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伴支气管哮喘的高血压患者不宜选用
甲基多巴
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高血压伴支气管哮喘的患者宜选用硝苯地平
高血压伴支气管哮喘患者不宜选用
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伴支气管哮喘的高血压患者不宜选用
维拉帕米
硝苯地平
尼莫地平
吗啡
普萘洛尔
高血压合并支气管哮喘患者不宜选用普萘洛尔
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InspiteofrisingconcernintheNortheastandCanadaAdministrationspokesmenhaverepeatedlyinsistedthatnothingcouldreallybedoneaboutacidrainandtheindustry-producedsulfuremissionsuntilallthescientificfactswerein.Suddenlylastweekhoweverfactscamerainingdownineffectmakingfurtherscientificdebateonwhatmainlycausestheproblemallbutirrelevant. WhatbroughtaboutthedownpourwasastudycommissionedbyPresidentialScienceAdviser.Thespokesmenplainlycalledforremedialactionevenifsometechnicalquestionsaboutacidrainwerestillunanswered.Ifwetaketheconservativepointofviewthatwemustwaituntilthescientificknowledgeisdefinitivesaidthespokesmantheaccumulateddepositionanddamagedenvironmentmayreachthepointof’’irreversibility’’. Whenitrainsitpours.NextcameastudyfromtheNationalResearchCouncil.Itsdefinitiveconclusion:reducingemissionsofsulfurdioxidefromcoal-burningpowerplantsandfactoriessuchastheseintheMidwestwouldinfactsignificantlyreducetheacidityinrainsnowandotherprecipitation降水thatiswidelybelievedtobeworseningthelifefromfresh-waterlakesandforestsintheNortheastandCanada.Thespokesmandidnotrecommendanyspecificaction. ApairofremedialmeasuresarealreadytakenbeforeCongress.ASenatecommitteerecentlyapprovedabillthatwouldrequirereductionoverthenextdecadeofsulfur-dioxideemissionsby10milliontonsintheStatesborderingontheeastoftheMississippi.AtoughermeasurewasintroducedintheHouseorderingthe50largestsulfurpollutersintheU.S.tocutemissionssubstantially.ToeasetheEasterncoalminingindustrywhichfearsaswitchtolow-sulfurWesterncoalthebillrequirestheinstallationofexpensivescrubbersdevicesforremovingsulfurfromthesmokeratherthananorderthatforbidshigh-sulfurfuel.StillthelegislationisbeingvigorouslyopposedbythecoalindustryandutilitiesespeciallyintheMid-westwhereheavyindustriesarebattlingtosurvive.InasurveyalsoreleasedlastweektheEdisonElectricInstituteanindustrygroupgravelypredictedthatelectricityratescouldriseasmuchas50%iftheemission-controllegislationpassed. GovernmentstudiesdisputethesefiguresbutCongresshasbeensuspendedonacid-rainmeasures.Nowasaresultoftheacademystudysupportersofthebillsaremoreoptimistic.Neverthelessamajorpoliticalbattleisshapingup. Thefirstparagraphshowsthat
IsitpossiblethattheideaswehavetodayaboutownershipandpropertyrightshavebeensouniversalinthehumanmindthatitistrulyasiftheyhadsprungfromthemindofGodBynomeans.Theideaofowningandpropertyemergedinthemistsofunrecordedhistory.TheancientJewsforonehadaverydifferentoutlookonpropertyandownershipviewingitassomethingmuchmoretemporaryandtentativethanwedo. TheideaswehaveinAmericaabouttheprivateownershipofproductivepropertyasanaturalanduniversalrightofmankindperhapsofdivineoriginarebynomeansuniversalandmustbeviewedasaninventionofmanratherthanadecreeorderofGod.Ofcoursewearecompletelytrainedtoaccepttheideaofownershipoftheearthanditsproductsrawandtransformed.Itseemsnotatallstrange;infactitisquitedifficulttoimagineasocietywithoutsucharrangements.Ifsomeonesomeindividualdidn’’townthatplotoflandthathousethatfactorythatmachinethattowerofwheathowwouldwefunctionWhatwouldtherulesbeWhomwouldwebuyfromandhowwouldwesell