最新职称英语学习资料阅读理解讲义8.docx

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最新职称英语学习资料阅读理解讲义8

最新职称英语学习资料(阅读理解讲义)7

 

Eventhoughulcersappeartoruninfamilies,lifestyleplaysmoreofarolethangeneticfactorsincausingtheillness,accordingtoareportintheApril13thJournalofInternalMedicine.Inparticular,smokingandstressinmenandtheregularuseofpain-releasingmedicinesinwomenwerelinkedwithanincreasedriskofdevelopinganulcer.

Overall,61%ofulcerriskappearstobeduetoenvironmentalfactors,suchassmoking,andtheremaining39%isduetogenesaccordingtoDr.IsmoRaihaoftheUniversityofTurkyandcolleaguesattheUniversityofHelsinki,Finland.SomeresearchershadsuggestedthatfamiliesmayspreadHelicobacteriapylori,thebacteriathatcancauseulcers.However,thenewstudysuggeststhisisunlikely,accordingtothereport.

Raihaandcolleaguesstudieddatafrommorethan13,000pairsoftwins"toexaminetherolesofgeneticandenvironmentalfactorsintheoriginofpepticulcerdisease,"theyexplain.Bothtwinsweremorelikelytodevelopanulcerifthepairweregeneticallythesameascomparedwithapairoffraternaltwins,suggestingthattheremustbesomegeneticsusceptibilitytoulcerdevelopment.

However,theriskwasnogreaterintwinslivingtogethercomparedwithtwinslivingapart,suggestingthatsharedexposuretoH.pyloriwasnottoblame."Environmenteffectswerenotduetofactorssharedbyfamilymembers,andtheywererelatedtosmokingandstressinmenandtheuseofanalgesicsinwomen,"theauthorswrote."Theminoreffectsofsharedenvironmenttodiseaseliabilitydonotsupporttheconceptthatthegroupingofriskfactors,suchasH.pyloriinfection,wouldexplainthegeneticfactorofpepticulcerdisease,"theyconcluded.

1.Accordingtothepassage,whichofthefollowingisaverylikelycauseofulcerinmen?

A)Smokingandstress.

B)Drinkingandsmoking.

C)Genesandchildren.

D)Useofacertainmedicine.

2.Whatfactorscontributetooverhalftheulcers?

A)Hereditaryfactors.

B)Economicfactors.

C)Environmentalfactors.

D)Geneticfactors.

3.Inrelationtoulcers,expertsstudytwinsinordertoexamine

A)therolesofgeneticfactors.

B)therolesofenvironmentalfactors.

C)therolesofbothfactors.

D)therolesofbrotherhood.

4.Whatdoes"environmentaleffects"inthefifthparagraphreferto?

A)Acleanenvironmentwithnosmokeanddustsurroundingthelivingarea.

B)Smokingandstressinmenanduseofpain-killingmedicineinWomen.

C)Factorssharedbyfamilymemberssuchasgenesandthefoodtheyeat.

D)SharedexposuretoH.pyloriinfectionintheuncleanenvironment.

5.Thepassagearguesthat

A)ulcersarerelatedtogenes.

B)ulcersarerelatedtolifestyle.

C)ulcersappearinmenandwomen.

D)ulcersarecausedbypyloriinfection.

KEY:

ACCBB

PASSAGE52

FirstAid

Firstaidisemergencycareforavictimofsuddenillnessorinjuryuntilmoreskillfulmedicaltreatmentisavailable.Firstaidmaysavealifeorimprovecertainvitalsignsincludingpulse,temperature,anunobstructedairway,andbreathing.Inminoremergencies,firstaidmaypreventavictim'sconditionfromworseningandproviderelieffrompain.Firstaidmustbeadministeredasquicklyaspossible.Inthecaseofthecriticallyinjured,afewminutescanmakethedifferencebetweencompleterecoveryandlossoflife.

First-aidmeasuresdependuponavictim'sneedsandprovider'slevelofknowledgeandskill.Knowingwhatnottodoinanemergencyisasimportantasknowingwhattodo.Improperlymovingapersonwithaneckinjury,forexample,canleadtopermanentspinalinjuryandparalysis.

Despitethevarietyofinjuriespossible,severalprinciplesoffirstaidapplytoallemergencies.Thefirststepistocallforprofessionalmedicalhelp.Thevictim,ifconscious,shouldbereassuredthatmedicalaidhasbeenrequested,andaskedforpermissiontoprovideanyfirstaid.Next,assessthescene,askingotherpeopleortheinjuredperson'sfamilyorfriendsaboutdetailsoftheinjuryorillness,anycarethatmayhavealreadybeengiven,andpreexistingconditionssuchasdiabetesorhearttrouble.Thevictimshouldbecheckedformedicalbraceletorcardthatdescribesspecialmedicalconditions.Unlesstheaccidentscenebecomesunsafeorthevictimmaysufferfurtherinjury,donotmovethevictim.

Firstaidrequiresrapidassessmentofvictimstodeterminewhetherlife-threateningconditionsexist.Onemethodforevaluatingavictim'sconditionisknownbytheacronymABC,whichstandsfor:

A-Airway:

isitopenandunobstructed?

B-Breathing:

isthepersonbreathing?

Look,listen,andfeelforbreathing.

C-Circulation:

isthereapulse?

Isthepersonbleedingexternally?

