试卷名称:医学博士外语模拟试卷32

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Please read the following article in Chinese carefully, and then write a summary of 200 words in English on the ANSWER SHEET. Make sure that you cover all the major points of the article. 现代医院是向伤病员提供医疗服务的众多机构之一,是人们最熟悉的,、当然也是最复杂的机构。现代医院与过去的医院几乎没有什么相似之处。医学科学的进步给医疗服务领域带来了实质性的革命,为病人提供的服务质量有所提高,医疗卫生从业人员的职业需求有所增长:人们治疗伤病的方法种类增多。多年之前,从事医疗工作的人只能选择当医生、当牙医,或是在医院当管理人员,现在,可以在几百个与健康相关的职业中进行挑选。 一个现代化的医院需要配备经过多种专业训练的人员,这样才能为病人提供充分的服务。许多人时常忘记病人的多种需求,有人需要喂饭,有人负责医疗记录,有人负责清洁卫生,有人负责洗衣服。此外,还要有人负责人事工作,这些只是需要医务人员高效、妥善完成的无数工作中的一部分。医院过去并不那么复杂。印度公元四世纪就有医院。与其说是医院,倒不如说是病人疗养所,病人或者在那里康复,或者在那里死去。在古希腊和罗马,人们常常把寺庙用做医院。这些早期的医院是干净的、令人愉快的场所,但不留意病人的身体情况。医院这个名字实际上是来自拉丁文hospitium,意为“接待来客的地方”。英语单词hotel和hostel也出自同一词根。 在中世纪,教会担当了照顾病人的责任。医院仍旧被用做休息场所,但却逐渐声名狼藉。人们开始把那儿看成是污秽和死亡之地,设法避开它。难怪刚到新大陆的美国移民不想建立医院。直到1713年,William Penn才在费城定居区建立了第一家社区医院。 在19世纪,医学的进步改变了这一切。Louis Pasteur提供了细菌理论,Florence Nightingale使护理成为一项令人尊敬的职业。此后,世界各地医院数量显著增加。到1873年,仅美国就有近200家医院,现在则有7000多家。 医院的种类很多,最常见的是普通或社区医院。它能治疗不同年龄的病人及无数内科疾病和外伤。大多数病人的病是急性的,通常住医院时间不超过一周。 其他医院提供更专门化的治疗。有些医院治疗慢性疾病,并提供长期护理设施。有些医院只接收某一年龄段的病人,如儿童;或只接收患某种特殊疾病的患者,如结核病。 医院也可根据其财政来源来分类。世界上绝大多数医院由所在国政府负担经费。美国则不同,只有军队医院和一些专科医院由联邦政府、州或当地政府经营。美国的医院一般是私立的、非营利的机构。这些由个人赞助的医院通常附属于某些大学或宗教机构。其运转开支,部分来自政府的补助金,绝大部分收入来自个人的捐助和赠予。  

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W: Look outside and see how beautiful the snow is. M: So we did get snow after all. Q: What had the man assumed? The woman doesn’t like cold weather. The snow would get dirty quickly. It wouldn’t snow. All the snow would melt.
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If a mother pushes her small son in a swing, giving only a light force each time he returns, eventually he will be swinging quite high. The child can do this for himself by using his legs to increase the motion, but both the mother’s push and the child’s leg movements must occur at the proper moment, or the extent of the swing will not increase. In physics, increasing the swing is increasing the amplitude; the length of the rope on the swing determines its natural oscillation period. This ability of an object to move periodically or to vibrate when stimulated by a force operating in its natural period is called resonance. Resonance is observed many times without consciously thinking about it; for example, one may find an annoying vibration or shimmy in an automobile, caused by a loose engine mount vibrating with increasing amplitude because of an out-of-round tire. The bulge on the tire slaps the pavement with each revolution; at the natural resonance point of the engine mount, it will begin to vibrate. Such vibrations can result in considerable damage if allowed to persist. Another destructive example of resonance is the shattering of a crystal goblet by the production of a musical tone at the natural resonant point of goblet. The energy of the sound waves causes vibration in the glass; as its amplitude increases, the motion in the glass exceeds the elasticity of the goblet, and it shatters. An instrument called a tachometer makes use of the principle of resonance. It consists of many tiny bars, loosely fastened together and arranged so that each bar can slide independently of the others. Movement of the bars causes changes in a dial. When placed next to a rotating motor or engine, the tachometer picks up slight vibrations which are transferred to the resonant bars. These bars begin to move, and the resulting dial may be read to find the revolutions per minute of the motor very quickly.
