问题 单项选择题

The modern university is the ideal environment for the creation and transfer of knowledge that drives national competitiveness in an increasingly global era. Its most effective form is the American adaptation of the European model, in which teaching, leaning and research are integrated into a single institution. Indeed, the American university has proved capable of almost anything, from developing advanced economic theories to creating new life forms.

Many national leaders understand that the university is the critical catalyst for America’s adaptability, economic robustness and emergence as a great power. And they are moving aggressively to catch up. The universities created by emerging economies beginning in the 1990s and through 2020 will likely play a decisive role in reshaping the global balance of economic power.

That is bad news for the United States. The past two decades of American university development have been characterized largely by self-satisfaction arising from steady progress by the top 20 or so research universities. And America as a nation has 1Seen coasting. Since 2000, the United States has lost its edge in the graduation of engineers and technologists. The country no longer dominates scientific discovery, innovation or exploration. Most important, the United States has not launched any effort to build new institutions to accommodate its increasingly diverse population of more than 300 million.

The result is that America’s university system, despite its historical pre-eminence, has ceased to grow. Furthermore, America’s university system has failed to adapt to the dramatic demographic shifts occurring as a result of social mobility and immigration.

America needs to realize that its universities face real competition from the rest of the world to attract the best and the brightest, to secure resources and to provide environments that educate and inspire. This is not to say that the best American universities are no longer the leaders in discovery and innovation. It is to say that the success of the higher-education system must be measured by more than just innovations. Its long-term performance depends on its ability to provide learning to a broad cross sections of citizens, to advance national proficiency in math and science and to create an adaptable work force, as well as to develop a national appreciation for discovery, entrepreneurship and the creative process.

In China and elsewhere, these are the goals of the new universities being built. In the United States, we need to move from a national self-confidence based on past success to one built on the knowledge that we are advancing a system of higher education that will meet our future needs. This will require that policymakers, business leaders and universities rededicate themselves to creating comprehensive learning and discovery environments; design entirely new models and methods for teaching, and then take action to implement them.

What is the problem that US universities have faced since 2000()

A. Loss of the predominant position in artistic innovations

B. Lack of the reestablishment of famed universities

C. Failure to attract the best brains throughout the world

D. Need of a comprehensive learning and studying environment

答案

参考答案:D

解析:

本题为细节理解题。文中提到“the country no longer dominates scientific discovery, innovation or exploration”,因此选项A不恰当误。根据“the United States has not launched any effort to build new institutions to accommodate its increasingly diverse population of more than 300 million.”可以判断B不恰当误。文中提到“America needs to realize that its universities face real competition from the rest of the world to attract the best and the brightest”,但是并没有提到美国在吸引人才方面遭遇失败,因此C不正确。根据“This will require that policymakers, business leaders and universities rededicate themselves to creating comprehensive learning and discovery environments”可以确定D正确。

多项选择题

病历摘要:患者、男性,35岁,已婚。一年前可能因工作挫折致内心不愉快,经常忧虑,精神紧张,始后渐有失眠,每月有数次无明显诱因的阵发性强烈心慌、心悸、胸闷、呼吸不畅和莫名的恐惧感,伴面色苍白,持续数分钟至一小时不等。曾住某医院作全面检查,血压正常,EKG示“偶发性房性早搏”,脑CT、EEG、超声心动图、血糖、尿24小时17KS、VMA、儿茶酚胺均无阳性结果。患者偶感胃肠不适和腹痛伴腹泻,曾经心血管内科、神经内科、内分泌科会诊,均已初步排除该科明确疾病。但患者心境忧愁,自感身患重病,不敢远途出差,曾提出不担任领导职务。用过多种正规抗癫痫药治疗无效,连续服用阿米替林75mg/日,2周疗效亦不明显。追溯少年时已偶有易惊慌感,但学习、工作能力良好。无精神活性物质嗜癖史。详细阅读病历摘要:病历特点可归纳为:

(1)发病于青壮年,有一定精神诱因,病程超过一年;

(2)以阵发性强烈心慌、心悸、胸闷、呼吸不畅、胃肠功能紊乱等植物神经功能紊乱为主诉;

(3)EKG示“偶发房性早搏”,但超声心动图正常;

(4)情绪忧愁,自信心降低,但无怪异思维及感知障碍;

(5)脑CT、EEG未获颅内器质性病变征;

(6)内分泌方面,基本排除肾上腺病变、糖尿病;

(7)经过正规抗癫痫冶疗无效,基本上排除癫痫;

(8)抗抑郁治疗不正规,未以完全排除非典型抑郁,如MaskedDepression(隐匿性抑郁);

(9)消化系统检查资料不足以完全排除消化系统疾病。

本例宜首选哪些治疗?()

A.行为治疗

B.电休克治疗

C.阿普唑仑(Alprazolam)

D.碳酸锂

E.三氟噻屯

F.森田疗法

G.阿普唑仑+氯丙咪嗪+β-受体阻滞剂

H.氟哌啶醇

I.奋乃静

单项选择题