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🤔 中医可验证问题 🧠
❓:If consumers expect the price of corn to be lower in the near future and the prices of seed corn and fertilizer fall, how will these expectations and cost changes affect the equilibrium price and equilibrium quantity in the corn market?

🧠:Let's think about what's happening in the corn market. Imagine you're hearing that corn is going to be cheaper soon. What do you do? Well, it might make sense to hold off on buying corn now because, hey, why not wait and pay less later, right? So, you and other consumers start demanding less corn at the current price. Yeah, that makes sense, so this decreased demand might push the demand curve to shift a bit left.Now, flip it to the producers' perspective. Prices for seed corn and fertilizer drop. That's good news if you're growing corn because now it costs less to produce each unit of corn. With these lower costs, farmers are going to want to grow more corn since it's cheaper to do so. It's like getting a discount on one of your biggest expenses—you'd probably take advantage of it, right? So, this pushes the supply curve to shift to the right.Putting these together, what do we see happening in the corn market? Well, on one hand, we've got less demand because everyone's waiting for those lower prices. On the other hand, producers are cranking out more corn because it's cheaper to make. So, what does that mean for price? With less demand and more supply, the price is likely going to drop.Now, how about the quantity? It's kind of a blend here. The increased supply suggests there could be more corn in the market overall. But since demand is lower too, that increased quantity isn’t a sure thing. It really depends on which effect is stronger.So, in the end, we can say prices are probably going down. For quantity, we might see it go up or down, depending on whether the drop in demand outweighs the increase in supply or not. Without exact numbers, we're kind of left guessing on the quantity change. But it's fascinating to see how these forces work together, right?

🔑:In the scenario you've described, we can anticipate changes in the corn market based on supply and demand dynamics.1. Equilibrium Price: The expectation that corn prices will be lower in the future decreases current demand as consumers decide to wait for the expected cheaper prices before making their purchases. Concurrently, the drop in prices for seed corn and fertilizer reduces production costs for farmers, encouraging them to increase supply. When you combine decreased demand with increased supply, the equilibrium price of corn is likely to decrease.2. Equilibrium Quantity: The impact on equilibrium quantity is a bit more complex. The increase in supply typically suggests a higher equilibrium quantity, as producers are ready to supply more at every price level due to reduced costs. Meanwhile, the decrease in demand suggests a lower equilibrium quantity, as consumers are buying less at the current price level. The overall effect on equilibrium quantity depends on the relative magnitudes of these changes. If the increase in supply is larger than the decrease in demand, the equilibrium quantity could rise; conversely, if the decrease in demand is more significant, the equilibrium quantity could fall. Without specific data on the elasticity of supply and demand, it's challenging to predict the exact change in quantity.Nonetheless, during such market adjustments, price drops are the more assured outcome due to the dual effects of supply expansion and demand contraction.

❓:已知某药物属一级反应分解,在25℃下K=0.000077天<sup>-1</sup>,则其t<sub>z2-125℃</sub>为A. 10000天B. 1000天C. 9000天D. 3000天E. 600天

🧠:哦,这题讲的是某个药物在25℃下的分解,其实是个一级反应。好,我们知道一级反应的半衰期公式是t_1/2 = ln(2) / K。题中已经给出K的值是0.000077天^-1。嗯,我得先记住这个速率常数。接下来要做的其实就是简单代入公式。这个公式稍微回忆一下,ln(2)我记得大概是0.693,那就把这个代入t_1/2 = ln(2) / 0.000077。现在开始计算,谁说数学不浪漫呢?于是我计算得出t_1/2 = 0.693 / 0.000077。哦,算出来的结果是个挺大的数,接近9000天。那就是说在25℃下的半衰期其实是9000天。那么问题来啦,说好的选项中应该选哪个呢?看看好像有个选项C提供了9000天。嗯,这个对上了,那选C准没错。再想一下,重新检查一下我的每一步,计算应该没有问题,对公式和常数都很熟悉,感觉上结论没错,C是对的!就这么简单,算出来了,得考虑一下其他条件有没有变动,不过这题目还是挺直接的,解决啦!

🔑:经过计算,一级反应在25℃下的半衰期公式为t<sub>1/2</sub> = ln(2) / K。已知ln(2)约为0.693,K为0.000077天<sup>-1</sup>。将这些数值代入公式,可以得到:t<sub>1/2</sub> = 0.693 / 0.000077 ≈ 9000天。因此,选择C选项:9000天。

❓:具有⼆苯⼄烯结构且其反式异构体可用于治疗绝经后妇女乳腺癌和男性前列腺癌的药物是什么?

