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Life With Dementia:
Years of research have proven that Alzheimer’s disease, along with other types of dementia, elevates the risk of dying early in the majority of patients. In a recent study performed by the Institute of Public Health at the University of Cambridge, scientists set out to determine exactly how long people were likely to survive following the onset of dementia. Currently, approximately 24 million people throughout the world suffer from the memory loss and orientation confusion that comes with Alzheimer’s disease and other forms of dementia. That number appears to double every 20 years, and experts predict that by the year 2040, there will be 81 million people living with some level of the condition.
The more researchers and doctors can learn about what causes the problem, as well as how to treat it, the better prepared they will be to handle these millions of future patients. To determine how people’s life spans are affected by this medical condition, the scientists studied 13,000 seniors for a period of 14 years. During that time, 438 people developed dementia, the vast majority of whom died. The factors of age, disability, and gender were analyzed to see how they affected longevity as well.
Conclusions from the study showed that women tended to live slightly longer than men, averaging 4.6 years from the onset of dementia, as opposed to 4.1 years for men. The patients who were already weak or frail at the onset of the dementia died first, regardless of age. Marital status, living environment, and degree of mental decline, although relevant factors, were not shown to be influential. Researchers from the University of Cambridge hope that this new information will help patients, clinicians, care providers, service providers, policy makers, and others who deal with dementia. The more they know, the better they will be able to respond to this heartbreaking condition.
What is the meaning of the word onset as used in the first paragraph?
- A. Cure rate
- B. Incubation period
- C. Remainder
- D. Commencement
Correct Answer: D
Rationale: Onset in this context means commencement, referring to the beginning of dementia symptoms.
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MRSA:
Methicillin-resistant Staphylococcus aureus (MRSA) is a form of the Staphylococcus aureus bacterium that is resistant to antibiotics and, as a result, is very difficult to treat. MRSA now kills more Americans every year than HIV/AIDS, and the rates of infection are rising. Methicillin, an antibiotic introduced in the 1960s, was intended to combat Staphylococcus aureus, which is ubiquitous in hospitals. However, within a year of its introduction, doctors began finding strains of bacteria that had already developed immunity to methicillin. By the 1990s, MRSA had become the leading hospital-acquired skin infection in the United States.
At the same time MRSA started appearing outside of hospitals, different strains of the bacteria emerged, spreading just as quickly and being just as dangerous. In the past 15 years, MRSA bacteria have become ubiquitous not only in hospitals but also in gyms, locker rooms, swimming pools, and other settings with frequent human contact.
Researchers in Ireland are developing technology that may significantly halt the spread of hospital-associated MRSA bacteria. They have created a textile made of nanomaterials 1,000 times smaller than a human hair. These textiles have been shown to halt the spread of infection and can be used for linens, drapes, and upholstery in hospitals. The potential for this technology to reduce instances of hospital-associated MRSA is staggering.
To reduce your risk of community-associated MRSA infection, regularly wash your hands, cover all open wounds with a clean bandage, and avoid sharing personal items like razors or towels.
What is the main idea of the passage about MRSA?
- A. Methicillin-resistant Staphylococcus aureus (MRSA) is a significant problem both within and outside of hospitals, and there are ways to mitigate the risk.
- B. A new textile made of nanomaterials could significantly reduce the spread of hospital-associated MRSA infections.
- C. There are multiple strains of MRSA, and they pose various risks beyond just fatality.
- D. MRSA is a significant problem both within and outside of hospitals, but there are ways to mitigate the risk.
Correct Answer: D
Rationale: The main idea of the passage is that MRSA is a significant issue both within and outside of hospitals. It highlights the challenges posed by MRSA, including its resistance to antibiotics, high mortality rates, and widespread presence in various settings. While the development of new technologies like nanomaterial textiles shows promise in reducing hospital-associated MRSA, the passage also emphasizes the importance of practicing good hygiene to prevent community-associated MRSA infections. Choices A, B, and C are incorrect because they do not capture the comprehensive overview of MRSA provided in the passage. Choice A encompasses the main idea by emphasizing the significance of MRSA and ways to mitigate the risk. Choice B focuses on a specific solution rather than the broader issue of MRSA. Choice C is incorrect as it oversimplifies the risks associated with MRSA strains by only mentioning fatality.
