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During the past 30 years or so, health care has increasingly become a form of business. In addition, the environment surrounding health care has been greatly altered by the advent of more sophisticated medical technologies and increased specialization. It is no longer true to say that doctors regard their profession as a sacred calling, and while the doctor-patient relationship still remains, it is not the relationship based solely on trust which it used to be. Of course there are many doctors who have endeavored to increase the transparency of their behavior as medical professionals, and patients can receive effective treatment when such doctors work closely together and share notes. An example of such cooperation can be found in the field of remote health care, which has been introduced on an experimental basis in several regions. Since most medical specialists live in cities, patients who live in the country have to travel a long distance to consult a specialist. This is especially hard on the elderly, both financially and physically. Through a computer network, patients who live in the country can consult a medical specialist in the city, tell him their symptoms, and receive advice without the need for a journey to the specialist"s office. Also, with several doctors being assigned to a single patient, the transparency of each doctor"s behavior is further ensured. On the other hand, however, it is also true that remote health consultation is not generally regarded as a form of medical treatment. For any sort of consultation to be regarded as medical treatment, most people feel that the patient must actually visit the doctor, and undergo an examination by the doctor in person. Remote health care is essentially a means for doctors to work as a team. In order for this to be practicable, it is important to establish a system whereby financial support can be extended to a doctor who, as a member of a medical team, provides only information. Establishment of such a system will further advance the cause of" free access to information" in the health care field. The writer urges that______.
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Researchers at Yale University Medical School and the Olin Neuropsychiatry Research Center at the Institute of Living in Hartford, Conn., have taken a pretty good look at what happens in the brain of a drunken driver. And it isn"t pretty. Using【C1】______scans, the scientists compared the neural activity that【C2】______on and off like lights on a police car as both sober【C3】______game. The maps of activity in different areas of the brain【C4】______in new detail the impact that drinking has on a complicated【C5】______task such as driving. "No one had seen that in a scanner【C6】______." said Dr. Godfrey Pearlson, a Yale psychiatrist and director of the Olin Center. Pearlson and Vince Calhoun, a researcher at Yale and Olin, first conducted brain scans on【C7】______drivers as they played the driving simulation game and then as they watched others play the game. Those scans gave the researchers a baseline of【C8】______activity in the unimpaired driver. Subjects were then given a low dose or a high dose of booze—enough to get their blood alcohol content to either 0.04 percent or 0.10 percent. An inebriated driver often will speed because alcohol has affected the cerebellum, a primitive area of the brain involved in【C9】______function, the researchers found. But drunken drivers【C10】______in and out of traffic because of errors in the front parietal cortex, which translates sensory information and helps in the decision-making process, Pearlson said. Drinking did not seem to change activity in five other areas of the brain associated with driving, such as vision centers, the researchers found. But to the surprise of no one, the more the subjects drank, the more trouble they had with their driving. 【C1】
"I got cancer in my prostrate." Detective Andy Sipowicz of the fictional 15th Precinct, a stoic, big bear of a man, is clearly in a world of pain in a 1998 episode of NYPD Blue. The story line deals not only with cancer but also with medical screw-ups, hospital indignities and physician arrogance. Themalapropism(Andy, of course, meant "prostate")is about the only medical detail the show got wrong— and it was deliberate, in keeping with Sipowicz"s coarse but tenderhearted character. Television, which can still depict death as an event akin to fainting, is beginning to try harder to get its health information right. And a handful of foundations and consultants are working to get the attention of writers, producers and assorted Hollywood moguls, trying to convince them that, in the area of medicine, the truth is as compelling as fiction. The stakes are high. Surveys show a surprising number of Americans get much of their basic health information not from their doctors, not even from newspapers or news magazines, but from entertainment television. A survey by the federal Centers for Disease Control and Prevention found that among people who watch soap operas at least twice a week — more than 38 million people — about half learned something about disease and its prevention from the daytime serials. Some 7 percent actually visited a doctor because of something they viewed. Certain television shows are naturals for health education. The Clinton administration has been quick to recognize the potency of the entertainment media as a health promoter. Secretary Donna Shalala, whose Department of Health and Human Services educates the public through traditional brochures and public service announcements, has offered TV writers the sources of her department to help them ensure accuracy. "Entertainment television reaches the hearts and minds of millions of Americans," she told U.S. News. "In recent years, I have challenged television talk-show hosts, writers, and producers — as professionals, parents, and citizen — to use this incredible power to help Americans get accurate public health information." The author would be in favor of______.
