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女，45岁，发热、咳脓痰1周，胸片右下背段浸润阴影。用青霉素治疗体温稍下降，但痰量增多，为脓血痰，有臭味。胸片大片浸润阴影中出现空腔。根据体格检查，确定病变节段为
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女性45岁发热咳脓痰1周胸片右下背段浸润阴影用青霉素治疗体温稍下降但痰量增多为脓血痰有臭味胸片大片浸
祛痰药
甲硝唑
阿米卡星
红霉素
女45岁发热咳脓痰1周胸片示右下背段浸润阴影用青霉素治疗体温稍下降但痰量增多为脓血痰有臭味胸片大片浸
祛痰药
甲硝唑
阿米卡星
红霉素
女45岁发热咳脓痰1周胸片示右下背段浸润阴影用青霉素治疗体温稍下降但痰量增多为脓血痰有臭味胸片示大片
2周
3周
4周
8周
女45岁发热咳脓痰1周胸片示右下背段浸润阴影用青霉素治疗体温稍下降但痰量增多为脓血痰有臭味胸片大片浸
2周
3周
4周
8周
女45岁发热咳脓痰1周胸片右下背段浸润阴影用青霉素治疗体温稍下降但痰量增多为脓血痰有臭味胸片大片浸润
左侧卧位
右侧卧位
头低仰卧位
头低俯卧位
坐位
治疗2周后患者临床症状明显改善胸片空腔缩小抗生素总疗程一般宜持续
2周
3周
4周
6周
8周
女45岁发热咳脓痰1周胸片示右下背段浸润阴影用青霉素治疗体温稍下降但痰量增多为脓血痰有臭味胸片示大片
祛痰药
甲硝唑
阿米卡星
红霉素
假如作体位引流应实行的体位是
左侧卧位
右侧卧位
头低仰卧位
头低俯卧位
坐位
女45岁发热咳脓痰1周胸片右下背段浸润阴影用青霉素治疗体温稍下降但痰量增多为脓血痰有臭味胸片大片浸润
左侧卧位
右侧卧位
头低仰卧位
头低俯卧位
女45岁发热咳脓痰1周胸片示右下背段浸润阴影用青霉素治疗体温稍下降但痰量增多为脓血痰有臭味胸片大片浸
左侧卧位
右侧卧位
头低仰卧位
头低俯卧位
女45岁发热咳脓痰1周胸片示右下背段浸润阴影用青霉素治疗体温稍下降但 痰量增多为脓血痰
7.5%
50%
45%
52.5%
女45岁发热咳脓痰1周胸片右下背段浸润阴影用青霉素治疗体温稍下降但痰量增多为脓血痰有臭味胸片大片浸润
2周
3周
4周
8周
女45岁发热咳脓痰1周胸片右下背段浸润阴影用青霉素治疗体温稍下降但痰量增多为脓血痰有臭味胸片大片浸润
祛痰药
甲硝唑
阿米卡星
红霉素
女45岁发热咳脓痰1周胸片右下背段浸润阴影用青霉素治疗体温稍下降但痰量增多为脓血痰有
7.5%
50%
45%
52．5%
女45岁发热咳脓痰1周胸片右下背段浸润阴影用青霉素治疗体温稍下降但痰量增多为脓血痰有臭味胸片大片浸润
2周
3周
4周
6周
8周
患者女性45岁发热咳脓痰1周胸片右下背段浸润阴影用青霉素治疗体温稍下降但痰量增多为脓血痰有臭味胸片大
祛痰药
甲硝唑
阿米卡星
红霉素
安络血
患者女性45岁发热咳脓痰1周胸片右下背段浸润阴影用青霉素治疗体温稍下降但痰量增多为脓血痰有臭味胸片可
祛痰药
甲硝唑
阿米卡星
红霉素
安络血
治疗中需加用
祛痰药
甲硝唑
阿米卡星
红霉素
卡巴克洛
女性45岁发热咳脓痰1周胸片右下背段浸润阴影用青霉素治疗体温稍下降但痰量增多为脓血痰有臭味胸片大片浸
2周
3周
4周
8周
女45岁发热咳脓痰1周胸片右下背段浸润阴影用青霉素治疗体温稍下降但痰量增多为脓血痰有
祛痰药
甲硝唑
阿米卡星
红霉素
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Everybodylovesafatpayrise.Yetpleasureatyourowncanvanishifyoulearnthatacolleaguehasbeengivenabiggerone.Indeedifhehasareputationforslackingyoumightevenbeoutraged.Suchbehaviourisregardedasalltoohumanwiththeunderlyingassumptionthatotheranimalswouldnotbecapableofthisfinelydevelopedsenseofgrievance.ButastudybySarahBrosnanandFransdeWaalofEmoryUniversityinAtlantaGeorgiawhichhasjustbeenpublishedinNaturesuggeststhatitisalltoomonkeyaswell. Theresearchersstudiedthebehaviouroffemalebrowncapuchinmonkeys.Theylookcute.Theyaregood-naturedco-operativecreaturesandtheysharetheirfoodreadily.Aboveallliketheirfemalehumancounterpartstheytendtopaymuchcloserattentiontothevalueofgoodsandservicesthanmales. SuchcharacteristicsmakethemperfectcandidatesforDr.Brosnan’’sandDr.deWaal’’sstudy.Theresearchersspenttwoyearsteachingtheirmonkeystoexchangetokensforfood.Normallythemonkeyswerehappyenoughtoexchangepiecesofrockforslicesofcucumber.Howeverwhentwomonkeyswereplacedinseparatebutadjoiningchamberssothateachcouldobservewhattheotherwasgettinginreturnforitsrocktheirbehaviourbecamemarkedlydifferent. Intheworldofcapuchinsgrapesareluxurygoodsandmuchpreferabletocucumbers.Sowhenonemonkeywashandedagrapeinexchangeforhertokenthesecondwasreluctanttohandhersoverforamerepieceofcucumber.Andifonereceivedagrapewithouthavingtoprovidehertokeninexchangeatalltheothereithertossedherowntokenattheresearcheroroutofthechamberorrefusedtoacceptthesliceofcucumber.Indeedthemerepresenceofagrapeintheotherchamberwithoutanactualmonkeytoeatitwasenoughtoinduceresentmentinafemalecapuchin. Theresearcherssuggestthatcapuchinmonkeyslikehumansareguidedbysocialemotions.Inthewildtheyareaco-operativegroup-livingspecies.Suchco-operationislikelytobestableonlywheneachanimalfeelsitisnotbeingcheated.Feelingsofrighteousndignationitseemsarenotthepreserveofpeoplealone.Refusingalesserrewardcompletelymakesthesefeelingsabundantlycleartoothermembersofthegroup.Howeverwhethersuchasenseoffairnessevolvedindependentlyincapuchinsandhumansorwhetheritstemsfromthecommonancestorthatthespecieshad35millionyearsagoisasyetanunansweredquestion. ThestatementitisalltoomonkeyLastlineParagraph1impliesthat
Humanbeingsinalltimesandplacesthinkabouttheirworldandwonderattheirplaceinit.Humansarethoughtfulandcreativepossessedofinsatiablecuriosity.61Furthermorehumanshavetheabilitytomodifytheenvironmentinwhichtheylivethussubjectingallotherlifeformstotheirownpeculiarideasandfancies.ThereforeitisimportanttostudyhumansinalltheirrichnessanddiversityinacalmandsystematicmannerwiththehopethattheknowledgeresultingfromsuchstudiescanleadhumanstoamorehannoniouswayoflivingwiththemselvesandwithallotherlifeformsonthisplanetEarth."Anthropology."derivesfromtheGreekwordsanthropos"human"andlogos"thestudyof."Bvitsverynameanthropologyencompassesthestudyofallhumankind.Anthropologyisoneofthesocialsciences.62Socialscienceisthatbranchofintellectualenquirywhichseekstostudyhumansandtheirendeavorsinthesamereasonedorderlysystematicanddispassionedmannerthatnaturalscientistsuseforthestudyofnaturalphenomena.Socialsciencedisciplinesincludegeographyeconomicspoliticalsciencepsychologyandsociology.Eachofthesesocialscienceshasasubfieldorspecializationwhichliesparticularlyclosetoanthropology.Allthesocialsciencesfocusuponthestudyofhumanity.Anthropologyisafield-studyorienteddisciplinewhichmakesextensiveuseofthecomparativemethodinanalysis.63Theemphasisondatagatheredfirst-handcombinedwithacross-culturalperspectivebroughttotheanalysisofculturespastandpresentmakesthisstudyauniqueanddistinctlyimportantsocialscience.Anthropologicalanalysesrestheavilyupontheconceptofculture.SirEdwardTylor’’sformulationoftheconceptofculturewasoneofthegreatintellectualachievementsof19thcenturyscience.64Tylordefinedcultureas"...thatcomplexwholewhichincludesbeliefartmoralslawcustomandanyothercapabilitiesandhabitsacquiredbymanasamemberofsociety."Thisinsightsoprofoundinitssimplicityopenedupanentirelynewwayofperceivingandunderstandinghumanlife.ImplicitwithinTylor’’sdefinitionistheconceptthatcultureislearnedsharedandpatternedbehavior.65Thustheanthropologicalconceptof"culture"liketheconceptof"set"inmathematicsisanabstractconceptwhichmakespossibleimmenseamountsofconcreteresearchandunderstanding. Tylordefinedcultureas...thatcomplexwholewhichincludesbeliefartmoralslawcustomandanyothercapabilitiesandhabitsacquiredbymanasamemberofsociety.
