A Notice of Delnor Hospital (the “Hospital”)

         THIS  NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT MAY BE USED AND DISCLOSED ( 透露 )

If you have any questions about this notice, please contact:

         The ASIFlex Privacy  Office

         PO  BOX   6044

         Columnbia MO   65205- 0858

We understand that medical information about you and your health is personal. We are committed to protecting your medical information. We create a record of the care and services you receive at the Hospital. We need this record to provide you with quality care and to comply （遵从）with certain legal requirements.

This notice explains the ways in which we may use and disclose medical information about you. We also describe your rights and certain obligation(  义务  ) we have regarding the use and disclosure of medical information.

HOW WE MAY USE AND DISCLOSE MEDICAL INFORMATION ABOUT YOU

The following categories describe different ways that we use and disclose your medical information. Not every use or disclosure in every category is listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.

For Treatment.   We may use your medical information to provide you with medical treatment or services. We may disclose your medical information to doctors, nurses and technicians. In addition, the doctor may need to tell the dietician if you have diabetes so that we may arrange appropriate meals. Different departments within the Hospital also may share your medical information.

For Payment.    We may use and disclose your medical information so that the treatment and services you receive at the Hospital may be billed and payment may be collected from you, an insurance company or a third party. We also may tell your health plan about a treatment you are going to receive to obtain prior approval or to determine whether your plan will cover the treatment.

For Health Care Operations.   We may use and disclose your medical information for the Hospital operations purposes. These uses and disclosures are necessary to run the Hospital and to make sure that all of our patients receive quality care. We also may combine your medical information with those of many Hospital patients to determine whether additional services should be offered, what services are no longer needed and whether certain new treatments are effective.

21. From the notice, we can learn _______may read your medical information.

A. doctors           B. nurses           C. dietician               D. all above

22. Which of the following isn’t mentioned in the notice?

A. The patient will be told how soon he can recover after an operation

B. The Hospital creates a record of the care and services.

C. The patient can be told his health plan about a treatment

D. The Hospital can arrange appropriate meals for patients.

23.What can be inferred from the notice?

A. Patients couldn’t  be informed of his medical information

B. All persons in the Hospital know patients’ information

C. Patients in the Hospital could receive proper care and treatment

D. The Hospital could never combine your medical information with those of many Hospital patients.

A planned visit to  Trinidad and Tobago  sometime  ago by a former American president, suddenly took an amazing turn form the initial plan. The presidential aircraft could not land in Trinidad and Tobago. It was reported that the runway of the airport was too short. Therefore, the aircraft had to land in a nearby country and they came into the country by road.
    Everyone has a runway by which events enter into his life. The events here could be favors, miracle, connections, job opportunities, etc. The size of your runway determines the level of results that will be attracted into your life.

     I have a story of two good friends. They finished high school together. One wanted to further his studies while the other decided to look for a job. As time went on, the one that wanted to work was always there to support the other one especially in the area of fees in school for a long time. As destiny would have it, they both lost contact and after a very long time, they met again but on a very different level. The one that added values to himself by going back to school had stepped up greatly to become the general manager of a big company and the other was just a little lifted. So, it was time to pay back. The one of general manager could only support him financially and make him the chief driving officer in the company. Even though he would have loved to give him a higher post he was not qualified especially in terms of skills, orientation , experience and so on. In other words, his runway was too short for such an opportunity.

     Everyone must increase in knowledge and training . You must step up in your education level, human, business and communication skills. Your relationship with people must improve by being a good person. Your runway is enlarged anytime you add values to your life.

     There are some jobs, opportunities, favor that cannot protect base in your life. They will have to be coming from other people into your life because you have failed to work on your own runway by improving on your abilities. It is not too late or too early to start in life because every stage in life is a good place to begin.

24． In the first paragraph, the president had to change his plan because _________________.

A.   the weather condition was bad for their journey

B.   they couldn’t go into that country by their plane

C.   they wanted to visit the neighboring country temporarily

D.  the president had to deal with something back in his country

25． The two friends had different final results because __________________________

A. they had different life goals                                                

B. one always wanted to beat the other

C. they had different education levels                                          

D .they wanted to show their different success

26．What is stressed in the last paragraph?

A. The key to success.                                                        

B. The need of others’ help

C. The trouble from failure                                                     

D. The real meaning of life

27． What would be the best title for this text?

A. Kindness Makes a Big Different                                                 

B. Depend on Youself

C. Competition Exists Everywhere                                                  D. Always Improve on Yourself

         People in several American states may be surprised to see cars on city streets without a driver. Experimental driverless vehicles now are legal in Florida, Nevada and California. They are pointing the way to a future that is not far down the road. The high-tech company Google has a number of self-driving cars, which had covered 480,000 kilometers by August. Volvo is among the companies doing road tests and says it plans to sell driverless cars by 2020.

       In September, California Governor Jerry Brown signed an act to allow autonomous vehicles on the roads of his state. “Today we’re looking at science fiction becoming tomorrow's reality-the driverless car. ” The technology for these cars includes cameras, radar and motion sensors. The systems have been improved through competitions sponsored by the U. S. government agency DARPA. Engineer Richard Mason of the Rand Corporation helped design driverless vehicles for DARPA challenge races.

