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问题 单项选择题

睡眠障碍中，临床上多发生于遇到重大生活事件的人或神经症患者的是（）

A.入睡困难

B.易醒

C.多梦

D.睡眠困难

E.早醒型

答案

参考答案：A

多项选择题

有关宫颈糜烂，下列说法正确的是（）。

A.并非真正有糜烂面

B.分为单纯型、颗粒型及乳突型三类

C.糜烂面占整个子宫颈面积的1／3为轻度糜烂

D.鳞状上皮细胞取代柱状上皮细胞则糜烂愈合
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单项选择题

Questions 6～10


It is Monday morning, and you are having trouble waking your teenagers. You are not alone. Indeed, each morning, few of the country’s 17 million high school students are awake enough to get much out of their first class, particularly if it starts before 8 am. Sure, many of them stayed up too late the night before, but not because they wanted to.
Research shows that teenagers’ body clocks are set to as schedule that is different from that of younger children or adults. This prevents adolescents from dropping off until around 11 pm, when they produce the sleep-inducing hormone melatonin, and waking up much before 8 am when their bodies stop producing melatonin.
The result is that the first class of the morning is often a waste, with as many as 28 percent of students falling asleep; according to a National Sleep foundation poll. Some are so sleepy they do not even show up, contributing to failure and dropout rates.
Here is an idea: stop focusing on testing and instead support changing the hours of the school day, starting it later for teenagers and ending it later for all children. Indeed, no one does well when they are sleep-deprived, but insufficient sleep among children has been linked to obesity and to learning issues like attention deficit/hyperactivity disorder. You would think this would spur educators to take action, and a few have.
In 2002, high schools in Jessamine County in Kentucky pushed back the first bell to 8:40 am, from 7:30 am. Attendance immediately went up, as did scores on standardized tests, which have continued to rise each year. In Minneapolis and Edina, Minnesota, which instituted high school start times of 8:40 am and 8:30 am respectively in 1997, students’ grades rose slightly and lateness, behavioral problems and dropout rates decreases. Later is also safer. When high schools in Fayette County in Kentucky delayed their start times to 8:30 am, the number of teenagers involved in car crashes dropped, even as they rose in the state.
So why has not every school board moved back that first bell Well, it seems that improving teenagers’ performance takes a back seat to more pressing concerns: the cost of additional bus service, the difficulty of adjusting after school activity schedules and the inconvenience to teachers and parents.
But few of these problems actually come to pass, according to the Center for Applied Research and Educational Improvement at the University of Minnesota. In Kentucky and Minnesota, simply flipping the starting times for the elementary and high schools meant no extra cost for buses.
There are other reasons to start and end school at a later time. According to Paul Reville, a professor of education policy at Harvard and chairman of the Massachusetts Board of Education, "trying to cram everything out 21th-century students need into a 19th-century six-and-a-half-hour day just isn’t working". He said that children learn more at a less frantic pace, and that lengthening the school day would help "close the achievement gap between disadvantaged students and their better-off peers".

According to the passage, what determines a person’s body clock is ______.

A. melatonin production
B. one’s lifestyle
C. schedule setting
D. one’s sleep patterns
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