单选题 .  There is never a good time to have a heart attack, but the wise person afflicted with clogging arteries (动脉堵塞) might want to be especially careful in future to avoid stress and watch the diet as August rolls around.
    The NHS, it is revealed today, has its very own black Wednesday, when death rates go up by an average of 6%; and there is a somewhat disturbing underlying cause—the arrival on the wards of a new intake of junior doctors.
    On the first Wednesday in August every year, a freshly qualified set of junior doctors arrives on the wards. Pristine (质朴的) and eager and brilliant they no doubt are, but while they are finding their way around something unexplained and slightly perplexing appears to happen.
    Researchers from the Dr. Foster unit and the department of acute medicine at Imperial College London say there has been a suspicion for years that more people die on the day the new doctors arrive, but for the first time they have established that it happens—although they say the rise in deaths is very small.
    They do not blame the doctors' inexperience or confusion in the hospital and say it is also possible that only the severest cases are admitted in that week, because of the changeover.
    Their study has international implications, the researchers say. "A similar effect has been recorded in the US (known as the 'July phenomenon')," they write in their paper. But previous studies have looked only at a few hospitals.
    The Imperial study is far bigger, examining carefully data from nearly 300,000 patients in 175 hospital trusts. It compared death rates on the first Wednesday in August with the last Wednesday in July. The difference was most marked in medical cases, where there was an 8% increase in deaths; there was no difference in surgical cases.
    "We wanted to find out whether mortality rates changed on the first Wednesday in August, when junior doctors take up their new posts," said senior author Paul Aylin. "What we have found looks like an interesting pattern and we would now like to look at this in more detail to find out what might be causing the increase."
    "Our study does not mean that people should avoid going into hospital that week. This is a relatively small difference in mortality rates, and the numbers of excess deaths are very low. It's too early to say what might be causing it."
    Shree Datta, chair of the British Medical Association's junior doctor committee, said the study had to be judged alongside others looking at mortality rates before and after junior doctors start their new jobs, but added: "Clearly even a small increase in death rates is of great concern and we need further research to see whether this is a general effect or an anomaly (反常)."1.  According to the passage, August is the time when ______.
【正确答案】 D
【答案解析】 第2段。
   第2段末尾提到8月份是初级医生进入医院工作的时间,而在这个时间医院的死亡率特别高。由此可见,D的说法正确。
   第1段说心脏病人在8月份特别要避免压力,A与文中表述不符;文中没有提到8月份是心脏病多发的时期,B没有原文依据;C利用文中的“动脉阻塞”制造干扰,故不选。
[参考译文]
   心脏病最好永远都不要发作,但如果受到动脉阻塞的折磨,明智的人一般会在8月来临时特别注意饮食,避免压力。
   今天有消息披露,英国国民保健署(NHS)渡过了一个黑色星期三,各大医院死亡率平均飙升了6%;而隐藏在这一事实背后的深层原因多少令人担忧:一批初级医生最近进入医院。
   每年8月的第一个星期三,一批新近合格的初级医生会到达病房。毫无疑问,他们性情质朴,充满热忱,才华过人。但在他们熟悉自己的岗位时,某些令人略感困惑、难以解释的事情似乎也随之发生。
   来自福斯特医生小组和伦敦帝国学院急性疾病系的研究人员说,多年来人们一直怀疑,新医生到达的那天会有更多人死亡。但至今他们才第一次证实,事情确实如此——尽管他们说死亡人数上升的幅度很小。
   他们并没有将其怪罪于新医生经验的不足或由于刚到医院而颇感迷惑。他们认为这也有可能是由于人员变动,在新医生入院的那一周,医院只接受最严重的病例。
   研究人员称,他们的调查显示全世界都有这种现象。“类似的效应在美国也有记录(称为‘7月现象’)”,他们在论文中写道。但早前的研究仅仅在数家医院做了调查。
   此次帝国学院的研究范围要大得多,详查的数据覆盖了175家医院近30万名患者。该研究将8月第一个星期三的死亡率与7月的最后一个星期三相比,其中最显著的不同反映在医疗事故上,这方面的死亡率上升了8%;而手术案例却没有什么变化。
   “我们想弄清,8月的第一个周三,也就是初级医生到职那天,死亡率是否有所改变,”资深作者保罗·艾林说。“我们所了解的情况看起来是个很有趣的模式,我们现在想知道更多的详情,以便找到死亡率增长的可能原因。”
   “我们的调查并不意味着人们应避免在那个星期去医院。相对而言,死亡率的改变很小,额外死亡的人数也很少。现在说是什么导致这一现象也许还为时过早。”
   英国医学协会初级医生委员会主席薛瑞·达塔说,这个研究必须和其他调查初级医生开始新工作前后死亡率的研究结合起来,在此基础上加以判断。但他又补充:“很明显,即使是死亡率的微小改变也应引起极大关注,我们必须进一步调查这究竟是普遍影响还是异常现象。”