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What is Attention Deficit Hyperactivity Disorder (ADHD)?

Attention Deficit Hyperactivity Disorder (ADHD) is one of the most common childhood disorders and can continue through adolescence and adulthood Symptoms include difficulty staying focused and paying attention, difficulty controlling behavior, and over activity.

ADHD has three sub-types:

1. Predominantly hyperactive-impulsive

● Most symptoms (six or more) are in the hyperactivity-impulsivity categories and fewer than six symptoms of inattention are present, although inattention may still be present to some degree.

2. Predominantly inattentive

● The majority of symptoms (six or more) are in the inattention categories and fewer than six symptoms of hyperactivity-impulsivity are present, although hyperactivity-impulsivity may still be present to some degree.

3. Combined hyperactivity-impulsive and inattentive

● Six or more symptoms of inattention and six or more symptoms of hyperactivity - impulsivity are present.

● Most children have the combined type of ADHD.

Possible causes:

1. Genes. Results from several international studies of twins show that ADHD often runs in families. Researchers are looking at several genes that may make people more likely to develop the disorder. Knowing the genes involved may one day help researchers prevent the disorder before symptoms develop. Learning about specific genes could also lead to better treatments.

2. Environmental factors. Studies suggest a potential link between smoking and alcohol use during pregnancy and ADHD in children. In addition, preschoolers are exposed to high levels of lead may have a higher risk of developing ADHD.

3. Food additives. Recent British research indicates a possible link between an increase in activity and consumption of certain food additives like artificial colors or preservatives. Research is under way to confirm the findings and to learn more about how food additives may affect hyperactivity.

Signs & symptoms:

Inattention, hyperactivity and impulsivity are the key behaviors of ADHD. To be diagnosed with the disorder, a child must have symptoms for six or more months and to a degree that is greater than other children of the same age.

Children who have symptoms of inattentive may:

● Be easily distracted, miss details, forget things and frequently switch from one activity to another.

● Become bored with a task after only a few minutes, unless they are doing something enjoyable.

● Have difficulty focusing attention on completing a task or learning something new.

● Not seem to listen when spoken to.

Children who have symptoms of hyperactivity may:

● Talk nonstop.

● Dash around, touching or playing with anything and everything in sight.

● Have trouble sitting still during dinner school and story time.

● Have difficulty doing quiet tasks or activities.

Children who have symptoms of impulsivity may:

● Be very impatient.

● Act without regard for consequences.

● Have difficulty waiting for things they want.

● Often interrupt conversations or others’ activities.

ADHD can be mistaken for other problems

Parents and teachers can miss the fact that children with symptoms of inattention have the disorder because they are often quiet and less likely to act out. They may get along well with other children, compared with those with the other sub-types, who tend to have social problems. But children with the inattentive kind of ADHD are not the only ones whose disorders can be missed. For example adults may think that children with the hyperactive and impulsive sub-types just have emotional or disciplinary problems.

【小题1】If a kid shows six symptoms of inattention and seven symptoms of hyperactivity -impulsivity, which of the subtypes of ADHD does he belong to?
A.Predominantly hyperactive-impulsive.
B.Predominantly inattentive.
C.Combined hyperactive-impulsive and inattentive
D.It all depends.
【小题2】Which of the following causes of ADHD has been confirmed by scientific research?
A.Genes.B.Smoking during pregnancy.
C.Food additivesD.Exposure to high levels of lead.
【小题3】Which of the following is true according to the passage?
A.Kids who have symptoms of ADHD for more than four months can be diagnosed with ADHD.
B.The hyperactive and impulsive sub-types tend to be mistaken for emotional or disciplinary problems.
C.One of the symptoms of inattention is that kids become tired of a task easily even if they are doing something enjoyable.
D.It is claimed that artificial colors and preservatives have nothing to do with ADHD.
20-21高三上·上海·阶段练习
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Whether it is the flu or any of the other cold-like viruses rising in winter, it seems that stuffy noses and sore throats are common symptoms. You may have noticed, however, that your cold seems to get better or worse depending on the time of day. 【小题1】 Then, they partially clear up throughout the day, only to get worse once more as you get to bed. Why does this happen?

