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As a physician who travels quite a lot, I spend a lot of time on planes listening for that

dreaded "Is there a doctor un board?" announcement. I've been 【C1】______ only once—for a woman who had merely fainted. But the 【C2】______ made me quite curious about how 【C3】______ this kind of thing happens. I wondered what I would do if 【C4】______ with a real midair medical emergency without access 【C5】______ a hospital staff and the usual emergency equipment. So 【C6】______ the New England Journal of Medicine last week 【C7】______ a study about in-flight medical events, I read it 【C8】______ interest.

The study estimated that there are a(n) 【C9】______ of 30 in-flight medical emergencies on U.S. flights every day. Most of them are not 【C10】______ fainting and dizziness are the most frequent complaints. 【C11】______ 13% of them— roughly four a day are serious enough to 【C12】______ a pilot to change course. The most common of the serious emergencies 【C13】______ heart trouble, strokes, and difficulty breathing.

Let's face it: plane rides are 【C14】______ . For starters, cabin pressures at high altitudes are set at roughly 【C15】______ they would be if you lived at 5,000 to 8,000 feet above sea level. Most people can tolerate these pressures pretty 【C16】______ , but passengers with heart disease 【C17】______ experience chest pains as result of the reduced amount of oxygen flowing through their blood. 【C18】______ common in- flight problem is deep venous thrombosis— the so-called economy class syndrome (综合症). 【C19】______ happens, don't panic. Things are getting better on the in-flight- emergency front. Thanks to more recent legislation, flights with at 【C20】______ one attendant are starting to install emergency medical kits to treat heart attacks.

【C1】

A.called

B.addressed

C.informed

D.surveyed

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更多“As a physician who travels qui…”相关的问题
第1题
The health-care economy is filled with unusual and even unique economic relationships. One
of the least understood involves the peculiar roles of producer or "provider" and purchaser or "consumer" in the typical doctor-patient relationship. In most sectors of the economy, it is the seller who attempts to attract a potential buyer with various inducements of price, quality, and utility, and it is the buyer who makes the decision, Such condition, however, does not prevail in most of the health-care industry.

In the health-care industry, the doctor-patient relationship is the mirror image of the ordinary relationship between producer and consumer. Once an individual has chosen to see a physician-and even then there may be no real choice-it is the physician who usually makes all significant purchasing decisions: whether the patient should return "next Wednesday", whether X-rays are needed, whether drugs should be prescribed, etc. It is a rare and sophisticated patient who will challenge such professional decisions or raise in advance questions about price, especially when the disease is regarded as serious.

This is particularly significant in relation to hospital care. The physician must certify the need for hospitalization, determine what procedures will be performed, and announce when the patient may be discharged. The patient may be consulted about some of these decisions, but in the main it is the doctor&39;s judgments that are final. Little wonder then that in the eye of the hospital it is the physician who is the real "consumer." As a consequence, the medical staff represents the "power center" in hospital policy and decision-making, not the administration.

Although usually there are in this situation four identifiable participants-the physician, the hospital, the patient, and the payer (generally an insurance carrier or government)-the physician makes the essential decisions for all of them. The hospital becomes an extension of the physician; the payer generally meets most of the bills generated by the physician/hospital, and for t/he most part the patient plays a passive role. We estimate that about 75-80 percent of health-care expenditures are determined by physicians, not patients. For this reason, the economy directed at patients or t.he general is relatively ineffective.

测试题

What&39;s the author&39;s main purpose in writing this passage?

A.To criticize doctors for exercising too much control over patients.

B.To analyze some important economic factors in health-care.

C.To urge hospitals to reclaim their decision making authority.

D.To inform potential patients of their health-care rights.

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第2题
It can be inferred from the passage that doctors are able to determine hospital policies b
ecause ______.

A.it is doctors who generate income for the hospital

B.a doctor is ultimately responsible for a patient's health

C.most of the patient's bills are paid by his health insurance

D.some patients might refuse to accept their physician's advice

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第3题
Sleepy Students Perform. WorseAStaying up an hour or two past bedtime makes it far harder

Sleepy Students Perform. Worse

A Staying up an hour or two past bedtime makes it far harder for kids to learn, say scientists who deprived youngsters of sleep and tested whether their teachers could tell the difference. They could. If parents want their children to thrive academically, "Getting them to sleep on time is as important as getting them to school on time," said psychologist Gahan Fallone, who conducted the research at Brown Medical School.

B The study, unveiled Thursday at an American Medical Association science writers meeting, was conducted on healthy children who had no evidence of sleep--or learning-related disorders. Difficulty paying attention was among the problems the sleepy youngsters faced—raising the question of whether sleep deprivation could prove even worse for people with attention deficit hyperactivity disorder, or ADHD. Fallone now is studying that question, and suspects that sleep problems "could hit children with ADHD as a double whammy."

C Sleep experts have long warned that Americans of all ages don't get enough shuteye. Sleep is important for health, bringing a range of benefits that, as Shakespeare put it, "knits up the raveled sleave of care." Not getting enough is linked to a host of problems, from car crashes as drivers doze off to crippled memory and inhibited creativity. Exactly how much sleep correlates with school performance is hard to prove. So Brown researchers set out to test whether teachers could detect problems with attention and learning when children stayed up late—even if the teachers had no idea how much sleep their students actually got.

D They recruited seventy-four 6- to 12-year-olds from Rhode Island and southern Massachusetts for the three-week study. For one week, the youngsters went to bed and woke up at their usual times. They already were fairly good sleepers, getting nine to 9.5 hours of sleep a night. Another week, they were assigned to spend no fewer than ten hours in bed a night. The other week, they were kept up later than usual: First- and second-graders were in bed no more than eight hours and the older children no more than 6. 5 hours. In addition to parents' reports, the youngsters wore motion-detecting wrist monitors to ensure compliance.

E Teachers weren't told how much the children slept or which week they stayed up late, but rated the students on a variety of performance measures each week. The teachers reported significantly more academic problems during the week of sleep deprivation, the study, which will be published in the journal Sleep in December, concluded. Students who got eight hours of sleep or less a night were more forgetful, had the most trouble learning new lessons, and had the most problems paying attention, reported Fallone, now at the Forest Institute of Professional Psychology.

F Sleep has long been a concern of educators. Potter-Burns Elementary School sends notes to parents reminding them to make sure students get enough sleep prior to the school's yearly achievement testing. Another school considers it important enough to include in the school's monthly newsletters. Definitely there is an impact on students' performance if they come to school tired. However, the findings may change physician practice, said Dr. Regina Benjamin, a family physician in Bayou La Batre, who reviewed the data at the Thursday's AMA meeting. "I don't ask about sleep" when evaluating academically struggling students, she noted. "I'm going to start."

G So how much sleep do kids need? Recommended amounts range from about ten to eleven hours a night for young elementary students to 8.5 hours for teens. Fallone insists that his own second-grader get ten hours a night, even when it meant dropping soccer the season that practice didn't start until 7:30—too late for her to fit in dinner and time to wind down before she needed to be snoozing. "It's tough," he acknowledged, but "parents must believe in the importa

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第4题
听力原文:In her early days as an emergency room physician, Doctor Joanna Myer treated a ch

听力原文: In her early days as an emergency room physician, Doctor Joanna Myer treated a child who had suffered a second degree burn. After the child had been treated and was being prepared for discharge, Doctor Myer talked to the parents about how they should care for the child at home. Also listening to her were a half a dozen other family members. A few hours later, when she came to say goodbye, the family asked her to settle an argument they'd been having over exactly what advice she had given. "As I talked to them, 1 was amazed". she said, "All of them had heard the simple instructions I have given just a few hours before, but they have three or four different versions. The most basic details were unclear and confusing. I was surprised, because these were intelligent people". This episode gave Doctor Myer her first clue to something every doctor learns sooner or later—most people just don't listen very well. Nowadays, she says she repeats her instructions, and even conducts a reality check with some patients. She asks them to tell her what they think they are supposed to do. She also provides take-home sheets which are computer printouts tailored to the patients' situation. Doctor Myer's listeners are not unusual. When new or difficult material is presented, almost all listeners are faced with the challenge because human speech lacks the stability and permanence of the printed word. Oral communication is fast-moving and impermanent.