1effectofthecountry’’sgrowinghumanpopulationonitswildlife 2possiblereasonfortheeffect 3yoursuggestionforwildlifeprotection
大肠湿热证
Everybodylovesafatpayrise.Yetpleasureatyourowncanvanishifyoulearnthatacolleaguehasbeengivenabiggerone.Indeedifhehasareputationforslackingyoumightevenbeoutraged.Suchbehaviourisregardedasalltoohumanwiththeunderlyingassumptionthatotheranimalswouldnotbecapableofthisfinelydevelopedsenseofgrievance.ButastudybySarahBrosnanandFransdeWaalofEmoryUniversityinAtlantaGeorgiawhichhasjustbeenpublishedinNaturesuggeststhatitisalltoomonkeyaswell. Theresearchersstudiedthebehaviouroffemalebrowncapuchinmonkeys.Theylookcute.Theyaregood-naturedco-operativecreaturesandtheysharetheirfoodreadily.Aboveallliketheirfemalehumancounterpartstheytendtopaymuchcloserattentiontothevalueofgoodsandservicesthanmales. SuchcharacteristicsmakethemperfectcandidatesforDr.Brosnan’’sandDr.deWaal’’sstudy.Theresearchersspenttwoyearsteachingtheirmonkeystoexchangetokensforfood.Normallythemonkeyswerehappyenoughtoexchangepiecesofrockforslicesofcucumber.Howeverwhentwomonkeyswereplacedinseparatebutadjoiningchamberssothateachcouldobservewhattheotherwasgettinginreturnforitsrocktheirbehaviourbecamemarkedlydifferent. Intheworldofcapuchinsgrapesareluxurygoodsandmuchpreferabletocucumbers.Sowhenonemonkeywashandedagrapeinexchangeforhertokenthesecondwasreluctanttohandhersoverforamerepieceofcucumber.Andifonereceivedagrapewithouthavingtoprovidehertokeninexchangeatalltheothereithertossedherowntokenattheresearcheroroutofthechamberorrefusedtoacceptthesliceofcucumber.Indeedthemerepresenceofagrapeintheotherchamberwithoutanactualmonkeytoeatitwasenoughtoinduceresentmentinafemalecapuchin. Theresearcherssuggestthatcapuchinmonkeyslikehumansareguidedbysocialemotions.Inthewildtheyareaco-operativegroup-livingspecies.Suchco-operationislikelytobestableonlywheneachanimalfeelsitisnotbeingcheated.Feelingsofrighteousndignationitseemsarenotthepreserveofpeoplealone.Refusingalesserrewardcompletelymakesthesefeelingsabundantlycleartoothermembersofthegroup.Howeverwhethersuchasenseoffairnessevolvedindependentlyincapuchinsandhumansorwhetheritstemsfromthecommonancestorthatthespecieshad35millionyearsagoisasyetanunansweredquestion. Dr.BrosnanandDr.deWaalhaveeventuallyfoundintheirstudythatthemonkeys
高血压急症患者合并有肾功能不全如果选用利尿剂来降压最常选用的是下列哪一种
