Part Ⅰ Writing (30 minutes)
Directions: For this part, you are allowed 30 minutes to write a short essay entitled Who Has the Most Important Influence on the Young. You should write at least 150 words following the outline given below.
1. 有些人认为家人对青少年的影响最大。
2.有些人认为朋友对青少年的影响最大。
3.我的看法。
Who Has the Most Important Influence on the Young
Part ⅡReading Comprehension (Skimming and Scanning) (15 minutes)
Directions: In this part, you will have 15 minutes to go over the passage quickly and answer the questions on Answer Sheet 1. For questions 1-7, choose the best answer from the four choices marked A), B), C) and D). For questions 8-10, complete the sentences with the information given in the passage.
Will Electronic Medical Records Improve Health Care?
Electronic health records (EHRs) have received a lot of attention since the Obama administration committed $19 billion in stimulus funds earlier this year to encourage hospitals and health care facilities to digitize patient data and make better use of information technology. The healthcare industry as a whole, however, has been slow to adopt information technology and integrate computer systems, raising the question of whether the push to digitize will result in information that empowers doctors to make better-informed decisions or a morass of disconnected data.
The University of Pittsburgh Medical Center (UPMC) knows firsthand how difficult it is to achieve the former, and how easily an EHR plan can fall into the latter. UPMC has spent five years and more than $1 billion on information technology systems to get ahead of the EHR issue. While that is more than five times as much as recent estimates say it should cost a hospital system, UPMC is a mammoth network consisting of 20 hospitals as well as 400 doctors’ offices, outpatient sites and long-term care facilities employing about 50,000 people.
UPMC’s early attempts to create a universal EHR system, such as its ambulatory electronic medical records rolled out between 2000 and 2005, were met with resistance as doctors, staff and other users either avoided using the new technology altogether or clung to individual, disconnected software and systems that UPMC’s IT department had implemented over the years.
On the mend
Although UPMC began digitizing some of its records in 1996, the turning point in its efforts came in 2004 with the rollout of its eRecord system across the entire health care network. eRecord now contains more than 3.6 million electronic patient records, including images and CT scans, clinical laboratory information, radiology data, and a picture archival and communication system that digitizes images and makes them available on PCs. The EHR system has 29,000 users, including more than 5,000 physicians employed by or affiliated with UPMC.
If UPMC makes EHR systems look easy, don’t be fooled, cautions UPMC chief medical information officer Dan Martich, who says the health care network’s IT systems require a "huge, ongoing effort" to ensure that those systems can communicate with one another. One of the main reasons is that UPMC, like many other health care organizations, uses a number of different vendors for its medical and IT systems, leaving the integration largely up to the IT staff.
Since doctors typically do not want to change the way they work for the sake of a computer system, the success of an EHR program is dictated not only by the presence of the technology but also by how well the doctors are trained on, and use, the technology. Physicians need to see the benefits of using EHR systems both persistently and consistently, says Louis Baverso, chief information officer at UPMC’s Magee-Women’s Hospital. But these benefits might not be obvious at first, he says, adding, "What doctors see in the beginning is that they’re losing their ability to work with paper documents, which has been so valuable to them up until now."
Opportunities and costs
Given the lack of EHR adoption throughout the health care world, there are a lot of opportunities to get this right (or wrong). Less than 10 percent of U.S. hospitals have adopted electronic medical records even in the most basic way, according to a study authored by Ashish Jha, associate professor of health policy and management at Harvard School of Public Health. Only 1.5 percent have adopted a comprehensive system of electronic records that includes physicians’ notes and orders and decision support systems that alert doctors of potential drug interactions or other problems that might result from their intended orders.
Cost is the primary factor stalling EHR systems, followed by resistance from physicians unwilling to adopt new technologies and a lack of staff with adequate IT expertise, according to Jha. He indicated that a hospital could spend from $20 million to $200 million to implement an electronic record system over several years, depending on the size of the hospital. A typical doctor’s office would cost an estimated $50,000 to outfit with an EHR system.
The upside of EHR systems is more difficult to quantify. Although some estimates say that hospitals and doctor’s offices could save as much as $100 million annually by moving to EHRs, the mere act of implementing the technology guarantees neither cost savings nor improvements in care, Jha said during a Harvard School of Public Health community forum on September 17. Another Harvard study of hospital computerization likewise determined that cutting costs and improving care through health IT as it exists today is "wishful thinking". This study was led by David Himmelstein, associate professor at Harvard Medical School.
The cost of getting it wrong
The difference between the projected cost savings and the reality of the situation stems from the fact that the EHR technologies implemented to date have not been designed to save money or improve patient care, says Leonard D’Avolio, associate center director of Biomedical Informatics at the Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC). Instead, EHRs are used to document individual patients’ conditions, pass this information among clinicians treating those patients, justify financial reimbursement and serve as the legal records of events.
This is because, if a health care facility has $1 million to spend, its managers are more likely to spend it on an expensive piece of lab equipment than on information technology, D’Avolio says, adding that the investment on lab equipment can be made up by charging patients access to it as a billable service. This is not the case for IT. Also, computers and networks used throughout hospitals and health care facilities are disconnected and often manufactured by different vendors without a standardized way of communicating. "Medical data is difficult to standardize because caring for patients is a complex process," he says. "We need to find some way of reaching across not just departments but entire hospitals. If you can’t measure something, you can’t improve it, and without access to this data, you can’t measure it."
To qualify for a piece of the $19 billion being offered through the American Recovery and Reinvestment Act (ARRA), healthcare facilities will have to justify the significance of their IT investments to ensure they are "meaningful users" of EHRs. The Department of Health and Human Services has yet to define what it considers meaningful use
Aggregating info to create knowledge
Ideally, in addition to providing doctors with basic information about their patients, databases of vital signs, images, laboratory values, medications, diseases, interventions, and patient demographic information could be mined for new knowledge, D’Avolio says. "With just a few of these databases networked together, the power to improve health care increases exponentially," D’Avolio suggested. "All that is missing is the collective realization that better health care requires access to better information—not automation of the status quo." Down the road, the addition of genomic information, environmental factors and family history to these databases will enable clinicians to begin to realize the potential of personalized medicine, he added.
