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1、精选优质文档-倾情为你奉上Part I WritingDirection：For this part, you are allowed 30 minutes to write a short essay based on the picture below. You should focus on the harm caused by misleading information online. You are required to write at least 150 words but no more than 200 words.It seems to be a law in the
2、technology industry that leading companies eventually lose their position, often quickly and brutally. Mobile phone champion Nokia, one of Europes biggest technology success stories, was no _(37), losing its market share in just a few years.Part Reading ComprehensionIn 2007, Nokia accounted for more
3、 than 40% of mobile phone sales _(38). But consumers preferences were already _(39)toward touch-screen smartphone. With the introduction of Apples iPhone in the middle of that year, Nokias market share _(40)rapidly and revenue plunged. By the end of 2013, Nokia had sold its phone business to Microso
4、ft.What sealed Nokias fate was a series of decisions made by Stephen Elop in his position as CEO, which he _(41)in October 2010. Each day that Elop spent in charge of Nokia, the companys market value declined by $23 million, making him, by the numbers, one of the worst CEOs in history.But Elop was n
5、ot the only person at _(42). Nokias board resisted change, making it impossible for the company to adapt to rapid shifts in the industry. Most _(43), Jorma Ollila, who had led Nokias transition from an industrial company to a technology giant, was too fascinated by the companys _(44)success to recog
6、nize the change that was needed to sustain its competitiveness.The company also embarked on a _(45)cost-cutting program, which included the elimination of thousands of jobs. This contributed to the _(46)of the companys once-spirited culture, which had motivated employees to take risks and make mirac
7、les. Good leaders left the company, taking Nokias sense of vision and direction with them. Not surprisingly, much of Nokias most valuable design and programming talent left as well.A.assumedB.biasC.desperateD.deterioration E.exceptionF.faultG.incidentallyH.notablyI.previousJ.relayedK.shiftingL.shran
8、kM.subtleN.transmittingO.worldwideSection BFirst-Generation College-Goers: Unprepared and BehindKids who are the first in their families to brave the world of higher education come on campus with little academic know-how and are much more likely than their peers to drop out before graduation.A) When
9、 Nijay Williams entered college last fall as a fires-generation student and Jamaican immigrant, he was academically unprepared for the rigors of higher education. Like many first-generation student, he enrolled in a medium-sized state university many of his high school peers were also attending, rec
10、eived a Pell Grant, and board and the closeness of the school to his family, he chose to live at home and worded between 30 and 40 hours a week while taking a full class schedule.B) What Nijay didnt realize about his schoolTennessee State Universitywas its frighteningly low graduation rate: a mere 2
11、9 percent for its first-generation students. At the end of his first year, Nijay lost his Pell Grant of over $5,000 after narrowly missing the 2.0 GPA cut-off, making it impossible for him to continue paying for school.C) Nijay represents a large and growing group of Americans: first-generation coll
12、ege students who enter school unprepared or behind. To make matters worse, these schools are ill-equipped to graduate these studentsyoung adults who face specific challenges and obstacles. They typically carry financial burdens that outweigh those of their peers, are more likely to work while attend
13、ing school, and often require significant academic remediation(补习).D) Matt Rubinoff directs Im First, a nonprofit organization launched last October to reach out to this specific population of students. He hopes to distribute this information and help prospective college-goers find the best post-sec
14、ondary fit. And while Rubinoff believes there are a good number of four-year schools that truly care about these students and set aside significant resources and programs for them, he says that number isnt high enough.E) Its not only the selective and elite institutions that provide those opportunit
15、ies for a small subset of this population, Rubinoff said, adding that a majority of first-generation under graduates tend toward options such as online programs, two-year colleges, and commuter stand schools. Unfortunately, there tends to be a lack of information and support to help students think b
16、igger and broader.F) Despite this problem, many students are still drawn to these institutionsand two-year schools in particular. As a former high school teacher, I saw students choose familiar, cheaper options year after year. Instead of skipping out on higher education altogether, they chose commu
17、nity colleges or state schools with low bars for admittance.G) They underestimate themselves when selecting a university, said Dave Jarrat, a marketing executive for Inside Track, a for-profit organization that specializes in coaching low-income students and supporting colleges in order to help stud
18、ents thrive. The reality of it is that a lot of low-income kids could be going to elite universities on a full ride scholarship and dont even realize it.H) Many students are coming from a situation where no one around them has the experience of successfully completing higher education, so they are c
19、oming in questioning themselves and their college worthiness, Jarrat continued. That helps explain why, as Im Firsts Rubinoff indicated, the schools to which these students end up resorting can end up being some of the poorest matches for them. The University of Tennessee and Tennessee State are wor
20、th comparing. Tennessee States overall graduation rate is a tiny 39 percent, but at least it has a smaller gap between the outcomes for first-generation students and those of their peers.I) Still, the University of Tennessee deserves credit for being transparent. Many large institutions keep this ki
21、nd of data secretor at least make it incredibly difficult to find. The University of North Carolina at Chapel Hill, for instance, admits only that the graduation rate for its first-generation pupils is much lower than the percentage of all students who graduate within four years (81 percent).J) It i
22、s actually quite difficult to find reliable statisties on the issue for many schools. Higher education institutions are, under federal law, required to report graduation rates, but these reports typically only include Pell recipient numbersnot necessarily rates specific to first-generation students.
