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Drug Abuse1 The term "drug abuse" most often refers to the use of a drug with such frequen

Drug Abuse

1 The term "drug abuse" most often refers to the use of a drug with such frequency that it causes physical or mental harm to the user or impairs social functioning. Although the term seems to imply that users abuse the drugs they take, in fact, it is themselves or others they abuse by using drugs.

2 Pharmacologists, who study the effects of drugs, classify psychoactive drugs according to what they do to those who take them. Drugs that speed up signals passing through the nervous system, which is made up of the brain and spinal cord, and produce alertness and arousal and, in higher doses, excitability, and inhibit fatigue and sleep, are called stimulants. Drugs that retard, slow down, or depress signals passing through the central nervous system and produce relaxation, a lowering of anxiety, and, at higher doses, drowsiness and sleep, are called depressants. One distinct kind of depressants are those which dull the mind's perception of pain and in medicine are used as painkillers, or analgesics. These drugs called narcotics.

3 It is not always easy to determine exactly when simple drug use becomes abuse. Thus it is far easier to study who uses illegal psychoactive drugs than it is to study who abuses them. When re searchers describe patterns of drug abuse, then, they usually describe the more general phenomenon of drug use, whether it leads to abuse or not.

4 Drinking on the job is a social and economic problem with a long history. With the growing popularity of illegal drugs in the 1960s and 1970s, it was to be expected that their use in the workplace would emerge as a major issue by the 1980s. Estimates of employee drug use vary greatly, ranging from 10 percent to 25 percent for the proportion of workers who use drugs occasionally on the job. The safe performance of some occupations among them is done by airline pilots in air traffic.

5 From the 1920s until the 1960s, treatment of drug abuse in the United States was practically nonexistent. During this period many officials did not believe that treatment was effective or necessary. Drug abusers and sellers were simply arrested and imprisoned, thereby discouraging use. The dramatic explosion in the use and abuse of a wide range of different drugs during the 1960s demonstrated the weakness of this theory. As a result, two treatment programs were developed during the 1960s.

A. Patterns of drug abuse

B. Treatment

C. Drug testing in the workplace

D. Classification of psychoactive drugs

E. Definition of drug abuse

Paragraph 1 ______.

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第1题

Below are four groups of terms that are found in the passage. Which group contains at leas
t one term that does not refer to the same thing as the other terms within the group?

A.the new law, the bill, the drug bill, the prescription-drug legislation, the legislation

B.prescription-drug coverage, the new law, the drug bill, the prescription-drug legislation, the legislation

C.the drug bill, the bill, Medicare with prescription-drag coverage added, the prescription drug legislation, the legislation

D.the new law, the bill, the drug bill, Medicare with additions including prescription-drug coverage, the prescription-drug legislation

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第2题

Below are four groups of terms that are found in the passage. Which group contains at leas
t one term that does not refer to the same thing as the other terms within the group?

A.the new law, the bill, the drug bill, the prescription-drug legislation, the legislation

B.prescription-drug coverage, the new law, the drug bill, the prescription- drug legislation, the legislation

C.the drug bill, the bill, Medicare with prescription-drug coverage added, the prescription-drug legislation, the legislation

D.the new law, the bill, the drug bill, Medicare with additions including prescription-drug coverage, the prescription-drug legislation

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第3题

Technically, any substance other than food that alters our bodily or mental functioning is
a drug. Many people mistakenly believe the term drug refers only to some sort of medicine or an illegal chemical taken by drug addicts. They don't realize that familiar substances such as alcohol and tobacco are also drugs. This is why the more neutral term substance is now used by many physicians and psychologists, The phrase" substance abuse" is often used instead of" drug abuse" to make clear that substances such as alcohol and tobacco can be just as harmfully misused as heroin and cocaine.

We live in a society in which the medicinal and social use of substances (drugs) is pervasive: an aspirin to quiet a headache, some wine to be sociable, coffee to get going in the morning, a cigarette for the nerves. When do these socially acceptable and apparently constructive uses of a substance become misuses? First of all, most substances taken in excess will produce negative effects such as poisoning or intense perceptual distortions. Repeated use of a substance can also lead to physical addiction or substance dependence. Dependence is marked first by an increased tolerance, with more and more of the substance required to produce the desired effect, and then by the appearance of unpleasant withdrawal symptoms when the substance is discontinued.

