The University of Miami’s newest hospital has a six-bed emergency room (急诊室), operating room, a birthing room and outpatient clinics.
The only thing missing is patients. Instead, nursing students get a realistic clinical experience using computerized patients and staff actors.
“Practicing on real people can be a frightening environment, and as our patients may be unwilling to accept treatment when a student walks in,” said Susana Barroso-Fernandez, who oversees UM’s simulation (模拟) program. “We created this environment to allow students to practice and make mistakes and never put a patient or student at risk.”
UM’s Simulation Hospital is part of a growing trend of colleges building simulation centers to provide real-life experiences to students. Community colleges and schools also use simulators for emergency medical technician (技师) and medical assistant programs.
A 2020 study by the National Council of State Boards of Nursing found that colleges could use simulation to replace up to half of all clinical experience without any bad results. The students scored as well on nursing license exams as those getting most of their experience in hospitals and health care centers. Officials say they think simulation has helped their students achieve nearly perfect passing rates on the exams.
There are major advantages of simulation. In addition to giving students a safe environment to practice in, it also gives students experience with conditions that are rare, but still important for them to know how to deal with.
The Simulation Hospital will also be used as a training place for people outside of UM, officials said. “You can bring companies in that want to test new products before they go to market,” Barroso-Fernandez said. “You can work with community partners like police and fire departments. You can take this hospital and turn it into a casualty (伤亡) event and have the community practice disaster preparedness and response. It’s not just about nursing education.”
1. What is special about the new hospital?A.There are no real patients. |
B.It is comfortable and patient-friendly. |
C.There are plenty of clinics. |
D.It has modern services and expert doctors. |
A.Simulation was used in most colleges. |
B.Simulation could help students get job chances. |
C.Simulation could avoid some unfavorable results. |
D.Simulation increased the risks of patients and students. |
A.Only unusual conditions can be provided for students. |
B.Students have chances to act as patients. |
C.Students can be trained in a safe environment. |
D.It mainly involves outdoor training. |
A.This hospital can be widely used. |
B.She was not satisfied with the nursing education. |
C.This hospital is good at dealing with casualty events. |
D.She advised companies to put more money into this hospital. |
相似题推荐
No one would much like the idea of eating 61 pounds of tomatoes a day. But if their goodness was put into an easy-to-swallow pill that you were told might prevent strokes (中风) and heart attacks you would probably be putting in an order tomorrow.
Researchers believe they may have come up with just that after trials. The daily pill contains a chemical called lycopene which makes tomatoes red and is known to break down fat in the vessels (血管). A Cambridge University study found taking the pills improved blood flow and the lining of vessels in patients with preexisting heart conditions. It also increased the flexibility (灵活性) of their vessels by 50 percent. The scientists believe it could limit the damage caused by heart disease—responsible for 180,000 deaths a year—and help cut the 49,000 deaths a year from strokes. They also hope it could benefit those with arthritis (关节炎), diabetes (糖尿病) and even slow the progress of cancer.
Each pill is equal to eating around 61 pounds of ripe tomatoes. Studies have shown eating a Mediterraneanstyle diet rich in tomatoes, fish, vegetables, nuts and olive oil can significantly reduce cholesterol (胆固醇) and help prevent cardiovascular disease.
Preliminary results from a twomonth trial, in which the pill was given to 36 heart disease patients and 36 healthy volunteers with an average age of 67, were presented at a meeting of the American Heart Association. It was shown to improve the function of the endothelium—the layer of cells lining blood vessels. It also improved their sensitivity to nitric oxide, the gas which causes the enlargement of the vessels in response to exercise.
Ian Wilkinson, head of Cambridge University’s clinical trials unit, said, “These results are potentially very significant and it meets the goal, but we need more trials to see if they translate into fewer heart attacks and strokes.”
Further studies are planned, with researchers hoping it could offer a choice for heart disease sufferers who can not take the cholesterollowing drugs.
Mike Knapton, head of the British Heart Foundation, said, “Although this showed lycopene improved blood flow in people with heart disease, that's a long way from demonstrating that taking it could improve outcomes for people with heart disease. The best way to get the benefits of a good diet is to eat plenty of fresh fruit and vegetables.”
1. What can we infer from Paragraph 1?A.We can eat too much tomato food. |
B.Tomatoes are helpful to strokes and heart attacks. |
C.Tomatoes will lose healthy elements if they are put into pills. |
D.We had better not eat tomatoes. |
A.are at the experiment stage |
B.can cure all the disease |
C.are widely used among patients |
D.cost patients so little money |
A.Children. | B.Youth. |
C.Working people. | D.Old healthy people. |
A.Disappointing. | B.Surprising. |
C.Satisfactory. | D.Terrible. |
【推荐2】“I never thought that I would beat the tumor.” says a cancer patient in Lanzhou in Northwest China’s Gansu province. The man adds that he is particularly grateful for heavy ion therapy he received, at a follow-up visit following several rounds of treatment revealing that his cancer cells had disappeared.
