患者，男性，50岁。有胃溃疡病史10年，近2个月疼痛加重，且疼痛与进食没有明显关系，使用抑酸剂治疗无效。查体：浅表淋巴结无肿大，腹平软，上腹部轻压痛。化验：WBC 8.2×10⁹/L，Hb 82g/L。

为明确诊断，应首选进行的检查为

A．大便隐血试验

B．血清胃泌素测定

C．腹部B超

D．胃镜检查

E．上消化道造影

Today’s lecture is about the mass (1) of the world’s population. There are two major (2) why people are moving to cities. The first reason is (3) . People are moving to the cities because that’s where they can find (4) and earn money. The second reason for the move to cities has to do with (5) of life issues: comfort and (6) . Cities often offer better (7) . And then for many, city life is just more (8) . An interesting consequence of urbanization is that the average (9) of people in the countryside is increasing, while that of the cities is (10) .
Three key (11) can be identified in our cities. First of all, they’re getting bigger. Most cities are bigger now than ever before. Cities are also changing shape. They’re getting (12) , because land is getting more and more expensive. (13) have become a symbol of modern cities.
Cities are also changing shape in other ways. The (14) Model and the (15) Nuclei Model are probably more typical of the cities we know today. They show the urban (16) that’s occurring in contemporary cities.
The third change is that our cities are breaking up into (17) communities, often by (18) group or (19) level. This often means that people stay within their community and do not come into contact with others from different (20) .