职称英语-职称英语卫生类b级模拟21

职称英语-职称英语卫生类b级模拟21

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B211ᑖ⌱⚗ஹHelookeddismayedwhenheheardthenews.A.paleB.hurtfulC.doubtfulD.disappointed2ஹIfsbeyondmortalpowertobringadeadmanbacktolifeA.humanB.spiritualC.materialD.electronic3ஹAllproposalsarelikelytoberejected.A.acceptedB.refusedC.neglectedD.believed4ஹThesisterscan11tolerateeachother.A.hateB,bearC.likeD.criticize5ஹJane1sunusualbehaviorpuzzledherparents.A.abnormalB.frighteningC.repeatedD.funny6ஹHehadtoconsidertheoffer.Anyway,hehadtorearhiswholefamily.A.setupB.rebuildC.constructD.raise7ஹHewasevidentlyholdinglightontohimselfaboutsomething.A.reluctantlyB.obviouslyC.seeminglyD.conclusively8ஹTheyresembledeachotherincolorbutnotinshape.A.weresimilartoB.differentiatedC.werelikelyD.modified9ஹYoushouldconformtotheusageofsociety.A.confrontB.acquaintCadoptD.follow10>Heinquiredwhetheritwaspossibletoleavehissuitcaseattherailwaystation.A.insistedB.suggestedC.askedD.called11>SubteiraneanstreamshavecutthroughlimestonetoformmilesofpassagesandcavessuchasKentucky*sMammothCave.A.SecondaryB.UndergroundC.UnharnessedD.Miniscule12>Theministerapprovedthebuildingplansafterhediscussedwithotherministers.A.agreedB.opposedC.canceledD.delighted13>Tomdroppedoffinfrontoffire.A.dropatB.dropawayC.dozeoffD.takeoff

114ஹParentsshouldrealizedthat"exampleisbetterthanprecept11.A.instructionB.educationC.imaginationD.morality15>Formostallergies,thebesttreatmentiseliminationofthebothersomesubstancesfromthesensitiveperson*senvironment.A.unnaturalB.dangerousC.irritatingD.surrounding2ᑖ▅ᑨSouped-upᦔḄenzymesthatflushpoisonsoutofcellsmoreefficientlythantheirnaturalcounterpartsḄ!ᡈᱥcouldalleviatesomeoftheseveresideeffectsofchemotherapyandsoimprovethechancesofcuringcancers.Manyanticancerdrugsattacktumorcellsbecausetheydividemorerapidlythanheathycells.Butsomevitalhealthycellsalsodividefasterthanormalzandthesearedestroyedaswell.Themostvitalcellscaughtinthechemicalcross-firearethosemadeinthebonemarrow$%.Undernormalcircumstances,thesematureintoplatelets⊈()*whicharevitalforwound-healing,andwhitebloodcellsthatfightinfections.Iflevelsofthesecellsfall,patientsbecomedangerouslyvulnerabletoinfectionandcansuffersuchsevereinternalbleedingthattreatmenthastobestopped.Survivingcancercellscanthenre-growandreducetheeffectivenessofthetherapy.BillFehlandhiscolleaguesattheUniversityofWisconsinMedicalSchoolhaveengineeredanenzymethatcouldmakebonemarrowcellsresistanttothecancerdrugs,sohigherdosescanbegivenandsideeffectsreduced.Theideaistotakehealthybonemarrowcellsfrompatientsbeforetheybeginchemotherapy,thenequipthesecellswiththegenesthatmaketheenzymedrug-resistant.Whenreturnedtothepatient,theimprovedbonemarrowcellscouldthenwithstandheavydosesofthedrugs.Thenaturalversionoftheenzyme—calledglutathioneStransferase+ᵞ-S./⏘—isproducedmainlyintheliverandcatalyses1ᓄthebreakdownofcompoundsthatmightotherwisedamageDNAincells.GSTalsoneutralizes34thetoxicbreakdownproductsofanticancerdrugswhichmakesitsuitablezforprotectingbonemarrowcells.ButnaturalGSTdoesnotworkefficientlyenoughtoavoidbeingswampedbyhighdosesofdrugs.GSTcatalysesareactionbetweenpotentiallytoxiccompoundsandglutathione—apeptide-producedinalmostallcellsofthebody.TheGSTmoleculehasacavity,or"activesite",wherethetwomoleculesarebroughtcloseenoughtoreact.Thisneutralizesthetoxin,whichpassesintothebloodtobeexcretedinthepatient*surine.Usingmachinesforsynthesizing6ᔠ*8ᔠᡂDNA,Fehlandhiscolleaguesmadethousandsof"scrambled"versionsofthepartsoftheGSTgenethatmaketheactivesiteoftheenzyme.TheyinsertedthesescrambledgenesintoEscherichiacoll.ByexposingthebacteriatoincreasingquantitiesoftheanticancerdrugmechlorethamineM^,Fehlscreenedouttheonesmosttolerantztothedrug.nBythismethod,wemadeenzymes30timesasefficientasthenaturalone,”saysFehl.Inotherwordsittook30timesasmuchdrugtokillthezbacteria.Fehlhasalreadyexposedmicecarryingcopiesofthedoctoredgenetoknowncarcinogens:;ᱥtoseehowefficientthegeneisatmoppingupthetoxins.Themoreefficientitis,thelessdamagethetoxinsdoandfewertumorsshouldappear."Weanticipateasignificantreductioninthenumberofcancersinthegroupcarryingthegene,"saysFehl,whoisstillanalyzingtheresults.Fehl*steamhasappliedforapatentcoveringthetechniqueandhopestozdeveloptreatmentswithSystemix,acompanybasedinPaloAlto,California.

