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[案例三十二] 某年阴历年底，精神科门诊接待一患者，男，22岁。家属诉：患者刚从外地打工回家，家人在火车站接站时发现患者讲话颠三倒四，问东答西。口中念念有词，喃喃自语。总显害怕的表情，紧紧抓着家人的手。遂前往我科门诊求治。陪同患者回家的工友反映，此前未发现患者异常。两人相约回家过年，在车站排队等候数天均未买到车票，后高价求购一站票方如愿上车。既往体健。 对该患者治疗方案中需要注意
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[案例二十七] 女性患者，18岁，高中学生。因“言语零乱，行为怪异半月”入院。患者刚进入病房，便有冲动伤人行为，无故打另一患者，在病房扰乱秩序，非常兴奋。 此时你作为值班医生，比较妥当的处理是
Cars have traditionally been wasteful beasts. Every time a drop of gas explodes inside a cylinder(气缸), the energy gets passed along from the piston(活塞) to the crankshaft(曲轴), flywheel(飞轮), gearbox, drivetrain, and axles(轮轴). By the time the wheels actually turn, four fifths of the original energy has disappeared. The electric car goes a long way toward reducing wasted energy by replacing the internal-combustion engine with batteries. Even so, electric cars destroy about 60 percent of the energy because mechanical parts are still used to deliver energy from the bakeries to the wheels. Lately, though, engineers have come up with a far more efficient way to accomplish the same task: by using magnets in the wheels. Why do electric cars still waste much of the energy
Officials estimate that the Fort Collins project will cost roughly $ 350 million. The stimulus money kicks in only $ 4.8 million, which leaves the city to do significant fundraising. Money could come from a mix of government, private investments, utility companies, and research and development grants. "It’s a ton of money and there’s no way we can do this on our own, "says Mike Freeman, Fort Collins’s chief financial officer and economic-development guru (专家). "The biggest risk for us is that we won’t have enough money and that this will take 20 years." Fort Collins project call possibly get financial support from all the following source EXCEPT
[案例三十三] 患儿，男，8岁。自幼就比同龄小孩发育慢些，两岁才会走路，会叫爸妈，目前只会讲简单的句子，基本上仅用于表达要求，如“要吃饭”、“妈妈走”，不会进行简单的交流，不会和其他小朋友玩，不会玩玩具。吃饭、大小便不能完全自理，需要家人协助。勉强呆在幼儿园，老师反映患儿什么都学不会，且手脚总动个不停，注意力不集中，上课时满地跑，有时用头撞墙。查体：患者眼眶距宽，两眼外角上斜，内眦赘皮，鼻梁低，通贯掌。精神状况检查：患儿在诊室里手脚动个不停，只会从一数到三，不认识颜色，会用积木搭四层塔，对部分指令不理解，会讲简单的词，不时傻笑，晤谈间突发冲动，用头撞墙。 如予测查智力，你预计此患儿的智商可能为
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