Itisimportanttoacknowledgeasignificantdifferencebetweenachievingownershipsimplybytakingorclaimingpropertyandowningwhatwetendtocallthefruitoflabor.IfIaloneortogetherwithmyfamilyworkonthelandandraisecropsorifImakesomethingusefuloutofnaturalmaterialitseemsreasonableandfairtoclaimthatthecropsortheobjectsbelongtomeormyfamilyaremypropertyatleastinthesensethatIhavefirstclaimonthem.Hardlyanyonewoulddisputethat.Infactsomeoftheearlyradicalworkingmen’’smovementsmadeanownershipclaimonthoseverygrounds.AsindustrialorganizationbecamemorecomplexhoweversuchissuesbecamevastlymoreintricateItmustbeclearthatinmodernsocietythesocialheritageofknowledgeandtechnologyandthesocialorganizationofmanufactureandexchangeaccountforfarmoreoftheproductivityofindustryandthevalueofwhatisproducedthancanbeaccountedforbythelaborofanynumberofindividuals.HardlyanypersoncannowpointandsayThat--thatrightthere--isthefruitofmylabor.Wecansayasasocietyasanation--asaworldreally--thatwhatisproducedisthefruitofourlabortheproductofthewholesocietyasacollectivity. Wehavetorecognizethattherightofprivateindividualownershipofpropertyisman-madeandconstantlydependentontheextenttowhichthosewithoutpropertybelievethattheownercanmakehisclaimstick. Privateownershipofpropertyisfinallydescribedas
Thedifferencesinrelativegrowthofvariousareasofscientificresearchhaveseveralcauses.71.Someofthesecausesarecompletelyreasonableresultsofsocialneeds.Othersarereasonableconsequencesofparticularadvancesinsciencebeingtosomeextentself-accelerating.Somehoweverarelessreasonableprocessesofdifferentgrowthinwhichpreconceptionsoftheformscientifictheoryoughttotakebypersonsinauthorityacttoalterthegrowthpatternofdifferentareas.Thisisanewproblemprobablynotyetunavoidable;butitisafrighteningtrend.72.ThistrendbeganduringtheSecondWorldWarwhenseveralgovernmentscametotheconclusionthatthespecificdemandsthatagovernmentwantstomakeofitsscientificestablishmentcannotgenerallybeforeseenindetail.Itcanbepredictedhoweverthatfromtimetotimequestionswillarisewhichwillrequirespecificscientificanswers.Itisthereforegenerallyvaluabletotreatthescientificestablishmentasaresourceormachinetobekeptinfunctionalorder.73.Thisseemsmostlyeffectivelydonebysupportingacertainamountofresearchnotrelatedtoimmediategoalsbutofpossibleconsequenceinthefuture.Thiskindofsupportlikeallgovernmentsupportrequiresdecisionsabouttheappropriaterecipientsoffunds.Decisionsbasedonutilityasopposedtolackofutilityarestraightforward.Butadecisionamongprojectsnoneofwhichhasimmediateutilityismoredifficult.Thegoalofthesupportingagenciesisthepraisableoneofsupporting"good"asopposedto"bad"sciencebutavaliddeterminationisdifficulttomake.Generallytheideaofgoodsciencetendstobecomeconfusedwiththecapacityofthefieldinquestiontogenerateaneleganttheory.74.Howevertheworldissomadethatelegantsystemsareinprincipleunabletodealwithsomeoftheworld’’smorefascinatinganddelightfulaspects.75.Newformsofthoughtaswellasnewsubjectsforthoughtmustariseinthefutureastheyhaveinthepastgivingrisetonewstandardsofelegance. Thisseemsmostlyeffectivelydonebysupportingacertainamountofresearchnotrelatedtoimmediategoalsbutofpossibleconsequenceinthefuture.
IsitpossiblethattheideaswehavetodayaboutownershipandpropertyrightshavebeensouniversalinthehumanmindthatitistrulyasiftheyhadsprungfromthemindofGodBynomeans.Theideaofowningandpropertyemergedinthemistsofunrecordedhistory.TheancientJewsforonehadaverydifferentoutlookonpropertyandownershipviewingitassomethingmuchmoretemporaryandtentativethanwedo. TheideaswehaveinAmericaabouttheprivateownershipofproductivepropertyasanaturalanduniversalrightofmankindperhapsofdivineoriginarebynomeansuniversalandmustbeviewedasaninventionofmanratherthanadecreeorderofGod.Ofcoursewearecompletelytrainedtoaccepttheideaofownershipoftheearthanditsproductsrawandtransformed.Itseemsnotatallstrange;infactitisquitedifficulttoimagineasocietywithoutsucharrangements.Ifsomeonesomeindividualdidn’’townthatplotoflandthathousethatfactorythatmachinethattowerofwheathowwouldwefunctionWhatwouldtherulesbeWhomwouldwebuyfromandhowwouldwesell Itisimportanttoacknowledgeasignificantdifferencebetweenachievingownershipsimplybytakingorclaimingpropertyandowningwhatwetendtocallthefruitoflabor.IfIaloneortogetherwithmyfamilyworkonthelandandraisecropsorifImakesomethingusefuloutofnaturalmaterialitseemsreasonableandfairtoclaimthatthecropsortheobjectsbelongtomeormyfamilyaremypropertyatleastinthesensethatIhavefirstclaimonthem.Hardlyanyonewoulddisputethat.Infactsomeoftheearlyradicalworkingmen’’smovementsmadeanownershipclaimonthoseverygrounds.AsindustrialorganizationbecamemorecomplexhoweversuchissuesbecamevastlymoreintricateItmustbeclearthatinmodernsocietythesocialheritageofknowledgeandtechnologyandthesocialorganizationofmanufactureandexchangeaccountforfarmoreoftheproductivityofindustryandthevalueofwhatisproducedthancanbeaccountedforbythelaborofanynumberofindividuals.HardlyanypersoncannowpointandsayThat--thatrightthere--isthefruitofmylabor.Wecansayasasocietyasanation--asaworldreally--thatwhatisproducedisthefruitofourlabortheproductofthewholesocietyasacollectivity. Wehavetorecognizethattherightofprivateindividualownershipofpropertyisman-madeandconstantlydependentontheextenttowhichthosewithoutpropertybelievethattheownercanmakehisclaimstick. Accordingtothetexttheconceptofownershipprobably
Thedifferencesinrelativegrowthofvariousareasofscientificresearchhaveseveralcauses.71.Someofthesecausesarecompletelyreasonableresultsofsocialneeds.Othersarereasonableconsequencesofparticularadvancesinsciencebeingtosomeextentself-accelerating.Somehoweverarelessreasonableprocessesofdifferentgrowthinwhichpreconceptionsoftheformscientifictheoryoughttotakebypersonsinauthorityacttoalterthegrowthpatternofdifferentareas.Thisisanewproblemprobablynotyetunavoidable;butitisafrighteningtrend.72.ThistrendbeganduringtheSecondWorldWarwhenseveralgovernmentscametotheconclusionthatthespecificdemandsthatagovernmentwantstomakeofitsscientificestablishmentcannotgenerallybeforeseenindetail.Itcanbepredictedhoweverthatfromtimetotimequestionswillarisewhichwillrequirespecificscientificanswers.Itisthereforegenerallyvaluabletotreatthescientificestablishmentasaresourceormachinetobekeptinfunctionalorder.73.Thisseemsmostlyeffectivelydonebysupportingacertainamountofresearchnotrelatedtoimmediategoalsbutofpossibleconsequenceinthefuture.Thiskindofsupportlikeallgovernmentsupportrequiresdecisionsabouttheappropriaterecipientsoffunds.Decisionsbasedonutilityasopposedtolackofutilityarestraightforward.Butadecisionamongprojectsnoneofwhichhasimmediateutilityismoredifficult.Thegoalofthesupportingagenciesisthepraisableoneofsupporting"good"asopposedto"bad"sciencebutavaliddeterminationisdifficulttomake.Generallytheideaofgoodsciencetendstobecomeconfusedwiththecapacityofthefieldinquestiontogenerateaneleganttheory.74.Howevertheworldissomadethatelegantsystemsareinprincipleunabletodealwithsomeoftheworld’’smorefascinatinganddelightfulaspects.75.Newformsofthoughtaswellasnewsubjectsforthoughtmustariseinthefutureastheyhaveinthepastgivingrisetonewstandardsofelegance. ThistrendbeganduringtheSecondWorldWarwhenseveralgovernmentscametotheconclusionthatthespecificdemandsthatagovernmentwantstomakeofitsscientificestablishmentcannotgenerallybeforeseenindetail.