2BrianKetterer,whoheadstheCancerResearchCampaign1smoleculartoxicologygroupinLondon,saysFehl*sworkcouldbeimportant.Buthewarnsthattheproposedstrategywouldnotprotectcellsliningthegutfromchemotherapydrugs.16ஹThepassagemainlydiscussesaboutthetoxicreactionofanticancerdrugs.A.RightB.WrongC.Notmentioned17ஹDietaryinterventionmayworkevenafterprecancerouswarningsignshaveappeared.A.RightB.WrongC.Notmentioned18ஹBeingresistanttotheanticancerdrugsbonemarrowcellscangreatlyzreducethesideeffects.A.RightB.WrongC.Notmentioned19ஹWheatbranmaylowertheriskofcoloncancer.A.RightB.WrongC.Notmentioned20ஹTheenzymeengineeredbyFehl1steamissuperiortothenaturalenzymeinwithstandingHeavydosesofthedrugs.A.RightB.WrongC.Notmentioned21>Fehlpickedupthemosttolerantscrambledgenebyusingmachines.A.RightB.WrongC.Notmentioned22ஹThestrategyproposedbyFehlcanprotectcellsinvariouspartsofthebodyfromchemotherapydrugs.A.RightB.WrongC.Notmentioned3ᑖᭆ=ᜧ?@AᡂBCCancerisadiseaseinwhichcellsmultiplywithoutcontrol,destroyhealthytissueandendangerlife.About100kindsofcancerattackhumanbeings.zThediseaseisaleadingcauseofdeathinmanycountries.IntheUnitedStatesandCanada,onlydiseasesoftheheartandbloodvesselskillmorepeople.Canceroccursinmostspeciesofanimalsandinmanykindsofplants,aswellasinhumanbeings.2.Cancerstrikespeopleofallagesbutespeciallymiddle-agedpersonsandtheelderly.Itoccursaboutequallyamongpeopleofbothsexes.Thediseasecanattackanypartofthebodyandmayspreadtootherparts.However,thepartsmostoftenaffectedaretheskin,thedigestiveorgans,thelungsthezmaleprostate,andthefemalebreasts.3.Scientistsdonotknowexactlywhycancerdevelops.Mostexpertsagreethatpeopledevelopcancermainlythroughrepeatedorprolongedcontactwithoneormorecancer-causingagents,calledcarcinogens.Theseagentsincludethetarsintobaccosmokeavarietyofotherchemicals,andcertainkindszofradiation.Inmanycases,cancercanbepreventedifaknownagentisavoidedoreliminated.Theeliminationofcigarettesmoking,forexample,wouldpreventmostcasesoflungcancerandaboutathirdofallcasesofcancer.Scientistsalsobelievethatsomepeoplemayinheritatendencytodevelopcancer.4.Withoutpropertreatmentmostkindsofcancerarefatal.Onlyazdoctorcandiagnosecancer.Butinmanycases,adoctorisconsultedonlyafterthediseaseisfaradvanced.Apersonshouldthereforebealerttoanyphysicalchangethatmaybeasymptomofcancer.Earlydetectiongreatlyincreasesthechancesofacure.5.Cancershowsnosymptomsinitsbeginningstages.Butsymptomsmayappearbeforethediseasespreads.TheAmericanCancerSocietylistssevensuchwarningsignals.Theyare23ChangeinbowelorbladderhabitsD24AsorethatdoesnothealD25UnusualbleedingordischargeD26ThickeningorlumpinbreastorelsewhereD27IndigestionordifficultyinswallowingD28ObviouschangeinwartormoleD29Naggingcoughorhoarseness.Apersonwhohasanyofthesesymptomslongerthantwoweeksshouldconsultaphysicianpromptly.23>A.CancerindicatessevenwarningsignalsinitsbeginningstagesB.AcancerisamalignanttumorofthebodyandmayspreadtootherpartsC.ItisadvisedthatadoctorbeconsultedwhenapersonfindsanyphysicalchangethatmaybeasymptomofcancerD.Jeopardizinglifeischaracteristicofcancer

