Text l How,when and where death happens has changed over the past century.As late as 1990 half of deaths worldwide were caused by chronic diseases;in 2015 the share was two-thirds.Most deaths in rich countries follow years of uneven deterioration.Roughly

Text l How,when and where death happens has changed over the past century.As late as 1990 half of deaths worldwide were caused by chronic diseases;in 2015 the share was two-thirds.Most deaths in rich countries follow years of uneven deterioration.Roughly two-thirds happen in a hospital or nursing home.They often come after a ctimax of desperate treatment.Such passionate intervention can be agonising for all concerned.These medicalised deaths do not seem to be what people want.Polls find that most people in good health hope that,when the time comes,they will die at home.They want to die free from pain,at peace,and surrounded by loved ones for whom they are not a burden.But some deaths are unavoidably miserable.Not everyone will be in a condition to toast death's imminence with champagne,as Anton Chekhov did.What people say they will want while they are well may change as the end nears.Dying at home is less appealing if all the medical kit is at the hospital.A treatment that is unbearable in the imagination can seem like the lesser of two evils when the alternative is death.Some patients will want to fight until all hope is lost.But too often patients receive drastic treatment in spite of their dying wishes~by default,when doctors do"everything possible",as they have been trained to,without talking through people's preferences or ensuring that the prediction is clearly understood.The legalisation of doctor-assisted dying has been called for,so that mentally fit,terminally ill patients can be helped to end their lives if that is their wish.But the right to die is just one part of better care at the end of life.The evidence suggests that most people want this option,but that few would,in the end,choose to exercise it.To give people the death they say they want,medicine should take some simple steps.More palliative care is needed.Providing it earlier in the course of advanced cancer alongside the usual treatments turns out not only to reduce suffering,but to prolong life,too.Most doctors enter medicine to help people delay death,not to talk about its inevitability.But talk they must.Medicare,America's public health scheme for the over-65s,has recently started paying doctors for in-depth conversations with terminally ill patients;other national health-care systems,and insurers,should follow.Cost is not an obstacle,since informed,engaged patients will be less likely to want pointless procedures.Fewer doctors may be sued,as poor communication is a common theme in malpractice claims. We can learn from Paragraph 3 that____A.dying patients suffer undertreatment B.doctor-paiient communication is poor C.doctor-assisted dying has been legalized D.the right to die is better cure for dying patients

Text l How,when and where death happens has changed over the past century.As late as 1990 half of deaths worldwide were caused by chronic diseases;in 2015 the share was two-thirds.Most deaths in rich countries follow years of uneven deterioration.Roughly two-thirds happen in a hospital or nursing home.They often come after a ctimax of desperate treatment.Such passionate intervention can be agonising for all concerned.These medicalised deaths do not seem to be what people want.Polls find that most people in good health hope that,when the time comes,they will die at home.They want to die free from pain,at peace,and surrounded by loved ones for whom they are not a burden.But some deaths are unavoidably miserable.Not everyone will be in a condition to toast death's imminence with champagne,as Anton Chekhov did.What people say they will want while they are well may change as the end nears.Dying at home is less appealing if all the medical kit is at the hospital.A treatment that is unbearable in the imagination can seem like the lesser of two evils when the alternative is death.Some patients will want to fight until all hope is lost.But too often patients receive drastic treatment in spite of their dying wishes~by default,when doctors do"everything possible",as they have been trained to,without talking through people's preferences or ensuring that the prediction is clearly understood.The legalisation of doctor-assisted dying has been called for,so that mentally fit,terminally ill patients can be helped to end their lives if that is their wish.But the right to die is just one part of better care at the end of life.The evidence suggests that most people want this option,but that few would,in the end,choose to exercise it.To give people the death they say they want,medicine should take some simple steps.More palliative care is needed.Providing it earlier in the course of advanced cancer alongside the usual treatments turns out not only to reduce suffering,but to prolong life,too.Most doctors enter medicine to help people delay death,not to talk about its inevitability.But talk they must.Medicare,America's public health scheme for the over-65s,has recently started paying doctors for in-depth conversations with terminally ill patients;other national health-care systems,and insurers,should follow.Cost is not an obstacle,since informed,engaged patients will be less likely to want pointless procedures.Fewer doctors may be sued,as poor communication is a common theme in malpractice claims. A ceniury ago,death was characterized as being_____A.quick B.slow C.medicalised D.peaceful