Humanbeingsinalltimesandplacesthinkabouttheirworldandwonderattheirplaceinit.Humansarethoughtfulandcreativepossessedofinsatiablecuriosity.61Furthermorehumanshavetheabilitytomodifytheenvironmentinwhichtheylivethussubjectingallotherlifeformstotheirownpeculiarideasandfancies.ThereforeitisimportanttostudyhumansinalltheirrichnessanddiversityinacalmandsystematicmannerwiththehopethattheknowledgeresultingfromsuchstudiescanleadhumanstoamorehannoniouswayoflivingwiththemselvesandwithallotherlifeformsonthisplanetEarth."Anthropology."derivesfromtheGreekwordsanthropos"human"andlogos"thestudyof."Bvitsverynameanthropologyencompassesthestudyofallhumankind.Anthropologyisoneofthesocialsciences.62Socialscienceisthatbranchofintellectualenquirywhichseekstostudyhumansandtheirendeavorsinthesamereasonedorderlysystematicanddispassionedmannerthatnaturalscientistsuseforthestudyofnaturalphenomena.Socialsciencedisciplinesincludegeographyeconomicspoliticalsciencepsychologyandsociology.Eachofthesesocialscienceshasasubfieldorspecializationwhichliesparticularlyclosetoanthropology.Allthesocialsciencesfocusuponthestudyofhumanity.Anthropologyisafield-studyorienteddisciplinewhichmakesextensiveuseofthecomparativemethodinanalysis.63Theemphasisondatagatheredfirst-handcombinedwithacross-culturalperspectivebroughttotheanalysisofculturespastandpresentmakesthisstudyauniqueanddistinctlyimportantsocialscience.Anthropologicalanalysesrestheavilyupontheconceptofculture.SirEdwardTylor’’sformulationoftheconceptofculturewasoneofthegreatintellectualachievementsof19thcenturyscience.64Tylordefinedcultureas"...thatcomplexwholewhichincludesbeliefartmoralslawcustomandanyothercapabilitiesandhabitsacquiredbymanasamemberofsociety."Thisinsightsoprofoundinitssimplicityopenedupanentirelynewwayofperceivingandunderstandinghumanlife.ImplicitwithinTylor’’sdefinitionistheconceptthatcultureislearnedsharedandpatternedbehavior.65Thustheanthropologicalconceptof"culture"liketheconceptof"set"inmathematicsisanabstractconceptwhichmakespossibleimmenseamountsofconcreteresearchandunderstanding. Furthermorehumanshavetheabilitytomodifytheenvironmentinwhichtheylivethussubjectingallotherlifeformstotheirownpeculiarideasandfancies
在人体内由葡萄糖合成脂肪酸的直接中间产物是
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Humanbeingsinalltimesandplacesthinkabouttheirworldandwonderattheirplaceinit.Humansarethoughtfulandcreativepossessedofinsatiablecuriosity.61Furthermorehumanshavetheabilitytomodifytheenvironmentinwhichtheylivethussubjectingallotherlifeformstotheirownpeculiarideasandfancies.ThereforeitisimportanttostudyhumansinalltheirrichnessanddiversityinacalmandsystematicmannerwiththehopethattheknowledgeresultingfromsuchstudiescanleadhumanstoamorehannoniouswayoflivingwiththemselvesandwithallotherlifeformsonthisplanetEarth."Anthropology."derivesfromtheGreekwordsanthropos"human"andlogos"thestudyof."Bvitsverynameanthropologyencompassesthestudyofallhumankind.Anthropologyisoneofthesocialsciences.62Socialscienceisthatbranchofintellectualenquirywhichseekstostudyhumansandtheirendeavorsinthesamereasonedorderlysystematicanddispassionedmannerthatnaturalscientistsuseforthestudyofnaturalphenomena.Socialsciencedisciplinesincludegeographyeconomicspoliticalsciencepsychologyandsociology.Eachofthesesocialscienceshasasubfieldorspecializationwhichliesparticularlyclosetoanthropology.Allthesocialsciencesfocusuponthestudyofhumanity.Anthropologyisafield-studyorienteddisciplinewhichmakesextensiveuseofthecomparativemethodinanalysis.63Theemphasisondatagatheredfirst-handcombinedwithacross-culturalperspectivebroughttotheanalysisofculturespastandpresentmakesthisstudyauniqueanddistinctlyimportantsocialscience.Anthropologicalanalysesrestheavilyupontheconceptofculture.SirEdwardTylor’’sformulationoftheconceptofculturewasoneofthegreatintellectualachievementsof19thcenturyscience.64Tylordefinedcultureas"...thatcomplexwholewhichincludesbeliefartmoralslawcustomandanyothercapabilitiesandhabitsacquiredbymanasamemberofsociety."Thisinsightsoprofoundinitssimplicityopenedupanentirelynewwayofperceivingandunderstandinghumanlife.ImplicitwithinTylor’’sdefinitionistheconceptthatcultureislearnedsharedandpatternedbehavior.65Thustheanthropologicalconceptof"culture"liketheconceptof"set"inmathematicsisanabstractconceptwhichmakespossibleimmenseamountsofconcreteresearchandunderstanding. Thustheanthropologicalconceptofcultureliketheconceptofsetinmathematicsisanabstractconceptwhichmakespossibleimmenseamountsofconcreteresearchandunderstanding.
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男性34岁心电图提示P-R间期＜0.12sQRS波群时限＞0.12sP-J间期正常继发性ST-T改变V1～V6导联QRS波群主波均向上该例的诊断是
Itmayseemanexaggerationtosaythatambitionisthelinchpinofsocietyholdingmanyofitsdifferentelementstogetherbutitisnotanexaggerationbymuch.Removeambitionandtheessentialelementsofsocietyseemtoflyapart.Ambitionasopposedtomerefantasizingaboutdesiresimpliesworkanddisciplinetoachievegoalspersonalandsocialofakindsocietycannotsurvivewithout.Ambitionisintimatelyconnectedwithfamilyformenandwomennotonlyworkpartlyfortheirfamilies;husbandsandwivesareoftenambitiousforeachotherbutharborsomeoftheirmosteagerambitionsfortheirchildren.Yettohaveafamilynowadays-withbirthcontrolreadilyavailableandinflationagoodeconomicargumentagainsthavingchildren-isnearlyanexpressionofambitioninitself.Ambitionandfuturity-asenseofbuildingfortomorrow-areinescapable.Workingsavingplanning-thesethedailyaspectsofambition-havealwaysbeenthedistinguishingmarksofarisingmiddleclass.Theattackagainstambitionisnotincidentallyanattackonthemiddleclassandwhatitstandsfor.Likeitornotthemiddleclasshasdonemuchofsociety’’sworkinAmerica;anditthemiddleclasshasfromthebeginningrunonambition. Itisnotdifficulttoimagineaworldstrippedofambition.Itwouldprobablybeakinderworld:withoutdemandsanddisappointments.Peoplewouldhavetimeforreflection.Suchworkastheydidwouldnotbeforthemselvesbutforthecollectivity.Competitionwouldneverenterin.Conflictwouldbeeliminatedtensionbecomeathingofthepast.Thestressofcreationwouldbeatanend.Thefamilywouldbecomesuperfluousasasocialunitwithallitsformerpowerforbringingaboutneurosisdrainedaway.Longevitywouldbeincreasedforfewerpeoplewoulddieofheartattackorstrokecausedbyconfusedendeavor.Anxietywouldbeextinct.Timewouldstretchonandonwithambitionlongdepartedfromthehumanheart. Wedonotchooseourparentsourhistoricalepochthecountryofourbirthortheimmediatecircumstancesofourupbringing.Wedonotmostofuschoosetodie;nordowechoosethetimeorconditionsofourdeath.Butwithinallthisrealmofchoicelessnesswedochoosehowweshalllive:courageouslyorincowardicehonorablyordishonorablywithpurposeorindrift.Wedecidewhatisimportantandwhatistrivialinlife.Wedecidethatwhatmakesussignificantiseitherwhatwedoorwhatwerefusetodo.Butnomatterhowindifferenttheuniversemaybetoourchoicesanddecisionsthesechoicesanddecisionsareourstomake.Wedecide.Wechoose.Andaswedecideandchoosesoareourlivesformed.Intheendformingourowndestinyiswhatambitionisabout. Whatdistinguishesusonefromanotherseemstobe
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Itmayseemanexaggerationtosaythatambitionisthelinchpinofsocietyholdingmanyofitsdifferentelementstogetherbutitisnotanexaggerationbymuch.Removeambitionandtheessentialelementsofsocietyseemtoflyapart.Ambitionasopposedtomerefantasizingaboutdesiresimpliesworkanddisciplinetoachievegoalspersonalandsocialofakindsocietycannotsurvivewithout.Ambitionisintimatelyconnectedwithfamilyformenandwomennotonlyworkpartlyfortheirfamilies;husbandsandwivesareoftenambitiousforeachotherbutharborsomeoftheirmosteagerambitionsfortheirchildren.Yettohaveafamilynowadays-withbirthcontrolreadilyavailableandinflationagoodeconomicargumentagainsthavingchildren-isnearlyanexpressionofambitioninitself.Ambitionandfuturity-asenseofbuildingfortomorrow-areinescapable.Workingsavingplanning-thesethedailyaspectsofambition-havealwaysbeenthedistinguishingmarksofarisingmiddleclass.Theattackagainstambitionisnotincidentallyanattackonthemiddleclassandwhatitstandsfor.Likeitornotthemiddleclasshasdonemuchofsociety’’sworkinAmerica;anditthemiddleclasshasfromthebeginningrunonambition. Itisnotdifficulttoimagineaworldstrippedofambition.Itwouldprobablybeakinderworld:withoutdemandsanddisappointments.Peoplewouldhavetimeforreflection.Suchworkastheydidwouldnotbeforthemselvesbutforthecollectivity.Competitionwouldneverenterin.Conflictwouldbeeliminatedtensionbecomeathingofthepast.Thestressofcreationwouldbeatanend.Thefamilywouldbecomesuperfluousasasocialunitwithallitsformerpowerforbringingaboutneurosisdrainedaway.Longevitywouldbeincreasedforfewerpeoplewoulddieofheartattackorstrokecausedbyconfusedendeavor.Anxietywouldbeextinct.Timewouldstretchonandonwithambitionlongdepartedfromthehumanheart. Wedonotchooseourparentsourhistoricalepochthecountryofourbirthortheimmediatecircumstancesofourupbringing.Wedonotmostofuschoosetodie;nordowechoosethetimeorconditionsofourdeath.Butwithinallthisrealmofchoicelessnesswedochoosehowweshalllive:courageouslyorincowardicehonorablyordishonorablywithpurposeorindrift.Wedecidewhatisimportantandwhatistrivialinlife.Wedecidethatwhatmakesussignificantiseitherwhatwedoorwhatwerefusetodo.Butnomatterhowindifferenttheuniversemaybetoourchoicesanddecisionsthesechoicesanddecisionsareourstomake.Wedecide.Wechoose.Andaswedecideandchoosesoareourlivesformed.Intheendformingourowndestinyiswhatambitionisabout. Theauthorbelievesthatwithoutambition
