题目内容
患者，女，28岁，发现心前区收缩期杂音2年。近2周发热，心脏杂音较前有变化，指垫出现豌豆大红色痛性结节。
该病人诊断为
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Its often hard to see your mistakes as youre making them. When it comes to living arrangements,a humdinger is being made in this country right now and few have noticed it yet. "Yikes! The kids are moving back in! "Thus goes the mantra of the baby boom generation,circa 2007. Analysts estimate that some 18 minion adults between the ages of 20 and 34 live with their parents. Thats roughly a third of that age group. But letting the kids move back in is not the societal error were talking about. Instead,the big mistake is the loudly voiced chagrin of the boomers. Most mistakenly decry the notion of the boomerang generation. In order to fully appreciate the depth of the error being made here,we all need to step back a bit and look at the bigger picture. This epidemic of kids moving back home is first, not "unprecedented," and second,its not a bad thing. The precedent for this trend can be found among the other 6.2 billion non-Americans on the planet, many of whom happily live with their adult children,often in three-generation households. Then theres the growing number of non-Anglo Americans,including many recent immigrants,who see no problem in having adult kids contribute to the household. Finally, the agrarian history of this country before World War II allowed kids to live and work around the farm well into adulthood. Adult kids moving back home is merely the most noticeable symptom of a larger,fundamental transformation of American society. We are nationally beginning to recognize the costs of the independence the so—called greatest generation foisted on us. We cant blame them. They did have to grow up fast. Kids in their generation went off to World War II and grew up on the bloody beaches of distant lands. After the war,the survivors had factories to build and the wealth to buy their white—picket—fence dream out West. They designed a social and fiscal system that has served their retirement years very well. But their historically unique retirement system mistakenly celebrated independence and ignored the natural state of human beings—that is,interdependence. Moreover,their system breaks down with the onslaught of their kids retirement. We can already see the pension systems,both private and public,beginning to disintegrate under the weight of the baby boomers. We are now just starting to understand the substantial fiscal and psychological costs of separating the generations into so-called single-family homes with the ideal of a mother,father and two kids. But times change and so do cultures. Regarding boomerang kids,most demographers focus on the immediate explanations for the changes, such as the growing immigrant population,housing shortages and high prices,and out-of-wedlock childbearing. Many psychologists have noted that baby-boomer parents enjoy closer relationships with their fewer children that allow extended cohabitation. A recent survey conducted for Del Webb(a division of Pulte Homes lnc.)reports that only about one-quarter of baby boomers are happier once the kids move out. However,all these explanations are simply symptoms of the larger,more fundamental reuniting of Americans into households that include extended families-adult kids, grandparents, grandchildren and other relatives-rather than just nuclear families. The rate at which our American culture is adapting will accelerate as baby boomers begin retiring in waves. Creative housing arrangements are necessitating and allowing three generations to live together a-gain-under one roof or in close proximity. Now some 6 million American grandparents are living under one roof with their grandchildren. Whether grandparents live in accessory apartments on the property or houses next door, these flexible housing options provide privacy and companionship at the same time. Grandparents can interact with their grandchildren while the parents work, and all benefit from the new togetherness. These 21st century housing arrangements are a creative way to handle the financial needs of the generation that is retiring and, yes, the adult children who are coming home. Such multigenerational households dont make sense for everyone. Personality conflicts or family characteristics preclude such arrangements for some. Legal constraints such as building and zoning codes are formidable obstacles in most communities across the country. Often more room is mandated for parking your car than parking your grandmother. Home builders have been more interested in selling houses that satisfy immediate needs rather than anticipating the needs of the growing numbers of aging Americans. The culture itself frequently gets in the way, reinforcing the perception of a stigma attaching to lack of independence-the adult child who just wont move out(and grow up)or the aging grandparent who eschews "being a burden." Despite these problems, once you begin talking with your friends about three-generation households, you will begin hearing stories about how such obstacles are being overcome. You also will begin hearing stories about the wonderful benefits of thinking about housing and family arrangements in creative ways. And youll hear stories about the fundamental satisfaction of living together again.
What is the main idea of the passage？
患儿2岁，冬季发病，突发高热，喘憋3天，病前l周有皮肤感染史。体格检查：肺部散在中细湿哕音，皮肤可见得红热样皮疹，血象白细胞总数80×109／L，中性粒细胞90％，胸部x线可见大小不等的斑点状结节阴影。该患儿应诊断为
口服降糖格列本脲的主要不良反应是
哪项不是子宫胎盘卒中的处理
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