1 . The medical world is gradually realizing that the quality of the environment in hospitals may play an important role in helping patients to get better.
As part of a nationwide effort in Britain to bring art out of the museums and into public places, some of the countries’ best artists have been called in to change older hospitals and to soften the hard edges of modern buildings. Of the 2,500 Nation Health Service hospitals in Britain, almost 100 now have very valuable collections of present art in passages, waiting areas and treatment rooms.
These recent movements were first started by one artist, Peter Senior, who set up his studio at a Manchester hospital in Northern England during the early 1700s. He felt that artist had lost his place in modern society, and that art should be enjoyed by a wider audience.
A common hospital waiting room might have as many as 5,000 visitors each week. What a better place to hold a regular exhibition of art! Senior held the first exhibition of his own paintings in the out-patients’ waiting area of the Manchester Royal Hospital in 1975. Believed to be Britain’s first hospital artist, Senior was so much in demand that he was soon joined by a team of six young art school graduates.
The effect is striking. Now in the passages and waiting rooms, the visitor experiences a full view of fresh colours, playful images and restful courtyards. The quality of the environment may reduce the need for expensive drugs when a patient is recovering from an illness. A study has shown that patients who had a view onto garden needed half the number of strong pain killers compared with patients who had no view at all or only a brick wall to look at.
1. Some best artists have been gathered to ______.| A．pull down older hospitals and build up new ones |
| B．make the corners of the hospital buildings round |
| C．bring art into hospitals |
| D．help patients recover from illness |
| A．one of the best artists in Britain |
| B．a pioneer in introducing art into hospitals |
| C．one of the young art school graduates |
| D．a kind painter who brings only his paintings into hospitals |
| A．artists in Britain have completely lost their places in modern society |
| B．patients should be encouraged to learn art |
| C．hospitals in Britain should be changed into museums |
| D．art should be encouraged in Britain's hospitals |
| A．patients no longer need drugs to kill their pains |
| B．patients needn’t buy any expensive drugs |
| C．patients need fewer pain killers when they are getting better after illness |
| D．patients can take fewer pills each time |
| A．the role of hospital environment is being recognized |
| B．hospital artists have done a lot for patients |
| C．art exhibitions in hospitals attract more audience than those in museums |
| D．hospitals in Britain look more beautiful than those in other countries |
2 . Visitor Code of Conduct
Please help us maintain a healing environment for our patient. Visiting hours and policies vary throughout the hospital. Please ask a staff member about the policy on the unit you wish to visit. We ask that you comply with the following visitor rules;
• Do not visit if you are sick (fever, cough, sore throat, nausea, or vomiting) or have been exposed to chicken pox (水痘) or other contagious (传染的) illness within the past three weeks.
• Clean your hands each time you enter and leave the patient’s room.
• Follow isolation precautions (隔离预防措施) that are posted on the patient’s door.
• You must wear shoes and shirts at all times. Clothing must be clean and neat.
• Visitors are limited to two per patient each time.
• Do not use waiting rooms on a unit if you are not visiting a patient in that unit.
• Waiting rooms are not for overnight stays.
• Children must have adult supervision (监护) at all times and must be respectful of the hospital’s healing environment. Some units do not allow children’s visiting.
You will be asked to leave for violating (违反) any of the above rules or for the followings:
• Your behavior creates a risk to patients, families or staff.
• You appear to be ill.
• You refuse to follow isolation precautions.
• You are not respectful or considerate of others.
• You fail to supervise children.
If you believe someone is violating these rules, or you need assistance, please notify security by dialing 7363 on the hospital phones or 813-844-7363 on your mobile phone. Security is available at all times.
Waiting areas are monitored at all times by a security video camera.
1. According to the passage, you should ________ before you visit a unit in the hospital.| A．make an appointment | B．ask permission from the doctor |
| C．check the visiting policy | D．ring up the patient first |
| A．study | B．obey | C．discover | D．pass |
| A．stay at the waiting room of any unit | B．create a new environment for patients |
| C．refuse to follow isolation precautions | D．be supervised at all times |
| A．visit patients in group of two | B．touch patient equipment |
| C．stay overnight in the waiting room | D．change into slippers in the patient room |
| A．Children can go to visit patients by themselves. |
| B．If you seem to be ill, you can still visit the patients unless it is contagious. |
| C．Visitors who violate the rules will not be allowed to visit again. |
| D．You can ask for security’s help at any time. |
3 . Heart disease is one of the major killers in the world today. Many who suffer from it must have heart transplants(移植). However, it's difficult to get a suitable heart donation, and even if a patient survives the wait, his or her body often rejects the heart.
