男性,26岁,急性腹痛、呕吐、无排便排气3天 。
男性,75岁 。头晕6年,反复心悸3个月 。
患者6年前间断于劳累后出现头晕,测血压升高,最高为190/80mmHg,不规律服用降压药物,血压不平稳 。3个月前无诱因反复出现心悸,伴胸闷,无晕厥及胸痛 。发病以来饮食正常,入睡困难,大小便正常 。否认冠心病、肝炎、肾病和肺部疾病史 。无高血压家族史 。吸烟45年,每天20支 。少量饮酒 。
查体:T37℃,P66次/分,R18次/分,BP186/76mmHg 。神志清楚 。口唇无发绀,甲状腺无肿大 。双肺呼吸音清晰 。心界不大,心率66次/分,律不齐,可闻及早搏,时呈二联律,心音正常,未闻及心脏杂音,无心包摩擦音 。腹平软,无压痛,肝脾未触及 。双下肢无水肿 。心电图:可见提前出现的宽大畸形的QRS波,其前未见P波,时呈二联律 。
要求:根据以上病历摘要,请写出初步诊断、诊断依据(如有两个以上诊断,应分别写出各自诊断依据,未分别写出扣分)、鉴别诊断、进一步检查与治疗原则 。
设计任务:请阅读下面学生信息和语言素材,设计20分钟的英语阅读教学方案。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:某城镇普通高中一年级(第一学期)学生,班级人数40人,多数学生已经达到《普通高中英语课程标准(实验)》五级水平。学生课堂参与积极性一般。
语言素材:
Body Language
Debbie and Simon have part-time jobs at a travel agency.It is Saturday morning and they are sitting in the office.Debbie and Simon looked up as a well-dressed lady entered.The lady glanced at them both,then walked over to Debbie.Debbie greeted her cheerfully.
“Hello,"the lady said."I want to go by train from..…"
Simon sighed,Mr.Young,a senior employee,was standing beside him.
“What's up,Simon?You don't look very happy."
“The customers always prefer Debbie to me.I don't understand why.”
“I do.It's the way you communicate.”
“How can that be?”Simon asked."I don't even get a chance to speak to them."
“Speech is not the only method of communication.Your body language is important,too."
“What kind of language is that?”
“It's the way you stand and sit.It's your gestures and the expression on your face and in your eyes.Your whole appearance communicates things.You often rest your head on our hand.You don't look up.You never smile.So you don't make a good impression on people."
“But look at Debbie.She makes eye contact with the customers.She's holding her head up. She smiles,that's why the customers go to her and not to you."
某蓄电池厂工人从事铅作业3年,1年前开始出现间断头晕、口腔内经常有甜味,偶有腹部不适、便秘、便秘时伴有腹痛,去医院职业病科就诊 。经检查,诊断结果为慢性轻度铅中毒 。
问题:
1.慢性铅中毒的诊断主要需要哪些依据?
2.慢性轻度铅中毒的诊断标准及处理原则 。
材料:
为了迎接市文艺会演,高中部播音班的任老师将文艺会演的节目表演任务交给了班长小静,让她负责确定节目形式、人员,并且要求她与专业老师进行沟通,确定排练时间。最后班级的文艺会演获得了成功,播音班在市文艺会演上获得了表彰并被颁发“最佳表演奖”。任老师知道后,召开了一次班会,在班会上特别表扬小静:“这次的文艺会演真是辛苦大家了,当然更应该感谢我们的小静班长,带领班级赢得殊荣。如果没有她协调工作、仔细安排练习、跑前跑后地组织,或许我们的表演不会如此精彩。请大家给她最热烈的掌声!”任老师发言后,小新说:“真是负责任的好班长。”小莉说:“切,人家副班长小冉也帮忙了,要不是她处理了突发情况,真是……”
问题:
(1)阅读材料后,请说说任老师的表扬行为是否恰当,简要说明理由。(10分)
(2)请运用教育学相关内容,谈谈教师应如何正确运用表扬。(10分)