Since the first brain scanner was constructed several years ago, computed tomography or computed medical imagery, has become fairly widely used. Its rapid acceptance is due to the fact that it has overcome several of the drawbacks of conventional X-ray technology. To begin with, conventional two-dimensional X-ray pictures cannot show all of the information contained in a three-dimensional object. Things at different depths are super imposed, causing confusion to the viewer. Computed tomography can give three-dimensional information. The computer is able to reconstruct pictures of the body’s interior by measuring the varying intensities of X-ray beams passing through sections of the body from hundreds of different angles. Such pictures are based on series of thin “slices“. In addition, conventional X-ray generally differentiates only between bone and air, as in the chest and lungs. They cannot distinguish soft tissues or variations in tissues. The liver and pancreas are not discernible at all, and certain other organs max only be rendered visible through the use of radio paque dye. Since computed tomography is much more sensitive, the soft tissues of the kidneys or the liver can be seen and clearly differentiated. This technique can also accurately measure different degrees of X-ray absorption, facilitating the study of the nature of tissue. A third problem with conventional X-ray methods is their inability to measure quantitatively the separate densities of the individual substances through which the X-ray has passed. Only the mean absorption of all the tissues is recorded. This is not a problem with computed tomography. It can accurately locate a tumor and subsequently monitor the progress of radiation treatment, so that in addition to its diagnostic capabilities, it can play a significant role in therapy.
When imaginative men turn their eyes towards space and wonder whether life exists in any part of it, they may cheer themselves by remembering that life need not resemble closely the life that exists on Earth. Mars looks like the only planet where life like ours could exist, and even this is doubtful. But there may be other kinds of life based on other kinds of chemistry and they may multiply on Venus or Jupiter. At least we cannot prove at present that they do not. Even more interesting is the possibility that life on their planets may be in a more advanced stage of evolution. Present-day man is in a peculiar and probably temporary stage. His individual units retain a strong sense of personality. They are, in fact, still capable under favorable circumstances of leading individual lives. But man’s societies are already sufficiently developed to have enormously more power and effectiveness than the individuals have. It is not likely that this transitional situation will continue very tong on the evolutionary time scale. Fifty thousand years from now man’s societies may have become so close-knit that the individuals retain no sense of separate personality. Then little distinction will remain between the organic parts of the multiple organism and the inorganic parts(machines)that have been constructed by it. A million years further on man and his machines may have merged as closely as the muscles of the human body and the nerve cells that set them in motion. The explorers of space should be prepared for some such situation. If they arrive on a foreign planet that has reached an advanced stage(and this is by no means impossible), they may find it being inhabited by a single large organism composed of many closely cooperating units. The units may be “secondary“—machines created millions of years ago by a previous form of life and given the will and ability to survive and reproduce. They may be built entirely of metals and other durable materials, if this is the case, they may be much more tolerant of their environment multiplying under conditions that would destroy immediately any organism made of carbon compound and dependent on the familiar carbon cycle. Such creatures might be relics of a past age, many millions of years ago, when their planet was favorable to the origin of life or they might be immigrants from a favored planet.
M: Here I am. I’m lucky I made it to the exam on time. W: I can see you were in a hurry. You are wearing your sweater inside out. Q: What does the woman mean? The man hurried through the exam. The room is too warm for a sweater. The man will be late if he doesn’t hurry. The man put his sweater on the wrong way.
W: I have read your letter here. You seem to have done well at school. Can you tell me something about your school work? M: As you can see, my strongest subjects were art subjects. My best subject was history and my second best was geography. However, my favorite subject was math and the results I got in the math paper were quite reasonable. Q: According to the conversation, what subject is the man not strong in? History. Geography. Mathematics. Art.
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