3E.Peopledevelopcancermainlythroughrepealedandprolongedcontactwithoneormoresubstancesthatincitecancer,calledcarcinogensF.TheauthoradvisesustoconsultadoctorafterthediseaseisfaradvancedParagraph2..24ஹParagraph3..25ஹParagraph4..26ஹParagraph5..27ஹA.thetarsintobaccosmokearecarcinogenicB.diseasesoftheheartandbloodvesselsC.apersistentcoughingD.humanbeingsE.thechancesofacureF.preventthediseasefromgetting=furtherIntheUnitedStatesandCanada,cancerranksasthemostfataldiseasenextto.28ஹCanceroccursinmostspeciesofanimals,inmanykindsofplantsandin.29ஹPeopleshouldabstainfromtobaccosmokingbecause.30>Earlydetectionofcancerincreases.4ᑖ▅ᳮFGHCoronaryheartdiseaseI/KLisatermusedtodescribeconditionslikeanginaKMNorheartattack.Manypeoplesufferfromheartdisease.Ifyouhavehadaheartattackorsufferfromanginaitisveryimportantthatyoutakepositiveactionnowinordertokeepyourheartashealthyaspossible.Thisarticleoutlinesstepsyoucantakeinordertohelpachievethis.Anumberoffactorshavebeenknowntoincreasetheriskofyourcoronary-heartdisease.Thereareoftenreferredtoas"riskfactors".Butsomeofthesefactorscanbechangedormodifiedtohelpimproveyourcondition.TheseincludehighMoodcholesterolOP⏣*highbloodpressure,smoking,poordietlackofexercise,highalcoholintake,obesity,diabetesandstress.zHighbloodcholesterolhasbeenshowntobeoneofthemostimportantriskfactors,yetonlyabouthalfofcoronaryheart-diseasepatientshavehadtheirbloodcholesterolchecked.Whenbloodcholesterolishigh,itbuildsupinthewallsofthearteriesbloodvessels,causingthemtonarrow.Thenarrowingcanthenbegintorestrictthebloodflowtotheheart.Undertheseconditionspatientswilloftenexperiencechestpainortightness,knownasangina.Insomecasesnarrowingofthearteriesthatsupplybloodtotheheartcanbecomesoseverethatitblockstheartery.Moreusually,however,apartialblockagetriggersabloodclotcausingaheartattack,whichcancausepermanentzdamagetopartoftheheartmuscle.Toreducethebuildupofcholesterolinthearterywalls,andsoreducetheriskofaheartattack,cholesterolloweringhasbecomeanessentialpartoftreatmentforpeoplewithcoronaryheartdisease.Reductionsinbloodcholesterolhavebeenshowntoprovidemajorbenefitsforpatientswhohaveanginaorhavehadaheartattack,suchasreducingtheriskofanotherheartattackoccurringandimprovingsurvival.Yourcholesterolshouldbecheckedregularly,andmodifiedifnecessary,alongwithalltheotherfactors.Thiswillhelptoensurethatyouminimisetheriskofsufferingfutureheartproblemslikeanotherheartattack.Itisbetterforyourheartifalltheriskfactorsarereducedbyalittle,ratherthanconcentratingononeandignoringtheothers.Changesinlifestylecanoftenhelptoreducetheseriskfactors.Theseincludestop-pingsmokingorcuttingdownthenumberofcigarettesyousmokezahealthierdietandahealthybodyweight,regularexercise,andnotdrinkingmorethantherecommendedamountofalcohol.Ahealthierdietshouldconsist

4ofreducingtheamountofsaturatedfat⛳4ᨴTUyoueatandbalancingthiswithanintakeofnon-andpoly-unsaturatedfatsandincreasedconsumptionᓫW4XWY⛳4ᾦUofcerealfoods,vegetablesandfruit.Sometimeschangesinlifestylearenotenoughtoreducefactorslikecholesterolorbloodpressuresufficiently,andsodrugsmaybeprescribed.Thesedrugsshouldalwaysbecombinedwithchangesinlifestyle.31ஹWhichofthefollowingisNOTariskfactor?A.smokingB.teadrinkingC.obesityD.stress32ஹWhichisthemostimportantriskfactor?A.poordietB.diabetesC.highbloodcholesterolD.beerdrinking33ஹWhichofthefollowingdirectlycausesthechestpainortightness?A.blockingofthecoronaryarteryB.narrowingofthearteryC.highbloodcholesterolD.stress34ஹWhatshouldbecheckedregularlytominimisetheriskofsufferingfutureheartproblems?A.hemoglobinB.cholesterolC.bloodsugarD.bilirubin35ஹHowcanonereducetheseriskfactors?A.stoppingsmokingB.regularexerciseC.healthydietD.allofthese[G^ᡡSuchmentalfatiguecanbeasthreateningasaheartattack.RecentevidenceindicatesthatsleepinessisaleadingcauseoftrafficandindustrialaccidentsHHumanerrorcausesbetween60%and900ofallworkplaceaccidents,dependingonthetypeofjob,"observesbiologicalpsychologistDavidDingesoftheUniversityofPennsylvania."Andinadequatesleepisamajorfactorinhumanerror,atleastasimportantasdrugs,alcoholandequipmentfailure."Otherresearchsuggeststhatsleeplosscontributestoeverythingfromdrugabusetopoorgradesinschool.Atypicaladultneedsabouteighthoursofshut-eyeanighttofunctioneffectively.Bythatstandard,millionsofAmericansareforalongtimesleepdeprived,tryingtogetbyonsixhoursorevenless.Inmanyhouseholds,cheatingonsleephasbecomeanunconsciousandharmfulhabit."Initsmildform,it*swatchingTedKoppelandgoingtobedlateandthengettingupearlytogettothegym,"saysCornell*sPollak.Inextremecasespeoplestayupmostofthenightseeinghowlittlesleepwillkeepthemgoing.Theytryztocompensatebyshortsleepinglateonweekendsbutthatmakesupforonlyzpartoftheshortfall.Overthemonthsandyears,someresearchersbelieve,theimbalancebuildsupandtheeffectsaccumulate."MostAmericansnolongerknowwhatitfeelsliketobefullyalert,HcontendsDr.WilliamDement,directorofStanfordUniversity1sSleepCenter.TheygothroughthedayinasortoftwilightzoneDtheeyesmaybewideopen,butthebrainispartlyshutdown.SingleparentDiannaBennett,43,worksasanurseatacorrectionalfacilityinGardner,Mass.Tobeabletospendtimewithherthreechildrenduringtheday,sheworksthenightshift,aschedulethatusuallyallowshernomorethanfourhoursofsleep,"Mykidstellme11malwaystired,"shesays.AmySchwartzman,35alawstudentatTulaneUniversity,getsupat9a.m.zand,whatwithclasses,simulatedcourtandworkasaresearchassistant,oftendoesnotgethomeuntil10p.m.That1swhenshestudiesorrelaxation.Nightsofthrowingintobedat3a.m.makeherfeel"asifmybrainisn1tmovingasquicklyasquicklyasitshould."saysSchwartzman,notingthatthecirclesunderhereyeskeepgettingdarker.”Mymothertoldme^looklikearaccoon.H36ஹSleeplosscontributestoeverythingexcept.A.drugabuseB.poorschoolgrades

