Questões de Concursos

As the Olympics Approaches, a Lesson in Overcoming Adversity

Bert R. Mandelbaum, MD

July 20, 2016

I've known a lot of athletes who qualified for the Olympic Games ,______injuries. But I know of only one who qualified because of an injury.

Cliff Meidl’s story captures the spirit of the Olympics.

In November 1986, Cliff, a 20-year-old plumber's apprentice, hit three buried high-voltage electrical cables with a jackhammer. An estimated 30,000 volts surged through his body, exploding bone and cartilage from the inside ail the way up to his head. To put that into perspective, electric chairs use only 1500-2000 volts for executions. So it's safe to say that Cliff should have died.

And he nearly did. His heart stopped. Paramedics were able to get it going again, but they had to resuscitate him on the way to the hospital.

As part of a team with renowned plastic surgeon Malcolm Lesavoy, MD, and others, I got to work reconstructing Cliffs legs. Our best hope was to avoid amputation.

But very quickly, we noticed something else going on - something that had nothing to do with our expertise. Through every step of his painful rehabilitation, Cliff grew more and more determined. He never complained. He just asked, "What's next?"

Before he had even finished the rehabilitation, Cliff started paddling various watercrafts. The days spent on crutches had already strengthened his upper body, and he took naturally to the sport. The same year in which he was injured, he began competing in canoe and kayak events, and in 1996 he qualified for the Olympics - not the Paralympic Games, the Olympic Games.

Four years later, in Sydney, Australia, I was overseeing the sports medicine team at the Olympic soccer tournament. I was sitting in the stands during the opening ceremonies when Cliff walked into the Olympic Stadium carrying the Stars and Stripes.

It's a long-standing tradition for delegations of athletes to select one among their number to bear the flag, and the choice often symbolizes some extraordinary accomplishment. I had no idea that Cliff would be selected. So when he strode into the stadium with a normal gait, I nearly broke down.

Moments like that reinforce what I have always believed: that sport can bring out the best in us all.

The Olympic Games (...) are devoted to celebrating the human capacity to improve body, mind, and soul.

They are about taking part - not necessarily about winning. Cliffs peers in the US delegation of 2000 recognized that when they elected him to bear the nation's colors. He never won a medal at the games, but the spirit with which he overcame adversity inspired all of them.

The Olympic motto - faster, higher, stronger - can help our patients realize that the real victory is the "win within." The Win Within: Capturing Your Victorious Spirit is the name of the book I wrote to show people that coming back from adversity is part of our heritage - that we as humanbeings are more adapted to adversity than we are to success.

Adversity is the engine of unimagined opportunity. It can unleash our energy and stimulate our will. It moves us to succeed. If I don’t have food, I have to go get some. If I’m cold, I have to build a shelter.

I remind patients who don't participate in sports that they have the heritage of athletes. We all have the genes of pursuit-hunters who survived by running down their prey and running away from their predators. That's why even now, in 2016, when we go out and take a run, we feel good. We get an endorphin surge and our lipids go down. Our hearts and brains become clear.

The life of sport and sport of life are interlinked. Exercise is our birthright; it's our legacy; it's why we are here.

We no longer have to fear saber-toothed tigers or cave bears. But when you look today at how people can be successful in 2016, it's by avoiding the predators in our urban life: overeating, inactivity, and smoking. And it's by rising to meet adversity.

(Adapted from http ://www.medscape.com/viewarticle/866279)

Doctors Know Best

By Ted Spiker

Along with all the disease stomping, heart reviving, baby delivering, and overall people healing they do, doctors have another full-time job: keeping themselves healthy. Scratch that - keeping themselves healthiest. So instead of peeking into their medical practices, we looked at what they actually practice - in their own lives. Use personal strategies and insider tips from the best medical pros to supercharge your health this year.

( I)-______ "As soon as I feel an illness coming on, I go to sleep for at least nine hours," says Hilda Hutcherson, MD, clinical professor of ob-gyn at Columbia University Medicai Center. "I also lie on the floor with my legs elevated and propped against the wall and breathe deeply for five minutes." It helps lower stress, which weakens the immune system.

(II )-______ Instead of having a garden-variety green salad, Margaret McKenzie, MD, assistant professor of surgery at the Cleveland Clinic, tosses napa cabbage, radicchio, edamame, and carrots with ginger-soy dressing. "It gives me a lot of vitamins, antioxidants, and protein and makes me feel full," she says.

