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患者女性，26岁，3个月前出现间断右下腹痛，伴腹泻及发热。查体：腹部平软，右下腹可触及一包块，伴压痛，无反跳痛及肌紧张。 若胃肠钡剂检查示回盲部钡影跳跃征，应考虑的疾病是
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Aristotle believed that the heavens were perfect. If they ever were, they are no longer. The skies above Earth are now littered with the debris (残骸) of dead satellites, bits of old rockets and the odd tool dropped by a spacewalking astronaut. Such is the extent of the detritus that the first accidental collision between two satellites has already taken place. It happened in February 2009, when a defunct (废弃的) Russian Cosmos smashed into a functioning American Iridium, destroying both and creating even more space junk. To stop this sort of thing happening again Vaios Lappas of the University of Surrey, in England, has designed a system that will remove satellites from orbit at the end of their useful lives--and as a bonus will scour part of the sky clean as it does so. Dr. Lappas’s satellite-removal system employs a solar sail. As light from the sun hits the sail, it imparts a minuscule but continuous acceleration. When a satellite is first launched, the sail is angled in a way that causes this acceleration to keep the satellite in orbit. (Orbits gradually decay as a result of collisions with the small number of air molecules found even at altitudes normally classified as "outer space". ) Solar sails have yet to be used widely to propel spacecraft in this way--several earlier versions came unstuck when the sails failed to unfurl properly-but doing so is not a novel idea in principle The novelty Dr. Lappas envisages is to change the angle of the sail when the satellite has become defunct. Instead of keeping the derelict craft in orbit, it will, over the course of a couple of years, drag it into the atmosphere and thus to a fiery end. Not only that, but the sail will also act like a handkerchief, mopping up microscopic orbital detritus such as flecks of paint from previous launches. A fleck of paint may not sound dangerous, but if travelling at 27 000kph (17 000mph), as it would be in orbit, it could easily penetrate an astronaut’s spacesuit. A prototype of Dr. Lappas’s design, called CubeSail, will be launched late next year. It weighs just 3kg and, when folded up, measures 30cm (12 inches) by 10era by 10era. Once unfurled, however, the sail will have an area of 25 square metres. If this prototype, which is paid for by EADS, a European aerospace company, proves successful, solar sails might be added to many future satellites. That would enable them to be removed rapidly from orbit when they became useless and would restore to the skies some measure of Aristotelian perfection. Which one is NOT the application of the system designed by Vaios Lappas
Are teens and young adults more narcissistic (自恋的) today than in the past That’s the view of a California researcher who studies (1) people. In her new book, The Narcissism (2) : Living in the Age of Entitlement, psychologist Jean Twenge of San Diego State University and (3) W. Keith Campbell of the University of Georgia say research shows (4) young people today have "narcissistic traits" than in (5) generations. Such traits, Twenge says, include a very. (6) and inflated sense of self, which is (7) by a preoccupation with MySpace, Facebook and YouTube. "We’ve been on this self-admiration cultural (8) for a long time," Twenge says. (9) Twenge’s take on today’s young people isn’t universal. Studies by other researchers, including Canadian (10) Dr. Kali of the University of Western Ontario, have used the same data but found (11) results. "They put a different (12) on it," Kali says. Twenge’s studies have found more narcissistic traits and a (13) rate of increase among college students today, but Kali found that students’ narcissism was (14) greater in 2006 than in 1976. Twenge’s most recent paper studied the same data as Kali--more than 20 000 college students from 2002 to 2007. (15) researchers used the Narcissistic Personality Inventory to measure narcissistic (16) and findings by both have been (17) in peerreviewed journals. Twenge’s book (18) just a month after The Mirror Effect : How Celebrity Narcissism Is Seducing America, a book co-written by behavioral (19) Drew Pinsky, (20) suggested that a celebrity-obsessed culture is causing more narcissism.
患者男性，40岁，“胆石症”10余年。2h前饮酒后出现剧烈上腹痛并向腰背放射，伴恶心、呕吐和发热。查体：血压80/50mmHg，脉搏120/min，巩膜轻度黄染，上腹明显压痛，伴反跳痛及肌紧张，移动性浊音阳性。血清淀粉酶1000U/L(Somogyi法)，血钙1.5 mmol/L，血糖18mmol/L。 患者可能出现的表现是
患者男性，40岁，“胆石症”10余年。2h前饮酒后出现剧烈上腹痛并向腰背放射，伴恶心、呕吐和发热。查体：血压80/50mmHg，脉搏120/min，巩膜轻度黄染，上腹明显压痛，伴反跳痛及肌紧张，移动性浊音阳性。血清淀粉酶1000U/L(Somogyi法)，血钙1.5 mmol/L，血糖18mmol/L。 诊断应首先考虑
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