题目内容
For Tony Blair, the outside world is a place of moral certainty. There are good guys and bad guys, and what needs to be done is pretty clear. Home, by contrast, is a messy sort of place, where the prime minister’s job is not to uphold eternal values but to force through some unpopular changes that may make the country work a bit better. So, if, as Britain dispatches 1,700 marines to help finish off the bad guys in Afghanistan, Mr. Blair cuts a more impressive figure abroad than he does at home, it is not surprising. Mr. Blair’s government is at that dangerous stage. The gloss of last year’s landslide(政党或候选人的胜利) has worn off; the next election is too far away to foster unity among the Labor Party and its allies; fighting the battles that need to be fought seems like hard work. No wonder Mr. Blair is not looking so steady. The area where this is most obvious, and where it matters most is the public services. Mr. Blair faces a difficulty here which is partly of his own making. By focusing his last election campaign on the need to improve hospitals, schools, transport and policing, he built up expectations. And he has been admirably frank about how that improvement needs to be achieved. A lazier and more cynical prime minister might have blamed past failure on Tory under funding, thrown some more money at the relevant ministries and hoped for the best. Mr. Blair has said many times those reforms in the way the public services work need to go alongside increases in cash. The trouble is that public services are, for the most part, people--teachers, doctors, nurses, policemen--so reforming them means changing working practices. People don’t much like having new ways of working forced on them, and their unions see resisting change as their raison d’etre(存在的目的或理由). So the hardest part of the government’s task is getting the unions to agree to change. Mr. Blair has made his task harder by committing a classic negotiation error. Instead of extracting concessions from the other side before promising his own, he has pledged himself to higher spending on public services without getting a commitment to change from the unions. Nor are other ministries conveying quite the same message as the treasury. On March 19th, John Hutton, a health minister, announced that cleaners and catering staff in new privately funded hospitals working for the National Health Service will still be government employees, entitled to the same pay and conditions as other health service workers. Since one of the main ways in which the government hopes to reform the public sector is by using private providers, and since one of the main ways in which private providers are likely to be able to save money is by cutting labor costs. this move seems to undermine the government’s strategy. At the time when the article was written, the situation in Britain’s public services seems to be ______.
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用于子宫异常出血的诊断（）
American dramas and sitcoms (连续剧) would have been candidates for prime time several years ago. But today those programs--though some remain popular- increasingly occupy fringe times slots on foreign networks. Instead, a growing number of shows produced by local broadcasters are on the air at the best times. The shift counters longstanding assumptions that TV shows produced in the United States would continue to overshadow locally produced shows from Singapore to Sicily. The changes are coming at a time when the influence of the United States on_ international affairs has chafed (使恼火) friends and foes, and some people are expressing relief that at least on television American culture is no longer quite the force it once was. "There has always been a concern that the image of the world would be shaped too much by American culture," said Dr. Jo Groebek, director general of the European Institute for the Media, a non-profit group. Given the choice, he adds, foreign viewers often prefer homegrown shows that better reflect local tastes, cultures and historical events. Unlike in the United States, commercial broadcasting in most regions of the world--including Asia, Europe and a lesser extent Latin American, which has a long history of commercial TV--is a relatively recent development. A majority of broadcasters in many countries were either state-owned or state- subsidized for much of the last century. Governments began to relax their control in the 1980’s by privatizing national broadcasters and granting licenses to dozens of new commercial networks. The rise of cable and satellite pay-television increased the spectrum of channels. Relatively inexperienced and often financed on a shoestring, these new commercial stations needed hours of programming fast. The cheapest and easiest way to fill airtime was to buy shows from American studios, and the bidding wars for popular shows were fierce. The big American studios took advantage of that demand by raising prices and forcing foreign broadcasters to buy less popular programs if they wanted access to the best-selling shows and movies. "The studios priced themselves out of prime time," said Harry Evans Sloan, chairman of SBS Broadcasting, a Pan-European broadcaster. Mr. Sloan estimates that over the last decade, the price &American programs has increased fivefold even as the international ratings for these shows have declined. American broadcasters are still the biggest buyers of American-made television shows, accounting for 90% of the $25 billion in 2001 sales. But international sales which totaled $2.5 billion last year often make the difference between a profit and a loss on a show. As the pace of foreign sales slows--the market is now growing at 5% a year, down from the double-digit growth of the 1990’s--studio executives are rethinking production costs. The main reason why American dramas and sitcoms are driven out of prime time is that ______.
(3～5题共用病例)23岁妇女，停经lO周，阴道不规则流血10余天，量不多，呈暗红色，血中伴有小水泡物，妇科检查：B．Pl40／90mmH9，子宫前倾，如孕4个月大，两侧附件可触到鹅卵大、囊性、活动良好、表面光滑的肿物。 本病例最可能的诊断是
American dramas and sitcoms (连续剧) would have been candidates for prime time several years ago. But today those programs--though some remain popular- increasingly occupy fringe times slots on foreign networks. Instead, a growing number of shows produced by local broadcasters are on the air at the best times. The shift counters longstanding assumptions that TV shows produced in the United States would continue to overshadow locally produced shows from Singapore to Sicily. The changes are coming at a time when the influence of the United States on_ international affairs has chafed (使恼火) friends and foes, and some people are expressing relief that at least on television American culture is no longer quite the force it once was. "There has always been a concern that the image of the world would be shaped too much by American culture," said Dr. Jo Groebek, director general of the European Institute for the Media, a non-profit group. Given the choice, he adds, foreign viewers often prefer homegrown shows that better reflect local tastes, cultures and historical events. Unlike in the United States, commercial broadcasting in most regions of the world--including Asia, Europe and a lesser extent Latin American, which has a long history of commercial TV--is a relatively recent development. A majority of broadcasters in many countries were either state-owned or state- subsidized for much of the last century. Governments began to relax their control in the 1980’s by privatizing national broadcasters and granting licenses to dozens of new commercial networks. The rise of cable and satellite pay-television increased the spectrum of channels. Relatively inexperienced and often financed on a shoestring, these new commercial stations needed hours of programming fast. The cheapest and easiest way to fill airtime was to buy shows from American studios, and the bidding wars for popular shows were fierce. The big American studios took advantage of that demand by raising prices and forcing foreign broadcasters to buy less popular programs if they wanted access to the best-selling shows and movies. "The studios priced themselves out of prime time," said Harry Evans Sloan, chairman of SBS Broadcasting, a Pan-European broadcaster. Mr. Sloan estimates that over the last decade, the price &American programs has increased fivefold even as the international ratings for these shows have declined. American broadcasters are still the biggest buyers of American-made television shows, accounting for 90% of the $25 billion in 2001 sales. But international sales which totaled $2.5 billion last year often make the difference between a profit and a loss on a show. As the pace of foreign sales slows--the market is now growing at 5% a year, down from the double-digit growth of the 1990’s--studio executives are rethinking production costs. Which of the following best characterizes the image embodied in American shows
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