Questions:

What did the child's family members argue about in the hospital?

What does Doctor Myer do to insure her patients understand her instructions?

What does the speaker say about human speech?

(30)

A.Whether they should take the child home.

B.What Dr. Myer's instructions exactly were.

C.Who should take care of the child at home.

D.When the child would completely recover.

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第5题
A class action lawsuit has been filed against a prominent Toronto doctor by patients who a
llege he injected a banned substance into their faces for cosmetic purposes. The doctor had already been investigated for more than three years for using the liquid silicone, a product not authorized for use in Canada.

Some patients say they are now suffering health problems and think the liquid silicone may be to blame. One of those patients is Anna Barbiero. She says her Toronto dermatologist told her he was using liquid silicone to smooth out wrinkles. What she says he didn't tell her is that it isn't approved for use in Canada. "I didn't know what liquid silicone was and he just called it 'liquid gold'," Barbiero remembers. After her last treatment, Anna discovered Dr. Sheldon Pollack had been ordered to stop using the silicone two years earlier by Health Canada. Experts say silicone can migrate through the body, and cause inflammation and deformities.

"My upper lip is always numb and it bums," Barbiero says. Barbiero is spearheading (带头) a lawsuit against the doctor, who her lawyer thinks might involve up to 100 patients injected with the same material. "The fact, a physician of his stature would use an unauthorized product on a patient because he thought it was okay, is really very disturbing," says lawyer Douglas Elliott.

Ontario's College of Physicians and Surgeons is also investigating Dr. Pollack to see if, in fact, he continued to use the silicone after agreeing to stop and whether he wrote in patient records that he used another legal product when he used silicone. However, in a letter to the College, Dr. Pollack wrote that he had always told patients that the silicone was not approved for sale in Canada, and had warned them of the risks. And in Barbiero's case, "... at the time of her first visit, prior to her ever receiving IGLS treatment, I specifically informed her that the material was not approved for sale in Canada by the Health Protection Branch and that I did receive the material from outside the country...I would like to emphasize that, as is evident on Ms. Barbiero's chart, I drew a specific diagram on the chart which I carefully discussed with and explained to Ms. Barhiero as I did with every other patient to explain the nature and likelihood of complications and the masons and consequences of those possible complications."

Dr. Pollack declined to speak to CTV News. or to have his lawyer discuss the case. None of the allegations have been proven in court. But the case raises questions about the ability of governing bodies to monitor doctors. "There's a larger message and that is: buyer beware," says Nancy Neilsen of Cosmetic Surgery Canada. "It's incumbent (负有义务的) on consumers to do their research."

Doctor Sheldon Pollack was charged that ______.

A.he had prescribed wrong medicine for patients by mistake

B.he had treated his patients with something illegal, causing bad result

C.he had pretended to be a prominent surgeon

D.he had sold an unauthorized product in large amount

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第6题
"Humans should not to try to avoid stress any more than they would shun food, love or exer
cise", said Dr. Hans Selye, the first physician to document the effects of stress on the body. While here is the question that continuous stress is harmful, several studies suggest that challenging situations in which you're able to rise to the occasion can be good for you.

In a 2001 study of 158 hospital nurses, those who faced considerable work demands but coped with the challenge were more likely to say they were in good health than those who felt they stress that you can manage also boost immune (免疫的) function, in a study at the Academic Center for Dentistry in Amsterdam, researchers put volunteers through two stressful experiences: in the first, a timed task that required memorizing a list followed by a short test; in the second, subjects through a gory (血淋淋的)video on surgical procedures. Those who did well on the memory test had an increase in levels of immunoglobulin A, an antibody that is the body's first line of defense against germs. The video-watchers experienced a downturn in the antibody.

