Inquest told of hospital error

    A HOSPITAL error left a dying man on the wrong ward for two days as deep vein thrombosis (DVT) ravaged his body, an inquest heard. Stephen Melvin Newbold suffered massive brain damage when a blood clot formed in his veins. Now his families are considering legal action against YorkHospital, saying that his death was “untimely and unnecessary”.

    Mr Newbold, a 52-year-old maintenance worker, went toYorkHospitalon November 3 complaining of a swollen right foot. He should have been sent to a surgical ward where he would have been treated with1 Fragmin, a drug which counters the effects of DVT.However, hospital staff wrongly admitted him to2 an orthopedic ward, where he stayed for two days, before finally being transferred to the care of a consultant vascular surgeon. Twenty-four hours later, on November 6, doctors decided they would have to operate to remove his leg below the knee.

The operation went ahead on November 10, but two days later Mr Newbold suffered a cardiac arrest. A scan revealed he had had a pulmonary embolism, a condition related to DVT. Mr Newbold suffered brain damage and died in the hospital on November 16.

    Giving evidence, the surgeon said he could not explain why Mr Newbold had been admitted to an orthopedic ward where it was not policy to administer Fragmin. He did not know why his medical team had not given Mr Newbold the drug later.

    York coroner Donald Coverdale said, “From November 3 until the day of the operation, no Fragmin was given to Mr Newbold. If he had been admitted to a consultant vascular surgeon’s care from day one, it is clear that Fragmin would have been prescribed. Fragmin reduces the risk of DVT, but does not eliminate it. It is impossible to say whether Mr Newbold would have suffered this DVT if he had received the Fragmin.” He recorded a verdict of death by misadventure.

    Kim Daniells, Mr Newbold’s family’s lawyer, said, “The family hope that the hospital will learn from the errors, and that no other families will have to suffer in the future.”

    A spokeswoman forYorkHospital’s NHS Trust said, “We would like to extend our sincere sympathies to the family of Stephen Newbold during this difficult time.”

词汇：

ward [wɔːd] n.病房

vein [veɪn] n.血管

thrombosis [θrɒm"bəʊsɪs] n.血栓

clot [klɒt] n.凝块

maintenance ["meɪnt(ə)nəns; -tɪn-] n.维修，维护

Fragmin n.法安明（又名片段化蛋白）

staff [stɑːf] n.员工；职工

consultant [kən"sʌlt(ə)nt] n.顾问，咨询，会诊医师

surgeon ["sɜːdʒ(ə)n] n.心血管外科顾问

knee [niː] n.膝盖

embolism ["embəlɪz(ə)m] n.栓塞；栓塞形成

verdict ["vɜːdɪkt] n.裁决

misadventure [mɪsəd"ventʃə] n.灾难，不幸遭遇，意外事故

sympathy ["sɪmpəθɪ] n.同情

注释：

1．be treated with...被用......药物进行治疗

2．be admitted to...被收容至，被移送至(本文中是“被送至病房”)

The patient was admitted with an injured foot.

A:Right B:Wrong C:Not Mentioned

Inquest told of hospital error

    A HOSPITAL error left a dying man on the wrong ward for two days as deep vein thrombosis (DVT) ravaged his body, an inquest heard. Stephen Melvin Newbold suffered massive brain damage when a blood clot formed in his veins. Now his families are considering legal action against YorkHospital, saying that his death was “untimely and unnecessary”.

    Mr Newbold, a 52-year-old maintenance worker, went toYorkHospitalon November 3 complaining of a swollen right foot. He should have been sent to a surgical ward where he would have been treated with1 Fragmin, a drug which counters the effects of DVT.However, hospital staff wrongly admitted him to2 an orthopedic ward, where he stayed for two days, before finally being transferred to the care of a consultant vascular surgeon. Twenty-four hours later, on November 6, doctors decided they would have to operate to remove his leg below the knee.

The operation went ahead on November 10, but two days later Mr Newbold suffered a cardiac arrest. A scan revealed he had had a pulmonary embolism, a condition related to DVT. Mr Newbold suffered brain damage and died in the hospital on November 16.

    Giving evidence, the surgeon said he could not explain why Mr Newbold had been admitted to an orthopedic ward where it was not policy to administer Fragmin. He did not know why his medical team had not given Mr Newbold the drug later.

    York coroner Donald Coverdale said, “From November 3 until the day of the operation, no Fragmin was given to Mr Newbold. If he had been admitted to a consultant vascular surgeon’s care from day one, it is clear that Fragmin would have been prescribed. Fragmin reduces the risk of DVT, but does not eliminate it. It is impossible to say whether Mr Newbold would have suffered this DVT if he had received the Fragmin.” He recorded a verdict of death by misadventure.

    Kim Daniells, Mr Newbold’s family’s lawyer, said, “The family hope that the hospital will learn from the errors, and that no other families will have to suffer in the future.”

    A spokeswoman forYorkHospital’s NHS Trust said, “We would like to extend our sincere sympathies to the family of Stephen Newbold during this difficult time.”