Currently, the leading idea is that symptom severity is linked to our circadian rhythm (昼夜节律). The circadian rhythm is very important for daily cellular processes and can be affected by the amount of sleep and light we get each day. 【小题2】

While resting, the body uses the downtime to recover. 【小题3】 This also applies when you are ill—the body floods the blood with white blood cells called leukocytes, resulting in and immune response against diseases and the immune system fighting infection.

This, therefore, explains why our cold symptoms get worse as we settle down for a night’s sleep. Cells infected by viruses are attracted to the local area and killed, causing soreness in the affected tissues, and mucus (鼻涕) floods the nose to join the fight. 【小题4】 You wake up feeling like death due to the battle happening within.

【小题5】 The first is simply gravity. When you lie down, your mucus builds up in the nose, causing pressure and headaches. As you stand up, you start to feel better. Another factor is about hormones. Hormonal imbalances can be caused by lack of sleep at night and could influence immune function, leading to a cycle of sleepless nights and then feeling worse.

A.Others are reporting the same thing.
B.It’s a good thing, but it really doesn’t feel like it.
C.Gravity helps out a lot more when you are upright.
D.Most commonly, you wake up with worse symptoms.
E.There are other reasons why you might feel worse at night.
F.This is why sleep is so important after you’ve been to the gym.
G.It also plays a critical role in controlling the heart and the immune system.

It's no secret that inhaling(吸入)smoke is bad for your lungs. But now, scientists are suggesting smoke may also carry and spread infectious diseases. The theory, published in Science Magazine, is based on the research that found wildfire smoke is full of thousands of species of microorganisms(微生物).Some of these microorganisms, including bacteria and fungal spores(真菌抱子).are known to cause disease.

The new research suggests that when a wildfire burns plants or animal matter and disturbs soils, it exposes thousands of species of bacteria and fungi that otherwise might not easily become airborne. You might think the high heat from fire would kill these organisms, but one study mentioned in the article found that some bacteria even multiply after fires. Scientists say the organisms stick with smoke particulates(颗粒物), allowing them to travel thousands of miles across continents.

Dr. Peter Chen, director of the Division of Pulmonary and Critical Care Medicine at Cedars-Sinai Medical Center in Los Angeles, is interested in the theory but somewhat skeptical that the microorganisms in smoke would actually cause infections. Many bacteria and fungi don't cause lung infections, says Chen, but it's certainly possible that a significant number could worsen symptoms in someone with a preexisting lung condition. "I always thought it was the particulates in smoke that were causing these issues," says Chen. "But when I read this, I started thinking, could it be the microorganisms that are also worsening existing illnesses?"

Whether the microorganisms in smoke actually cause infections or simply worsen potential respiratory(呼吸的)issues, the article raises a new health threat that is "certainly alarming", says Kelsey Jack, an associate professor of environmental and development economics. This is especially true for lower-income populations, Jack says, because people with fewer protective means are often more exposed to the environment. If smoke is affecting the air quality in a certain area, the people who work outside, or who have to go to the office on foot or by bike will inhale more smoke than those who drive.

But until more research is done, Chen says the best thing people can do is just follow existing recommendations when air quality is poor-including staying indoors, keeping windows and doors closed, using HEPA filters and running air conditioning.

【小题1】What can we know about the microorganisms from Paragraph 2?
A.Some could reproduce after fires.
B.They could be killed by high heat.
C.They could possibly travel through air by themselves.
D.Some could copy the smoke particulates.
【小题2】How do most microorganisms affect people according to Dr. Peter Chen?
A.They will cause lung infection.B.They might worsen lung diseases.
C.They will destroy living environments.D.They might damage respiratory systems.
【小题3】Why are lower-income people suffering more than others according to Kelsey Jack?
A.They live in poor areas.B.They drive to and from work·
C.They have suffered from lung disease.D.They are exposed to polluted air more frequently.
【小题4】What does Chen advise people to do in the last paragraph?
A.To wait for the results of more researches.
B.To ignore the air quality and to work out outdoors.
C.To follow previous suggestions on dealing with poor air quality.
D.To avoid using filters and air conditioning.
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【小题1】What caused the author' s world to crash down? (No more than 10 words)
【小题2】Why was the author still depressed though she had family members' support? (No more than 10 words)
【小题3】What does the underlined part in Paragraph 4 mean? (No more than 5 words)
【小题4】What did the author and Leah gain from their friendship? (No more than 15 words)
【小题5】What do you learn from the author' s story? (No more than 20 words)

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