5C.workeffectD.accidents37ஹOnweekendspeoplealwaysA.gotobedlateB.getupearlyC.don11sleepD.sleeplate38ஹBecauseofsleeploss,mostAmericans•A.havewideopeneyesB.arenotfullyalertC.trytosleepmoreD.liveinthetwilightzones39ஹThoughnotstated,theauthorimpliedthat.A.AmericandrugabuseisconnectedwithtossofsleepB.Americanstudents1poorresultsresultfromlackofsleepC.AmericanscouldbemoreeffectivewithenoughsleepD.Accidentsinthestatescouldbereducedbymoresleep40ஹBythispassage,theauthoristryingto.A.persuadepeopletohavemoresleepB.showhowbusyAmericansareC.revealAmericans1attitudetowardsleepD.describehowinterestingAmericannightlifeis_HAstrictvegetarianisapersonwhoneverinhislifeeatsanythingderivedfromanimals.Themainobjectiontovegetarianismonalong-termbasisisthedifficultytogettingenoughprotein,thebodybuildingelementsinfood.Ifyouhaveeverbeenwithoutmeatoranimalfoodsforsomedaysofweeds(say,forreligiousreasons)youwillhavenoticedthatyoutendtogetphysicallyratherweak.Youaregladwhenthefastisoverandyougetyourrewardofasucculentmeatmeal.Proteinsarebuiltupfromapproximatelytwentyfoodelementscalled,,amino-acidsn,whicharefoundmoreabundantlyinanimalproteinthaninvegetableprotein.Thismeansyouhavetoeatagreatdealmorevegetablethananimalfoodinordertogetenoughoftheseamino-acids.Agreatofthevegetablefoodgoestowasteinthisprocessandfromthephysiologicalpointofviewthereisnotmuchtobesaidinfavoroflife-longvegetarianism.Theeconomicsideofthequestion,though,mustbeconsidered.Vegetablefoodismuchcheaperthananimalfood.However,sinceonlyasmallproportionoftaevegetableproteinisusefulforbody-buildingpurposesaconsistentzvegetarian,ifheistogainthenecessary70gramsofproteinaday,hastoconsumeagreaterbulkoffoodthanhisdigestiveorganscancomfortablydealwith.Infairnessthough,itmustbepointedoutthatvegetariansclaimztheyneedfarlessthan70gramsofproteinaday.Whetherornotvegetarianismshouldbeadvocatedforadults,itisdefinitelyunsatisfactoryforgrowingchildren,whoneedmoreproteinthantheycangetfromvegetablesources.Alacto-vegetariandiet,whichincludesmilkandmilkproductssuchascheese,can,however,besatisfactoryaslongasenoughmilkandmilkproductsareconsumed.Meatandcheesearethebestsourcesofusabledigestibleandnextcomemilk,fishandeggs.Slowandcarefulcookingofmeatmakesitmoredigestibleandassistsinthebreakingdownoftheproteincontentbythebody.Whencookingvegetableshowever,thevitamins,andinparticularthewater-solubezvitaminCshouldbelostthroughovercooking.z41>Avegetarianisapersonwho.A.eatsthemeatofanimalsonlyB.eatsthevegetableonlyC.drinksmilkonlyD.eatnothingatall42ஹComparedwithvegetablefoodanimalfoodcontains.A.moreproteinsB.morenutrientsC.moremineralsD.moreamino-acids43ஹTheunderlinedwork"lacto-vegetarian"(inPara.4)means.A.verystrictvegetarianB.false-vegetarianC.notstrictvegetarianD.non-vegetarian44ஹFromthepassage,weknowthat.A.togainenoughprotein,onemustconsumemuchmorevegetablefoodthananimalfoodB.cookingvegetablesforlongtimemakesitmoredigestible