Whatoursocietysuffersfrommosttodayistheabsenceofconsensusaboutwhatitandlifeinitoughttobe.Suchconsensuscannotbegainedfromsociety’’spresentstageorfromfantasiesaboutwhatitoughttobe.Forthatthepresentistoocloseandtoodiversifiedandthefuturetoouncertaintomakebelievableclaimsaboutit.AconsensusinthepresenthencecanbeachievedonlythroughasharedunderstandingofthepastasHomer’’sepics史诗informedthosewholivedcenturieslaterwhatitmeanttobeGreekandbywhatimagesandidealstheyweretolivetheirlivesandorganizetheirsocieties. Mostsocietiesderiveconsensusfromalonghistoryalanguagealltheirownacommonreligioncommonancestry.Themythsbywhichtheylivearebasedonallofthese.ButtheUnitedStatesisacountryofimmigrantscomingfromagreatvarietyofnations.Latelyithasbeenemphasizedthatanasocialnarcissistic自我陶醉的personalityhasbecomecharacteristicofAmericansandthatitisthistypeofpersonalitythatmakesforthelackofwell-beingbecauseitpreventsusfromachievingconsensusthatwouldcounteractatendencytowithdrawintoprivateworlds.InhisstudyofnarcissismChristopherLaschsaysthatmodernmantorturedbyself-consciousnessturnstonewtherapiesnottofreehimselfofhispersonalworriesbuttofindmeaningandpurposeinlifetofindsomethingtolivefor.Thereiswidespreaddistressbecausenationalmoralehasdeclinedandwehavelostanearliersenseofnationalvisionandpurpose. Contrarytorigidreligionsorpoliticalbeliefsasarefoundintotalitarian极权主义的societiesourcultureisoneofgreatindividualdifferencesatleastinprincipleandintheory.Butthisleadstodisunityevenchaos.Americansbelieveinthevalueofdiversitybutjustbecauseoursisasocietybasedonindividualdiversityitneedsconsensusaboutsomedominatingideasmorethansocietiesbasedonuniformoriginoftheircitizens.Henceifwearetohaveconsensusitmustbebasedonamyth―avision―aboutacommonexperienceaconquestthatmadeusAmericansasthemythabouttheconquestofTroyformedtheGreeks.Onlyacommonmythcanofferrelieffromthefearthatlifeiswithoutmeaningorpurpose.Mythspermitustoexamineourplaceintheworldbycomparingittoasharedidea.Mythsaresharedfantasiesthatformthetiethatbindstheindividualtoothermembersofhisgroup.Suchmythshelptowardofffeelingsofisolationguiltanxietyandpurposelessness―inshorttheycombatisolationandthebreakdownofsocialstandardsandvalues. Homer’’sepicsmentionedinParagraph1exemplifiesthefactthat
Directions: Youarepromotingthesaleoffaxmachineforacorporation.Writeasaleslettertoabusinessofficemanagertodescribe: 1itsadvantagesovermailsande-mail 2serviceandguaranteeand 3theeasiestwayofpurchase. Youshouldwriteabout100wordsonANSWERSHEET2.Donotsignyournameattheendoftheletter.Use"LiMing"instead.Youdonotneedtowritetheaddress.10points
InspiteofrisingconcernintheNortheastandCanadaAdministrationspokesmenhaverepeatedlyinsistedthatnothingcouldreallybedoneaboutacidrainandtheindustry-producedsulfuremissionsuntilallthescientificfactswerein.Suddenlylastweekhoweverfactscamerainingdownineffectmakingfurtherscientificdebateonwhatmainlycausestheproblemallbutirrelevant. WhatbroughtaboutthedownpourwasastudycommissionedbyPresidentialScienceAdviser.Thespokesmenplainlycalledforremedialactionevenifsometechnicalquestionsaboutacidrainwerestillunanswered.Ifwetaketheconservativepointofviewthatwemustwaituntilthescientificknowledgeisdefinitivesaidthespokesmantheaccumulateddepositionanddamagedenvironmentmayreachthepointof’’irreversibility’’. Whenitrainsitpours.NextcameastudyfromtheNationalResearchCouncil.Itsdefinitiveconclusion:reducingemissionsofsulfurdioxidefromcoal-burningpowerplantsandfactoriessuchastheseintheMidwestwouldinfactsignificantlyreducetheacidityinrainsnowandotherprecipitation降水thatiswidelybelievedtobeworseningthelifefromfresh-waterlakesandforestsintheNortheastandCanada.Thespokesmandidnotrecommendanyspecificaction. ApairofremedialmeasuresarealreadytakenbeforeCongress.ASenatecommitteerecentlyapprovedabillthatwouldrequirereductionoverthenextdecadeofsulfur-dioxideemissionsby10milliontonsintheStatesborderingontheeastoftheMississippi.AtoughermeasurewasintroducedintheHouseorderingthe50largestsulfurpollutersintheU.S.tocutemissionssubstantially.ToeasetheEasterncoalminingindustrywhichfearsaswitchtolow-sulfurWesterncoalthebillrequirestheinstallationofexpensivescrubbersdevicesforremovingsulfurfromthesmokeratherthananorderthatforbidshigh-sulfurfuel.StillthelegislationisbeingvigorouslyopposedbythecoalindustryandutilitiesespeciallyintheMid-westwhereheavyindustriesarebattlingtosurvive.InasurveyalsoreleasedlastweektheEdisonElectricInstituteanindustrygroupgravelypredictedthatelectricityratescouldriseasmuchas50%iftheemission-controllegislationpassed. GovernmentstudiesdisputethesefiguresbutCongresshasbeensuspendedonacid-rainmeasures.Nowasaresultoftheacademystudysupportersofthebillsaremoreoptimistic.Neverthelessamajorpoliticalbattleisshapingup. Thisarticlemostprobablyappearedin
Whatoursocietysuffersfrommosttodayistheabsenceofconsensusaboutwhatitandlifeinitoughttobe.Suchconsensuscannotbegainedfromsociety’’spresentstageorfromfantasiesaboutwhatitoughttobe.Forthatthepresentistoocloseandtoodiversifiedandthefuturetoouncertaintomakebelievableclaimsaboutit.AconsensusinthepresenthencecanbeachievedonlythroughasharedunderstandingofthepastasHomer’’sepics史诗informedthosewholivedcenturieslaterwhatitmeanttobeGreekandbywhatimagesandidealstheyweretolivetheirlivesandorganizetheirsocieties. Mostsocietiesderiveconsensusfromalonghistoryalanguagealltheirownacommonreligioncommonancestry.Themythsbywhichtheylivearebasedonallofthese.ButtheUnitedStatesisacountryofimmigrantscomingfromagreatvarietyofnations.Latelyithasbeenemphasizedthatanasocialnarcissistic自我陶醉的personalityhasbecomecharacteristicofAmericansandthatitisthistypeofpersonalitythatmakesforthelackofwell-beingbecauseitpreventsusfromachievingconsensusthatwouldcounteractatendencytowithdrawintoprivateworlds.InhisstudyofnarcissismChristopherLaschsaysthatmodernmantorturedbyself-consciousnessturnstonewtherapiesnottofreehimselfofhispersonalworriesbuttofindmeaningandpurposeinlifetofindsomethingtolivefor.Thereiswidespreaddistressbecausenationalmoralehasdeclinedandwehavelostanearliersenseofnationalvisionandpurpose. Contrarytorigidreligionsorpoliticalbeliefsasarefoundintotalitarian极权主义的societiesourcultureisoneofgreatindividualdifferencesatleastinprincipleandintheory.Butthisleadstodisunityevenchaos.Americansbelieveinthevalueofdiversitybutjustbecauseoursisasocietybasedonindividualdiversityitneedsconsensusaboutsomedominatingideasmorethansocietiesbasedonuniformoriginoftheircitizens.Henceifwearetohaveconsensusitmustbebasedonamyth―avision―aboutacommonexperienceaconquestthatmadeusAmericansasthemythabouttheconquestofTroyformedtheGreeks.Onlyacommonmythcanofferrelieffromthefearthatlifeiswithoutmeaningorpurpose.Mythspermitustoexamineourplaceintheworldbycomparingittoasharedidea.Mythsaresharedfantasiesthatformthetiethatbindstheindividualtoothermembersofhisgroup.Suchmythshelptowardofffeelingsofisolationguiltanxietyandpurposelessness―inshorttheycombatisolationandthebreakdownofsocialstandardsandvalues. TheasocialpersonalityofAmericansresultsfrom