1. In America, it is slow to adopt information technology because .
A) the funds invested by the government is not enough in the past
B) EHRs have received less attention of the public in the past
C) whether it will be useful to doctors or not is doubtful
D) UPMC knows how difficult it is to digitize the hospital
2. The University of Pittsburgh Medical Center (UPMC) .
A) is the first medical center to adopt information technology
B) satisfy the requirement of the government on information technology
C) spent less money on information technology than it was estimated
D) attempted to created a universal EHR system, but met some difficulties
3. The health care network’s IT systems require a lot of effort to ensure it can communicate with one another mainly because .
A) the integration among different system is largely up to the IT staff
B) UPMC is like many other health care organizations in the United States
C) UPMC makes EHR systems look easy
D) UMPC began digitizing some of its records in 1996
4. The success of the EHR program is decided by .
A) the fact whether the information technology is available or not
B) the fact how well the doctors are trained to use the information technology
C) not only the presence of the technology but the doctor’s training on technology
D) the fact whether physicians can see the benefits of using EHR systems
5. The most important reason of most hospitals being reluctant to adopt EHR system is that .
A) the cost is too high for the hospital to afford
B) physicians are unwilling to adopt it
C) there is a lack of staff with adequate IT expertise
D) doctor worry about its negative influence on patients
6. According to the study led by David Himmelstein through health IT .
A) it is possible to cut the costs of the hospital
B) it is possible to improve the health care
C) it ensure neither cost saving nor improvement in care
D) it could save as much as $100 million annually
7. The hospital’s managers prefer to .
A) spend money on an expensive piece of equipment than on information technology
B) charge patients access to the information technology as a billable service
C) purchase the information technology to improve the health care of the hospital
D) invest more money on the training of the physicians to charge patients more money
8. Jha said the mere act of implementing the technology guarantees ______________________.
9. D’Avolio says the investment on lab equipment can be made up by_____________________.
10. Databases of vital signs, images, laboratory values, medications, diseases, interventions, and patient demographic information could be ____________________.
Part Ⅲ Listening Comprehension (35 minutes)
Section A
Directions: In this section, you will hear 8 short conversations and 2 long conversations. At the end of each conversation, one or more questions will be asked about what was said. Both the conversation and the questions will be spoken only once. After each question there will be a pause. During the pause, you must read the four choices marked A), B), C) and D), and decide which is the best answer. Then mark the corresponding letter on Answer Sheet 2 with a single line through the centre.
11. A) He doesn’t know the way to the theater.
B) He doesn’t usually get up at 7:30.
C) He wants to leave the theater before the drama is over.
D) He wants to go early to avoid a traffic jam.
12. A) She got a weekend job at the beach.
B) She often goes to the beach.
C) She misses the trips to the beach she used to take.
D) Her home is near the beach.
13. A) He will make a reservation at the restaurant.
B) The woman should ask her parents for a suggestion.
C) The woman should decide where to eat Saturday.
D) He already has plans for Saturday night.
14. A) He doubts the woman will like the novel.
B) He’ll lend the woman the novel after he has read it.
C) He enjoyed reading the novel.
D) He hasn’t started reading the novel yet.
15. A) The doctor’s office will be closed tomorrow.
B) The doctor’s schedule is filled tomorrow.
C) The doctor has stopped seeing new patients.
D) The doctor can see the man tomorrow.
16. A) She was sorry the man couldn’t finish his laundry.
B) She saw the man run out.
C) She thought the man’s laundry was done badly.
D) She thought the man’s lawn was too dry.
17. A) His coach didn’t help him enough.
B) He had no chance of winning.
C) His coach didn’t listen to him.
D) He didn’t follow his coach’s advice.
18. A) She grades papers very quickly.
B) She isn’t teaching this semester.
C) She didn’t require any papers last semester.
D) She was more flexible last semester.
Questions 19 to 21 are based on the conversation you have just heard.
19. A) Father and daughter.
B) Colleagues.
C) Friends.
D) Husband and wife.
20. A) They are discussing whether they should go for a holiday.
B) They are discussing where they should go for the holiday.
C) They are discussing how they could save enough money for the holiday.
D) They are discussing how they could pay for their house and the furniture.
21. A) Sheffield.
B) Hawaii.
C) Wales or Scotland.
D) Florida.
Questions 22 to 25 are based on the conversation you have just heard.
22. A) In a skating rink.
B) On a bike path.
C) On the campus sidewalks.
D) In the street.
23. A) He has trouble stopping.
B) There are too many rocks.
C) Going uphill is difficult.
D) There are too many curves.
24. A) Pull him up the hills.
B) Catch him if he starts to fail.
C) Find some skates for him.
D) Teach him how to stop on skates.
25. A) Look for the man’s skates.
B) Have a meal.
C) Look for something to drink.
D) Start skating on the path.
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). Then mark the corresponding letter on Answer Sheet 2 with a single line through the centre.
Passage One
Questions 26 to 28 are based on the passage you have just heard.
26. A) The beef is lost.
B) Something is not as good as described.
C) The beef is not as good as it is said to be.
D) The food has turned bad.
27. A) Because they are made from beef.
B) Because they are cheaper than any other kind of food.
C) Because they are served quickly and at a low price.
D) Because hamburger is the only fast food in America.
28. A) Because hamburgers are good to eat.
B) Because they are easy to make.
C) Because they could sell hamburgers throughout the country.
D) Because they thought they could make large profit.
Passage Two
Questions 29 to 31 are based on the passage you have just heard.
29. A) They often take place in her major industries.
B) British trade unions are more powerful.
C) There are more trade union members in Britain.
D) Britain loses more working days through strikes every year.
30. A) Such strikes are against the British law.
B) Such strikes are unpredictable.
C) Such strikes involve workers from different trades.
D) Such strikes occur frequently these days.
31. A) Trade unions in Britain are becoming more popular.
B) Most strikes in Britain are against the British law.