A research team from the Institute of Modern Physics of the Chinese Academy of Sciences has developed the country’s first medical heavy ion accelerator with independent intellectual property rights, and put it into clinical application. Cancer treatments employing heavy ion accelerators can bombard a target with high-energy electrons to kill cancer cells. Compared to traditional therapy such as radiation, heavy ion treatment is considered to be more balanced, exposing healthy cells to less radiation. The treatment period is shorter and the therapy can more effectively control cancer cells.
In 1993, researchers proposed to carry out basic research on heavy ion cancer treatment during an academic conference held in Tianshui, Gansu. In 2006, China followed the United States, Japan and Germany to become the fourth country to successfully carry out heavy ion clinical treatment, when four cancer patients participated in preliminary clinical trials for heavy ion therapy. In 2015, China’s first such accelerator, with independent intellectual property rights, rolled off the production line in Wuwei, in Gansu. On March 26, 2020, the accelerator was put into operation, and by the end of June this year, more than 750 patients completed their therapy at Wuwei’s heavy ion treatment center, with remarkable curative effects. The follow-up statistics showed that the three-year local tumor control rate reached 84 percent among 46 clinical trial participants.
Heavy ion therapy is highly effective in treating a wide range of solid tumors and can be used in cases where surgery is not possible or unsuitable, when a patient is sensitive to conventional radiation therapy, or prone to relapse following such therapy. This includes tumors located in the central nervous system, head, neck, skull base, chest and abdomen. So far there have been several cases where people have recovered from cancers by the therapy.
1. Why is the man in para.1 mentioned?A.To celebrate a successful treatment. | B.To bring up a new kind of therapy. |
C.To show his cancer cells had disappeared. | D.To show the man is brave and lucky. |
A.China is the first country to carry out heavy ion clinical treatment. |
B.In 2006, the United States, Japan and Germany successfully carried out heavy io n clinical treatment. |
C.Heavy ion cancer treatment is more beneficial to patients than traditional therapies such as radiation. |
D.Heavy ion cancer treatment is of great help in treating a certain kind of tumor. |
A.The time of the heavy ion cancer treatment. |
B.The reason why researchers develop heavy ion cancer treatment. |
C.Persons benefiting from heavy ion cancer treatment. |
D.The development of heavy ion cancer treatment in China. |
A.To give some successful examples of the new treatment |
B.To explain the process of the new treatment. |
C.To show the difficulty of the new treatment. |
D.To conclude the value of the new treatment. |
【推荐3】Vitamin D was recognized a century ago as the cure for rickets, a childhood disease that causes weak bones. Then, in the early 2000s, a pile of studies suggested that low vitamin D levels could be a factor in cancer, cardiovascular (心血管) disease, Parkinson’s disease and so on. This simple vitamin seemed to be a cure for whatever troubled us. However, all these observational studies have a fundamental weakness: they can identify a co-occurrence between vitamin D and a disease, but they can’t prove there is a cause-and-effect relation.
To look at whether taking vitamin D had curative effects, Manson and her team started the world’s largest and most far-reaching randomized vitamin D trial. The study followed nearly 26,000 healthy adults, randomized to receive either 2,000 international units (IU) of vitamin D or a placebo (安慰剂), for an average of 5.3 years. The volunteers were almost evenly split between men and women, and 20 percent of the participants were black.
The results came as a shock. Not only did vitamin D not reduce rates of cancer or heart disease, but the trial also found that vitamin D did not prevent or improve cognitive function, or reduce the risk of bone fractures (骨折). The finding about fractures “was a real surprise to many people,” Manson says.
In 2011, the Institute of Medicine established an expert committee to conduct a thorough analysis of all existing studies on vitamin D and health. The committee concluded that the bone-strengthening benefits of vitamin D remain steady when blood levels reach 12 to 16 nanograms per millililter. They also found that there were no benefits to having levels above 20ng/ml. According to measurements of vitamin D levels in the general U. S. population, most had levels of 20 ng/ml or more in 2011. Levels have actually risen since then, meaning that most people don’t need to take extra vitamin D.
The ups and downs of vitamin D offer a lesson in humility. The relation between the vitamin and disease is far more complicated than it first seemed and a reminder that scientific understanding is always developing over time.
