题干

   More primary care doctors in a community (社区) appear to lead to improved life expectancy for people living there,though a lack of such physicians across U.S. could be a cause of concern for overall population health in years to come.

For the study, researchers looked at physician counts per 100,000 people in a range covering 2005 to 2015 in the U. S.,along with life expectancy and specific causes of death. They found that an increase of 10 primary care physicians per 100,000 population was associated with a 51. 5-day increase in life expectancy, while an increase of 10 specialty physicians per 100, 000 population increased life expectancy by 19. 2 days. An increase in primary care physicians also was associated with reductions of many deaths including heart diseases and cancers.

Along with those findings, though, the study said many communities did not have primary care physicians in 2015,with the decline in supply more prominent in rural areas than their urban areas. Many believe that a well-functioning health care system requires a solid foundation of primary care, however, payment difference between primary care and technical specialties continue to dispirit the U. S. primary care physician workforce.

“Higher pay and lifestyle preferences lead most students to choose non-primary care fields, even when their hearts say primary care,” the study said. “We must turn this trend around with practical changes in physician payment policy; no amount of superb primary care training or creative practice reform will prevent further declines in primary care physician, which will lead to worsening health for the United States. ”

The study’s researchers conclude that future research should focus on the “quality and cover of primary care,types of primary care physician training and service offerings, and effective access rather than just supply”.

【小题1】What does the author intend to do in Paragraph 2?
A.Provide some data for the readers.
B.Offer some tips on life expectancy.
C.Add some background information.
D.Stress the importance of primary care.
【小题2】Which of the following best explains “prominent” underlined in Paragraph 3?
A.Adequate.B.Considerate.
C.Obvious.D.Reasonable.
【小题3】What discourages young people from taking up the primary care?
A.Primary care is badly paid.
B.They have to work in rural areas,
C.They need to face fierce competition.
D.Primary care lacks superb training
【小题4】What is the main idea of the text?
A.Primary care can lengthen life.
B.Primary care needs improving.
C.Primary care physicians are decreasing.
D.Higher pay attracts more primary care physicians
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同类题1

An aspirin a day keeps the doctor away. Aspirin has long been praised as a wonder drug and has been in your family since you can remember. Not only does it cure pain, it also lowers the risk of heart attack and stroke. But taking the pills daily may not work for everyone.
Although taking an occasional aspirin or two is safe for most adults to use for headaches,body aches or fever, daily use of aspirin can have serious side effects. Up to 60 per cent of us,both healthy people and those being treated for all types of heart disease may have some level of resistance to aspirin’s benefits.
Aspirin keeps platelets(血小板) from sticking, lowering the risk of clotting(结块).People who are aspirin­resistant still get pain relief but not the full blood­thinning effects.
How do you know whether you’re resistant?New blood tests can help your doctor decide whether to give you a different medicine, especially if you’re at risk or are being treated for heart disease. The tests aren’t yet widely available, but it doesn’t hurt to ask.
People taking aspirin daily should limit the amount of alcohol they drink because of its additional blood­thinning effects and potential to upset your stomach. Thus you should not have more than one drink if you’re a woman or two drinks a day if you’re a man. Does daily aspirin treatment differ between men and women?Recent studies have focused on the effects of aspirin in women,finding that its effects differ between the sexes, and for women, between age groups.
All in all, aspirin is still an effective, affordable and simple option for many people at risk of heart attack and stroke. Though it is readily available, always check with your doctor before starting daily aspirin treatment.
【小题1】Aspirin has got the reputation of a wonder drug because ______.
A.an aspirin a day keeps the doctor away
B.it can make people feel less painful
C.it helps to prevent heart attacks and strokes
D.it doesn’t have any serious side effects
【小题2】Which of the following statements about aspirin is TRUE?
A.Aspirin does have blood­thinning effects.
B.If you are resistant to aspirin, you won’t feel pain.
C.People taking aspirin won't suffer from heart attacks.
D.60 per cent of people couldn't benefit from aspirin.
【小题3】What do we know about the blood tests mentioned in the fourth paragraph?
A.The new examination doesn’t hurt at all.
B.The tests only help aspirin­resistant people.
C.Doctors do the tests to test new medicines.
D.Only some people have ever taken the tests.
【小题4】We can infer from the passage that ______.
A.drinking alcohol will make people feel uncomfortable
B.drinking alcohol could influence the function of aspirin
C.alcohol has much greater effects than aspirin on blood­thinning
D.people should not drink any alcohol while taking aspirin daily
【小题5】What does the writer think of taking aspirin daily?
A.People should be careful to make this decision.
B.This treatment is effective, affordable and simple.
C.It could be used to cure heart attack and stroke.
D.Old women should not start this kind of treatment.

同类题2

   RISE is an exciting project designed and led by young people,for young people. 【小题1】.If you're aged between 16 and 25 years old,and are not in employment,education or training,RISE could help you learn new skills,and improve your prospects(前景).

What you'll learn

St John Ambulance believes that everyone should have access to first aid,and as many people as possible should be equipped with the skills to be the difference between life and death. 【小题2】.Then you'll also get the opportunity to develop new skills,gaining the confidence to train others in your community.

Choosing the right path for you

At the heart of the RISE project is a commitment(承诺)to peer to peer learning. 【小题3】.RISE offers you the chance to gain a range of qualifications and to choose a path that helps you make the most of your talents.

