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Antidepressant(抗忧郁)drugs such as Prozac were viewed in the early 1900's as wonder pills that would remove depressive blues for good. But in the past five years, growing scientific evidence has shown these drugs work for only a minority of people. And now a research journal says that these antidepressants can make many patients' depression worse. This alarming suggestion centres on the very chemical that is targeted by antidepressants-serotonin(血清素). Drugs such as Prozac are known as selective serotonin re-uptake inhibitors(or SSRIs). Their aim is to increase the level of this “feel-good” chemical in the brain.
But the new research, published in the journal Frontiers In Evolutionary Psychology, points out that serotonin is like a chemical Swiss Army knife, performing a very wide range of jobs in the brain and body. And when we start changing serotonin levels purposely, it may cause a wide range of unwanted effects. These can include digestive problems and even early deaths in older people, according to the study's lead researcher Paul Andrews. “ We need to be much more cautious about use of these drugs,” says Andrews, an assistant professor of evolutionary psychology at McMaster University in Ontario, Canada.
Previous research has suggested that the drugs provide little benefit for most people with mild depression, and actively help only a few of the most severely depressed. Famous psychologist Irving Kirsch has found that for many patients, SSRIs are no more effective than a placebo pill. A research in 2010 on Danish children found a small, but significant, increase in the risk of heart problems among babies whose mothers had used SSRIs in early pregnancy. The key to understanding these side-effects is serotonin, says Andrews. Serotonin is also the reason why patients can often end up feeling still more depressed after they have finished a course of SSRI drugs. He argues that SSRI antidepressants disturb the brain, leaving the patient an even greater depression than before.
“After long use, when a patient stops taking SSRIs, the brain will lower its levels of serotonin production,” he says, adding that it also changes the way receptors in the brain respond to serotonin, making the brain less sensitive to the chemical. These changes are believed to be temporary, but studies indicate that the effects may continue for up to two years.
Most disturbingly of all, Andrews' review features three recent studies which, he says , show that elderly antidepressant users are more likely to die earlier than non-users, even after taking other important variables into account. One study, published in the British Medical Journal last year, found patients given SSRIs were more than 4 per cent more likely to die in the next year than those not on the drugs.
“Serotonin is an ancient chemical,” says Andrews. “It is regulating many different processes, and when you disturb these things, you can expect that it is going to cause some harm.”
Stafford Lightman, professor of medicine at the University of Bristol, and a leading UK expert in brain chemicals and hormones, says Andrews’ review highlights some important problems, yet it should also be taken with a pinch of salt. “This report is doing the opposite of what drug companies do,” he says. “Drug companies selectively present all the positives in their research, while this search selectively presents all the negatives that can be found. Nevertheless, Andrews' study is useful in that it is always worth pointing out that there is a downside to any medicine. ” Professor Lightman adds that there is still a great deal we don't know about SSRIs-not least what they actually do in our brains.
When it comes to understanding why the drugs work only for a limited part of patients, U.S. scientists think they might now have the answer. They think that in many depressed patients, it’s not only the lack of feel-good serotonin causing their depression, but also a failure in the area of the brain that produces new cells throughout our lives. This area, the hippocampus, is also responsible for regulating mood and memory. Research suggests that in patients whose hippocampus has lost the ability to produce new cells, SSRIs do not bring any benefit.
1.According to paragraph 2, serotonin, like a chemical Swiss Army knife, can .
A. make many patients' depression worse
B. cause a wide range of unwanted effects
C. affect human body and brain in various ways
D. provide little benefit for most depressed people
2.In Stafford Lightman's opinion, .
A. drug companies don't know the negative effect of antidepressants
B. Andrews focused on different things from the drug companies
C. scientists have found what SSRIs do in the brain
D. Andrews' research has no medical value
3.Which of the following is TRUE about SSRIs?
A. They are used to increase the “feel-good” medical in the brain.
B. They can work even when the hippocampus can't produce new cells.
C. They create a risk of heart problems in pregnant women.
D. They are responsible for controlling mood and memory.
4.What is the text mainly about?
A. The aim of drug companies
B. The function of SSRIs
C. The side-effects of antidepressants
D. The cause of depression
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The drug store was closing for the night and Alfred Higgins was about to go home when his new boss approached him.
“Empty your pockets please, Alfred,” Sam Carr demanded in a firm voice.
Alfred pretended to be shocked but he knew he’d been caught. From his coat he withdrew a make-up kit, a lipstick and two tubes of toothpaste.
“I’m disappointed in you, Alfred!” said the little gray-haired man.
“Sorry, sir. Please forgive me. It’s the first time I’ve ever done such a thing,” Alfred lied, hoping to gain the old man’s sympathy.
