Doctors recognize obesity as a health problem. So why is it so hard for them to talk to their patients about it?
The results of two surveys, one of primary care physicians and the other of patients, found that while most doctors want to help patients lose weight and think it is their responsibility to do so, they often don’t know what to say.
So while doctors may tell patients they are overweight, the conversation often ends there, said Christine C. Ferguson, director of the Stop Obesity Alliance. Without being told about options for diabetes, she said. “Doctors don’t feel they have good information to give. They felt they didn’t have adequate tools to address this problem.”
The lack of dialogue hurts patients, too. The patient survey, of over 1,000 adults, found that most overweight patients don’t even know at they’re too heavy. Only 39 percent of overweight people surveyed had ever been told by a health care provider that they were overweight.
Of those who were told they were obese, 90 percent were also told by their doctors to lose weight, the survey found. In fact most have tried to lose weight and may have been successful in the past — and many are still trying, the survey found. And many understand that losing even a small amount of weight can have a positive impact on their health and reduce their risk of obesity-related diseases like hypertension and diabetes.
Dr. William Bestermann Jr., medical director of Holston Medical Group, in Kingsport, Tenn., which ranks 10th in obesity among metropolitan areas in the United States, said the dialogue had to be an ongoing one and could not be dropped after just one mention of the problem. “If you’re going to be successful with helping your patients lose weight, you’re going to have to talk to them at virtually every visit about their progress, and find something to encourage them about, find progress in some aspect of their care and coach them,” he said.
He acknowledged that many doctors tend to be optimistic.
“Part of this is that there’s this common belief, and doctors are burdened by it, too, that heavy people are weak-willed and just don’t have any willpower and are self-indulgent and all that business,” he said. “If you think that way, you’re not going to spend time having a productive conversation.”
61.What is most probably the Stop Obesity Alliance, as in Paragraph 3?
A.An organization of doctors specializing in obesity.
B.An organization of patients suffering from obesity.
C.A research group that conducts special surveys about overweight people.
D.A research group dealing with doctor – patient relationship.
62.How many of the patients surveyed have been advised by their doctors to lose weight?
A.About 350. B.About 390. C.About 900. D.1,000.
63.What can be inferred about obesity patients in Paragraph 5?
A.They are not as hopeless as doctors think they are.
B.Most of them have tried hard to lose weight, but in vain.
C.Without their doctors’ constant coaching, there is little chance of their succeeding in losing weight.
D.Most of them have just given up their hope of becoming less heavy.
64.According to the passage, which factor contributes to the lack of dialogue between doctors and patients?
A.Most doctors just never think of warning their patients about their weight problem.
B.Many doctors find it difficult to persuade overweight people to lose weight.
C.Most patients are too weak – willed to do anything about their weight.
D.Many patients tend not to trust their doctors about their weight problem.
65.Which of the following is the best title of the passage?
A.Obesity in the U.S.
B.Trouble of overweight Americans
C.Talk more, help better
D.Doctors or patients – who to bear more blame?
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科目:高中英語 來源:2011-2012學(xué)年陜西省延長縣中學(xué)高一下學(xué)期第一次月考英語試卷(帶解析) 題型:閱讀理解
Everyone knows that exercise is important. We all need to exercise. Doctors say it is good for us. It makes your heart and body strong. Children who often exercise are more alert (靈活). This means they do better in tests and schoolwork than those who don’t exercise.
There are many ways to exercise. You can walk, run, swim, skate, or play ball games. Make sure you exercise in the following ways; you have to like what you’re doing. Exercise enough— but not too much. It’s best to exercise twice each week, Thirty minutes each time is enough. Try all kinds of things until you find one, two or even three sports that feel right for you.
You can exercise at fitness centers. They have a lot of equipment(設(shè)備)there. The equipment will help to exercise your arms, legs and other parts of your body to make you fit. Some people buy equipment for their homes. But it is very expensive.
Exercising can be fun. Friends can exercise together at a fitness center or they can play sports together. How do you exercise?
【小題1】In the text, the writer tells us that we all need to .
A.drink | B.sleep | C.exercise | D.work |
A.Fishing | B.Running | C.Swimming | D.Walking |
A.商務(wù)中心 | B.健身中心 | C.購物中心 | D.醫(yī)療中心 |
A.running | B.skate | C.swim | D.studies |
A.it makes your heart and body strong |
B.it makes you study better |
C.people can buy equipment for their home |
D.friends can play sports together |
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科目:高中英語 來源:2012屆湖北省黃岡市黃州區(qū)一中高三精品模擬試卷(四)英語(解析版) 題型:閱讀理解
Very old people do raise moral problems for almost everyone who comes into touch with them.Their values---this can not be repeated too often--aren’t necessarily our values.Physical comfort,cleanness and order are not necessarily the most important things.The social services from time to time find themselves faced with a room with rotten food covered by small worms,and an old person lying alone on bed,taking no notice of the worms.But is it interrupting personal freedom to insist that they go to live with some of their relatives so that they might be taken better care of? Some social workers,the ones who clear up the worms,think we’re in danger of carrying this idea of personal freedom to the point where serious risks(冒險(xiǎn))are being taken with the health and safety of the old.