Checkskincolorandtemperatureforadditionalindicationsofcirculationproblems.

Onceobviousinjurieshavebeenevaluated,theinjuredperson'sheadshouldbekeptinaneutralpositioninlinewiththebody.Ifnoevidenceexiststosuggestpotentialskullorspinalinjury,placetheinjuredpersoninacomfortableposition.Positionedononeside,avictimcanvomitwithoutchokingorobstructingtheairway.

1.Itisveryimportantinfirstaidto

A)movetheinjuredpersonfromthesceneofaccidentimmediately.

B)spendafewminutesformakingthedifferencebetweenrecoveryanddeath.

C)knowwhattodoandwhatnottodoaccordingtotheconditionofthevictim.

D)removethemedicalbraceletorcardfromthevictim.

2.OneofthefollowingpracticesisNOTrightinthefirstaid,thatis,

A)tocheckwhetherthevictimisbreathing.

B)toletthevictimlieononeside.

C)totelephoneahospitalatonce.

D)towaitpatientlyformoreskillfulmedicaltreatmentbeforecarryingonfirstaid.

3.Thearticleimpliesthattheprovideroffirstaidshouldbeespeciallycareful

A)inhandingthevictimonlyifhelearnsthatthevictimhasbothdiabetesandhearttrouble.

B)inhandingthevictimifhelearnthatthevictimhasdiabetesorhearttrouble.

C)nottomovethevictimifhefindsamedicalbraceletonthevictim.

D)nottomovethevictimifhefindstheaccidentscenetobeunsafe.

4.Accordingtothisarticle,firstaidisusuallyprovidedby

A)professionaldoctors.

B)thevictim'sfamilymembers.

C)thevictim'sfriends.

D)thosepeoplewhoarenotnecessarilyprofessionaldoctors.

5.Thisarticlecanbesaidtobeoneto

A)givebasicknowledgeabouthowtopracticefirstaid.

B)giveabriefintroductiontothehistoryoffirstaid.

C)givesomeknowledgetoanyonewhomaybeinjuredinanaccident.

D)givewarningthatfirstaidisdangeroustothosewhodonotknowtodoit.

Key:

CDBDA

 

PASSAGE53

Sleeplessness

Insomniaorsleeplessnessisacommoncomplaintofwomenastheyenterintomenopause.

Insomniameanshavingtroublefallingasleeporstayingasleeporthefeelingthatyoursleepwasnotadequateforyou.Forwomenwhoarehavingnightsweats,theirsleepisbrokenbyfrequentawakeningandthereforenotrefreshing.Generallyoncethenightsweatsarecontrolledanormalsleeppatternreturns.Ifitdoesn'titmaybe,orhavebecomechronicinsomnia.Howdoyouknow?

Ifyousufferfrominsomniaeverynightormostnightsforaperiodofonemonththenyouhavechronicinsomnia.Ifyou'renothavingnightsweatsthenit'stimetolookforothercausesofsleeplessness.Depressionandanxietydisordersarethemostcommoncausesofchronicinsomnia.Ifyoufeeldepressedyouneedtobecheckedbyaqualifiedhealthcareprovider.Movementdisorderssuchasrestlesslegsyndromearesecondonthelistofinsomniaforthem;therearenewmedicinesthatmayhelp.Othercommoncausesareshiftworking,andpain.

Inupto30%ofpeoplewithchronicinsomnianocausecanbeidentified.Medicaltreatmentofthesepeoplehasgenerallybeenwithsleepingpills.Itisestimatedthat25%oftheadultpopulationinAmericatooksometypeofmedicinesforsleeplastyear.Itisgenerallyagreedthatsleepingpillsshouldonlybeinthelowestdoseandfortheshortestpossibletime.

Sleephygieneisdirectedatchangingbadsleephabits.Therecommendationsare:

-Gotobedonlywhensleepy.-Donotwaituptoaspecifiedtime.-Avoidcaffeineandalcoholintheevening,etc.

1.Theword"insomnia"means

A)havingtroublefallingasleep.

B)feelingthatsleepisenough.

C)Havingnosweatsatnight.

D)Havingnormalsleeppattern.

2.Howmanypossiblecausesofsleeplessnessarementionedinthesecondparagraph?

A)Five

B)Six

C)Seven

D)Numerous

3.Theexpression"Secondonthelist"inthesecondparagraphmeans

A)thesecondcauseofallkindsofsleeplessness.

B)Thesecondmostimportantcauseofsleeplessness.

C)Thesecondonthedoctor'slistaboutsleeplesspeople.

D)Thesecondonthewriter'slistrecordingsleeplessness.

4.Concerningtheuseofsleepingpills,whichofthefollowingstatementsistrue?

A)MostadultAmericansusesleepingpillsforsleep.

B)Doctorsseldomgivesleeplesspeoplesleepingpills.

C)Sleepingpillsshouldbeusedforaveryfixedperiod.

D)Sleepingpillsshouldbeusedinaverysmallamount.

5.Whichofthefollowingdoesnotfitwithsleephygiene?

A)Makearuletogotobedataspecifictimeeveryday.

B)Gotobedwhensleepy,notalwaysatthesametime.

C)Trynottodrinkanycaffeineandalcoholintheevening

D)Changebadsleephabitsandfollowdoctors'advice

Key:

ABBDA

 

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