1 . A cure for the future in the past?
For over fifty years, the people of Britain have relied on the welfare state to make sure they have adequate health services. But now the National Health Service is sick. Government
For some, however, there are
Consider these case studies:
Maude is 76 years old and has been suffering from arthritis for almost ten years. “The pain in my joints was almost
Ron is 46. His high-powered city job was
So is there still a place in our lives for modern medicine? While it is true that some infections and viruses may be
A.support | B.restrictions | C.cutbacks | D.concern |
A.programs | B.alternatives | C.measures | D.scales |
A.comeback | B.living | C.change | D.mess |
A.unique | B.uncertain | C.universal | D.unbearable |
A.permission | B.surgery | C.supervision | D.strength |
A.condition | B.desperation | C.general | D.particular |
A.protect | B.recover | C.relieve | D.treat |
A.eager | B.grateful | C.famous | D.responsible |
A.treatments | B.sources | C.spirits | D.comments |
A.supervised | B.declared | C.recommended | D.tempted |
A.contributing | B.adapting | C.subjecting | D.objecting |
A.moderate | B.active | C.negative | D.suitable |
A.identifying | B.investigating | C.estimating | D.worsening |
A.prevented | B.empowered | C.indicated | D.restored |
A.undertaking | B.invading | C.investing | D.evolving |
2 . Growing up in a small village in Ghana, Osei Boateng watched many of his family members and neighbors struggle to access basic health care. In many regions of the country, it can take hours to get to the nearest hospital. “My grandmother was a very big part of my life,” said Boateng. “It was very hard when we lost her, and it was due to something that could have been easily prevented. That is the painful part of it.”
Feeling an urgent call to help, Boateng decided he would make it his life’s mission to bring health care to remote communities in Ghana. He started his nonprofit, OKB Hope Foundation, and in 2021, he converted a van into a mobile doctor’s office called the Hope Health Van and started bringing health care directly to those in need. A few times a week, the mobile clinic and medical team travel long distances to remote communities in Ghana and provide routine medical care for free. On each trip, Boateng’s team consists of a nurse, a physician’s assistant, a doctor, and an operation assistant. In the van, they can run basic labs like bloodwork and urinalysis as well as prescribe and provide medications.
Since its launch, Boateng says the Hope Health Van has served more than 4,000Ghanaians across more than 45 rural communities who otherwise don’t have easily accessible medical care.
Boateng has big plans for the future. He hopes to expand to provide more consistent and high-quality medical care not only to those living in remote areas of Ghana but in other countries as well. He has gone all in on his OKB Hope Foundation, recently quitting his job to dedicate his time to bringing health care to his home country. But for him, the sacrifices are well worth the reward.
1. Why is Boateng’s grandmother mentioned?A.To show his deep love. | B.To highlight the poor health care. |
C.To call for equality. | D.To blame the government. |
A.Routine medical checks. | B.Prescribed medicine. |
C.Minor operations. | D.Mental therapy. |
A.Conservative and cautious. | B.Selfless and risky. |
C.Caring and tolerant. | D.Devoted and ambitious. |
A.Hopeless health care in Ghana | B.Nonprofit organizations booming in Ghana |
C.Doctor’s office on wheels | D.Empowering medical schools |
3 . On Monday, a lawsuit (诉讼) in the US got huge headlines around the world. It deals with a truly 21st century issue—whether human genes (基因) may be patented.
Myriad Genetics, a biotechnology company, discovered two genes — BRCA 1 and BRCA 2 — that are highly related to breast cancer. Myriad patented its discoveries and a group of researchers challenged that the patent was illegal.
The US patent law protects the temporary economic rewards inventors get from their inventions. But it also says a product of nature or a law of nature can’t be patented. For example, Einstein couldn’t patent on his discovery of E=mc2.
And until relatively recently, many of the medical researchers voluntarily gave up patents on their inventions. When Dr. Jonas Salk, the inventor of the polio vaccine (小儿麻痹症疫苗), was asked in 1955 whether he had a patent on the vaccine, he replied, “Could you patent the sun?”
Myriad Genetics, however, says that the genes it identified are not like the sun. It notes that there are 20,000 genes in the human body and that it has sorted through all those genes and found the two that are closely related to breast cancer.
Not so, say those challenging the patent. Human genes are products of nature. They are just a part of the human body. “All Myriad does is take the part out of the body,” says the challengers’ lawyer, Christopher Hansen. “Can the person who first takes the heart out of the body patent on hearts?”
Rochelle Dreyfuss, a patent expert who is not associated with this case, is a little more down to earth. “At some level it is about money,” he says, “because medicine doesn’t happen for free. The patent system is very important to encourage companies to spend more money on scientific research and development.”
