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Nurses have saved almost 800 lives in just one year by using iPads, iPods and mobile phones to record patients' vital (至关重要的) signs instead of paper charts.

Death rates at two major hospitals dropped by more than 15% after the nursing stall started using hand-held devices instead of paper notes to monitor (监督) the condition of patients, according to the research published recently.

Nurses recorded patients' blood pressure, pulse, oxygen levels and other indicators on tablets and mobiles. Specialist software, called VitalPAC, automatically told them if the patient was deteriorating. If this is happened the nurse was warned to increase the frequency of their monitoring of the patient and, in some cases, to warn a doctor or a response team.

The introduction of the new system led to a fall of almost 400 patient deaths in just 12 months at Queen Alexandra Hospital, Portsmouth, and a drop of more than 370 in the same period at University Hospital, Coventry, according to the study in BMJ Quality & Safety. An editorial in the journal described the research as "an important milestone" in improving patient safety and said the lowering of mortality (死亡率) at these two hospitals "represents a truly dramatic improvement".

Data recorded on the hand-held devices is automatically uploaded to a hospital-wide system allowing nurses, doctors and managers to monitor the health of patients across all wards. Staff on ward rounds have instant access to information from any device connected to the hospital network.

The system is now installed in 40 hospitals across England and could eventually be rolled out across the whole of the NHS. The system was developed by doctors and nurses at Portsmouth working together with health improvement company The Learning Clinic.

Dr. Paul Schmidt, of Portsmouth Hospitals NHS Trust, one of the leaders of the project, said: "Observing patients and making accurate records provides a safety net to guard against their deterioration. We believed traditional paper charts were not doing the job well enough so we designed an electronic system to support staff. This study shows its introduction was followed by a significant drop in deaths."

【小题1】What can be learned about VitalPAC?
A.It was designed by The Learning Clinic independently.
B.It works with the hand-held devices.
C.It can replace the nurses to take care of patients.
D.It was applied by all the members of the NHS.
【小题2】The underlined word "this" in Paragraph 3 refers to the situation where         .
A.the specialist software is out of order.
B.the patient's condition is getting worse.
C.the patient's vital signs are uploaded.
D.the patient's indicators are difficult to record.
【小题3】What is Paragraph 4 mainly about?
A.The significance of VitalPAC.B.The improvement of Vita1PAC.
C.The rules of operating VitalPAC.D.The brief introduction of VitalPAC.
【小题4】Where does the text probably come from?
A.A fashion magazine.B.A story book.
C.A news report.D.A science fiction.
20-21高一上·安徽黄山·期末
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With greater attention paid to our mental health, we need more chances to pour out our anxieties. But talking to an adult about feelings can be an uneasy experience for children and adolescents. With this in mind, a recent study from the University of Cambridge tested a robot’s effectiveness in determining children’s well-being.

The study involved 28 children between the ages of 8 and 13 and their parents or guardians completing a well-being questionnaire focused on the young individuals. Then a human-like robot asked the young participants open-ended questions about happy and sad memories over the last week and had them respond to prompts (提示) around pictures. The parents or guardians and research team members observed the interaction from a separate room.

Children with mental well being issues were likelier to divulge the extent of these problems while talking to the robot. Researchers thus found they felt more negative than stated in the initial questionnaire. On the other hand, children without previously stated mental well-being concerns presented an even more positive image to the robot.

Actually, the idea that children would share more with a robot than parents or mental health professionals is easy to understand. “Not all children have a secure attachment style, meaning they feel safe and connected to their caregivers,” says Dr. Katherine Grill, a behavioral scientist. “Children without secure attachments often find comfort in companions like imaginary friends. In this instance, a robot may serve as a practical option for children to open up about their well-being. Even in cases where children have secure attachment styles, a robot may provide them with a non-judgmental relationship where they’re willing to share their feelings.”

“While this study demonstrates the benefit of robots, it doesn’t remove the need for human interaction in the mental health field. Technology-enabled services mean digital support and even enhanced care, but they don’t replace work with a human being,” says Dr. Aaron Haddock, associate professor of Clark University. “After all, the relationship between clients and providers is a key driver of positive treatment outcomes.”

