患者,女,36岁。近期因工作生活压力大,入睡困难,早醒,心境低落,诊断为抑郁症,给予氟西汀片20 mg q.d.。关于该患者用药教育的说法,错误的是( )
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,女,36岁。近期因工作生活压力大,入睡困难,早醒,心境低落,诊断为抑郁症,给予氟西汀片20 mg q.d.。关于该患者用药教育的说法,错误的是( )
应足量和足疗程用药,不能耐受可考虑换药
氟西汀需停药2周才能换用单胺氧化酶抑制剂( MAOIs),其他选择性5-HT再摄取抑制剂( SSRIs) 需停药5周再换用MAOIs
帕罗西汀应于每日早餐后服用
多数抗抑郁药在开始用药后的2周内开始起效,但通常需要4~6周才产生充分效果
氟西汀可通过乳汁分泌,哺乳期妇女服药期间建议暂停哺乳
患者,女,28岁。近1年经前乳房、乳头胀痛,胸闷胁胀,精神抑郁,头晕目眩,烦躁易怒,舌紫暗,脉弦,其中医证型是( )。
脾肾阳虚证
肝肾阴虚证
肝郁气滞证
瘀血阻滞证
心脾气虚证
下列关于宪法分类的表述,正确的是( )。
西耶斯首次提出刚性宪法和柔性宪法的区分
钦定宪法、协定宪法和民定宪法的区分标准是宪法修改的难易程度
成文宪法和不成文宪法的区分标准是宪法规范是否以书面形式表达
马克思主义法学将宪法分为资本主义类型的宪法和社会主义类型的宪法