Drugs (substances) that affect the central nervous system and alter perception, mood, and behavior. are known as psychoactive substances. Psychoactive substances are commonly grouped according to whether they are stimulants, depress ants, or hallucinogens. Stimulants initially speed up or activate the central nervous system, whereas depressants slow it down. Hallucinogens have their primary effect on perception, distorting and altering it in a variety of ways including producing hallucinations. These are the substances often called psychedelic (from the Greek word meaning "mind-manifesting") because they seemed to radically alter one's state of consciousness.

Substance abuse (Line 5, Paragraph 1) is preferable to "drug abuse" in that ______.

A.substances can alter our bodily or mental functioning if illegally used

B.drug abuse is only related to a limited number of drug takers

C.alcohol and tobacco are as fatal as heroin and cocaine

D.many substances other than heroin or cocaine can also be poisonous

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第4题

听力原文:Technically, any substance other than food that alters our bodily or mental funct

听力原文: Technically, any substance other than food that alters our bodily or mental functioning is a drug. Many people mistakenly believe the term "drug" refers only to some sort of medicine or an illegal chemical taken by drug addicts. They don't realize that familiar substances such as alcohol and tobacco are also drngs. This is why the neutral term "substance" is now used by many physicians trod psychologists. The phrase "substance abuse" is often used instead of "drng abuse" to make clear that substances such as alcohol and tobacco can be just as harmfully misused as heroin and cocaine.

We live in a society, in which the medicinal. and social use of substance is pervasive: an aspirin to quiet a headache, some wine to be sociable, coffee to get going in the morning, a cigarette for the nerves. When do these socially acceptable and Obviously constructive uses of a substance become misuses? First of all, most substances taken in excess will produce side-effects such as poisoning or intense perceptual distortions. Repeated use of a substance can also lead to physical addiction or substance dependence. Dependence is marked first by an increased tolerance, with more and more of the substance required to produce the desired eftect, and then by the appearance of unpleasant withdrawal symptoms when the substance is discontinued.

(30)

A.Drug.

B.Substance.

C.Medicine.

D.Alcohol.

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第5题

Section BDirections: In this section, you will hear 3 short passages. At the end of each p

Section B

Directions: In this section, you will hear 3 short passages. At the end of each passage, you will hear some questions. Both the passage and the questions will be spoken only once. After you hear a question, you must choose the best answer from the four choices marked A, B, C and D.

听力原文: Technically, any substance other than food that alters our bodily or mental functioning is a drug. Many people mistakenly believe the term 'drug' refers only to some sort of medicine or an illegal chemical taken by drug addicts. They don' t realize that familiar substances such as alcohol and tobacco are also drugs. This is why the neutral term 'substance' is now commonly used by many physicians and psychologists. The phrase 'substance abuse' is often used instead of 'drug abuse' to make clear that substances such as alcohol and tobacco can be just as harmfully misused as heroin and cocaine.

We live in a society in which the medicinal and social use substance is widespread. For example, an aspirin is often used to quiet a headache. Wine is thought to be necessary for social occasions. Some people drink coffee to get going in the morning. Others consider a cigarette is good for the nerves.

When do these socially acceptable and obviously constructive uses of a substance become misuses? First of all, most substances taken in excess will produce side-effects such as poisoning or intense perceptual distortion. Repeated use of a substance can also lead to physical addiction or substance dependence. Dependence is marked first by an increased tolerance, with more and more of the substance required to produce the desired effect, and then by the appearance of unpleasant withdrawal symptoms when the substance is discontinued.

(27)

A.That drugs should not be used without doctors advice.

B.That drugs and substances are different.

C.That substances should be used in a scientific way.

D.That the misuse of substances is harmful.