(III)-______ [...] Gary Small, MD, professor of psychiatry and biobehavioral sciences at the University of California, Los Angeles, and author of The Alzheimer's Prevention Program, plays Scrabble and Words With Friends on his smartphone most days. These word games are perfect brain boosters, because they build not only verbal and math skills but also spatial abilities as you position letters to create words. "Combining several mental tasks strengthens multiple neural circuits," Dr. Small says. "It's like cross-training for your brain."

(IV) - _____ Make your bedroom spalike: Dim the lights at least an hour before you go to bed; ban cell phones, laptops, and the TV; ask your partner for a foot rub. "I do deep breathing exercises," Dr. Hutcherson says. "Sometimes I play relaxing music softly."

(V) - _____ The most important meal is breakfast, says David Katz, MD, director and founder of Yale-Griffin Prevention Research Center in Derby, Connecticut. He often has two breakfasts, divvying up his morning meal so that he eats half before his workout and half after. "It helps with portion control, and it establishes a daily eating pattern," Dr. Katz says. Plan your breakfast at night to start the next day on a healthy note.

(Abridged from https ://www.fitnessmagazine.com/health/doctors-tips-tostay-healthy/)

How to Exercise While Sítting At Your Computer

Is your work stressing you out? Is your work making you fat? Of course, it is. If you are in a relationship with your work like me (I hate the word "workaholic") , then maybe you are also dealing with some relationship issues like stress and weight gain. Every person who has a desk job does not need to indulge in a tub of ice-cream after a particularly stressful day at work to gain the pounds. In fact, the downside of being a way too dedicated employee is that it will make you fat! The stress to perform plus the inactivity of a desk job will definitely increase your waist size. What's more, you will become lethargic once four hours of inactivity can seriously send your metabolism leveis to an all-time low. If you think that a 30 minute walk every day is enough cardio activity in a week to maintain your metabolism, you are wrong! Yes, I was surprised too! The mathematics of this is that when you perform any cardio activity, it elevates your metabolism rate for a span of time, but not the entire day. Because the rest of the day you are sitting idle on your chair without much activity, the 30 minute walk is not enough, nor is the 1-hour intense workout. What you need to do to keep yourself from pilling on the pounds is to keep your metabolism rate high all day long. For that, you need to break the no physical activity routine from 9 to 5 by exercising while sitting at your desk!

Here are simple exercises that take 5 minutes of your day and prevent you from feeling stiff.

A) Neck: To stretch your neck, slowly flex your head forward and backward, side to side and look right and left. This can be done almost any time to lessen tension and strain. Never roll your head around your neck— this could cause damage to the joints of the neck.

B) Shoulders: Roll your shoulders forward around 10 times, then backward. This helps release the tension off your shoulders.

C) Wrists: Roll your wrists regularly, around every hour or so. Roll the wrists 10 times clockwise, then 10 times counterclockwise. This will help minimize the potential for getting carpal tunnel syndrome if you spend a lot of time typing.

D) Ankles: Roll your ankles regularly. As with your wrists, roll the ankles in a clockwise motion three times, then counterclockwise. This helps improve blood circulation, and prevents that tingling feeling you can get when blood circulation is cut off, also known as "pins and needles".

(Adapted from http://www.buzzle.com and http://www.wikihow.com)

Based on the text below, answer the question.

Navy preps submarines for lst female officers

PART 1: READING COMPREHENSION

The War at Home: The Struggle for Veterans to Find Jobs

In today's tough and competitive job market, it can be challenging for any adult to land a decent job. Though education can definitely improve outcomes, sometimes it's not just abont the degree. Experience can also play a major role in helping people find jobs. Yet in some cases, if you do not have the right kind of experience, this may be of little help. Just ask one of the many college-educated military veterans who serve their country only to return to find a job market that will treat them as rookies.

Army veteran John Lee Dumas said he had zero anxieties about finding a job after graduating college and had been told that his military experience would give him a leg up on other candidates. But things did not turn out that way.

"I quickly found out that I was lumped together with recent college grads for entry-level positions, and that an employee that had two years' experience at a job in a similar industry was considered way more qualified than I was despite my four years as an officer in the army", Dumas said.

When Dumas did find work, he said it was difficult to acclimate to the civilian Office environment.

"I often found that my peers and above had a hard time dealing with my direct approach and attitude about tackling problems head on, often asking for forgiveness rather than permission", he said.

One issue is that veterans are too modest when it comes to stating their accomplishments in the military.

