问题 单项选择题

公路汽车客运站的汽车进出站口应符合有关规定,下列( )条有误。

A.一、二级车站汽车进出站口必须分别独立设置

B.汽车进出站口的宽度不宜小于3.5m

C.汽车进出站口应与旅客出入口保持一定的安全距离

D.汽车进出站口应设置必要的引道

答案

参考答案:B

解析:[解答] 进出站口宽度不宜小于7m。

阅读理解与欣赏

阅读下文,完成文后各题。

近年来,一种神奇的保健品“钛项圈”在市场上热销。“钛项圈”种类、款式不一,有手链、腰带、护膝、颈带等,价格从几十元至几千元不等。这些产品的非法广播宣称,“钛项圈”可以缓解疼痛,消除疲劳,甚至还能治愈颈椎病。不少消费者也声称,他们戴了“钛项圈”后脖子比以前舒服多了。这些“钛项圈”真的具有治疗颈椎病的奇特功能吗?实际上,这是安慰剂效应在起作用。

所谓安慰剂效应是指让病人服用对治疗的疾病完全没有药效的中性药剂,但病人却得到了和服用真药一样甚至更好的效果的现象。人类使用安慰剂的历史相当悠久。在抗生素发明以前,医生常常给病人服用一些明知无用的粉末,以安抚那些求生的病人。不过,有些病人果真奇迹般地康复,甚至还平安地度过了鼠疫、猩红热等“鬼门关”。目前,常用的安慰剂有两类,一类是无特殊治疗作用的药物,如葡萄糖、乳糖、生理盐水等;另一类是有一定的治疗作用,但与治疗的疾病无关的药物,如维生素类、葡萄糖酸钙、氨水等。虽然安慰剂本身是无治疗作用的或与治疗疾病无关的一些药物,但在临床应用之后常常出现意想不到的效果。

研究发现,安慰剂能像止痛药一样促进可止疼的内啡肽的释放,对病人的大脑扫描显示安慰剂“点亮”了大脑中的内啡肽。还有研究发现,安慰剂也会促使帕金森病人多巴胺的释放。2004年,医学专家贝内德蒂发现,经过多次条件反射后,生理盐水和真实药剂所引起的帕金森病人的大脑神经细胞模式是一样的,并且都能减少震颤症状。

当然,安慰剂并非对所有疾病、所有病人都有效。这是因为每个人的生活经历、文化程度、精神状态、疾病性质都各有不同,对安慰剂及环境、语言、文字的刺激也有不同的反应。所以,有时安慰剂的治疗常需要与心理疗法相配合才能收效。安慰剂在临床中常用于治疗疼痛、哮喘、食欲不振、精神病、神经衰弱、癔病、麻醉药品成瘾等疾病。虽然安慰剂可用于治疗许多疾病,但仍应避免滥用。因为安慰剂本身疗效不确切,治疗带有一定的盲目性,并非人人有效。同时,有些安慰剂也会产生一定的副反应,可能对人的身体造成一定的损害。

目前,安慰剂效应已经成为某些医生或者诊疗机构医疗造假的工具。安慰剂到底有没有效果,在临床上是否应该使用安慰剂,以及药物是否通过安慰剂效应发挥作用,目前还没有一个清晰明确的答案。但是,就像很多复杂问题一样,这个问题的答案绝不会是个“一刀切”的结论,对于不同的病人、不同的药物、不同的疾病,答案各有不同。事实上,这并不矛盾,

现代医学已经从生物医学模式转向了“生物—精神—社会”医学模式,苦涩的药片、冰冷的手术刀的医学时代已经过去了,心理因素和社会因素在人类疾病产生和治愈过程中的作用已经得到医学界的共识。

小题1:下列各项中对“安慰剂效应”理解正确的一项是(   )

A.安慰剂效应是指让病人服用对治疗的疾病完全没有药效的中性药剂,但病人却得到了比服用真药更好的效果的现象。

B.安慰剂效应是通过使用对治疗的疾病完全没有药效的中性药剂,使病人收到疗效的现象。

C.安慰剂效应是让病人服用完全没有药效的中性药剂,通过心理作用使病人收到疗效的现象。

D.安慰剂效应虽然并非人人有效,但使用的是对身体没有损伤的中性药剂,所以可以广泛应用。小题2:下列表述符合原文意思的一项是(   )

