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Is your doctor telling you the truth? Possibly not, according to a new survey in Health Affairs of nearly 1,900 doctors around the country.

The researchers found that 55% of the doctors said that in the last year they had been more positive about a patient s prognosis (预判) than his medical history. And 10% said they had told their patients something that wasn’t true. About a third of the doctors said they did not completely agree that they should disclose medical errors to their patients, and 40% said they didn’t feel the need to disclose financial ties to drug companies.

Really? The study’s lead author, Dr. Lisa Iezzoni, a medicine professor at Harvard Medical School and director of the Mongan Institute for Health Policy at Massachusetts General Hospital, was surprised to learn how dishonest her colleagues were. “Some of the numbers were larger than I expected they might be,” she says.

Why the white lies? In some cases, Iezzoni says it was for self- protection. Nearly 20% of the doctors admitted that they didn’t disclose a medical error to their patients because they were afraid of being punished for improper treatment. In other cases, it may have been for the patient’s benefit. Some might spare an anxious patient from hearing about the slightly abnormal results of a lab test, for example, if it has no negative effect on the patient’s health.

“After all doctors are human too,” says Iezzoni. “ They don’t want to upset their patients, they don’t want their patients to look unhappy or burst into tears. But they also need to be professionals; so they need to tell themselves that if there is a difficult truth they need to tell their patients, they need to work out a way of communicating that effectively.”

That’s important for doctors to appreciate, because as well-intentioned as their lies may be, other studies consistently show that patients prefer the truth, and would rather hear unpleasant news than remain ignorant about an awful medical condition. Being fully informed is a way that patients can prepare for whatever might occur. Therefore, it is necessary for doctors to learn to express themselves.

【小题1】About the new survey in Health Affairs, we can learn that          .
A.10% of the doctors admitted that they had lied to their patients
B.about half of the doctors were unwilling to disclose medical errors
C.40% of the doctors preferred to work in drug companies
D.about 30% of the doctors were positive on predicting the patients’ disease
【小题2】Some doctors surveyed tell the white lies because they          .
A.were trying to defend themselvesB.wanted to prove they were professionals
C.knew little about the patients’ situationsD.wanted the patients to spend more money
【小题3】The author writes the text mainly to         .
A.report some medical errorsB.talk about the needs of patients
C.persuade doctors to improve skillsD.discuss the doctor-patient relationship
22-23高一下·广东佛山·阶段练习
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An experimental treatment rejuvenates (使...恢复活力) the immune (免疫的) systems of older mice, improving their ability to fight infections. If it works in humans, the treatment could reverse (逆转) age-related decreases in immunity that leave older adults susceptible to disease.

These decreases may be due to changes in our blood stem cells which can develop into any type of blood cell—including key parts that make up the immune system. As we age, a larger proportion (比例) of these stem cells tend to produce some immune cells over others, says Jason Ross at Stanford University in California. This imbalance damages the immune system’s defenses.

Ross and his colleagues have developed a treatment using antibodies (抗体), which are proteins that recognize and attack certain cells to target these abnormal stem cells. They tested the treatment in six mice between 18 and 24 months old, which is roughly equal to an age of 56 to 70 years in humans.

A week after receiving an antibody injection, the mice had about 38 percent fewer of these abnormal stem cells than six mice of the same age that didn’t receive the treatment. “You can think of it as kind of turning back the clock,” says Ross. “We’re making the proportion of these immune cells more similar to those of a younger adult mouse.”

To test if the changes resulted in a stronger immune system, the researchers vaccinated (打疫苗) 17 older mice against a mouse virus. Nine of these mice had received the antibody treatment eight weeks earlier. The researchers then infected (感染) the mice with the virus. Two weeks later, they measured the number of infected cells in the animals and found that nearly half of the treated mice had cleared the infection, compared with only one of the eight untreated mice.

The findings indicate that the antibody treatment rejuvenates the mouse immune system. “Since humans, like mice, also see abnormal blood stem cells increase with age, a similar antibody treatment may rejuvenate our immune systems,” says Ross.

【小题1】What does the underlined word “susceptible” in paragraph 1 mean?
A.Strongly resist.B.Easily suffer from.
C.Completely unaffected by.D.Highly immune to.
【小题2】What may cause age-related decreases in immunity?
A.Changes in our nervous system.
B.An increase in antibodies in our body.
C.Changes in blood stem cells.
D.A decrease in the number of immune cells.
【小题3】How did the researchers measure the effectiveness of the antibody treatment on the mice?
A.By analyzing changes in their lifestyle.
B.By observing differences in their behavior.
C.By conducting blood tests to measure immune cell counts.
D.By counting the number of infected cells after virus contact.
【小题4】What conclusion can be drawn from the findings of the study?
A.The antibody treatment has no effect on the mouse immune system.
B.The antibody treatment increases the risk of infections in mice.
C.The antibody treatment only works on young mice, not older ones.
D.The antibody treatment improves the mouse immune system.

