BACKGROUND Awake fiberoptic nasotracheal intubation(AFNI)is the preferred airway ma-nagement strategy for patients with difficult airways.However,this procedure can cause significant physical and psychological distres...BACKGROUND Awake fiberoptic nasotracheal intubation(AFNI)is the preferred airway ma-nagement strategy for patients with difficult airways.However,this procedure can cause significant physical and psychological distress.This case report explores the application of a sphenopalatine ganglion(SPG)block as an alternative anal-gesic modality to mitigate the discomfort associated with AFNI.CASE SUMMARY A 63-year-old female with a history of right maxillary osteosarcoma underwent craniotomy for a suspected malignant brain lesion.The patient’s medical history included prior surgery,chemotherapy,and radiation therapy,resulting in signi-ficant jaw impairment and limited neck mobility.Considering the anticipated air-way challenges,AFNI was planned.A SPG block was performed under real-time ultrasound guidance,providing effective analgesia during nasotracheal intuba-tion.CONCLUSION The SPG block represents a promising analgesic approach in AFNI,offering po-tential benefits in alleviating pain involving the nasal and nasopharyngeal regions as well as improving patient cooperation.展开更多
Alice Walker is one of the prominent American writers in American women's literature and black literature in 1950s-1960s. Everyday Use is regarded as Alice Walker's best-written short story. The prevailing opi...Alice Walker is one of the prominent American writers in American women's literature and black literature in 1950s-1960s. Everyday Use is regarded as Alice Walker's best-written short story. The prevailing opinion among the critics about this story is that Dee is the traitor of black American's cultural heritage, and the mother and Maggie are the hope of true value of the African Americans' tradition and heritage; however, after considering the historical and cultural background of the story, we may safely come to the conclusion that Dee actually took the first step toward the awakening of self-consciousness of the African Americans women.展开更多
Alice Walker is one of the prominent American writers in American women' s literature and black literature in 1950s-1960s.The short story Everyday Use was published early in her writing career.She displays the dif...Alice Walker is one of the prominent American writers in American women' s literature and black literature in 1950s-1960s.The short story Everyday Use was published early in her writing career.She displays the differences in the behav iors and minds of the mother and her two daughters during the process of seeking the self-consciousness of black woman from the point of view of " womanism".This paper attempts to explore the awakening of their heritage and self-consciousness in or der to deepen the understanding and thoughts on the theme of the text.展开更多
Objective To study the self-consciousness of children with learning disabilities (LD) and to identify related factors. Methods Five hundred and sixty pupils graded from 1 to 6 in an elementary school were investigated...Objective To study the self-consciousness of children with learning disabilities (LD) and to identify related factors. Methods Five hundred and sixty pupils graded from 1 to 6 in an elementary school were investigated. According to the pupil rating scale revised screening for learning disabilities (PRS), combined Raven’s test (CRT) and achievement of main courses, 35 of 560 pupils were diagnosed as LD children. Thirty-five children were selected from the average children and 35 from advanced children in academic achievement equally matched in class, gender, and age with LD children as control groups. The three groups were tested by Piers-Harris children’s self-concept scale. Basic information of each subject was collected by self-made questionnaire. Results Compared with the average and advanced children, LD children got significantly lower scores in self-concept scale. Based on logistic regression analysis, 3 factors were identified, including family income per month, single child and delivery model. Conclusion The results suggest that self-consciousness of children with LD is lower than that of normal children.展开更多
Adventures of Huckleberry Finn is one of the masterpieces of American novelist Mark Twain. In this novel, Twain not onlydescribes the courageous adventures of Huck, but also his psychological or spiritual growth. Due ...Adventures of Huckleberry Finn is one of the masterpieces of American novelist Mark Twain. In this novel, Twain not onlydescribes the courageous adventures of Huck, but also his psychological or spiritual growth. Due to the social and cultural back-ground of that time and general cultural concept the protagonist was instilled before, the conflicts of the protagonist's self-con-sciousness appear many times in this novel when the issue of slavery is concerned. However, through the protagonist's inner con-flicts, he finally gains spiritual growth and obtains a higher level of moral maturity.展开更多
The aim of the study was to explore the relationship between college graduates’dual self-consciousness,job search clarity and perceived stress,and reveal the mediating role of perceived stress between dual self-consc...The aim of the study was to explore the relationship between college graduates’dual self-consciousness,job search clarity and perceived stress,and reveal the mediating role of perceived stress between dual self-consciousness and job search clarity.In this study,467 college graduates were investigated using the Dual Self-Consciousness Scale,Job Search Clarity Scale,and Perceived Stress Scale.After controlling for gender,age,and region,the results revealed that:(1)private self-consciousness has a significant positive predictive effect on job search clarity;(2)perceived stress has a significant negative predictive effect on job search clarity;(3)perceived stress plays partial mediation effects between private self-consciousness and job search clarity;(4)perceived stress plays complete mediation effects between public self-consciousness and job search clarity;(5)perceived stress has suppressing effects between public self-consciousness and job search clarity.展开更多