Text l How,when and where death happens has changed over the past century.As late as 1990 half of deaths worldwide were caused by chronic diseases;in 2015 the share was two-thirds.Most deaths in rich countries follow years of uneven deterioration.Roughly two-thirds happen in a hospital or nursing home.They often come after a ctimax of desperate treatment.Such passionate intervention can be agonising for all concerned.These medicalised deaths do not seem to be what people want.Polls find that most people in good health hope that,when the time comes,they will die at home.They want to die free from pain,at peace,and surrounded by loved ones for whom they are not a burden.But some deaths are unavoidably miserable.Not everyone will be in a condition to toast death's imminence with champagne,as Anton Chekhov did.What people say they will want while they are well may change as the end nears.Dying at home is less appealing if all the medical kit is at the hospital.A treatment that is unbearable in the imagination can seem like the lesser of two evils when the alternative is death.Some patients will want to fight until all hope is lost.But too often patients receive drastic treatment in spite of their dying wishes~by default,when doctors do"everything possible",as they have been trained to,without talking through people's preferences or ensuring that the prediction is clearly understood.The legalisation of doctor-assisted dying has been called for,so that mentally fit,terminally ill patients can be helped to end their lives if that is their wish.But the right to die is just one part of better care at the end of life.The evidence suggests that most people want this option,but that few would,in the end,choose to exercise it.To give people the death they say they want,medicine should take some simple steps.More palliative care is needed.Providing it earlier in the course of advanced cancer alongside the usual treatments turns out not only to reduce suffering,but to prolong life,too.Most doctors enter medicine to help people delay death,not to talk about its inevitability.But talk they must.Medicare,America's public health scheme for the over-65s,has recently started paying doctors for in-depth conversations with terminally ill patients;other national health-care systems,and insurers,should follow.Cost is not an obstacle,since informed,engaged patients will be less likely to want pointless procedures.Fewer doctors may be sued,as poor communication is a common theme in malpractice claims. The last paragraph suggests that Medicare's move may____.A.build doctor-patient harmony B.reduce the cost for Medicare C.lessen malpractice claims D.encourage pointless procedures

共用题干第三篇Global Cancer Rates to Rise by 50% by 2020The number of new cancer cases worldwide is expected to increase by 50%by the year 2020.But a new report suggests that as many as a third of new cancers could be avoided by adopting healthier lifestyles and through public health action.The World Cancer Report,released by the International Agency for Research on Cancer,shows that cancer has now emerged as a major public health threat in developing countries as well as rich ones.Overall,cancer was responsible for 12%of all deaths in 2000.But in many countries more than a quarter of all deaths are caused by cancer.The report shows that 1 0 million new cancers were diagnosed globally in 2000,and that number is expected to rise to 15 million by 2020.Researchers say most of that increase will mainly be due to steadily aging populations in both developed and developing countries and current trends in smoking and other unhealthy habits."Cancer has emerged as a major public health problem in developing countries for the first time, matching its effect in industrialized（工业化的）countries , " said researcher Paul Kleihues,MD,director of IARC,in a news release."Once considered a'Western' disease,the Report highlights that more than 50 percent of the world's cancer burden,in terms of both numbers of cases and deaths,already occurs in developing countries."The risk of being diagnosed with cancer in developed countries is double that in less-developed ones.However,the risk of dying from cancer is much higher in developing countries , where 80% of cancer patients already have late-stage incurable tumors（肿瘤） at the time of diagnosis.Researchers say cancer rates have traditionally been higher in developed countries due to greater exposure to tobacco,occupational carcinogens（致癌物）,and an unhealthy Western diet and lifestyle.As less-developed countries become industrialized and more prosperous,they tend to adopt the high-fat diet and low physical activity levels typically seen in the West,which increase cancer rates. The report says that steps could be taken to reduce aboutA:50% of new cancers. B:33% of new cancers.C:12% of new cancers. D:80% of new cancers.

