Doctors already know that people who smoke can damage their hearing. The latest study in the journal Tobacco Control,【C1】______more than 3,000 US adults, suggests the same is true of passive smoking. Experts believe tobacco smoke may【C2】______blood flow in the small vessels of the ear. This could starve the organ of oxygen and lead to a build up of【C3】______waste, causing damage. The harm is different【C4】______that caused by noise exposure or simple ageing. In the study, the researchers from the University of Miami and Florida International University looked at the hearing test results of 3,307 non-smoking volunteers— some who were ex-smokers and some who had never smoked in their lifetime. The tests measured【C5】______of hearing over low, mid and high noise frequencies. To【C6】______passive smoke exposure, the volunteers had their blood checked for a byproduct of nicotine, called cotinine, which is made when the body comes into【C7】______tobacco smoke. This【C8】______that people exposed to second-hand smoke were far more likely to have poorer hearing than others, and to a degree where they might struggle to【C9】______a conversation in the【C10】______of background noise. Passive smoking increased their risk of hearing loss across all sound frequencies by about a third. Dr David Fabry, who led the research, said: "We【C11】______do not know exactly how much smoke you need to be exposed to in order to be at increased risk. 【C12】______we do know that the【C13】______for damage is very low. Really, the safe level of exposure is no exposure." Dr Ralph Holme, head of another research team, said: "We already knew from our own research that regular【C14】______smoking is a significant risk【C15】______leading to hearing loss and this new study is important as it【C16】______the increased risks posed by passive smoking too. Hearing loss can often be very【C17】______and lead to social isolation, if not quickly【C18】______Before you next【C19】______a cigarette, consider how it could impact not only【C20】______your own long-term hearing but your friends" and relatives" too." 【C17】
A. impressive
B. frustrating
C. astonishing
D. encouraging
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Doctors already know that people who smoke can damage their hearing. The latest study in the journal Tobacco Control,【C1】______more than 3,000 US adults, suggests the same is true of passive smoking. Experts believe tobacco smoke may【C2】______blood flow in the small vessels of the ear. This could starve the organ of oxygen and lead to a build up of【C3】______waste, causing damage. The harm is different【C4】______that caused by noise exposure or simple ageing. In the study, the researchers from the University of Miami and Florida International University looked at the hearing test results of 3,307 non-smoking volunteers— some who were ex-smokers and some who had never smoked in their lifetime. The tests measured【C5】______of hearing over low, mid and high noise frequencies. To【C6】______passive smoke exposure, the volunteers had their blood checked for a byproduct of nicotine, called cotinine, which is made when the body comes into【C7】______tobacco smoke. This【C8】______that people exposed to second-hand smoke were far more likely to have poorer hearing than others, and to a degree where they might struggle to【C9】______a conversation in the【C10】______of background noise. Passive smoking increased their risk of hearing loss across all sound frequencies by about a third. Dr David Fabry, who led the research, said: "We【C11】______do not know exactly how much smoke you need to be exposed to in order to be at increased risk. 【C12】______we do know that the【C13】______for damage is very low. Really, the safe level of exposure is no exposure." Dr Ralph Holme, head of another research team, said: "We already knew from our own research that regular【C14】______smoking is a significant risk【C15】______leading to hearing loss and this new study is important as it【C16】______the increased risks posed by passive smoking too. Hearing loss can often be very【C17】______and lead to social isolation, if not quickly【C18】______Before you next【C19】______a cigarette, consider how it could impact not only【C20】______your own long-term hearing but your friends" and relatives" too." 【C18】
A. identified
B. found
C. addressed
D. considered
Doctors already know that people who smoke can damage their hearing. The latest study in the journal Tobacco Control,【C1】______more than 3,000 US adults, suggests the same is true of passive smoking. Experts believe tobacco smoke may【C2】______blood flow in the small vessels of the ear. This could starve the organ of oxygen and lead to a build up of【C3】______waste, causing damage. The harm is different【C4】______that caused by noise exposure or simple ageing. In the study, the researchers from the University of Miami and Florida International University looked at the hearing test results of 3,307 non-smoking volunteers— some who were ex-smokers and some who had never smoked in their lifetime. The tests measured【C5】______of hearing over low, mid and high noise frequencies. To【C6】______passive smoke exposure, the volunteers had their blood checked for a byproduct of nicotine, called cotinine, which is made when the body comes into【C7】______tobacco smoke. This【C8】______that people exposed to second-hand smoke were far more likely to have poorer hearing than others, and to a degree where they might struggle to【C9】______a conversation in the【C10】______of background noise. Passive smoking increased their risk of hearing loss across all sound frequencies by about a third. Dr David Fabry, who led the research, said: "We【C11】______do not know exactly how much smoke you need to be exposed to in order to be at increased risk. 