单选题A healthcare and life sciences client wants to maintain electronic patient records， including medical images， for two years after each patient’s death. How would the IT storage industry describe this business goal？（）A Archive solution that requires eve

共用题干
1.Nursing at Beth Israel Hospital produces the best patient care possible.If we are to solve the nursing shortage（不足）,hospital administration and doctors everywhere would do well to follow Beth Israel's example.
2.At Beth Israel each patient is assigned to a primary nurse who visits at length with the patient and constructs a full-scale health account that covers everything from his medical history to his emotional state.Then she writes a care plan centered on the patient's illness but which also includes everything else that is necessary.
3.The primary nurse stays with the patient through his hospitalization,keeping track with his progress and seeking further advice from his doctor. If a patient at Beth Israel is not responding to treatment,it is not uncommon for his nurse to propose another approach to his doctor. What the doctor at Beth Israel has in the primary nurse is a true colleague.
4. Nursing at Beth Israel also involves a decentralized（分散的）nursing administration; every floor,every unit is a self-contained organization.There are nurse-managers instead of head nurses; in addition to their medical duties they do all their own hiring and dismissing,employee advising, and they make salary recommendations.Each unit's nurses decide among themselves who will work what shifts and when.
5.Beth Israel's nurse-in-chief ranks as an equal presidents of the hospital. She also is a member of the Medical Executive Committee,which in most hospitals includes only doctors.

Each unit's nurses decide among themselves who will work_________.
A:true college
B:nursing shortage
C:head nurse
D:doctor
E:what shifts and when
F: employee

The American healthcare system has a unique problem with paperwork.The sheer number of participants-physicians,hospitals,clinics,insurance companies,patients--makes settling payments complicated,time-consuming and really expensive.The share of U.S.healthcare spending devoted to administrative costs is roughly three times what it is in other affluent countries.And it's a major reason the U.S.spends twice as much on healthcare.Some health clinics employ more clerks than care providers--not just to generate invoices but to send along the patient information insurers need to approve treatments,to dispute insurer decisions denying payment,to fix mistakes,to handle patients'questions,and on and on.For every I billion in revenue,the healthcare system employs the equivalent of 770 full-time people to settle the bills.That's almost eight times more than other industries.And doctors have to spend inordinate time dealing with red tape.Of course,if the U.S.were to magically switch to a single-payer healthcare system,these expenses would fall dramatically.The government would simply determine prices and write checks without dispute,as Medicare does for its direct beneficiaries.But such a change is neither realistic nor desirable in a country where half the population has employer-sponsored insurance.That said,it's still possible to trim administrative costs within the existing system.The best way to do so is for providers and insurers to standardize their billing practices and modernize their computer systems he federal government has long pushed for such efficiency.A 1996 law set some preliminary standards for the electronic processing of claims,payments and other transactions.But they weren't nearly enough,and insurers could still complicate invoices by requesting additional patient data.The HITECH Act of 2009 and the Affordable Care Act of 2010 gave providers further incentives to adopt electronic records and make them more uniform.Yet to a large extent,insurance companies continue to maintain distinct billing codes and torms,and providers still use separate computer systems for medical records and billing-making it im possible to automate claims processing.In this,healthcare stands apart from almost every other industry.Think of the way banks,for example,have standardized their operations to enable all customers to use the same ATMs and credit-card readers.The federal government needs to keep pushing for standardized electronic health systems,and also to change how healthcare prices are set.Bundled care and other alternatives to the fee-for-service model could greatly streamline billing.Patients have increasing cause to demand such change.With premiums,co-pays and deductibles rising,U.S.consumers now pay more for their health care than their employers do.Administrative inefficiency adds another layer of needless expense.Billing shouldn't have to be so complicated,or costly

