男,58岁。发作性剑突下及右上腹绞痛3天,伴有寒战,半年前类似发作史。查体:体温38.8℃,脉搏120次/分,血压145/85mmHg。血常规检查:WBC12×10⁹/L,N80%,神志清楚,皮肤、巩膜轻度黄染,右肋缘下触及肿大的胆囊,触痛。该病人最可能的诊断是( )。
患者月经周期延迟、量少,色淡红、质薄,渐至经闭不行;神疲肢倦,头晕眼花,心悸气短,面色萎黄;舌淡,苔薄,脉沉缓。其证候是( )
老李打算帮儿子购买一套房子,以备将来结婚之用,如果将小李目前税后收入的一半拿来付月供,按照25年期,6%的贷款利率,贷款两成,则老李需要为儿子支付( )元的首付款。(单选题)
Passage1
Do who choose to go on exotic,far-flung holidays deserve free health advice before they travel?And even if they pay,who ensures that they get good,up-to-date information?Who,for that matter,should collect that information in the first place?For a variety of reasons,travel medicine in Britain is a responsibility nobody wants.As a result,many travellers go abroad prepared to avoid serious disease.
Why is travel medicine so unloved?Partly there's an identity problem. Because it takes an interest in anything that impinges on the health of travelers ,this emerging medical specialism invariably cuts across the traditional disciplines. It delves into everything from seasickness,jet lag and the hazards of camels to malaria and plague. But travel medicine has a more serious obstacle to overcome. Travel clinics are meant to tell people how to avoid ending up dead or in a hospital when they come home,but it is notoriously difficult to get anybody pay out money for keeping people healthy.
Travel medicine has also been colonized by commercial interests; the vast majority of travel clinics in Britain are run by airlines or travel companies. And while travel concerns are happy to sell profitable injections, they may be less keen to spread bad news about travellers' diarrhea in Turkey, or to take time to spell out preventive measures travellers could take."The NHS finds it difficult to define travellers' health,"says Ron Behrens,"the only NHS consultant in travel and director of the travel clinic of the Hospital for Tropical Diseases in London."Should it come within the NHS or should it be paid for?"It's Gary area, and opinion is spilt. No one seems to have any responsibility for defining its role,"he says.
To compound its low status in the medical hierarchy, travel medicine has to rely on statistics that are patchy at best. In most cases we just don't know how many Britons contract diseases when abroad. And even if a disease linked to travel there is rarely any information about where those afflicted went, what they are, how they behaved, or which vaccinations they had. This shortage of hard facts and figures makes it difficult to give detailed advice to people, information that might even save their lives.
A recent leader in British Medical Journal argued."Travel medicine will emerge as credible disciplines only if the risks encountered by travellers and the relative benefits of public health interventions are well defined in terms of their relative occurrence, distribution and control."Exactly how much money is wasted by poor travel advice. The real figure is anybody's guess, but it could easily run into millions. Behrens gives one example. Britain spends more than £ 1 million each year just on cholera vaccines that often don't work and so give people a false sense of security."Information on the prevention and treatment of all forms of diarrhea would be a better priority," he says.
Which of the following statement is not the problem of travel medicine?
疫情期间,某小学教师胡老师说:“教育管理部门不应该要求‘停课不停学’,我们实施起来太困难。”并且不予配合,这表明胡老师在教师职业道德方面没有做到( )
“庄严自持,内外若一”
“知者必量其力所能至而从事焉”
“善为师者,既美其道,有慎其行”
“不以一人疑天下,不以天下私一人”
依托泊苷注射液的溶媒选择要求是( )