【C12】______we do know that the【C13】______for damage is very low. Really, the safe level of exposure is no exposure." Dr Ralph Holme, head of another research team, said: "We already knew from our own research that regular【C14】______smoking is a significant risk【C15】______leading to hearing loss and this new study is important as it【C16】______the increased risks posed by passive smoking too. Hearing loss can often be very【C17】______and lead to social isolation, if not quickly【C18】______Before you next【C19】______a cigarette, consider how it could impact not only【C20】______your own long-term hearing but your friends" and relatives" too." 【C12】
A. But
B. And
C. So
D. As
About 3 billion people live within 100 miles (160km) of the sea, a number that could double in the next decade as humans flock to coastal cities. The oceans produce $3 trillion of goods and services each year and untold【C1】______for the Earth"s ecology. Life could not exist【C2】______these vast water reserves—and, if anything, they are becoming even more important to humans than before. Mining is about to begin under the seabed in the high seas. New summer shipping lanes are opening【C3】______the Arctic Ocean. The genetic resources of marine life promise a big【C4】______: the number of patents has been rising at 12% a year. But these developments are【C5】______compared with vaster forces reshaping the Earth, both on land and at sea It has long been clear that people are damaging the oceans—【C6】______the melting of the Arctic ice in summer and the death of marine lives. Now, the【C7】______of that damage are starting to be felt onshore. Thailand provides a【C8】______example. In the 1990s it cleared coastal plants to set up fish farms. Ocean storm surges in 2011, no longer【C9】______by the plants, rushed in to【C10】______the country"s industrial heartland, causing billions of dollars of damage. More【C11】______is the global mismanagement of fish stocks. About 3 billion people get a fifth of their protein from fish, making it a more important protein source than beef.【C12】______a vicious cycle has developed as fish stocks decline and fishermen【C13】______to grab what they can of the remainder.【C14】______the Food and Agriculture Organization, a third of fish stocks in the oceans are over-exploited. People could be eating much better, were fishing stocks【C15】______managed. The forests are often called the lungs of the Earth, but the description better fits the oceans. They produce half the world"s【C16】______of oxygen. At the moment, the oceans are moderating the【C17】______of global warming— though that may not【C18】______This cannot be good news,【C19】______scientists are still debating the likely consequences.【C20】______, the decades of damage imposed on the oceans are now damaging the environment on land. 【C18】
A. end
B. change
C. last
D. help
Doctors already know that people who smoke can damage their hearing. The latest study in the journal Tobacco Control,【C1】______more than 3,000 US adults, suggests the same is true of passive smoking. Experts believe tobacco smoke may【C2】______blood flow in the small vessels of the ear. This could starve the organ of oxygen and lead to a build up of【C3】______waste, causing damage. The harm is different【C4】______that caused by noise exposure or simple ageing. In the study, the researchers from the University of Miami and Florida International University looked at the hearing test results of 3,307 non-smoking volunteers— some who were ex-smokers and some who had never smoked in their lifetime. The tests measured【C5】______of hearing over low, mid and high noise frequencies. To【C6】______passive smoke exposure, the volunteers had their blood checked for a byproduct of nicotine, called cotinine, which is made when the body comes into【C7】______tobacco smoke. This【C8】______that people exposed to second-hand smoke were far more likely to have poorer hearing than others, and to a degree where they might struggle to【C9】______a conversation in the【C10】______of background noise. Passive smoking increased their risk of hearing loss across all sound frequencies by about a third. Dr David Fabry, who led the research, said: "We【C11】______do not know exactly how much smoke you need to be exposed to in order to be at increased risk. 【C12】______we do know that the【C13】______for damage is very low. Really, the safe level of exposure is no exposure." Dr Ralph Holme, head of another research team, said: "We already knew from our own research that regular【C14】______smoking is a significant risk【C15】______leading to hearing loss and this new study is important as it【C16】______the increased risks posed by passive smoking too. Hearing loss can often be very【C17】______and lead to social isolation, if not quickly【C18】______Before you next【C19】______a cigarette, consider how it could impact not only【C20】______your own long-term hearing but your friends" and relatives" too." 【C16】
A. highlights
B. manages
C. takes
D. increases