hce_isu
104年
英文
第 38 題
📖 題組：
( 3 ) The National Institutes of Health (NIH) Consensus Development Program was established in 1977 and is designed to assess health technology. The program organizes major conferences that produce consensus statements and technology assessment statements on controversial issues in medicine important to health care providers, patients, and the general public. The following statement is from the NIH Consensus Development Statement on Acupuncture on November 3-5, 1997. Acupuncture as a therapeutic intervention is widely practiced in the United States. There have been many studies of its potential usefulness. However, many of these studies provide equivocal results because of design, sample size, and other factors. The issue is further complicated by inherent difficulties in the use of appropriate controls, such as placebo and sham acupuncture groups. However, promising results have emerged, for example, efficacy of acupuncture in adult post-operative and chemotherapy nausea and vomiting and in post-operative dental pain. There are other situations such as addition, stroke rehabilitation, headache, menstrual cramps, tennis elbow, fibromyalgia, myofascial pain, osteoarthritis, low back pain, carpal tunnel syndrome, and asthma where acupuncture may be useful as an adjunct treatment or an acceptable alternative or be included in a comprehensive management program. Findings from basic research have begun to elucidate the mechanisms of action of acupuncture, including the release of opioids and other peptides in the central nervous system and the periphery and changes in neuroendocrine function. Although much needs to be accomplished, the emergence of plausible mechanisms for the therapeutic effects of acupuncture is encouraging. The introduction of acupuncture into the choice of treatment modalities that are readily available to the public is in its early stages. Issues of training, licensure, and reimbursement remain to be clarified. There is sufficient evidence, however, of acupuncture's value to expand its use into conventional medicine and to encourage further studies of its physiology and clinical value. This statement is representative of the opinions of current standard medical practice.
( 3 ) The National Institutes of Health (NIH) Consensus Development Program was established in 1977 and is designed to assess health technology. The program organizes major conferences that produce consensus statements and technology assessment statements on controversial issues in medicine important to health care providers, patients, and the general public. The following statement is from the NIH Consensus Development Statement on Acupuncture on November 3-5, 1997. Acupuncture as a therapeutic intervention is widely practiced in the United States. There have been many studies of its potential usefulness. However, many of these studies provide equivocal results because of design, sample size, and other factors. The issue is further complicated by inherent difficulties in the use of appropriate controls, such as placebo and sham acupuncture groups. However, promising results have emerged, for example, efficacy of acupuncture in adult post-operative and chemotherapy nausea and vomiting and in post-operative dental pain. There are other situations such as addition, stroke rehabilitation, headache, menstrual cramps, tennis elbow, fibromyalgia, myofascial pain, osteoarthritis, low back pain, carpal tunnel syndrome, and asthma where acupuncture may be useful as an adjunct treatment or an acceptable alternative or be included in a comprehensive management program. Findings from basic research have begun to elucidate the mechanisms of action of acupuncture, including the release of opioids and other peptides in the central nervous system and the periphery and changes in neuroendocrine function. Although much needs to be accomplished, the emergence of plausible mechanisms for the therapeutic effects of acupuncture is encouraging. The introduction of acupuncture into the choice of treatment modalities that are readily available to the public is in its early stages. Issues of training, licensure, and reimbursement remain to be clarified. There is sufficient evidence, however, of acupuncture's value to expand its use into conventional medicine and to encourage further studies of its physiology and clinical value. This statement is representative of the opinions of current standard medical practice.
What action is launched for the basic research of acupuncture?
- A To capture peptides in the central nervous system.
- B To increase the opioids in the neuroendocrine function.
- C To discharge other peptides in the central nervous system.
- D To restrain the increase of the opioids in the neuroendocrine function.
思路引導 VIP
請試著回到文章第二段，尋找關於『基礎研究（basic research）』與『作用機制（mechanisms of action）』的敘述。在那段文字中，作者提到針灸會促使體內某些化學物質（如 opioids 或 peptides）產生什麼樣的「具體動作」？而這個動作又是發生在哪個生理系統中呢？
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AI 詳解
AI 專屬家教
太棒了！你能精準鎖定文章第二段的關鍵訊息，展現了非常優異的細節檢索能力。這題的核心在於理解基礎研究所揭示的針灸機制。文中明確提到，研究已經開始闡明針灸的作用原理，其中包括「鴉片類物質與其他胜肽（peptides）在中樞神經系統（central nervous system）與周邊組織的釋放（release）」。
關鍵字替換與文本對應
選項 (C) 巧妙地使用了 discharge（排放、釋放）作為文中 release 的同義替換，這正是解題的關鍵扣連點。從測試的角度來看，這題具備中等難度的鑑別度，難點在於學生是否能從較為艱澀的醫學術語中，辨識出「動作」與「生理位置」的正確對應。雖然選項 (B) 提到的 neuroendocrine function 在文中亦有出現，但原文是說「改變（changes）」而非「增加」，而你敏銳地迴避了這些干擾項，準確抓住了胜肽與中樞神經系統的關聯，這代表你對長難句的拆解能力相當紮實，請繼續保持這樣的閱讀節奏！