大学四级-76及答案解析.doc
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1、大学四级-76 及答案解析(总分:706.00,做题时间:90 分钟)一、BPart Writing(总题数:1,分数:106.00)1.有人认为公交车上年轻人比武给老人让座 2. 有人认为年轻人没有义务给老人让座 3. 你的看法(分数:106.00)_二、BPart Reading (总题数:1,分数:70.00)Directions: In this part, you will have 15 minutes to go over the passage quickly and answer thequestions on Answer Sheet 1. For questions 1-
2、7, choose the best answer from the four choicesmarked A, B, C and D. For questions 8-10, complete the sentences with the informationgiven in the passage.Eat an Apple (Doctors Orders)The farm stand is becoming the new apothecary (剂师), preparing and giving out applesnot tomention vegetables such as ar
3、tichokes, asparagus and arugulato fill a novel kind of prescription.Doctors at three health centers in Massachusetts have begun advising patients to eat “prescriptionproduce“ from local farmers markets, in an effort to fight obesity (when someone is very fat in a way thatis unhealthy) in children of
4、 low-income families. Now they will give coupons (赠券) amounting to $1 aday for each member of a patients family to promote healthy meals.“A lot of these kids have a very limited range of fruits and vegetables that are acceptable andfamiliar to them. Potentially, they will try more,“ said Dr. Suki Te
5、pperberg, a family physician at CodmanSquare Health Center in Dorchester, one of the program sites. “The goal is to get them to increase theirconsumption of fruit and vegetables by one serving a day.“The effort may also help farmers markets compete with fast-food restaurants selling dollar valuemeal
6、s. Farmers markets do more than $1. billion in annual sales in the United States, according to theAgriculture Department.Massachusetts was one of the first states to promote these markets as hubs of preventive health. Inthe 1980s, for example, the state began issuing coupons for farmers markets to l
7、ow-income women whowere pregnant or breast-feeding or for young children at risk for malnutrition (营养不良). Thirty-sixstates now have such farmers market nutrition programs aimed at women and young children.Thomas M. Menino, the mayor of Boston, said he believed the new childrens program, in whichdoct
8、ors write vegetable “prescriptions“ to be filled at farmers markets, was the first of its kind. Doctorswill track participants to determine how the program affects their eating patterns and to monitor healthindicators like weight and body mass index, he said.“When I go to work in the morning, I see
9、kids standing at the bus stop eating chips and drinking asoda,“ Mr. Menino said in a phone interview earlier this week. “I hope this will help them change theireating habits and lead to a healthier lifestyle.“The mayors attention to healthy eating dates to his days as a city councilman. Most recentl
10、y he hasappointed a well-known chef as a food policy director to promote local foods in public schools and tofoster market gardens in the city.Although obesity is a complex problem unlikely to be solved just by eating more vegetables,supporters of the vegetable coupon program hope that physician int
11、ervention will spur young people toadopt the kind of behavioral changes that can help prevent lifelong obesity.Childhood obesity in the United States costs $14.1 billion annually in direct health expenseslike prescription drugs and visits to doctors and emergency rooms, according to a recent article
12、 on theeconomics of childhood obesity published in the journal Health Affairs. Treating obesity-related illness inadults costs an estimated $147 billion annually, the article said.Although the vegetable prescription pilot project is small, its supporters see it as a model forencouraging obese childr
13、en and their families to increase the volume and variety of fresh produce theyeat.“Can we help people in low-income areas, who shop in the center of supermarkets for low-costempty-calorie food, to shop at farmers markets by making fruit and vegetables more affordable?“said Gus Schumacher, the chairm
14、an of Wholesome Wave, a nonprofit group in Bridgeport, Conn., thatsupports family farmers and community access to locally grown produce.If the pilot project is successful, Mr. Schumacher said, “farmers markets would become like a fruitand vegetable pharmacy (房) for at-risk families.“The pilot projec
15、t plans to enroll up to 50 families of four at three health centers in Massachusetts thatalready have specialized childrens programs called healthy weight clinics.A foundation called CAVU, for Ceiling and Visibility Unlimited, sponsors the clinics that areadministering the vegetable project. The Mas
16、sachusetts Department of Agriculture and Wholesome Waveeach contributed $10,000 in seed money. (Another arm of the program, at several health centers in Maine,is giving fresh produce coupons to pregnant mothers.) The program is to nm until the end of the farmersmarket season in late fall.One month a
17、fter Leslie-Ann Ogiste, a certified nursing assistant in Boston, and her 9-year-old son,Makael Constance, received their first vegetable prescription coupons at the Codman Center, they havelost a combined four pounds, she said. A staff member at the center told Ms. Ogiste about a farmersmarket that
18、is five minutes from her apartment, she said.“It worked wonders,“ said Ms. Ogiste, who bought and prepared eggplant, cucumbers, tomatoes,summer squash, com, bok choy, parsley, carrots and red onions. “Just the variety, it did help.“Ms. Ogiste said she had minced some vegetables and used them in soup
19、, pasta sauce and ricedishesthe better to disguise the new good-for-you foods that she served her son.Makael said he did not mind. “Its really good,“ he said.Some nutrition researchers said that the Massachusetts project had a good chance of improvingeating habits in the short term. But, they added,
20、 a vegetable prescription program in isolation may nothave a long-term influence on reducing obesity. Families may revert to their former habits in the winterwhen the farmers markets are closed, these researchers said, or they may not be able to afford freshproduce after the voucher program ends.Dr.
21、 Shikha Anand, the medical director of CAVUs healthy weight initiative, said the group hoped tomake the veggie prescription project a year-round program through partnerships with grocery stores.But people tend to overeat junk food in higher proportion than they undereat vegetables, said Dr.Deborah A
22、. Cohen, a senior natural scientist at the RAND Corporation. So, unless people curtail (减少)excessive consumption of salty and sugary snacks, she said, behavioral changes like eating more fruit andvegetables will have limited effect on obesity.In a recent study led by Dr. Cohen, for examnple, people
23、in southem Louisiana typically exceededguidelines for eating salty and sugary foods by 120 percent in the course of a day while falling short ofvegetable and fruit consumption by 20 percent.The weight clinics in Massachusetts chosen for the vegetable prescription test project alreadyencourage famili
24、es to cut down on unhealthy snacks.Even as Ms. Ogiste and her son started shopping at the farmers market and eating more freshproduce, for example, they also cut back on junk food, she said.“We have stopped the snacks. We are drinking more water and less soda and less juice too,“ Ms.Ogiste said. “Al
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