Indeed,the old can be easily hurt or harmed.The old is like a car: it needs more mechanical repair as it gets older.You can carry this comparison right through to provision of spare parts.But never forget that such operations are painful experiences,however good the results are.And at what point should you stop to treat the old body?Is it morally right to try to push off death by continuing the development of medicine to excite the forgetful old mind and to make the old body active,knowing that it is designed to die?You cannot ask doctors or scientists to decide,because so long as they can see the technical chances,they will feel it necessary to give them a try,by the rule that while there’s life,there’s hope.
Talking to the old,however,you’re forced to the conclusion that whether age is happy or unpleasant depends less on money or health than it does on your ability to have fun.
【小題1】After reading Paragraph 1,we learn that____.
A.very old people are able to keep their living places very clean |
B.old people enjoy living alone so as to have more personal freedom |
C.every old people enjoy living with their relatives |
D.social services have nothing to do with very old people |
A.old people should keep their living places clean |
B.one should not take risk dealing with old people |
C.health and safety are more important than personal freedom |
D.personal freedom is more important than health and safety |
A.one’s memory or health |
B.the conclusion you have come to |
C.whether age is happy or unpleasant |
D.your talk to the old people |
A.it is always morally right to treat old people and push off death |
B.the opinion that we should try every means possible to save old people is uncertain |
C.old people can enjoy a happy life only if they are very rich |
D.medical decisions for old people should be left to the doctors |
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科目:高中英語 來源:2011-2012學(xué)年山西大學(xué)附屬中學(xué)高三4月月考英語試卷(帶解析) 題型:閱讀理解
More Chinese are seeking out the surgeon’s knife to improve their looks.Yet the tragic death of the former Super Girl Wang Bei has made people aware of the risks of cosmetic surgery, which is becoming increasingly popular. Wang Bei,24,is said to have gone under the knife in Wuhan,to jump-start her stage-show career. It seems that the ambitious singer has finally achieved the fame and influence after her death.
For years Miss Lu expected a plastic surgery to make her jaw fashionable narrow and her face smaller. She finally decided against it after hearing of the death of Wang Bei. "Wang Bei’s death rang the warning bell for me,"Miss Lu said in her blog." It was frightening and I gave up the plan. "
A common thread of online discussion is why someone considered beautiful was so dissatisfied with her looks. Some netizens said Wang was a victim of society’s impractical standard of beauty:double eyelids,and the pointed chin typical of Western actresses. Others said her death indicated the limits to which people would go to achieve fame and fortune.
Last year 15 billion yuan was spent on cosmetic surgery and the figure is expected to rise 20% annually. The International Society of Plastic Surgery ranks China first in Asia in terms of the number of cosmetic surgeries in 2009. Worldwide, China is third, after Brazil, while the United States is first.
Nowadays,people are living longer and better. But the effect of aging off their appearance affects their mood and confidence. Many older women want to look young and beautiful. Young people, on the other hand, see cosmetic surgery as the key to wealth and love. "They want to improve their appearance to find better opportunities at work and in marriage,"says a famous plastic surgeon. "We’re living in a highly competitive society. People regard appearance as a weapon in life battle. Those who are young and naturally good-looking tell me,‘I don’t care how much I spend. Just make me look more beautiful.’ "
Advice from a surgeon and psychologist:
1.Choose regular, qualified hospitals with a good reputation.
2.Try to find an expert surgeon who will not suggest several operations over time.
3.Don’t expect too much from changing your appearance. Safety should be the first.
4.Have a realistic understanding of the risks of the surgery (death,injury and failure)and make a balanced decision.
【小題1】What’s the influence of Wang Bei’s death on the public?
A.People will feel alarmed at cosmetic surgery. |
B.Young people will have no interest in beauty. |
C.Doctors will be afraid to perform operations. |
D.No one will dream of becoming a Super Girl. |
A.Miss Lu’s face is narrow and small |
B.Wang Bei is a victim of the Internet |
C.a(chǎn)ll Westerners have the pointed chin |
D.the US ranks first in cosmetic surgery |
A.People are living 1onger and better nowadays. |
B.People are living in a highly competitive society. |
C.Social competition leads females to seek beauty. |
D.Cosmetic surgery is the key to wealth and love. |
A.change your appearance sooner |
B.make a reasonable decision |
C.do several operations over time |
D.try some different hospitals |
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科目:高中英語 來源:2013-2014學(xué)年高考第二輪專題復(fù)習(xí)提分訓(xùn)練專題十三完形填空英語試卷(解析版) 題型:完型填空
(2013·高考四川卷)“Look,it’s Baldy!”A boy shouted in my direction across the playground.Even though I was used to regular insults(侮辱) because of the___on my head,it was___horrible to hear.I sighed as I headed back to the class.
