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Most people have no idea what to do with their old drugs. Unused or expired(到期的) medicines lying around at home can get into the wrong hands, leading to accidental poisoning or drug overdose. When drugs are flushed or sent to landfill(垃圾场), the medicines can pollute our groundwater, rivers, and streams, threatening human and sea life.

In an effort to find a solution for drugs kept in medicine boxes or waterways, the U.S. Drug Enforcement Administration launched its first National Take-Back Day in September 2010. In the drug take-back program, the returned drugs are sent to medical waste incinerators(焚烧炉). However, the process of transporting and burning such waste can release greenhouse gas emissions that could be potentially greater than those generated if the drugs were poured into landfills.

“But take-back programs are preferred as they reduce the risk of drug misuse and the incineration effectively eliminates the entrance of these medicines into our nation’s waters,” says Tim Carroll, a spokesperson for the U.S. Environmental Protection Agency.

Perhaps surprisingly, not all unused medicines need to be thrown away. Every year five billion dollars’ worth of unexpired medicines end up being deserted in the U.S. “We’re wasting a lot of medicines which are already paid for,” says Anandi Law, a patient engagement specialist. “Millions of U.S. adults skip or delay getting their prescriptions(处方) filled due to high costs. We could give them to somebody else who needs it.”

Now, at least 40 states have passed legislation establishing drug donation(捐赠) programs that allow drug manufacturers, medical and long-term care facilities, and sometimes individuals to donate their unused drugs. For example, since its start in 2007, Iowa’s program, SafeNetRx, has served more than 117,000 patients and redistributed nearly 54-million-dollar worth of medicines and supplies. Georgia’s program was formally launched in 2018, and it has already filled prescriptions worth over 50 million dollars.

“All of these efforts are still relatively new,” Carroll says. “We still have a long way to go until households change their habits.”

【小题1】What disadvantage of the drug take-back program is mentioned in paragraph 2?
A.It costs large amounts of money.
B.It increases the greenhouse effect.
C.It can produce poisonous chemicals.
D.It wastes lots of energy to deal with old drugs.
【小题2】What is Tim Carroll’s attitude towards the take-back program?
A.Supportive.B.Indifferent.C.Cautious.D.Negative.
【小题3】What is Anandi Law’s suggestion about unused and unexpired medicines?
A.Sending them to landfills.
B.Selling them at a low price.
C.Donating them to someone in need.
D.Developing technologies to recycle them.
【小题4】What do the numbers in paragraph 5 mainly indicate?
A.The challenging task of SafeNetRx.
B.The expense of recycling unused drugs.
C.The significance of health care facilities.
D.The achievements of drug donation programs.
22-23高一上·黑龙江大庆·阶段练习
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For decades, researchers have chased a drug that could significantly reduce weight without dangerous side effects. 【小题1】 A pair of drugs, Ozempic and Wegovy have shown amazing effectiveness in helping people lose weight by suppressing their appetites. In a 15-month study by the manufacturer, obese people lost an average of 15 percent of their body weight.   【小题2】

Some 40 percent of Americans are obese, while another 30 percent have enough excess weight to increase the risks for heart disease, cancer, and osteoarthritis.   【小题3】 This was driven in part by an explosion of enthusiastic social media. The hashtag #Ozempic has generated more than 700 million views on TikTok.

The drugs are taken weekly in self-administered injections through a pre-filled “pen” like those used for insulin (胰岛素). 【小题4】 By sending signals of satiety (饱足) to brain receptors that govern appetite, they give people a feeling of fullness after small meals.

【小题5】 Doctors say they’re not common and will improve with time and dose adjustments. But those who have had the drugs say they can be weak. “I had no energy, constant nausea (恶心), and what I call power vomiting,” said Anna Toonk, a podcaster in New York City who abandoned Ozempic.

A.Ozempic is the drug of choice these days.
B.Now they say that moment has arrived.
C.Increasing demand for the drugs has already led to shortages.
D.Possible side effects include nausea, vomiting, diarrhea, and a racing heartbeat.
E.They also lowered their blood pressure, cholesterol, and inflammation markers.
F.Advocates for fat acceptance fear the drugs will increase stigma around weight and pressure on overweight people.
G.In the body, the drugs mimic hormones naturally produced in the intestines that regulate blood sugar and hunger.