6C.milkisthebestsourceofusableanimalproteinD.themostcommondeficienciesinWesterndietsarethoseofvitamins45ஹWhichofthefollowingisbestreflectedtheauthor1sattitude?A.Vegetarianismisnotgoodforone1shealth.B.Vegetarianismshouldbeadvocatedforadults.C.Oneshouldhaveawell-balancesdietcontainingelementsofallfoods.D.Alacto-vegetariandietisthebestasitprovidesadequatenutrition.5ᑖ⊡ᐰbRobertBeckettwhobrokehislegandhadtohaveitsetatthelocalzhospital,wasgivensomethingtoputhimtosleepwhilethisratherpainfulprocesswasgoingon.Allherememberedafterwardwasthatawhite-coatedmanmadeaprickinhisarm—thebodyhardlyfeltit—andthensatdownbesidehimandaskedhimtocountslowlytoten.4647WhileRobertwascouting,theanaesthetistwaspressingtheplungerofthesyringeandinjectingintohisarmasmallamountofliquidthatlookedlikewater.Theliquidwasnotwater,butasolutioncontainingadrugthatwaspowerfulenoughtoputRoberttosleepandkeephimtherewhilehislegwasbeingset.ThesamedrugwouldnothavebeenpowerfulenoughtokeepRobertunconscioushadherequiredserioussurgery.Foroperationswherethepatientmustremainunconsciousforanhourormore,theanaesthetistmustadministertherightamountofanestheticcontinuously.48Itisusuallynotaninjection,butakindofgasthatthepatientbreathesinthroughamaskplacedoverhisface.49Likemostotherearlymedicines,theywereextractedfromplants.Fourplantsproducingsuchdrugswereparticularlywellknow—thepoppyhenbane,zhempandmandrake.Poppiesarestillusedasasourceofmorphineaverywidelyusedzdrug.50Todayhempismostoftenusedasrawmaterialfromwhichropeismade,butitisstillknowninpartsofCentralSouthAmericaas"theweedthatintoxicatesn.Theotherherb,mandrake,isalmostunknowntoday,butitwaswidelyusedamongtheancientEgyptians,theGreeks,andpeoplesoftheFarEast.Accordingtoonelegend,themandrakeplant,whenpulledfromtheground,wassupposedtogiveanunearthlyshriek,sodreadfulthatapersonwhohearditdiedorwentmad.A.Thetypeofanestheticheusesdependsonthepatientandthetypeofsurgerytobeperformed.B.Robertgotasfarasseven,thenwokeupinbedwithhisleginplasterC.Theprickthathefeltwascausedbythehollowneedleofahypodermicsyringe.D.Thatwasthestateofaffairsuntilthebeginningofthelastcentury.E.Henbaneisnotsowellknown,thoughitisstillusedinsomemedicines.F.Drugsthatcauseunconsciousnessandkillpainarenotnew.6ᑖAcdeWeallknowtherearetimesthatkidsseemtocomplain51astomachachetogetoutofchoresorgoingtoschool.Don*tbesosurethatthepainthey52isallintheirminds.We1relearningmorenowaboutacondition53"functionalabdominalpain"thatisexperiencedbymillionsofkidseveryday.LikemanyteenagersKyleBrustmakesitapointtodohishomeworkzas54ashegetshome.Unlikemost,Kyleoftendidhiswithaterriblestomachache.Infact,the55oftenstartedwhilehewasatschoolbutgettingzhelptherewasgettingharder."Someofmyteacherswouldn11letmego,because11daskedsomanytimesbeforeandtheythoughtIwastryingtogetoutof56J1saysKyle.Kyle1smornMarilynsaysshecouldn*tblamethe57.Afterall,she1dtakenhimtothedoctorseveraltimesherself,andeventheycouldn1tfindanything58.

711Youknow,you1rerunningthetestsandnothing*scomingup.So,isitinhishead,ishejustanextremelystressfulchild?It*sjustfrustrating59we'renotfindinganyanswers,"saysMarilyn.ItturnsoutKylewassufferingfromaconditionknown60functionalabdominalpain,thataffectsasmanyasoneoutofeverytenkidsinthiscountry.Even61thecauseofthepainmaynotbeobvioustherearerealzconsequences.11Itreallydoeshurt,andthesekidsreallydosuffer,11saysDr.CampozMDatNationwideChildren1sHospital.Tohelp62,Campoislookingintoanewapproach.He1sconductingclinicaltrialsofanantidepressantthatchangesthewaythebodyhandlesachemicalcalledserotonin.Inapreliminarystudy,Dr.Campofoundthatinabouteightoutoften63,thedrugnormallyusedtotreatemotionalpainworkedtoeasethepaininthe64.HWethinkaboutitasbeingimportantinanxietyanddepressionandthat1sallquitetrue,butwhat1sreallyinterestingisthat95%ofourbody*sserotoninisinourgut,nsaysCampo.Campobelievesthesekidshaveextremelysensitiveintestines,andcontrollingtheeffectsofserotoninmay65easethepain.ItseemedtoworkforKyle,whoisnowcompletelypainfreeforthefirsttimeinyears.51>A.ofB.onC.atD.by52ஹA.takeB.forgetC.feelD.make53ஹA.stoppedB.createdC.calledD.mentioned54ஹA.soonB.earlyC.lateD.timely55>A.workB.playC,programD.pain56ஹA.classB.punishmentC.treatmentD.home57ஹA.doctorsB.teachersC.parentsD.classmates58ஹA.goodB.usefulC,wrongD.handy59ஹA.becauseB.althoughC.unlessD.so60ஹA.toB.atC.inD,as61ஹA.thoughB.whetherC.thusD.how62ஹA.themB.himC,usD.you63ஹA.numbersB.studiesC.casesD.parts64ஹA.stomachB.headC,heartD.mind65ஹA.supportB.aidC.assistD.helpfᫀ1ᑖ⌱⚗^ஹDhF᪆jdismayed@disappointedkl*?m''ᜫpḄ*qrḄ஻஺pale”ᢣ!☢⁐xyḄ“Dhurtful”{|}N~Ḅ,ↈḄ஻Ddoubtful”ᝰᶧḄ,!ᶧḄ஻஺2ஹAhF᪆jmortal@humankl*?m''!Ḅ*!Ḅ஻஺spiritual”{|Ḅ*KᮣḄ*ᱥḄ஻;material''ᱥḄ"Delectronic''ᵯCḄ"஺3ஹBhF᪆jreject?m''஻*@refusekl஺accept''ᯠ!Ḅᱥ஻Dneglect”*ᶍ஻Dbelieve”*m……஻஺4ஹBhF᪆jtolerate@bearkl*?m”¡*¡஻஺hate”¢ូ,¢឴஻;like”¥¦*¥᰿஻;

