某女性患者,57岁,因房室传导阻滞植入起搏器。图4-8-17A为植入起搏器后3个月复查的心电图,图4-8-17B为植入起搏器后6个月复查的心电图。
图4-8-17A提示
A:右心房起搏 B:右心室起搏 C:左心房起搏 D:左心室起搏 E:双腔起搏
What Makes Me the Weight I Am?
There’s no easy answer to this question. Your genetic makeup, the physical traits that get passed down1 to you from your parents, plays a big part in determining your size and weight.
___1___ But if your parents are smaller than average, you may want to rethink that professiona1basketball career!2
The same goes for your body type.3 Have you ever heard someone say a person is “big boned4”? It’ s a way of saying a person has a large frame, or skeleton. Big bones usually weigh more than small bones. ____2 ___
Like your height or body type, your genes have a lot to say6 about what your weight wi11 be. But that"s on1y part of the story. Being overweight can run in someone"s farnily, but it may not be because of their genes.7___3__ And even though some kids gain weight more easily than others, when they eat right and exercise , most kids can be a hea1thy and happy weight that"s right for them. It" s true — the way you live can change the way you look.
How much you weigh is a ba1ance between calories you eat and the calories you use.
___4___If you spend your free time watching TV, your body won’t use as many calories as it would if you played basketball, skated, or went for a walk. If you are in balance, your weight will stay right for you as you grow. But if you eat more and exercise less, you may become overweight. ___5__
词汇:
genetic /dʒɪ"netɪk/ adj.遗传(性)的;基因的
makeup /meɪkʌp/ n.组成;构造
trait /treit /n.特征,特点,特性
rethink /riː"θɪŋk/ vi.再想,重新思考
professional/ prəˈfɛʃənəl/adj.职业的,专业的
skeleton/ ˈskelɪtən/n.骨骼
overweight/ˈəʊvəweɪt/adj.超重的,过重的
calorie/ˈkæləri/n.卡路里(热量单位)
skate/skeɪt/vi.滑冰
注释:
1.get passed down :被遗传下来
2.But if your parents are smaller than average, you may want to rethink that professional basketball career!但是如果你的父母比一般人的个头矮小的话,你也许会重新考虑是否还要当职业篮球运动员。
3.The same goes for your body type.你的体型也是如此。
4.big boned:骨骼大的,宽肩
5.That’s why it’s possible for two kids with the same height, but different weights, to both be the right weight.正因为这样,两个身高相同、体重不同的孩子却有可能体重均正常。
6.have a lot to say:起很大作用
7.Being overweight can run in someone’s family, but it may not be because of their genes.身体超重有可能在家族中代代相传,但这也许并非基因所致。
8.lose weight:体重减轻,变瘦
练习:
A. That’s why it’s possible for two kids with the same height, but different weights, to both be the right weight.5
B. If you eat more calories than your body needs to use, you will gain too much weight.
C. Poor eating and exercise habits also run in families and this may be the reason the members of a family are overweight.
D. However, many overweight people have difficulty reaching their healthy body weight.
E. On the other hand, if you eat less and exercise more, you may lose weight8.
F. If both your parents are tall, there is a good chance you’ll be tall.
空4
A:A B:B C:C D:D E:E F:F
Privacy Worry May Keep HIV21 Patients from Therapy
Patients infected with HIV are often concerned about2 the confidentiality of their HIV-positive status. In fact, some patients are so worried that they will actually give up treatment to prevent the release of this information, according to a report published in the August issue of AIDS Care.
Dr. Kathryn Whetten-Goldstein and colleagues from DukeUniversity,Durham, North Carolina3, studied the confidentiality issues of 15 HIV-infected patients from ruralNorth Carolinalocations. They were divided into groups designed to explore their attitudes toward, and experiences with, breaches in confidentiality.
“The fear of a breach in confidentiality is definitely affecting the care that HIV-infected patients receive,” Whetten-Goldstein said. “Most studied patients had experienced or knew someone who had experienced a breach in confidentiality.”
