1 . Many of us remember the feeling of having our braces (牙套) regularly adjusted and retightened at the dentist’s. And interventions are based entirely upon the estimate of dentists and involve a great deal of trial and error, which can lead to too many visits to the dentist’s.
Professor Erleben and his team created a computer model that creates accurate 3D simulations (模拟) of an individual patient’s jaw, which dentists can use to predict how sets of braces should be designed to best straighten a patient’s teeth and plan the best possible treatment. To create these simulations, the computer model was used to map sets of human teeth after getting detailed CT images of teeth and the small, fine structures between the jawbone and the teeth. This type of precise digital simulation is referred to as a digital twin, a virtual model that lives in the cloud.
The virtual model can answer what’s happening in the real world, and do so instantly. For example, one can ask what would happen if you pushed on one tooth and get answers with regards to where it would move and how it would affect other teeth. The model also helps to predict the post treatment effect, achieve “visualization” of treatment, and facilitate patients to understand the plan of straightening their teeth. What’s more, it has enabled more flexible and convenient digital medical follow-up services.
The area of research that uses digital twins is relatively new. “However, we need to set up a sufficiently big database if digital twins are to really take root and benefit the healthcare industry,” Erleben said, “In the future, the virtual model can be used to plan, design and improve, and can therefore be used to operate companies, robots, factories and used much more in the energy, healthcare and other fields.”
1. What is Paragraph 1 mainly about?| A．The professional integrity of dentists. | B．The current state of dental treatment. |
| C．The procedure of retightening braces. | D．The intervention of modern technology. |
| A．Predicting treatment effect. | B．Designing a computer model. |
| C．Drawing the shape of a mouth. | D．Obtaining the details of teeth. |
| A．Doubtful. | B．Curious. | C．Favorable. | D．Dismissive. |
| A．Why digital twins make a hit | B．Where virtual treatment goes |
| C．What trouble dentists encounter | D．How a virtual model aids dentists |
2 . A man with advanced Parkinson’s disease (帕金森氏症) is now able to walk almost normally again thanks to electrodes implanted (电极植入) in his spinal cord (脊椎), researchers said on Monday. The medical first was achieved by Swiss researchers who had previously pioneered similar breakthroughs to help disabled people walk again.
“This could be a game-changing technology to help bring back movement in people with advanced Parkinson’s,” said David Dexter, research director at Parkinson’s UK.
Marc Gauthier, the 62-year-old patient who lives in France, has suffered from the brain disorder for about 30 years. Like more than 90 percent of people with advanced Parkinson’s, Mar c has had great difficulty walking. What are known as “freezing” experiences — during which patients are unable to move for a limited time, putting them at risk of falling — are particularly awful, Marc told AFP.
Much remains unknown about Parkinson’s disease, making treatment difficult. But the disease can seriously affect the lives of patients, sometimes keeping them to bed or a wheelchair. So when the opportunity came to go through an operation in Switzerland, Marc gladly accepted the chance.
“Now I can do whatever I want,” Marc says. “I can go for a walk and go out shopping by myself.” He adds that he can now walk much more easily — he is even planning a trip to Brazil — but it still requires concentration, particularly when climbing upstairs.
The Swiss team, led by surgeon Jocelyne Bloch and neuroscientist Gregoire Courtine , implanted a complex system of electrodes called a “neuroprosthesis (神经假体)” at important points along Marc’s spinal cord. The neuroprosthesis was first tested on animals, and then implanted in Marc, who has used it for roughly eight hours a day over nearly two years.
The Swiss team has expanded their experiment to a group of six Parkinson’s patients, aiming to know how it could help others, given the disease affects people in different ways. However, treatment using the implant could be quite expensive, potentially limiting how many patients would have access.
1. What is David Dexter’s attitude to the Swiss breakthrough?| A．Unconcerned. | B．Doubtful. | C．Positive. | D．Unclear. |
| A．Volunteer as a tour guide in Brazil. | B．Run to his heart’s content. |
| C．Go to the supermarket alone. | D．Make a phone call while climbing the stairs. |
| A．It was first tested on Marc Gauthier. | B．It is hardly affordable for ordinary people. |
| C．It has been performed on many patients. | D．It was done by researchers in the UK. |
| A．A Spinal Implant Allows a Parkinson’s Patient to Walk Again |
| B．Parkinson’s Patients Have to Deal With Difficulties in Life |
| C．Swiss Experts Have Created a Drug to Treat Parkinson’s |
| D．New Technology Prevents People From Developing Parkinson’s |
3 . Shenzhen in Guangdong province has become the first city in China to allow specialist nurses to prescribe (开药方) selected drugs and order tests, in a move that is expected to increase efficiencies in the healthcare system and reduce the patient-load burden on physicians.
