头颈部出血、上臂出血、下肢出血时,如何有效实施指压法止血?
(1)头颈部出血:在气管外侧与胸锁乳突肌锁骨头外侧,摸到锁骨下动脉,将其向后方压至颈椎。
(2)上臂出血:根据受伤部位压迫腋动脉或肱动脉。在腋窝中点用拇指将腋动脉压至肱骨头;在肱二头肌内侧用四指指腹将肱动脉压至肱骨干。
(3)下肢出血:在髂前止嵴与耻骨联合连接中点,用拇指将股动脉压至耻骨上。
暂无解析
5岁小儿,1个月来消瘦,乏力,低热。查体:颈部淋巴结肿大,肺部无啰音,肝肋下1cm,结核菌素试验(++)。胸片:右肺可见哑铃状双极影。诊断为()
Accordingtothecontract,afterreceiptofthepreliminaryshippingadvice,youarekindlyrequestedtoopenwiththeBankofChinatherelativeL/Cinourfavourwithintendays.
Alargenumberofyoungpeoplecannotfindajobwhentheyleaveuniversity.Whatproblemswillyouthunemploymentcauseforindividualsandforsociety?Givesomemeasurestohelpreduceunemployment.
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Whilethefreehealthcliniccosts$1milliontooperate,itis$500000lessthanthecoststhecompanywouldrealizeifemployeesweretreatedelsewhere.
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相比公立学校,私立学校能提供更好的师资,更完善的教学设施和更高的教学质量。
Insomeculturesoldpeoplearemorevalued,whileinotherculturestheyouthismorevalued.Discussboththeseviewsandgiveyourownopinion.
8However,EdwardsbelievesthesmallchangesinsolarheatingproducedbyMilankovitchcyclesarethenamplifiedbyfeedbackmechanismsonEarth.Forexample,ifseaicebeginstoformbecauseofaslightcooling,carbondioxidethatwouldotherwisehavefounditswayintotheatmosphereaspartofthecarboncycleislockedintotheice.ThatweakensthegreenhouseeffectandEarthgrowsevencolder.
9AccordingtoEdwards,thereisnolackofsuchmechanisms."Ifyouaddtheireffectstogether,thereismorethanenoughfeedbacktomakeMilankovitchwork,"hesays."Theproblemnowisidentifyingwhichmechanismsareatwork."ThisiswhyscientistslikeEdwardsarenotyetreadytogiveuponthecurrenttheory."Milankovitchcyclesgiveusiceagesroughlywhenweobservethemtohappen.Wecancalculatewhereweareinthecycleandcompareitwithobservation,"hesays."Ican'tseeanywayoftesting[Ehrlich's]ideatoseewhereweareinthetemperatureoscillation."
10Ehrlichconcedesthis."Ifthereisawaytotestthistheoryonthesun,Ican'tthinkofonethatispractical,"hesays.That'sbecausevariationover41,000to100,000yearsistoogradualtobeobserved.However,theremaybeawaytotestitinotherstars:reddwarfs.Theircoresaremuchsmallerthanthatofthesun,andsoEhrlichbelievesthattheoscillationperiodscouldbeshortenoughtobeobserved.Hehasyettocalculatethepreciseperiodortheextentofvariationinbrightnesstobeexpected.
11NigelWeiss,asolarphysicistattheUniversityofCambridge,isfarfromconvinced.HedescribesEhrlich'sclaimsas"utterlyimplausible".EhrlichcountersthatWeiss'sopinionisbasedonthestandardsolarmodel,whichfailstotakeintoaccountthemagneticinstabilitiesthatcausethetemperaturefluctuations.
Questions1-4
CompleteeachofthefollowingstatementswithOneorTwonamesofthescientistsfromtheboxbelow.
WritetheappropriatelettersA-Einboxes1-4onyouranswersheet.
A.AttilaGrandpierre
B.Gáborágoston
C.NeilEdwards
D.NigelWeiss
E.RobertEhrlich
1....claimsthereadimmerswitchinsidethesunthatcausesitsbrightnesstoriseandfallinperiodsaslongasthosebetweeniceagesonEarth.
2....calculatedthattheinternalsolarmagneticfieldscouldproduceinstabilitiesinthesolarplasma.
3....holdsthatMilankovitchcyclescaninducechangesinsolarheatingonEarthandthechangesareamplifiedonEarth.
4....doesn'tbelieveinEhrlich'sviewpointsatall.
Questions5-9
Dothefollowingstatementsagreewiththeinformationgiveninthereadingpassage?