InspiteofrisingconcernintheNortheastandCanadaAdministrationspokesmenhaverepeatedlyinsistedthatnothingcouldreallybedoneaboutacidrainandtheindustry-producedsulfuremissionsuntilallthescientificfactswerein.Suddenlylastweekhoweverfactscamerainingdownineffectmakingfurtherscientificdebateonwhatmainlycausestheproblemallbutirrelevant. WhatbroughtaboutthedownpourwasastudycommissionedbyPresidentialScienceAdviser.Thespokesmenplainlycalledforremedialactionevenifsometechnicalquestionsaboutacidrainwerestillunanswered.Ifwetaketheconservativepointofviewthatwemustwaituntilthescientificknowledgeisdefinitivesaidthespokesmantheaccumulateddepositionanddamagedenvironmentmayreachthepointof’’irreversibility’’. Whenitrainsitpours.NextcameastudyfromtheNationalResearchCouncil.Itsdefinitiveconclusion:reducingemissionsofsulfurdioxidefromcoal-burningpowerplantsandfactoriessuchastheseintheMidwestwouldinfactsignificantlyreducetheacidityinrainsnowandotherprecipitation降水thatiswidelybelievedtobeworseningthelifefromfresh-waterlakesandforestsintheNortheastandCanada.Thespokesmandidnotrecommendanyspecificaction. ApairofremedialmeasuresarealreadytakenbeforeCongress.ASenatecommitteerecentlyapprovedabillthatwouldrequirereductionoverthenextdecadeofsulfur-dioxideemissionsby10milliontonsintheStatesborderingontheeastoftheMississippi.AtoughermeasurewasintroducedintheHouseorderingthe50largestsulfurpollutersintheU.S.tocutemissionssubstantially.ToeasetheEasterncoalminingindustrywhichfearsaswitchtolow-sulfurWesterncoalthebillrequirestheinstallationofexpensivescrubbersdevicesforremovingsulfurfromthesmokeratherthananorderthatforbidshigh-sulfurfuel.StillthelegislationisbeingvigorouslyopposedbythecoalindustryandutilitiesespeciallyintheMid-westwhereheavyindustriesarebattlingtosurvive.InasurveyalsoreleasedlastweektheEdisonElectricInstituteanindustrygroupgravelypredictedthatelectricityratescouldriseasmuchas50%iftheemission-controllegislationpassed. GovernmentstudiesdisputethesefiguresbutCongresshasbeensuspendedonacid-rainmeasures.Nowasaresultoftheacademystudysupportersofthebillsaremoreoptimistic.Neverthelessamajorpoliticalbattleisshapingup. FromthedescriptionoftheeffortsintheHousewecanseethat
IsitpossiblethattheideaswehavetodayaboutownershipandpropertyrightshavebeensouniversalinthehumanmindthatitistrulyasiftheyhadsprungfromthemindofGodBynomeans.Theideaofowningandpropertyemergedinthemistsofunrecordedhistory.TheancientJewsforonehadaverydifferentoutlookonpropertyandownershipviewingitassomethingmuchmoretemporaryandtentativethanwedo. TheideaswehaveinAmericaabouttheprivateownershipofproductivepropertyasanaturalanduniversalrightofmankindperhapsofdivineoriginarebynomeansuniversalandmustbeviewedasaninventionofmanratherthanadecreeorderofGod.Ofcoursewearecompletelytrainedtoaccepttheideaofownershipoftheearthanditsproductsrawandtransformed.Itseemsnotatallstrange;infactitisquitedifficulttoimagineasocietywithoutsucharrangements.Ifsomeonesomeindividualdidn’’townthatplotoflandthathousethatfactorythatmachinethattowerofwheathowwouldwefunctionWhatwouldtherulesbeWhomwouldwebuyfromandhowwouldwesell