成人休息状态下每千克标准体重每天所需的总热量为( )。
患者,女,45岁。1周前发现右乳外上结节,直径约2.5cm,较硬,不易推动,无压痛,乳头轻度内陷,皮肤呈橘皮样,右侧腋下触及一直径0.8cm的淋巴结,表面光滑,活动度好。应首先考虑的中医诊断是
关于抗菌药物临床应用管理的说法,正确的是( )
具有高级专业技术职务任职资格的医师方可具有限制使用级抗菌药物处方权
基层医疗机构的药师必须由所在单位组织考核,合格者授予抗菌药物调剂资格
严格控制特殊使用级抗菌药物使用,特殊使用级抗菌药物不得在门诊使用
医疗机构应当根据临床微生物标本检测结果合理选用,不得经验用药
患儿,5岁 。近2天来腹痛绵绵,时作时止,痛时喜按,面白少华,神疲乏力,手足不温,食后腹胀,大便偏稀 。唇舌较淡,脉沉稳 。治疗应首选
患者,42岁。近几年来经量增多,经期延长。近2~3个月常感头晕、乏力。妇科检查:子宫呈不规则增大,如孕4个月大小,表面结节状突起,质硬。建议治疗原则为()
定期随访
手术治疗
服止血药物
服雄激素
服抗贫血药
“启我爱医术,复爱世间人,愿绝名利心,尽力为患者,无分爱与憎,不问富与贫,凡诸疾病者,一视如同仁”出自的著作是
患者,男,33岁。喜饮浓茶咖啡。近两周常感上腹疼痛,食欲不振,偶有恶心呕吐,诊断为慢性胃炎。该患者可以服用的药物不包括()
多潘立酮
泼尼松
枸橼酸铋钾
氢氧化铝凝胶
阿莫西林
请阅读 Passage l,完成第 21~25小题。
Passage 1
"THE SERVANT"(1963) is one of thosefilms that it is impossible to forget. The servant exploits his master'sweaknesses until he turns the tables: the story ends with the a cringing masterministering to a lordly servant. It is hard to watch it today without thinkingof another awkward rela-tionship-the onebetween business folk and their smartphones.
Smart devices are sometimes empowering.They put a world of information at our fingertips. But for most people theservant has become the master. Not long ago only doctors were on call all thetime. Now everybody is. Bosses think nothing of invading their employees ' free time. Work invades the home far morethan domestic chores invade the office.
Hyperconnectivity exaggerates the declineof certainty and the general cult of flexibility. Smartphones make it easierfor managers to change their minds at the last moment. Employees find it ever harderto distinguish between "on-time" and "off-time"—and indeed between realwork and makework. None of this is good for businesspeople ' s marriages ormental health. It may be bad for business, too. When bosses change their mindsat the last minute, it is hard to plan for the future.
How can we reap the benefits ofconnectivity without becoming its slaves? One solution is digital dieting.Banning browsing before breakfast can reintroduce a small amount ofcivilization. Banning texting at weekends or, say, on Thursdays, can reallyshow the iPhone who is boss.
The problem with this approach is that itworks only if you live on a desert island or at the bottom of a lake. LesliePerlow of Harvard Business School argues that for most people the only way to breakthe 24/7 habit is to act collectively rather than individually. One of theworld's most hardworking organisations, the Boston Consulting Group, introducedrules about when people were expected to be offline, and encouraged them towork together to make this possible. Eventually it forced people to work moreproductively while reducing burnout.
MsPerlow' s advice should be taken seriously. The problem of hyperconnectivitywill only get worse, as smartphones become smarter and young digital natives takeover the workforce. But ultimately it is up to companies to outsmart thesmartphones by insisting that everyone turn them off from time to time.
Smart devices have become the master mainly because______