C) Unofficial strikes in Britain are easier to deal with now.
D) Employer-worker relations in Britain have become tenser.
Passage Three
Questions 32 to 35 are based on the passage you have just heard.
32. A) Education.
B) Wealth.
C) Diligence.
D) Political status.
33. A) The change of the nature of occupations.
B) The decrease of social wealth.
C) The change of educational degree.
D) The increase of job opportunities.
34. A) Farmers.
B) Politicians.
C) Manual workers..
D) Clerks.
35. A) White-collar workers.
B) Farm workers.
C) Blue-collar workers.
D) Not mentioned.
Section C
Directions: In this section, you will hear a passage three times. When the passage is read for the first time, you should listen carefully for its general idea. When the passage is read for the second time, you are required to fill in the blanks numbered from 36 to 43 with the exact words you have just heard. For blanks numbered from 44 to 46 you are required to fill in the missing information. For these blanks, you can either use the exact words you have just heard or write down the main points in your own words. Finally, when the passage is read for the third time, you should check what you have written.
Daily newspaper has an editorial page. Here opinion is expressed on events and 36 in the news. But editorial judgment is so persuasively 37 that many people accept these opinions as facts. Good journalists 38 a code of ethics which 39 between news and editorial opinion. This code holds that in an editorial 40 the publisher is entitled to 41 any cause he chooses. It is understood that there he is speaking as a partisan and may express any view he 42 . Because a modern newspaper is so expensive to produce and so 43 to establish, newspapers have increasingly become big business organizations. Although there are exceptions, 44 ________ _________.In the news columns, however, the complete and unbiased facts should be reported. The better metropolitan newspapers and 45 ______ _______. But the less ethical publications 46 _______________ __ _ __ .
Part Ⅳ Reading Comprehension (Reading in Depth) (25 minutes)
Section A
Directions: In this section, there is a short passage with 5 questions or incomplete statements. Read the passage carefully. Then answer the questions or complete the statements in the fewest possible words. Please write your answers on Answer Sheet 2.
Questions 47 to 51 are based on the following passage.
Currently, there are an increasing number of new types of small advertisement becoming increasingly common in newspaper classified columns. It is sometimes placed among "situations vacant", although it does not offer anyone a job, and sometimes it appears among "situations wanted", although it is not placed by someone looking for a job, either. What it does is to offer help in applying for a job.
"Contact us before writing your application", or "Make use of our long experience in preparing your curriculum vitae or job history", is how it is usually expressed. The growth and apparent success of such a specialized service is, of course, a reflection on the current high levels of unemployment. It is also an indication of the growing importance of the curriculum vitae (or job history), with the suggestion that it may now qualify as an art form in its own right.
There was a time when job seekers simply wrote letters of application. "Just put down your name, address, age and whether you have passed any exams", was about the average level of advice offered to young people applying for their first jobs when I left school. The letter was really just for openers, it was explained, everything else could and should be saved for the interview. And in those days of full employment the technique worked. The letter proved that you could write and were available for work. Your eager face and intelligent replies did the rest.
Later, as you moved up the ladder, something slightly more sophisticated was called for. The advice then was to put something in the letter which would distinguish you from the rest. It might be the aggressive approach. "Your search is over. I am the person you are looking for", was a widely used trick that occasionally succeeded. Or it might be some special feature specially designed for the job interview.
There is no doubt, however, that it is the increasing number of applicants with university education at all points in the process of engaging staff that has led to the greater importance of the curriculum vitae.
47. There are an increasing number of new types of small advertisement in newspaper columns ______.
48. Nowadays a demand for this specialized type of service has been created because ______.
49. In the past it was expected that first job hunters would ______.
50. Later, as one went on to apply for more important jobs, one was advised to include ______ in the letter.
51. The curriculum vitae has become such an important document because ______.
Section B
Directions: There are 2 passages in this section. Each passage is followed by some questions or unfinished statements. For each of them there are four choices marked A), B), C) and D). You should decide on the best choice and mark the corresponding letter on Answer Sheet 2 with a single line through the centre.
Passage One
Questions 52 to 56 are based on the following passage.
Computers are now employed in an increasing number of fields in our daily life. Computers have been taught to play not only checkers, but also championship chess, which is a fairly accurate yardstick for measuring the computer’s progress in the ability to learn from experience.
Because the game requires logical reasoning, chess would seem to be perfectly suited to the computer. All a programmer has to do is to give the computer a program evaluating the consequences of every possible response to every possible move, and the computer will win every time. In theory this is a sensible approach; in practice it is impossible. Today, a powerful computer can analyze 40,000 moves a second. That is an impressive speed. But there are an astronomical number of possible moves in chess—literally trillions. Even if such a program were written (and in theory it could be, given enough people and enough time), there is no computer capable of holding that much data.
Therefore, if the computer is to compete at championship levels, it must be programmed to function with less than complete data. It must be able to learn from experience, to modify its own program, to deal with a relatively unstructured situation—in a word, to "think" for itself. In fact, this can be done. Chess-playing computers have yet to defeat world champion chess players, but several have beaten human players of only slightly lower ranks. The computers have had programs to carry them through the early, mechanical stages of their chess games. But they have gone on from there to reason and learn, and sometimes to win the game.
There are other proofs that computers can be programmed to learn, but this example is sufficient to demonstrate the point. Granted, winning a game of chess is not an earthshaking event even when a computer does it. But there are many serious human problems, which can be fruitfully approached as games. The Defense Department uses computers to play war games and work out strategies for dealing with international tensions. Other problems—international and interpersonal relations, ecology and economics, and the ever-increasing threat of world famine can perhaps be solved by the joint efforts of human beings and truly intelligent computers.