A.葡萄糖、葡萄糖酸钙、乳糖、生理盐水等安慰剂药物虽然没有特殊治疗作用,但在实际应用中常常出现意想不到的效果。

B.安慰剂并非对所有疾病、所有病人都有效,它常需要与心理疗法相配合才有效,这与病人的个人差异有关。

C.由于安慰剂效应在起作用,因而市面上销售的“钛项圈”都能缓解疼痛,消除疲劳,甚至还能治愈颈椎病。

D.现代医学已进入“生物—精神—社会”医院模式,心理因素和社会因素在人类疾病治愈过程中起主要作用。小题3:根据原文提供的信息,下列推断不正确的一项是(   )

A.在治疗某种疾病的药物没有发明之前,医生可以尝试用安慰剂对这种疾病进行治疗,或许会出现奇迹。

B.安慰剂效应不仅仅是心理作用,它还可以通过心理因素对大脑的生理状态产生调节作用。

C.病人的精神状态越乐观、生活阅历越丰富、文化程度越高,安慰剂对他们的治疗效果越好。

D.安慰剂效应告诉我们,原来“身”与“心”关系如此微妙,生活中不妨多给自己点积极暗示,这有利于身体健康。

单项选择题

The majority of successful senior managers do not closely follow the classical rational model of first clarifying goals, assessing the problem, formulating options, estimating likelihood of success, making a decision, and only then taking action to implement the decision. Rather, in their day-by-day tactical activities, these senior executives rely on what is vaguely termed "intuition" to manage a network of interrelated problems that require them to deal with ambiguity, inconsistency, novelty, and surprise; and to integrate action into the process of thinking.

Generations of writers on management have recognized that some practicing managers rely heavily on intuition. In general, however, such writers display a poor grasp of what intuition is. Some see it as the opposite of rationality; others view it as an excuse of capriciousness.

Isenberg’s recent research on the cognitive processes of senior managers reveals that managers’ intuition is neither of these. Rather, senior managers use intuition in at least five distinct ways. First, they intuitively sense when a problem exists. Second, managers rely on intuition to perform well-learned behavior patterns rapidly. This intuition is not arbitrary or irrational, but is based on years of painstaking practice and personal experience that build skills. A third function of intuition is to synthesize isolated bits of data and practice into an integrated picture, often in an "Aha!" experience. Fourth, some managers use intuition as a check on the results of more rational analysis. Most senior executives are familiar with the formal decision analysis models and tools, and those who use such systematic methods for reaching decisions are occasionally suspicious of solutions suggested by these methods which run counter to their sense of the correct course of action. Finally, managers can use intuition to bypass in-depth analysis and move rapidly to find out a plausible solution. Used in this way, intuition is an almost instantaneous cognitive process in which a manager recognizes familiar patterns.

One of the implications of the intuitive style of executive management is that "thinking" is inseparable from acting. Since managers often "know" what is right before they can analyze and explain it, they frequently act first and explain later. Analysis is invariably tied to action in thinking/acting cycles, in which managers develop thoughts about their companies and organizations not by analyzing a problematic situation and then acting, but by acting and analyzing in close concert.

Given the great uncertainty of many of the management issues that they face, senior managers often initiate a course of action simply to learn more about an issue. They then use the results of the action to develop a more complete understanding of the issue. One implication of thinking/acting cycles is that action is often part of defining the problem, not just of implementing the solution. (454 words)

Notes: capriciousness 多变,反复无常。run counter to 与……背道而驰;违反。bypass 绕过。in close concert一齐,一致。given prep.考虑到,由于。

According to the text, which of the following would most probably be one major difference in behavior between Manager X, who uses intuition to reach decisions, and Manager Y, who uses only formal decision analysis()

A. Manager X checks possible solutions to a problem by systematic analysis; Manager Y does not

B. Manager X takes action in order to arrive at the solution to a problem; Manager Y does not

C. Manager Y draws on years of personal experience in creating a solution to a problem; Manager X does not

D. Manager X depends on day-by-day tactical activities; Manager X does not