共用题干第三篇Global Cancer Rates to Rise by 50% by 2020The number of new cancer cases worldwide is expected to increase by 50%by the year 2020.But a new report suggests that as many as a third of new cancers could be avoided by adopting healthier lifestyles and through public health action.The World Cancer Report,released by the International Agency for Research on Cancer,shows that cancer has now emerged as a major public health threat in developing countries as well as rich ones.Overall,cancer was responsible for 12%of all deaths in 2000.But in many countries more than a quarter of all deaths are caused by cancer.The report shows that 1 0 million new cancers were diagnosed globally in 2000,and that number is expected to rise to 15 million by 2020.Researchers say most of that increase will mainly be due to steadily aging populations in both developed and developing countries and current trends in smoking and other unhealthy habits."Cancer has emerged as a major public health problem in developing countries for the first time, matching its effect in industrialized（工业化的）countries , " said researcher Paul Kleihues,MD,director of IARC,in a news release."Once considered a'Western' disease,the Report highlights that more than 50 percent of the world's cancer burden,in terms of both numbers of cases and deaths,already occurs in developing countries."The risk of being diagnosed with cancer in developed countries is double that in less-developed ones.However,the risk of dying from cancer is much higher in developing countries , where 80% of cancer patients already have late-stage incurable tumors（肿瘤） at the time of diagnosis.Researchers say cancer rates have traditionally been higher in developed countries due to greater exposure to tobacco,occupational carcinogens（致癌物）,and an unhealthy Western diet and lifestyle.As less-developed countries become industrialized and more prosperous,they tend to adopt the high-fat diet and low physical activity levels typically seen in the West,which increase cancer rates. Which of the following statements is NOT correct?A:There were 1 0 million cancer patients worldwide in 2000.B:Generally,cancer accounted for 12% of all deaths in 2000.C:Cancer is the cause of over 25%of all deaths in many countries.D:It is expected that global cancer rates will go up by 50%by 2020.

共用题干第二篇 Chronic Diseases: The World's Leading KillerChronic diseases are the leading cause of death in the world.Yet health experts say these conditions are often the most preventable.Chronic diseases include heart disease, stroke,cancer,diabetes（糖尿病）and lung disorders.The World Health Organization says chronic diseases lead to about seventeen million early deaths each year.This United Nations agency expects more than three hundred eighty million people to die of chronic diseases by 2015.It says about eighty percent of the deaths will happen in developing nations.The WHO says chronic diseases now cause two-thirds of all deaths in the Asia-Pacific area,ln ten years it could be almost three-fourths.People are getting sick in their mosteconomically productive years.In fact,experts say chronic diseases are killing more middle-aged people in poorer countries than in wealthier ones.The WHO estimates that chronic diseases will cost China alone more than five hundred thousand million dollars in the next ten years.That estimate represents the costs of medical treatment and lost productivity.Russia and lndia are also expected to face huge economic losses.Kim Hak-Su is the head of the United Nations Economic and Social Commission for Asia and the Pacific.Last week in Bangkok he presented a WHO report on the problem.It says deaths from chronic diseases have increased largely as the result of economic gains in many countries.The report details the latest findings from nine countries.They include Brazil,Britain, Canada,China,India and Nigeria.The others are Pakistan,Russia and Tanzania.Mister Kim says infectious and parasitic（寄生的）diseases have until recently been the main killers in Asia and the Pacific.But he says they are no longer the major cause of death in most countries.Health officials say as many as eighty percent of deaths from chronic diseases could be prevented.They say an important tool for governments is to restrict the marketing of alcohol and tobacco to young people.Also,more programs are needed to urge healthy eating and more physical activity.UN officials aim through international action to reduce chronic-disease deaths by two percent each year through 2015.They say meeting that target could save thirty-six million lives.That includes twenty-five million in Asia and the Pacific.Until recently the main killers in Asia and the Pacific have beenA:economic gains.B: lost productivity.C:chronic diseases.D: infectious and parasitic diseases.

问答题More people die of tuberculosis than of any other disease caused by asingle agent. This has probably been the case in quite a while. During the　　　　 1．_______early stages of the industrial revolution, perhaps one in every seventh　　　　　　2．_______deaths in Europe’s crowded cities were caused by the disease.　From　　　　　　 3．_______now on, though, western eyes, missing the global picture, saw the trouble　　　　 4．_______going into decline. With occasional breaks for war, the rates of death andinfection in the Europe and America dropped steadily through the 19th and　　　　5．_______20th centuries. In the 1950s, the introduction of antibiotics strengthened thetrend in rich countries, and the antibiotics were allowed to be imported to 　　　 6．_______poor countries. Medical researchers declared victory and withdrew.　　They are wrong. In the mid-1980s the frequency of infections and deaths　　 7．_______started to pick up again around the world. Where tuberculosis vanished, it came　　8．_______back; in many places where it had never been away, it grew better. The World　　　 9．_______Health Organization estimates that 1.7 billion people (a third of the earth’spopulation) suffer from tuberculosis. Even when the infection rate was falling,population growth kept the number of clinical cases more or less constantly at 8　10．_______million a year. Around 3 million of those people died, nearly all of them in poorcountries.

