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临产后,起主要作用的产力是

A. 子宫收缩力
B. 腹肌收缩力
C. 膈肌收缩力
D. 肛提肌收缩力
E. 圆韧带的收缩力

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TEXT A The first pre-election poll, or straw vote, as it was then called, was conducted by the Harris bury Pennsylvanian before the 1824 presidential election. This straw vote and the many that followed it really registered nothing but local opinion; however, as communications improved and elections were won by closer and closer margins, newspapers and journals tried desperately to satisfy their readers’ curiosity in more reliable ways. Before the 1928 elections, no fewer than 85 publications made private inquires, generally by means of questionnaires sent to subscribers and by telephone surveys. The principle common to all these inquiries was that they depended on quantity rather than quality; little effort was made to reach representatives of all segments of the population. Still, the erroneous belief persisted that the greater the number of questionnaires, the more accurate the results would be. The record was held by the American monthly Literary Digest, which sent out millions of postcards with short and pointed questions before each election and received many hundreds of thousands of replies. In fact, in 1932, the Literary Digest’s forecast was off by only 1%. In view of such striking achievements, it seemed rather impertinent for the young American journalist, George Gallup, to claim that large numbers were irrelevant and that equally accurate or better predictions could be made with a small but carefully selected sample of the population and a small team of skilled interviewers. In 1936, it took Gallup a long time to convince 35 newspaper editors that his system was much cheaper than the customary mass inquiries and that it could provide surprisingly accurate predictions. The editors finally agreed, on condition that if Gallup’s predictions were less accurate than those obtained by the tried method of the Literary Digest, he would have to refund the entire cost of the investigation. Although the Literary Digest broke its own record by obtaining 2 million replies to its electoral postcards that year, its prediction was wrong by 19%, whereas Gallup’s was off .by less than 1%. Moreover, the Digest had predicted that Alfred M. Landon, the Republican candidate would obtain 56% of the votes cast, whereas Franklin D. Roosevelt was, in fact, re-elected with an unusually large majority. Gallup was one of the few political prophets who predicted this result. Suddenly Gallup’s name was on everyone’s lips, not only was he the prophet of the moment, but it was generally conceded that he had found a new and most important scientific method of prediction. He was showered with money and commissions, and the Gallup Poll became a generic term for public opinion polls. Unlike earlier prophets, Gallup based his investigations on sociological rather than purely arithmetical calculations. He realised that the electorate is made up of different social strata with differing political trends. Thus, farmers do not vote in the same way that industrial workers do, the North votes quite unlike the South, Black preferences vary from those of White persons, the interests of employers are different from those of employees, and so on. There are also voting differences according to age and sex, for it appeared that older people and women tend to vote for conservative parties. Gallup usually sampled his subjects according to six factors: state, size of community, age, sex, income, and political affiliation. From time to time, other factors may be considered; during times of war, for instance, the national origins of electors may be taken into account. Only when the composition of the electorate has been accurately determined can the purely arithmetical question-how many people in each bracket must be interviewed-be solved. Once this is done, laws of probabilities take over and the more people interviewed, the more exact the estimates will be. However, above a certain maximum number of interviews, the accuracy increases by no more than a fractional percentage and where errors of up to 2% are permissible, a few thousand questionnaires will accurately reflect the opinion of the total US electorate. It is true that not all Gallup’s predictions were as accurate as that, for of the 114 election forecasts made by the American Institute of Public Opinion between 1936 and 1944, only 19 were wrong by less than 1%; 39 were off by between 2% and 3%; nearly half were off by more than 3%, and 6 were off by as much as 10% to 15%. The Gallup method suffered its greatest setback during the 1948 presidential election when Truman-not Gallup’s choice, Dewey--was elected. Before Eisenhower’s election in 1952 and re election in 1956 there was less doubt about the outcome, and Gallup did, in fact make fairly accurate predictions. The American results have been excelled by those obtained by Gallup’s British Institute of Public Opinion, which, using the same methods, has managed to forecast a number of parliamentary elections with a margin of error of only one half of 1% . In France, too, the French Institute of Public Opinion has managed to predict parliamentary results with a margin of error that has rarely exceeded 2%. After his more than 20 years’ experience with surveys, it would be fair to say the Gallup’s method of sampling the electorate has proved most successful. Before Gallup, political predictions were no more than shots in the dark, and it is as a result of his achievement that today we can make truly scientific forecasts in this difficult field. Which of the following factors concerning the electorate may NOT be considered in Gallup Poll

A. Social status.
B. Races.
C. Nationalities.
D. Intelligence.

患者,男,53岁,l周来无诱因终末血尿3次,无发热,无尿频、尿痛等不适。吸烟史20年。胸片示陈旧肺结核,尿镜检有大量红细胞。 下列进一步检查项目中,对该患者明确诊断帮助最大的是

A. 尿细胞学检查
B. 静脉尿路造影
C. 尿路B超
D. 膀胱镜检查
E. X线检查

为临产妇实施护理措施,下述错误的做法是

A. 将分娩过程、产程进展及检查结果如实告知产妇
B. 破膜前宫缩增强后鼓励产妇在室内多活动
C. 临产后适时在宫缩时行肛查以了解产程进程
D. 鼓励产妇利用两次宫缩间歇少量多次进高热量饮食
E. 临产室的光线尽量采用自然光

The homeless make up a growing percentage of American’s population. (62) homelessness has reaches such proportions that government can’t possibly (63) .T0 help homeless people (64) independence, the federal government must support job training programs, (65) the minimum wage, and fund more low-cost housing. (66) everyone agrees on the numbers of American who ae homeless.Estimates range (67) from 600, 000 to 3 million. (68) the figure may vary, analysts do agree on another matter:that the number of the homeless is (69) , one of the federal governments’ studies (70) that the number of the homeless will reach nearly 19 million by the end of this decade. Finding ways to (71) this growing homeless population has become increasingly difficult. (72) when homeless individuals manage to find a (73) that will give them three meals a day and a place to sleep at night, a good number still spend the bulk of each day (74) on the street.Part of the problem is that many homeless adults are addicted to alcohol or drugs.And a significant number of the homeless have serious mental disorders.Many others, (75) not addicted or mentally ill, simply lack the everyday (76) skills need to turn their lives (77) . Boston Globereporter Chris Reidy notes that the situation will improve only when there are (78) programs that address the many needs of the homeless. (79) Edward Blotkowsk, director of community service at Bentley College in Massachusetts, (80) it, "There has to be (81) of programs.What’s need is a package deal.\

A. searching
B. walking
C. crowding
D. wandering

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