1. What is the problem with the early studies regarding vitamin D?A.No related cases were involved. | B.They lack convincing evidence. |
C.No observation was conducted. | D.They fail to account for anything. |
A.To identify vitamin D-related disease. | B.To help solve the problems they faced. |
C.To make their findings more reliable. | D.To show their respect for the minority. |
A.They proved vitamin D was the cure for disease. |
B.They revealed that vitamin D made no difference. |
C.They came as no surprise to Manson and her team. |
D.They updated people’s knowledge about vitamin D. |
A.Scientific understanding is dynamic. | B.We should not believe the old theories. |
C.Research into vitamins is worthwhile. | D.Some diseases are practically incurable. |
【推荐1】Over the last seven years, most states have banned texting by drivers, and public service campaigns have tried a wide range of methods to persuade people to put down their phones when they are behind the wheel.
Yet the problem, by just about any measure, appears to be getting worse. Americans are still texting while driving, as well as using social networks and taking photos. Road accidents, which had fallen for years, are now rising sharply.
That is partly because people are driving more, but Mark Rosekind, the chief of the National Highway Traffic Safety Administration, said distracted(分心)driving was "only increasing, unfortunately."
"Big change requires big ideas." he said in a speech last month, referring broadly to the need to improve road safety. So to try to change a distinctly modern behavior, lawmakers and public health experts are reaching back to an old approach: They want to treat distracted driving like drunk driving.
An idea from lawmakers in New York is to give police officers a new device called the Textalyzer. It would work like this: An officer arriving at the scene of a crash could ask for the phones of the drivers and use the Textalyzer to check in the operating system for recent activity. The technology could determine whether a driver had just texted, emailed or done anything else that is not allowed under New York's hands-free driving laws.
"We need something on the books that can change people's behavior,” said Félix W. Ortiz, who pushed for the state's 2001 ban on hand-held devices by drivers. If the Textalyzer bill becomes law, he said, "people are going to be more afraid to put their hands on the cell phone."
1. Which of the following best describes the ban on drivers' texting in the US?A.Ineffective. | B.Unnecessary. |
C.Inconsistent. | D.Unfair. |
A.Where a driver came from. | B.Whether a driver used their phone. |
C.How fast a driver was going. | D.When a driver arrived at the scene. |
A.Advice. | B.Data. | C.Tests. | D.Laws. |
A.To Drive or Not to Drive? Think Before You Start |
B.Texting and Driving? Watch Out for the Textalyzer |
C.New York Banning Hand-Held Devices by Drivers. |
D.The Next Generation Cell Phone: The Textalyzer- |
【推荐2】Beijing will use facial recognition tools to speed up security checks in the city's overcrowded metro, using a "credit system" to sort passengers into different channels.
Long queues and passengers arguing with staff over slow security procedures are common sites during rush hour in the metro system of this big city with 20 million citizens. The city plans to fix cameras that will scan the faces of passengers as they enter a subway station and sort them into different security channels, said Zhan Minghui, director of the Beijing Rail Traffic Control Center.
He said the plan involves creating a "passenger credit system", and individuals on a "white list" will be offered rapid screening service. Those who receive "abnormal feedback" after their faces are scanned will have to go through extra checks. Zhan did not offer details on the criteria used to sort passengers or what could cause that type of feedback.
The technique aims to improve the efficiency of security checks and includes both body checks and luggage screening when large numbers of passengers enter the station. The city's subway system currently handles over 12 million trips on a work day and the number is expected to increase to 17 million trips by 2022. Zhan did not offer a timetable for rolling out the technology.
Facial recognition is gaining popularity across China, where it is being used for nearly everything anywhere from supermarket checkouts to monitoring. While researchers have warned of the privacy risks associated with gathering facial recognition data, consumers have widely embraced the technology.
The Universal Studios amusement park under construction in Beijing recently said it will admit visitors without a ticket﹣ thanks to cameras that will scan their faces to determine if they paid for entry.
1. Why does Beijing subway plan to use facial recognition system?A.To make the subway more safe. |
B.To accelerate security checks. |
C.To reduce the number of employees. |
D.To attract more and more passengers. |
A.Its working process |
B.The target group |
C.Its advantages |
D.Its problems |
A.The system is mainly used for body check. |
B.More and more people will take metro trips. |
C.17 million people will take metro trips by 2022. |
D.The technology will be available in a few years. |
A.Negative |
B.Fearful |
C.Doubtful |
D.Cautious |
The 17 metallic elements are common in the earth-s crust, but the technique used to extract and refine them is labor-intensive, environmentally hazardous and increasingly costly. Thomas Gradael, a professor of geology and geophysics at the Yale School of Forestry Environmental Studies, explains that the钰criticality" of rare earths was only recently understood after China, which dominates the world-s supply of the minerals, cut exports by 40% in 2010, citing concerns over how polluting the rare earth industry was.