Text l How,when and where death happens has changed over the past century.As late as 1990 half of deaths worldwide were caused by chronic diseases;in 2015 the share was two-thirds.Most deaths in rich countries follow years of uneven deterioration.Roughly two-thirds happen in a hospital or nursing home.They often come after a ctimax of desperate treatment.Such passionate intervention can be agonising for all concerned.These medicalised deaths do not seem to be what people want.Polls find that most people in good health hope that,when the time comes,they will die at home.They want to die free from pain,at peace,and surrounded by loved ones for whom they are not a burden.But some deaths are unavoidably miserable.Not everyone will be in a condition to toast death's imminence with champagne,as Anton Chekhov did.What people say they will want while they are well may change as the end nears.Dying at home is less appealing if all the medical kit is at the hospital.A treatment that is unbearable in the imagination can seem like the lesser of two evils when the alternative is death.Some patients will want to fight until all hope is lost.But too often patients receive drastic treatment in spite of their dying wishes~by default,when doctors do"everything possible",as they have been trained to,without talking through people's preferences or ensuring that the prediction is clearly understood.The legalisation of doctor-assisted dying has been called for,so that mentally fit,terminally ill patients can be helped to end their lives if that is their wish.But the right to die is just one part of better care at the end of life.The evidence suggests that most people want this option,but that few would,in the end,choose to exercise it.To give people the death they say they want,medicine should take some simple steps.More palliative care is needed.Providing it earlier in the course of advanced cancer alongside the usual treatments turns out not only to reduce suffering,but to prolong life,too.Most doctors enter medicine to help people delay death,not to talk about its inevitability.But talk they must.Medicare,America's public health scheme for the over-65s,has recently started paying doctors for in-depth conversations with terminally ill patients;other national health-care systems,and insurers,should follow.Cost is not an obstacle,since informed,engaged patients will be less likely to want pointless procedures.Fewer doctors may be sued,as poor communication is a common theme in malpractice claims. As people face dying,medicalised deaths would_____.A.arouse more of their curiosity B.incur more of their criticism C.raise more of their suspicion D.receive more of their support

共用题干第三篇Infection of AIDSAccording to a report of the World Health Organization,this year will see 2.6 million deaths from AIDS,the highest yearly international total since the disease began to take hold in the late 1970s, despite questionable antiretro-viral drugs（抗逆转录酶病毒药）that staved off AIDS deaths in the richer countries.As things stood,the number of deaths was likely to increase for many years before peaking. The report said about half of all people who acquired HIV become infected before they turned 25 and usually died before their 35th birthdays of AIDS,which destroys the body's immune methods.Although ninety-five percent of people with HIV live in the developing world,battling HIV rates was still a challenge in the developed countries of the West,where there are"very worrying facts" that safe sex practices are dropping among gays.While AIDS deaths in the United States dropped by 42 percent between 1996 and 1997,the figure dropped by only half that between 1997 and last year.The report added that in Eastern Europe and Central Asia,the number of infected people had risen by a third this year,to 360,000.This was mainly due to an increase in the use of infected needles to inject drugs in Russia and the Ukraine. More than 2,700 cases of HIV were reported in Moscow in the fitst nine months of this year.Although cases of HIV remain relatively low in the Middle East,increasing use of injected drugs accounted for two thirds of new HIV cases in Bahrian last year,half in Iran and more than a third in Tunisia.Which of the following is not stated in the passage?A:Nearly half of the people were infected with HIV before they were in their middle twenties.B:HIV is no longer threatening in Western countries.C:The majority of people carrying HIV live in developing countries.D:The peak of AIDS death has not arrived yet.

Text l How,when and where death happens has changed over the past century.As late as 1990 half of deaths worldwide were caused by chronic diseases;in 2015 the share was two-thirds.Most deaths in rich countries follow years of uneven deterioration.Roughly

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