8criticize”ᢇ©*ᢧᒆ*¬஻஺5ஹAhF᪆junusual@abnormalkl,?m”®Ḅ*Y¯®Ḅ஻஺frightening”°᝿Ḅ*អ³Ḅ஻;repeated''´µḄ*µḄ஻Dfunny''ᨵ·Ḅ*¸¹ºḄ஻஺6ஹDhF᪆jrear@raisekl*?m''»¼*»½¾¸஻஺setup”¿À*Á¿஻Drebuild”´¿*´ÂÃÄ*Åcᡂ஻Dconstruct'ஹ¿Æ*¿⌼*᪀ᡂ*cᡂ஻஺7ஹBhF᪆jevidently@obviouslykl*?m”ÉÊᙢ*Êᯠ஻஺reluctantly”YÌÍᙢ*Îᙢ஻Dseemingly''⊤☢}*Ð}Ñ஻D001101115:1Ò61Ò''ÓÔḄ*!Õᙢ஻஺8ஹAhF᪆jresemble@besimilartokl*?m''@……Ö×*Ø……“஺differentiate”ᢣÙÚὅYk*ÜÝ*ÞÝ*Þᑖ”;likely”⚜àḄ,áâḄ”;modify”8ã4,8ᦋᗐ,8ᦋæ஻஺9ஹDhF᪆jconformto@followkl,''⍳,⍳᯿*éᦔ஻஺confront”☢ê,☢,¯ë஻Dacquaintஹ'8ì!íîï៉ᡈFì!/ì஻Dadopt''ñᵨ*ñó*ó஻஺10>ChF᪆jinquire@askkl*?m''ôõ*õ*ᡭ÷஺"insist”øᢝᡈøú⌕üìᱥ஻Dsuggest”ý,¿ý஻Dcall”þÿ,“஺11>B᪆suterraneanᢣ''Ḅ஻B⚗ḄundegroundḄ஺secondary”⌕Ḅ஻unharnessed”Ḅ"miniscule”Ḅ஻஺12>A᪆approveagree''!ᡂ#$&“஺oppose'''('ᢙ*ᑴ(ᢙ஻cancel”,-.◀ᑤ◀஻delighted”1ᐶḄ៝4Ḅ஻஺13>C᪆dropoff''ᡭ67ᡭ8ṑ஻dozeoff஺14ஹA᪆preceptinstruction,''ᦟ<<ᩩ,>?஻஺education”ᦟ@ABCDEF஻imagination''GHDGHIGᱥ஻morality"⍝LML⍝Nᳮ஻஺15>C᪆bothersome"PQḄ"C⚗Ḅirritating''RST៝4Ḅ“UVW஺unnatural''TXᯠḄ஻dangerous”ᓻ◅Ḅ஻surrounding”ᕜ]Ḅ஻஺^2_ᑖa▅cᑨe16ஹB᪆fᦻh⌕PiḄjklmnoḄ⏘CqrᨵᦔḄuvwxyz{|ᓄᶭḄᵨ1ៜḄ᳛஺17ஹC᪆''Ḅ⚜ᓽRᙠឋᐚC¡ᦔ"஺¢fᦻ£¤ᨵᑮ¦k§஺18ஹA᪆¨^©ª^—''BillFehlandhiscolleaguesattheUniversityofWisconsinMedicalSchoolhaveengineeredanenzyme...”¬®¯ᜧ±²±▾Ḅ´µ•·µ¸¹Ḅº»¼½¾kl⏘CR¿Àyz(Á᷈ÃᱥᐹᨵᢙÃឋ஺¦᪵ÆÇᜧᑺÉᙢËᵨᢙÃᱥᵨÇÌÍ஺19ஹC᪆''ÎÏCÌÍÐÑÒḄᓻ◅ឋ஺"¢fᦻ£¤ᨵᑮ¦k§஺20ஹA