52. According to the passage, computers can not be used to ______.
A) solve the threat of world famine
B) ease international tension
C) defeat world champion chess player
D) work out solutions to the industrial problems
53. In the author’s opinion, ______.
A) playing chess shows computer’s program has been developed into a new stage
B) it is practically possible now that computer can win every chess game now
C) computers even with less than complete data can be programmed to defeat the world champion chess player
D) computers can be programmed to play and reason but not learn
54. The author’s attitude toward the future use of computer is ______.
A) negative
B) positive
C) indifferent
D) critical
55. In order to "think", computer should ______.
A) be programmed to have more than enough data
B) learn from the experience and to reason
C) deal with all the unstructured situation
D) predicate every move in the chess
56. Today, the chess-playing computer can be programmed to ______.
A) have trillions of responses in a second to each possible move and win the game
B) store complete data and beat the best players
C) learn from chess-playing in the early stage and go on to win the game
D) predicate every possible move but may fail to give the right response each time
Passage Two
Questions 57 to 61 are based on the following passage.
Large animals that inhabit the desert have evolved a number of adaptations for reducing the effects of extreme heat. One adaptation is to be light in color, and to reflect rather than absorb the sun’s rays. Desert mammals also depart from the normal mammalian practice of maintaining a constant body temperature. Instead of trying to keep down the body temperature deep inside the body, which would involve the expenditure of water and energy, desert mammals allow their temperatures to rise to what would normally be fever height, and temperatures as high as 46 degrees Celsius have been measured in Grant’s gazelles. The overheated body then cools down during the cold desert night, and indeed the temperature may fall unusually low by dawn, as low as 34 degrees Celsius in the camel. This is an advantage since the heat of the first few hours of daylight is absorbed in warming up the body, and an excessive buildup of heat does not begin until well into the day.
Another strategy of large desert animals is to tolerate the loss of body water to a point that would be fatal for non-adapted animals. The camel can lose up to 30 percent of its body weight as water without harm to itself, whereas human beings die after losing only 12 to 13 percent of their body weight. An equally important adaptation is the ability to replenish this water loss at one drink. Desert animals can drink huge volumes in a short time, and camels have been known to imbibe (吸收) over 100 liters in a few minutes. A very dehydrated person, on the other hand, cannot drink enough water to rehydrate at one session, because the human stomach is not sufficiently big and because a too rapid dilution of the body fluids causes death from water intoxication. The tolerance of water loss is of obvious advantage in the desert, as animals do not have to remain near a water hole but can obtain food from grazing sparse pastures. Desert-adapted mammals have the further ability to feed normally when extremely dehydrated. It is a common experience in people that appetite is lost even under conditions of moderate thirst.
57. What is the passage mainly about?
A) Animals developed different strategies to survive.
B) Large animals can take strategies to reduce the effect of extreme heat.
C) Animals can tolerate the loss of body water.
D) A very dehydrated person can drink enough water to rehydrate.
58. Why light in color is important to large animals in deserts?
A) It helped them maintain a constant normal body temperature.
B) It reflects rather than absorbs the sun-light.
C) It helps them see their peers at night.
D) It helps them keep cool during the night.
59. What will be fatal to non-adapted animals?
A) Keeping a normal body temperature.
B) Drinking polluted water.
C) Drinking huge volumes of water in a short time.
D) Feeding when dehydrated.
60. What does the author imply about desert-adapted mammals?
A) They do not need to eat much food.
B) They can eat large quantities quickly.
C) They easily lose their appetites.
D) They can travel long distances looking for food.
61. What is the following strategy not mentioned by the author?
A) The body temperature can be extremely high and cold.
B) Tolerate the loss of body water and replenish it immediately.
C) Lost appetite under the condition of moderate thirsty.
D) To be light in color.
Part V Cloze (5 minutes)
Directions: There are 20 blanks in the following passage. For each blank there are four choices marked A), B), C) and D) on the right side of the paper. You should choose the ONE that best fits into the passage. Then mark the corresponding letter on Answer Sheet 2 with a single line through the centre.
Memory is a special thing in our life. What’s your earliest childhood memory? Can you remember learning to walk? Or talk? The first time you 62 thunder or watched a television program? Adults seldom 63 events much earlier than the year or so before entering school, just as children younger than three or four 64 retain any specific, personal experiences. A variety of explanations have been 65 by psychologists for this "childhood amnesia" (儿童失忆症). One argues that the hippocampus, the region of the brain which is responsible for forming memories, does not mature 66 about the age of two. But the most popular theory 67 that, since adults do not think like children, they can not 68 childhood memories. Adults think in words, and their life memories, are like stories or 69 —one event follows 70 as in a novel or film. But when they search through their mental 71 for early childhood memories to add to this verbal life story, they don’t find any that fits the 72 . It’s like trying to find a Chinese word in an English dictionary.
Now psychologist Annette Simms of the New York State University offers a new 73 for childhood amnesia. She argues that there simply 74 any early childhood memories to recall. According to Dr. Simms, children need to learn to use 75 spoken description of their personal experiences in order to turn their own short-term, quickly 76 impressions of them into long-term memories. In other 77 , children have to talk about their experiences and hear others talk about 78 —Mother talking about the afternoon 79 looking for seashells at the beach or Dad asking them about their day at Ocean Park. Without this 80 reinforcement, says Dr. Simms, children cannot form 81 memories of their personal experiences.
62. A) listened B) felt C) touched D) heard
63. A) involve B) interpret C) recall D) resolve
64. A) largely B) rarely C) merely D) really
65. A) canceled B) figured C) proposed D) witnessed
66. A) until B) once C) after D) since
67. A) magnifies B) intervenes C) contains D) maintains
68. A) reflect B) attain C) access D) refer
69. A) narratives B) forecasts C) regulations D) descriptions
70. A) the rest B) another C) the other D) others
71. A) outputs B) dreams C) flashes D) files
72. A) footstep B) pattern C) frame D) landscape
73. A) emphasis B) arrangement C) explanation D) factor
74. A) aren’t B) weren’t C) isn’t D) wasn’t
75. A) anyone else B) anyone else’s C) some else D) someone else’s
76. A) forgotten B) remembered C) forgetting D) remembering
77. A) senses B) cases C) words D) means
78. A) him B) theirs C) it D) them
79. A) used B) chosen C) taken D) spent
80. A) habitual B) verbal C) pretty D) mutual
81. A) permanent B) conscious C) subordinate D) spiritual
PartⅥ Translation (5 minutes)
Directions: Complete the sentences by translating into English the Chinese given in brackets. Please write your translation on Answer Sheet 2.
