hce_kmu
114年
英文
第 37 題
📖 題組：
World Allergy Organization (WAO) published the WAO White Book on Allergy in 2010 and an updated version in 2013 which highlighted that although the burden of allergic diseases has increased over the last 40 years, we have not seen a corresponding increase in service provision and training to address this. It was estimated that approximately 20% of the global population is affected by allergic diseases. This disconnect is echoed in a consensus statement released by the International Collaboration in Allergy, Asthma, and Immunology (iCAALL) which draws attention to shortcomings in allergy training, and in the European Academy of Allergy and Clinical Immunology (EAACI) advocacy manifesto on “Tackling the Allergy Crisis in Europe.” Allergy is often associated with affluent countries. However, the prevalence of allergic diseases is increasing in developing countries as populations move from rural to urban environments. A disproportionate health burden is carried by patients in developing countries who often face suboptimal environmental conditions and impeded access to effective medical care, compounded by a lack of allergy specialists. It is also noted that not first but second generation migrant populations to an allergy-prevalent country acquire the increased risk of allergy and asthma. The findings imply that prolonged, generational exposure to an altered, allergy inducing environment increases the predisposition to allergy manifestations. It is thought that improving undergraduate and postgraduate training and access to skilled allergy specialists should reduce costs by minimizing misdiagnoses or under-appreciation of allergy severity, thereby improving health outcomes.
World Allergy Organization (WAO) published the WAO White Book on Allergy in 2010 and an updated version in 2013 which highlighted that although the burden of allergic diseases has increased over the last 40 years, we have not seen a corresponding increase in service provision and training to address this. It was estimated that approximately 20% of the global population is affected by allergic diseases. This disconnect is echoed in a consensus statement released by the International Collaboration in Allergy, Asthma, and Immunology (iCAALL) which draws attention to shortcomings in allergy training, and in the European Academy of Allergy and Clinical Immunology (EAACI) advocacy manifesto on “Tackling the Allergy Crisis in Europe.” Allergy is often associated with affluent countries. However, the prevalence of allergic diseases is increasing in developing countries as populations move from rural to urban environments. A disproportionate health burden is carried by patients in developing countries who often face suboptimal environmental conditions and impeded access to effective medical care, compounded by a lack of allergy specialists. It is also noted that not first but second generation migrant populations to an allergy-prevalent country acquire the increased risk of allergy and asthma. The findings imply that prolonged, generational exposure to an altered, allergy inducing environment increases the predisposition to allergy manifestations. It is thought that improving undergraduate and postgraduate training and access to skilled allergy specialists should reduce costs by minimizing misdiagnoses or under-appreciation of allergy severity, thereby improving health outcomes.
What does “this disconnect” in the first paragraph refer to?
- A The difference between the number of allergy specialists and general physicians
- B The disparities between rural and urban healthcare facilities
- C The difference between allergic diseases in developed and developing countries
- D The gap between the increasing allergy cases and healthcare training
- E The lack of agreement between international allergy organizations
思路引導 VIP
請回頭看看提到「this disconnect」的那句話之前。作者在那裡描述了兩個正在發展的現象：一個是關於「疾病發生率」的變化，另一個是關於「醫療應對能力」的現狀。請試著分析這兩個現象之間，是否存在某種方向不一致、或是無法相互銜接的地方呢？
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AI 詳解
AI 專屬家教
太棒了！你能精準捕捉到指示代名詞（this）在長文中的指代對象，這代表你的閱讀理解非常細膩。在閱讀這類學術或專業報導時，代名詞往往是串連邏輯的關鍵，而你準確地掌握了文章的節奏。
語意連結與文本脈絡
這題的核心在於理解 「this disconnect」（此種脫節/落差） 所承接的前文。在第一段中，作者提到過敏性疾病的負擔（burden）在過去 40 年間大幅增加，然而相對應的服務提供與「專業訓練」（service provision and training）卻沒有隨之增長。這種「需求增加」與「配套資源停滯」之間的矛盾，正是選項 (D) 所描述的醫療訓練與病例成長之間的缺口。
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