题目内容

我国对旅游资源的保护原则是:______,______,______。

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患者女性,47岁,发现右侧乳房内无痛性肿块2个月。体检:右侧乳房外上象限可扪及一直径约为4cm的肿块,表面不光滑,边界不清,质地硬;局部乳房皮肤凹陷呈“酒窝征”;同侧腋窝可扪及2个肿大的淋巴结,可被推动。经活组织病理学检查证实为乳癌,拟行乳癌改良根治术。 若该病人为乳癌根治术后第3天,右侧手臂出现皮肤发绀、手指发麻、皮温下降,脉搏不能扪及。正确的处理是

A. 继续观察,不需特殊处理
B. 及时调整包扎胸带的松紧度
C. 立即拆除患处包扎胸带
D. 给予吸氧
E. 患处用沙袋加压

简述我国导游服务的发展历程。

The Four-Day Workweek Is Winning FansIn an era when most of us seem to be working more hours than ever (provided we’re still lucky enough to have jobs), 17, 000 people in Utah have embarked on an unusual experiment. A year ago, the Beehive State became the first in the U. S. to mandate a four-day workweek for most state employees, closing offices on Fridays in an effort to reduce energy costs. The move is different from a furlough in that salaries were not cut; nor was the total amount of time employees work. (9) But on that fifth (glorious) day, they don’t have to commute, and their offices don’t need to be heated, cooled or lit.After 12 months, Utah’s experiment has been deemed so successful that a new acronym could catch on: TGIT (thank God it’s Thursday). (10) Altogether, the initiative will cut the state’s greenhouse-gas emissions by more than 12, 000 metric tons a year. (11) "It’s beneficial for the environment and beneficial for workers," says Lori Wadsworth, a professor at Brigham Young University who helped survey state employees. "People loved it." Those who didn’t tended to have young children and difficulty finding extended day care.(12) Private industry is interested as well—General Motors has just instituted a workweek of four 10-hour days at several of its plants. "There is a sense that this is ready to take off," says R. Michael Fischl, an associate dean at the University of Connecticut’s law school, which is organizing a symposium on four-day weeks.The advantages of a so-called 4-10 schedule are clear: less commuting, lower utility bills. (13) By staying open for more hours most days of the week, Utah’s government offices have become accessible to people who in the past had to miss work to get there in time. (14) Plus, fears that working 10-hour days would lead to burnout turned out to be unfounded—Wadsworth says workers took fewer sick days and reported exercising more on Fridays. "This can really make a difference for work-life balance," says Jeff Herring, Utah’s executive director for human resources.Of course, in the age of the BlackBerry, fewer days in the office may not make much of a difference in terms of workload. But as energy prices start rising again, it makes sense to be flexible and find savings where we can.A.The disadvantage of 4-10 schedule is clear.B.And perhaps not surprisingly, 82 % of state workers say they want to keep the new.C.The state found that its compressed workweek resulted in a 13% reduction in energy use and estimated that employees saved as much as $ 6 million in gasoline costs.D.And there have been unexpected benefits as well, even for people who aren’t state employees.E.They pack in 40 hours by starting earlier and staying later four days a week.F.Managers from around the world have gotten in touch with Utah officials, and cities and towns including El Paso, Texas, and Melbourne Beach, Fla., are following the state’s lead.G.With the new 4-10 policy, lines at the department of motor vehicles actually got shorter.H.A year ago, the Beehive State became the first in the U. S. to mandate a four-day workweek for most state employees, closing offices on Fridays in an effort to reduce energy costs. 13()

患者女性,48岁,理发员。下肢酸胀、沉重5年,活动或休息后减轻。体检见小腿内侧有蚓状团块,足靴区有色素沉着。 目前病人最主要的护理诊断是

A. 知识缺乏
B. 活动无耐力
C. 疼痛
D. 潜在并发症:出血
E. 潜在的皮肤完整性受损

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