问题 问答题 简答题

在临床循证医学实践中提出临床需要解决的问题是其第一步,请简述临床问题的来源?

答案

参考答案:

1,病史和体格检查:怎样恰当地采集病史及体格检查和解释其发现2,病因:怎样识别疾病的原因(包括医源性)3,临床表现:疾病临床表现的频度和时间,怎样应用这些知识来进行病人的分类4,鉴别诊断:当考虑病人临床表现的可能原因时,怎样鉴别出那些可能的、严重的并对治疗有反映的原因。5,诊断性试验:怎样基与精确性、准确性、可接受性、费用及安全性等因素来选择和解释诊断性试验,以便确定或排除某种诊断。6,预后:怎样估计病人可能的病程和预测可能发生的并发症或结局。7,治疗:怎样为病人选择利大于害,并价有所值的治疗方法。8,预防:怎样通过识别和纠正危险因素来减少疾病的发生及如何通过筛查来早期诊断疾病。

单项选择题

"You’re off to the World Economic Forum " asked the Oxford economist, enviously. "How very impressive. They’ve never invited me."
Three days later, I queued in the snow outside the conference center in Davos, standing behind mink coals and cashmere overcoats, watched over by Swiss policemen with machineguns. "Reporting press You can’t come in here. Side entrance, please." I stood in line again, this time behind Puffa jackets and Newsweek journalists, waiting to collect my orange badge. Once inside. I found that the seminar I wanted to go to was being held in a half-empty room. "You can’t sit here. All seats are reserved for white badges. Coloured badges have to stand."
An acquaintance invited me to a dinner he was hosting: "There are people I’d like you to meet." The green-badged Forum employee stopped me at the door. "This is a participants’ dinner. Orange badges are not allowed." Then, later, reluctantly: "If you’re coming in. please can you turn your badge around Dinners may be upset if they see you’re a colour."
"Why does anyone put up with being treated like this " I asked a Financial Times correspondent. "Because we all live in hope of becoming white badges," he said. "Then we’ll know what’s really going on."
A leading British businessman was wearing a white badge, but it bore a small logo on the top left-hand corner: GLT. "What’s a GLT " I asked.
Ah, he said. "well, it’s a Davos club. I’m a Global Leader for Tomorrow."
"That sounds very important," I said. "Yes." He said, "I thought so myself until I bumped into the man who had sponsored me. On the way to my first meeting. I asked him if he was coming, and he said, "Oh no, dear boy, I don’t bother with that any longer. I’m not a GLT any more I’m an IGWEL." "What’s an IGWEL " I asked him. "A member of Informal Group of World Economic Leaders of Today."
The World Economic Forum has employed a simple psychological truth — that nothing is more desirable than that which excludes us — to brilliant effect. Year after year, its participants apply to return, in the hope that this time they’ll be a little closer to the real elite. Next year, they, too, might be invited to the private receptions for Bill Clinton, Kofi Annan or Bill Gates instead of having to stand on the conference center’s steps like teenage rock fans.
It’s the sheer concentration of individuals in possession of power, wealth or knowledge that makes the privately run Forum so desirable to its participants. The thousand chief executives who attend its annual meeting control, between them, more than 70 percent of international trade. Every year, they are joined by a couple of dozen presidents and prime ministers, by senior journalists, a changing selection of leading thinkers, academics and diplomats, and by rising stars of the business world. Access to the meeting is by invitation only, costs several thousand pounds a time for business participants, and is ruthlessly controlled.

"Mink" in line 4 refers to______.

A.(A) colored badges

B.(B) impressive artificial hide

C.(C) expensive thick fur

D.(D) jackets designed for GLT

单项选择题