Along with colleagues at Yale, Gradael decided to investigate the metals used in modern technologies to determine if there were viable(可行的) substitutes.“Twenty or thirty years ago electronics were being made with 11 different elements," explains Gradael. “Today's computers and smartphones use something like 63 different elements." Their findings showed that there were no "readily apparent" substitutes for a metal that would not compromise on quality or performance.
However increased mining for these scarce resources can have some nasty side effects for the environment. China, which has intensively mined for rare earths with little regulation, allowing it to dominate the global industry since 1990, has acknowledged the incredible environmental harm caused by the process. “Excessive rare earth mining has resulted in landslides, clogged rivers, environmental pollution emergencies and even major accidents and disasters, causing great damage to people's safety and health and the ecological environment," read a white paper issued by the Chinese cabinet in June last year.
Recycling metal has been advocated by some as a possible way of managing these precious resources-the European Parliament adopted a law curbing dumping of electric waste in 2012. But Gradael says that for rare earths, recycling will have little impact.
1. Rare earths are growingly important in that
A.they exist in small numbers |
B.they are essential in modern technologies |
C.life would be impossible without them |
D.new technology markets are emerging |
A.It is in China that rare earths are fully understood. |
B.Despite the name, rare earth metals are not in fact rare. |
C.There is a growing concern over the rare earth industry. |
D.Rare earth metals are difficult to collect though important. |
A.prove the important role rare earths play |
B.learn the number of different elements used |
C.determine whether there are substitutes for rare earths |
D.research further the quality or performance of rare earths |
A.To tell the wide use of rare earth in China. |
B.To prove the side effects of rare earth mining. |
C.To warn people of the possible damage. |
D.To teach other countries a lesson to follow. |
A.the reasons why recycling works little |
B.the ways to manage rare earths |
C.the effects brought about by rare earths |
D.the attitudes people hold to the law |
【推荐1】Excessive (过度的) smartphone use is a distinctly 21st century issue, but that doesn’t make it any less problematic. Countless people spend their days endlessly scrolling from one social media feed or app to the next. Many argue there’s an easy solution: place it in silent mode (模式).
Now, however, researchers from Penn State find that this approach can actually backfire for certain people. Study authors report people checked their phones more often when their devices were in silent mode. Notably, participants who scored high in “fear of missing out” and “need to belong” personality tests checked their phones the most after placing them on silent. In some cases, these individuals stayed on their phones for longer as well.
This work is based on data collected from the screen time monitoring tool of 138 iPhone users. Researchers focused on how two distinct psychological traits may influence how people act in response to placing their phones on either silence or vibrate. More specifically, study authors analyzed people who tend to be especially preoccupied (专注) with gathering information from others(fear of missing out, or FOMO), and people with a strong desire to maintain interpersonal relationships(need to belong).
Incredibly, in comparison to audio-alert or vibrate modes, each participant checked their phones more often when it was in silent mode. When the phone’s sound and vibration was on, the groups checked their devices 52.9 times daily on average. When their phones were silent, that average rate nearly doubled to 98.2 times a day. Volunteers identified as having high levels of FOMO checked their phones roughly 50 times daily when their device was on vibrate, while in silent mode, they checked their phones about 120 times daily, and they also tended to keep scrolling significantly longer if their phones were in silent mode.
Participants with high levels of the need-to-belong trait actually didn’t check their phones more in silent mode, however, they did stay on their phones longer if the devices were in either silent or vibration-only mode.
At the end of the day, smartphone use habits come down to the individual. Researchers conclude the first step toward developing healthier tech habits for everyone is understanding that different people react to apps, notifications, and various tech features differently.
1. What can we know about excessive smartphone use?A.It is easy to get rid of. | B.It has existed for centuries. |
C.It is a serious problem. | D.It is no longer considered a problem. |
A.Hardly have any effect. | B.Have the opposite effect. |
C.Bring certain benefits. | D.Cause some trouble. |
A.It may have limitations. |
B.Its researchers collected the data themselves. |
C.It focused on the participants’ psychological traits. |
D.It found silent mode affected participants’ interpersonal relationships. |
A.They checked their phones almost as often as usual. |
B.They showed healthier tech habits than people with the need-to-belong trait did. |
C.They stayed on their phones longer than people with the need-to-belong trait. |
D.They reacted differently from people with the need-to-belong trait. |
【推荐2】Stingrays are an instantly recognizable fish, with their pancake-like bodies that swim gracefully through the water. Their flat bodies allow them to sit on the bottom of the ocean, river or lake, disguising themselves to predators (食肉动物) swimming above as they hunt their prey (猎物) on the floor. Their eyes sit on the top of their body, while their mouths are on the bottom. They each have a long tail with a toxin-filled barb (充满毒素的倒钩). When they feel threatened, they can lift their barbed tails upward and injure potential predators. Most species of stingrays sport dull colors that help with disguise, though some do have more lively colors. Stingrays eat prey like worms while freshwater stingrays eat insects as well.