9᪆¨^©ª''Theideaistotakehealthybonemarrowcellsfrompatients...”¹»ḄGÓjᙠÔSÕÖᓄᶭ,Ꮙ®Ḅ¿ÀyzᯠØÙ»ÚᜓÜCR⏘ᨵᢙÃឋḄÝÞ஺ߦàyzáâᐭÔSäᑁæᦋᗐḄ¿ÀyzÆCὊêᜧᑺÉḄÃᱥ஺21>Bë¯᪆¨^;Aª^——''UsingmachinesforsynthesizingDNA.."ᵨíᘤᔠᡂDNA,·µ¸¹Ḅº»ᑴ¾Üᓟl''ñᩖ஻oḄஹCóô⏘õឋöḄ÷øᵞúÝÞᡂᑖ஺22ஹB᪆¨ᨬ——ªᨬ—1''ButhewarnsthattheproposedstrategywouldnotprotectcellsliningthegutfromchemotherapydrugsNᦦẆþÿḄᑖᳮ឵•ᱯ''Ḅ⌕Ḅ஺஻!"#$%Ḅ&'()*+,-⍝/012ᓄᶭ5ᱥḄ78஺93:ᑖᭆ<ᜧ>?@ᡂB23ஹDE᪆G9HII>J',LMNOPQḄRS:T#UVᔣᐸ:ᑖ᡽ᦣ஺஻24ஹDE᪆G9[II>J,'ᜧ\ᦪ^_`J#abᡈdeḄfghLᱥijkLMḄl⌕mn஺஻25ஹDE᪆G9oII>J,'pqrsRStVJLMMuḄvᳮwᓄ#xyz{#LMy|Ḅk}ᜧ~ៜḄtVឋ஺஻26ஹDE᪆G9I7LMy|Ḅr!஺27ஹDE᪆G9I"Thediseaseisaleadingcauseofdeathinmanycountries.IntheUnitedStatesandCanada,onlydiseasesoftheheartandblooduesselskillmorepeople.஻ᙠ\_LMᜮᩔ#ᙠᜧ#ᨵ⊈¡h¢\£Ḅ¤¥஺¦LMᙠᜧ§¨©⊈Ḅᩔ஺28ஹDE᪆G9"I#''Canceroccursinmostspeciesofanimalsandinmanykindsofplants,aswellasinhumanbeings.n29ஹDE᪆G9[I#«_¬)*®ᑗᙢ±⍝LMḄkmn஺ᜧ\ᦪ^_`J#abᡈdeḄfghLᱥijkLMḄl⌕mn஺²³hLᱥiᒹ<µ₝·Ḅᯖ¹ஹ\ᐸºᓄᱥi³»Ḅ¼½஺ᙠ\ᦪ¾¿À#᝞ÂÃ1ᡈÄ◀ƱḄhLᱥi#Çt⚜■LM஺Ê᝞#ËL·Ḅᜧ\ᦪ□ᡠᨵLM·ḄÎ[ᑖÏÐᵫᔾµÓÔḄ஺30ஹDE᪆G9oI#''Earlydetectiongreatlyincreasesthechancesofacure."LMḄy|k}ᜧ~ᙢៜḄtVឋ஺94:ᑖ▅ÖᳮE9×31>BDE᪆G9[I"Theseincludehighbloodcholesterol,highbloodpressure,smoking…஻}Ʊ⍝ᨵ

10ØtÙÚÛÜḄᓻ◅஺²³nØbßà''ᓻ◅nØ஻஺ᐸ·³nØtaᦋwᡈâ᦮ᩭᦋᗐÚḄu¿஺²³nØᒹ<æ⊈çè⏣ஹæ⊈êஹᔾµஹëìíîஹïðñòஹᜧóë⏀ஹõöஹ÷øùú஺32ஹCDE᪆G9oI#''Highbloodcholesterolhasbeenshowntobeoneofthemost