"For some reason, I've had veterans not tell me about their awards and honors, but it should all be listed - from commander' s coins to medals of honor," Hurwitz said.

Navy veteran Tom Graves, who has a career in world force development helping companies understand the benefits of hiring skilled and experienced military veterans, agreed.

(Adapted from http://www.onlinecollege.org)

Navy looking for drone operator flying device around

Washington state base

Published February 27, 2016 Foxnews.com

(I) _________

A civilian employee of Naval Submarine Base Kitsap-Bangor reported seeing the drone, spokeswoman Silvia Klatman told Military.com.

According to the Navy, it is illegal to operate a drone above the base without the permission of the Navy. "It's our intent to support the investigation and prosecution of this reported act, and any others that may occur, in coordination with civilian law enforcement," Klatman said.

Military.com reported that agents interviewed families who lived in houses surrounding the base. (II) _______Officials said the drones were seen operating at night. "It could be a hoax, but worst-case scenario, it could be clandestine, a foreign government, a cell," Al Starcevich, whose family's house is located between the base and Hood Canal in Washington, told the website. "The creepy thing is they' re only doing it at night. (Ill) ______ "

Starcevich told The Seattle Times that agents told him there had been repeated incidents around the base involving an alleged drone.

Naval Base Kitsap-Bangor's airspace was designated as "prohibited" by the FAA in May 2005, at the request of the Navy. (IV) ______ The prohibited area extends to the water across Hood Canal and the Navy-owned portion of Toandos Peninsula.

Doug O'Donnell, chief pilot at Avian Flight Center at Bremerton National Airport, said security forces are supposed to shoot down aircraft that violate the FAA riiles.

The Bangor base houses eight of the Navy's 14 ballistic-missile submarines, according to Military,com. Each can carry up to 24 missiles with multiple nuclear warheads.

The Defense Department has held countless classified exercises to counter possible drone attacks, The Seattle Times reported. Last year, one exercise included a Marine sniper shooting one down from a military helicopter,

(http://www.foxnews.com/us/2016/02/27/navy-looking-for-drone-operator-flying-device-around-washington-state-base.html)

Navy looking for drone operator flying device around

Washington state base

Published February 27, 2016 Foxnews.com

(I) _________

A civilian employee of Naval Submarine Base Kitsap-Bangor reported seeing the drone, spokeswoman Silvia Klatman told Military.com.

According to the Navy, it is illegal to operate a drone above the base without the permission of the Navy. "It's our intent to support the investigation and prosecution of this reported act, and any others that may occur, in coordination with civilian law enforcement," Klatman said.

Military.com reported that agents interviewed families who lived in houses surrounding the base. (II) _______Officials said the drones were seen operating at night. "It could be a hoax, but worst-case scenario, it could be clandestine, a foreign government, a cell," Al Starcevich, whose family's house is located between the base and Hood Canal in Washington, told the website. "The creepy thing is they' re only doing it at night. (Ill) ______ "

Starcevich told The Seattle Times that agents told him there had been repeated incidents around the base involving an alleged drone.

Naval Base Kitsap-Bangor's airspace was designated as "prohibited" by the FAA in May 2005, at the request of the Navy. (IV) ______ The prohibited area extends to the water across Hood Canal and the Navy-owned portion of Toandos Peninsula.

Doug O'Donnell, chief pilot at Avian Flight Center at Bremerton National Airport, said security forces are supposed to shoot down aircraft that violate the FAA riiles.

The Bangor base houses eight of the Navy's 14 ballistic-missile submarines, according to Military,com. Each can carry up to 24 missiles with multiple nuclear warheads.

The Defense Department has held countless classified exercises to counter possible drone attacks, The Seattle Times reported. Last year, one exercise included a Marine sniper shooting one down from a military helicopter,

(http://www.foxnews.com/us/2016/02/27/navy-looking-for-drone-operator-flying-device-around-washington-state-base.html)

Based on the text below, answer the question.

Slash and burn Brazil's rainforest is going up in smoke. Again.

As Brazil'S skyscrapers and silos rose, it seemed the most impressive quality of this 21st-century Latin American powerhouse was its ability to grow without trashing the environment. Just last year, Brasilia was boasting about a steep decline in deforestation in the Amazon rainforest, a feat that President Dilma Rousseff trumpeted as "impressive, the fruit of social change." What would she say now?