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第三篇
First Self-contained Heart Implanted
A patient on the brink（边缘）of death has received the world's first self-contained artificial heart-a battery-powered device about the size of a softball that runs without the need for wires,tubes sticking out of the chest.
Two surgeons from the University of Louisville implanted the titanium（钛）and plastic pump during a seven-hour operation at Jewish Hospital Monday.The hospital said the patient was"awake and responsive" Tuesday and resting comfortably.It refused to release personal details.
The patient had been expected to die within a month without the operation,and doctors said they expected the artificial heart to extend the person's life by only a month.But the device is considered a major step toward improving the patient's quality of life.
The new pump,called AbioCor,is also a technological leap from the mechanical hearts used in the 1980s,which were attached by wires and tubes to bulky machinery outside the body.The most famous of those mechanical hearts,the Jarvic-7，used air as a pumping device and was attached to an apparatus about the size of a washing machine.
"I think it's potentially a major step forward in the artificial heart development,"said Dr.David
Faxon,president of the American Heart Association.However,he said the dream of an implantable,perma- nent artificial heart is not yet a reality."This is obviously an experimental device whose long-term success has to be demonstrated."
Only about half of the 4,200 Americans on a waiting list for donor hearts received them last year,and most of the rest died.Some doctors,including Robert Higgins,chairman of cardiology at the Medical Col-lege of Virginia in Richmond,said artificial hearts are unlikely to replace donor hearts.
"A donor heart in a good transplant can last 15 to 30 years."he said,"It's going to be hard to replace that with a machine."

According to the report,the patient who received the first self-contained heart______.
A:was said to be in a good condition the next day after the operation
B:could not afford a donor heart
C:died two months after the heart implantation
D:was reluctant to release his or her personal information

共用题干
Double Effect
The Supreme Court's decisions on physician-assisted suicide carry important implications for how medicine seeks to relieve dying patients of pain and suffering.
Although it ruled that there is no constitutional right to physician-assisted suicide,the Court in effect supported the medical principle of"double effect",a centuries-old moral principle holding that an action having two effects-a good one that is intended and a harmful one that is foreseen-is permissible if the actor intends only the good effect.
Doctors have used that principle in recent years to justify using high doses of morphine to control terminally ill patients'pain,even though increasing dosages will eventually kill the patient.
Nancy Dubler,director of Montefiore Medical Center,contends that the principle will shield doctors who"until now have very,very strongly insisted that they could not give patients sufficient mediation to control their pain if that might hasten death."
George Annas,chair of the health law department at Boston Univeisity,maintains that,as long as a doctor prescribes a drug for a legitimale medical purpose,the doctor has done nothing illegal even if the patient uses the drug to hasten death."It's like surgery,"he says."We don't call those deaths homicides because the doctors didn't intend to kill their patients,although they risked their death.if you're a physician,you can risk your patient's suicide as long as you don't intend their suicide."
On another level,many in the medical community acknowledge that the assisted-suicide debate has been fueled in part by the despair of patients for whom modern medicine has prolonged the physical agony of dying.
Just three weeks before the Court's ruling on physician一assisted suicide,the National Academy of Science(NAS)released a two-volume report,Approaching Death:Improving Care at the End of Life.It identifies the under-treatment of pain and the aggressive use of"ineffectual and forced medical procedures that may prolong and even dishonor the period of dying" as the twin problems of end-of-life care.The profession is taking steps to require young doctors to train in hospices,to test knowledge of aggressive pain management therapies,to develop a Medicare billing code for hospital-based care,and to develop new standards for assessing and treating pain at the end of life.
Annas says lawyers can play a key role in insisting that these well-meaning medical initiatives translate into better care."Large numbers of physicians seem unconcerned with the pain their patients are needlessly and predictably suffering,"to the extent that it constitutes"systematic patient abuse." He says medical licensing boards"must make it clear that painful deaths are presumptively ones that are incompetently managed and should result in license suspension."

Which of the following best defines the word"aggressive"(Line 3,Para.7)?
A:Bold.
B:Harmful.
C:Careless.
D:Desperate.

The doctors tried their best to save the patient's life,__failed.

A.or
B.so
C.but
D.because

共用题干
1.Nursing at Beth Israel Hospital produces the best patient care possible.If we are to solve the nursing shortage（不足）,hospital administration and doctors everywhere would do well to follow Beth Israel's example.
2.At Beth Israel each patient is assigned to a primary nurse who visits at length with the patient and constructs a full-scale health account that covers everything from his medical history to his emotional state.Then she writes a care plan centered on the patient's illness but which also includes everything else that is necessary.
3.The primary nurse stays with the patient through his hospitalization,keeping track with his progress and seeking further advice from his doctor. If a patient at Beth Israel is not responding to treatment,it is not uncommon for his nurse to propose another approach to his doctor. What the doctor at Beth Israel has in the primary nurse is a true colleague.
4. Nursing at Beth Israel also involves a decentralized（分散的）nursing administration; every floor,every unit is a self-contained organization.There are nurse-managers instead of head nurses; in addition to their medical duties they do all their own hiring and dismissing,employee advising, and they make salary recommendations.Each unit's nurses decide among themselves who will work what shifts and when.
5.Beth Israel's nurse-in-chief ranks as an equal presidents of the hospital. She also is a member of the Medical Executive Committee,which in most hospitals includes only doctors.

