天津职业技术师范大学
Although the stigma once associated with mental illness has gradually gone away in recent years, most of the Americans who have clinical depression still don’t get treated for it, partly because many are too embarrassed to go to a psychologist. In fact, the majority of depressed people who seek professional help turn first not to a psychologist but to their primary-care physician.But do regular doctors really know how to identify depression? A large new scientific review suggests they don’t. In a review of 41 previous studies, the authors found that general practitioners make frequent mistakes, missing true cases of depression about half the time and incorrectly diagnosing it in 19% of healthy people.Alex Mitchell, Amol Vaze and Sanjay Rao of Leicester General Hospital in the U.K. estimate that about 1 in 5 people in developed nations will experience depression in their lifetime. That means that among a general patient population of 100, about 20 will develop the condition, but the typical doctor will find it in only 10 of those who have it. And among the 80 healthy people, the doctor will incorrectly identify depression in 15.This is significant because depression can make the patient and his or her family weak. Depression also carries an enormous social burden, leading to missed work days, loss of productivity and increases in health-care spending. Further, those misdiagnosed with depression may end up being prescribed medicine that not only costs a lot but can have serious side effects.The various studies that Mitchell, Vaze and Rao reviewed used different methods to verify whether doctors had missed depression in their patients. Virtually all the studied pointed to the same conclusion: general physicians aren’t very good at recognizing the most common mental illness in the world.Why? One reason is that the typical doctor visit is quite short, usually no longer than 15 minutes. It’s hard for patients to open up about their symptoms during that brief period. Doctors should spend more time or schedule follow-up appointments with patients they suspect have depression, which can dramatically increase the rate of accurate diagnoses.1. Most depressed people refuse to see a psychologist partly because ________.2. In a new scientific review, the researchers found that ________.3. Those who “will develop the condition” (Lane 3, Para.3) refer to ________.4. According to the passage, depression can result in ________.5. Why do general physicians often fail to recognize depression?
Urbanization—migration away from the suburbs to the city center—will be the biggest real estate trend in 2015, according to a new report.The report says America’s urbanization will continue to be the most significant issue affecting the industry, as cities across the country imitate the walkability and transit-oriented development making cities like New York and San Francisco so successful.As smaller cities copy the model of these “24-hour cities,” more affordable versions of these places will be created. The report refers to this as the coming of the “18-hour city,” and uses the term to refer to cities like Houston, Austin, Charlotte, and Nashville, which are “positioning themselves as highly competitive, in terms of livability, employment offerings, and recreational and cultural facilities.”Another trend that looks significant in 2015 is that America’s largest population group, Millennials will continue to put off buying a house. Apartments will retain their appeal for a while for Millennials, haunted by what happened to home-owning parents.This trend will continue into the 2020s, the report projects. After that, survey respondents disagree over whether this generation will follow in their parents’ footsteps, moving to the suburbs to raise families, or will choose to remain in the city center.Another issue affecting real estate in the coming year will be America’s failing infrastructure. Most roads, bridges, transit, water systems, the electric grid, and communications networks were installed 50 to 100 years ago, and they are largely taken for granted until they fail.The report’s writers state that America’s failure to invest in infrastructure impacts not only the health of the real-estate market, but also our ability to remain globally competitive.Apart from the specific trends highlighted above, which cause some investors to worry, the report portrays an overall optimism borne by the recent healthy real-estate “upcycle” and improving economy. Seventy-four percent of the respondents surveyed report a “good to excellent” expectation of real-estate profitability in 2015. While excessive optimism can promote bad investment patterns, resulting in a real- estate “bubble,” the report’s writers downplay that potential outcome in that it has not yet occurred.1. According to the new report, real estate development in 2015 will witness ________.2. What characterizes “24-hour cities” like New York?3. Why are Millennials reluctant to buy a house?4. What might hinder real estate development in the U.S.?5. How do most of the respondents in the survey feel about the U.S. real-estate market in 2015?
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