Mr Carr’s brow furrowed as he reached for the phone, “Do you take me for a fool? Let’s see what the police have to say. But first I’ll call your mother and let her know her son is heading to jail.”
“Do whatever you want,” Alfred shot back, trying to sound big. But deep down he felt like a child. He imagined his mother rushing in, eyes burning with anger, maybe in tears. Yet he wanted her to come quickly before Mr. Carr called the police.
Mr. Carr was surprised when Mrs Higgins finally arrived. She was very calm, quiet and friendly. “Is Alfred in trouble?” she asked.
“He’s been stealing from the store,” the old man coolly replied.
Mrs. Higgins put out her hand and touched Mr. Carr’s arm with great gentleness as if she knew just how he felt. She spoke as if she did not want to cause him any more trouble. “What do you want to do, Mr. Carr?”
The woman’s calm and gentle manner disarmed the once-angry store-owner. “I was going to get a cop. But I don’t want to be cruel. Tell your son not to come back here again, and I’ll let it go.” Then he warmly shook Mrs. Higgins’s hand.
Mrs. Higgins thanked the old man for his kindness, then mother and son left. They walked along the street in silence. When they arrived home his mother simply said, “Go to bed, you fool.”
In his bedroom, Alfred heard his mother in the kitchen. He felt no shame, only pride in his mother’s actions. “She was smooth!” he thought. He went to the kitchen to tell her how great she was, but was shocked by what he saw.
His mother’s face looked frightened, broken. Not the cool, bright face he saw earlier. Her lips moved nervously. She looked very old. There were tears in her eyes.
This picture of his mother made him want to cry. He felt his youth ending. He saw all the troubles he brought her and the deep lines of worry in her grey face. It seemed to him that this was the first time he had ever really seen his mother.
1.Which of the following is true according to the passage?
A. It was the first time Alfred had stolen anything.
B. Alfred tried to sound big to hide his fear.
C. Mr. Carr set a trap to catch Alfred stealing.
D. Mr. Carr had planned to forgive Alfred from the beginning.
2. What does the underlined word “disarmed” probably mean?
A. annoyed B. made less angry
C. convinced D. got over
3.What was the mother’s attitude toward Alfred?
A. She felt disappointed with him.
B. She was very strict with him.
C. She was supportive of him.
D. She was afraid of him.
4.What impressed Alfred most about his mother at the drugstore was ________.
A. how angry she was
B. that she didn’t cry
C. that she was able to save him
D. how effectively she handled Mr. Carr
5. From the last paragraph, we know that Alfred ________.
A. was no longer a youth
B. felt proud of his mother
C. wanted his mother to be happy
D. felt guilty and regretful for his deed
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NOT all memories are sweet. Some people spend all their lives trying to forget bad experiences. Violence and traffic accidents can leave people with terrible physical and emotional scars. Often they relive these experiences in nightmares.
Now American researchers think they are close to developing a pill, which will help people forget bad memories. The pill is designed to be taken immediately after a frightening experience. They hope it might reduce, or possibly erase(抹去) the effect of painful memories.
In November, experts tested a drug on people in the US and France. The drug stops the body releasing chemicals that fix memories in the brain. So far the research has suggested that only the emotional effects of memories may be reduced, not that the memories are erased.
The research has caused a great deal of argument. Some think it is a bad idea, while others support it.
Supporters say it could lead to pills that prevent or treat soldiers’ troubling memories after war. They say that there are many people who suffer from terrible memories.
“Some memories can ruin people’s lives. They come back to you when you don’t want to have them in a daydream or nightmare. They usually come with very painful emotions,” said Roger Pitman, a professor of psychiatryat Harvard Medical School. : “This could relieve a lot of that suffering.”
But those who are against the research say that changing memories is very dangerous because memories give us our identity(特质). They also help us all avoid the mistakes of the past.
“All of us can think of bad events in our lives that were horrible at the time but make us who we are. I’m not sure we want to wipe those memories out,” said Rebecca Dresser, a medical ethicist
53.The passage is mainly about .
A.a new medical invention
B.a new research on the pill
C.a way of erasing painful memories
D.an argument about the research on the pill
54.The drug tested on people can .
A.cause the brain to fix memories
B.stop people remembering bad experiences
C.prevent body producing certain chemicals
D.wipe out t he emotional effects of memories
55.We can infer from the passage that .
A.people doubt t he effects of the pills
B.the pill will stop people’s bad experiences
C.taking the pill will do harm to people’s health
D.the pill has probably been produced in America
56.Which of the following does Rebecca Dresser agree with?
A.Some memories can ruin people’s lives.
B.People want to get rid of bad memories.
C.Experiencing bad events makes us different from others.
