患者,女,25岁。月经提前9天,量多,色淡、质稀,神疲,肢软,少腹空坠,纳少便溏,舌淡苔薄,脉缓弱,其诊断是( )
治疗气滞血瘀型盆腔炎性疾病后遗症,应首选的方剂是( )
患者,女,25岁。月经提前9天,量多,色淡、质稀,神疲,肢软,少腹空坠,纳少便溏,舌淡苔薄,脉缓弱,其诊断是( )
月经过多气虚证
月经先期气虚证
崩漏脾虚证
经行泄泻脾虚证
月经先期血热证
患者,男,65岁。因慢性肺源性心脏病并发肺炎、右心衰住院治疗。护士在核对医嘱时,应提出质疑的是()
一级护理
持续吸氧6L/min
头孢美唑钠2.0 g+5%葡萄糖100 ml, ivgtt,q12h
沐舒坦30 mg+0.9%氯化钠100 ml, ivgtt,tid
氢氯噻嗪25mg,po,bid
Passage1
Lonely people, it seems, are at greater riskthan the gregarious of developing illnesses associated with chronicinflammation, such as heart disease and certain cancers. A paper published lastyear in the Public Library of Science, Medicine, shows the effect on mortalityof loneliness is comparable with thatof smoking and drinking after examining the results of 148 previous studies andcontrolled for factors such as age and pre-existing illness.
Steven Cole of the University ofCalifornia, Los Angeles, thinks he may know why this is so. He told theAmerican Association for the Advancement of Science meeting in Washington,D.C., about his work studying the expression of genes in lonely people. Dr.Cole harvested samples of white blood cells from both lonely and gregariouspeople. He then analysed the activity of their genes, as measured by theproduction of a substance called messenger RNA. This molecule carries instructions from the genes telling a cellwhich proteins to make. The level of messenger RNA from most genes was the samein both types of people. There were several dozen genes, however, that wereless active m the lonely, and several dozen others that were more active.Moreover, both the less active andthe more active gene types came from a small number of functional groups.
Broadly speaking, the genes less active in thelonely were those involved in staving off viral infections. Those that weremore active were involved in protecting against bacteria. Dr. Cole suspectsthis could help explain not only why the lonely are iller, but how, inevolutionary terms, this odd state of affairs has come about.
The crucial bit ofthe puzzle is that viruses have to be caught from another infected individual andthey are usually species-specific. Bacteria, in contrast, often just lurk inthe environment, and may thrive on manyhosts. The gregarious are therefore at greater risk than the lonely ofcatching viruses, and Dr. Cole thussuggests that past evolution has created a mechanism which causes white cellsto respond appropriately. Conversely, the lonely are better off ramping uptheir protection against bacterialinfection, which is a bigger relative risk to them.
What Dr. Cole seemsto have revealed, then, is a mechanism by which social environment reachesinside a person's body and tweaks its genome so that it responds appropriately.It is not that the lonely and the gregarious are genetically different fromeach other. Rather, their genes are regulated differently, according to howsociable an individual is. Dr. Cole thinks this regulation is part of a widermechanism that tunes individuals to the circumstances they find themselves in.
What risk may lonely people run according to the first paragraph?
关于平喘药的叙述哪项错误
受体激动剂
患者 ,女,24岁 。因吃海鲜引发周身风团,瘙痒较甚,迅速消退,不留痕迹,以后又不断成批发生,时隐时现,皮疹色赤,遇热加剧,舌苔薄黄,脉浮数。内治应首选
生后7天足月正常产新生儿,地段保健医师进行家庭巡视时发现其全身皮肤黄染,但反应正常,此时最佳处理方法是
银行业金融机构应当向金融消费者提供文明规范的服务,下列说法正确的是( )。