Inboxes5-9onyouranswersheetwrite
TRUEifthestatementistrueaccordingtothepassage
FALSEifthestatementisfalseaccordingtothepassage
NOTGIVENiftheinformationisnotgiveninthepassage
5.Theiceageschangedfrequencyfrom100,000to41,000yearsamillionyearsago.
6.ThesoleproblemthattheMilankovitchtheorycannotsolveistoexplainwhytheiceagefrequencyshouldshiftfromonetoanother.
7.Carbondioxidecanbelockedartificiallyintoseaicetoeliminatethegreenhouseeffect.
8.SomescientistsarenotreadytogiveuptheMilankovitchtheorythoughtheyhaven'tfiguredoutwhichmechanismsamplifythechangesinsolarheating.
9.BothEdwardsandEhrlichbelievethatthereisnopracticalwaytotestwhenthesolartemperatureoscillationbeginsandwhenends.
Questions10-14
Completethenotesbelow.
ChooseonesuitablewordfromtheReadingPassageaboveforeachanswer.
Writeyouranswersinboxes10-14onyouranswersheet.
Thestandardviewassumesthattheopposingpressuresofgravityandnuclearfusionsholdthetemperature...10...inthesun'sinterior,buttheslightchangesintheearth's...11...alterthetemperatureontheearthandcauseiceagesevery100,000years.ABritishscientist,however,challengesthisviewbyclaimingthattheinternalsolarmagnetic...12...caninducethetemperatureoscillationsinthesun'sinterior.Thesun'scoretemperatureoscillatesarounditsaveragetemperaturein...13...lastingeither100,000or41,000years.Andthe...14...interactionswithinthesun'smagneticfieldcouldflipthefluctuationsfromonecyclelengthtotheother,whichexplainswhytheiceageschangedfrequencyamillionyearsago.
试题">1There'sadimmerswitchinsidethesunthatcausesitsbrightnesstoriseandfallontimescalesofaround100,000years-exactlythesameperiodasbetweeniceagesonEarth.Sosaysaphysicistwhohascreatedacomputermodelofourstar'score.
2RobertEhrlichofGeorgeMasonUniversityinFairfax,Virginia,modelledtheeffectoftemperaturefluctuationsinthesun'sinterior.Accordingtothestandardview,thetemperatureofthesun'scoreisheldconstantbytheopposingpressuresofgravityandnuclearfusion.However,Ehrlichbelievedthatslightvariationsshouldbepossible.
3HetookashisstartingpointtheworkofAttilaGrandpierreoftheKonkolyObservatoryoftheHungarianAcademyofSciences.In2005,Grandpierreandacollaborator,Gáborágoston,calculatedthatmagneticfieldsinthesun'scorecouldproducesmallinstabilitiesinthesolarplasma.Theseinstabilitieswouldinducelocalisedoscillationsintemperature.
4Ehrlich'smodelshowsthatwhilstmostoftheseoscillationscanceleachotherout,somereinforceoneanotherandbecomelong-livedtemperaturevariations.Thefavouredfrequenciesallowthesun'scoretemperaturetooscillatearounditsaveragetemperatureof13.6millionkelvinincycleslastingeither100,000or41,000years.Ehrlichsaysthatrandominteractionswithinthesun'smagneticfieldcouldflipthefluctuationsfromonecyclelengthtotheother.
5ThesetwotimescalesareinstantlyrecognisabletoanyonefamiliarwithEarth'siceages:forthepastmillionyears,iceageshaveoccurredroughlyevery100,000years.Beforethat,theyoccurredroughlyevery41,000years.
6MostscientistsbelievethattheiceagesaretheresultofsubtlechangesinEarth'sorbit,knownastheMilankovitchcycles.OnesuchcycledescribesthewayEarth'sorbitgraduallychangesshapefromacircletoaslightellipseandbackagainroughlyevery100,000years.ThetheorysaysthisalterstheamountofsolarradiationthatEarthreceives,triggeringtheiceages.However,apersistentproblemwiththistheoryhasbeenitsinabilitytoexplainwhytheiceageschangedfrequencyamillionyearsago.
7"InMilankovitch,thereiscertainlynogoodideawhythefrequencyshouldchangefromonetoanother,"saysNeilEdwards,aclimatologistattheOpenUniversityinMiltonKeynes,UK.NoristhetransitionproblemtheonlyonetheMilankovitchtheoryfaces.EhrlichandothercriticsclaimthatthetemperaturevariationscausedbyMilankovitchcyclesaresimplynotbigenoughtodriveiceages.