Stress prompts the body to produce certain stress hormones. In short busts these hormones have a positive effect, including improved memory function. "They can help nerve cells handle information and put it into shortage," says Dr. Bruce McEwen of Rockefeller University in New York. But in the long run these hormones can have a harmful effect on the body and brain.

"Sustained stress is not good for you," says Richard Morimoto, a researcher at Northwestern University in Illinois studying the effects of stress on longevity, "It is the occasional burst of stress or brief exposure to stress that could be protective."

The passage is mainly about ______.

A.the benefits of manageable stress

B.how to avoid stress

C.how to cope with stress effectively

D.the effect of stress harmonies on memory

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第7题
Hemingway was born in 1899 in Oak Park,Illinois,a prosperous suburb of Chicago.His fat
her,a physician,was an enthusiastic hunter and fisheman who taught his son to handle a rod and a gun.Hemingway's respect for these skills and his love of the open air run through his writing.He has tired to capture the point of view,actions,feelings,and speech of men who excel in the activities he admires.In school Hemingway was a good student,with a wide range of interests beyond the classroom.He was known as a boxer,a football player,a member of the swimming team,and manager of the track team.For 3 years he played in the school orchestra.But much of his activity was connected with words,which were to be his lifelong preoccupation.First as reporter,then as editor,he gained experience on the school paper,to which he contributed articles and stories.When Hemingway graduated from high school in 1917,World War I was still being fought.After a few months as a reporter on the Kansas City Star,he sailed for Europe in May,1918,as a volunteer ambulance driver and later transferred to the Italian infantry.Two weeks before his 19th birthday a leg wound brought him close to death.War and death have been recurrent themes in Hemingway's writing.Of war he has said," I thought about Tolstoi and about what a great advantage an experience of war was to a writer.It was one of the major subjects and certainly one of the hardest to write truly of ... "

a good title for the passage is ()

A、Hemingway's Interest in Writing

B、The Subjects for Hemingway's Writing

C、The Life of Young Hemingway

D、Hemingway's Understanding of War

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第8题
Passage Three Questions 31 to 35 are based on the following passage. “Humans should not

Passage Three

Questions 31 to 35 are based on the following passage.

“Humans should not try to avoid stress any more than they would shun food, love or exercise.” Said Dr. Hans Selye, the first physician to document the effects of stress on the body. While here’s on question that continuous stress is harmful, several studies suggest that challenging situations in which you’re able to rise to the occasion can be good for you..

In a 2001 study of 158 hospital nurses, those who faced considerable work demands but coped with the challenge were more likely to say they were in good health than those who felt they stress that you can manage also boost immune(免疫的) function. In a study at the Academic Center for Dentistry in Amsterdam, researchers put volunteers through two stressful experiences. In the first, a timed task that required memorizing a list followed by a short test, subjects through a gory(血淋淋的) video on surgical procedures. Those who did well on the memory test had an increase in levels of immunoglobulin A, an antibody that’s the body’s first line of defense against germs. The video-watchers experienced a downturn in the antibody.

Stress prompts the body to produce certain stress hormones. In short bursts these hormones have a positive effect, including improved memory function. “They can help nerve cells handle information and put it into storage,” says Dr. Bruce McEwen of Rockefeller University in New York. But in the long run these hormones can have a harmful effect on the body and brain.

“Sustained stress is not good for you,” says Richard Morimoto, a researcher at Northwestern University in Illinois studying the effects of stress on longevity ,”It’s the occasional burst of stress or brief exposure to stress that could be protective.”

第31题:The passage is mainly about ________.

A.the benefits of manageable stress

B.stay away from

C.run out of

D.put up with

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第9题
The two brothers are so nearly alike that I can’t tell () is ().

A.who,what

B.what,what

C.what,who

D.who,who

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第10题
I have always been honest and straightforward, and it doesn't matte()that I'm talking to.

A.who is it

B.it is whom

C.it is who

D.who it is

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