After nearly a decade of steady decline, forest cutting has spiked again in the world's largest rainforest. The nonprofit Amazon watchdog organization, Imazon, released a study reporting that deforestation at the hands of farmers and ranchers jumped 90 percent in the 12 months since April of last year. And since burning always follows felling, another 88 million tons of carbon dioxide and other gases hit the atmosphere—a 62 percent increase on the year.

For decades, Brazilians were told that ruin in the Amazon was the price of development. But recent research has imploded that assumption. A paper published by the National Academy of Sciences shows that continued deforestation threatens not just the trees but the progress and riches their removal were thought to guarantee. The paper bolsters an old theory by Brazilian climate scientist Eneas Salati, who argued that the Amazon actually produces half its own rainfall. The takeaway: remove too much of the forests and the Amazon could dry out. And more than the jungle is at stake. Reduced rainfall from forest cutting could dry up the water that powers hydroelectric dams, thus slashing Brazilian power-generating capacity by 40 percent by midcentury. It could also rob the food larder, cutting soybean productivity by 28 percent and beef production by 34 percent.

Brasilia quickly countered the environmental skeptics by saying that these are unofficial figures, noting that the National Space Institute is still crunching the satellite data. The government is still basking in last year's numbers: only 4,600 square kilometers of forests felled, a fraction of the 27,700 square kilometers lost in 2004. But the Rousseff administration would do well to heed the smoke signals. Even Brasilia admits that Brazil's continued rise to glory turns on the country's ability to stay green.

(Adapted from http://thedailybeast.com/newswek/2013/06/05)

The Armel-Leftwich Visitor Center

Welcome to the Armel-Leftwich Visitor Center of the United States Naval Academy. Visit the United States Naval Academy in Annapolis, MD to see where future officers are educated and trained.

The Visitor Center is conveniently located inside USNA Gate 1 at the Annapolis harbor. Pedestrian entrances are on Prince George and Randall Streets. The Visitor Center provides guided historical tours for visitors, as well as groups.

Anyone 18 or older must show a government-issued photo ID or original passport to enter USNA grounds. Visitors from the states of Minnesota, Illinois, Missouri, New Mexico and Washington are required to present a SECOND PHOTO ID.

The Visitor Center is the first stop on a visit to the undergraduate college of the U.S. Navy and U.S. Marine Corps. Information specialists welcome visitors to view the 13-minute film, "The Call to Serve", and to take a guided walking tour with a professional, certified guide.

Admissions Information

United States Naval Academy Admissions briefings, lasting approximately one hour, are held at 10:00 a.m. and 2:00 p.m., Monday through Saturday, on the second deck of the Visitor Center.

U.S. Naval Academy Museum

The museum's artifacts are displayed in galleries located on two floors in Preble Hall. The first floor is devoted to the exhibit entitled "Leadership and Service: The History of the United States Navy and the Naval Academy". The famous Rogers Collection of antique ship models is the focus of the second floor exhibit.

(Adapted from http://www.usnabsd.com/for-visitors)

Doctor works to save youth from violence before they reach his ER

As an emergency physician at Kings County Hospital Center [in Brooklyn], Dr. Rob Gore has faced many traumatic situations that he'd rather forget. But some moments stick with him. "Probably the worst thing that I've ever had to do is tell a 15-year-old's mother that her son was killed," Gore said. "If I can't keep somebody alive, I've failed." [...]

"Conflict's not avoidable. But violent conflict is," Gore said. "Seeing a lot of the traumas that take place at work, or in the neighborhood, you realize, 'I don't want this to happen anymore. What do we do about it?"

For Gore, one answer is the “Kings Against Violence Initiative" - known as KAVI - which he started in 2009. Today, the nonprofit has anti-violence programs in the hospital, schools and broader community, serving more than 250 young people.

Victims of violence are more likely to be reinjured, so the first place Gore wanted to work was in the hospital, with an intervention program in which "hospital responders" assist victims of violence and their family - a model pioneered at other hospitals. The idea is that reaching out right after someone has been injured reduces the likelihood of violent retaliation and provides a chance for the victim to address some of the circumstances that may have led to their injury.

Gore started this program at his hospital with a handful of volunteers from KAVI. Today, the effort is a partnership between KAVI and a few other nonprofits, with teams on call 24/7.

Yet Gore wanted to prevent people from being violently injured in the first place. So, in 2011, he and his group began working with a handful of at-risk students at a nearby high school. By the end of the year, more than 50 students were involved. Today, KAVI holds weekly workshops for male and female students in three schools, teaching mediation and conflict resolution. The group also provides free mental health counseling for students who need one-on-one support.

