题干

学校、课程、教材。

材料一:“千百年楚材导源于此,近世纪湘学与日争光。”这是长沙岳麓书院门前的一幅楹联。岳麓山在西晋以前为道士活动地,曾建有万寿宫、崇真观。唐末五代时期,僧人智璇等人为“思儒者之道”,在麓山寺下建起学舍,后在此基础上扩建诞生了岳麓书院。

    北宋咸平二年,潭州太守李允主持了书院最大一次扩建,还请得国子监的《义疏》《史记》等典籍,正式建立藏书楼于讲堂之后。宋真宗大中祥符年间,因办学成绩卓著,风闻天下,皇帝召见了书院山长周式,并赐予御笔亲书的“岳麓书院”匾额。书院还“塑先师十哲之像,画七十二贤(七十二贤是孔子门下德才出众的学生,十哲指其中最优秀的十位学生)”,并供祀本学派大师以及忠臣学者……这里走出了王夫之、曾国藩等一大批风流人物。后人称赞说:“使里人有必葺之志,学者无将落之忧。谁谓潇湘?兹为洙泗。谁谓荆蛮?兹为邹鲁(洙泗、邹鲁都代指孔孟故乡)。”

——摘编自朱汉民《岳麓书院》

材料二:1908年,商务印书馆出版《女子国文教科书》,是中国最早的专门为女子教育而编订的教材之一。其第六册目录如下:

注:(该课正文)雅丽,北美洲之女子也。华盛顿起兵时,雅丽方七岁。一日,携鸡卵一筐以见华盛顿,曰,将军为国民之事,劳苦甚矣,今备不腆之仪敬询将军。遂指鸡卵以示华盛顿曰,此中有物,可碎其壳而食也。华盛顿惊感待以殊礼。

材料三:中世纪的学校是培养修士和神父的地方,各种年龄的年青人和一位教师坐在一起,能学多少学多少。15,16世纪,欧洲学校教育开始按年龄和程度分班,每班有各自的教师,学生定期升级。拉丁文仍是主课,又增加了希腊文、历史和道德哲学。学习拉丁文(以及希腊文)是为了能够阅读抒情诗、演说、信札、历史以及哲学论文等古代著作,而这些著作为每一代受教育的精英提供实用的教训,他们或成为未来的大臣、外交官,甚至成为统治者本人。经过改革的教会认为,每一个个体都必须会阅读并靠自己的能力来理解经文。此时几乎欧洲每个地区都有了自己的大学。在许多捐赠奖学金的推动下,英国的文法学校(相当于中等教育),法国的专科学校在城市中纷纷建立。一些私立学校成为向工匠和商人传授必要技能的地方。有的学校为穷孩子保留了房间,并向他们提供简单的就业机会,以解决学费问题……牛津大学学生中约半数是“平民”。其中一些人获得了国王授予的不能继承的贵族头衔,从而有了较高的社会地位。

——摘编自(美)帕尔默《欧洲崛起:现代世界的入口》等

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B

    Our risk of cancer rises as we age. So it makes sense that the elderly should be routinely screened for new tumors(肿瘤)—or doesn't it?

    While such careful tracking of cancer is a good thing in general, researchers are increasingly questioning whether all of this testing is necessary for the elderly. With the percentage of people over age 65 expected to nearly double by 2050, it's important to consider the health benefits of screening and the costs of routine testing.

    In many cases, screening can lead to additional operations to remove cancer, which can cause side effects, while the cancers themselves may be slow-growing and may not cause serious health problems in patients' remaining years. But the message that everyone must screen for cancer has become so ingrained that when health care experts recommended that women under 50 and over 74 stop screening for breast cancer, it caused a strong reaction among doctors, patients and advocacy(拥护) groups.

    It's hard to uproot deeply held beliefs about cancer screening with scientific data. Certainly, there are people over age 75 who have had cancers detected by routine screening, and gained several extra years of life because of treatment. And clearly, people over age 75 who have other risk factors for cancer, such as a family history, should continue to get screened regularly. But for the remainder, the risk of cancer, while increased at the end of life, must be balanced with other factors like a remaining life expectancy.

    A recent study suggests that doctors start to make more right decisions about who will truly benefit from screening—especially considering the explosion of the elderly.

    It's not an easy guess to make, but one that makes sense for the whole patient. Dr. Otis Brawley said, "Many doctors are ordering these tests purely to protect themselves against medical disputes(纠纷). We need to think about the good use of health care and stop talking about the rationing(定量配给制) of health care."

    That means making some difficult decisions with elderly patients and going against the misguided belief that when it comes to health care, more is always better.