患儿，男，2岁，体格瘦小，平日口唇、甲床青紫，活动、哭闹时加重。活动时喜下蹲，经检查诊断为

未知题型

Google may be valued at more than $185 billion and boast millions of users, but that doesn’t mean the Internet giant is any match for the diminutive French President Nicolas Sarkozy. On DeC.8, Sarkozy warned Google he would not allow France to be 'stripped' of its literary heritage, an apparent reference to Google's enormous book-digitizing project. 'We won't let ourselves be stripped of our heritage to the benefit of a big company, no matter how friendly, big or American it is,' Sarkozy said during a round-table discussion in eastern FrancE.'We are not going to be stripped of what generations and generations have produced in the French language, just because we weren’t capable of funding our own digitization project.'
Sarkozy's oratorical histrionics are becoming a regular occurrencE.But the French President isn't the only European David ready to stand up to the Internet Goliath and its formidable archiving project. Last October, German Chancellor Angela Merkel reiterated concerns held by many German publishers. The German government, she said, rejected 'the scanning of books without any copyright protection like Google's doing. We refuse to permit simple scanning of books without full protection of intellectual-property rights.' The French and German complaints are part of a growing move in the European Union to head off Google's mass digitization of literaturE.'It is not up to any individual organization to determine policy on a matter as important as the digitization of our global heritage,' French Culture Minister Frédéric Mitterrand told the Journal du Dimanche following a meeting of his E.U. peers in late November to discuss a united, state-led approach to the matter. 'I'm not going to leave this issue up to simple laissez-fairE.'
Google has already digitized some 10 million books—most of them 'public domain” works that are out of print, or books whose copyright owners are unknown. Google's strategy thus far appears to have been to scan first, and deal with any copyright issues later—a method that worries authors and publishers. Justice authorities in the U.S. and in Europe have warned Google that it should not secure a monopoly position that would allow it to single-handedly dictate how much the public must pay to access many of the world's great books.
Google and its backers—which include industrial partner Sony as well as libraries in the U.S. and Europe—argue that the company brings rare books often only obtainable by students, scholars and researchers to the general public online for freE.It says it’s also setting aside funding to pay to unknown copyright owners who step up and ask for remuneration, or remove works by those who don't want to be in Google's archivE.
Opponents—these include several European governments and publishers, and the Open Access Alliance formed by authors and Google rivals like Yahoo! and Microsoft—describe that as a kind of massive, literary land grab which ignores copyright concerns until owners demand they be paid or their books removeD.They also fear Google’s initially free search-and-access service will give way to a pay schemE.Confusing matters further, libraries, publishers and writers in both the U.S. and Europe are split in pro-and anti-Google Book camps.
The California-based giant has already made some concessions to publishers. Under a pending settlement reached with U.S. publishers' groups, Google has agreed to limit its archiving to works that have been registered in the U.S., or come from the U.K., Australia, and Canada—English-speaking countries whose authors are present in American libraries. That agreement would nominally exclude books from countries like France and Germany, and from China, which has also objected to the digitization project on copyright grounds. Still, the accord must be approved by a U.S. federal court review in February—not a slam-dunk affair, given the American Justice Depa
A.approval
B.payment
C.apology
D.copyright

单项选择题

患者女，20岁。因血压高、视力障碍、恶心、呕吐来院就诊，体检：血压8/16kPa(210/120mmHg)，心界向左右下扩大，血红蛋白65g/L，尿蛋白(+++)，红细胞5～10/HP，血Cr560μmol/L，B超双肾缩小，眼底有渗血，考虑最可能的诊断是

A.慢性肾炎高血压型
B.慢性肾炎伴高血压
C.慢性肾衰竭尿毒症期
D.恶性高血压
E.急性高血压

单项选择题

患儿，男，5岁，因高度水肿诊断为肾病综合征，予以泼尼松治疗4个月。该患儿可能会出现

A.肝功能损害
B.骨质疏松
C.骨髓抑制
D.性腺损害
E.脱发

患儿，男，2岁，体格瘦小，平日口唇、甲床青紫，活动、哭闹时加重。活动时喜下蹲，经检查诊断为法洛四联症。该患儿胸部X线检查可见

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