82. Children are very eager___________________________ in the film (成为像电影中英雄那样强壮勇敢的人).
83. The essence of the scientific attitude is ______________________________. (人类一定能将宇宙探究清楚).
84. It is _____________________________ that keeps freedom alive (是冲突而不是绝对的一致).
85. With full determination, we are ___________________________________ (有能力最终解决这个棘手的问题).
86. There was something _______________________________ about the plan that pleased all of them (富于创造性，独出心裁，很有气势).
Part I Writing
【写作思路】
青少年的成长一直是一个有争议的话题，有人认为家庭的影响至关重要，会作用于青少年的一生;也有人认为“人以群分”，朋友在青少年的成长发育过程中具有不可替代的影响作用。
大学生也属于青少年，经历着成长过程中父母和朋友的影响。本篇作文以考生自身为题材，难度不大。
文章开篇提出在青少年成长过程中，很多人都起到了非常重要的作用。一部分人认为父母重要，其原因在于孩子从小和父母在一起，他们受到很大影响而不自知。
第二段讨论不同的观点，即认为同龄人对青少年的影响更大。因为青少年喜欢和朋友一起玩，喜欢互相学习，喜欢追逐流行。
第三段谈论作者本人的观点。首先肯定两方观点都有合理的部分，青少年孩提时代和父母在一起，父母的所作所为为孩子以后的发展奠定了基础，也影响了孩子的价值观和世界观。当孩子长大时，他们需要独立和认同，需要得到同龄人的认可，受到朋友的影响更多一些。所以得出结论：父母和朋友对青少年的影响都很大，只是在不同的阶段。
【参考范文】
Many parties are occupying important positions in the growth of the young. Some people think that the parents are the most essential in this process, arguing that the young have been together with their parents since birth and that they are influenced without their notice.
Other people hold the opinion that the peers of the young play a major role in their growing up. The young prefer to hang out with their friends, like to learn from one another, and are more likely to follow the so-called "fashion".
Of course, both views have an element of reason. In the first few years of life, the young see whatever their parents are doing and learn from them, which lays a basic foundation for their later development as well as their value on life, their outlook. When they grow older, they have a sense of independence and identity. They want to be recognized as members of certain groups. Thus, both parents and friends greatly affect the young, but in different stages.
Part II Reading Comprehension (Skimming and Scanning)
原文精译
电子病案能提高卫生保健吗?
今年年初，奥巴马政府建立190亿美元的刺激基金，鼓励医院和卫生保健机构将病人信息数字化，更好的利用信息技术。自此之后，使用电子健康记录(EHR)的举措引起了很大关注。但是，整体而言，【1】卫生保健行业在采用信息技术、整合计算机体系方面一直滞后，于是问题就出现了：这项推行数字化的举措所带来的信息，究竟是使医生的决策更明智，还是只是一堆零散的数据?
【2】Pittsburgh大学的医疗中心(UPMC)拥有第一手资料，只是知道实现前者很难，而陷入后者的困境却很容易。UPMC历经五年，在信息技术体系方面花费10多亿美元，在HER计划中处于领先地位。尽管它的花费是最近预估的一个医院系统所需花费的五倍，但UPMC现在拥有一个庞大的网络机构，包括20家医院，400个医生办公室，门诊处，长期护理机构，这些机构有5万多名员工。
UMPC早期试图建立一个普遍的EHR体系，比如2000年—2005年之间推出的流动电子医疗记录，就受到了医生、员工以及其他使用者的抵制，他们或者不用新技术，或者只用个人记录，不和UPMC的IT部门近年来推行的软件和系统联网。
情势好转中
UPMC早在1996年就开始将自己的记录数字化，而转折点却出现在2004年，它的电子记录体系(EHR)已在整个医疗保健网络铺展开来。现在电子记录包括360多万病人的信息，其中有图像和CT扫描结果，临床试验信息，放射治疗数据，还有图片库和交流系统，使图像数字化，在个人电脑上得以显示。EHR系统有29000名用户，包括5000多名内科医生，其中有些是UPMC的医生，有些则附属于UPMC。
UPMC医疗信息的主要负责人Dan Martich警告说：如果UPMC让EHR系统看似简单，千万不要上当。他说，卫生保健网络的IT系统需要“巨大的、不间断的努力”，以确保这些系统交流顺畅。【3】主要原因之一是，UPMC，以及很多其他卫生保健组织，都从很多不同的卖主那里购买医疗和IT系统，而最后的整合工作则由IT成员来做。
由于医生一般不愿意为了某个计算机系统而改变工作方式，【4】因而EHR项目的成功，不仅仅在于技术，更在于医生如何能接受好的培训，学会使用新科技。UPMC的 Magee女子医院的信息部门主管Louis Baverso说，内科医生需要看到EHR系统带来了持久的好处。同时他又说，这些好处刚开始也许并不明显，“刚开始医生看到的是，他们没有办法再和纸质文件打交道，而这些文件对他们来讲是迄今为止最重要的”。
机会和代价
鉴于在整个卫生保健体系中，并没有完全使用EHR系统，因此还有很多机会可以做好，也可能做糟。哈佛公共卫生学院、健康政策与管理专业的副教授Ashish Jha组织了一项调查，结果表明，美国只有不到10%的医院采用了电子医疗记录系统，而且是以最基本的形式;只有1.5%的医院使用了综合的电子记录系统，包括医生的记录、医嘱以及决策支持体系，这些都可以警示医生，他们的医嘱可能会导致潜在的药物反应或其他问题。