词汇：

ward [wɔːd] n.病房

vein [veɪn] n.血管

thrombosis [θrɒm"bəʊsɪs] n.血栓

clot [klɒt] n.凝块

maintenance ["meɪnt(ə)nəns; -tɪn-] n.维修，维护

Fragmin n.法安明（又名片段化蛋白）

staff [stɑːf] n.员工；职工

consultant [kən"sʌlt(ə)nt] n.顾问，咨询，会诊医师

surgeon ["sɜːdʒ(ə)n] n.心血管外科顾问

knee [niː] n.膝盖

embolism ["embəlɪz(ə)m] n.栓塞；栓塞形成

verdict ["vɜːdɪkt] n.裁决

misadventure [mɪsəd"ventʃə] n.灾难，不幸遭遇，意外事故

sympathy ["sɪmpəθɪ] n.同情

注释：

1．be treated with...被用......药物进行治疗

2．be admitted to...被收容至，被移送至(本文中是“被送至病房”)

The patient was admitted to the surgical ward.

A:Right B:Wrong C:Not Mentioned

C It happened to me recently. I was telling someone how much I had enjoyed reading Barack Obama’s Dreams From My Father and how it had changed my views of our President. A friend I was talking to agreed with me that it was, in his words, “a brilliantly （精彩地）written book”. However, he then went on to talk about Mr. Obama in a way which suggested he had no idea of his background at all. I sensed that I was talking to a book liar. And it seems that my friend is not the only one. Approximately two thirds of people have lied about reading a book which they haven’t. In the World Book Day’s “Report on Guilty Secrets”, Dreams From My Father is at number 9. The report lists ten books, and various authors, which people have lied about reading, and as I’m not one to lie too often (I’d hate to be caught out), I’ll admit here and now that I haven’t read the entire top ten. But I am pleased to say that, unlike 42 percent of people, I have read the book at number one, George Orwell’s 1984. I think it’s really brilliant. The World Book Day report also has some other interesting information in it. It says that many people lie about having read Jane Austen, Charles Dickens, Fyodor Dostoevsky (I haven’t read him, but haven’t lied about it either) and Herman Melville. Asked why they lied, the most common reason was to “impress” someone they were speaking to. This could be tricky if the conversation became more in–depth! But when asked which authors they actually enjoy, people named J. K. Rowling, John Grisham, Sophie Kinsella (ah, the big sellers, in other words). Forty-two percent of people asked admitted they turned to the back of the book to read the end before finishing the story (I’ll come clean: I do this and am astonished that 58 percent said they had never done so). Which of the following is a “guilty secret” according to the World Book Day report

A:Charles Dickens is very low on the top-ten list. B:42% of people pretended to have read 1984. C:The author admitted having read 9 books. D:Dreams From My Father is hardly read.

Passage Four
The Ordinance of 1784 is most significant historically because it embodied the principle that new states should be formed from the western region and admitted to the Union on an equal basis with the original commonwealths. This principle, which underlay the whole later development of the continental United States, was generally accepted by this time and cannot be properly credited to any single man. Thomas Jefferson had presented precisely this idea to his own state of Virginia before the Declaration of Independence, however, and if he did not originate it he was certainly one of those who held it first. It had been basic in his own thinking about the future of the Republic throughout the struggle for independence. He had no desire to break from the British Empire simply to establish an American one--in which the newer region should be subsidiary and tributary to the old. What he dreamed of was an expanding union of self-governing commonwealths, joined as a group of peers.

Which of the following proposals did the Ordinance of 1784 incorporate（）

A:New states should be admitted to the Union in numbers equal to the older states. B:The Union should make the western region into tributary states. C:New states should share the same rights in the Union as the original states. D:The great western region should be divided into twelve states.

The study of 267 pupils aged 11 to 18 found 63% felt addicted to the internet-Techno Addicts: Young Person Addiction to Technology-was carried out by researchers at Cranfield School of Management, Northampton Business School and academic consultancy AJM Associates.
Researchers used a written questionnaire to examine the nature and the volume of mobile phone calls and text messaging as well as computer use including e-mail, instant messaging and accessing social networking sites.
They found 62% first used or owned a computer before the age of eight, 80% first used the internet between the ages of five and 10,58% first used a mobile phone between the ages of eight and 10 and 58% have had access to a social networking sites between the ages of eleven and 13.
Over 63% felt addicted to the internet. Over 30% reported spending between one to two hours a day using the internet and 26% said they spent up to six or more hours a day. On average, pupils said they spent between one and two hours on social networking sites each day.
Over one in five(20.2%) said they left the phone on in lessons-which is usually forbidden by schools. Over a third(39%)admitted that text shortcuts damaged the quality of their written English, particularly when it came to spelling. And 84% openly admitted copying chunks of information from the internet into their homework or projects on a number of occasions.
Dr Nada Kakabadse from Northampton Business School said modern technology, such as mobile phones and handheld computer games, was having an impact on pupils’ attention levels. "They are hiding these things under the desks so their concentration cannot be equally divided, they are not focusing on what’s going on in class. "
Dr Kakabadse said pupils were also getting into a bad habit of plagiarism. "For their homework, instead of reading the book, they go on the internet and lift it. "
She also raised concerns about the text-messaging abbreviations to which young people had grown accustomed. They have invented a new language. This kind of abbreviation they unconsciously bring into their assignments.
Which is NOT right according to the passage

A:More than a third reported spending between one to two hours a day using the internet. B:More than a third admitted that text shortcuts damaged the quality of their written English. C:More than a third admitted copying the information from the internet into their homework. D:More than a third admitted that they left the phone on in lessons.