But there is now new hope for sufferers of heart disease. According to a study published in the journal Advanced Science, researchers from Israel's Tel Aviv University printed a 3D human heart on April 15, 2019.
“This is the first time anyone anywhere has successfully engineered and printed an entire heart,” Professor Tal Dvir told CNN.
Unlike the previous 3D-printed heart structure, the new heart is complete with cells, blood vessels(血管), chambers(心室) and other structures a heart needs to function normally. But scientists still have more to figure out before the 3D-printed heart can be fitted into the body. For one thing, the experimental heart is only the size of a thumb. And, although it can contract(收缩) like a muscle, it cannot pump out blood like a real one. At present, the heart prototype(样品) is like a tiny airplane that has all of the right parts, but can't fly.
However, the development is still regarded as a major breakthrough in medicine.
In the experiment, the researchers turned human fat tissue(脂肪组织) into human heart tissue with stem cell(干细胞) technology. The tissue was then turned into “bio-ink” for a 3D printer to ensure that tissue in the heart came from the patients themselves. So ideally, if it were to be placed in the body of someone in need of a transplant, there would be less risk of organ rejection.
“Patients will no longer have to wait for transplants or take medications to prevent their rejection,” researchers told USA Today. “Instead, the needed heart will be printed, fully personalized(个性化的) for every patient.”
“Maybe, in 10 years, there will be organ printers in the finest hospitals around the world and these procedures will be conducted routinely,” Dvir said.
1. Why is the 3D-printed heart important?| A．It will be used on a patient. | B．It is the first 3D-printed heart. |
| C．It will replace a heart donation. | D．It has a complete heart structure. |
| A．They cost too much. | B．They are too small. |
| C．They can't contract. | D．They are hard to produce. |
| A．It would be made with stem cell technology. |
| B．It would be made from human fat tissue. |
| C．It would come from a patient's body. |
| D．It would be printed according to the patient's condition. |
| A．His coach | B．A doctor | C．A swimmer. |
5 . It was a pleasant surprise to learn this week that three large poultry companies had greatly reduced their use of antibiotics in healthy chickens, a move that could help slow the appearance of antibiotic resistance in bacteria that cause diseases in humans. Other companies ought to follow the lead of these pioneers, and Congress ought to ban the use of medically important antibiotics in animal husbandry except to cure sick animals.
Strong action is needed because many germs that infect humans are growing resistant to treatment with antibiotics. Such resistance occurs unavoidably over time as antibiotic kills off vulnerable strains of a germ and leaves only the more resistant strains to multiply. But in recent decades the growth of resistance has been increased by overuse of antibiotics in agriculture, where companies routinely use the drugs to promote growth on less feed and to prevent disease in healthy animals. As a result, some germs that infect both animals and humans have become resistant to antibiotics, and even germs that do not infect humans are capable of transferring their antibiotic-resistance genes to germs that do.
That is why the report in Sunday's Times by Marian Burros was so encouraging. She found that three poultry companies that produce a third of the chickens consumed by Americans each year - Foster Farms, Perdue Farms and Tyson Foods — have greatly reduced the use of antibiotics in healthy chickens and are using them primarily to treat sick chickens.
There is no reason that other poultry producers could not do the same, and probably the pork and beef industries as well. It is unacceptable that any industry should use medically important antibiotics for the economic purpose of fostering growth. Congress and the Food and Drug Administration need to restrain the use of animal antibiotics that are related to human medicines.
1. it can be inferred from the first paragraph that _________ .| A．three poultry companies are forced to use fewer antibiotics |
| B．other companies have followed the practice of the pioneers |
| C．antibiotic resistance in bacteria may result in human disease |
| D．antibiotics are never needed in whatever kind of situations |
| A．is insignificant in disease prevention |
| B．is unavoidable in the poultry industry |
| C．decreases bacteria resistant to the antibiotics |
| D．threatens the effectiveness of related medicines |
| A．To illustrate how the three poultry companies use antibiotics |
| B．To emphasize the functions of antibiotics in animal husbandry |
| C．To show the author's prediction of the future use of antibiotics |
| D．To represent the decline in antibiotics use in the poultry industry |
| A．increase | B．limit | C．promote | D．restore |
| A．Intolerable | B．Favorable | C．Neutral | D．Ambiguous |
6 . Being able to find high quality health care at an affordable price is a problem to be solved in many countries. In the United States, Walmart, a large chain store, is trying to help. It is offering something new to its employees: cutting the cost of a doctor’s appointment to only $4 instead of the usual $40 for the same service.