【5】Jha认为，阻碍EHR系统推广的主要因素是需要付出的代价，其次还有医生的抵制，他们不愿意使用新科技，还有IT部门人员不足等方面原因。他暗示，根据医院规模，医院需要历时几年时间花费2000万到20亿美元不等，来安装电子记录系统。一个医生办公室配备一个EHR系统，大概需要5万美元。
9月17日，哈佛公共卫生学院研讨会上，Jha认为EHR系统的优势很难量化。有些人估计说，使用EHR，医院、医生办公室每年至少可以节省10亿美元;【8】而单单安装这个系统并不能保证节省开支，也不能保证医疗的改进。【6】同样哈佛关于医院电子化的另一个调查表明，通过现有的卫生保健IT来缩减开支，改进医疗水平是“痴心妄想”。这项调查由David Himmelstein主导，他是哈佛医学院的副教授。
情况变糟的代价
Leonard D’Avolio是麻省退伍军人传染病研究和信息中心(MAVERIC)的生物医学信息学中心副主任，他认为，节省开支的预想和目前的现实之间的区别，源于迄今为止实施EHR技术并不是为了省钱或提高病人护理，相反，它是为了记录单个病人的情况，将这些信息在临床中传递用以治疗其他病人，合理解释医疗费用，也可成为法律证据。
D’Avolio说，这是因为保健机构若有一百万美元可花，【7】管理阶层更愿意把它花在实验室设备上，并非信息科技上。他接着说，【9】用在设备上的投资可以通过向使用设备的病人收费得以弥补，而IT系统却并非如此。还有，医院和保健机构使用的电脑和网络系统并没有联网，由不同的厂商制造销售，没有统一的交流方式。他说，“很难对医疗数据统一标准，因为护理病人是个复杂的过程。我们需要找到某种方法，不仅在各个部门，而是在所有医院中互相搜索。不能衡量，就无法改进提高。得不到这些数据，就不能衡量。”
美国复兴和再投资法(ARRA)提供了190亿美元，想要有资格拿到这笔钱，保健机构必须说明他们的IT投资有意义，保证他们有效使用了EHR。而健康和社会服务部还没有确定什么是“有意义的用途”。
收集信息 创造知识
D’Avolio说，从理想的角度出发，【10】除了EHR可以给医生提供病人的基本信息外，包括重要标记、图像、实验室数据、用药、病史、治疗中断、病人人口信息的数据库，可以用来发掘新知识。D’Avolio建议，“仅仅几个此类的数据库联网，就可大大提高改进医疗保健的能力。缺失的是这样的集体意识：健全的医疗保健需要更全面的信息，而并非现状能自动改变。”他接着说，沿着这条路走，这些数据库中还会增加染色体信息，环境因素，家族史，使临床医生开始意识到用药个性化的潜在可能性。
1. 答案C
解析：根据题干，考生可将答案定位在文章的第一段。第一段段末讲到，在采用EHR系统方面，卫生保健行业很滞后，原因在于，这对医生来讲，到底能帮助用药决定，还是会带来一团糟?从中考生可以判断，这个举措对医生来讲有没有用，值得怀疑。
2. 答案D
解析：根据题干中的UPMC，考生可锁定文章的第二段。接着文章的第一段，UPMC根据自身经历，认为能使医生的决定更明智很难，而收集一堆毫无关系的数据却很容易，从中可以判断他们在使用EHR的过程中遇到了难题。
3. 答案A
解析：根据题干，考生可锁定第一个小标题下面的第二段。从不同卖主那里购买系统，想要保证交流畅通，IT成员必须做最后的整合工作。
4. 答案C
解析：根据题干中“EHR项目的成功”，考生可锁定第一个小标题下面的第三段，其中讲到，成功不仅仅在于有科技，还在于如何培训医生使用这些新科技。
5. 答案A
解析： 考生可将答案定位在文章第二个小标题“Opportunities and Costs”下面的第二段。一开始作者提及了不愿意采用EHR的原因。考生要特别注意题干中使用了the most important，和原文中的primary同义。
6. 答案C
解析：根据题干中的人名 David Himmelstein，考生可锁定文章第二个小标题下面的第三段。David Himmelstein做了一项调查，发现卫生IT不能缩减开支，也无法改进护理。
7. 答案A
解析：根据题干中的manager，考生可将答案定位在文章第三个小标题下面的第二段。段首讲到管理人员更愿意把钱投资在设备上，而并非是信息科技上。
8. 答案 neither cost savings nor improvements in care
解析：根据题干中的Jha，考生可锁定文章的第二个小标题，尤其是下面的第三段。Jha认为，单单安装这个系统并不能保证节省开支，不能保证医疗的改进。
9. 答案 charging patients access to it as a billable service
解析：根据题干中的人名Leonard D’Avolio，考生可锁定文章中的第三个小标题。D’Avolio认为，用在设备上的投资可以通过向使用设备的病人收费得以弥补。
10. 答案 mined for new knowledge
解析：根据题干中的主语，考生可锁定文章的最后一段。这些数据库可以用来发掘新知识。
Part III Listening Comprehension
Section A
11.
W: Why are you leaving so early? The drama doesn’t start until 7: 30.
M: I want to beat the traffic there. It’s a nightmare on the highway during rush hour.
Q: What does the man mean?
答案D
解析：选项是关于男士的做法，在听力过程中，考生要特别注意男士的选择。女士问，你为什么出发这么早?歌剧7:30才开始呢;男士在回答中用到了一个动词beat，beat the traffic，意为“避开交通高峰期”，随后他进一步解释到，高峰期在高速公路上行驶，简直是场噩梦。从中考生可以肯定男士想早点出发，来避开行车高峰。
12.
W: Jessica’s going to the seashore again this weekend.
M: Well, she’s always been a beach person.
Q: What can be inferred about Jessica?
答案B
解析：根据选项，考生可推断听力对话可能是关于女士和海滩。女士说，Jessica周末要再去海边;男士附和，并说她对海边情有独钟。从中可以判断Jessica经常去海边。
13.
W: My parents are coming this weekend, and I thought the four of us could go out to dinner on Saturday night. Any suggestions?
M: It’s up to you. I don’t know the restaurants around here that well, so you’d know a better place to go than me.
Q: What does the man mean?
答案C
解析：选项是关于周末的安排。女士说，父母要来，想在周六晚上一起出去吃饭，并咨询男士的意见;男士使用了一个常用的动词短语，be up to sb.，意为“由......决定”，进一步解释说自己对周边的饭店不是很了解，从中可以推断男士希望女士决定吃饭的地方。
14.
