If parents are not careful, children tend to neglect their homework.

A . excessive strain is placed on the shorter leg B . the shorter leg may fail C . the longer leg is slack D . All of the above

A . are available for B . is available to C . are available to D . is available for

A . Buyer Organization B . Default Organization C . No Organization D . Root Organization E . Seller Organizatio

A . family B . kinship C . sibling D . relative

A . mold to develop on commodities B . malfunction of the refrigeration equipment C . contamination of the insulation in the space D . All of the above

A．are too selfish B．do everything as others do C．are not greedy enough D．don"t get a right degree

A．Follow your family． B．Follow your friends． C．Follow your hosts． D．Follow your guests．

At Beth Israel each patient is assigned to a primary nurse who visits at length with the patient and constructs a full-scale health account that covers everything from his medical history to his emotional state. Then she writes a care plan centered on the patient's illness but which also includes everything else that is necessary. The primary nurse stays with the patient through his hospitalization, keeping track with his progress and seeking further advice from his doctor. If a patient at Beth Israel is not responding to treatment, it is not uncommon for his nurse to propose another approach to his doctor. What the doctor at Beth Israel has in the primary nurse is a true colleague. Nursing at Beth Israel also involves a decentralized nursing administration; Every floor, every unit is a self-contained organization. There are nurse-managers instead of head nurse; in addition to their medical duties they do all their own hiring and dismissing, employee advising, and they make salary recommendations. Each unit's nurses decide among themselves who will work what shifts and when. Beth Israel's nurse-in-chief ranks as an equal with other vice presidents of the hospital. She also is a member of the Medical Executive Committee, which in most hospitals includes only doctors. Which of the following best characterizes the main feature of the nursing system at Beth Israel Hospital？ () A．The doctor gets more active professional support from the primary nurse. B．Each patient is taken care of by a primary nurse day and night. C．The primary nurse writes care plans for every patient. D．The primary nurse keeps records of the patient's health conditions every day.

A．.if B．.that C．.whether D．.what

对 错

对 错

对 错

是 否

A、They are used by all plants and animals to tell time. B、Pigeons&39; biological clocks are regulated every day with the sunrise. C、The built-in biological clocks cannot be changed. D、They gradually developed as pigeons grow mature.

The shift, little noticed outside the medical establishment but already controversial inside it, suggests that doctors are starting to redefine their roles, from being concerned exclusively about individual patients to exerting influence on how healthcare dollars are spent. In practical terms, the new guidelines being developed could result in doctors choosing one drug over another for cost reasons or even deciding that a particular treatment-at the end of life, for example-is too expensive. In the extreme, some critics have said that making treatment decisions based on cost is a form. of rationing. Traditionally, guidelines have heavily influenced the practice of medicine, and the latest ones are expected to make doctors more conscious of the economic consequences of their decisions, even though there’s no obligation to follow them. Medical society guidelines are also used by insurance companies to help determine reimbursement(报销)policies. Some doctors see a potential conflict in trying to be both providers of patient care and financial overseers. "There should be forces in society who should be concerned about the budget, but they shouldn’t be functioning simultaneously as doctors," said Dr. Martin Samuels at a Boston hospital. He said doctors risked losing the trust of patients if they told patients, "I’m not going to do what I think is best for you because I think it’s bad for the healthcare budget in Massachusetts." Doctors can face some grim trade-offs. Studies have shown, for example, that two drugs are about equally effective in treating macular degeneration, an eye disease. But one costs $50 a dose and the other close to $2,000. Medicare could save hundreds of millions of dollars a year if everyone used the cheaper drug. Avastin, instead of the costlier one, Lucentis. But the Food and Drug Administration has not approved Avastin for use in the eye, and using it rather than the alternative, Lucentis, might carry an additional, although slight, safety risk. Should doctors consider Medicare’s budget in deciding what to use？ "I think ethically(在道德层面上)we are just worried about the patient in front of us and not trying to save money for the insurance industry or society as a whole," said Dr. Donald Jensen. Still, some analysts say that there’s a role for doctors to play in cost analysis because not many others are doing so. "In some ways," said Dr. Daniel Sulmasy, "it represents a failure of wider society to take up the issue." 57.What do some most influential medical groups recommend doctors do？ A.Reflect on the responsibilities they are supposed to take. B.Pay more attention to the effectiveness of their treatments. C.Take costs into account when making treatment decisions. D.Readjust their practice in view of the cuts in health care. 58.What were doctors mainly concerned about in the past？ A.Specific medicines to be used. B.Professional advancement. C.Effects of medical treatment. D.Patients’ trust. 59.What may the new guidelines being developed lead to？ A.The redefining of doctors’ roles. B.Conflicts between doctors and patients. C.Overuse of less effective medicines. D.The prolonging of patients’ suffering. 60.What risk do doctors see in their dual role as patient care providers and financial overseers？ A.They may be involved in a conflict of interest. B.They may be forced to divide their attention. C.They may have to use less effective drugs. D.They may lose the respect of patients. 61.What do some experts say about doctors’ involvement in medical cost analysis？ A.It may add to doctors’ already heavy workloads. B.It will help to save money for society as a whole. C.It results from society’s failure to tackle the problem. D.It raises doctors’ awareness of their social responsibilities.