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第6题

Section BDirections: In this section, you will hear 3 short passages. At the end of each p

Section B

Directions: In this section, you will hear 3 short passages. At the end of each passage, you will hear some questions. Both the passage and the questions will be spoken only once. After you hear a question, you must choose the best answer from the four choices marked A, B, C and D.

听力原文:Technically, any substance other than food that alters our bodily or mental functioning is a drug. Many people mistakenly believe the term 'drug' refers only to me sort of medicine or an illegal chemical taken by drug addicts. They don't realize that familiar substances such as alcohol and tobacco are also drugs. This is why the neutral term 'substance' is now commonly used by many physicians and psychologists. The phrase 'substance abuse' is often used instead of ' drug abuse' to make clear that substances such as alcohol and tobacco can be just as harmfully misused as heroin and cocaine.

We live in a society in which the medicinal end social use substance is widespread. For example, an aspirin is often used to quiet a headache. Wine is thought to ha necessary for social occasions. Some people drink coffee to get going in the morning. Others consider a cigarette is good for the nerves.

When do these socially acceptable end obviously constructive uses of a substance become misuses? First of all, most substances taken in excess will produce side-effects such as poisoning or intense perceptual distortion. Repeated use of a substance can also lead to physical addiction or substance dependence. Dependence is marked first by an increased tolerance, with more and more of the substance required to produce the desired effect, and then by the appearance of unpleasant withdrawal symptoms when the substance is discontinued.

(27)

A.That drugs should not be used without doctors' advice.

B.That drugs and substances are different.

C.That substances should be used in a scientific way.

D.That the misuse of substances is harmful.

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第7题

Under existing law, a new drug may be labeled, promoted, and advertised only for those con
ditions in which safety and effectiveness have been demonstrated and of which the Food and Drug Administration (FDA) has approved, or so-called "approved uses." Other uses have come to be called "unapproved uses" and cannot be legally promoted. In a real sense, the term "unapproved' is a misnomer because it includes in one phrase two categories of marketed drugs that are very different; drugs which are potentially harmful and will never be approved, and already approved drugs that have "unapproved" uses. It is common for new research and new insights to demonstrate valid new uses for drugs already on the market. Also, there are numerous examples of medical progress resulting from the serendipitous observations and therapeutic innovations of physicians, both important methods of discovery in the field of therapeutics. Before such advances can result in new indications for inclusion in drug labeling, however, the available data must meet the legal standard of substantial evidence derived from adequate and well-controlled clinical trials. Such evidence may require time to develop, and, without initiative on the part of the drug firm, it may not occur at all for certain uses. However, because medical literature on new uses exists and these uses are medically beneficial, physicians often use these drugs for such purposes prior to FDA review or changes in labeling. This is referred to as "unlabeled uses" of drugs.

A different problem arises when a particular use for a drug has been examined scientifically and has been found to be ineffective or unsafe, and yet physicians who either are uninformed or who refuse to accept the available scientific evidence continue to use the drug in this way. Such use may have been reviewed by the FDA and rejected, or, in some cases, the use may actually be warned against in the labeling. This subset of uses may be properly termed "disapproved uses."

Government policy should minimize the extent of unlabeled uses. If such uses are valid--and many are- it is important that scientifically sound evidence supporting them be generated and that the regulatory system accommodate them into drug labeling. Continuing rapid advances in medical care and the complexity of drug usage, however, makes it impossible for the government to keep drug labeling up to date for every conceivable situation. Thus, when a particular use of this type appears, it is also important, and in the interest of good medical care, that no stigma be attached to "unapproved usage" by practitioners while the formal evidence is assembled between the time of discovery and the time the new use is included in the labeling. In the case of "disapproved uses," however, it is proper policy to warn against these in the package insert, whether use of a drug for these 'purposes by the uninformed or intransigent physician constitutes a violation of the current Federal Food, Drug and Cosmetic Act is a matter of debate that involves a number of technical and legal issues. Regardless of that, the inclusion of disapproved uses in the form. of contraindications, warnings and other precautionary statements in package inserts is an important practical deterrent to improper use. Except for clearly disapproved uses, however, it is in the best interests of patient care that physicians not be constrained by regulatory statutes from exercising their best judgment in prescribing a drug for both its approved uses and any unlabeled uses it may have.