11importantriskfactors…”üƱæ⊈çè⏣ᨬ⌕Ḅᓻ◅nØÏ,ᨵþᦪḄÜÛὅᐸ⊈⏣஺33ஹA᪆⊈⏣ᙠᾭ!⊈"#"$ᚮ&〉ᡂᐸ"Ὶ*+஺,*+-.▲ᑴ1234Ḅ⊈஺ᙠ,6789:ὅ<==>ᑮ@ABCᡈEF>ᓽ3HC஺ᨵJ34KL⊈MḄᾭ*+NOPQRST,ᩩᾭ஺ᯠWX=Ḅ78YAᑖḄST[\⊈]^ᡂ_`3᫱,R_`Aᑖ3bḄcdef஺34ஹBLfO?cO?O?c>}OO2૙g஺yeq஺஺஺஺஺஺“஺૙0૙pO?>O6஺^૙஺LRnOOO"O?OOO+{k૙૙૙૙૙l"l•mlOY+OJ?J஺஺35ஹD᪆H—'''Changesinlifestylecanoftenhelptoreducetheseriskfactors./opqrḄᦋN=Rtu,vᓻ◅஺,ᒹzᡄ|ᡈt}ᔾ|ᦪஹᏉḄஹ〉ḄQஹ=⏀஺ᏉḄᒹzt}⛳ᾦḄ᤬ᐭ⊝ᐸᓫ⛳ᾦḄ᤬ᐭ⌕ஹḄᵨ஺¡¢^ᡡ36ஹC᪆ᦻ''…sleeplosscontributestoeverythingfromdrugabusetopoorgradesinschool"¦§AஹB⚗ᡂ©m''sleepinessisleadingacauseoftrafficandindustrialaccidents஻⊤§D⚗Y¬mC⚗¦®¯ṑḨ²W<³´µᦔ᳛,Y¸²=¹Ḅ஺37ஹD᪆ᦻ"Theytrytocompensate!⊡»#byshortsleepinglateonweekends77¦§¼D⚗½¾஺38>B᪆ᦻ''MostAmericansnolongerknowwhatitfeelsliketobefullyalert"¦§¿À}ḨÁÂÃÄᨵvÅᩈ஺B⚗Çᔠ⚪Ê஺39ஹC᪆ᦻ"andinadequatesleepisamajorfactorinhumanerror"Ë9ÌÊY᝞ÂÃÄṑÎḄÏᦔ᳛Ð<ÑḄ<ÒÓ6Ô┯஺C⚗ᔠ〉஺40ஹA᪆ᦻ"sleeplosscontributestoeverythingfromdrugabusetopoorgradesinschooJÖRרᦻÙḄÚÛYgÜÄÝ®¯ṑḨ<⌼ᡂßàÐáYâ¦ÄÝ⌕ṑ¢v஺ã—.jm41ஹB᪆⚪åæçèéêὅḄë¾ìê஺ìíîᦻÙ✌✌ð''PñḄèὅÖòîᱥ஺஻ôB⌱⚗''öᔛḄÄ஻øᐸ½¾ùᫀ஺42ஹD᪆⚪åæçûüèWËᾙḄᱯÿ஺ᦻ--''ᵫᱥᜧ20ᡂᑖᔜ⏚ᡂ!ᡂᑖᾙ#$ᱥ%&'#$ᱥ⌕)*+,஻஺A.,Ḅ0B.,Ḅ⃩2ᡂᑖ0C.,Ḅ3ᱥ0D.,Ḅ⏚஺43ஹC56᪆8⚪:;<''lacto-vegetarian஻ᙠᦻḄ>?஺A@ABCḄD$E?ὅ0BᎷḄD$E?ὅ0CHIJBCḄD$E?ὅ0D@D$E?ὅ஺ᦻKLMalacto-vegetariandiet,whichincludesmilkandmilkproductssuchascheess."OP"lacto-vegetarian"HIJBCḄD$E?ὅQROSᔛUᑴW஺

1244ஹA56᪆8⚪:;?@஺◤⌕Aὅᜫ>?@CDEḄ45F⏥HIJKᙢMN〉PḄF⏥ᑺ஺⌕ᵨḄF⏥ᱥḄTUᵫAὅWᡠX45ḄTUYZḄ஺[ᵨḄ┐ᑺ]Aὅ^_ᡚᙠῊEḄ☢ᐹᔾᐭe]஺"49ஹF"#᪆%⌱⚗Fᡠᙠ)*Ḅᜧ,''?@gᜫஹhiḄj஺kᐸlᜧmᦪopᱥ᪵rstuᱥvwxḄ஺ᜧyᱯz{៉wxeᱥḄ}uᱥ~ᱏஹᜩஹᜧFஹ₝᪷஺”50>E"#᪆%⌱⚗Eᡠᙠ)*Ḅᜧ,''~ᱏwxᔩᖹḄWᩭᔩᖹ[ᵨḄ஺ᜩᱥᵨ℉஺ᙠᜧF[ᵨᑴXḄᧇᙠvᓭᙢஹv¡Ḅ¢₝஺£-W₝᝞₝᪷ᙠ¥¦r§¨©ª«#ᙠ¬®ஹ¯°ஹ±²v³o´µ¶ᵨ஺·¸¹₝᪷tᙢEº»ᩭ:¼»½¾Ḅ¿ÀÁrÂÃÄ᝿Æᑮ:;ᔥÈᡈ¼Ê”஺Ë6ÌᑖÎÏÐÑÒ51>A"#᪆%''complainof"ÓÔZÕÖ,Ó'':רÙឌ”஺52ஹC"#᪆%◤ÑᐭW''pain"ÛÜḄÝÕ“feel”ᨬᔠ〉஺53ஹC"#᪆%à,Îᡃ¥ᙠ«#«âÓfunctionalabdominalpainḄãä஺call,âå஺54ஹA"#᪆%''assoonas"ÔZÕÖ,Ó''æ᪵:æ᪵”஺à,KyleBrustWçm☘éê᪵ëy:Xì஺55ஹD"#᪆%7àíàḄ,îsᑏḄῳiᦑ⌱pain஺56ஹA

13"#᪆%7Ḅ,îὁHᝰᶧKyleBrustö⌫»ᦟù஺57ஹB"#᪆%à,KyleBrustḄúû¹᝛sý«ὁH⌱teacher஺58ஹC"#᪆%à,þÿᑮḄᙢ஺59ஹA᪆''ᡃ!"#஺஻60ஹD᪆''knownas஻%&'(,'',*஻஺+,ᩭKyle./01*functionalabdominalpainḄ2஺61>A᪆''eventhough஻%&34''56஻஺+5678Ḅ,"9:ᨵ<<ᙠᙠḄ>?Ḅ஺62ஹA᪆@ABCDᐭFGᦻ"thesekids஻CḄI3ᦑ⌱them஺63ஹC᪆“case"''2L஻ᙠMNᦻOBPQR஺64ஹA᪆SᦻTᜐVᑮῳX78ᦑYᜐZᯠ⌱stomach஺65ஹD᪆''helpdosomething஻PQRḄ\],'ᨵ^_`a஻஺

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