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Major life changes may play a role in as many as a quarter of chronic daily headache cases that arise among otherwise healthy adult men and women, study findings suggest. "Major life events may precipitate or co-occur with the development of chronic daily headaches," Dr. Ann I. Scher said. Major life changes literally shake up our world, and invite or pressure us to interact with life in new ways. To grow, we need to change our belief systems to allow for new levels of thinking and performance. Scher, of Uniformed Services University, in Bethesda, Maryland, and colleagues assessed re ports of major life changes among 206 men and women who met criteria for chronic daily headache (180 or more headache days per year). They assessed similar reports from 507 men and women with "episodic" headache (2 to 104 headache days per year). The investigators assessed changes in work, marital status, children’s status, or residence; as well as deaths of family or close friends. They also inquired about self-defined "extremely stressful situations," such as financial problems, an ongoing individual illness or that of a family member, or an ongoing abusive relationship. Compared with men and women with episodic headache, men and women with chronic daily headache were more likely to have experienced major life events in the 2-year period prior to the onset of their headache condition, the researchers report in the medical journal Cephalalgia. The strongest predictor of chronic daily headache was an ongoing extremely stressful situation. The researchers also noted a higher proportion of chronic daily headache among people 40 years and older. In this group, "a change in work status was related to increased risk for chronic daily headache, while in contrast, those younger than 40 years showed a decreased risk for chronic daily headache after a job change," Scher told Reuters Health. These findings are generally consistent with prior research related to other chronic pain conditions, the investigators note. "Our finding that the relationship may be stronger for those older than 40 was an interesting, but secondary, finding that should be replicated in other samples," Scher said. From the passage, we know that chronic daily headache refers to______.
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Just under a year ago, a sharp drop in equatorial Pacific sea-surface temperature indicated the end of the 1997~1998 E1 Nino. Called by someone "the climate event of the century", it was by several measures the strongest on record. (41)______.This is more than simply an academic question: the 1997~1998 E1 Nino severely disrupted global weather patterns and Pacific marine ecosystems, and by one estimate caused ＄033 billion in damage and cost 23,000 lives worldwide. (42)______.Clearly we have much to learn from this experience.(43)______.Now E1 Nino more generally refers to a warming of the tropical Pacific basin that occurs roughly every three to seven years in association with a weakening of the trade winds. The opposite side of El Nino, La Nina, is characterized by stronger-than-normal trade winds and unusually cold sea-surface temperatures in the tropical Pacific. Both E1 Nino and La Nina are accompanied by swings in atmospheric pressure between the eastern and western Pacific. These swings are known as the Southern Oscillation. These phenomena are collectively referred to as ENSO or E1 Nino/Southern Oscillation.The general mechanisms underlying the ENSO involve large-scale ocean-atmosphere interactions and equatorial ocean dynamics. But each El Nino and La Nina is unique in the combination of its strength, duration and pattern of development. Irregularity in the ENSO cycle can be seen both in the record dating back to the middle of the 19th century, and in other supporting data, such as lake sediments, coral growth rings and tree rings, going back hundreds or even thousands of years. (44)______.Nonetheless, the 1997~1998 E1 Nino was an unusual one. It developed so rapidly that every month between June and December 1997 set a new monthly record high for sea-surface temperatures in the eastern equatorial Pacific. Anomalies (that is, deviations from normal) in December 1997 were the highest ever recorded along the Equator in the eastern Pacific. Moreover, before 1997~ 1998, the previous record-setting E1 Nino occurred in 1982~1983. (45)______.Several factors may have contributed to the strength of the 1997~1998 E1 Nino. One is chaos, which some theories invoke to account for the irregularity of the ENSO cycle. Nonlinear resonances involving ENSO and the seasonal cycle have received special attention, but other chaotic interactions may affect ENSO as well. In 1997~1998, events possibly acted together to produce an extraordinarily strong E1 Nino simply due to the underlying tendency towards chaos in the elimate system.[A] So in principle, it should not be surprising that an unusually strong E1 Nino occurs ever so often.[B] Identifying why it was so strong challenges our understanding of the physical mechanisms responsible for E1 Nino.[C] From that perspective, the strength of the 1997~1998 E1 Nino may be but one manifestation of a linkage between interannual and decadal climate variations in the Pacific.[D] These two "super E1 Ninos" were separated by only 15 years, compared with a typical 30~40 year gap between such events earlier in the 20th century.[E] E1 Nino, Spanish for "the child" (and specifically the Christ child), is the name Peruvian fisherman gave to coastal sea-temperature warnings that first appeared around Christmas time.[F] There were warnings of a coming E1 Nino before it occurred. But although many computer forecast models predicted that 1997 would be warm in the tropical Pacific up to three seasons in advance, none predicted the rapid development or ultimate intensity of the event before it began.[G] In association with the Pacific Decadal Oscillation, sea-surface temperatures have generally been higher in the tropical Pacific from the Mid-1970s. Since then, there have been more E1 Ninos than La Ninas. 41
