女,67歲。5年來出現進行性乏力、納差,逐漸加重,且不能耐受饑餓。既往有肺結核病史。查體:BP90/60mmHg,膚色黑,掌紋處明顯,雙肺呼吸音清,心率90次/分,腹軟,無明顯壓痛。該患者的最可能診斷是
A、肝硬化C
暫無解析
Whiledoingcalculationfortheproject,thedesigners____anewsolutiontoageologicalproblem.
Passage4
Questions16to20arebasedonthefollowingpassage:
Successfulinnovationshavedrivenmanyoldertechnologiestoextinctionandhaveresultedinhigherproductivity,greaterconsumptionofenergy,increaseddemandofrawmaterials,acceleratedflowofmaterialsthroughtheeconomyandincreasedquantitiesofmetalsandothersubstancesinuseeachperson.Thehistoryofindustrialdevelopmentaboundswithexamples.
In1870,horsesandmulesweretheprimesourceofpoweronU.S.farms.Onehorseormulewasrequiredtosupportfourhumanbeingsaratiothatremainedalmostconstantformanydecades.Atthattime,hadanationalcommissionbeenaskedtoforecastthepopulationfor1970,itsanswerprobablywouldhavedependedonwhetheritsconsultantswereofaneconomicortechnologicalturnofmind.Hadtheybeen“economists”,theywouldprobablyhaveprojectedthe1970horsesormulepopulationtobemorethan50million.Hadtheybeen“technologists”,theywouldhaverecognizedthatthepowerofsteamhadalreadybeenharnessedtoindustryandtolearnandoceantransport.Theywouldhaverecognizedfurtherthatitwouldbetheprimesourceofpoweronthefarm.Itwouldhavebeendifficultforthemtoavoidtheconclusionthatthehorseandmulepopulationwoulddeclinerapidly.
16.Accordingtothepassage,whatsuppliedmostofthepoweronU.S.farmsin1870?
A.AnimalsB.HumansC.EnginesD.Water
17.WhichofthefollowingisNOTmentionedbytheauthorasaconsequenceofnewtechnologicaldevelopments?
A.Oldertechnologiesdieaway.
B.ThequalityoflifeisImproved.
C.Overallproductivityincrease.
D.Morerawmaterialsbecomenecessary.
18.Itcanbeinferredfromthepassagethatby1870.
A.technologybegantobemoreeconomical
B.thesteamenginehadbeeninvented
C.theU.S.horsepopulationwasabout10million
D.anationalcommissionwasabout10million
19.Inthesecondparagraph,theauthorsuggeststhat“economists”would.
A.plantheeconomythroughyearlyforecasts
B.failtoconsidertheinfluenceoftechnologicalinnovation
C.valuetheeconomiccontributionoffarmanimals
D.consultthenationalcommissionontheeconomy
20.Whatistheauthor’sattitudetowardchangesbroughtonbytechnologicalinnovations?
A.Heisexcitedaboutthem.
B.Heacceptthemasnatural.
C.Heisdisturbedbythem.
D.Hequestionstheirusefulness.
Recentresearchhasclaimedthatanexcessofpositiveionsintheaircanhaveanilleffectonpeople’sphysicalorpsychologicalhealth.Whatarepositiveions?Well,theairisfullofions,electricallychargedparticles,andgenerallythereisaroughbalancebetweenthepositiveandthenegativecharged.Butsometimesthisbalancebecomesdisturbedandalargerproportionofpositiveionsarefound.Thishappensnaturallybeforethunderstorm,earthquakeswhenwindssuchastheMistral,HamsinorSharavareblowingincertaincountries.Oritcanbecausedbyabuild-upofstaticelectricityindoorsfromcarpetsorclothingmadeofman-madefibres,orfromTVsets,duplicatorsorcomputerdisplayscreens.
Whenalargenumberofpositiveionsarepresentintheairmanypeopleexperienceunpleasanteffectssuchasheadaches,fatigue,irritability,andsomesensitivepeoplesuffernauseaorevenmentaldisturbance.Animalsarealsoaffected,particularlybeforeearthquakes,snakeshavebeenobservedtocomeoutofhibernation,ratstofleefromtheirburrows,dogshowlandcatsjumpaboutunaccountably.ThishasledtheUSGeographicalSurveytofundanetworkofvolunteerstowatchanimalsinanefforttoforeseesuchdisastersbeforetheyhitvulnerableareassuchasCalifornia.
Conversely,whenlargenumbersofnegativeionsarepresent,thenpeoplehaveafeelingofwell-being.Naturalconditionsthatproducetheselargeamountsarenearthesea,closetowaterfallsorfountains,orinanyplacewherewaterissprayed,orformsaspray.Thisprobablyaccountsforthebeneficialeffectofaholidaybythesea,orinthemountainswithtumblingstreamsorwaterfalls.
Toincreasethesupplyofnegativeionsindoors,somescientistsrecommendtheuseofionisers:smallportablemachines,whichgeneratenegativeions.Theyclaimthationisersnotonlycleanandrefreshtheairbutalsoimprovethehealthofpeoplesensitivetoexcesspositiveions.Ofcourse,therearethedetractors,otherscientists,whodismisssuchclaimsandareskepticalaboutnegative/positiveionresearch.Thereforepeoplecanonlymakeuptheirownmindsbyobservingtheeffectsonthemselves,oronothers,ofanegativerichorpoorenvironment.Afterallitisdebatablewhetherdependingonseismicreadingstoanticipateearthquakesismoreeffectivethanwatchingthecat.
1.Whateffectdoesexceedingpositiveionizationhaveonsomepeople?
A.Theythinktheyareinsane.
B.Theyfeelratherbad-temperedandshort-fussed.
C.Theybecomeviolentlysick.
D.Theyaretootiredtodoanything.
2.Inaccordancewiththepassage,staticelectricitycanbecausedby___.
A.usinghome-madeelectricalgoods.
B.wearingclothesmadeofnaturalmaterials.
C.walkingonartificialfloorcoverings.
D.copyingTVprogramsonacomputer.
3.Ahighnegativeioncountislikelytobefound___.
A.nearapoundwithawaterpump.
B.closetoaslow-flowingriver.
C.highinsomebarrenmountains.
D.byarotatingwatersprinkler.
4.Whatkindofmachinecangeneratenegativeionsindoors?
A.Ionisers.
B.Air-conditioners.
C.Exhaust-fans
D.Vacuumpumps.
5.Somescientistsbelievethat___.
A.watchinganimalstoanticipateearthquakesismoreeffectivethandependingonseismography.
B.theunusualbehaviorofanimalscannotbetrusted.
C.neitherwatchingnorusingseismographsisreliable.
D.earthquake
IneverrealizedthatsomedayIwouldbemarriedtoa___.
產程中胎心監護,下列哪項是錯誤的