23、 Other initiatives fail to break down the data, too. Imagine how intimidating it can be for prospective students unfamiliar with the complexities of higher education to navigate this kind of information and then identify which schools are the best fit.K) It was this lack of information that prompted
24、 the launch of Im First in 2013, originally as an arm of its umbrella organization, the Center For Student Opportunity. If we can help to direct students to more of these types of campuses and help students to understand them to be realistic and accessible places, have them apply to these schools at
25、 greater frequency and ultimately get in and enroll, we are going to raise the success rate,Rubinoff said, citing a variety of colleges ranging from large state institutions to smaller private schools.L) Chelsea Jones, who now directs student programming at Im First, was a first-generation college s
26、tudent at Howard. Like other student new to the intimidating higher-education world, she often struggled on her path to college. There wasnt really a college-bound culture at my high school, she said. I want to go to college but I didnt really know the process. Jones became involved with a college-a
27、ccess program through Princeton University in high school. Now she attributes much of her understanding of college to that: But once I got to campus, it was a completely different ball game that no one really prepared me for.M) She was fortunate, though. Howard, a well-regarded historically black co
28、llege, had an array of resources for its first-generation students, including matching kids with counselors, connecting first-generation students to one another, and TRIO, a national program that supported 200 students on Howards campus. Still, Jones represents a small percentage of first-generation
29、 students who are able to gain entry into more elite universities, which are often known for robust financial aid packages and remarkably high graduation rates for first-generation students. (Harvard, for example, boasts a six-year graduation rate for underrepresented minority groups of 98 percent.)
30、N) Christian Vazquez, a first-generation Tale graduate, is another exception, his success story setting him far apart from students such as Nijay. There is a lot of support at Yale, to an extent, after a while, there is too much support. he said, half-joking about the countless resources available a
31、t the school. Students are placed in small groups with counselors (trained seniors on campus); they have access to cultural and ethnic affinity(联系)groups, tutoring centers and also have a summer orientation specifically for first-generation students (the latter being one of the most common programs
32、for students).O) Our support structure was more like: You are going to get through Yale; you are going to do well. he said, hinting at mentors(导师),staff, and professors who all provided significant support for students who lacked confidence about belonging at such a top institution.46. Many first-ge
33、neration college-goers have doubts about their abilities to get a college degree.47. First-generation college students tend to have much heavier financial burdens than their peers.48. The graduation rate of first-generation students at Nijays university was incredibly low.49. Some top institutions l
34、ike Yale seem to provide first-generation students with more support than they actually need.50. On entering college, Nijay Williams had no idea how challenging college education was.51. Many universities simply refuse to release their exact graduation rates for first-generation students.52. Accordi
35、ng to a marketing executive, many students from low-income families dots know they could have a chance of going to an elite university.53. Some elite university attach great importance to building up the first-generation students self-confidence.54. Im First distributes information to help first-gen
36、eration college-goers find schools that are most suitable for them.55. Elite universities tend to graduate first-generation students at a higher rate.Section CSaying they can no longer ignore the rising prices of health care, some of the most influential medical groups in the nation are recommending
37、 that doctors weigh the costs, not just the effectiveness of treatment, as they make decisions about patient care.The shift, little noticed outside the medical establishment but already controversial inside it, suggests that doctors are starting to redefine their roles, from being concerned exclusiv
38、ely about individual patients to exerting influence on how healthcare dollars are spent.In practical terms, the new guidelines being developed could result in doctors choosing one drug over another for cost reasons or even deciding that a particular treatment-at the end of life, for example-is too e
39、xpensive. In the extreme, some critics have said that making treatment decisions based on cost is a form of rationing.Traditionally, guidelines have heavily influenced the practice of medicine, and the latest ones are expected to make doctors more conscious of the economic consequences of their deci
40、sions, even though theres no obligation to follow them. Medical society guidelines are also used by insurance companies to help determine reimbursement(报销)policies.Some doctors see a potential conflict in trying to be both providers of patient care and financial overseers.There should be forces in s
41、ociety who should be concerned about the budget, but they shouldnt be functioning simultaneously as doctors, said Dr. Martin Samuels at a Boston hospital. He said doctors risked losing the trust of patients if they told patients, Im not going to do what I think is best for you because I think its ba
42、d for the healthcare budget in Massachusetts.Doctors can face some grim trade-offs. Studies have shown, for example, that two drugs are about equally effective in treating macular degeneration, an eye disease. But one costs $50 a dose and the other close to $2,000. Medicare could save hundreds of mi
43、llions of dollars a year if everyone used the cheaper drug. Avastin, instead of the costlier one, Lucentis.But the Food and Drug Administration has not approved Avastin for use in the eye, and using it rather than the alternative, Lucentis, might carry an additional, although slight, safety risk. Sh
44、ould doctors consider Medicares budget in deciding what to use?I think ethically(在道德层面上)we are just worried about the patient in front of us and not trying to save money for the insurance industry or society as a whole, said Dr. Donald Jensen.Still, some analysts say that theres a role for doctors t
45、o play in cost analysis because not many others are doing so. In some ways, said Dr. Daniel Sulmasy, it represents a failure of wider society to take up the issue.57. What do some most influential medical groups recommend doctors do?A.Reflect on the responsibilities they are supposed to take.B.Pay m
46、ore attention to the effectiveness of their treatments.C.Take costs into account when making treatment decisions.D.Readjust their practice in view of the cuts in health care.58. What were doctors mainly concerned about in the past?A.Specific medicines to be used.B.Professional advancement.C.Effects
47、of medical treatment.D.Patients trust.59. What may the new guidelines being developed lead to?A.The redefining of doctors roles.B.Conflicts between doctors and patients.C.Overuse of less effective medicines.D.The prolonging of patients suffering.60. What risk do doctors see in their dual role as pat
48、ient care providers and financial overseers?A.They may be involved in a conflict of interest.B.They may be forced to divide their attention.C.They may have to use less effective drugs.D.They may lose the respect of patients.61. What do some experts say about doctors involvement in medical cost analysis?A.It may add to doctors already heavy workloads.B.It will help to save money for society as a whole.C.It results from societys failure to tackle the problem.D.