Coffee Consumption During Pregnancy:
The health risks of coffee have long been debated, but a recent study has added another argument against too much coffee consumption. This study looked at the effect of drinking coffee on pregnant women. Conducted by physicians at Kaiser Permanente, the study explored the connection between caffeine and the risk of miscarriage.
This study followed more than 1,000 women who became pregnant within a two-year period. The amount of caffeine they drank was logged, as well as which women experienced a miscarriage. The results, as published in the January 2008 issue of the American Journal of Obstetrics and Gynecology, stated that the risk of miscarriage more than doubled in women who consumed 200 mg or more of caffeine per day—about what is found in two cups of coffee.
Why does caffeine carry this risk? Researchers are not sure, but they theorize that the caffeine restricts blood flow to the placenta. This, in turn, can harm the developing fetus.
Does this mean the physicians will start advising women to quit drinking coffee while pregnant? Yes and no. Some doctors will certainly take this report to heart and encourage their patients to stay away from more than one cup of coffee a day, just as they recommend not drinking alcohol or smoking cigarettes. Others are not so convinced and doubt that this single study is enough to overturn the established guidelines of the American College of Obstetricians and Gynecologists. Instead, they believe that a lot more research needs to be done.
Based on this passage, what can the reader infer about the advice physicians will give their pregnant patients about coffee consumption?
- A. Almost all of them will advise women to stop drinking any caffeine until after the baby is born.
- B. The majority will ignore the study altogether and continue to advise caffeine in moderation as before.
- C. All of them will demand additional research be done before they change what they tell their patients.
- D. Some will continue to make their normal recommendations about caffeine, while others will be more cautious than before.
Correct Answer: D
Rationale: The inference is that some physicians will continue with their usual recommendations while others may become more cautious.
MRSA:
Methicillin-resistant Staphylococcus aureus (MRSA) is a form of the Staphylococcus aureus bacterium that is resistant to antibiotics and, as a result, is very difficult to treat. MRSA now kills more Americans every year than HIV/AIDS, and the rates of infection are rising. Methicillin, an antibiotic introduced in the 1960s, was intended to combat Staphylococcus aureus, which is ubiquitous in hospitals. However, within a year of its introduction, doctors began finding strains of bacteria that had already developed immunity to methicillin. By the 1990s, MRSA had become the leading hospital-acquired skin infection in the United States.
At the same time MRSA started appearing outside of hospitals, different strains of the bacteria emerged, spreading just as quickly and being just as dangerous. In the past 15 years, MRSA bacteria have become ubiquitous not only in hospitals but also in gyms, locker rooms, swimming pools, and other settings with frequent human contact.
Researchers in Ireland are developing technology that may significantly halt the spread of hospital-associated MRSA bacteria. They have created a textile made of nanomaterials 1,000 times smaller than a human hair. These textiles have been shown to halt the spread of infection and can be used for linens, drapes, and upholstery in hospitals. The potential for this technology to reduce instances of hospital-associated MRSA is staggering.
To reduce your risk of community-associated MRSA infection, regularly wash your hands, cover all open wounds with a clean bandage, and avoid sharing personal items like razors or towels.
As used in the second paragraph, what does the term ubiquitous mean?
- A. Indigenous
- B. Often ignored
- C. Found everywhere
- D. Dangerous
Correct Answer: C
Rationale: The correct answer is C: 'Found everywhere.' Ubiquitous in this context means widespread presence. In the provided extract, it is mentioned that MRSA bacteria have become ubiquitous not only in hospitals but also in various other settings, indicating they are found everywhere. Choice A, 'Indigenous,' is incorrect as it refers to something native or originating from a specific place, which is not the intended meaning in the context. Choice B, 'Often ignored,' is incorrect as ubiquitous means something that is widely present, not something that is ignored. Choice D, 'Dangerous,' is incorrect as ubiquitous does not directly imply danger, but rather the widespread presence of something.
