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题型:其他 难度:0.85 引用次数:18 题号:22462283

New research links outdoor air pollution — even at levels considered safe — to an increased risk of diabetes (糖尿病) globally, according to a study from the VA St. Louis Health Care System. The findings raise the possibility that reducing pollution may lead to a drop in diabetes cases in heavily polluted countries such as India and less polluted ones such as the United States.

Diabetes is one of the fastest growing diseases, affecting more than 500 million people worldwide. The main drivers of diabetes include eating an unhealthy diet, having a sedentary lifestyle and obesity, but the new research indicates the extent to which outdoor air pollution plays a role.

“Our research shows a significant link between air pollution and diabetes globally,” said Ziyad Al-Aly, MD, the study’s senior author and an assistant professor of medicine at the University of Washington. “We found an increased risk, even at low levels of air pollution currently considered safe by the US Environmental Protection Agency (EPA) and the World Health Organization (WHO). This is important because many industry lobbying (游说) groups argue that current levels are too stringent and should be relaxed. Evidence shows that current levels are still not sufficiently safe and need to be tightened.”

While growing evidence has suggested a link between air pollution and diabetes, researchers have not attempted to quantify that burden until now. “Over the past two decades, there have been bits of research about diabetes and pollution,” said Al-Aly. “We wanted to thread together the pieces for a broader, more solid understanding.”

The researchers also found that the overall risk of pollution-related diabetes tilted (倾斜) more toward lower-income countries such as India that lack the resources for environmental mitigation systems and clean-air policies. For instance, poverty-stricken countries facing a higher diabetes-pollution risk include Afghanistan, Papua New Guinea and Guyana, while richer countries such as France, Finland and Iceland experience a lower risk. The US experiences a medium risk of pollution-related diabetes.

What’s the purpose of Al-Aly’s team?
A.To identify the causes of diabetes.
B.To make better air pollution control policies.
C.To lead the study of diabetes and air pollution.
D.To figure out the link between pollution and diabetes.
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【推荐1】When traditional treatments fail to help patients with severe obsessive-compulsive disorder (OCD强迫症),an implant that shocks the brain with electrical pulses (脉搏) just might, a new research review shows. It found that the treatment — known as “deep brain stimulation, or DBS — can oiler significant relief to as many as two-thirds of such patients.

“OCD involves forced and bothersome thoughts that the individual cannot silence, and repetitive behaviors performed to reduce the anxiety.” said study author Dr. Sameer Sheth, a professor of neurosurgery at Baylor College of Medicine. Examples of OCD include repeated handwashing, ordering and arranging, repeating words in one’s head, and checking and double-checking.

Enter DBS for the brain. “It consists of a stimulator typically put under the skin in the upper chest and connected to an electrode (电极).”Sheth said. “The electrode is placed in specific regions in the brain, aiming that by restoring activity in these areas to a more balanced state, DBS settles the symptoms of OCD.”

To find out whether it works, Sheth’s team reviewed the findings of 31 studies conducted between 2005 and 2021. Altogether, the studies included 345 adult OCD patients, at an average age of 40. The review showed that after a treatment period of about two years, DBS had produced obvious symptom improvements in two-thirds of the patients. Significant depression relief was also owed to DBS treatment. About one in five patients experienced at least one serious side effect of DBS. Still, Sheth stressed that the upside is hard to ignore. He added, “there is actually little risk of DBS for appropriately selected patients.”

“Since the DBS electrodes are placed in the brain regions contributing to OCD, it is not a surprise that it works.” said Dr. Gopalkumar Rakesh, a professor at the University of Kentucky College of Medicine. “Although it’s not a brand-new treatment, DBS really is in the more-research-needed stage of development. So I would say that the results of this study point to the need for even more research to determine which patients would really adjust to that treatment to have the greatest benefit.”

1. What do people suffering from OCD tend to do?
A.They just wash their hands on occasions.
B.They like to give orders and arrangements.
C.They may repeat an action to reduce anxiety.
D.They can have unwanted thoughts controlled.
2. According to the research, how does DBS help to treat OCD?
A.It leads to slight symptom improvements.
B.It contributes to obvious depression relief.
C.It eases as many patients with OCD as possible.
D.It reduces OCD-caused symptoms by two-thirds.
2023-02-18更新 | 27次组卷
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