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Itmayseemanexaggerationtosaythatambitionisthelinchpinofsocietyholdingmanyofitsdifferentelementstogetherbutitisnotanexaggerationbymuch.Removeambitionandtheessentialelementsofsocietyseemtoflyapart.Ambitionasopposedtomerefantasizingaboutdesiresimpliesworkanddisciplinetoachievegoalspersonalandsocialofakindsocietycannotsurvivewithout.Ambitionisintimatelyconnectedwithfamilyformenandwomennotonlyworkpartlyfortheirfamilies;husbandsandwivesareoftenambitiousforeachotherbutharborsomeoftheirmosteagerambitionsfortheirchildren.Yettohaveafamilynowadays-withbirthcontrolreadilyavailableandinflationagoodeconomicargumentagainsthavingchildren-isnearlyanexpressionofambitioninitself.Ambitionandfuturity-asenseofbuildingfortomorrow-areinescapable.Workingsavingplanning-thesethedailyaspectsofambition-havealwaysbeenthedistinguishingmarksofarisingmiddleclass.Theattackagainstambitionisnotincidentallyanattackonthemiddleclassandwhatitstandsfor.Likeitornotthemiddleclasshasdonemuchofsociety’’sworkinAmerica;anditthemiddleclasshasfromthebeginningrunonambition. Itisnotdifficulttoimagineaworldstrippedofambition.Itwouldprobablybeakinderworld:withoutdemandsanddisappointments.Peoplewouldhavetimeforreflection.Suchworkastheydidwouldnotbeforthemselvesbutforthecollectivity.Competitionwouldneverenterin.Conflictwouldbeeliminatedtensionbecomeathingofthepast.Thestressofcreationwouldbeatanend.Thefamilywouldbecomesuperfluousasasocialunitwithallitsformerpowerforbringingaboutneurosisdrainedaway.Longevitywouldbeincreasedforfewerpeoplewoulddieofheartattackorstrokecausedbyconfusedendeavor.Anxietywouldbeextinct.Timewouldstretchonandonwithambitionlongdepartedfromthehumanheart. Wedonotchooseourparentsourhistoricalepochthecountryofourbirthortheimmediatecircumstancesofourupbringing.Wedonotmostofuschoosetodie;nordowechoosethetimeorconditionsofourdeath.Butwithinallthisrealmofchoicelessnesswedochoosehowweshalllive:courageouslyorincowardicehonorablyordishonorablywithpurposeorindrift.Wedecidewhatisimportantandwhatistrivialinlife.Wedecidethatwhatmakesussignificantiseitherwhatwedoorwhatwerefusetodo.Butnomatterhowindifferenttheuniversemaybetoourchoicesanddecisionsthesechoicesanddecisionsareourstomake.Wedecide.Wechoose.Andaswedecideandchoosesoareourlivesformed.Intheendformingourowndestinyiswhatambitionisabout. Theauthorholdsambitiontobe
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