Stick-it:【小题4】.You'll find out how to manage an incident and learn some of the most commonly needed first-aid skills. You'll focus on CPR,bleeding and dealing with an emergency on this six-hour course.

【小题5】:A course designed for those who come into contact with children through their work or leisure activities. This short programme works by helping individuals to understand the unusual role they play in keeping children safe from harm.

A.Keeping children safe
B.Keeping in touch with the victims
C.The project is now available in communities across the country
D.So, as a participant you'll learn first aid through our Stick-it sessions
E.Stick-it sessions will cover all the approaches to training in RISE
F.Our one-day introduction focuses on gun-and knife-related injuries
G.You' ll be given the skills and guidance to pass your knowledge on to other people in your community

同类题3

   In April 2014 I had a major surgery(外科手术). The day after the _______ the nurse told me that I had to get out of bed and walk a little. I felt very _______ and every movement caused me a lot of pain. _______ ,even with the pain and discomfort I could get up and I just _______to sit on a chair by the bed. I was short of _______ and the pain worsened after the great effort I made.

While I was there I was _______ that I had to get up and walk a little when an old lady came into the ward(病房). She walked directly towards me. Her hair was _______ white and very neat,her weak,white face glowed more _______ the bright,red and long coat she wore,and I could see that under her coat she was wearing a(n)_______gown.

She ________ me and said "You are very pretty." Her kind comment took me by ________as in those moments the ________ I believed was that I looked pretty. However,I replied,"Thank you very much. You are a very kind lady. "Immediately she took my hand and said "I am going to pray for you",and a very warm and comforting sensation invaded(侵入)me. I really ________ those words in those moments. This complete  ________ lady made me feel safe and ________ .

I thanked her for her ________ and I asked her name. "My name is Pat,"she replied,"and I am in the next ward. "And then she left,leaving me a bit ________ but feeling much better and I even ________ the pain for a little while.

Finally the day came when I had to ________ the hospital. I never saw Pat again but that special and brief moment I met her ________ in my mind and my heart.

【小题1】
A.operationB.graduationC.experimentD.examination
【小题2】
A.gratefulB.annoyedC.exhaustedD.horrible
【小题3】
A.FurthermoreB.HoweverC.OtherwiseD.Somehow
【小题4】
A.attemptedB.demandedC.intendedD.managed
【小题5】
A.wealthB.patienceC.courageD.breath
【小题6】
A.fearingB.realizingC.wonderingD.promising
【小题7】
A.abnormallyB.completelyC.probablyD.terribly
【小题8】
A.in agreement withB.on account ofC.in contrast toD.on behalf of
【小题9】
A.hospitalB.officeC.doctorD.evening
【小题10】
A.approvedB.approachedC.attractedD.blamed
【小题11】
A.sympathyB.accidentC.surpriseD.mistake
【小题12】
A.fewestB.greatestC.mostD.least
【小题13】
A.dislikedB.doubtedC.neededD.misunderstood
【小题14】
A.strangeB.stubbornC.admirableD.unusual
【小题15】
A.trustedB.connectedC.lovedD.discouraged
【小题16】
A.honestyB.kindnessC.supportD.treatment
【小题17】
A.amazedB.worriedC.stressedD.confused
【小题18】
A.droppedB.forgotC.feltD.worsened
【小题19】
A.leaveB.abandonC.desertD.check
【小题20】
A.wandersB.remembersC.preservesD.remains

同类题4

   A drug that is used to treat serious bleeding could save thousands of lives for mothers' giving birth. A study of the drug found it reduced the risk of deaths caused by bleeding during childbirth by nearly one third. The study involved 20 ,000 women in 21 countries, mainly in Africa and Asia. The trial was carried out by London School of Hygiene & Tropical Medicine. The drug is called tranexamic acid(凝血酸). It is low-cost and researchers said it does not cause serious side effects for mothers or babies.

The drug is used to treat mothers for serious bleeding during childbirth. Postpartum hemorrhage(产后出血) is the leading cause of maternity(产妇的)death worldwide, according to the World Health Organization.

Haleema Shakur is the project director of the trial. She says though medical conditions are improved in many countries , serious bleeding after childbirth remains a big problem in some parts of the world. “It's one of the biggest killers of mothers. In Africa and Asia, about 10 percent of women will end up with serious bleeding. ”The drug works after a mother gives birth.

Shakur said the best results were reported when the drug was given to women as soon as possible after childbirth. “The earlier you give it- so within the first three hours of giving birth- the better the effect is. ”

The next step will be to find where the drug is needed a and provide training for doctors and  nurses on how to use it. During the trial, women were given the drug in a hospital. But researchers are looking for easier ways to use the drug so it can be more widely used in small clinics and  rural1 areas.

【小题1】What can we know about the drug according to the first paragraph?
A.It is not very expensive.
B.It can be used for babies.
C.It doesn't cause any side effects.
D.It is tried only in Africa and Asia.
【小题2】When is the best time to give the drug to a woman?
A.Three hours before giving birth.
B.After finding bleeding can't be controlled.
C.Three hours after giving birth.
D.One hour after giving birth.
【小题3】What will researchers probably do next?
A.Let more people know the drug.
B.Make doctors and nurses know how to use the drug.
C.Research how much drug is needed.
D.Get permission to use the drug.
【小题4】Which of the following places needs the drug most?
A.In big hospitals.B.In big cities.
C.In London.D.In Africa.