“Two types of breaches occurred, ”Whetten-Goldstein noted. “The first was a more obvious type of breach. One example was a nurse who told her child that her patient was HIV-positive out of concern that her child would play with the patient’s child.4”
“The other type of breach was more subtle, one that providers might not consider breaches, 5” Whetten-Goldstein explained. “This type of breach involves providers talking about a patient’s HIV status without the patient’s knowledge of the interaction.”
“The law allows the sharing of information between providers within the same institution, but patient’s consent must be obtained before providers at different institutions can share information,” she pointed out.
“Patients in the study wanted providers to tell them when they are going to share information with other providers and why it is being done,” Whetten-Goldstein said. “They also felt that providers should be punished when a breach occurs.”
“However, because patients are often reluctant to seek legal action which may further expose their status, they felt that the system should regulate itself,” she added.
词汇:
privacy /ˈpraɪvəsi,ˈprɪvəsi/ n.隐私,秘密
breach /bri:tʃ/n.破坏,违反
therapy /"θerəpɪ/ n.疗法,治疗
consent /kən"sent/ n.答应,允许
confidentiality /ˌkɒnfɪˌdenʃiˈæləti/ n.保密性
regulate /"reɡjʊleɪt/ vt.调整
注释:
1.HIV (human immunodeficiency virus):人类免疫缺陷病毒
2.be concerned about:为……而担心(忧虑、烦恼)
3. North Carolina:(美国)北卡罗来纳州
4.One example was... with the patient’s child.例子之一就是某个护士由于担心自己的孩子会与病人的孩子一起玩,所以就告诉自己的孩子,这个病人是HIV阳性的病人。本句中who 至the patient’s child 是nurse 的定语从句,其中that her patient was HIV-positive又是told的宾语从句;out of concern (出于担心)是介词短语,作told的状语;而that her child would play with the patient’s child 则是concern的同位语从句。
5.one that providers might not consider breaches:即医生可能不认为是泄露个人机密的一类。one是代词,代替type,作the other type的同位语,that至breaches是one的定语从句,that在定语从句中作consider的宾语,breaches是宾语补足语。而provider则是指美国经保险公司认可为投保人看病的医生。
Quite a few patients will firmly defend their own right if such a breach occurs
A:Right B:Wrong C:Not mentioned
Beyond the Pap
Scientists have known for some time that virtually all cases of cervical cancer are triggered by a family of viruses called human papillomavirus, or HPV. 1Most women who become infected with HPV are able to shake off the virus and suffer no apparent long-term consequences to their health. But a few women develop a persistent infection that can, for reasons that are not entirely clear, eventually lead to cancerous changes in the cervix.
Now researchers at the Digene Corp of Beltsville,Maryland, have developed a test that detects an active HPV infection by looking for its genetic byproducts in the vagina. The HPV test was better than the standard Pap test at finding cervical cancer at any stage, according to two studies published this month in the Journal of the American Medical Association. So far, so good. Unfortunately, the test"s false-positive rate—how often it indicated that there was a problem when none existed was almost twice as high as that for the Pap smear.2 In these cases, a biopsy of the woman’s cervix showed no sign of disease.
And that’s the crux of the problem. How many women should undergo what is, when it comes right down to it, unnecessary treatment to find a few more cases of cervical cancer?3 Shouldn’t health officials focus instead on making sure that more women undergo regular Pap-smear examinations? After all, Pap smears, though far from perfect, have helped dramatically lower the death toll from cervical cancer taking it from the No. 1 cause of death due to cancer in American women to the 10th.
Complicating matters is the fact that HPV is a very common infection. In some parts of theU.S.as many as half of all women under age 35 have an active case. Yet 99 out of 100 women who are HPV-positive will never get cervical cancer, estimates Dr. Joanna Cain, vice president of theAmericanCollegeof Obstetricians and Gynecologists. “If those 99 women live their lives as if they’re going to develop cancer”, she says, “we’re not necessarily doing them any good.”
At present, the HPV test is approved in theU. S.only to help resolve ambiguous results from a Pap-Smear test. Many gynecologists believe that HPV will eventually replace the pap. But they’re not willing to abandon it without a lot more detailed information and neither should you.