When I was just 20 months old,I suffered serious____after a bowl full of hot oil fell on my head.I was____to hospital and had to stay there for weeks while the doctors____to save my life.“Holly’s very____to be alive,”they told Mum and Dad.“But she’ll be___with scars on her head,and of course her hair won’t grow there.”
As a child,I cared much about my scars,so I____wore a scarf to cover them up when I left home.____I didn’t,people would call me horrible names like Baldy.Although my friends were always comforting me,they never____understood how it felt.
Then through the hospital I was____to a children’s burns camp,where children like me can get any help.There,I____14?year?old Stephanie,whose burns are a lot more serious than mine.But she is so____that she never lets anyone put her down.“You shouldn’t____what people say about what you look like because we’re not different from anyone else,Holly,”she____me.“And you don’t need to wear a scarf because you look great____it!” For the first time in my life I could speak to someone who’d been through something____.So weeks later,at my 13th birthday party,____by her bravery,I gave up my scarf and showed off my scars.It felt amazing not having to____away behind my scarf.
Now,I am____of what I look like and much happier,because I have realized it is your personality(個(gè)性)that decides who you truly are.
1.A.hat? B.scarf
C.scars? D.cuts
2.A.still? B.just
C.never? D.seldom
3.A.hunger? B.cold
C.defeats? D.burns
4.A.rushed? B.led
C.invited? D.forced
5.A.learned? B.fought
C.returned? D.decided
6.A.happy? B.lucky
C.lonely? D.poor
7.A.pressed? B.occupied
C.left? D.painted
8.A.possibly? B.usually
C.finally? D.nearly
9.A.Although? B.Since
C.If? D.Before
10.A.correctly? B.roughly
C.easily? D.really
11.A.promoted? B.introduced
C.reported? D.carried
12.A.met? B.recognized
C.remembered? D.caught
13.A.honest? B.strong
C.active? D.young
14.A.write down? B.agree with
C.pass on? D.listen to
15.A.promised? B.encouraged
C.ordered? D.calmed
16.A.in? B.for
C.without? D.beyond
17.A.similar? B.strange
C.hard? D.important
18.A.allowed? B.required
C.guided? D.inspired
19.A.hide? B.give
C.keep? D.put
20.A.sick? B.aware
C.tired? D.proud
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科目:高中英語 來源:2013-2014學(xué)年福建省高三上學(xué)期第一次月考英語試卷(解析版) 題型:完型填空
The Healing
Jim and his wife, Connie, were shocked by the loss of their four-month-old son—Joshua, whose life was taken by SIDS—sudden infant death syndrome.
Thirty hours ago, Jim drove to the baby-sitter’s home to Joshua. It was a trip, like the one he made five days every week. He arrived, and little Joshua could not be from his nap. The next few hours were a time of life and death: the racing ambulance, swift-moving doctors and nurse. But 12 hours later, at Children’s Hospital, the doctors had exhausted(用盡) all , little Joshua was gone. Yes, they wanted of Joshua’s usable organs to be donated. That was not a decision for Jim and Connie, a loving and couple.
The next morning dawned and many things had to be arranged. Telephone calls and funeral plans. one point Jim realized he needed a .When Jim settled into the chair the barber’s, he began to the past hours, trying to some sense of it all. had Joshua, their first-born, the child they had waited so long for, been taken so soon….He had begun his life. The question kept coming, and the pain in Jim’s heart just him.
While talking with the barber, Jim mentioned the organ donations, looking at his watch, “They are transplanting one of his heart valves(瓣膜)right now.”
The stopped and stood motionless. Finally she spoke, but it was only a whisper. “You’re not going to believe this. But about an hour ago the customer sitting in this chair wanted me to hurry she could get to Children’s Hospital. She here so full of joy. Her prayers had been answered. Today her baby granddaughter is receiving a needed transplant—a heart valve.”
Jim’s healing began.
1.A. pick out B. pick up C. set out D. set up
2.A. routine B. annual C. average D. difficult
3.A. called B. disturbed C. awakened D. survived
4.A. though B. since C. because D. as
5.A. medicine B. strength C. attempts D. spirits
6.A. part B. few C. some D. wise
7.A. giving B. tiring C. boring D. thinking
8.A. Of B. In C. On D. At
9.A. haircut B. break C. donation D. decision
10.A. with B. at C. by D. near
11.A. decide on B. reflect on C. keep on D. focus on
12.A. get B. take C. hold D. make
13.A. How B. Why C. Whether D. If
14.A. barely B. nearly C. seldom D. almost
15.A. covered B. drew C. enveloped D. choked
16.A. hairdresser B. customer C. father D. parent
17.A. since B. as C. so D. and
18.A. arrived B. left C. stayed D. sat
19.A. desperately B. deadly C. clearly D. obviously
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