Children are getting so fat they may be the first generation to die before their parents, an expert claimed yesterday. Today"s youngsters are already falling prey to potential killers such as diabetes because of their weight. Fatty fast-food diets combined with sedentary lifestyles dominated by televisions and computers could mean kids will die tragically young, says Professor Andrew Prentice, from the London School of Hygiene and Tropical Medicine. At the same time, the shape of the human body is going through a huge evolutionary shift because adults are getting so fat. Here in Britain, latest research shows that the average waist size for a man is 36-38in and may be 42-44in by 2032. This compares with only 32.6 in in 1972. Women"s waists have grown from an average of 22 inches in 1920 to 24 inches in the Fifties and 30 inches now. One of the major reasons why children now are at greater risk is that we are getting fatter younger. In the UK alone, more than one million under-16s are classed as overweight or obese — double the number in the mid-Eighties. One in ten four-year-olds are also medically classified as obese. The obesity pandemic—an extensive epidemic—which started in the US, has now spread to Europe, Australia, Central America and the Middle East. Many nations now record more than 20 per cent of their population as clinically obese and well over half the population as overweight. Prof Prentice said the change in our shape has been caused by a glut of easily available high-energy foods combined with a dramatic drop in the energy we use as a result of technology developments. He is not alone in his concern. Only last week one medical journal revealed how obesity was fuelling a rise in cancer cases. Obesity also increases the risk factor for strokes and heart disease. An averagely obese person"s lifespan is shortened by around nine years while a severely obese person by many more. Prof Prentice said: "So will parents outlive their children, as claimed recently by an American obesity specialist" The answer is yes—and no. Yes, when the offspring become grossly obese. This is now becoming an alarmingly common occurrence in the US. Such children and adolescents have a greatly reduced quality of life in terms of both their physical and psychosocial health. So say No to that doughnut and burger. Which statement is TRUE
Researchers at Yale University Medical School and the Olin Neuropsychiatry Research Center at the Institute of Living in Hartford, Conn., have taken a pretty good look at what happens in the brain of a drunken driver. And it isn"t pretty. Using【C1】______scans, the scientists compared the neural activity that【C2】______on and off like lights on a police car as both sober【C3】______game. The maps of activity in different areas of the brain【C4】______in new detail the impact that drinking has on a complicated【C5】______task such as driving. "No one had seen that in a scanner【C6】______." said Dr. Godfrey Pearlson, a Yale psychiatrist and director of the Olin Center. Pearlson and Vince Calhoun, a researcher at Yale and Olin, first conducted brain scans on【C7】______drivers as they played the driving simulation game and then as they watched others play the game. Those scans gave the researchers a baseline of【C8】______activity in the unimpaired driver. Subjects were then given a low dose or a high dose of booze—enough to get their blood alcohol content to either 0.04 percent or 0.10 percent. An inebriated driver often will speed because alcohol has affected the cerebellum, a primitive area of the brain involved in【C9】______function, the researchers found. But drunken drivers【C10】______in and out of traffic because of errors in the front parietal cortex, which translates sensory information and helps in the decision-making process, Pearlson said. Drinking did not seem to change activity in five other areas of the brain associated with driving, such as vision centers, the researchers found. But to the surprise of no one, the more the subjects drank, the more trouble they had with their driving. 【C4】
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