🧠:这个药物应该是有一个特殊的化学结构,二苯乙烯,那应该是一个有两个苯环和一个乙烯的桥。说到反式异构体,我觉得这应该和它的功能有很大关系。恩,这个药物可以用来治疗绝经后妇女的乳腺癌,还有男性的前列腺癌。这听起来像是某种有选择性作用的药物,就好像抗雌激素这样的。雷洛昔芬我记得好像是有类似的功能。泰莫西芬,哦,那是个响当当的药,它能治疗乳腺癌,而且和雌激素有点关系。不过,看了一下它不完全符合二苯乙烯,但有点像。也许接近,但可能不是我的答案。我记得曾经还有其他药物是可以同时用来对抗乳腺癌和前列腺癌的,再想想有哪些。想到己烯雌酚,它是非甾体合成雌激素,被用来治疗这些疾病,历史上是真的。所以它应该就是适合的药物,二苯乙烯的结构,对应的治疗用途也对得上,它反式异构体有这种双重作用。这样看来,己烯雌酚真的是个符合题目要求的答案。

🔑:具有二苯乙烯结构且反式异构体用于治疗绝经后妇女乳腺癌和男性前列腺癌的药物最有可能是己烯雌酚。己烯雌酚属于非甾体合成雌激素,具有二苯乙烯结构,其曾经广泛用于这些癌症的治疗。特别是它的反式异构体,很符合题目的描述和功能要求。

❓:一位42岁男性患者,表现出发热、颈部淋巴结进行性肿大和黄疸等症状,左颈部淋巴结活检已确诊为恶性淋巴瘤。血液检查显示血红蛋白水平降低,总胆红素升高。在这种情况下,应选择哪种实验室检查来确诊贫血的具体原因?

🧠:这个42岁男性的情况有点复杂,他有发热,还有颈部淋巴结肿大。哦,刚才提到,他已经被确诊为恶性淋巴瘤,这种病可能确实会让身体出现各种问题。而且他还有黄疸,这个得注意,考虑到他的血液化验结果显示贫血和总胆红素升高,这就很有可能和溶血性贫血有关了。接下来我们需要找出贫血的具体原因。想到这儿,嗯,最合理的步骤当然是看看是否是溶血性贫血引起的,这就得做几个相应的实验室检查了。首先,直接抗人球蛋白试验,也叫Coombs试验,是用来检测自体免疫性溶血性贫血的。假如红细胞因为免疫问题被破坏,这个检查就是确定的关键一步。此外,可能还需要网织红细胞计数,乳酸脱氢酶水平,以及检查血清间接胆红素和血清结合珠蛋白的水平。这些都能给出线索,但从确认自体免疫性方面去看,直接抗人球蛋白试验是个不错的起点。所以,接下来要做的应该是首先进行Coombs试验,看看贫血的真实原因到底是什么。也许这个检测会给我们想要的方向吧,至于其他的,慢慢一步步来验证。

🔑:在这种情况下,最适合作为确诊贫血具体原因的初步实验室检查是直接抗人球蛋白试验,也称为Coombs试验。这个测试可以帮助确认贫血是否是由自体免疫性溶血性贫血引起的。考虑到患者的症状和血液化验结果显示总胆红素升高和贫血,溶血性贫血是一个需要排除的关键因素。直接抗人球蛋白试验主要用于探测红细胞表面是否存在免疫介导的抗体或补体,这些都可能导致红细胞被破坏,从而引起溶血性贫血。若测试结果呈阳性,就表明存在自体免疫性因素导致的溶血性贫血,需要进一步探讨潜在的自身免疫性疾病或与淋巴瘤相关的血液病理过程。同时,也可以考虑进行其他辅助检查,如网织红细胞计数、血清乳酸脱氢酶(LDH)水平和血清间接胆红素水平等,以获得更全面的诊断信息。然而,直接抗人球蛋白试验是确定溶血性贫血的合理起点。

❓:Which concept is noted by Fill and McKee (2012) as enabling different types of uncertainty to be lowered in several ways, including reducing complexity, increasing value and competitive advantage, routinization, and providing specialization?