Itisimportanttoacknowledgeasignificantdifferencebetweenachievingownershipsimplybytakingorclaimingpropertyandowningwhatwetendtocallthefruitoflabor.IfIaloneortogetherwithmyfamilyworkonthelandandraisecropsorifImakesomethingusefuloutofnaturalmaterialitseemsreasonableandfairtoclaimthatthecropsortheobjectsbelongtomeormyfamilyaremypropertyatleastinthesensethatIhavefirstclaimonthem.Hardlyanyonewoulddisputethat.Infactsomeoftheearlyradicalworkingmen’’smovementsmadeanownershipclaimonthoseverygrounds.AsindustrialorganizationbecamemorecomplexhoweversuchissuesbecamevastlymoreintricateItmustbeclearthatinmodernsocietythesocialheritageofknowledgeandtechnologyandthesocialorganizationofmanufactureandexchangeaccountforfarmoreoftheproductivityofindustryandthevalueofwhatisproducedthancanbeaccountedforbythelaborofanynumberofindividuals.HardlyanypersoncannowpointandsayThat--thatrightthere--isthefruitofmylabor.Wecansayasasocietyasanation--asaworldreally--thatwhatisproducedisthefruitofourlabortheproductofthewholesocietyasacollectivity. Wehavetorecognizethattherightofprivateindividualownershipofpropertyisman-madeandconstantlydependentontheextenttowhichthosewithoutpropertybelievethattheownercanmakehisclaimstick. Onedeservestoclaimonsomeproductonlywhen
TheSupremeCourt’’sdecisionsonphysician-assistedsuicidecarryimportantimplicationsforhowmedicineseekstorelievedyingpatientsofpainandsuffering. Althoughitruledthatthereisnoconstitutionalrighttophysician-assistedsuicidetheCourtineffectsupportedthemedicalprincipleofdoubleeffectacenturies-oldmoralprincipleholdingthatanactionhavingtwoeffects―agoodonethatisintendedandaharmfulonethatisforeseen―ispermissibleiftheactorintendsonlythegoodeffect. Doctorshaveusedthatprincipleinrecentyearstojustifyusinghighdosesofmorphinetocontrolterminallyiiipatients’’paineventhoughincreasingdosageswilleventuallykillthepatient. NancyDublerdirectorofMontefioreMedicalCentercontendsthattheprinciplewillshielddoctorswhountilnowhaveveryverystronglyinsistedthattheycouldnotgivepatientssufficientmedicationtocontroltheirpainifthatmighthastendeath. GeorgeAnnaschairofthehealthlawdepartmentatBostonUniversitymaintainsthataslongasadoctorprescribesadrugforalegitimatemedicalpurposethedoctorhasdonenothingillegalevenifthepatientusesthedrugtohastendeath.It’’slikesurgeryhesays.Wedon’’tcallthosedeathshomicidesbecausethedoctorsdidn’’tintendtokilltheirpatientsalthoughtheyriskedtheirdeath.Ifyou’’reaphysicianyoucanriskyourpatients’’suicideaslongasyoudon’’tintendtheirsuicide. Onanotherlevelmanyinthemedicalcommunityacknowledgethattheassisted-suicidedebatehasbeenfueledinpartbythedespairofpatientsforwhommodernmedicinehasprolongedthephysicalagonyofdying. JustthreeweeksbeforetheCourt’’srulingonphysician-assistedsuicidetheNationalAcademyofScienceNASreleasedatwo-volumereportApproachingDeath:ImprovingCareattheEndofLife.Itidentifiestheundertreatmentofpainandtheaggressiveuseofineffectualandforcedmedicalproceduresthatmayprolongandevendishonortheperiodofdyingasthetwinproblemsofend-of-lifecare. TheprofessionistakingstepstorequireyoungdoctorstotraininhospicestotestknowledgeofaggressivepainmanagementtherapiestodevelopaMedicarebillingcodeforhospital-basedcareandtodevelopnewstandardsforassessingandtreatingpainattheendoflife. Annassayslawyerscanplayakeyroleininsistingthatthesewell-meaningmedicalinitiativestranslateintobettercare.Largenumbersofphysiciansseemunconcernedwiththepaintheirpatientsareneedlesslyandpredictablysufferingtotheextentthatitconstitutessystematicpatientabuse.Hesaysmedicallicensingboardsmustmakeitclear..thatpainfuldeathsarepresumptivelyonesthatareincompetentlymanagedandshouldresultinlicensesuspension. Whichofthefollowingstatementsistrueaccordingtothetext