As those creatures move through the water, they generate bioelectric fields. Stingrays are able to detect these bioelectric fields of the animals around them using a network of special sensory organs called ampullae of Lorenzini. These organs are small, fluid-filled electrical receptors that are located near the stingray's mouth and look like tiny black holes in the animal's skin. Once they've located and captured their prey with the help of these sensory organs, stingrays use their hard teeth to break the shells of their victims, and can even chew their meal.
In 2006, Australian television personality Steve Irwin died when a stingray's barbed tail pierced his heart. Irwin was being filmed for a show called "Ocean's Deadliest" when he swam too close to a stingray. However, death from stingrays is rare. A stingray's poison is generally only deadly when its barb pierces people's neck or chest. Otherwise, contact with a stingray's. barb anywhere else on the body causes pain similar to a jellyfish (水母) sting.
Scientists also believe that stingrays have the ability to detect the Earth's magnetic fields and the orientation of electric currents generated by objects in the water. They could then use that information to navigate in the open ocean. However, this ability could potentially cause problems for the animals as offshore energy technologies like wind and wave energy become more popular, thus disturbing stingrays' ability to accurately detect their surroundings. This could influence stingrays' feeding and migration patterns.
1. What can we know about stingrays?A.They hardly feed on insects. |
B.They have a big ball-like fat bod. |
C.Their barbed tails serve as a defence. |
D.Their body colors vary with the environment. |
A.Hunting prey. | B.Frightening prey. |
C.Protecting sensory organs. | D.Producing a bioelectric field. |
A.To explain jellyfish stings cause death. |
B.To show it was an occasional accident. |
C.To prove photographing undersea is risky. |
D.To stress stingrays are ocean's deadliest. |
A.Stingrays' ability to detect magnetic fields. |
B.The popularity of wind and wave energy. |
C.Stingrays' feeding and migration patterns. |
D.The technological impact. on stingrays' life. |
【推荐3】Almost all cultures celebrate the end of one year and the beginning of another in some way. Different cultures celebrate the beginning of a new year in different ways, and at different times on the calendar.
In Western countries, people usually celebrate New Year at midnight on December 31st—January 1st. People may go to parties, sometimes dressed in formal (正式的) clothes, and they may drink champagne (香槟) at midnight. During the first minutes of the new year, people cheer and wish each other happiness for the year ahead. But some cultures prefer to celebrate the new year by waking up early to watch the sunrise. They welcome the new year with the first light of the sunrise.
Many cultures also do special things to get rid of (消除) bad luck at the beginning of a new year. For example, in Ecuador, families make a big doll from old clothes. The doll is filled with old newspapers and firecrackers. At midnight, these dolls are burned to show the bad things from the past year are gone and the new year can start afresh (重新). Other common traditions to keep away bad luck in a new year include throwing things into rivers or the ocean, or saying special things on the first day of the new year.
Other New Year traditions are followed to bring good luck in the new year. One widespread Spanish tradition for good luck is to eat grapes on New Year’s Day. The more grapes a person eats, the more good luck the person will have in the year. In France, people eat pancakes for good luck at New Year. In the United States, some people eat black-eyed peas for good luck, but to get good luck for a whole year you have to eat 365 of them!
1. The reading is mainly about______.A.the meaning of “Happy New Year!” |
B.several different New Year traditions |
C.what to eat on New Year’s Day |
D.why people dress up nicely on New Year's Day |
A.some cultures celebrate New Year in the morning |
B.the Western people celebrate New Year only on New Year’s Day |
C.people in Ecuador go to parties on December 31st—January 1st |
D.no cultures do special things to celebrate New Year |
A.bring good luck |
B.keep away bad luck |
C.forget everything |
D.plan for the next year |
A.friends talk to each other in special ways |
B.families make big dolls filled with old clothes |
C.some people get up early to watch the sunrise |
D.Europeans eat 365 grapes on New Year's Day |
A.one pea brings one day of luck |
B.black-eyed peas are the best medicine |
C.the peas are too black and taste bad |
D.the peas are helpful to count numbers |