There are nurse managers instead of_________.
A:true college
B:nursing shortage
C:head nurse
D:doctor
E:what shifts and when
F: employee

共用题干
First Self-contained Heart Implanted

A patient on the brink of death has received the world's first self-contained artificial heart一a battery-
powered device about the size of a softball that runs without the need for wires,tubes or hoses sticking out of
the chest.
Two surgeons from the University of Louisville implanted the titanium and plastic pump during a
seven-hour operation at Jewish Hospital Monday.The hospital said the patient was"awake and responsive"
Tuesday and resting comfortably.It refused to release personal details.
The patient had been expected to die within a month without the operation,and doctors said they
expected the artificial heart to extend the person's life by only a month.But the device is considered a major
step toward improving the patient's quality of life.
The new pump,called AbioCor,is also a technological leap from the mechanical hearts used in the
1980s,which were attached by wires and tubes to bulky machinery outside the body. The most famous of
those,the Jarvic-7,used air as a pumping device and was attached to an apparatus about the size of a washing
machine.
"I think it's potentially a major step forward in the artificial heart development,"said Dr. David Faxon,
president of the American Heart Association.However,he said the dream of an implantable,permanent
artificial heart is not yet a reality:"This is obviously an experimental device whose long-term success has to
be demonstrated."Only about half of the 4,200 Americans on a waiting list for donor hearts received them
last year,and most of the rest died.
Some doctors ,including Robert Higgins, chairman of cardiology（心脏病学）at the Medical College of
Virginia in Richmond,said artificial hearts are unlikely to replace donor hearts.
"A donor heart in a good transplant can last 15 to 30 years,"he said."It's going to be hard to replace
that with a machine."
The AbioCor has a 2-pound pumping unit,and electronic controls that adjust the pumping speed based
on the body's needs.It is powered by a small battery pack worn outside the body that transmits current
through the skin.

The patient's life was expected to last several years longer by implanting the artificial heart.
A:Right
B:Wrong
C:Not mentioned

共用题干
Double Effect
The Supreme Court's decisions on physician-assisted suicide carry important implications for how medicine seeks to relieve dying patients of pain and suffering.
Although it ruled that there is no constitutional right to physician-assisted suicide,the Court in effect supported the medical principle of"double effect",a centuries-old moral principle holding that an action having two effects-a good one that is intended and a harmful one that is foreseen-is permissible if the actor intends only the good effect.
Doctors have used that principle in recent years to justify using high doses of morphine to control terminally ill patients'pain,even though increasing dosages will eventually kill the patient.
Nancy Dubler,director of Montefiore Medical Center,contends that the principle will shield doctors who"until now have very,very strongly insisted that they could not give patients sufficient mediation to control their pain if that might hasten death."
George Annas,chair of the health law department at Boston Univeisity,maintains that,as long as a doctor prescribes a drug for a legitimale medical purpose,the doctor has done nothing illegal even if the patient uses the drug to hasten death."It's like surgery,"he says."We don't call those deaths homicides because the doctors didn't intend to kill their patients,although they risked their death.if you're a physician,you can risk your patient's suicide as long as you don't intend their suicide."
On another level,many in the medical community acknowledge that the assisted-suicide debate has been fueled in part by the despair of patients for whom modern medicine has prolonged the physical agony of dying.
Just three weeks before the Court's ruling on physician一assisted suicide,the National Academy of Science(NAS)released a two-volume report,Approaching Death:Improving Care at the End of Life.It identifies the under-treatment of pain and the aggressive use of"ineffectual and forced medical procedures that may prolong and even dishonor the period of dying" as the twin problems of end-of-life care.The profession is taking steps to require young doctors to train in hospices,to test knowledge of aggressive pain management therapies,to develop a Medicare billing code for hospital-based care,and to develop new standards for assessing and treating pain at the end of life.
Annas says lawyers can play a key role in insisting that these well-meaning medical initiatives translate into better care."Large numbers of physicians seem unconcerned with the pain their patients are needlessly and predictably suffering,"to the extent that it constitutes"systematic patient abuse." He says medical licensing boards"must make it clear that painful deaths are presumptively ones that are incompetently managed and should result in license suspension."