"Violence is everywhere they turn - home, school, neighborhood, police," Gore said. "You want to make sure they can learn how to process, deal with it and overcome it."

While Gore still regularly attends workshops, most are now led by peer facilitators - recent graduates and college students, some of whom are former KAVI members - who serve as mentors to the students. School administrators say the program has been a success: lowering violence, raising grades and sending many graduates on to college.

"This is really about the community in which we live" he said. "This is my home. And I'm going to do whatever is possible to make sure people can actually thrive."

(Adapted and abridged from http ://www.cnn.com)

Navy looking for drone operator flying device around

Washington state base

Published February 27, 2016 Foxnews.com

(I) _________

A civilian employee of Naval Submarine Base Kitsap-Bangor reported seeing the drone, spokeswoman Silvia Klatman told Military.com.

According to the Navy, it is illegal to operate a drone above the base without the permission of the Navy. "It's our intent to support the investigation and prosecution of this reported act, and any others that may occur, in coordination with civilian law enforcement," Klatman said.

Military.com reported that agents interviewed families who lived in houses surrounding the base. (II) _______Officials said the drones were seen operating at night. "It could be a hoax, but worst-case scenario, it could be clandestine, a foreign government, a cell," Al Starcevich, whose family's house is located between the base and Hood Canal in Washington, told the website. "The creepy thing is they' re only doing it at night. (Ill) ______ "

Starcevich told The Seattle Times that agents told him there had been repeated incidents around the base involving an alleged drone.

Naval Base Kitsap-Bangor's airspace was designated as "prohibited" by the FAA in May 2005, at the request of the Navy. (IV) ______ The prohibited area extends to the water across Hood Canal and the Navy-owned portion of Toandos Peninsula.

Doug O'Donnell, chief pilot at Avian Flight Center at Bremerton National Airport, said security forces are supposed to shoot down aircraft that violate the FAA riiles.

The Bangor base houses eight of the Navy's 14 ballistic-missile submarines, according to Military,com. Each can carry up to 24 missiles with multiple nuclear warheads.

The Defense Department has held countless classified exercises to counter possible drone attacks, The Seattle Times reported. Last year, one exercise included a Marine sniper shooting one down from a military helicopter,

(http://www.foxnews.com/us/2016/02/27/navy-looking-for-drone-operator-flying-device-around-washington-state-base.html)

Doctor works to save youth from violence before they reach his ER

As an emergency physician at Kings County Hospital Center [in Brooklyn], Dr. Rob Gore has faced many traumatic situations that he'd rather forget. But some moments stick with him. "Probably the worst thing that I've ever had to do is tell a 15-year-old's mother that her son was killed," Gore said. "If I can't keep somebody alive, I've failed." [...]

"Conflict's not avoidable. But violent conflict is," Gore said. "Seeing a lot of the traumas that take place at work, or in the neighborhood, you realize, 'I don't want this to happen anymore. What do we do about it?"

For Gore, one answer is the “Kings Against Violence Initiative" - known as KAVI - which he started in 2009. Today, the nonprofit has anti-violence programs in the hospital, schools and broader community, serving more than 250 young people.

Victims of violence are more likely to be reinjured, so the first place Gore wanted to work was in the hospital, with an intervention program in which "hospital responders" assist victims of violence and their family - a model pioneered at other hospitals. The idea is that reaching out right after someone has been injured reduces the likelihood of violent retaliation and provides a chance for the victim to address some of the circumstances that may have led to their injury.

Gore started this program at his hospital with a handful of volunteers from KAVI. Today, the effort is a partnership between KAVI and a few other nonprofits, with teams on call 24/7.

Yet Gore wanted to prevent people from being violently injured in the first place. So, in 2011, he and his group began working with a handful of at-risk students at a nearby high school. By the end of the year, more than 50 students were involved. Today, KAVI holds weekly workshops for male and female students in three schools, teaching mediation and conflict resolution. The group also provides free mental health counseling for students who need one-on-one support.

"Violence is everywhere they turn - home, school, neighborhood, police," Gore said. "You want to make sure they can learn how to process, deal with it and overcome it."

While Gore still regularly attends workshops, most are now led by peer facilitators - recent graduates and college students, some of whom are former KAVI members - who serve as mentors to the students. School administrators say the program has been a success: lowering violence, raising grades and sending many graduates on to college.

"This is really about the community in which we live" he said. "This is my home. And I'm going to do whatever is possible to make sure people can actually thrive."

(Adapted and abridged from http ://www.cnn.com)