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患者，女，38岁，淋漓阴道出血2个月。平素月经规律，经量多，持续时间长，今为脓性血性分泌物 最可能诊断为
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Text 2People who begin to go deaf in adult life have different problems from those who are born deaf. They have to learn different ways of behaving and different ways of communicating—perhaps at a time when learning is not at all that easy. A hearing aid is not a complete solution to the problem. The sound perceived by the deaf person through a hearing aid is distorted and appears to have more background noise than is heard by someone with normal hearing. Deafened people have to lipread as well.Lipreading is difficult, demands intense concentration, and an uninterrupted direct view of the speaker’s face. No other activities can take place at the same time: the lipreader has to stop eating, stop reading, stop washing up, stop mending, stop everything in order to concentrate on hearing. It is not a question of stupidity or bad temper—as it sometimes appears to be—but a question of being very easy to misunderstand when the sound is distorted. Remember what it’s like trying to communicate on a very bad telephone line. Frustrating, isn’t it The deaf have to face that all the time.A useful way of looking at the problem is to see the deaf person as a foreigner—to treat them as if you were in a foreign country. You would speak more clearly, slowly and raise your voice slightly. And you’d use gestures to make your meaning clear, as well as have no hesitation in using pencil and paper to be absolutely certain. You can do all those things with the deaf—as well as making sure you don’t obscure your mouth with your hand, a pipe or a cigarette.Another point quite often overlooked is that a hearing aid may be quite efficient and useful in a quite carpeted room—but try it in the high street in the rush hour, in a noisy car, in a railway station ticket office, a cinema or a concert hall and you’ve got a really difficult problem to distinguish speech. So don’t suggest to or encourage deaf people to go to functions which are going to make their disability appear worse—and increase their sense of failure.On the other hand careful selection of cinemas with good sound systems is important and you should experiment to find out where the best seats are for hearing, fitting adaptors for radio and television, observing which friends are easier to understand, and making sure that people talking are well-lit and all useful and positive activities. "Another point quite often overlooked" in Paragraph 4 is that （）.
The task of being accepted and enrolled in a university begins early for some students. Long (1) they graduate from high school. These students take special (2) to prepare for advanced study. They may also take one of more examinations that test how (3) prepared they are for the university. In the final year of high school, they (4) applications and send them, with their student records, to the universities which they hope to (5) . Some high school students may be (6) to have an interview with representatives of the university. Neatly, (7) and usually very frightened, they are (8) to show that they have a good attitude and the (9) to succeed.When the new students are finally (10) , there may be one more step they have to (11) before registering for classes and (12) to work. Many colleges and universities (13) an orientation program for new students. (14) these programs, the young people get to know the (15) for registration and student advising, university rules, the (16) of the library and all the other (17) services of the college or university.Beginning a new life in a new place can be very (18) . The more knowledge students have (19) the school, the easier it will be for them to (20) to the new environment. However, it takes time to get used to college life. 4（）
患者，女，46岁，已生育，2年前查体发现左附件一直径6cm包块，实性，未定期复查。一天前排便后突然下腹痛。妇检：子宫左方可及一直径10cm包块，张力较大，压痛，不活动。B超示左卵巢肿块，内有不均质回声团，腹腔少量积液。 若为恶性卵巢肿瘤，手术中不应
会计工作的政府监督主要是指财政部门代表国家对单位和单位中相关人员的会计行为实施的监督检查，以及对发现的违法会计行为实施行政处罚的一种内部监督。
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