Between the nerves, the unfamiliarity and the urge to impress, few people do themselves justice on the first day of a new job. When it comes to doctors starting out in emergency medicine, though, are patients’ lives being put at risk According to research from Imperial College London, the death rate among patients admitted to English hospitals on the first Wednesday in August -the day, traditionally, that newly graduated doctors take up their posts--was, on average, 6% higher than for those admitted the last Wednesday in July. An influx of new medical staff, in other words, just might be very, very bad for your health.
In the university’ s study (the biggest of its kind so far), published Sept. 23 in PLoS One, the online scientific journal of the U. S. Public Library of Science, scientists analyzed close to 300,000 patients admitted to state - run hospitals across England on those two Wednesdays from 2000 to 2008. The health of the patients, who were split evenly between the July and August admission days, was tracked for a week. While there was little difference between the crude death rates for each seven -day period, when researchers controlled for the patients’ age, sex, socioeconomic status and secondary medical problems, the odds of dying was found to be 6% higher for those admired on the Wednesday in August. Among so - called medical achnissions - all those not suffering from cancer or requiring surgery -the odds were 8% higher. Should patients be nervous Scientists have for years been examining the patient risk associated with a change over of medical staff Smaller studies conducted over the past two decades in Britain and the U. S. -where researchers label it the "July phenomenon," after the month in which medical students usually begin training--have often proved inconelusive.
Even the "small but significant" discrepancy highlighted by Imperial’ s study doesn’t point to a particular cause. It’ s possible that patients admitted on the days junior doctors began work were simply in worse health than those taken in the week earlier. Some hospitals may have been more reluctant to admit patients with less - serious problems on the days new staff started work, limiting the number of cases young medics had to deal with but increasing the concentration of acutely ill patients in the process. "So it may not necessarily be directly related to the quality of care, "says Paul Aylin, an epidemiologist at Imperial College London and senior author of the study.
Which of the following is not true according to the passage

A:There was a big difference of death rates among the patients admitted to hospitals on the two Wednesdays. B:Scientists have been examining the patient risk associated with medical changeover for many years. C:There was a difference of death rates among the patients admitted to hospitals on the two Wednesdays, but not big. D:Scientists are not sure yet whether there does exist a link between patient death rates and medial changeover.

The study of 267 pupils aged 11 to 18 -Techno Addicts: Young Person Addiction to Technology-was carried out by researchers at Cranfield School of Management. Northampton Business School and academic consultancy AJM Associates.
Researchers used a written questionnaire to examine the nature and the volume of mobile phone calls and text messaging as well as computer use including e - mail, instant messaging and accessing social networking sites.
They found 62% first used or owned a computer before the age of eight, 80% first used the internet between the ages of five and 10,58% first used a mobile Phone between the ages of eight and 10 and 58% have had access to a social networking sites between the ages of eleven and 13.
Over 63% felt addicted to the internet. Over 30% reported spending between one or two hours a day using the internet and 26% said they spent up to six or more hours a day.
On average, pupils said they spent between one and two hours on social networking sites each day.
Over one in five(20.2% )said they left the phone on in lessons—which is usually forbidden by schools.
Over a third (39%) admitted that text shortcuts damaged the quality of their written English, particularly when it came to spelling.
And 84% openly admitted copying chunks of information from the internet into their homework or projects on a number of occasions.
Poor attention levels
Dr Nada Kakabadse from Northampton Business School said modern technology, such as mobile phones and handheld computer games, was having an impact on pupils’ attention levels.
"They are hiding these things under the desks so their concentration cannot be equally divided, they ore not focusing on what’s going on in class."
Dr Kakabadse said pupils were also getting into a bad habit of plagiarism.
"For their homework, instead of reading the book, they go on the internet and lift it. "
She also raised concerns about the text - messaging abbreviations to which young people had grown accustomed.
"They have invented a new language. This kind of abbreviation they unconsciously bring into their assignments. "
"So they will have difficulty communicating with others and making themselves understood. Of course, language should evolve but maybe not so quickly. /
Which is NOT fight according to the passage

A:More than a third reported spending between one to two hours a day using the internet. B:More than a third admitted that text shortcuts damaged the quality of their written English C:More than a third admitted copying the information from the internet into their homework D:More than a third admitted that they left the phone on in lessons