The catch is that the patient and doctor must meet over the internet. This online service is called “telemedicine.”
Walmart is the latest major business in the United States to push its workers toward a high-tech way to be examined and treated by doctors. Thanks to telemedicine, people can talk with medical experts from the privacy of their own homes, often using a secure video connection.
Supporters say online visits make it easier for patients to see an expert or quickly find help for problems considered non-emergencies.
Some healthcare needs are well-suited for telemedicine. It can help people seeking treatment for insect bites or skin conditions. Patients who have had medical treatments and cannot move around easily can use telemedicine for their follow-up visits. Also, people seeking help for mental health issues can benefit from the privacy that telemedicine gives.
But still, many people do not use telemedicine, they continue to go to the doctor’s office when they are sick. 80 percent of middle-size and large U.S. companies offered telemedicine services to their workers in 2018. However, only 8 percent of its employees used telemedicine at least once in 2017.
Compared with seeing a real doctor in person, some people may think the quality of telemedicine is not as good. Parents, for example, may feel they are not giving their child the best care if they use a virtual doctor appointment. Older adults may look forward to their in-person doctor appointments. For them, going to the doctor’s office is a big event, something they look forward to.
Another reason some adults may not use telemedicine services is trust. Tom Hill, aged 66, says he has no plans to ever use telemedicine. He does not buy anything online, let alone do something as personal as seeing a doctor. He says, for him, it is important to look his doctor in the eye and shake hands.
However, for some people, especially young people and busy students, telemedicine might be a good choice. It can cut down on the time away from work. It can also cut down on the cost of doctor visits.
1. What is Walmart trying to help with?| A．Finding something new for its employees. |
| B．Promoting the online service “telemedicine”. |
| C．Cutting the online cost of a doctor’s appointment. |
| D．Reducing the cost of seeing a doctor at a much lower price. |
| A．It enables patients to see doctors at home for free. |
| B．It has become increasingly popular in America. |
| C．It is the online service that is provided by most large US companies. |
| D．It makes it easier to see a doctor for emergency problems. |
| A．Because their company doesn’t provide telemedicine. |
| B．Because they don’t trust the doctors online. |
| C．Because they look forward to a virtual doctor appointment. |
| D．Because they have made friends with the doctors. |
| A．Jenny, a shy woman who suffers from mental illness. |
| B．Smith, a grandpa who has been bitten by a running dog. |
| C．Wilson, a worker who got seriously injured in a car accident. |
| D．Kate, a mother whose kid is suffering from a skin disease. |
| A．Positive. | B．Negative. | C．Objective. | D．Doubtful. |
7 . A T-shirt that constantly monitors the heart's activity and detects abnormalities could help protect people against stroke. The T-shirt, which can be washed up to 35 times before it needs replacing, has been developed to improve the detection of dangerous heart conditions like atrial fibrillation（心房颤动）,which causes an irregular heart rhythm and raises the risk of stroke.
At least one million people in Britain are known to have this condition; however, it's estimated that at least another 50（）, 000 have it but haven't yet been diagnosed because they have no obvious symptoms. Some will have symptoms such as chest pain, dizziness and fatigue； but a large number of people have no idea they're ill until they suffer a stroke.
Detecting atrial fibrillation involves carrying out an ECG（心电图）.Conventional ECGs are done in a hospital and involve highly trained teams of staff attaching up to 24 separate electrodes（电 极）to different parts of the body to measure electrical signals. But most patients experience abnormal rhythms only intermittently（间歇地）. This means the chance of picking them up during a short hospital check is slim.
Doctors sometimes issue patients with a device called a Holter monitor to wear under their clothes to try to pick up cardiac(心脏的）problems. This is an electronic box which clips onto your waistband and is connected to a series of electrodes worn on the upper part of your body. But the box itself is quite bulky, hard to hide beneath clothing and involves a dozen or more wires being attached to the patient's chest.