【小题1】Which of the following is true about the study?
A.The robot raised questions to test children’s memory.
B.The children interacted with a human-like robot alone.
C.The children were free to ask the robot any questions.
D.The parents talked with researchers in a separate room.
【小题2】What does the underlined word “divulge” mean in paragraph 3?
A.Ignore.B.Assess.C.Reveal.D.Control.
【小题3】Why may children be willing to share more with a robot according to Dr. Katherine Grill?
A.Because robots are more intelligent than humans.
B.Because robots offer non-judgmental relationships.
C.Because robots connect children with their caregivers.
D.Because robots can choose imaginary friends for the children.
【小题4】What is Dr. Aaron Haddock’s attitude towards technology-enabled services?
A.Totally positive.B.Relatively objective.
C.Particularly disapproving.D.Generally unconcerned.

Can a robot provide helpful answers to your health concerns? That’s the goal of Reach Digital Health, an organization that uses mobile technologies, like text messages, to provide helpful health-care information and guidance to people across Africa who can’t easily reach a health-care provider. The continent has 17.89% of the world’s population, 23% of the diseases that disable and kill people, and only a small part of the world’s health workers.

Reach Digital Health deals with millions of questions and sends millions of mostly automatic (自动的) and computerized answers per day. That is, “We first try to respond automatically to any question that they might have,” says Debbie Rogers, CEO of Reach Digital Health, “because we want to be able to give them an answer as quickly as possible.” Besides, some words or responses can bring other interventions (干预). If someone describes an emergency like “bleeding” in their message, for example, the system will instruct them to visit their nearest hospital as soon as possible. In addition, signs and diagnoses (诊断) reported through Reach Digital Health can be sent to governments in real-time so that informed public health decisions can be made quickly and responsibly.

Reach Digital Health also uses the information they collect to improve the health offerings of equipment, district or even entire country. It collects information from millions of women, which allows for shortcomings in training or medical supplies to be identified and corrected by providers and governmental health agencies.

The organization isn’t just in South Africa. It’s working in eight other countries in sub-Saharan Africa. In addition, through teamwork with the World Health Organization starting in 2020, they’ve enlarged their services across the globe and set up programs in Bangladesh and Indonesia.

【小题1】Reach Digital Health was founded to _________.
A.prevent Africans from hungerB.invent a powerful medical robot
C.offer Africans useful healthcare informationD.make medical investigation in Africa
【小题2】How does Reach Digital Health help a bleeding man?
A.By directing him to the nearest hospital.B.By sending him to a hospital.
C.By making diagnoses for him.D.By giving him free medicine.
【小题3】What is the author’s attitude toward Reach Digital Health?
A.Puzzled.B.Unclear.C.Doubtful.D.Supportive.
【小题4】Which is the most suitable title for the text?
A.Debbie Rogers: a far-sighted leader
B.Healthcare in Africa: a long way to go
C.Reach Digital Health: an incredibly profitable organization
D.Reach Digital Health: answering health concerns
More and more people, especially in developed countries, arc becoming older. In the United States there are currently over 40 million people aged 65 and over, more than 10 million are over 85. Caring for these senior citizens is becoming a necessity, and a big industry.
       Traditionally, care for the elderly has taken place in an extended family, where grandparents live at home and are helped by other family members. However, as more and more young people enter the work force full time they cannot care for their parents or grandparents any more. There are more than 10,000 organizations that provide care for the elderly. More than 1,000 were founded last year alone. Ordinary people quit their jobs and start private care centers, where they offer senior citizens their services.
       One of the most difficult aspects of such an organization is finding the right people to do the job. Caring for the elderly is not an easy task. It requires skill and patience. Among daily tasks are preparing meals, washing older people, or simply keeping them company. Many care workers quit because they find it very depressing(令人沮丧的). It is important to help the elderly stay mobile as long as possible. When they cannot walk or climb stairs they need more help: thus costs become higher. Care workers concentrate on exercises to help them stay mobile. In many cases assisted living replaces round-the-clock health care. Elderly people need help with some daily tasks but can mostly live on their own. It also costs less than full nursing care.
       While wealthy Americans turn to private care centers, those who are poorer cannot pay for the services because Medicare does not cover it. Not all countries offer health care provided by the state. In Asia and Africa, for example, older people are cared for by family members.
【小题1】Why are more and more private care centers started?
A.Many people can't find other jobs.B.Caring for the elderly is an easy task.
C.Many young people take full time jobs.D.Care workers can get well paid.
【小题2】Who pays for the service in the care center?
A.Medicare.B.The state.C.The family.D.Care centers.
【小题3】What is the third paragraph in the text mainly about?
A.Reasons to start a care center.B.Skills that care workers need.
C.Costs for nursing care.D.Difficulties in running a care centre.
【小题4】How many daily tasks for nursing care are mentioned in the text?
A.Three.B.Four.C.Five.D.Six.

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