According to the NAS's report,one of the problems in end-of-life care is______.
A:prolonged medical procedures
B:inadequate treatment of pain
C:systematic drug abuse
D:insufficient hospital care

共用题干
Double Effect
The Supreme Court's decisions on physician-assisted suicide carry important implications for how medicine seeks to relieve dying patients of pain and suffering.
Although it ruled that there is no constitutional right to physician-assisted suicide,the Court in effect supported the medical principle of"double effect",a centuries-old moral principle holding that an action having two effects-a good one that is intended and a harmful one that is foreseen-is permissible if the actor intends only the good effect.
Doctors have used that principle in recent years to justify using high doses of morphine to control terminally ill patients'pain,even though increasing dosages will eventually kill the patient.
Nancy Dubler,director of Montefiore Medical Center,contends that the principle will shield doctors who"until now have very,very strongly insisted that they could not give patients sufficient mediation to control their pain if that might hasten death."
George Annas,chair of the health law department at Boston Univeisity,maintains that,as long as a doctor prescribes a drug for a legitimale medical purpose,the doctor has done nothing illegal even if the patient uses the drug to hasten death."It's like surgery,"he says."We don't call those deaths homicides because the doctors didn't intend to kill their patients,although they risked their death.if you're a physician,you can risk your patient's suicide as long as you don't intend their suicide."
On another level,many in the medical community acknowledge that the assisted-suicide debate has been fueled in part by the despair of patients for whom modern medicine has prolonged the physical agony of dying.
Just three weeks before the Court's ruling on physician一assisted suicide,the National Academy of Science(NAS)released a two-volume report,Approaching Death:Improving Care at the End of Life.It identifies the under-treatment of pain and the aggressive use of"ineffectual and forced medical procedures that may prolong and even dishonor the period of dying" as the twin problems of end-of-life care.The profession is taking steps to require young doctors to train in hospices,to test knowledge of aggressive pain management therapies,to develop a Medicare billing code for hospital-based care,and to develop new standards for assessing and treating pain at the end of life.
Annas says lawyers can play a key role in insisting that these well-meaning medical initiatives translate into better care."Large numbers of physicians seem unconcerned with the pain their patients are needlessly and predictably suffering,"to the extent that it constitutes"systematic patient abuse." He says medical licensing boards"must make it clear that painful deaths are presumptively ones that are incompetently managed and should result in license suspension."

George Annas would probably agree that doctors should be punished if they______.
A:manage their patients incompetently
B:give patients more medicine than needed
C:reduce drug dosages for their patients
D:prolong the needless suffering of the patients

根据以下材料，回答题
The Chinese have used a method called acupuncture(针灸) toperform operations for about 4,000 years without putting the patient to sleep.This involves placing flexible needles (针) into certainparts of the body. The needles used are available in a number of stores inChina and everyone may buy them.
To learn how to use needle takes about onemonth of training. But to be skillful requires greater time. The person whoperforms the acupuncture knows how to put in the needles so the needles themselvesare not painful. This person also knows where to place the needles so thepatient feels no pain in the area where the operation is to be performed. Theneedles are not necessarily inserted near the place where the pain is to beprevented. In the past, a particular operation might require 25 or more needlesplaced in various parts of the body. But now this operation requires only 3 or4 needles.
Today the Chinese doctors are trying tolearn more about acupuncture. They are trying to develop a convincing theory toexplain how the needles work in preventing pain, or why a needle in the wrist,for example, would prevent the pain in the area of the mouth.
A patient who needs an operation is given achoice between having acupuncture or having one of the chemicals used forputting him to sleep. It has been estimated that over half of the patients chooseacupuncture because there is no sickness after the operation whereas (然而，反之) the chemical maymake the patient sick for a few hours or a day.

Acupuncture is ______.查看材料

A.a medical operation
B.a medical needle
C.a medical technique
D.a medical machine