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患者男性，65岁，诊断为胆道泥沙样结石，拟行胆总管空肠Rouxen Y吻合术。WBC 11.5×109/L，中性粒细胞0.75。血清总胆红素162μmol/L，谷丙转氨酶215U/L，凝血酶原时间(PT)18秒。 该病人术前还必须进行哪项检查
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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2天，下列护理措施中不正确的是
男性，56岁。右侧肢体麻木1个月，不能活动伴嗜睡2小时。患者呈嗜睡状态。无头痛，无恶心、呕吐，不发热，二便正常。无心脏病史。查体：T 36．8℃，P 80次/分，R 20次/分，BP 160/90mmHg。嗜睡，双眼向左凝视，双瞳孔等大2mm，光反应正常，右侧鼻唇沟浅，伸舌偏右，心率80次/分，律齐，无异常杂音。右侧上下肢肌力O级，右侧腱反射低，右侧巴氏征(+)。化验：血象正常，血糖8.6mmol/L，脑CT：左颞、顶叶大片低密度病灶。诊断结果为脑栓塞。
Intercultural Team BuildingToday the need to ’go global’ and to cut outgoings is demanding that companies combine protecting international interests whilst keeping down staff (21) The solution in most cases has been the forming of intercultural teams.Undoubtedly, the intercultural dimension of today’s teams brings about new challenges. Successful team building not only (22) the traditional needs to harmonise personalities but also languages, cultures, ways of thinking, behaviours and motivations.The key to successful intercultural team building lies (23) intercultural training. It is one method of helping to blend a team together. Through analysis of the cultures involved in a team, their particular approaches to communication and business and how the team interacts, intercultural team builders are able to find, suggest and use common ground to (24) team members in building harmonious relationships. It helps a team to realise their differences and (25) in areas such as status, hierarchy, decision making, conflict resolution, showing emotion and relationship building in order to create mutually agreed upon structures of communication and interaction. From this (26) teams are then tutored how to recognise future communication difficulties and their cultural roots, empowering the team to become more self-reliant. The end result is a more cohesive and productive team.In conclusion, for intercultural teams to succeed, it is important to stay (27) to the need for intercultural training to help cultivate (28) relationships. Companies must be supportive, proactive and innovative. This goes (29) financing and creating technological links to bring together intercultural teams at surface level and going back to basics by (30) better interpersonal communication. If international businesses are to grow and prosper in this ever contracting world, intercultural synergy must be a priority. 24（）
1．预付工程款是多少 2．从第二个月至第四个月每月的工程量价款是多少工程师应签发的工程款是多少实际签发的付款凭证金额是多少
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