D.The pill will reduce people’s sufferings from bad memories.
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Researchers in the United States have developed the first wirelessly controlled device that can supply a drug directly into the body. A small chip is implanted (植入) under the skin. It contains the medicine, which it releases at preset times. The developers say the device could improve the lives of millions of people who take medicine for long-term illnesses. A company called Microchips began developing the device about fifteen years ago. Last month, the company released the results of its first successful tests in humans. The tests took place in Denmark with seven women with osteoporosis(骨质疏松症).
Osteoporosis causes bones to become weak and break easily. The disorder is common among older people especially women. Many patients have to give themselves daily injection(注射)of medicine. One type of treatment requires injections for two years. The patients stop taking the medicine because of the pain and stress of the injections. As a result, only twenty-five percent of the patients will go through the entire twenty-four months of treatment.
The microchip is a few centimeters long. It has small sections and each section holds a single dose(单次剂量)of medicine. The device has to be programmed with the times to release the drug. Doctors will be able to reprogram the device from a computer or even a cell phone.
For osteoporosis, the physician will program the device, and the device has the ability to release a dose at a given time, every single day. For other diseases, where the physician may want to change the dosing schedule, they will have the ability to wirelessly reprogram that dosing schedule.
The seven women in the study were ages of sixty-five to seventy. The researchers say the implants were just as effective as daily injections. And they say the medicine amounts were more exact than patients often give themselves.
【小题1】The best title for the passage should be ______.
| A.A New Company Called Microchips |
| B.A New Way to Take Medicine Every Day |
| C.Good News for Women with Osteoporosis |
| D.Taking Medicine, with Microchip under Skin |
| A.Announced. | B.Planned. | C.Got rid of. | D.Caught hold of. |
| A.older people especially men easily develop steoporosis |
| B.bones’ becoming weak and breaking easily causes steoporosis |
| C.a quarter of the patients will go through the entire two years of treatment |
| D.pain and stress of the injections lead all patients to stop taking medicine |
a. effective implants
b. less exact medicine amounts
c. purposely—changed dosing schedule
d. only one centimeter long and having small sections
e. improving the lives of millions of people
| A.a, b, c | B.c, d, e | C.a, c, e | D.b, c, d |
| A.Arts. | B.Jobs. | C.Sports. | D.Medicine. |
Medical drugs sometimes cause more damage than they cure. One solution to this problem is to put the drugs inside a capsule, protecting them from the body—and the body from them—until they can be released at just the right spot. There are lots of ways to trigger (引发) this release, including changing temperature, acidity, and so on. But triggers can come with their own risks—burns, for example. Now, researchers in California have designed what could be a harmless trigger to date: shining near-infrared light (NIR, 近红外线) on the drug in the capsule.
The idea of using light to liberate the drug in the capsule isn’t new. Researchers around the globe have developed polymers (聚合物) and other materials that begin to break down when they absorb either ultraviolet (UV, 紫外线) or visible light. But tissues also readily absorb UV and visible light, which means the drug release can be triggered only near the skin, where the light can reach the capsule. NIR light largely passes through tissues, so researchers have tried to use it as a trigger. But few compounds (化合物) absorb NIR well and go through chemical changes.
That changed last year when Adah Almutairi, a chemist at the University of California, San Diego, reported that she and her colleagues had designed a polymer that breaks down when it absorbs NIR light. Their polymer used a commercially available NIR-absorbing group called o-nitrobenzyl (ONB). When they catch the light, ONB groups fall off the polymer, leading to its breakdown. But ONB is only a so-so NIR absorber, and it could be poisonous to cells when it separates from the polymer.
So Almutairi and her colleagues reported creating a new material for capsules that’s even better.This one consists of a long chain of compounds called cresol groups linked in a polymer. Cresol contains reactive(易反应的) components that make it highly unstable in its polymeric form, a feature Almutairi and her colleagues use to their advantage. After polymerizing the cresols, they cap each reactive component with a light-absorbing compound called Bhc. When the Bhcs absorb NIR light, the reactive groups are exposed and break the long polymer into two short chains. Shining additional light continues this breakdown, potentially releasing any drugs in the capsule. What’s more, Almutairi says, Bhc is 10 times better at absorbing NIR than is ONB and is not poisonous to cells.
【小题1】According to the passage, which of the following could be the best trigger?
| A.Temperature change. | B.NIR light. | C.Acidity change. | D.UV light. |
| A.It breaks down when it absorbs NIR light. |
| B.It falls off the polymer and triggers drug release. |
| C.It has not come onto the market up till now. |
| D.It is not effective enough and could be poisonous. |
| A.protected | B.formed | C.exposed | D.combined |