By August 2020, there were more than 20,000 shops in the city offering breakfast food.
In the current stage of the ongoing project, the focus has shifted from increasing options to improving the convenience of purchasing this meal. To do so, the local government issued a guideline last August to promote digital breakfast services in convenience stores, mobile food trucks, retailers, and Internet platforms. Companies have also been encouraged to come up with new nutritious meals and adopt the use of eco-friendly packaging materials.
For office workers like Qian Li, buying breakfast no longer involves having to brave long queues. Rather, all she has to do now is place an order using the app for the Ego convenience store near her work place before picking up her freshly made meal from a smart locker.
The guideline has also resulted in developments like cooperative deals between e-commerce giant Alibaba and three major food truck enterprises. According to this agreement, mobile breakfast trucks, including those operated by local food company LiangFood, can establish a digital presence on Alibaba’s take-out and delivery platform Eleme, allowing customers to order their meals online without having to queue.
The introduction of more healthy breakfast options is also in preparation. To date, 12 enterprises have developed 208 nutritious breakfast sets catering to specific groups of people—patients with diabetes, the elderly, children and teenagers.
1. What is the original purpose of the project in 2011?A.To make Shanghai a fast-paced city. | B.To raise the awareness of having breakfast. |
C.To improve the quality of breakfast served. | D.To help people have more choices for cooking. |
A.She is tired of making breakfast. | B.She enjoys the new mode of breakfast. |
C.She has to stand in line for her breakfast. | D.She prefers getting meals at convenience stores. |
A.Satisfying the need of. | B.Making use of. |
C.Making a difference to. | D.Being connected with. |
A.Breakfast does matter for your health | B.Breakfast has gone digital in Shanghai |
C.Shanghainese think highly of breakfast | D.Joint efforts are made to encourage breakfast |
【推荐2】Istanbul has been around for centuries. Sure, it’s changed its name a few times over the years, but the location has always been the same. And in those years, there was no need at all for wide lanes. The term “rush hour” wasn’t even invented yet. The only traffic was an occasional horse-drawn carriage. The result is that the city center consists of very narrow streets.
All the action (nightlife, tourist attractions, etc.) is located in the city center, making people travel daily between their homes in the suburbs and their offices in downtown Istanbul. Besides, Istanbul is not only surrounded (环绕) by water, it’s also twice divided by it. The only way to get from one shore to the other is through bridges. And it is true of all bridges. They’ll get stuck easily.
On a normal dry day, morning rush hour starts as early as 7 a.m. and lasts until around 10 a.m.. After a short cool off period, traffic again starts peaking (达到高峰) from 4 p.m. to 9:30 p.m..
As soon as traffic jams start building up, drivers try to find alternative roads. And once found, they race through them trying to catch up on time already lost. But it doesn’t work. So they immediately turned to plan B. Make the most use of the road at hand. Lanes painted on the surface must be for decorative purposes, since you would be surprised how easily they can change a three-lane road into a five-lane one. On highways, the emergency lanes are taken, too. And of course, horns are blown as much as possible.
Of course the city’s government is making great efforts now to deal with these problems. Extra tunnels, subways, tramways and bus only lanes have been made available or are under construction. Also Electronic Detection Systems are used to detect and fine drivers who abuse the emergency lanes or drive through red traffic lights.
And although Turkish drivers are certainly not among the worst in the world, paying little attention to basic traffic rule, scrowding into the smallest space available, turning across the roads and blocking emergency lanes make traffic jams unable to be dealt with timely. They’re also part of the problem.
1. Which of the following is TRUE of Istanbul?A.It has changed its location. |
B.It has had different names. |
C.The streets were busy in the past. |
D.The government divided it into two parts. |
A.taking the nearest road |
B.looking for another road |
C.taking an emergency lane |
D.driving as fast as possible |
A.No emergency lanes are available. |
B.There are many bridges over water. |
C.Lanes painted on the surface are narrow. |
D.Quite a few drivers break traffic rules. |
【推荐3】Chinese fancy knots (中国结), also called Chinese knots, are very important in Chinese culture. They began as a form of traditional art in the Tang and Song Dynasties (朝代) in China, and became popular in the Ming Dynasty. Long ago, they found their way to Japan and other Southeast Asian countries, and were well received there. Now they are regarded as one of the symbols of Chinese culture.
As for the name itself, it is surely meaningful. The Chinese word for “knot”, jie, means “connection”. And the pronunciation of the Chinese word jie is very close to that of ji, “good luck”. As a result, Chinese knots are used as a way to express people’s strong wishes for marvellous things like happiness, love and good luck.
The knots are used widely in everyday life. They come in different sizes. Small ones are connected to jewellery (珠宝), clothes and gifts in order to draw people’s attention, while large ones are used to make a living room or study more beautiful. Whether large or small, they are named after their shapes and usages. For example, Double Coin Knots are called Shuangqian Jie because they are in the shape of two ancient Chinese coins, meaning “good things come in pairs”. Besides, Chinese knots are famous for their bright colors. Different colors have different traditional cultural meanings. Red means good luck and happiness, green means health, and yellow means wealth.
All in all, the famous Chinese fancy knots fully show the Chinese culture. These brightly colored knots with their endless chains (链条) of knots mean that life on earth will continue forever.
1. What did the writer want to express in this passage?A.Ask people to buy Chinese fancy knots. |
B.Introduce a traditional Chinese art form. |
C.Teach people how to make a Chinese knot. |
D.Describe the usages of Chinese fancy knots. |
A.pronunciation | B.size | C.shape and meaning | D.color |
A.The Chinese word for “knot” means “luck”. |
B.Chinese knots became popular in the Song Dynasty. |
C.All of the Chinese knots have the same sizes and colors. |
D.Chinese knots mean that life on earth will continue forever. |
A.Chinese Culture | B.Chinese Knots | C.Chinese Colors | D.Chinese Life |