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A simple test that detects nicotine levels in urine has helped pregnant women in Birmingham to cut down on cigarettes and in some cases to kick the habit altogether. The test turns urine pink in the presence of nicotine and its breakdown products. " It is very important that the patient is right there to see it,” says Graham Cope, a research fellow at the Wolfson Applied Technology Laboratory at the University of Birmingham ,who developed the test.
A recent survey by the baby5 s charity Tommy5 s Campaign found that a quarter of pregnant women in Britain smoke throughout their pregnancy. But most of the information doctors get about their patients1 smoking habits is self-reported. “Smokers tend to underestimate their consumption,” says Cope. Even if a smoker owns up (供認(rèn)),it is hard to know how much nicotine they are actually consuming: different brands of cigarette have different nicotine levels, and styles of inhaling vary. Cope5 s device provides the first quick biochemical measure of tobacco absorption. Thiobarbituric acid and other chemicals react with nicotine and its by-products, such as cotinine, to produce the pink color. The more tobacco the smoker has consumed, the pinker it gets. Researchers then use a standard colorimeter to measure the depth of color in order to quantify consumption. In all, the procedure takes five minutes.
Cope is just completing a pilot (試驗(yàn)'I生的)study in which he has screened 1 000 pregnant women in Birmingham. Half of them were tested and shown the results on their first visit. They were screened at least once more, towards the end of their pregnancy. The others were screened but were not given the results. Of the 500 women who were shown their results, just over 100 were smokers. During their pregnancy, 20 percent of them quit, while another 30 percent significantly reduced the amount they smoked. Even among the 50 percent of smokers who said they had not changed their habits, the test showed that about half had in fact cut down. "They were more aware of their habit, ” says Cope.
In contrast, only about 7 percent of the women in the control group managed to quit. Very few cut down, and 45 percent actually increased the amount they smoked. This compares badly to the results in the test group, where only 15 percent smoked more.
61. Cope makes pregnant women aware of their nicotine consumption .
A. through their smoking habits
B. through the number of cigarettes they smoke
C. by advising them to cut down on cigarettes
D. by allowing them to see their pink urine
62. The test developed by Cope .
A. can detect the quantity of nicotine consumed
B. can change the way pregnant women inhale smoke
C. can tell what brands of cigarettes pregnant women smoke
D. can help pregnant women estimate their tobacco consumption
63. The amount of nicotine consumption .
A. determines the degree of the pink color of urine
B.indicates the amount of time the test takes
C. has to do with different colors of urine
D. quantifies pink urine
64. We learn from Cope’s pilot study that .
A. 1 000 pregnant women were screened as smokers
B.1 000 pregnant subjects were divided into two groups
C. 20 percent of the pregnant women stopped smoking as a result
D. 50 percent of the pregnant women changed their smoking habits at last
65. The results of Cope’s study suggest that the test .
A. is practicable
B.needs improving
C. can help any smoker quit
D. is more effective in female smokers than in male ones
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