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Passage 5 Can the Internet help patients jump the line at the doctor’s office The Silicon Valley Employers Forum, a sophisticated group of technology companies, is launching a pilot program to test online "virtual visits" between doctors at three big local medical groups and about 6,000 employees and their families. The six employers taking part in the Silicon Valley initiative, including heavy hitters such as Oracle and Cisco Systems, hope that online visits will mean employees won’t have to skip work to tend to minor ailments or to follow up on chronic conditions. "With our long commutes and traffic, driving 40 miles to your doctor in your hometown can be a big chunk of time," says Cindy Conway, benefits director at Cadence Design Systems, one of the participating companies. Doctors aren’t clamoring to chat with patients online for free; they spend enough unpaid time on the phone. Only 1 in 5 has ever E-mailed a patient, and just 9 percent are interested in doing so, according to the research firm Cyber Dialogue. "We are not stupid," says Stifling Somers, executive director of the Silicon Valley employers group. "Doctors getting paid is a critical piece in getting this to work." In the pilot program, physicians will get $ 20 per online consultation, about what they get for a simple office visit. Doctors also fear they’ll be swamped by rambling E-mails that tell everything but what’s needed to make a diagnosis. So the new program will use technology supplied by Healinx, an Alameda, Calif-based start-up. Healinx’ s "Smart Symptom Wizard" questions patients and. turns answers into a succinct message. The company has online dialogues for 60 common conditions. The doctor can then diagnose the problem and outline a treatment plan, which could include E-mailing a prescription or a face-to-face visit. Can E-mail replace the doctor’s office Many conditions, such as persistent cough, require stethoscope to discover what’s wrong and to avoid a malpractice suit. Even Larry Bonham, head of one of the doctor’s groups in the pilot, believes the virtual doctor’s visits offer a "very narrow" sliver of service between phone calls to an advice nurse and a visit to the clinic. The pilot program, set to end in nine months, also hopes to determine whether online visits will boost worker productivity enough to offset the cost of the service. So far, the Internet’s record in the health field has been underwhelming. The experiment is "a huge roll of the dice for Healing", notes Michael Barrett, an analyst at Internet consulting firm Forester Research. If the "Web visits" succeed, expect some HMOs (Health Maintenance Organizations) to pay for online visits. If doctors, employers, and patients aren’t satisfied, figure on one more E-health start-up to stand down. According to Paragraph 2, doctors are ______.
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Due to a constAntly ______ environment， a poor understanding of the user’s needs and preferences，as well as a ______ of willingness to modify ______ organizational structures and decision models，the full economic potential of Web Information Systems(WIS) has not been realized by now. The data object types of the ______ meta model，the Extended World Wide Web Design Technique(eW3DT)，provide hypertext designers ______ a conceptual，user-centric framework and graphical notation for the construction of both，______ and customized models， during the software development ______ of commercial WIS. A reference model as a normative concept represents an abstraction of a ______ company，its functional units， or its(Web) Information System and is intended to streamline the design and implementation of complex applications at ______costs. As precondition for pursuing a partial globalization strategy，eW3DT ______ between technical and content-specific responsibilities for designing， implementing， and maintaining WIS.
一个软件产品开发完成投入使用后，常常由于各种原因需要对它做适当的变更。在软件的使用过程中，软件原来的 (48) 可能不再适应用户的要求，需要进行变更；软件的工作环境也可能发生变化，最常见的是配合软件工作的 (49) 有变动；还有一种情况是在软件使用过程中发现错误，需要进行修正。通常把软件交付使用后做的变更称为 (50) 。软件投入使用后的另一项工作是 (51) ，针对这类软件实施的软件工程活动，主要是对其重新实现，使其具有更好的 (52) ，包括软件重构、重写文档等。 (51) 和新的软件开发工作的主要差别在于 (53) 。
In China it is relatively usual to ask people their age, but in the West this question is generally regarded as impolite. This is particularly true (56) women, and even more (57) if the inquirer is a man. However, it is very (58) to ask children their age, and some adults may not mind (59) either. In fact, some elderly people are quite happy to (60) their age, especially if they feel they look young (61) their age. Nevertheless, it is not very wise to ask a(n) (62) question like" How old are you". If elderly people want to talk about their age, and perhaps receive a compliment on how young they look, they may easily (63) the topic themselves, and ask the other person to (64) how old they are. (65) such a question, it is quite acceptable to discuss age (66) . They normally expect to be complimented on their youthfulness, though rather than (67) that they look very old! (68) Westerners do not usually ask people directly how old they are, this does not (69) that they are not interested in knowing how old other people are. They may ask someone else (70) the information, (71) they may try to (72) the topic indirect-ly. Sometimes discussions about educational (73) and the number of years of working ex- periences may provide some (74) , but this is not always the (75) .
Passage 2 Between 1833 and 1837, the publishers of a "penny press" proved that a low-priced paper, edited to interest ordinary people, could win what amounted to a mass circulation for the times and thereby attract an advertising volume that would make it independent. These were papers for the common citizen and were not tied to the interests of the business community, like the mercantile press, or dependent for financial support upon political party allegiance. It did not necessarily follow that all the penny papers would be superior in their handling of the news and opinion functions. But the door was open for some to make important journalistic advances. The first offerings of a penny paper tended to ’be highly sensational; human interest stories overshadowed important news, and crime and sex stories were written in full detail. But as the penny paper attracted readers from various social and economic brackets, its sensationalism was modified. The ordinary reader came to want a better product, too. popularized style of writing and presentation of news remained, but the penny paper became a respectable publication that offered significant information and editorial leadership. Once the first of the successful penny papers had shown the way, later ventures could enter the competition at the higher level of journalistic responsibility the pioneering paper, had reached. This was the pattern of American newspapers in the years following the founding of the New York Sun in 1833. The Sun, published by Benjamin Day, entered the lists against 11 other dailies. It was tiny in comparison; but it was bright and readable, and it preferred human interest features to important but dull political speech reports. It had a police reporter writing squibs of crime news in the style already proved successful by some other papers. And, most important, it sold for a penny, whereas its competitors sold for sir cents. By 1837 the Sun was printing 30,000 copies a day, which was more than the total of all 11 New York daily newspapers combined when the Sun first appeared. In those same four years James Gordon Bennett brought out his New York Herald (1835), and a trio of New York printers who were imitating Day’s success founded the Philadelphia Public Ledger (1836) and the Baltimore Sun (1837). The four penny sheets all became famed newspapers. What does the first paragraph say about the "penny press"
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