Then how do other countries handle this tricky situation? Most countries approve patents on genes, but they also allow other scientists to use the genes freely to do research and develop new medicines and testing methods.
1. Which of the following can be patented according to the US patent law?A.The law of gravity force. | B.A unique orbit found in space. |
C.A new medicine based on BRCA 1. | D.The basic working principle of planes. |
A.A product of nature can’t be patented. |
B.Public interests should be put before profits. |
C.It is unacceptable to the other countries in the world. |
D.The connection between genes and cancers is not obvious. |
A.Angry. | B.Rude. | C.Smart | D.Practical. |
A.The consequences of the lawsuit. | B.Other countries’ solution to the case. |
C.The public reactions to the news. | D.Some scientists’ support for the patent. |
Incense (香) boasts a long history,
Since the Tang and Song dynasties, burning incense, hanging paintings, making tea, and enjoying music have been known as the “four arts for literati (文人)”.
Moreover, medical incense is an essential part of Traditional Chinese Medicine, which considers preventative healthcare as
When Julia Harlin’s liver (肝) began failing several years ago as a result of a serious illness, her only option for survival was to get a liver transplant (移植).
Due to a long waiting list, Julia would need to wait months or years to find a person with a matching blood type, who’d like to donate his or her liver, as well as other medical characteristics—and as a senior citizen, time wasn’t exactly on her side.
“They basically told me, it would probably be at least five years, if not longer, before I would get the transplant,” Julia, 71, of Frederick, Maryland, recalled during an interview.
Despite having five children of her own, Julia said she did not want any of them to donate their liver to her “because then I would be worrying about them on top of worrying about myself”.
Without their mom’s knowledge, however, Julia’s daughter Eileen Harlin and her two other brothers and sister applied to donate their liver, which would reduce their mom’s wait time, although it would require a major surgery.
Eileen got the call that she was a match right before Mother’s Day. Deciding that Mother’s Day was the best time to tell her parents, Eileen began the conversation, “Hey, don’t get mad. For the past few months, I’ve been getting tested to see if I’m a match. And I am, and I want to do it.” The news was met with tears all around. Happy tears. How can you be mad when the daughter just said she was going to save her mom’s life? “It was emotional for sure,” Eileen shared.
The liver transplant was carried out successfully on Aug. 16, 2022, at the University of Maryland Medical Center in Baltimore, according to a press release from the hospital. Unfortunately, Julia received additional bad news not long after the surgery. She was experiencing kidney (肾) failure due to the kidney damage.
注意:1. 续写词数应为150左右;
2. 请按如下格式在答题卡的相应位置作答。
Julia’s doctors said that the condition required her to get a new kidney.
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Eileen saved her mom’s life twice.
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________6 . Traditionally, many decisions about medical treatment were left up to doctors: They decided, and patients agreed. Today, health care professionals are embracing the idea of shared decision-making, where patients become informed partners in their choices. Health care professionals now focus on placing the patient at the center of care, informing them about their options, and engaging them in treatment decisions. For example, they engage patients by asking, “What’s important to you? And what are your priorities and goals as we talk about a treatment plan?”
“I think there’s a strong recognition in American medicine, of the importance of patient engagement not only in their care, but in deciding what types of care and types of procedures they’re going to get,” said Dr. Allen, a professor of medicine at the University of Colorado School of Medicine in Aurora.
A 2017 study, published in the journal Circulation: Cardiovascular Quality and Outcomes found that people with heart disease who went through-shared decision-making had better physical and mental health, better obedience to medication and lower rates of staying in hospital and emergency department use. Patients also reported better communication with their doctors. When people are more engaged in decision-making, they understand the pros and cons of various treatment options, and they’re more likely to stick to the treatment plan and to continue that communication.
But research on how to best approach different, cultural groups is lacking. Many doctors cite limited time as a barrier, although research shows that shared decision-making can be accomplished even within short clinic visits. Also, current models of payment for doctors’ visits do not always agree with the goals of shared decision-making. But underlying all that is that medical decisions can be “incredibly complicated”.
Making the practice work. on a wider scale is an evolving process. But in the long run, Allen said: “shared decision-making can ensure that with all the amazing new technologies and treatments that we will have in medicine, they really can be applied to more patients in a tailored, meaningful way that meets their own values, goals and preferences.”
