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Weweighbenefitsofmedicationsversusthecomplexityofaddingonemoredrugtohercrowdedpill1Ifyouansweredno,you'renotalone.Whenyouropinionsareshared,youwillfindmorepotentialaboutyou.Yourvaluesandneedsmayalsovaryfromoneappointmenttothenext.Thetruedifferencereliesonwhatyouunderstandinsteadofwhatyousee.Ayearfromnowaftergraduation,we'llrevisittheconversation,ashigoalsandneedsmaybedifferent.TheMostImportantThingYou'reNotDiscussingwithYourDoctorShareddecisionmakingrequiresyoutobeanactiveparticipant.PoliticiansandpolicymakersarediscussingwhatpartsoftheAffordableCareActtochangeandwhattokeep.Whilemostofushavelittlecontroloverthosediscussions,thereisonehealthcaretopicthatwecancontrol:whatwetalkaboutwithourdoctor.TheInstituteofMedicine(IOM)releasedthelandmarkpublicationCrossingtheQualityChasm15yearsago.ThereportproposedsixaimsforimprovementintheU.S.healthsystem,identifyingthathealthcareshouldbepatient-centered,safe,effective,timely,efficientandequitable.Theideathathealthcareshouldbepatient-centeredsoundsobvious,butwhatdoesthatmean?TheIOMdefinesitascarethatis“respectfulofandresponsivetoindividualpatientpreferences,needs,andvalues”andthatensures“patientvaluesguideallclinicaldecisions.”Forthistotrulyhappen,doctors'appointmentsneedtocovermoretopicsthanhowoneisfeelingandwhatcanbedone.Doesyourdoctorknowyourvalues?66Fewerthanhalfofpeoplereportthattheirphysicianorotherhealthcareproviderasksabouttheirgoalsandconcernsfortheirhealthandhealthcare.Yourdoctorcandiscussmedicaltestsandtreatmentswithoutknowingyourlifegoals,butsharingyourvaluesandneedswithyourdoctormakesdiscussionsanddecisionsmorepersonalizedandmayleadtobetterhealth.Howdoespatient-centeredcarehappen?Inorderforyourhealthcaretocenteraroundyou,yourdoctorneedstoknowyourvalues,preferencesandneeds.Everyoneisdifferent.67Asaneurologist,whenI'mworkingwitha76-year-oldwidowwhosemaingoalistoremainindependentinherhome,weframehercareinthatcontext.68Wediscusshowawalkerhelpsherbemoreindependentratherthanless,asshecanmovearoundherhomemoresafely.Whenastressedcollegestudentcomestomyofficeforabothersometremor,hispreferenceistoavoidmedicationsthathemightforgettotakeorthatmightharmhisschoolperformance.Thisguidesourdiscussionoftheprosandconsofdifferentoptions,includingusingmedicationsbutalsodoingnothing,anoptionthatalmosthalfofpatientsfeelstronglyshouldalwaysbediscussed.69Insharingtheirvaluesandgoalswithme,theseindividualsenabledahealthcareapproachthatrespectedtheirneedsandalsorespondedtotheirlifecircumstances.SummaryWritingDirections:Readthefollowingpassage.Summarizethemainpoint(s)ofthepassageinnomorethan60words.Useyourownwordsasfaraspossible.ToLaughIsHumanMostofusdon'tknowwhywelaughatsomejokesandnotatothers.Scientistsknowthatweareabletolaughatbirth.Babiesbegintolaughatthreetofourmonthsofage,wellbeforetheyproducetheirfirstwords.Whatscientistsareinterestediniswhywelaugh.Scientistsbelievehumanslaughwithothersprimarilybecauseitmakesusfeelconnectedwithoneanother,whichinturngivesusasenseoftrustandcomfort.Toscientists,laughterisanunconsciousreaction:consequently,whenwelaugh,otherscanbecertainthatitisanhonestreaction,andhonestyiskeywhenbuildingandmaintainingfriendships.Sincelaughterisseenasasocialsignalthatwesendtoothers,itcanalsohelpexplainwhyitissoinfectious.Studieshaveproventhatwhenpeopleseeorhearsomethingfunny,theyare20timesmorelikelytolaughwhentheyarewithothersthanwhentheyarealone.Wantingtobeacceptedbyothersispartofhumannature.Andmirroringotherpeople'slaughterissaignwaalytotoothersthatyoufeelthewaytheydo,whichmakesusfeelmoreconnectedwithoneanother.Humanshavenotalwayslaughedjustsotheycanfeelclosertoothers,however.Scientistspointoutthatthissocialfunctionoflaughterwasbornoutofanevenmorefundamentalhumanneed.Laughter,theybelieve,cameaboutbecauseitcontributedtoourverysurvivalasaspecies.Scientistsassumethatsharinglaughterensuredourancestorsahighersurvivalratebecauseitledtogreatercooperationbetweenindividuals.Humanslearnedquicklythatgreatercooperationledtosurvival,andthebraininturnrealizedthatlaughingwithothersincreasedoutchancesoffindingpeopletocooperate,hunt,eat,live,andeventually,survivewith.TranslationDirections:TranslatethefollowingsentencesintoEnglish,usingthewordsgiveninthebrackets.少喝含糖的饮料,否则你会容易发胖。(or)在法庭上,他坚持自己没犯抢劫罪。(guilty)你是不是同意,在心情愉快的时候,总会有创意出现?(occur)当谈到办公室冲突的时候,专家建议应更多地反思自己,更多地换位思考,并及时与同事沟通。(Whenitcomesto)GuidedWritingDirections:WriteanEnglishcompositionin120-150wordsaccordingtotheinstructionsgivenbelowinChinese.假设你是明启中学的学生王磊,你校计划引进一个机器人担任餐厅服务员或者图书馆管理员,并在英语贴吧征求学生意见,你很感兴趣,决定回帖响应,你所写的内容应包括:你认为机器人适合担任的一个岗位,二选一;通过比较,闸述你选择的理由,可以从工作效率、服务范围等方面进行表述。参考答案GrammarandVocabulary(共20分。每小题1分)21.do22.less23.hadspent24.Nowthat25.how26.in27.Tobe/Being28.emptied29.tosee30.where31-35DBFKH36-40ECAGIReadingComprehension(共45分。41-55每题1分;56-70每题2分)41-45BABDC46-50CADBD51-55CADCB56-60CBBAC61-65ADCCB66-70CBDAFSummaryWriting(共10分)Possibleversion1Scientiststhinkhumansarebornwiththeabilitytolaugh,butwhydowelaugh?Welaughtofeelclosertooneanother.Laughterhelpsustoberecognizedsowelaughmoreingroupsthanwhenalone.Laughteralsoevolvedfromamorebasicneedtosurviveasitpromotedcooperation,enablinghumanstosurvivebetter.Possibleversion2Laughterisunconscious,infectiousandbasic.Itbringsusatrustworthy,comfortableandhonestfeeling,thusbettermaintainingfriendships.Chancesarethatwelaughmorewithothersaround,contributingtopromptingrecognitionandfeelingmoreconnectedwithoneanother.Scientistsassurethatlaughterresultedingreatercooperationbetweenindividualsinancienttimes,asbettercooperationleadstosurvival.Possibleversion3Wewerebornwiththeabilitytohelpandscientiststhinkthereasonwhywelaughisthatwefeelconnectedwithothersandwewanttoberecognizedbyothers.Besides,laughterhelpspeopletocooperatetosurvivewith.V.Translation(共15分。第1小题和第2小题,每题3分;第3题4分;第4题5分)Don'tdrinktoomuchsugarydrinks/sugaredbeverages,oritiseasyforyoutogainweight.Heinsistedthathewasn'tguiltyofrobbing/robberyincourt.Doyouagreecreativityalwaysoccurswhenyouareinagoodmood?Whenitcomestoofficeconflicts,expertssuggestoneshouldreflectmoreonherself/himself,alwaysputthemselvesinothers'shoes,andcommunicatewithworkmatesintime.GuidedWriting(共25分)Dearheadmaster,SoappealingisyourplantointroducearobottoourschoolthatIdecidetorespondtoyouraskingforproposals.Frommyperspective,arobotismoresuitableforthepositionoflibrarian.Withregardtotherangeofservice,alibrarianneedsnotonlytoclassifydifferentkindsofbooks,putandfindthemintherightorderontherightshelfbutalsokeeparecordofwhatbooksareborrowedandreturned,whilebeingawaiterinarestaurantinvolvesservingtherightdishestotherighttable,dosomecleaningandcommunicatingwiththediners.Arobotcanaccomplishthreeorfourlibrarians'work
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