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SECTION TEST - GENERAL TRAINING READING
(Time: 60 minutes)

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Passage 1

Passage 2

Common Childhood Infectious Diseases

CHICKEN POX

Signs and symptoms: May start with a cold, headache or sickness. High temperature. Small red spots, first on body, then face and limbs, which turn to yellow blisters, then break.

Incubation Period*: 10-20 days.

Isolation Period: 7 days after last spots appear.

Nursing and Treatment: Bed rest. Relieve itching with calamine lotion. Try to stop child scratching (may need cotton mittens) to prevent further infection and scars. Keep child’s nails short and clean.

Special Points: One attack usually gives immunity for life. No vaccination is available.

MEASLES

Signs and symptoms: Loss of appetite, high temperature. Sneezing, running nose, dry cough and watery eyes. Blotchy pink spots on neck, forehead and cheeks, spreading to body later.

Incubation Period*: 8-14 days Isolation Period: 5 days after rash appears.

Nursing and Treatment: Bed rest until temperature falls (about 7 days). Sleep and plenty to drink. Shield eyes from strong light.

Special Points: Measles can sometimes cause complications affecting ears, eyes, lungs, joints, or nervous system. Babies should be vaccinated between 1 and 2 years. Free vaccination is available.

MUMPS

Signs and symptoms: Swelling below ears spreading to face or neck. Pain when chewing or swallowing. Rising temperature.

Incubation Period*: 14-28 days.

Isolation Period: 10 days from onset of swelling.

Nursing and Treatment: Bed rest until temperature falls. Bland food and drink—avoid sharp tasting foods like orange or lemon drinks.

Special Points: Avoid contact with older boys or men, who may develop infection of the testicles (can, though rarely, cause sterility). Vaccination is available.

RUBELLA (German Measles)

Signs and symptoms: Slight temperature, sore throat, runny nose and headache. Small red flat spots spreading into blotches. Swollen tender glands at back of neck.

Incubation Period*: 14-21 days.

Isolation Period: 7 days after rash appears.

Nursing and Treatment: Bed rest in warm room for 2 or 3 days.

Special Points: Avoid contact with pregnant women, because it can harm their unborn baby. Free vaccination is available; usually given to girls in Year 7 at school.

WHOOPING COUGH

Signs and symptoms: Starts as an ordinary cold. Dry repeated cough with ‘whooping’ sound as breath is taken in. Vomiting.

Incubation Period*: 8-21 days.

Isolation Period: 3 weeks after coughing stops.

Nursing and Treatment: Continuous nursing; doctor may prescribe an antibiotic or cough medicine.

Special Points: Can be very serious in young children, if they have not been immunised. Free vaccination is available.

The schedules given in this booklet are for guidance only and are subject to variation according to medical advice.

(*) Time from contact to appearance of symptoms.

Complete the summary of the information given in the Special Points sections of the reading passage. Using NO MORE THAN THREE WORDS choose your answers from those sections of the reading passage.

pregnant women immunity for life complications

SUMMARY OF SPECIAL POINTS
Vaccines are available for all the major common childhood infectious diseases, with the exception of chicken pox. However, once a person has had chicken pox, they usually have .

Further are associated with several of these childhood diseases. For example, the ears, eyes, lungs, joints, or nervous system can be affected by measles. Mumps is particularly dangerous for an older boy or man and should avoid contact with rubella.

Passage 3

A STONE AGE APPROACH TO EXERCISE

Forget those long arduous sessions in the gym. If you want to stay fighting fit, try a modern Stone Age workout instead

Art De Vany is 62, but physical fitness tests three years ago showed he had the body of a 32-year-old. Although De Vany is sceptical of such assessments, he knows he's in good shape. His former career as a professional baseball player may have something to do with it, but he attributes his physical prowess to an, exercise regime inspired by the lifestyles of our Palaeolithic ancestors.

De Vany's advice to the modern exercise freak is to cut duration and frequency, and increase intensity. 'Our muscle fibre composition reveals that we are adapted to extreme intensity of effort,' says De Vany, a professor of economics at the Institute of Mathematical Behavioral Sciences at the University of California, Irvine. His approach to fitness combines Darwinian thinking with his interest in chaos theory and complex systems.