The Cardioskin T-shirt, which is made from cotton, could be a much more convenient alternative and can be worn 24 hours a day—meaning it is more likely to pick up any abnormal rhythms in the patients heart. It has 15 tiny electrodes woven into the material which are strategically placed around the chest area to track the electrical signals from the heart as they travel across the main part of your body.
The electrodes are powered by a battery which can be removed easily when you need to wash the T-shirt and feed results to a microchip which then sends them out wirelessly to an app. This converts（转换）the data into an easy-to-read chart showing if the heart rate is abnormal. The results are shared with the patient's doctor so they can check the patient's heart without having to call them into the hospital.
Martin Cowie, a professor of cardiology at Imperial College London, said, "Cardioskin could be an important development for cardiologists.”
1. How many British people are having dangerous heart conditions according to the text?| A．Less than 0.5 million. | B．Less than 1 million, |
| C．At least 1.5 million. | D．At least 2 million. |
| A．The difficulty in detecting atrial fibrillation. |
| B．The benefit of detecting atrial fibrillation. |
| C．The process of detecting atrial fibrillation. |
| D．The future of detecting atrial fibrillation. |
| A．To show the advantage of a Cardioskin T-shirt over it. |
| B．To introduce a way to check the patient’s heart. |
| C．To encourage people to care about their health. |
| D．To explain why doctors like using the device. |
| A．It has a battery that can be charged easily and quickly. |
| B．It can be worn a month without being washed. |
| C．It has electrodes placed all over the T-shirt. |
| D．It can make the process of diagnosis timely and convenient. |
| A．New ECG that could be an important development for doctors. |
| B．Hi-tech T-shirt that could help doctors spot risk of stroke. |
| C．Holter monitor that could track patients' heart problems. |
| D．Cardioskin T-shirt that could prevent patients from diseases. |
8 . A trial project by the Montreal Children's Hospital suggested that the use of medical hypnosis(催眠)can reduce pain and anxiety in patients. The project also resulted in a reduction in the amount of medicines used to perform medical-imaging imaging(医学影像) procedures.
“During the examination children don't move. It works perfectly. It's amazing,“ said Johanne L'Ecuyer, a medical-imaging technologist at the hospital.
The project was inspired by a French team from Rouen University Hospital Centre where examinations are done under hypnosis instead of general anesthesia(麻醉）.
A French medical-imaging technologist-also a hypnotist — was invited to train a few members in the medical-imaging department of the children's hospital. In all, 80 examinations were conducted for the project between January and September, 2019, focusing on the imaging procedures that would cause anxiety.
Hypnosis is not a state of sleep: It is rather a modified(改变的)state of consciousness. The technologist will guide the patient to this modified state—an imaginary world that will disassociate itself more and more from the procedure that follows.
“The technologist must build up a story with the patient," Ms. L'Ecuyer said. "The patient is left with the power to choose what he wants to talk about. Do you play sports? Do you like going to the beach? We establish a subject that we will discuss throughout the procedure."
Everything that happens next during the procedure must be related to this story — an injection （注射）becomes the bite of an insect; the heat on the skin becomes the sensation of the sun and a machine that rings becomes a police car passing nearby.
“The important thing is that the technologist associates what is happening outside the patient's body with what the patient sees in his head," Ms. L'Ecuyer said. "It requires creativity on the part of the technologist, imagination, a lot of patience and kindness."
The procedure appealed to the staff a lot when it was introduced in January. It spread like wildfire that someone from France was here to train the technologists," Ms. L'Ecuyer said. She added that she had a line of staff at her door wanting to take the training.
1. One of the results produced by the trial project is ________ .| A．a better understanding of children |
| B．less use of certain medicines |
| C．new medical-imaging technology |
| D．an improved reputation of the hospital |
| A．assist in treating a patient |
| B．carry out hypnosis training |
| C．start up a new department |
| D．learn about the procedure |
| A．creating a perfect world for patients |
| B．forcing patients into a state of deep sleep |
| C．putting patients into an unconscious state |
| D．leading patients' consciousness away from reality |
| A．It should keep pace with the procedure. |
| B．It reflects the patient's creativity. |
| C．It is selected by the technologist. |
| D．It tells what doctors are doing to the patient. |
| A．uncertainty |
| B．enthusiasm |
| C．worry |
| D．criticism |
| A．An easy way to communicate with patients. |
| B．The standard method of conducting hypnosis. |
| C．An introduction of medical-imaging technology. |
| D．The use of hypnosis in medical-imaging procedures. |
Diana Rae of Tenino, Washington, demonstrates Virtua/（虚拟的）Urgent Care with Dr. Ben Green in Seattle, who consults with her via Skype.