8However,EdwardsbelievesthesmallchangesinsolarheatingproducedbyMilankovitchcyclesarethenamplifiedbyfeedbackmechanismsonEarth.Forexample,ifseaicebeginstoformbecauseofaslightcooling,carbondioxidethatwouldotherwisehavefounditswayintotheatmosphereaspartofthecarboncycleislockedintotheice.ThatweakensthegreenhouseeffectandEarthgrowsevencolder.
9AccordingtoEdwards,thereisnolackofsuchmechanisms."Ifyouaddtheireffectstogether,thereismorethanenoughfeedbacktomakeMilankovitchwork,"hesays."Theproblemnowisidentifyingwhichmechanismsareatwork."ThisiswhyscientistslikeEdwardsarenotyetreadytogiveuponthecurrenttheory."Milankovitchcyclesgiveusiceagesroughlywhenweobservethemtohappen.Wecancalculatewhereweareinthecycleandcompareitwithobservation,"hesays."Ican'tseeanywayoftesting[Ehrlich's]ideatoseewhereweareinthetemperatureoscillation."
10Ehrlichconcedesthis."Ifthereisawaytotestthistheoryonthesun,Ican'tthinkofonethatispractical,"hesays.That'sbecausevariationover41,000to100,000yearsistoogradualtobeobserved.However,theremaybeawaytotestitinotherstars:reddwarfs.Theircoresaremuchsmallerthanthatofthesun,andsoEhrlichbelievesthattheoscillationperiodscouldbeshortenoughtobeobserved.Hehasyettocalculatethepreciseperiodortheextentofvariationinbrightnesstobeexpected.
11NigelWeiss,asolarphysicistattheUniversityofCambridge,isfarfromconvinced.HedescribesEhrlich'sclaimsas"utterlyimplausible".EhrlichcountersthatWeiss'sopinionisbasedonthestandardsolarmodel,whichfailstotakeintoaccountthemagneticinstabilitiesthatcausethetemperaturefluctuations.
Questions1-4
CompleteeachofthefollowingstatementswithOneorTwonamesofthescientistsfromtheboxbelow.
WritetheappropriatelettersA-Einboxes1-4onyouranswersheet.
A.AttilaGrandpierre
B.Gáborágoston
C.NeilEdwards
D.NigelWeiss
E.RobertEhrlich
1....claimsthereadimmerswitchinsidethesunthatcausesitsbrightnesstoriseandfallinperiodsaslongasthosebetweeniceagesonEarth.
2....calculatedthattheinternalsolarmagneticfieldscouldproduceinstabilitiesinthesolarplasma.
3....holdsthatMilankovitchcyclescaninducechangesinsolarheatingonEarthandthechangesareamplifiedonEarth.
4....doesn'tbelieveinEhrlich'sviewpointsatall.
Questions5-9
Dothefollowingstatementsagreewiththeinformationgiveninthereadingpassage?
Inboxes5-9onyouranswersheetwrite
TRUEifthestatementistrueaccordingtothepassage
FALSEifthestatementisfalseaccordingtothepassage
NOTGIVENiftheinformationisnotgiveninthepassage
5.Theiceageschangedfrequencyfrom100,000to41,000yearsamillionyearsago.
6.ThesoleproblemthattheMilankovitchtheorycannotsolveistoexplainwhytheiceagefrequencyshouldshiftfromonetoanother.
7.Carbondioxidecanbelockedartificiallyintoseaicetoeliminatethegreenhouseeffect.
8.SomescientistsarenotreadytogiveuptheMilankovitchtheorythoughtheyhaven'tfiguredoutwhichmechanismsamplifythechangesinsolarheating.
9.BothEdwardsandEhrlichbelievethatthereisnopracticalwaytotestwhenthesolartemperatureoscillationbeginsandwhenends.
Questions10-14
Completethenotesbelow.
ChooseonesuitablewordfromtheReadingPassageaboveforeachanswer.
Writeyouranswersinboxes10-14onyouranswersheet.
Thestandardviewassumesthattheopposingpressuresofgravityandnuclearfusionsholdthetemperature...10...inthesun'sinterior,buttheslightchangesintheearth's...11...alterthetemperatureontheearthandcauseiceagesevery100,000years.ABritishscientist,however,challengesthisviewbyclaimingthattheinternalsolarmagnetic...12...caninducethetemperatureoscillationsinthesun'sinterior.Thesun'scoretemperatureoscillatesarounditsaveragetemperaturein...13...lastingeither100,000or41,000years.Andthe...14...interactionswithinthesun'smagneticfieldcouldflipthefluctuationsfromonecyclelengthtotheother,whichexplainswhytheiceageschangedfrequencyamillionyearsago.
一个人的成长绝大部分取决于后天环境。