女,6岁。晚饭后突然出现喘憋,大汗,烦躁不安,不能平卧,患儿在幼年时曾两次患毛细支气管炎,查体,痛苦面容,呼气性呼吸困难,两肺闻及哮鸣音,体温正常。该患儿的临床诊断最大可能是( )。
Passage1
Come on-Everybody'sdoing it. That whispered message, half invitation and half forcing, is what most of us think of when we hear thewords peer pressure. It usually leads to no good-drinking, drugs and casualsex. But in her new book Join the Club, Tina Rosenberg contends that peer pressure can also be a positive forcethrough what she calls the social cure, in which organizations and officialsuse the power of group dynamics to help individuals improve their lives andpossibly the word.
Rosenberg, therecipient of a Pulitzer Prize, offers a host of examples of the social cure inaction: In South Carolina, a state-sponsored antismoking program called RageAgainst the Haze sets
out to make cigarettesuncool. In South Africa, an HIV-prevention initiative known as loveLife recruits young people to promote safe sexamong their peers.
The idea seemspromising, and Rosenberg is a perceptive observer. Her critique of the lamenessof many pubic-health campaigns is spot-on: they fail to mobilize peer pressurefor healthy habits ,and they demonstrate a seriously flawed understanding of psychology. "Dare to be different, please don'tsmoke!" pleads one billboard campaign aimed at reducing smoking amongteenagers-teenagers, who desire nothing more than fitting in. Rosenberg arguesconvincingly that public-health advocates ought to take a page from advertisers, so skilled at applyingpeer pressure.
But on the generaleffectiveness of the social cure, Rosenberg is less persuasive. Join the Clubis filled with too much irrelevant detail and not enough exploration of thesocial and biological factors that make peer pressure so powerful. The mostglaring flaw of the social cure as it's presented here is that it doesn't workvery well for very long. Rage Against the Haze failed once state funding wascut. Evidence that the loveLife program produces lasting changes is limited andmixed.
There's no doubtthat our peer groups exert enormous influence on our behavior. An emerging bodyof research shows that positive health habits-as well as negative ones-spreadthrough networks of friends via social communication. This is a subtle form ofpeer pressure: we unconsciously imitate the behavior we see every day.
Farless certain, however, is how successfully experts and bureaucrats can selectour peer groups and steer their activities in virtuous directions. It's likethe teacher who breaks up the troublemakers in the back row by pairing themwith better-behaved classmates. The tactic never really works. And that's theproblem with a social cure engineered from the outside: in the real world, asin school, we insist on choosing our own friends.
Rosenberg holds that public-health advocates should______.
患者男,51岁。冠心病史多年,突然剧烈胸痛,憋闷,大汗淋漓,烦躁不安,心电图下壁导联ST段弓背向上抬高,心肌酶CK-MB升高,止痛宜选用

下列关于贷款审批要素中授信品种的表述中,错误的是( )。
教师李某未履行请假手续,参加了县教研室组织的一次学术研讨会,让学生在教室自习。学校给予李某记过处分并扣除其当月部分绩效工资,李某对此处分不服。关于此事,下列说法正确的是( )。
《传习录》记载:“先生(王阳明)游南镇,一友指岩中花树问曰:天下无心外之物,如此花树在深山中自开自落,于我心亦何相关?先生曰:你未看此花时,此花与汝同归于寂;你来看此花时,则花颜色一时明白起来,便知此花不在你心外。”这一观点的错误是:( )。
承认思维与存在具有同一性
承认人的认识具有主观能动性
认为人的意识是万物产生和存在的根源
认为人对花的感觉是主观与客观的同一
关于建设项目不符合强制性节能标准的说法,正确的是( )。
患儿,女,3岁。患法洛四联症,择期手术。患儿入院5天来,不让父母离开身边,见到医护人员及陌生人员靠近会躲避,睡眠中常有惊醒,患儿出现上述表现的主要原因是( )
对医源性限制的焦虑
对黑暗恐惧
对死亡恐惧
分离性焦虑
对手术焦虑
治疗心力衰竭的药物很多,有些药物的治疗药物浓度检测很重要。在需长期使用强心苷时,下列药物中临床上常用,但需监测药物治疗浓度的是( )
毒毛花苷
去乙酰毛花苷
地高辛
洋地黄毒苷
硝酸甘油