词汇:
cervical /"sɜ:vɪkl/ adj.颈的;子宫颈的
trigger / "trɪɡə(r) / vt. 发动,引起;促使
papillomavirus / pæpɪ"ləʊməvaɪrəs/ n.乳头状瘤病毒 cancerous / "kænsərəs/ adj.生癌的;患癌的;像癌的
cervix /"sɜ:vɪks/ n.器官的颈部(尤指子宫颈,膀胱劲) byproduct / "baɪˌprɒdʌkt/ n.(意外或无心的)附带产生的结果;副产品
vagina /və"dʒaɪnə/ n.阴道
Pap smear,Pap test = Papanicolaou test尼科拉乌试验,巴氏试验
smear /smɪə(r) / n.(显微镜的)涂片;污迹,污斑;诽谤,诋毁
biopsy /ˈbaɪˌɑpsi/ n.活组织检查;(为检查和诊断而作的)活组织切除
obstetrician /ˌɒbstəˈtrɪʃn/ n.产科医师
gynecologist /ˌgaɪnɪ"kɒlədʒɪst/ n.妇科学家
ambiguous /æmˈbɪgjuəs/ adj. 含糊不清的;不明确的;难以理解(或区分)的
注释:
1.Scientists have known for some time that virtually all cases of cervical cancer are triggered by a family of viruses called human papillomavirus, or HPV.一段时间以来,科学家们已经知道几乎所有子宫颈癌的病例都是由一组人类乳头状瘤病毒或HPV印发的。
2.Unfortunately, the test"s false-positive rate—how often it indicated that there was a problem when none existed was almost twice as high as that for the Pap smear. 不幸的是,该检验的假阳性率,即其显示有问题而实际上并无问题的概率,几乎是巴氏涂片假阳性率的两倍。
3.How many women should undergo what is, when it comes right down to it, unnecessary treatment to find a few more cases of cervical cancer? 只是为了再多发现几例子宫颈癌病例,多少妇女应该接受那种说到底并不必要的治疗呢?
Only a few cases of HPV infection will lead to cancerous changes in the cervix
A:Right B:Wrong C:Not mentioned
What Makes Me the Weight I Am?
There’s no easy answer to this question. Your genetic makeup, the physical traits that get passed down1 to you from your parents, plays a big part in determining your size and weight.
___1___ But if your parents are smaller than average, you may want to rethink that professiona1basketball career!2
The same goes for your body type.3 Have you ever heard someone say a person is “big boned4”? It’ s a way of saying a person has a large frame, or skeleton. Big bones usually weigh more than small bones. ____2 ___
Like your height or body type, your genes have a lot to say6 about what your weight wi11 be. But that"s on1y part of the story. Being overweight can run in someone"s farnily, but it may not be because of their genes.7___3__ And even though some kids gain weight more easily than others, when they eat right and exercise , most kids can be a hea1thy and happy weight that"s right for them. It" s true — the way you live can change the way you look.
How much you weigh is a ba1ance between calories you eat and the calories you use.
___4___If you spend your free time watching TV, your body won’t use as many calories as it would if you played basketball, skated, or went for a walk. If you are in balance, your weight will stay right for you as you grow. But if you eat more and exercise less, you may become overweight. ___5__
词汇:
genetic /dʒɪ"netɪk/ adj.遗传(性)的;基因的
makeup /meɪkʌp/ n.组成;构造
trait /treit /n.特征,特点,特性
rethink /riː"θɪŋk/ vi.再想,重新思考
professional/ prəˈfɛʃənəl/adj.职业的,专业的
skeleton/ ˈskelɪtən/n.骨骼
overweight/ˈəʊvəweɪt/adj.超重的,过重的
calorie/ˈkæləri/n.卡路里(热量单位)
skate/skeɪt/vi.滑冰
注释:
1.get passed down :被遗传下来
2.But if your parents are smaller than average, you may want to rethink that professional basketball career!但是如果你的父母比一般人的个头矮小的话,你也许会重新考虑是否还要当职业篮球运动员。
3.The same goes for your body type.你的体型也是如此。
4.big boned:骨骼大的,宽肩
5.That’s why it’s possible for two kids with the same height, but different weights, to both be the right weight.正因为这样,两个身高相同、体重不同的孩子却有可能体重均正常。
6.have a lot to say:起很大作用
7.Being overweight can run in someone’s family, but it may not be because of their genes.身体超重有可能在家族中代代相传,但这也许并非基因所致。
8.lose weight:体重减轻,变瘦
练习:
A. That’s why it’s possible for two kids with the same height, but different weights, to both be the right weight.5
B. If you eat more calories than your body needs to use, you will gain too much weight.
C. Poor eating and exercise habits also run in families and this may be the reason the members of a family are overweight.
D. However, many overweight people have difficulty reaching their healthy body weight.
E. On the other hand, if you eat less and exercise more, you may lose weight8.
F. If both your parents are tall, there is a good chance you’ll be tall.
空4
A:A B:B C:C D:D E:E F:F
A Life with Birds
For nearly 17 years David Cope has worked as one of the Tower of London"s yeoman warders, __1__ known to tourists as beefeaters. David, 64, lives in a three-bedroomed flat right at the __2__ of the BywardTower, one of the gatehouses. "__3__ our bedroom we have a marvellous viewof1 TowerBridgeand theThames, " says David.
TheTowerofLondonis famous __4__ its ravens, the large black birds which have lived there for over three centuries. David was immediately fascinated by the birds and when he was __5__ the post of Raven Master eight years ago he had no __6__ in accepting it. "The birds have now become my life and I"m always __7__ of the fact that I am __8__ a tradition. The legend says that if the ravens leave the Tower,Englandwill fall to enemies, and it"s my job to __9__ sure this doesn"t happen!"
David_10_about four hours a day to the care of the ravens. He has grown to love them and the _11__ that he lives right next to them is ideal. "I can _12__ a close eye on them all the time, and not just when I"m working." __13__, David"s wife Mo was not __14__ on the idea of life in the Tower2, but she too will be sad to leave when he retires next year. "When we look out of our windows, we see history __15__ around us, and we are taking it in and storing it up for our future memories."
词汇:
Marvelous /"ma:viləs/ n.奇妙的,不可思议的fascinate /"fæsineit/v.着迷,吸引
raven /"reivən/ n.乌鸦,黑色的鸟
legend /"ledʒənd/ n.传奇,传说
1. ...from our bedroom we have a marvellous view of ... :从我们的卧室看去,有一个奇妙的角度。。。
空4
A:for B:because C:of D:by
A Life with Birds
For nearly 17 years David Cope has worked as one of the Tower of London"s yeoman warders, __1__ known to tourists as beefeaters. David, 64, lives in a three-bedroomed flat right at the __2__ of the BywardTower, one of the gatehouses. "__3__ our bedroom we have a marvellous viewof1 TowerBridgeand theThames, " says David.
TheTowerofLondonis famous __4__ its ravens, the large black birds which have lived there for over three centuries. David was immediately fascinated by the birds and when he was __5__ the post of Raven Master eight years ago he had no __6__ in accepting it. "The birds have now become my life and I"m always __7__ of the fact that I am __8__ a tradition. The legend says that if the ravens leave the Tower,Englandwill fall to enemies, and it"s my job to __9__ sure this doesn"t happen!"
David_10_about four hours a day to the care of the ravens. He has grown to love them and the _11__ that he lives right next to them is ideal. "I can _12__ a close eye on them all the time, and not just when I"m working." __13__, David"s wife Mo was not __14__ on the idea of life in the Tower2, but she too will be sad to leave when he retires next year. "When we look out of our windows, we see history __15__ around us, and we are taking it in and storing it up for our future memories."
词汇:
Marvelous /"ma:viləs/ n.奇妙的,不可思议的fascinate /"fæsineit/v.着迷,吸引
raven /"reivən/ n.乌鸦,黑色的鸟
legend /"ledʒənd/ n.传奇,传说
1. ...from our bedroom we have a marvellous view of ... :从我们的卧室看去,有一个奇妙的角度。。。
空4
A:for B:because C:of D:by
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