1 . Drugs that could save tens of thousands of lives in Britain should be prescribed (开药) to three times as many patients as at present, medical experts recommended after a study showed these drugs have great effects on heart disease and stroke (中风).
British research has shown that statins, a class of drug that lowers cholesterol (胆固醇), can prevent a third of all cases of heart disease or stroke in patients at highest risk. If statins were given to 10 million high-risk patients, they could save at least 50,000 lives a year worldwide. In Britain, where heart disease is the leading cause of death, statins could save up to 10,000 lives a year.
Studies have found that safety issues surrounding statins were so tiny that they were significant. The risk of muscle problems was only about one in ten thousand. Fears that statins could increase deaths from other diseases, such as cancer, were assuaged by the study. At present, only people with high cholesterol are prescribed statins, but the eight-year study found that anyone at risk of heart disease or stroke could benefit. Statins are now given to fewer than one in twenty people aged over 40, mostly men with heart disease or high cholesterol. Under the recommendation, this would increase to one in eight.
A total of 20,000 volunteers aged 40 to 80 took part in the study, which looked at the effects of statins on patients for whom the benefits were uncertain. The guidelines previously said that female patients aged over 65 would not benefit from the drug, but the five years of monitoring all types of patients at high risk of heart attacks and stroke showed that everyone benefited as much from statins. The new recommendations will be easy to put into practice because statins are readily available and the patients who benefit from them most are already known to doctors.
1. What does paragraph 2 focus on?A.Main diseases in Britain. | B.Side effects caused by statins. |
C.Positive effects of statins. | D.The numbers of heart disease cases. |
A.Eased. | B.Discovered. | C.Ignored. | D.Compared. |
A.The effects of the drug are unclear. | B.The drug can be widely prescribed. |
C.The drug hardly benefits female patients. | D.The drug should be limited in application. |
A.To call for the monitoring of drug studies. | B.To explain different ways of testing drugs. |
C.To seek improvement in the drug research. | D.To spread medical experts’ recommendation. |
2 . Huge health care bills, long emergency-room waits and the inability to find a primary care physician just scratch the surface of the problems that patients face daily.
Primary care should be the backbone of any health care system. Countries with appropriate primary care resources score highly when it comes to health outcomes and cost. The U.S. takes the opposite approach by emphasizing the specialist rather than the primary care physician.
A recent study analyzed the providers who treat Medicare beneficiaries (老年医保受惠人). The startling finding was that the average Medicare patient saw a total of seven doctors—two primary care physicians and five specialists—in a given year. Contrary to popular belief, the more physicians taking care of you don’t guarantee better care. Actually, increasing fragmentation of care results in a corresponding rise in cost and medical errors.
How did we let primary care slip so far? The key is how doctors are paid. Most physicians are paid whenever they perform a medical service. The more a physician does, regardless of quality or outcome, the better he’s reimbursed (返还费用). Moreover, the amount a physician receives leans heavily toward medical or surgical procedures. A specialist who performs a procedure in a 30-minute visit can be paid three times more than a primary care physician using that same 30 minutes to discuss a patient’s disease. Combining this fact with annual government threats to indiscriminately (任意地) cut reimbursements, physicians are faced with no choice but to increase quantity to boost income.
Primary care physicians who refuse to compromise quality are either driven out of business or to cash-only practices, further contributing to the decline of primary care.
Medical students are not blind to this scenario. They see how heavily the reimbursement deck is stacked against primary care. The recent numbers show that since 1997, newly graduated U. S. medical students who choose primary care as a career have declined by 50%. This trend results I emergency rooms being overwhelmed with patients without regular doctors.
How do we fix this problem?It starts with reforming the physician reimbursement system. Remove the pressure for primary care physicians to squeeze in more patients per hour, and reward them for optimally (最佳的) managing their diseases and practicing evidence-based medicine. Make primary care more attractive to medical students by forgiving students loans for those who choose primary care as a career and reconciling the marked difference between specialist and primary care physician salaries.
We’re at a point where primary care is needed more than ever. Within a few years, the first wave of the 76 million Baby Boomers will become eligible for Medicare. Patients older than 85, who need chronic care most, will rise by 50% this decade.
Who will be there to treat them?
1. We learn from the passage that people tend to believe that ________.A.the more costly the medicine, the more effective the cure |
B.seeing more doctors may result in more diagnostic errors |
C.visiting the same doctor on a regular basis ensures good health |
D.the more doctors a patient sees, the better |
A.increase their income by working overtime |
B.improve their expertise and service |
C.see more patients at the expense of quality |
D.make various deals with specialists |
A.Bridge the salary gap between specialist and primary care physicians. |
B.Extend primary care to patients with chronic diseases. |
C.Recruit more medical students by offering them loans. |
D.Reduce the tuition of students who choose primary care as their major. |
A.The Health Care in Trouble | B.The Imbalance System |
C.The Declining Number of Doctors | D.The Ever-rising Health Care Costs |
3 . When colds and flu hit, many people automatically turn to over-the-counter (OTC) medicines to push through and treat their symptoms. Although these medicines are easily accessible and widely used, it might come as a surprise to many people to learn that they are not risk-free. A study estimated that every year, 26,735 people went to the emergency room for harmful events related to OTC cold and cough medicines.