When somebody gets sick or is hurt in an accident, there are several different ways that doctors can try to help them. One of these is to give medicine that fights the sickness or helps the sick person’s body to fight it. However, if some parts of a body are very sick or damaged, then doctors might need to remove them. Another way doctors can help is to grow new tissue to replace what is sick or damaged. This is called regenerative medicine (再生医学). Regenerative medicine sounds like something from a science fiction movie but it is not a new idea. Inside our bones, we have something called ‘marrow’, which makes our blood and keeps us healthy. Doctors have been giving sick people the ‘bone marrow’ from other healthy people for the last 30 or 40 years, and this is a kind of regenerative medicine.

Newer developments in regenerative medicine include growing new skin in a laboratory and using it to help people who have been hurt in fires or accidents. Another example of regenerative medicine is a technique developed from studying frogs and mice. When cells are old, like in adults, they can’t change what they do in our bodies. For example, a skin cell can’t change into an eye cell. But when cells are very young, they can become any cell type. These young cells are called stem cells, and doctors can use them to grow any type of tissue, such as skin, heart or eye. John Gurdon and Shinya Yamanaka won the 2012 Nobel Prize for their studies in this area.

Professor Fiona Watt, from the Centre for Regenerative Medicine at King’s College London, believes that regenerative medicine is so exciting because many different kinds of experts need to work together. New bones may be printed by expert 3D printers, who need to work closely with university scientists and the surgeons who do the operations in hospitals.

We cannot yet grow new arms or legs for people, but the science fiction dream of regenerative medicine may be closer than we think. Perhaps in the future, doctors will be able to grow whole new bodies for us.

【小题1】Why is ‘marrow’ in bones very important in regenerative medicine?
A.It can grow into new skin for those who have been hurt in fires.
B.It can be used to grow new tissue.
C.It makes blood for our body.
D.It has been used for 40 years.
【小题2】Which of the following is right according to this passage?
A.Regenerative medicine is a new science in medicine.
B.Fiona Watt and Shinya Yamanaka won the 2012 Nobel Prize for medicine.
C.Stem cells, very young cells, can be used to grow any type of tissue.
D.Doctors and scientists now cooperate to grow new skin for frogs and mice.
【小题3】What’s the writer’s attitude to the development in regenerative medicine?
A.Pessimistic.B.Optimistic.
C.Doubtful.D.Subjective.

HOLLAND & BARRETT

Valerian capsules

A traditional herbal medicinal product used for the temporary relief of symptoms of mild anxiety and to aid sleep. This is based on traditional use only.

Active Ingredients:

Each capsule contains 337mg of extract (as dry extract) from Valerian root (Valerian officinalis L)   (equivalent to 1683mg-2020mg of Valerian root).

Dosage(剂量):

For oral use only.

For adults and elderly:

Mild anxiety — Take 1 capsule 3 times daily.

To aid sleep — Take 1 capsule 30 minutes to 1 hour before bedtime with an earlier dose during the evening if necessary.

Swallow the capsule with water. As the effects of this product may not occur immediately, the capsule should be taken continuously for 2-4 weeks.

Duration of use: If symptoms worsen or do not improve after 4 weeks, a doctor or a qualified healthcare practitioner should be consulted.

Warnings:

Do not exceed the stated dose.

Do not take this product if you are:

a. Under 18 years of age

b. Pregnant or breastfeeding

c. Allergic to Valerian or any of the excipients in this product

d. Already taking a medicine for sleep or anxiety

Storage:

Store the capsules below 25ºC.

Keep the bottle tightly closed.

Keep out of sight and reach of children.

Registration Holder:

NBTY Europe Limited, Samuel Ryder House, Barling Way, Nuneaton, Warwickshire, CV10 7RH, United Kingdom

【小题1】Which of the following can this product be intended for?
A.A mother with a child to feed.B.A grown-up with no other dose.
C.An elder allergic to Valerian.D.A high school student.
【小题2】How long can the capsule be taken continuously at most before it works?
A.30 minutes.B.Half a month.
C.1 hour.D.4 weeks
【小题3】Which of the following statements about the storage of the capsule is not mentioned?
A.Keep the capsules below 25ºC.B.Keep the bottle tightly closed.
C.keep the capsules out of sight.D.Keep out of reach of kids.

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