单项选择题

Despite Denmark"s manifest virtues, Danes never talk about how proud they are to be Danes. This would sound weird in Danish. When Danes talk to foreigners about Denmark, they always begin by commenting on its tininess, its unimportance, the difficulty of its language, the general small-mindedness and self-indulgence of their countrymen and the high taxes. No Dane would look you in the eye and say, "Denmark is a great country." You"re supposed to figure this out for yourself. It is the land of the silk safety net, where almost half the national budget goes toward smoothing out life"s inequalities, and there is plenty of money for schools, day care, retraining programmes, job seminars—Danes love seminars: three days at a study centre hearing about waste management is almost as good as a ski trip. It is a culture bombarded by English, in advertising, pop music, the Internet, and despite all the English that Danish absorbs — there is no Danish Academy to defend against it — old dialects persist in Jutland that can barely be understood by Copenhageners. It is the land where, as the saying goes, "Few have too much and fewer have too little," and a foreigner is struck by the sweet egalitarianism that prevails, where the lowliest clerk gives you a level gaze, where Sir and Madame have disappeared from common usage, even Mr. and Mrs. It"s a nation of recyclers—about 55% of Danish garbage gets made into something new— and no nuclear power plants. It"s a nation of tireless planner. Trains run on time. Things operate well in general. Such a nation of overachievers—a brochure from the Ministry of Business and Industry says, "Denmark is one of the world"s cleanest and most organized countries, with virtually no pollution, crime, or poverty. Denmark is the most corruption-free society in the Northern Hemisphere." So, of course, one"s heart lifts at any sighting of Danish sleaze: skinhead graffiti on buildings("Foreigners Out of Denmark!"), broken beer bottles in the gutters, drunken teenagers slumped in the park. Nonetheless, it is an orderly land. You drive through a Danish town, it comes to an end at a stone wall, and on the other side is a field of barley, a nice clean line: town here, country there. It is not a nation of jay walkers. People stand on the curb and wait for the red light to change, even if it"s 2 a.m. and there"s not a car in sight. However, Danes don"t think of themselves as a waiting-at-2-a.m.-for-the-green-light people — that"s how they see Swedes and Germans. Danes see themselves as jazzy people, improvisers, more free spirited than Swedes, but the truth is(though one should not say it)that Danes are very much like Germans and Swedes. Orderliness is a main selling point. Denmark has few natural resources, limited manufacturing capability; its future in Europe will be as a broker, banker, and distributor of goods. You send your goods by container ship to Copenhagen, and these bright, young, English-speaking, utterly honest, highly disciplined people will get your goods around to Scandinavia, the Baltic States, and Russia. Airports, seaports, highways, and rail lines are ultramodern and well-maintained. The orderliness of the society doesn"t mean that Danish lives are less messy or lonely than yours or mine, and no Dane would tell you so. You can hear plenty about bitter family feuds and the sorrows of alcoholism and about perfectly sensible people who went off one day and killed themselves. An orderly society can not exempt its members from the hazards of life. But there is a sense of entitlement and security that Danes grow up with. Certain things are yours by virtue of citizenship, and you shouldn"t feel bad for taking what you"re entitled to, you"re as good as anyone else. The rules of the welfare system are clear to everyone, the benefits you get if you lose your job, the steps you take to get a new one; and the orderliness of the system makes it possible for the country to weather high unemployment and social unrest without a sense of crisis. Which of the following is NOT a Danish characteristic cited in the passage

A.Fondness of foreign culture.
B.Equality in society.
C.Linguistic tolerance.
D.Persistent planning.
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Please read the following article in Chinese carefully, and then write a summary of 200 words in English on the ANSWER SHEET. Make sure that you cover all the major points of the article. 查房前的充分准备对向患者提供高效和高质量的诊治非常重要!准备工作不充分不仅延误了整个查房的时间,更重要的是,它延误了对患者病情的及时处理,甚至会延误患者的恢复和出院。最终会降低医疗服务的质量,甚至可能导致患者因丧失抢救时机而早死。 查房准备首先是要了解患者目前的状况,这些信息可以通过查房前的病历回顾,包括护理记录和床边评估等获得。接着是收集患者现有的实验室、X线和病理报告以备查房时使用。有时查房前可能拿不到正式报告,但可以通过电话或病区的计算机先得到初步报告。这些结果可以在查房时供查房小组讨论,这将有利于疾病的早期诊断和治疗。 工具对检查极其重要。任何一个医生在开始查房时至少要有听诊器和笔式电筒,也许他不一定总带着压舌板,但可以设法用筷子或勺子等代替进行口咽部的检查。检查口腔黏膜有助于咽炎、扁桃体炎、黏膜炎、口腔白色念珠菌病或是口腔溃疡的诊断,从而为系统性红斑狼疮(SLE)、艾滋病(AIDS)、单纯疱疹、白血病、恶性贫血或白塞氏(Behcet)病等疾病提供线索。 很显然,体格检查时听诊器的作用非常重要。肺部听诊可以听到湿罗音、干罗音或哮鸣音,这对诊断肺炎、哮喘或充血性心力衰竭很有价值。呼吸音减低则可以在胸腔积液、慢性阻塞性肺病(COPD)、肺不张和气胸时被发现。心脏科医生使用听诊器进行心脏听诊,仔细倾听来发现心律失常、心力衰竭时常出现的第三心音(S3)和第四心音(S4)以及狭窄生瓣膜病变时产生的心脏杂音。同样听诊器有利于检查者发现二尖瓣脱垂时收缩中期喀喇音和心包摩擦音。 其他工具包括: 1.一把小尺:用于测量皮肤损害和结节的大小及PPD皮试反应; 2.一把叩诊锤:用于神经系统检查时评价DTR; 3.一本袖珍药物手册:用于查阅药物和药物剂量。现在许多医生拥有手提式微型计算机, 如“掌上电脑”,手指轻轻一点就能查阅储存的大量有价值的医疗信息。 查房时,住院医生必须将护理记录拿到床边,这样有利于查房小组很容易地了解患者有关的病情,如生命体征、24小时液体摄入量和尿量。还应该审查目前药物使用情况和记录患者病情变化的护理记录。有些药物常常会被停掉或改为口服。 最后需要强调的是,医生的着装必须符合职业的特点。白大褂是医生的校准职业装,但医生常常忽略衣服所沾上的血迹、钢笔水、小便甚至大便。穿着这样的衣服工作不仅使病人感到医生外观不雅,而且有传播疾病的危险。必须佩带标明医生姓名和等级(如主治医生、专科住院医生和普科住院医生)的身份牌,使患者能够一目了然。这对识别医生身份和安全考虑都很重要。 总之,查房前准备充分对实施有效、有序和富有成果的病人护理是至关重要的。它不仅有助于促进医疗工作,而且会增强患者对于医务人员的信任。相反,查房准备不足导致患者信息的遗漏,损害患者的治疗及安全。