W: I hope you liked the novel I lent you. I wasn’t sure whether it was the kind of book you’d be interested in.
M: I had the same doubt first, but once I started it I simply couldn’t put it down.
Q: What does the man mean?
答案C
解析：选项是关于男士读书的问题。听力过程中考生要关注男士有没有开始读，读到了哪里。女士说，我希望你能喜欢我借给你的书，我不确定是不是你喜欢的类型。男士回答说，刚开始我也怀疑会不会喜欢，但一打开，我就放不下来。从中可以看出男士很喜欢这本书。
15.
M: I’d like to make an appointment with the doctor for tomorrow.
W: Unfortunately he’s completely booked.
Q: What does the woman mean?
答案B
解析：选项是关于医生明天的安排。男士说，明天想去看医生;女士回答说，很遗憾，医生已经约满了。选项B中的the doctor’s schedule is filled和听力原文中的he’s completely booked同义。
16.
M: I ran out of coins while doing my laundry.
W: That’s too bad!
Q: What does the woman mean?
答案A
解析：选项是关于发生在男士身上的事。听力过程中，考生需要关注男士干了什么，结果如何。男士说，洗衣服的时候，硬币用完了，其中run out of表示“用完，花光”;女士感叹说，这可太糟了，并不是说衣服洗的不好，而是对男士的遭遇表示同情。
17.
W: It’s a shame you didn’t win your badminton match.
M: I might have won if I’d listened to my coach.
Q: What does the man imply?
答案D
解析：选项是关于男士的做法。女士说，没有赢得羽毛球比赛，太遗憾了;男士使用了虚拟语气，说如果听从教练的建议，可能就赢了。因此男士暗示，他没有采取教练的建议。
18.
W: Professor Louis seems to think there’s only one way to write a paper, and that’s her way!
M: No kidding? She sure wasn’t like that last semester.
Q: What can be inferred about Professor Louis?
答案D
解析：从选项中可以推断she指代的是一位教师。考生要关注对教师的评价。女士说，Louis教授似乎只知道一种写论文的方式，那就是她的方式。男士首先用no kidding的形式表示惊讶，接着补充说，上一学期她并不是这样啊。男士的回答暗示上一学期她比较灵活。
Conversation One
W: 【19】Bob, can we really afford a holiday? We’re paying for this house and the furniture is on HP and...
M: Now listen, Peggy. You work hard and I work hard. 【20】We’re not talking about whether we can have a holiday. We’re talking about where and when.
W: Shall we go to Sweden?
M: Sweden is colder than Sheffield. I’d rather not go to Sweden.
W: What about Florida? Florida’s warmer than Sheffield.
M: Yes, but it’s a long way. How long does it take to get from here to Florida?
W: All right. Let’s go to Hawaii.
M: You must be joking. How much would it cost for the two of us?
W: But the brochure says the problem of money will disappear. Bob, where do you really want to go?
M: 【21】I’m thinking of Wales or Scotland. Do you know why?
W: Yes. They’re right on our doorstep and so close to home.
Questions 19 to 21 are based on the conversation you have just heard.
19. What might be the possible relationship between the two speakers?
20. What are they talking about?
21. Where does Bob want to go?
19. 答案D
解析：从选项可以判断问题是关于两个人之间的关系。听力对话一开始，说两个人已经买了房子，还买了家具，随后两个人讨论度假的问题。从中可以判断两个人最有可能的关系是夫妻。注意听力开头提到的HP指hire purchase，为“分期付款”的意思。
20. 答案B
解析：根据选项，考生推断问题可能是两个人讨论的话题。听力开始，男士说，我们要讨论的，不是能不能去度假，而是什么时候，去哪里度假。所以选项B为正确答案。
21. 答案C
解析：四个选项都是地点，考生推断问题可能是他们度假的地方。听力最后，男士想着要去威尔士或苏格兰。而选项A、B、D都是女士建议的地方。
Conversation Two
W: What a beautiful day! It’s a shame to stay inside all day.
M: Do you have a suggestion?
W: Actually, I guess I do. Why don’t we go for a run?
M: Well, I really don’t like running.
W: OK, then. How about roller skating? Don’t you have a pair of skates?
M: Now that you mention it, I do have a pair. But where could we skate? That’s not an indoor skating rink.
W: 【22】You know the bike path on the other side of campus—the one that goes through the trees?
M: Yes?
W: Well, I’ve seen people skating there, and it’s a really pretty area.
M: That’s true, but I also remember that there are some hills over there.
W: So what?
M: So, I don’t mind going up hills, but I hate going down them, 【23】because I’m not good at stopping. In fact, the only way for me to stop is to jump off the path and hope I land on some thing soft.
W: Tell you what. 【24】I’ll show you how I stop, and if it doesn’t work you’ll still have the grass to fall back on.
M: OK. I’m ready, but 【25】I think we should bring something to drink.
W: 【25】Good idea! What’s in the dorm fridge?
Questions 22 to 25 are based on the conversation you have just heard.
22. Where does the woman want to skate?
23. Why doesn’t the man like skating on hills?
24. What does the woman offer to do for the man?
25. What will the speakers probably do next?
22. 答案B
解析：选项是一些地点，因此在听力过程中要特别关注地点的表达。听力一开始，女士觉得天气很好，建议出去玩，最后选择了skate。男士问，在哪里滑呢?女士说，校园另一边有个自行车道，可以在那里玩。
23. 答案A
解析：选项是一些问题，根据前题，考生推断可能是滑冰中出现的困难。听力中间，男士说，上山没有问题，很讨厌下山，因为不擅长在滑冰中停下来。选项A用have trouble doing的结构表示“干某事有困难”。
24. 答案D
解析：选项使用了祈使句，前文讲男士在滑冰中停下来有困难。女士说，我可以教你，如果真的不行，你还可以摔在草地上。从中判断D为正确选项。
25. 答案C
解析：选项使用祈使句表示要做的事。听力最后，男士说，可以带一些喝的东西。女士附和，冰箱里有什么呢?所以接下来，他们最有可能做的事，是寻找饮料。
Section B
Passage One
Every person uses its own special words to describe things and express ideas. Some of these expressions are commonly used for many years. Others are popular for just a short time. One such American expression is "Where’s the beef?"【26】It is used when something is not as good as it is said to be. In the early 1980s, "Where’s the beef?" was one of the most popular expressions in the United States. It seemed as if everyone was using it all the time.
