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女性，50岁，进油腻食物后突感右上腹绞痛l小时伴右肩部牵涉痛。为明确诊断，应首选哪一项检查
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临床通常应用地西泮治疗
Immigration poses two main challenges for the rich worlds governments. One is how to manage the inflow(流入)of migrants; the other, how to integrate those who are already there. Whom, for example, to allow in？ Already, many governments have realized that the market for top talent is global and competitive. Led by Canada and Australia, they are redesigning migration policies not just to admit, but actively to attract highly-skilled immigrants. Germany, for instance, tentatively introduced a green card of its own two years ago for information-technology staff. Whereas the case for attracting the highly-skilled is fast becoming conventional wisdom, a thornier issue is what to do about the unskilled. Because the difference in earnings is greatest in this sector, migration of the unskilled delivers the largest global economic gains. Moreover, wealthy, well-educated, ageing economies create lots of jobs for which their own workers have little appetite. So immigrants tend to cluster at the upper and lower ends of the skill spectrum. Immigrants either have university degrees or no high-school education. Mr. Smiths survey makes the point: Among immigrants to America, the proportion with a postgraduate education, at 21% , is almost three times as high as in the native population; equally, the proportion with less than nine years of schooling, at 20% , is more than three times as high as that of the native-born. All this means that some immigrants do far better than others. The unskilled are the problem. Research by George Boras, a Harvard University professor whose parents were unskilled Cuban immigrants, has drawn attention to the fact that the unskilled account for a growing proportion of Americas foreign-born. Newcomers without high-school education not only drag down the wages of the poorest Americans; their children are also disproportionately likely to fail at school. These youngsters are there to stay. "The toothpaste is out of the tube," says Mark Krikorian, Executive Director of the Centre for Immigration Studies. And their numbers will grow. Because the rich worlds women spurn motherhood, immigrants give birth to many of the rich worlds babies. Foreign mothers account for one birth in five in Switzerland and one in eight in Germany and Britain. If these children grow up underprivileged and undereducated, they will create a new underclass that may take many years to emerge from poverty. For Europe, immigration creates particular problems. Europe needs it even more than the United States because the continent is aging faster than any other region. Immigration is not a permanent cure(immigrants grow old too), but it will buy time. And migration can "grease the wheels" of Europes sclerotic(硬化的)labor markets, argues Tito Boeri in a report published in July. However, thanks to the generosity of Europes welfare states, migration is also a sort of tax on immobile labor. And the more immobile Europeans are — the older, the less educated — the more xenophobic(恐惧外国人的)they are too.
It has become a generally accepted view that the rich countries should______.
男性，60岁，冈急性下壁心肌梗死入院。检查血压90／60mmHg，心率42次／分，律齐，最可能的心律失常是
金葡菌引起的急慢性骨髓炎，应选用哪种抗生素
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