🧠:Okay, let's think this through step by step. We're trying to figure out what concept Fill and McKee mention in 2012 related to reducing uncertainty. They've got a few specific ways this concept works: by reducing complexity, boosting value and competitive advantage, routinizing processes, and allowing specialization.Hmm, so these benefits seem to touch on some common business strategies. I know that dealing with complexity and gaining an edge in competition is a big theme in management theory. Modularity immediately comes to mind since it makes things less complex by breaking them into manageable chunks, and it allows for specialization.Oh, but before I jump to conclusions, I need to make sure I'm aligning with exactly what Fill and McKee emphasized. Let’s dig a bit deeper. They probably have a particular framework or system in mind.Now, if I think in terms of supply chains or strategic management, outsourcing or strategic alliances usually fit because they often increase competitive advantage by getting experts involved and making things routine.But wait, I'm not sure if outsourcing directly covers everything Fill and McKee are talking about, like reducing uncertainty in all those ways. I mean, outsourcing is part of the puzzle, but does it cover all the aspects mentioned?Let me think about broader theories that could encompass these elements. Ah, strategic or supply chain integration could lower uncertainty by streamlining operations and fostering specialization. But would Fill and McKee call it that?Thinking about the Resource-Based View, it emphasizes using unique resources to secure advantage, which means focusing more on strategic capabilities.Hmm, transaction cost economics is another angle—last I checked, it’s about managing costs and reducing uncertainties, so it’s tempting.Okay, back to the original input. It’s a bit like marketing channels too. They allow products to flow efficiently from producers to consumers, reducing uncertainty because you know exactly how the product reaches the market.Marketing channels clarify processes, handle distribution effectively, and increase value by making products easily available. Routinization through defined paths, check. Specialization because different players manage different channel functions, check.Ah, that makes sense! Marketing channels seem to capture the essence of what Fill and McKee were talking about by covering all these bases. I guess revisiting core marketing frameworks was the right approach here. So, given all these considerations, I'd say the concept Fill and McKee (2012) noted must be 'Marketing Channels.'

🔑:The concept noted by Fill and McKee (2012) that enables different types of uncertainty to be lowered in several ways, including reducing complexity, increasing value and competitive advantage, routinization, and providing specialization, is "Marketing Channels." Marketing channels play a pivotal role in streamlining distribution processes, allowing for specialization, creating efficiencies, and enhancing value, all of which contribute to reducing uncertainty across operations.

❓:根据一个2岁患儿的病例——发热、咳嗽持续2天,伴随惊厥和昏迷1天的情况,体温39℃,鼻翼扇动,双肺有细湿啰音,心率每分钟136次,腹部柔软,肝脏在右肋下可以触及1.5cm——可以排除哪种诊断?

🧠:好,先看看这个小宝宝的情况。他发烧、咳嗽了两天,还出现了惊厥和昏迷,体温达到了39摄氏度。哎,这温度可不低呀,再加上鼻翼煽动,双肺还有细湿啰音。听起来有点像肺炎,特别是他的肺部声音和高热,让人想到感染。 想到肺炎,这病常常伴随着发热和呼吸困难,他这种细湿啰音就是肺炎的一种典型表现嘛。而且,小孩子本来免疫力也不如大人,肺炎的可能性很大。再看看惊厥和昏迷,这就有点吓人了。惊厥让人想到脑膜炎,要么就是脑子里的问题。如果是脑膜炎的话,应该有些更明显的症状,比如颈项强直。不过,现在还没有,但也不能完全排除这个可能。 而说到另外的感染性疾病,全身性感染,比如败血症,虽然没看到皮疹,但不能忽视。惊厥、昏迷,再加上感染,不排除这方面的问题。 哦,讲到哮喘,这就有点不太对劲了。因为哮喘通常会有喘鸣音,而且不会猛然出现惊厥或昏迷。这些症状不太符合哦,加上他还是个2岁小孩,哮喘可能性就更低啦。 回过头来,再看其他可能。上呼吸道感染吧,通常不会引起这么严重的表现,不会有惊厥和昏迷。因此也不像,是吧? 心力衰竭?心率快是,但小孩子里不常见这种典型症状,通常心脏问题不会直接导致严重意识障碍。 现在,再想想肺炎和中枢神经系统的感染,相比之下更符合这一系列症状的。败血症虽说也有可能,但目前症状似乎更集中在呼吸系统和神经系统。最后,基于所有这些分析,我觉得心力衰竭不太可能是主要诊断了。这种问题跟小宝宝的症状不太搭,更可能的是她可能有肺炎或者神经系统的感染问题。

🔑:根据这个2岁小孩儿的病例信息,可以排除心力衰竭作为主要诊断。虽有心率加快的表现,但综合其惊厥、昏迷,以及呼吸系统的症状,更有可能是肺炎或中枢神经系统的感染问题。心力衰竭通常不会直接导致如此严重的意识障碍及这些症状组合。

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