Career Paths-Call Centers Student’s Book with Cross-Platform Application


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Level: A1, A2 & B1博客來
Description
Career Paths: Call Centers is a new educational resource for call center professionals who want to improve their English communication in a work environment. Incorporating career-specific vocabulary and contexts, each unit offers stepby-step instruction that immerses students in the four key language components: reading, listening, speaking and writing. Career Paths: Call Centers addresses topics including communications equipment, job opportunities, answering calls, tech support and automated systems.
The series is organized into three levels of difficulty and offers a minimum of 400 vocabulary terms and phrases. Every unit includes a test of reading comprehension, vocabulary and listening skills and leads students through written and oral production.
Included Features
?A variety of realistic reading passages
?Career-specific dialogues
?45 reading and listening comprehension checks
?Over 400 vocabulary terms and phrases
?Guided speaking and writing exercises
?Complete glossary of terms and phrases
作者: Virginia Evans, Jenny Dooley, Sarah Miranda
新功能介紹- 出版社:東華
新功能介紹 - 出版日期:2016/02/24
- 語言:英文
商品網址: Career Paths-Call Centers Student’s Book with Cross-Platform Application

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商品網址: Career Paths-Call Centers Student’s Book with Cross-Platform Application

中國醫藥大學北港附設醫院心臟內科醫師張志斌成功以「豬尾巴」導管將血栓攪碎,救回兩側肺動脈栓塞的72歲婦人。(記者黃淑莉攝)
2018-04-26 13:11
[記者黃淑莉/雲林報導]中國醫藥大學北港附設醫院(北港媽祖醫院)心臟血管科「救心團隊」成功以「豬尾巴」導管將血栓攪碎,救回兩側肺動脈栓塞的72歲婦人。
72歲婦人今年2月突然呼吸不順,家人緊急將她送到北港媽祖醫院急診,到院時低血壓、意識不清、皮膚濕冷、呼吸短促,呈現休克狀態,電腦電層掃描發現兩側肺動脈栓塞,緊急插管治療並施打升壓劑、血栓溶解劑。
心臟內科醫師張志斌指出,緊急處置後婦人情況並未改善,由於婦人已呈休克狀態,傳統葉克膜輔助支持療法已來不及,救心團隊決定施行緊急心導管介入治療。
張志斌表示,以「豬尾巴」導管將血塊攪碎成小血塊後,再投以小劑量血栓溶解劑,可大幅增加藥效,讓患者脫離休克狀態,而且邊做心導管邊施換第2種強心劑維持血壓,經過一小時搶救,成功將婦人救回,住院2週後出院,經過2個月門診追蹤恢復狀況很好。
張志斌說,肺動脈栓塞大部分是深部靜脈栓塞的併發症,急性、大面積肺栓塞、休克的病人三個月死亡率高達58%,久坐、久站、久臥及服用口服避孕藥、癌症病人或外科手術後的病患都是高危險群,若有發生呼吸窘迫及以上危險因子,就要高度懷疑並到大醫院診療。
北港媽祖醫院院長吳錫金強調,儘管醫療方式、器械越趨多元,但醫師的專業判斷是關鍵,婦人發生原因不明,張醫師正確判讀病患情況、當機立斷選擇最適當的治療方式,把握搶救黃金時間,順利救回患者。
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