When two or more drugs are used together, their interactions can sometimes produce unexpected harmful effects. Physicians are typically knowledgeable about potential drug interactions, so it is very important for patients to ask their healthcare providers which OTC medicines are safe for them to use.
It is also important to read the package ingredients of OTC medicines closely to avoid duplication of doses (剂量重复). Cold medicines are typically made up of multiple ingredients. A person who takes a single-ingredient medicine paired with one of these multi-ingredient medicines can receive an unsafe dose of that ingredient.
While everyone could potentially experience adverse effects from cold and flu medicines, some groups—including older adults, children and pregnant women—may be at greater risk. Older people who are using prescribed drugs to treat multiple health conditions may have a higher risk of drug interactions because of the higher number of medicines being used at the same time to treat different conditions. The aging body is not as expert at absorbing, distributing and clearing medicines as younger bodies are. This can put older adults at higher risk for an overdose and drug-to-drug interactions with some medicines.
The Food and Drug Administration and the Centers for Disease Control and Prevention do not recommend giving cold medicines to children under age 4. Because of a variety of factors, young children have a higher risk of an accidental overdose and adverse events that could lead to death.
1. What does the author convey in the first paragraph?A.People don’t care about their health at all. |
B.OTC medicines may also exist some risks. |
C.OTC medicines are extremely harmful to our health. |
D.Few people are aware of the dangers of drug addiction. |
A.Take drugs as early as possible. | B.Buy medicines from official hospitals. |
C.Overlook the package ingredients of drugs. | D.Seek instructions and advice from doctors. |
A.Beneficial. | B.Indifferent. | C.Unfavorable. | D.Effective. |
A.Tips for taking OTC medicines. | B.OTC medicines may be unsafe. |
C.How to deal with an OTC drug overdose. | D.Should OTC medicines be available? |
4 . For decades, scientists thought of the brain as the most valuable and consequently most closely guarded part of the body. Locked safely behind the blood-brain barrier, it was broadly free of the harm of viruses and the battles started by the immune system (免疫系统). Then, about 20 years ago, some researchers began to wonder: is the brain really so separated from the body? The answer, according to a growing body of evidence, is no.
The list of brain conditions that have been associated with changes elsewhere in the body is long and growing. Changes in the makeup of the microorganisms in the digestive system have been linked to disorders such as Parkinson’s disease. There is also a theory that infection during pregnancy could lead to brain diseases in babies.
The effect is two-way. There is a lengthening list of symptoms not typically viewed as disorders of the nervous system, but the brain plays a large part in them. For example, the development of a fever is influenced by a population of nerve cells that control body temperature and appetite. Evidence is mounting that cancers use nerves to grow and spread.
The interconnection between the brain and body has promising implications for our ability to both understand and treat illnesses. If some brain disorders start outside the brain, then perhaps treatments for them could also reach in from outside. Treatments that take effect through the digestive system, the heart or other organs, would be much easier and less risky than those that must cross the blood-brain barrier.
It also works in the opposite direction. Study shows mice have healthier hearts after receiving stimulation to a brain area involved in positive emotion and motivation. Activation of the brain reward centre — called the ventral tegmental area (VTA) — seems to cause immune changes that contribute to it. Working out how this happens could help to destroy cancers, enhance responses to vaccines and even re-evaluate physical diseases that, for centuries, have not been considered as being psychologically driven.
1. What do the researchers focus on about the brain?A.Its protecting system. | B.Its exposure to diseases. |
C.Its controlling function. | D.Its connection to the body. |
A.By explaining a theory. | B.By providing examples. |
C.By making comparisons. | D.By presenting cause and effect. |
A.Cheaper. | B.More specific. |
C.Safer. | D.More direct. |
A.Brain health depends on immune changes. |
B.Brain stimulation leads to negative emotions. |
C.The brain can help enhance psychological health. |
D.The brain may be key to treating physical diseases. |
5 . The past few months have brought electrifying news that, for the first time, a gene treatment has provided some hearing to children born with deafness.
Eli Lilly announced this week, for example, that a profoundly deaf boy from Morocco given its treatment as part of a clinical trial in Philadelphia can now hear. And five children in China treated similarly at younger ages gained hearing with some able to verbally communicate without their cochlear implants (人工耳蜗). Their hearing recovery, first covered by the press in October 2023, is described in detail this week in The Lancet.
“It’s an enormous achievement,” says geneticist Karen Avraham of Tel Aviv University. Otolaryngologist (耳鼻喉科专家) and gene therapist Lawrence Lustig of Columbia University, whose lab was among the first to test the same approach in mice, agrees. “Other than cochlear implants, we haven’t really had any successful treatments to treat deafness,” he notes.