Neudy Rojop, 29, looks across the rough, rocky road in the small rural village of San Rafael Pacaya. It leads to the home where she grew up and where she still lives today.

When Rojop was about 10, her cousin, Carlos, was very sick. Without any local clinics (诊所), Rojop’s family couldn’t even figure out what the disease was. They could do nothing but wait. Growing up, she noticed how frequently many of those around her were getting sick. As a teenager, she started to realize her community needed better chance to health care. So she determined to go to a nursing school.

But her vision was beyond being a nurse. After graduation, she realized one person was not enough to make the community better. “The people here may have common diseases,” she thought. “Some are known. But there may be new diseases that we don’t know about.” She wanted to do something to keep any illness from being a threat in the first place. She wanted to train people and do some research to monitor these illnesses and try to provide early actions, or try out new ways to prevent some of them.

Over the next few years, she and a small team brought her vision to life. They provided measures that could limit the possible risks. Olson, one of her colleagues, recalled, “She has zero clinical experience and zero research experience at first, but now she is a superstar here. Her working place is usually busy with about 300 patients per month.”

Now Rojop starts her days with a morning meeting, making decisions, solving problems and setting priorities with her teammates. “In the past, I was so young that I could do nothing for my community,” she says. “But now I can help because I know how.”

【小题1】What inspired Rojop to go to a nursing school?
A.A future well-paid job.
B.Her poor family background.
C.The need of community health care.
D.Her childhood experiences of being sick.
【小题2】What was Rojop’s vision after graduation?
A.Building more local hospitals.
B.Acting as a professional nurse.
C.Preventing diseases through early actions.
D.Providing better education for the school kids.
【小题3】What can be inferred from Olson’s words in Paragraph 4?
A.Rojop has been accepted widely.
B.Rojop lacks working experience.
C.Rojop enjoys being brought into focus.
D.Rojop hasn’t satisfied public expectations.
【小题4】Which of the following best describes the quality of Rojop?
A.Frank.B.Flexible.C.Determined.D.Generous.

What would happen today, if there was an accident at your workplace? Would employees know what to do? Would the injured person get the best possible care?

When an accident happens, a first-aid programme that meets the requirements of the law and is made to the type and size of the workplace can really make a difference between life and death, or between recovery and lasting disablement (伤残).

Employers should make sure that all employees know where emergency information is posted at the workplace. The emergency notice should show the phone numbers of the closest ambulance service, rescue unit, fire police station, and hospital. The amount of time it takes to look up one of these important numbers can make a big difference to a seriously injured person. The place of first-aid equipment and rescue equipment should also be posted.

All workplaces should have a person with first-aid or medical training in case of an emergency. First-aid equipment and supplies, including a variety of dressings and instruments, as well as an up-to-date first-aid book, should be stored where they can be reached quickly and easily in case of an accident. These supplies should be inspected frequently, making sure they are kept in sanitary (卫生的) and usable conditions and re-stored after use. Larger workplaces may need more than one fully-equipped first-aid bag.

In lonely workplaces, emergency supplies and an action plan are especially important. At least one person trained in first aid should always be on-site (在现场的). If first aid is not given properly, it can sometimes hurt rather than help an injured person, or even be harmful to the person giving first aid.

All workers should know who is trained to give first aid on-site, where first-aid equipment is put, and what medical professionals or medical instruments should be found if a medical emergency happens.

【小题1】What is Paragraph 2 mainly about?
A.The importance of a proper first-aid programme at the workplace.
B.The possibility to make a first-aid programme.
C.The requirements of the law about a first-aid programme.
D.Difference between the type and size of the workplace.
【小题2】What should you do for a seriously injured person?
A.Report the present conditions to the employers.
B.Give first aid to him right away all by yourself.
C.Look up and call the emergency telephone numbers quickly.
D.Run to the rescue centre to get first-aid equipment.
【小题3】Why are first-aid equipment and supplies stored in workplaces?
A.To be reached quickly and used to rescue in time.
B.To meet the requirements of the government.
C.To deal with the inspection of higher departments.
D.To make a medical training for the employees.
【小题4】According to the text, what are all workers required to do?
A.Be responsible for the result of the injured person.
B.Know the exact place of first-aid equipment.
C.Be trained to give first aid to the injured in an accident.
D.Be far away from the accident place.

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