   Cars have become much more fuel-efficient, and new electronic features are' making Hondas safer, said Angie Nucci of Honda America.  “A camera on the passenger-side mirror actually engaged on your guiding screen so you can safely change lanes. ” Other safety features include warning systems on the front and the sides of the cars.  These systems help drivers , but don’t replace them. Curator Leslie Kendall of the Petersen Automotive Museum said autonomous cars will make the high ways safer．

     “By taking out drivers, you also remove most risks of an accident, ”Kendall said. He said , “Consumers, however, may be unwilling to lose control. It may take them time to come to realize that the technology is indeed reliable, but it will have to prove itself first. ”

     Mason said the technology already works and the biggest challenge now is getting down the cost for driverless vehicles from hundreds of thousands of dollars to something more affordable. He said this will happen as the technology is improved.

28. According to the passage, California Governor Jerry Brown ______________.

A. is for the idea of having driverless cars

B. sponsored the DARPA competition to improve the driverless system

C. has already bought a new autonomous car

D. thinks that driving safety is the most important issue in his state

29. What is the role of the systems mentioned in Paragraph 3?

A. They can help cars run much faster.

B. They can take the place of drivers now.

C. They can make cars run without fuel.

D. They can help people drive more safely.

30.In Kendall’s opinion, who probably don’t rely on the driverless cars at first?

A. managers in the high-tech company Google

B. officers from the U. S. government agency DARPA

C. car consumers

D. vehicle designers

31．According to Richard Mason, what is the biggest challenge for driverless cars?

A. They need to have more comfortable seats .

B. They are now too expensive for consumers.

C. They are travelling at a low speed.

D. They are not favored by car racers

People have wondered for a long time how their personalities and behaviors are formed. It’s not easy to explain why one person is intelligent and another is not, or why one is cooperative and another is competitive.

Social scientists are, of course, extremely interested in these types of question. They want to explain why we possess certain characteristics and exhibit certain behaviors. There are no clear answers yet, but two distinct schools of thought on the matter have developed. As one might expect, the two approaches are very different from each other, and there is a great deal of debate between proponents of each theory. The argument is often conveniently referred to as nature vs. nurture.

Those who support the “nature” side of the conflict believe that our personalities and behavior patterns are largely determined by biological and genetic factors. That our environment has little, if anything, to do with our abilities, characteristics and behavior is central to this theory. Taken to an extreme, this theory maintains that our behavior is predetermined(注定)to such a great degree that we are almost completely governed by our instincts(本能).

Proponents of the “nurture” theory, or, as they are often called, behaviorists, claim that our environment is more important than our biologically based instincts in determining how we will act. Behaviorists see humans as beings whose behavior is almost completely shaped by their surroundings. Their view of the human being is quite mechanistic; they maintain that, like machines, humans respond to environmental stimuli (something that helps sb./ sth. to develop better and more quickly)as the basis of their behavior.

The social and political connections of these two theories are significant. In the United States, for example, blacks often score below whites on standardized intelligent test. This leads some “nature” proponents to conclude that blacks are genetically worse than whites. Behaviorists, in contrast, say that the differences in scores are due to the fact that blacks are often robbed of many of the educational and other environmental advantages  that whites enjoy, and that, as a result ,they do not develop the same responses that whites do.

Neither of these theories can yet fully explain human behavior. In fact, it is quite likely that the key to our behavior lies somewhere between these two extremes. That the argument will continue for a long time is certain.

32.The author is mainly concerned about solving the problem　　　.

A. why our personalities and behaviors differ

B. what makes different stages of intelligence

C. how social scientists form different theories

D. what causes the “nature/ nurture” argument

33.The underlined word “proponents” can best be replaced by　　　.

A. approaches      B. advocates     

C. principles      D. characters

34. Which of the following statements may be supported by the “nature” school?

A. We are born with certain personalities and behaviors.

B. Environment has nothing to do with our personalities.

C. Abilities and characteristics are showed by behaviors.

D. Only extreme behaviors are determined by instincts.

35. What can we learn about the behaviorists?

A. They believe human beings are mechanical.

B. They compare our behaviors to the machines.

C. They suggest that we react to the environment as the machines do.

D. They agree that the mechanistic theory can be applied on us as well.

It’s 9 a. m. , the morning rush hour in Toronto. A man has fallen down on a downtown street suddenly. Several passers-by stop to help the man. One woman reaches into her purse for her cellphone and hits 911, the emergency number. ___36____Within ten minutes, the stricken man is in the back of an ambulance and is sent to the hospital for life-saving treatment.

This scene is fairly common in Toronto and other major cities. Over the years, cities have developed systems to respond quickly to emergencies. _____37_____But none of this would be possible without the cooperation of car drivers who yield(让路)to emergency vehicles on busy downtown streets. In fact, it’s against the law for drivers not to yield.

To yield means to give away or, more specifically, to get out of the way. _____38_____. As yet, China doesn’t have any specific laws that require drivers to yield, whether it is for slower cars to move over to the inside lane of a highway or for all cars to give way to emergency vehicles. ____39___ Drivers did not yield when they heard the ambulance’s siren.

In Canada, failing to yield to an ambulance vehicle can result in a fine of $400～$2, 000 and reduction of three points off your license. That’s for a first offense. ___40___This punishment is severe because lives are in danger.

A . It has resulted in many lives being saved.

B. A second offense results in a bigger fine, the loss of your driver’s license for two years and a possible jail sentence.

C. It saves lives and, who knows, someday it may save your own.

D. Three minutes later, sirens(警报)are heard in the distance as a police car, an ambulance and a fire truck race to the area.

E. It means pulling to the side of the road to let others pass.

F. Recently, an injured Beijing cyclist died on the way to hospital because the ambulance carrying him got stuck in city traffic.

G. Safe driving depends on driver’s being aware of the traffic around them and yielding when necessary.