单项选择题
男性患者,40岁,颈痛反复发作3年,常觉“落枕”。1年前开始觉得左肩痛,并放射至前臂桡侧及拇指,麻木,有屈肘无力,近3个月开始,觉双下肢麻木,行走时下肢发紧,胸部有束带感,体检:屈肘肌力减弱,双下肢肌力正常,肱二头肌反射减弱,双Hoffmann征阳性,膝反射亢进,踝阵挛阴性,巴宾斯基征阴性。 |
如患者出现行走不稳,下肢肌力减退,肌张力增高,踝阵挛阳性,巴宾斯基征阳性,治疗方案为
A.小重量颈椎牵引
B.颈托固定
C.理疗
D.服用抗炎药物
E.手术治疗颈部制动
单项选择题
At the beginning of the twentieth century, North American society held, as an ideal, the Nuclear Family. This presumably perfect residential, social, and economic unit consisted of an adult male, an adult female and their minor children. This structure was thought to be stable and long lasting. However, a few decades later, the structure of that ideal family was being altered radically even while it was being touted as the structure to be aimed for. Popular magazines bemoaned the loss of the Nuclear Family and its replacement with inferior forms. There are a number of factors that are acting in concert to apply pressure on the Nuclear Family and generate a variety of new structures. Some of these are: The definition of marriage has changed somewhat in that few people now consider it to last "until death do us part." The concept of monogamy (the marriage of one man and one woman) has been modified to a form now referred to as serial monogamy (the marriage of one man and one woman at a time). This reflects the increasing equality of women and men in terms of economic advantage and the recognition that many women no longer depend on men for their survival. Women are acquiring independence and have become empowered to make their own choices. With this independence, the need to form a relationship with a man becomes less important. This change embodies the concept that the marriage is temporary and can be terminated by either partner at any time. Associated with this, of course, is the relaxation of the divorce laws and the significant reduction of the shame that had one time been attached to divorce. The economy of North America has resulted in a two-tier system of a few rich who control most of the resources and a large portion of the population who control almost none of the resources. Because of this, many couples are forced to have both partners with full-time jobs outside the home. There are unintended byproducts of the need for a double income. The most important of these is the replacement of a mother-oriented socialization of children to a "stranger-oriented" socialization system reflected in the growth of the childcare industry. Also, either partner is financially able to end the marriage without significant hardship. The combination of these changes will in the coming decades have a profound effect on the structure of the family of North America. As a result, the family will be a fluid, constantly changing structure with variable household arrangements as the norm. |
In the middle of the twentieth century, people in North America______.
A.were tired of the Nuclear Family
B.wanted to give up the Nuclear Family
C.believed that the Nuclear Family was hopeful
D.were indifferent to the Nuclear Family