产妇,35岁,孕2产1,妊娠40周临产,产前估计胎儿体重4000g,第一产程顺利,第二产程延长,阴道检查:胎先露棘下2cm,胎头矢状缝在3点和9点,行会阴侧切胎吸助娩,胎头娩出后,前肩嵌顿于耻骨联合上方,常规手法不能娩出胎肩,后反复旋转牵拉胎颈4分钟,最终娩出一男婴,体重4600g,Apgar评分1分钟2分,5分钟10分 最可能的诊断应除外哪项
A. 肩难产
B. 扁平骨盆
C. 巨大儿
D. 骨盆倾斜度过小
E. 新生儿窒息
查看答案
改革开放以来,大批跨国公司进入中国,长期以来,本公司高层招聘和录用人才,并在用才方面采用了科学的管理方法。内部人力资源部一贯坚持“考绩定人事”的原则(他们把员工分为优秀、称职、试用三种,分别享受着不同的待遇,公司规定每半年进行一次业绩考评,并根据考评结果使员工晋升不同的等级)。为了保证考绩的公开、公平、公正,人力资源部负责监督各部门定期召开员工座谈会,把被考评者的上级、下属以及同事召集在一起进行意见交流和沟通,公司还建立了自检、互检与专检制度,严把质量关。每位员工每天上班时都要填写一天当中应当完成的任务,下班时对照复查,对自己做到心中有数。经常对员工进行培训与开发,提高员工自身的不足。 对员工的绩效进行辅导和监控通常会( )。
A. 激发管理者与员工之间的矛盾
B. 降低了员工对完成任务的信心
C. 提高员工的自我效能感
D. 及时发现工作中所存在的问题
患者,女,28岁,G2P0,孕31周,从28周开始反复阴道出血,共4次,出血量少于月经量,不伴腹痛。1天来阴道出血如月经量,立即收入院。检查:BP16/11.2kPa(120/84mmHg),P84次/分,子宫软,无宫缩,头位,儿头高浮,胎心144次/分。 需着手做哪项检查
A. B超检查确定胎盘的位置
B. 尿常规
C. 肛查判断宫颈是否已扩张
D. X线检查
E. 测定血E3判断胎儿是否成熟
患者,女,26岁,妊娠34周,既往体健,下肢水肿、头痛、咳嗽、气短1周,血压165/120mmHg,呼吸32次/分,心率128次/分,双肺底闻及水泡音,LOA,胎心152次/分,尿蛋白(++)。 此孕妇目前的并发症为
A. DIC
B. 胎儿宫内窘迫
C. 胎盘早期剥离
D. 心力衰竭
E. 急性肾功能不全
The relation of language and mind has interested philosophers for many centuries. 61) The Greeks assumed that the structure of language had some connection with the process of thought, which took root in Europe long before people realized how diverse languages could be.Only recently did linguists begin the serious study of languages that were very different from their own. Two anthropologist-linguists, Franz Boas Edward Sapir, were pioneers in describing many native languages of North and South America during the first half of the twentieth century. 62) We are obliged to them because some of them languages have since vanished, as the peoples who spoke them died out or became assimilated and lost their native languages. Other linguists in the earlier part of this century, however, who were less eager to deal with bizarre data from "exotic" language, were not always so grateful. 63) The newly described languages were often so strikingly different from the well studied languages of Europe and Southeast Asia that some scholars even accused Boas and Sapir of fabricating their data. Native American languages are indeed different, so much so in fact that Navajo could be used by the US military as a code during World War II to send secret messages.Sapir’s pupil, Benjamin Lee Whorf, continued the study of American Indian languages. 64) Being interested in the relationship of language and thought, Whorl developed the idea that the structure of language determines the structure of habitual thought in a society. He reasoned that because it is easier to formulate certain concepts and not others in a given language, the speakers of that language think along one track and not along another. 65) Whorf came to believe in a sort of linguistic determinism which in its strongest form, states that language imprisons the mind, and that the grammatical patterns in a language can produce far-reaching consequences for the culture of a society. Later, this idea became to be known as the Sapir-Whorf hypothesis, but this term is somewhat inappropriate. Although both Sapir and Whorf emphasized the diversity of languages, Sapir himself never explicitly supported the notion of linguistic determinism. The Greeks assumed that the structure of language had some connection with the process of thought, which took root in Europe long before people realized how diverse languages could be.