1. What role do doctors play in shared decision-making?A.They are at the center of care. | B.They ask questions to patients: |
C.They follow patients’ opinions. | D.They present suggestions to patients. |
A.Shortened time in hospital | B.Improved healthy awareness |
C.Reduced mental problems | D.Enhanced communication skills |
A.Lack of family support |
B.Limited time and money |
C.Uniqueness of medical treatment |
D.Complicated medicine production process |
A.Shared Decision Making: More than Technology? |
B.Shared Decision Making: an Ideal Way for Patients |
C.Shared Decision Making: a Future Model of Hospitals? |
D.Shared Decision Making: Advantages and Disadvantages |
7 . 阅读下面短文,在空白处填入1个适当的单词或括号内单词的正确形式。
Acupuncture (针灸), an ancient Chinese medical practice that is
Acupuncture is an
Looking beyond China, acupuncture is a global therapy. Over the years, acupuncture
8 . Researchers at MIT created a high-tech pill that starts to vibrate (震动) once it makes contact with liquid in the user’s stomach and make him or her feel full. The pill was reportedly thought up by Shriya Srinivasan, currently an assistant professor of bioengineering at Harvard University.
VIBES, short for Vibrating Ingestible BioEleotronic Stimulator, was only recently made public in a study published in the Science Journal, but it is already being announced by the media as the future of weight loss. Although it has yet to be tested on humans, trials on pigs have achieved very hopeful results. After about 30 minutes of VIBES activity, pigs consumed on average almost 40 percent less food in the next half hour than they did without the smart pill. Apparently, the revolutionary device works by activating stretch receptors in the stomach, modeling the presence of food. This in turn signals the hypothalamus (下丘脑) to increase the levels of hormones that make us feel full. The vibrating stimulator, which is about the size of a vitamin pill, is powered by an encased battery and activated either by the gastric fluid (胃液) breaking down a coat around the pill, or by an incorporated timer. After producing the desired effect, the pill exits the body with other solid waste:
The good news is that it is expected to have a cost in the cents to one dollar range, and researchers say that it may eventually be possible to implant the stimulator and thus remove the need for people to constantly swallow it.
“Our study demonstrates the effectiveness of a low-cost, non-operative intervention to reduce food intake and ca lorie consumption. The device functions effectively in the stomach and leading to fullness,” said Giovanni Traverso, co-author of the study. “The device has the potential to revolutionize options for weight loss treatment. However, future studies will need to explore the physiological effects of the device before it’s available for patients.”
Researchers are now exploring ways to scale up the producing of VIBES capsules which could enable clinical trials in humans.
1. What is the outcome of taking the pill?A.Liquid production. | B.Food storage. |
C.Sensation of fullness. | D.Recovery of users. |
A.Its working principle. | B.Its intelligence. |
C.Its testing history. | D.Its side effect. |
A.To produce gastric fluid with it. | B.To destroy the coat around it. |
C.To fix it in human body. | D.To remove solid waste from it. |
A.Worried. | B.Cautious. | C.Doubtful. | D.Confused. |
9 . 听下面一段较长对话,回答以下小题。
1. What is the man probably?A.A doctor. | B.A nutritionist. | C.A fitness instructor. |
A.Watching out for her weight. | B.Doing some exercise daily. | C.Going on a diet. |
10 . EYLEA
Consumer Brief Summary
This summary contains risk and safety information for patients about EYLEA. It does not include all the information and does not take the place of talking to your eye doctor.
What is EYLEA?
EYLEA is a medicine that works by blocking vascular endothelial growth factor(VEGF), which can cause fluid to leak into the macula(视网膜黄斑).
What is EYLEA used for?
EYLEA is indicated for the treatment of patients with:
·Macular Edema Following Retinal Vein Occlusion(RVO)
·Diabetic Macular Edema(DME)
·Diabetic Retinopathy(DR)
How is EYLEA given?
EYLEA is an injection(注射)administered by eye doctor and the injections are given on different schedules. Confirm with your doctor which schedule is appropriate.
What are the most common side effects of EYLEA?
·Eye pain
·Light sensitivity
·Increased eye redness
For more possible side effects, ask your eye doctor. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call1-800-FDA-1088.
What should I tell my eye doctor before receiving EYLEA?
·Infections in or around the eye
·Eye pain or redness
·Being allergic to any ingredients in EYLEA
·Being or planning to be pregnant
Where can I learn more about EYLEA?
For a more comprehensive review of EYLEA safety and risk information, talk to your health care provider and see the full information at EYLEA. com.
1. Who is the passage intended for?A.Eye doctors. | B.Medicine students. |
C.Drug researchers. | D.Patients with eye conditions. |
A.Visit EYLEA.com. | B.Call1-800-FDA-1088. |
C.Visit www.fda.gov/medwatch. | D.Talk to a medical professor. |
A.A medical report. | B.An introduction to a book. |
C.A healthcare contract. | D.A piece of medical instructions. |