病例摘要:
男性28岁 。HBsAg阳性20年,肝功异常5年 。
20年前体检发现HBsAg阳性,当时肝功能正常,无明显症状 。5年前开始ALT升高,HBeAg及HBVDNA均阳性,服用中药或保肝药治疗,ALT时而正常或升高 。一周前工作忙感乏力,化验ALT200IU/L来诊,除有轻度乏力外无其他症状 。无其他疾病,无烟酒嗜好,无输血及服用损肝药史,家中母亲及姐姐均为乙肝 。
查体:一般情况良好,无黄疸、肝病面容、肝掌及蜘蛛痣,肝肋下未及,脾侧位可及 。
辅助检查:血常规正常,ALT250IU/L,HBsAg(+)、HBeAg(+)、抗HBc(+) 。
设计任务:阅读下面的学生信息和语言素材,设计20分钟的阅读教学方案。
教案没有固定格式,但须包含下列要点:
●Teaching objectives
●Teaching contents
●Key and difficult points
●Major steps and time allocation
●Activities and justifications
教学时间:20分钟
学生概况:某城镇普通中学八年级(初中二年级)学生,班级人数40人。多数
学生已经达到《义务教育英语课程标准(2011年版)》三级水平。学生课堂参与积极性一般。
语言素材:
David's Hobbies
Many students have hobbies,such as reading,painting,growing vegetables and looking after animals.Some hobbies are relaxing and others are active.Hobbies can make you grow as a person,develop your interests and help you learn new skills.
David Smith is a student,and one of his hobbies is writing.During the summer of 2010,he spent four weeks at a summer camp.As well as the usual activities,such as sailing and climbing,there was a writing class.The teacher was a writer,and she asked them to talk about their lives and tell interesting stories.Then she encouraged them to write about their experiences at the camp.
Back at school,David wrote a story about the life of a sixteen-year-old boy,and it cameout as a book in 2012.Many young people love his book,and as a result,David has become a successful young writer
David has been very lucky because his hobby has brought him pleasure and success.But writing is not his only hobby. He is also interested in many other things. "I like playing volleyball too,"says David. "I spend some of my free time playing volleyball for my school team. Maybe I' ll write about my volleyball team in my future books."

