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患者男，46岁。既往有慢性乙型肝炎病史，乙肝后肝硬化。发现尿蛋白阳性1个月来诊，无血尿，无恶心呕吐，发现双下肢水肿。既往否认糖尿病及高血压病史。查体：肝病病容，血压170/100mmHg，双肺未闻及干湿啰音，心律齐，无杂音，腹软，无压痛，双下肢水肿。实验室检查：尿常规发现血尿（-），蛋白（+++），24小时尿蛋白定量6.78g/d，血白蛋白19g/L，肌酐76μmol/L。

经积极治疗后患者明显好转，但尿蛋白定量为5.89g/d，行肾活检示最有可能的病理类型为()

A.系膜毛细血管性肾小球肾炎

B.膜性肾病

C.系膜增生性肾小球肾炎

D.局灶节段硬化性肾炎

E.毛细血管内增生性肾炎

F.新月体肾炎

答案

参考答案：B

多项选择题

在团队的管理的实践中，要有效发挥团队激励的作用，应注意（）

A、认同个别差异

B、使个别与职位相匹配

C、运用方针导向

D、设法使个别认为方针是可以达到的
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填空题

Recycling Paper


The process of recycling paper can help to reduce deforestation and energy consumption on a significant scale. There are many different reasons why we should recycle paper products, and some of these are (26) in the paragraphs below.
Energy consumption will always be on the (27) as population levels grow, and so any manufacturing processes which help to reduce energy consumption are (28)
The Energy Information Administration (EIA) claim that there can be as (29) as a 40% energy saving when recycling paper over producing paper (30) the direct raw material.
Although recycling paper has many (31) , it also has its drawbacks. One of these drawbacks is that we cannot recycle the (32) paper product for eternity, as the fibers contained within the paper degrade over time, (33) their strength and length.
On (34) , an individual paper fiber can only be recycled a (35) of six times. Although this is a significant drawback, the six time recycling process will help to (36) a great deal of energy when you consider (37) much paper there is to be recycled.
If paper fibers can be recycled up to 6 times, and we recycled all paper products, this could help to (38) the intensity of deforestation for paper products up to a factor of 6.
With paper production said to (39) around 40% of harvested wood, and paper said to (40) around 90% wood, you can see how recycling paper is an important process for the (41) of our forests.
Today, the use of recycled paper products is on the increase, as more and more people begin to recycle paper (42) products around the home.
Although there are slight differences in the recycling processes of different (43) of paper products (e.g. corrugated, mixed paper, newspaper products), we are able to recycle just about any type of paper product around today.
The recycling logo helps to (44) a recyclable product and can also sometimes help to identify if the product contains any recycled material, in the form of a percentage. This helps a consumer to identify the (45) of recycling various products.

A. compose B. hold C. contain D. mix
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