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患者，男性，29岁，心慌、乏力、消瘦伴颈部肿大半年，近2个月双下肢活动受限，并伴疼痛，下午为甚。查甲状腺激素水平明显增高，TSH低于正常，血钾3.0mmol/L。 在确定131I治疗剂量时，应考虑的因素中下列哪项不正确
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某女，47岁，甲状腺乳头状腺癌术后1个月就诊，甲状腺显像示残留甲状腺左叶部分甲状腺组织，摄131I率5%。 该患者应进行
For admissions officers reviewing applications is like final-exam week for students--except it lasts for months. Great applications tell us we’ve done our job well, by attracting top-caliber students. But it’s challenging to maintain the frenetic pace without forgetting these are all real people with real aspirations--people whose life stories we are here to unravel, if they will let us. The essay is a key piece of learning those life stories. I live near Los Angeles, where every day screenplays are read without regard for human context. The writer’s life and dreams don’t matter--all that mat ters is the writing, the ideas, the end product. On the other hand, in reading essays, context does matter: who wrote this We are driven to put the jigsaw puzzle together because we think we are building a community, not just choosing neat stories. When I pick up a file, I want to know whether the student has siblings or not, who his parents are, where he went to high school. Then I want the essay to help the rest of the application make sense, to humanize all the numbers that flow past. I am looking for insight. A brilliantly written essay may compel me to look beyond superficial shortcomings in an application. But if no recommendation or grade or test score hints at such writing talent, I may succumb to cynicism and assume the writer had help--maybe too much. In the worst cases, I may find that I have read it before--with name and place changed--on the Internet, in an essay-editing service or a "best essays" hook. The most appealing essays take the opportunity to show a voice not rendered homogeneous and pasteurized. But sometimes the essays tell us too much. Pomona offers this instruction with one essay option: "We realize that not everything done in life is about getting into college. Tell us about something you did that was just plain fun." One student grimly reported that nothing was fun because in his family everything was about getting into college. Every activity, course choice and spare moment. It did spark our sympathy, but it almost led to a call to Child Protective Services as well. Perfection isn’t required. We have seen phenomenal errors in essays that haven’t damaged a student at all. I recall a student who wrote of the July 1969 lunar landing of--I kid you not--Louis Armstrong. I read on, shaking my head. This student was great--a jazz trumpeter who longed to study astronomy. It was a classic slip and perhaps a hurried merging of two personal heroes. He was offered admission, graduated and went on for a PhD in astrophysics. He may not have been as memorable if he had named "Nell" instead of "Louis" in his essay’s opening line. Hey, we’re human, too. An essay that is rough around the edges may still be compelling. Good ideas make an impression, even when expressed with bad punctuation and spelling errors. Energy and excitement can be communicated. I’m not suggesting the "I came, I saw, I conquered" approach to essay writing, nor the "I saved the world" angle taken by some students who write about community-service projects. I’m talking about smaller moments that are well captured. Essays don’t require the life tragedy that so many seem to think is necessary. Not all admission offers come out of sympathy! Admissions officers, even at the most selective institutions, really aren’t looking for perfection in 17-and 18-year-olds. We are looking for the human being behind the roster of activities and grades. We are looking for those who can let down their guard just a bit to allow others in. We are looking for people whose egos won’t get in the way of learning, students whose investment in ideas and words tells us--in the con-text of their records--that they are aware of a world beyond their own homes, schools, grades and scores. A picture, they say, is worth a thousand words. To us, an essay that reveals a student’s unaltered voice is worth much, much more. An admissions officer may doubt whether an excellent essay is written by the applicant himself because
某城市桥梁工程上部结构施工中，负责人对钢梁的安装采用施工图的方法，并且用支架架设法来安装。在安装前，施工时对其相应的构件、零件等进行了检查，以免发生误差造成损失。在用高强度螺栓施拧时，还规定了其扭矩误差不得大于使用扭矩值的土5%的措施。 在高强度螺栓终拧完毕后，对每个栓群或节点检查的螺栓，其不合格者不得超过抽验总数的( )，否则继续抽验。
患者，女性，42岁，1999年体检发现左甲状腺肿块，甲状腺核素显像为冷结节，CT检查示甲状腺内有多个占位病变，血Tg 88μg/L，作左甲状腺全切除术及颈淋巴清扫术，术后病理示甲状腺滤泡状腺癌。2002年2月开始咳嗽，痰中带血丝，X线胸片示甲状腺癌肺转移，131I全身显像提示双肺转移。 分化型甲状腺癌，常用的综合治疗措施不包括
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