Beef, of course, is the meat from a cow, and probably no food is more popular in America than the hamburger made from beef. 【27】In the 1960s a businessman named Ray Kroc began building small restaurants that sold hamburgers at a low price. Kroc called his restaurant "McDonald’s". 【27】Kroc cooked hamburgers quickly so people in a hurry could buy and eat them without waiting. By the end of the 1960s the McDonald’s Company was selling hamburgers in hundreds of restaurants from California to Maine. 【28】Not surprisingly, Ray Kroc became one of the richest businessmen in America.
【28】Other business people watched his success. Some of them opened their own hamburger restaurants. One company, called "Wendy’s", began to compete with McDonald’s. Wendy’s said its hamburgers were bigger than those sold by McDonald’s or anyone else. The Wendy’s Company created the expression "Where’s the beef?" to make people believe that Wendy’s hamburgers were the biggest. It produced a television advertisement to sell this idea. The Wendy’s television advertisement showed three old women eating hamburgers. The bread that covered the meat was very big, but inside there was only a tiny bit of meat. "Where’s the beef?" She shouted in a funny voice. These advertisements for Wendy’s hamburger restaurants were a success from the first day they appeared on television. As we said, it seemed everyone began using the expression "Where’s the beef?"
Questions 26 to 28 are based on the passage you have just heard.
26. What does the expression "Where’s the beef?" mean?
27. Why are hamburgers so popular in America?
28. Why did other people want to open hamburger restaurant?
26. 答案B
解析：选项是解释说明。听力一开始讲到流行语，并且举了“Where is the beef” 为例，接下来解释了这个短语的意思，“某物并没有描述的那么好”。选项C是个干扰项，这个短语流行开来，beef并不特指牛肉这一种东西，而是代指任何东西。
27. 答案C
解析：考生可推断选项A、B、C中的they指代选项D中的hamburgers。听力中讨论了McDonald’s的出现和流行，其中提及汉堡的价格比较低，很快就能做好，忙碌的人们不用等就能买到。
28. 答案D
解析：选项也是说明原因。听力中提到，Ray Kroc在全国好多地方都开店卖汉堡，成为美国富豪之一。其他生意人看到了他的成功，也相继开了汉堡店。联系前后文，其他人开汉堡店的原因是，也想成功和赚钱。
Passage Two
Strikes are very common in Britain. They are extremely harmful to its industries. In fact, there are other countries in Western Europe that lose more working days through strikes every year than Britain. 【29】The trouble with the strikes in Britain is that they occur in essential industries. There are over 495 unions in Britain. Some unions are very small. Over 20 have more than 100,000 members. Unions do not exist only to demand higher wages. They also educate their members. They provide benefits for the sick and try to improve working conditions. Trade unionists say that we must thank the unions for the great improvement in working conditions in the last hundred years. It is now against the law for union members to go on strike without the support of their union. This kind of strike is called unofficial strike and was common until recently. 【30】Employers feel that unofficial strikes were most harmful because they would not be predicted. However, these unofficial strikes still occur from time to time and some unions have also refused to cooperate with the law. 【31】As a result, the general picture of the relations between workers and employers in Britain has gone from bad to worse.
Questions 29 to 31 are based on the passage you have just heard.
29. In what way. are strikes in Britain different from those in other European countries?
30. Why are British employers so afraid of unofficial strikes?
31. What conclusion can be drawn from this passage?
29. 答案A
解析：听力篇章一开始讲到罢工在英国很常见，欧洲其他国家也有很多罢工，损失的工作日要比英国的多。但英国的问题在于，最重要的行业中有罢工。由此判断，A为正确选项。
30. 答案B
解析：选项是对某一类罢工的描述。听力最后讲，雇主认为非正式的罢工危害最大，因为它们不可预测。由此判断B为正确答案。
31. 答案D
解析：选项是总结性语言。考生可注意听力篇章的最后部分。听力最后讲，员工和雇主之间的关系是越来越坏。选项D中的tense意为“紧张的”，和听力原文中的go from bad to worse同义。
Passage Three
【32】A person’s social prestige seems to be determined mainly by his or her job. Occupations are valued in terms of the incomes associated with them, although other factors can also be relevant—particular the amount of education a given occupation requires and the degree of control over others it provides. The holders of political power also tend to have high prestige.
Unlike power and wealth, which do not seem to be becoming more equally shared, 【34】the symbols of prestige have become available to an increasing number of Americans. 【33】The main reason is the radical change in the nature of jobs over the course of this century. 【35】In 1900, nearly 40 percent of the labor force were farm workers and less than 20 percent held white-collar jobs. At the beginning of the 1980s, however, less than 5 percent of the labor force worked on farms and white-collar workers were the largest single occupational category. Blue-collar workers, the largest category in the mid-fifties, now constitute less than a-third of all workers. 【34】The increase in the proportion of high prestige jobs has allowed a much greater number of Americans to enjoy these statuses and the lifestyles that go with them.
Questions 32 to 35 are based on the passage you have just heard.
32. Which is the least important factor relevant to a person’s social status?
33. Which is the main factor for the rise in the proportion of prestige jobs?
34. What are a growing number of Americana becoming?
35. Who made up the largest occupational category in 1900?
32. 答案C
解析：选项是四个名词的并列。听力篇章开始讲到决定一个人社会名誉的因素，其中有工作、收入、教育、对他人的控制权限以及政治地位，唯一没有提及的是选项C中的努力。
33. 答案A
解析：四个选项表示变化。听力中间讲更多的美国人都有机会得到这些名誉，其主要