TheSupremeCourt’’sdecisionsonphysician-assistedsuicidecarryimportantimplicationsforhowmedicineseekstorelievedyingpatientsofpainandsuffering. Althoughitruledthatthereisnoconstitutionalrighttophysician-assistedsuicidetheCourtineffectsupportedthemedicalprincipleofdoubleeffectacenturies-oldmoralprincipleholdingthatanactionhavingtwoeffects―agoodonethatisintendedandaharmfulonethatisforeseen―ispermissibleiftheactorintendsonlythegoodeffect. Doctorshaveusedthatprincipleinrecentyearstojustifyusinghighdosesofmorphinetocontrolterminallyiiipatients’’paineventhoughincreasingdosageswilleventuallykillthepatient. NancyDublerdirectorofMontefioreMedicalCentercontendsthattheprinciplewillshielddoctorswhountilnowhaveveryverystronglyinsistedthattheycouldnotgivepatientssufficientmedicationtocontroltheirpainifthatmighthastendeath. GeorgeAnnaschairofthehealthlawdepartmentatBostonUniversitymaintainsthataslongasadoctorprescribesadrugforalegitimatemedicalpurposethedoctorhasdonenothingillegalevenifthepatientusesthedrugtohastendeath.It’’slikesurgeryhesays.Wedon’’tcallthosedeathshomicidesbecausethedoctorsdidn’’tintendtokilltheirpatientsalthoughtheyriskedtheirdeath.Ifyou’’reaphysicianyoucanriskyourpatients’’suicideaslongasyoudon’’tintendtheirsuicide. Onanotherlevelmanyinthemedicalcommunityacknowledgethattheassisted-suicidedebatehasbeenfueledinpartbythedespairofpatientsforwhommodernmedicinehasprolongedthephysicalagonyofdying. JustthreeweeksbeforetheCourt’’srulingonphysician-assistedsuicidetheNationalAcademyofScienceNASreleasedatwo-volumereportApproachingDeath:ImprovingCareattheEndofLife.Itidentifiestheundertreatmentofpainandtheaggressiveuseofineffectualandforcedmedicalproceduresthatmayprolongandevendishonortheperiodofdyingasthetwinproblemsofend-of-lifecare. TheprofessionistakingstepstorequireyoungdoctorstotraininhospicestotestknowledgeofaggressivepainmanagementtherapiestodevelopaMedicarebillingcodeforhospital-basedcareandtodevelopnewstandardsforassessingandtreatingpainattheendoflife. Annassayslawyerscanplayakeyroleininsistingthatthesewell-meaningmedicalinitiativestranslateintobettercare.Largenumbersofphysiciansseemunconcernedwiththepaintheirpatientsareneedlesslyandpredictablysufferingtotheextentthatitconstitutessystematicpatientabuse.Hesaysmedicallicensingboardsmustmakeitclear..thatpainfuldeathsarepresumptivelyonesthatareincompetentlymanagedandshouldresultinlicensesuspension. Whichofthefollowingbestdefinesthewordaggressiveline3paragraph7
Ifafarmerwishestosucceedhemusttrytokeepawidegapbetweenhisconsumptionandhisproduction.Hemuststorealargequantityofgrain________consumingallhisgrainimmediately.Hecancontinuetosupporthimselfandhisfamily________heproducesasurplus.Hemustusethissurplusinthreeways:asseedforsowingasaninsurance________theunpredictableeffectsofbadweatherandasacommoditywhichhemustsellinorderto________oldagriculturalimplementsandobtainchemicalfertilizersto______thesoil.Hemayalsoneedmoneytoconstructirrigation______andimprovehisfarminotherways.Ifnosurplusisavailableafarmercannotbe______.Hemusteithersellsomeofhispropertyor________extrafundsintheformofloans.Naturallyhewilltrytoborrowmoneyatalow________ofinterestbutloansofthiskindarenot________obtainable. SectionⅠUseofEnglishDirections:Readthefollowingtext.ChoosethebestwordsforeachnumberedblankandmarkABCorD.10points10
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