The author is primarily concerned with______.

A.refuting a theory

B.drawing a distinction

C.discrediting an opponent

D.condemning an error

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第8题

Under existing law, a new drug may be labeled, promoted, and advertised only for those con
ditions in which safety and effectiveness have been demonstrated and of which the Food and Drug Administration (FDA) has approved, or socalled "approved uses." Other uses have come to be called "unapproved uses" and cannot be legally promoted. In a real sense, the term "unapproved" is a misnomer because it includes in one phrase two categories of marketed drugs that are very different; drugs which are potentially harmful and will never be approved, and already approved drugs that have "unapproved" uses. It is common for new research and new insights to demonstrate valid new uses for drugs already on the market. Also, there arc numerous examples of medical progress resulting from the serendipitous observations and therapeutic innovations of physicians, both important methods of discovery in the field of therapeutics. Before such advances can result in new indications for inclusion in drug labeling, however, the available data must meet the legal standard of substantial evidence derived from adequate and well-controlled clinical trials. Such evidence may require time to develop, and, without initiative on the part of the drug firm, it may not occur at all for certain uses. However, because medical literature on new uses exists and these uses arc medically beneficial, physicians often use these drugs for such purposes prior to FDA review or changes in labeling. This is referred to as "unlabeled uses" of drugs.

A different problem arises when a particular use for a drug has been examined scientifically and has been found to be ineffective or unsafe, and yet physicians who either are uninformed or who refuse to accept the available scientific evidence continue to use the drug in this way. Such use may have been reviewed by the FDA and rejected, or, in some cases, the use may actually be warned against in the labeling. This subset of uses may be properly termed "disapproved uses."

Government policy should minimize the extent of unlabeled uses. If such uses are valid—and many are—it is important that scientifically sound evidence supporting them be generated and that the regulatory system accommodate them into drug labeling. Continuing rapid advances in medical care and the complexity of drug usage, however, makes it impossible for the government to keep drug labeling up to date for every conceivable situation. Thus, when a particular use of this type appears, it is also important, and in the interest of good medical cure, that no stigma be attached to "unapproved usage" by practitioners while the formal evidence is assembled between the time of discovery and the time the new use is included in the labeling. In the case of "disapproved uses," however, it is proper policy to warn against these in the package insert, whether use of a drug for these purposes by the uninformed or intransigent physician constitutes a violation of the current Federal Food, Drug and Cosmetic Act is a matter of debate that involves a number of technical and legal issues. Regardless of that, the inclusion of disapproved uses in the form. of contraindications, warnings and other precautionary statements in package inserts is an important practical deterrent to improper use. Except for clearly disapproved uses, however, it is in the best interests of patient care that physicians not be constrained by regulatory statutes from exercising their best judgment in prescribing a chug for both its approved uses and any unlabeled uses it may have.

The author is primarily concerned with ______.

A.refuting a theory

B.drawing a distinction

C.discrediting an opponent

D.condemning an error

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第9题

听力原文:Slang has always been the province of the young. Words come in and out of favor i

听力原文: Slang has always been the province of the young. Words come in and out of favor in direct proportion to the speed with which they travel through the age ranks. Once college kids know that high school kids are using a term, it becomes pass6. And seniors don't want to sound like freshman and so forth. Once a word finds its way to mainstream media or worse, is spoken by parents, no young person with any self-respect would use it.

Fifties slang wasn't particularly colorful as these things go. The Sixties, with its drug and protest culture to draw from, would be slang heaven. In the Fifties, hot-rodders and Beats provided inspiration.

About the Beat Culture. This was by no means a mainstream movement. I didn't actually know any Beats nor I suspect did most of my peers across America. But they sure seemed "cool" to us. A sharp contrast from the way real teens lived in a preppy, conservative, conformist world.

(30)

A.they prefer more sophisticated words

B.they don't want to sound like younger people

C.slang gets boring

D.they can't be bothered keeping up with popular trends

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