The various efforts from companies and academic centers each use a virus to insert the same gene, OTOF, into the children’s inner ear so the so-called hair cells there can sense sound and transmit it to the brain.
The new deafness treatments add to a string of recent successes for the gene treatment field, but also raise questions. The ear’s hair cells don’t divide, so the new copies of OTOF they contain should persist and continue to instruct the cells to make OTOF. Gene expression could drop off over time or the ear could mount an immune response that shuts it off.
But Lustig is optimistic that the various challenges will be overcome. “Now that we’ve got one success story, there’s going to be more money coming in to fund some of these other projects,” he says.
1. What do we know about the new treatment?A.It is a totally mature practice. | B.It’s a China-only clinical trial. |
C.It uses a virus to sense sound. | D.It aims to treat the deafness. |
A.Breakthrough. | B.Regret. | C.Disappointment. | D.Adventure. |
A.The brain refuses to receive it. |
B.Gene stops to produce hair cells. |
C.Gene expression might be weakened. |
D.Companies really profit a lot from it. |
A.Electrifying News Based on Some Clinical Trials |
B.Gene Treatment That Brings Deaf Children Hope |
C.Ways How Scientists Develop Cochlear Implants |
D.Challenges About the New Deafness Treatment |
6 . When my son Reace celebrated his sixth birthday two years ago, he made a wish that I would get a transplant. Less than a week later, his wish came true when I received new
Born with a breathing disease, I was able to manage my
After four months on the list, I
I am extremely grateful to my
A.medicines | B.gifts | C.lungs | D.hearts |
A.condition | B.weight | C.stress | D.emotion |
A.therefore | B.however | C.otherwise | D.besides |
A.scheduled | B.hospitalized | C.listed | D.selected |
A.barely | B.previously | C.temporarily | D.basically |
A.tasks | B.challenges | C.decisions | D.concerns |
A.necessary | B.fundamental | C.impossible | D.contradictory |
A.missed | B.received | C.returned | D.rejected |
A.symptom | B.damage | C.trouble | D.difference |
A.sick | B.nervous | C.sensitive | D.innocent |
A.catching | B.holding | C.losing | D.recovering |
A.Fortunately | B.Actually | C.Possibly | D.Eventually |
A.understood | B.experienced | C.recalled | D.wondered |
A.normal | B.distinguished | C.disabled | D.responsible |
A.doctor | B.nurse | C.child | D.donor |
7 . This is Your Dream Dance
With growing evidence that dancing helps boost brain health and manage symptoms of neurocognitive (神经认知的) and movement disorders, accessible dance programmes and movement therapists are helping improve the lives of millions.
There’s actually a lot more happening inside the brain when trying to follow even the simplest choreography (舞蹈编排). “In dance class, we have to learn patterns, and remember sequences,” says David Leventhal, a programme director. The effect extends beyond the dance class to the real world.
In addition to the physical and neurological benefits, dance can also help people living with disease make out what their bodies can and can’t do. Rather than trying to control, or “fix” our body, dance is about developing greater body awareness and moving at our capacity, regardless of physical or cognitive difference.
● Dance as communityStill, researchers say they’re only scratching the surface of understanding how dance can be used therapeutically.
A.Dance as body acceptance |
B.Dance as physical exercise |
C.The uniqueness of dance as a therapy lies in the following aspects |
D.Dancing requires more “brain power” than simpler repetitive exercises |
E.Perhaps one of the biggest benefits of dance is the sense of belonging it creates |
F.Larger studies are needed to confirm the findings of the smaller trials that have been done |
G.Tasks like navigating the kitchen or walking to the bus stop can be more attainable after dancing |
Imagine for a moment that your unborn child has a rare genetic disorder. Not
Would you, when your child is born, want to know about it? If effective treatments were available, you probably would. But if not? If the outcome were fatal, would your interest in knowing about it depend on whether your newborn had five years of life
Today these questions are mostly hypothetical. Precisely because they are rare, such disorders are seldom noticed at birth. They manifest (显现) themselves only gradually, and often with unpredictable severity. But that may soon change. Twenty years after the first human genome
Early diagnosis brings with it the possibility of early treatment. Moreover, sequencing the genomes of newborns could offer a lifetime of returns. A patient’s genome may reveal
Such a powerful new technology create new dangers. Widespread screening for thousands of potentially harmful genes may be counterproductive: some results may worry parents unnecessarily, because some genetic variations,
A.A couple. | B.Doctor and patient. | C.Co-workers. |
要点提示:1.简单介绍中医的优点(如副作用小、价格低等);
2.简要介绍中医现状及地位;
3 表明你愿意为他提供帮助,并祝他早日康复。
要求:词数120左右(开头和结尾已给出,不计入总词数)。
Dear Mike,
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Yours,
Li Hua