Telemedicine is the name for when doctors give advice to patients by telephone or the Internet, or when health care providers in rural areas connect with specialists in big cities.
Telemedicine has existed for a long time, but the rise of smartphone, tablets and webcam-equipped computers is raising telemedicine to new levels. Some health care systems in the United States now offer Virtual Urgent Care, patients see a doctor by video chat without having to leave home.
Diana Rae recently demonstrated how Virtual Urgent Care works. She used an iPad tablet and Skype—-the video chat service.
Doctor Green first has the patient describe her symptoms. Then the doctor performs a physical exam by demonstrating what he wants her to do. Doctor Green decides that the problem is an infection and gives her some penicillin for medicine. He says about 3 out of 4 patients who have health problems can be treated like this—through Virtual Urgent Care, which means a video chat could substitute a visit to the doctor’s office.
Franciscan charges $35 for this kind of virtual house call, that is much less than the cost of going to an emergency room, a doctor’s office or an urgent care clinic. After trying the video conference, Diana Rae says she would be happy to pay the 35 dollars, when she was recently home with a bad cold. "I would have paid twice that for the convenience of getting taken care of without having to sit in a waiting room, wait, and get exposed to everyone else’s germs." Rae said.
But a company official says state rules have not kept progress with development in telemedicine. The workers who provide Virtual Urgent Care must be licensed separately in each state where the company does business. For now, that means Franciscan doctors can treat patients in Washington state and California, for example, but not in neighboring Oregon or Idaho.
1. What is helping telemedicine to rise to new stages?（No more than 8 words）2. What does the underlined word "substitute" mean?（1 word）
3. Why would Diana Rae be happy to pay Virtual Urgent Care even more?（No more than 10 words）
4. Why can’t Virtual Urgent Care develop fast now?（No more than 10 words）
5. What do you think of Virtual Urgent Care’s future? Why?（No more than 20 words）
10 . A blocked airway can kill someone in three to four minutes, but it can take more than eight minutes for an ambulance to arrive. So a simple procedure such as opening someone’s airway can save their life while they’re waiting for emergency medical help. This means you’re more likely to give first aid to someone you know than a stranger.
There are many misconceptions surrounding first aid. Below are the "most popular" ones with details of what you should do.
Top four first aid misconceptions:
You should put butter or cream on a burn. The only thing you should put on a burn is cold water—keep the butter for cooking. Put the affected area under cold running water for at least ten minutes
The best way to treat bleeding is to put the wound under a tap. If you put a bleeding wound under a tap, you wash away the body`s clotting agents（凝血剂）and make it bleed more. Instead, put pressure on the wound with whatever is available to stop or slow down the flow of blood. As soon as possible call 911. Keep pressure on the wound until help arrives.
Nosebleeds are best treated by putting the head back. If you put the head back during a nosebleed, all the blood goes down the back of the airway. Instead, advise them to tilt（倾斜）their head forwards and ask them to pinch（捏）the end of their nose and breathe through their mouth.
You need lots of training to do first aid. You don’t—what you mostly need is common sense. You can learn enough first aid knowledge in a few minutes to save someone`s life—whether it`s from reading a book, attending a course or watching videos online.
Remember that anyone can save a life.
1. The most important point to save an airway blocked person’s life is to________.| A．keep his airway open |
| B．ensure the ambulance’s arriving time |
| C．keep the surroundings quiet |
| D．ask for emergency medical help immediately |
| A．put some cream on the burn area |
| B．heat up some butter for the burn |
| C．place the burn under cold running water |
| D．wash the affected area for a long time |
| A．It will help the bleeding stop at once. |
| B．The wound will help produce more clotting agents. |
| C．It will produce more pressure on the wound. |
| D．The wound will bleed more and it is hard to stop the bleeding. |
| A．When a person’s nose bleeds, please put the head back. |
| B．You can learn first aid quickly in different ways. |
| C．When a person is burnt, keep pressure on the burn until help arrives. |
| D．Not everyone can do first aid to save a life. |
| A．how to learn first aid by yourself |
| B．some misunderstandings about first aid |
| C．the importance of first aid |
| D．how to help the medical team save a life |
