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Recent studies have identified four major global environmental risks: (36) rain, ozone depletion, (37) and the greenhouse effect. On the whole, thanks to technological changes, people now (38) to move toward warmer regions in North America and Europe. Climate warming will probably be a (39) to Alaska, which is America’s (40) productive state in Gross National Product (GNP) per square mile. Studies of the (41) of global warming on the United States and other developed regions find that the most vulnerable areas are those (42) on undamaged ecosystems -- on naturally (43) rainfall, run-off and temperatures, and the extreme of these variables. Agriculture, forestry and coastal activities fall into this category. (44) . Intensive-care units pf hospitals, communications, heavy manufacturing and microelectronics are among the sectors likely to be unaffected by climate change. In selecting whether to set up in, say , Hong Kong or in Warsaw, few businesses will consider temperature a weighty factor. (45) About 3% of American GNP originates in climate-sensitive sectors such as farming and forestry. Another 10% comes from sectors only modestly sensitive -- energy, water systems, property and construction. (46) .

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男,24岁。低热、右下腹痛、腹泻3个月。有时腹泻便秘交替。消瘦、贫血。血沉40mm/h,钡餐检查:回盲部粘膜粗乱,充盈不佳,呈“跳跃征”(Stierlin征)

A. 肠易激综合征
B. 肠结核
Crohn 病
D. 溃疡性结肠炎
E. 结肠癌
F. 下列各例的诊断最可能是

某男患者,65岁。患胃癌4年,晚期,已失去手术治疗价值,生命垂危。家属再三恳求医师,希望能满足病人心理上的渴求,收他入院。医生出于“人道”,将他破格地收入院。究竟该不该收治这个病人。 按医院的职能和任务要求,下列哪点是错的

A. 医院担负治病救人的任务,应该收治这个病人
B. 医院治病救人对所有病人都应一视同仁
C. 治愈率、床位周转率是考核医院效益的指标,因而不能收治晚期癌症病人
D. 病人家属已同意支持医药费,对医院经济管理无影响
E. 在医院内,病人有安全感,心理状态好

_____________________ (不到两年的光景), Mary matured and became a beautiful young lady.

某患者夜间突发急腹症被送到某医院看急诊,初诊为急性胆囊炎。负责医师因自己年轻,怕担风险,未作任何处理,即让家属把患者送到10公里外的中心医院就诊,延误了治疗时间,致使病人胆囊穿孔,中毒性休克。后虽经抢救挽救了生命,但医药费用去2万多元。 对该医师的正确伦理评价是

A. 没有什么问题,不想接诊的病人就可以让他转诊
B. 没有什么问题,风险太大时首先要保护好自己
C. 没有什么问题,当时情况可以转诊
D. 错误,违反首诊负责制要求,给病人造成严重伤害
E. 错误,没有把这件事报告给院长,擅自决定转诊

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