Under a new rule in October that took effect in January, eligible nurses will be permitted to order examinations, treatments considering their expert skills and knowledge of specialist nursing or community healthcare. Their prescriptions must be based on existing diagnoses (诊断) made by physicians.
To become a nursing specialist, applicants should have a bachelor’s degree in nursing, five years of working experience, obtained an advanced nursing qualification and have attended a months-long specialist training program and passed a final test.
“Medical institutions must review inappropriate prescriptions given by nurses,” said the regulation. “Nursing specialists who are found to have given three or more improper prescriptions will have their prescribing power stopped for three to six months and will have to undergo retraining before regaining the authorization,” it added.
“Considering the difference in professional positioning, medical education background and work experience between physicians and nurses, it is necessary to fully analyze the necessity and practicability of the nurses’ prescriptive authority,” the commission said.
Zhou Wensi has a bachelor’s degree in nursing and is now a specialist nurse in periodontitis (牙周炎) , or gum disease, at Shenzhen Stomatology Hospital in the city’s Pingshan district.
“Our hospital has not begun allowing us to prescribe. If the rule goes into effect in the future, we’ll likely be able to directly prescribe mouthwash, anti-inflammatory drugs and painkillers to patients,” she said.
However, she also noted that most patients visiting the hospital are in need of treatment delivered by doctors with assistance from nurses like her, so the new regulation is not expected to have a major impact.
1. Why does Shenzhen give permission for specialist nurses’ special rights?| A．To improve the overall ability of the specialist nurses. |
| B．To speed up the development of the healthcare system. |
| C．To enhance the work efficiency and lighten doctors’ load. |
| D．To respond to the demands of doctors, nurses and patients. |
| A．well-recognized | B．Qualified | C．flexible | D．hard-working |
| A．A specialist nurse should follow the rules strictly. |
| B．No institutions take charge of the prescriptions . |
| C．Not all specialist nurses can prescribe drugs freely . |
| D．A specialist nurse always has the prescribing power. |
| A．Doubtful. | B．Indifferent. | C．Neutral. | D．Hopeful. |
4 . Healthy human skin is covered with bacteria (细菌) that are quick to settle in an open wound. To prevent these organisms from spreading through the body, which can permanently injure or kill a person, the infected wound may need to be cleaned and treated with antibiotics. Medical professionals typically identify infections by unwrapping and observing a wound or by swabbing (用拭子擦拭) it and conducting a laboratory test. But removing a wound dressing can slow down the healing process. Plus, observations are subjective, while swab tests take time and require that a patient be physically present.
To address these issues, some research teams are developing devices that sit under bandages and continuously monitor indirect signs of infection, such as changes in wound temperature or acidity. And scientists at the National University of Singapore have now created an even more direct infection sensor.
This sensor can detect an enzyme (酶) called DNase. The enzyme acts as a reliable infection indicator because disease-causing bacteria produce it in large amounts inside wounds, whereas bacteria on healthy skin do not—so testing for the substance reduces the chance of a false positive result. Furthermore, DNase builds up before other infection signs appear. The new alert system, nicknamed the“wireless infection detection on wounds” (WINDOW) sensor, was detailed in Science Advances.
WINDOWs enzyme-sensing parts rely on a material called DNAgel. There searchers developed a particular kind of DNAgel that remains stable in watery environments, such as the human body, but begins to break down in the presence of DNase. They connected this gel (凝胶) to a chip that senses when the gel responds by sending a signal to a smartphone.
Thus far, the team has exposed the DNAgel to wound swabs from 18 people’s wounds to see how much the material degraded in the presence of the bacteria. There searchers also used the device on six living lab mice whose wounds were exposed to the same bacterial species, and it successfully detected infections.
1. What is the first paragraph mainly about?| A．The harm of common wounds. |
| B．The treatment of infected wounds. |
| C．The intervention on wound healing. |
| D．The dilemma of infection observation. |
| A．By comparing wound acidity. |
| B．By detecting the DNase enzyme. |
| C．By measuring the bacteria amount. |
| D．By observing changes in wound color. |
| A．It will cut down the length of infection-treating. |
| B．It could reduce the cost of infection observation. |
| C．It can monitor wounds continuously and remotely. |
| D．It might help conduct laboratory tests on wounds. |
| A．Innovations in Wound Infection Detection |
| B．Removing the Dangers of Open Wounds |
| C．Recognizing the Role of DNase in Healing |
| D．Challenges in Wound Care and Treatment |