This new science, which De Vany calls evolutionary fitness, is part of growing efforts to understand how the human body has been shaped by evolution, and to use this knowledge to improve our health and fitness. Proponents believe the key lies in the lifestyle of our hunter-gatherer ancestors because, they say, the vast majority of the human genome is still adapted to an ancient rhythm of life which swung between intense periods of activity and long stretches of inertia.

Across the Palaeolithic age - which covers the period between 2.6 million and 10,000 years ago - prey animals were large, fast on their feet, or both. For men, this would have meant lots of walking or jogging to find herds, dramatic sprints, jumps and turns, perhaps violent struggles, and long walks home carrying the kill. Women may not have had such intense exercise, but they would have spent many hours walking to sources of water or food, digging up tubers, and carrying children. If modern hunter-gatherers are anything to go by, men may have hunted for up to four days a week and travelled 15 kilometres or more on each trip. Women may have gathered food every two or three days. There would also have been plenty of other regular physical activities for both sexes such as skinning animals and tool making, and probably dancing.

Our ancestors must have evolved cardiovascular, metabolic and thermoregulatory systems capable of sustaining high-level aerobic exertion under the hot African sun, according to Loren Cordain of the Human Performance Laboratory at Colorado State University. And given that the Palaeolithic era ended only an evolutionary blink of an eye ago, we ignore its legacy at our peril. Cordain and his colleagues point out that in today's developed societies, inactivity is associated with disease. Contemporary hunter- gatherer societies rarely experience these modern killers, they say.

This is where De Vany's exercise ideas come in. 'The primary objectives for any exercise and diet programme must be to counter hyper-insulinaemia (chronically elevated insulin) and hypoexertion (wasting of the body's lean mass through inactivity),' he writes in his forthcoming book about evolutionary exercise. Exercise and diet are linked. For example, says De Vany, our appetite control mechanisms work best when our activity mimics that of our ancestors. But he feels that most modern exercise regimes are not hitting the mark.

De Vany views the body as non-linear and dynamic and says exercise should mix order and chaos. 'Chronic aerobic exercise overstrains the heart, reducing the chaotic variation in the heart rate which is essential to health,' he says. Likewise, most weight training is governed too much by routine and is too time- consuming. He gives his own workout a chaotic character with ascending weights and descending repetitions. To these brief but intense gym workouts he adds a wide variety of other activities that vary randomly in intensity and duration. These include roller blading, bicycling, walking, sprinting, tennis, basketball, power walking, hitting softballs and trekking with a grandson on his shoulders.

He also argues that most people do not train the right muscles for that ultimately attractive - and adaptive - quality of symmetry. 'Symmetry is a reliable evolutionary clue to health,' he says. 'Tumours and pathologies produce gross asymmetries, and our love of symmetry reflects the reproductive success of our ancestors, who were sensitive to these clues.' He strives for the X-look - a symmetrical balance of mass in the shoulder girdle, upper chest and back, the calves and lower quads, two of the four large muscles at the front of the thighs. This also makes men look taller, he adds, 'another reliable evolutionary clue that women use to find good genes'.

The hunter-gatherer lifestyle indicates that women should exercise only a little less intensely than men, says De Vany. 'Women are opportunistic hunters who go after small game when they come across it. They also climb trees to capture honey and snare birds. And have you ever seen how much work it is to dig out a deep tuber?' Women benefit enormously from strength work, he says. It increases their bone density and they get and stay leaner by building muscle mass. 'Today's women are so weak [compared with their female ancestors].'

Of course, people vary. De Vany acknowledges that our ancestors were adapted to a variety of terrains and climates. Cordain points out that genetic differences between populations lead to different physical strengths. East Africans, for example, seem to be better endurance runners, West Africans better sprinters. But human genetic similarity greatly outweighs the variations. And because our genes have changed so very little since Palaeolithic times, if you want to be a lean, mean, survival machine why not try exercising like a caveman?

Using NO MORE THAN THREE WORDS, answer the following questions.

weight training chronic aeorobic exercise/ aeorobic exercise evolutionary fitness order and chaos/ chaos and order / order, chaos/ chaos, order

What term does De Vany use to describe his approach to physical exercise?

Which TWO opposing factors does De Vany say an exercise programme should include?

Which type of activity does de Vany criticise as being harmful?

Which type of exercise does De Vany practise on a regular basis?

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