问题 单项选择题

患者,男,43岁,10余年前每于夏季在腹股沟、大腿内侧、腋下出现皮疹,主要表现为红斑、小水疱,自觉瘙痒.抓挠后有渗出。一般夏季加重,冬季缓减,每年反复发作。其父有类似病史。皮科情况:双腋下0.5cm×1.Ocm~1.Ocm×2.Ocm大小红斑,无糜烂及渗液;双大腿根部内侧大片红斑,中央糜烂渗液,有异味。红斑边缘见黄豆大水疱,壁松弛,疱液混浊,尼氏征阳性。

根据以上病史及临床表现该病可诊断为()。

A.寻常性天疱疮

B.大疱性类天疱疮

C.家族性慢性良性天疱疮

D.疱疹样天疱疮

E.湿疹

答案

参考答案:C

单项选择题
问答题

Ragtime is a musical form that synthesizes folk melodies and musical techniques into a brief quadrille-like structure, designed to be played—exactly as written—on the piano. (46) A p analogy exists between European composers like Ralph Vaughan Williams and Edward Grieg, who combined folk tunes and their own original materials in larger compositions and the pioneer composers in the United States. Composers like Scott Joplin and James Scott were in a sense collectors or musicologists, collecting dance and folk music in Black communities and consciously shaping it into brief suites or anthologies called piano rags.

It has sometimes been charged that ragtime is mechanical. For instance, Wilfred Mellers comments, "rags were transferred to the pianola roll and, even if not played by a machine, should be played like a machine, with meticulous precision." (47)However, there is no reason to assume that ragtime is inherently mechanical simply because commercial manufacturers applied a mechanical recording method to it, the only way to record pianos at that date. Ragtime’s is not a mechanical precision, and it is not precision limited to the style of performance. It arises from ragtime’s following a well-defined form and obeying simple rules within that form.

The classic formula for the piano rag disposes three to five themes in sixteen-bar strains, often organized with repeats. (48)The rag opens with a bright, memorable strain or theme, followed by a similar theme, leading to a melody of marked lyrical character, with the structure concluded by a lyrical strain that parallels the rhythmic developments of the earlier themes. The aim of the structure is to rise from one theme to another in a stair-step manner, ending on a note of triumph or exhilaration. Typically, each strain is divided into two 8-bar segments that are essentially alike, so the rhythmic-melodic unit of ragtime is only eight bars of 2/4 measure. (49) Therefore, not concerned with development of musical themes, the ragtime composer instead sets a theme down intact, in finished form, and links it to various related themes that are brief with clear melodic figures. Tension in ragtime compositions arises from a polarity between two basic ingredients: a continuous bass—called by jazz musicians a boom-chick bass--in the pianist’s left hand, and its melodic, syncopated counterpart in the right hand.

Ragtime remains distinct from jazz both as an instrumental style and as a genre. Ragtime style stresses a pattern of repeated rhythms, not the constant inventions and variations of jazz. (50)As a genre, ragtime requires strict attention to structure, not inventiveness or virtuosity, existing as a tradition, a set of conventions, a body of written scores, separate from the individual players associated with it. In this sense ragtime is more akin to folk music of the nineteenth century than to jazz.

(46) A p analogy exists between European composers like Ralph Vaughan Williams and Edward Grieg, who combined folk tunes and their own original materials in larger compositions and the pioneer composers in the United States.