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The retinas of premature babies are not fully developed at birth. Because their retinas are so delicate, premature babies sometimes lose their sight. Methods for preventing this syndrome, which is called retinopathy of prematurity, have improved, but the proportion of premature babies who lose their sight because of this syndrome has increased.

Which of the following, if true, best reconciles the apparent discrepancy described above?
CR00561.01

Question Type: Resolve the Paradox | Time Taken: 2:00 Minutes

S1 - The treatment for preventing a certain syndrome has improved
S2 - But the % of babies losing sight from the syndrome has increased

What is the Paradox?
How come the babies getting affected from the syndrome have increased despite an improvement in the preventive methods
E.g.
# of affected babies in yr-2018 = 10
# of affected babies cured in yr-2018 = 5 (50%)

Now, in 2019 the curing methods improved and hence under conditions similar to 2018 the figures should have been,
# of affected babies in yr-2019 = 10
# of affected babies cured in yr-2019 = 7 (70%)

But, the paradox is that the # of affected babies cured in yr-2019 = 4 (40%)
We need to bridge the gap between 4 and 7 to resolve the paradox

First, the correct answer
(E) Improved medical technology is saving the lives of premature babies who would previously have died, but these babies have even more delicate retinas than do other premature babies and are more apt to lose their sight

This option tells us that the severity of the syndrome has increase significantly such that a lot of the cases are beyond the scope of the improved treatment. Circling back to our example, this option says that those 3 unexpected cases resulted from the syndrome that grew more serious, something the makers of the cure had not anticipated

(A) When premature babies are born, their retinas are developmentally unprepared to deal with light and air in the environment outside the womb
Ask the question, does this option explain the increase in the number of affected babies. In terms of our example, does this option bridge the gap between 4 and 7? The answer is no.

(B) The oxygen that must be administered to premature babies at birth can sometimes have a damaging effect on the babies’ retinas, but the oxygen is now administered in less damaging concentrations than it used to be
Same as the explanation for option A

(C) The effects of retinopathy of prematurity can be reduced by controlling the exposure of premature babies to light and oxygen, but this method cannot completely prevent the syndrome
We already know that the treatment is not 100% effective, hence this option provides redundant information

(D) The improvement of methods to prevent retinopathy of prematurity has been a gradual process, and there is still a need for further knowledge
Same as the explanation for option A

Ans. E
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The retinas of premature babies are not fully developed at birth. Because their retinas are so delicate, premature babies sometimes lose their sight. Methods for preventing this syndrome, which is called retinopathy of prematurity, have improved, but the proportion of premature babies who lose their sight because of this syndrome has increased.

The passage presents a somewhat surprising situation. Methods for preventing retinopathy of prematurity have improved, but the proportion of premature babies who lose their sight because of the syndrome has not decreased, as might have been expected, but rather increased.

Which of the following, if true, best reconciles the apparent discrepancy described above?

This is a Paradox or Best Explains question, and the correct answer will be the one that provides the best explanation for the surprising development.

In other words, it will provide a possible explanation for the fact that the proportion of premature babies who lose their sight because of the syndrome has increased rather than decreased.

(A) When premature babies are born, their retinas are developmentally unprepared to deal with light and air in the environment outside the womb.

This choice explains why premature babies experience retinopathy of prematurity.

However, it does not explain why the proportion of premature babies who lose their sight because of the syndrome has increased.

After all, presumably, what this choice says has been true all along. So, it would not explain why the proportion of premature babies who experience the syndrome is greater now than it was in the past.

Eliminate.

(B) The oxygen that must be administered to premature babies at birth can sometimes have a damaging effect on the babies’ retinas, but the oxygen is now administered in less damaging concentrations than it used to be.

This choice does the opposite of what we need.

After all, a reduction in the concentrations of oxygen would be expected to cause a decrease in the proportion of premature babies who experience the syndrome.

So, this choice deepens rather than explains the paradox.

Eliminate.

(C) The effects of retinopathy of prematurity can be reduced by controlling the exposure of premature babies to light and oxygen, but this method cannot completely prevent the syndrome.

This choice helps to explain why the syndrome still occurs, but it does not explain why the proportion of premature babies who experience the syndrome has increased.

After all, presumably, what this choice says has been true all along. So, it would not explain why the proportion is greater now than it was in the past.

Eliminate.

(D) The improvement of methods to prevent retinopathy of prematurity has been a gradual process, and there is still a need for further knowledge.

This choice explains why retinopathy is not prevented in all cases.

At the same time, the fact that the improvement of methods has been a gradual process would not explain why the proportion of premature babies who experience the syndrome has increased. After all, even slow improvement in methods should result in a decrease in the proportion who experience the syndrome, not an increase.

Eliminate.

(E) Improved medical technology is saving the lives of premature babies who would previously have died, but these babies have even more delicate retinas than do other premature babies and are more apt to lose their sight.

This choice is interesting.

It indicates that, currently, among premature babies, there are ones who are more likely to experience the syndrome than any premature babies were in the past.

We can see that, in this situation, it could be that the reason why the proportion of premature babies who experience the syndrome has increased is that the babies with more delicate retinas experience the syndrome in a relatively high proportion of cases even though methods of prevention have improved. So, because such a high proportion of these babies experience the syndrome, the proportion of all premature babies who experience the syndrome has increased.

Keep.

Correct answer: E
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