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题型:阅读理解-阅读单选 难度:0.65 引用次数:46 题号:21138990

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.
2. What did the 2020 study show?
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.
3. What do we know about UM’s simulation program?
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.
4. What can be learned from Barroso-Fernandez’s words in the last paragraph?
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.

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【推荐1】阅读下列短文,从每题所给的四个选项(A、B、C和D)中,选出最佳选项。

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.
2. We can learn from the passage that the pills ________.
A.are at the experiment stage
B.can cure all the disease
C.are widely used among patients
D.cost patients so little money
3. Who were the volunteers by taking part in the trial?
A.Children.B.Youth.
C.Working people.D.Old healthy people.
4. What was Ian Wilkinson’s opinion on the trial?
A.Disappointing.B.Surprising.
C.Satisfactory.D.Terrible.
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【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.
2. What can we learn about the heavy ion treatment according to paragraph 2?
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.
3. What is the author talking about in paragraph.3?
A.The time of the heavy ion cancer treatment.
B.The reason why researchers develop heavy ion cancer treatment.
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D.The development of heavy ion cancer treatment in China.
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【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.

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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.
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