For a wrong word, underline the wrong word and ,write the correct one in the blank provided at the end of the line. For a missing word, mark the position of the missing word with a "∧" sign and write the word you believe to be missing in the blank provided at the end of the line. For an unnecessary word, cross the unnecessary word with a slash "—" and put the word in the blank provided at the end of the line. The term "formal learning" is used in this paper to refer to all learningwhich takes place in the classroom, without regard to such learning is (1)______performed by conservative or progressive ideologies. "In formal learning",on the other hand, is used to referring to learning which takes place outside (2)______the classroom. These definitions provide the essential, though by all means sole, (3)______difference between the two modes of learning. Formal learning is separatedfrom daily life and, indeed, as Scribner and Cole(1973.. 553) have observed,may actually "promote ways of learning and thing which often run counter on (4)______those nurtured in practical daily life." A characteristic feature of formallearning is the centrality of activities which are not closely paralleled byactivities outside the classroom. The classroom can prepare for, draw, and (5)______imitate the challenges of adult life outside the classroom, but it cannot, by itsnature, consist of these challenges. In doing this, language plays a crucial role as the major channel forinformation exchange. "Success" in the classroom requires a student tomaster this abstract signal. As Berstein noted, the language of the classroom (6)______is more similar to the language used by middle-class families than that used byworking-class families. Middle class children thus find it easier to acquire thelanguage of the classroom than their working-class peers. Informal learning is transmitted by teachers selected to conduct this role. (7)______Informal learning is acquired as natural part of a child’s socialization. Adultsor older children who are proficient at the skill or activity provide—sometimes (8)______unintentionally—target models of behavior in the course of everyday activity.Informal learning, however, can take place at any time and is not subject by (9)______the limitations imposed by institutional timetabling. (10)______
Florence Nightingale is most remembered as a pioneer of nursing and a reformer of hospital sanitation methods. For most of her ninety years, Nightingale pushed for reform of the British military health-care system and with that the profession of nursing started to gain the respect it deserved. Unknown to many, however, was her use of new techniques, of statistical analysis, such as during the Crimean War when she plotted the incidence of preventable deaths in the military. She developed a method to prevent the needless deaths caused by unsanitary conditions and the need for reform. With her analysis, Florence Nightingale revolutionized the idea that social phenomena could be objectively measured and subjected to mathematical analysis. She was an innovator in the collection, interpretation, and display of statistics. Florence Nightingale’s two greatest life achievements-pioneering of nursing and the reform of hospitals-were amazing considering that most Victorian women of her age group did not attend universities or pursue professional careers. It was her father, William Nightingale, who believed women, especially his children, should get an education. So Nightingale and her sister learned Italian, Latin, Greek, history, and mathematics. She in particular received excellent early preparation in mathematics. During Nightingale’s time at Scutari, she collected data and systematized record-keeping practices. Nightingale was able to use the data as a tool for improving city and military hospitals. Nightingale’s calculations of the death rate showed that with an improvement of sanitary methods, deaths would decrease. In February, 1855, the death rate at the hospital was 42.7 percent of the cases treated. When Nightingale’s sanitary reform was implemented, the death rate declined. Nightingale took her statistical data and represented them graphically. As Nightingale demonstrated, statistics provided an organized way of learning and lead to improvements in medical and surgical practices. She also developed a Model Hospital Statistical Form for hospitals to collect and generate consistent data and statistics. She became a Fellow of the Royal Statistical Society in 1858 and an honorary member of the American Statistical Association in 1874. Karl Pearson acknowledged Nightingale as a "prophetess" in the development of applied statistics. What does the word "sanitation" mean in the passage
Most worthwhile careers require some kind of specialized training. Ideally, therefore, the choice of an (1) should be made even before the choice of a curriculum in high school. Actually, (2) , most people make several job choices during their working lives, (3) because of economic and industrial changes and partly to improve (4) position. The "one perfect job" does not exist. Young people should (5) enter into a broad flexible training program that will (6) them for a field of work rather than for a single (7) .Unfortunately many young people have to make career plans (8) benefit of help from a competent vocational counselor or psychologist. Knowing (9) about the occupational world, or themselves for that matter, they choose their lifework on a hit-or-miss (10) .Some drift from job to job. Others (11) to work in which they are unhappy and for which they are not fitted.One common mistake is choosing an occupation for (12) real or imagined prestige. Too many high school students-or their parents for them-choose the professional field, (13) both the relatively small proportion of workers in the professions and the extremely high educational and personal (14) . The imagined or real prestige of a profession or a "white collar" job is (15) good reason for choosing it as life’s work. (16) , these occupations are not always well paid. Since a large proportion of jobs are in mechanical and manual work, the (17) of young people should give serious (18) to these fields.Before making an occupational choice, a person should have a general idea of what he wants (19) life and how hard he is willing to work to get it. Some people desire social prestige, others intellectual satisfaction. Some want security, others are willing to take (20) for financial gain. Each occupational choice has its demands as well as its rewards. 8（）
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