THE FOOD PYRAMID:
The food pyramid is a visual representation of how the different food groups can be combined to form a healthy diet. Although it was a vital part of dietary guidelines for years before being replaced by the �MyPlate� model, the pyramid was constantly analyzed and revised as additional study was done in nutritional fields. A few years ago, the pyramid underwent a change regarding the unique dietary needs of seniors.
Modifications in the pyramid for older adults included an emphasis on fiber and calcium, as well as on vitamins D and B12. By incorporating these changes, the pyramid indicated that the nutrients found in a person�s routine daily consumption typically are not enough for seniors. Seniors need supplementation. As people age, they tend to move less and thus need fewer calories to maintain their weight. Because seniors tend to eat a more limited amount, dietitians urge them to choose wisely. They are encouraged to eat nutrient-rich meals featuring such foods as fruits, vegetables, low-fat dairy products, and high-fiber whole grains.
The revised pyramid also focused on the importance for older people of ingesting adequate amounts of fluids daily. This helps to ensure proper digestion and prevent dehydration. Finally, the revised pyramid included information on incorporating exercise and other physical activities into the lives of older adults. Suggestions included swimming, walking, or simple yard work. With recent reports indicating that obesity levels for people older than 70 years of age are climbing, performing some type of regular exercise is more essential than ever.
What is the main idea of the passage?
- A. Senior citizens need to increase their calcium and vitamin D intake.
- B. The food pyramid was revised to reflect the needs of seniors.
- C. Physical activity is a new addition to the food pyramid.
- D. The revised food pyramid looks more like a food square.
Correct Answer: B
Rationale: The passage discusses the revision of the food pyramid specifically to address the unique dietary needs of seniors. It emphasizes how the changes were made based on ongoing research and analysis, indicating a broader focus on senior nutrition rather than just individual nutrients or exercise. Thus, option B captures the essence of the passage as it succinctly summarizes the main idea.
MICROBES IN HUMAN HEALTH:
There are 10 times more microbes than human cells in the human body. Scientists have long known that the human body hosts a staggering number of microorganisms. Recent discoveries, however, are shedding light on how pivotal these bacteria are in the development of the human immune system. The body supports a wide array of microorganisms specially adapted to survive in particular regions. Remarkably, there is such variation in these microorganisms that few people share the same strains in the same quantities.
The colonization of microbes begins at birth. A newborn infant, emerging from the germ-free environment of the womb, is immediately exposed to germs from its mother's birth canal. These bacteria swiftly begin to breed and colonize the infant's body, which becomes their new host. The most fascinating discovery is not just that the immune system tolerates these millions of harmless organisms, but that it may actually rely on their presence to function properly.
For example, laboratory mice unable to produce a specific inflammation-reducing molecule were injected with a particular strain of bacteria. After the bacteria colonized, the mice's immune systems developed the ability to synthesize the molecule. Essentially, the mice needed the bacteria for their immune systems to function correctly.
This concept is also being applied to humans through a relatively experimental procedure known as fecal bacteriotherapy. This treatment reintroduces healthy bacteria into a colon that has lost its ability to defend against pathogens. While scientists are only beginning to understand the critical role these microorganisms play in human health, early research has yielded remarkable discoveries.
Which of the following is not listed as a detail in the passage about microbes?
- A. Babies are born coated with germs from the birth canal.
- B. Mice and humans respond to microbes differently.
- C. Few people share the same microbes in the same quantities.
- D. Human bodies contain far more microbes than they do cells.
Correct Answer: B
Rationale: The correct answer is B because the passage does not detail that mice and humans respond to microbes differently. The passage discusses how laboratory mice required a particular strain of bacteria to help their immune systems function correctly, indicating a difference in how mice and humans respond to microbes. Choices A, C, and D are all details mentioned in the passage: A discusses babies being coated with germs from the birth canal, C talks about the variation in microbes among individuals, and D states that human bodies contain more microbes than cells.