The issue of consciousness is a core issue in flow theory.The key element of flow is concentration,which is based on self-control and the order of consciousness.Flow usually gives people a feeling of ecstasy,but this ...The issue of consciousness is a core issue in flow theory.The key element of flow is concentration,which is based on self-control and the order of consciousness.Flow usually gives people a feeling of ecstasy,but this disappearance of self-awareness does not mean the disappearance of the self.Self still controls actions and thinking.The abnormality of the sense of time in flow is related to the disappearance of self-consciousness.Reflection provides the dynamic situation of behavior and helps people adjust themselves in time to achieve the optimal experience of heart flow.展开更多
In this article I will confront Antonio Damasio＇s theory （exposed in his last book Self Comes to Mind） with the criticism it received from Ned Block. The latter holds that Damasio does not distinguish the concepts ...In this article I will confront Antonio Damasio＇s theory （exposed in his last book Self Comes to Mind） with the criticism it received from Ned Block. The latter holds that Damasio does not distinguish the concepts of phenomenal consciousness and self-consciousness and this has two kinds of consequences. One is that it cannot satisfactorily explain certain mental states （dreams, vegetative states）; the other is that it has harmful consequences for animal ethics. I maintain that to compare the two theories we can only rely on our pre-theoretical intuition of consciousness. Thus, I argue that Dam^tsio＇s theory combines more with our intuitions. One of the reasons is that the cases that Block describes as phenomenal consciousness without access consciousness （and without self-consciousness） are best explained as being cases of mind without consciousness. Dam^sio＇s theory can also explain those referred cases which are theoretically problematic. Moreover, Dam^isio has a threshold model （an expression by Barry Dainton）, which is something that Block seems to ignore. This model fits well with the intuitions and neurological knowledge that we normally have on animal consciousness. Dam^isio＇s core self and his theory of emotions and feelings allow us to understand why we feel compassion for animals. Therefore, we are able to develop an animal ethics, which does not mean that we are required to do so. So even though Damasio does not solve the mystery of consciousness, he should not be the subject of Block＇s criticism.展开更多
BACKGROUND Laparoscopic cholecystectomy(LC)is one of the most widely practiced surgical procedures in abdominal surgery.Patients undergo LC during general anaesthesia;however,in recent years,several studies have sugge...BACKGROUND Laparoscopic cholecystectomy(LC)is one of the most widely practiced surgical procedures in abdominal surgery.Patients undergo LC during general anaesthesia;however,in recent years,several studies have suggested the ability to perform LC in patients who are awake.We report a case of awake LC and a literature review.CASE SUMMARY A 69-year-old patient with severe pulmonary disease affected by cholelithiasis was scheduled for LC under regional anaesthesia.We first performed peridural anaesthesia at the T8-T9 level and then spinal anaesthesia at the T12-L1 level.The procedure was managed in total comfort for both the patient and the surgeon.The intra-abdominal pressure was 8 mmHg.The patient remained stable throughout the procedure,and the postoperative course was uneventful.CONCLUSION Evidence has warranted the safe use of spinal and epidural anaesthesia,with minimal side effects easily managed with medications.Regional anaesthesia in selected patients may provide some advantages over general anaesthesia,such as no airway manipulation,maintenance of spontaneous breathing,effective postoperative analgesia,less nausea and vomiting,and early recovery.However,this technique for LC is not widely used in Europe;this is the first case reported in Italy in the literature.Regional anaesthesia is feasible and safe in performing some types of laparoscopic procedures.Further studies should be carried out to introduce this type of anaesthesia in routine clinical practice.展开更多
The notion of"Queen's English",depending on who is the ruler of the time,could be traced back to the sixteenth century,when the idea that the monarch's usage of the language should be a model in spee...The notion of"Queen's English",depending on who is the ruler of the time,could be traced back to the sixteenth century,when the idea that the monarch's usage of the language should be a model in speech and writing.That is where the"Elizabethan English" originated from.From the linguistic point of view,Elizabethan English is categorized into Early Modern English,which dominantly spanned the Renaissance,Elizabethan era and Shakespeare.On a smaller scale,this paper focused upon language itself,trying to exemplify the rise of Elizabethan Language from the second half of 16th century to the outset of 17th century by presenting two factors of self-consciousness and the relevant policy.展开更多
The Black self-consciousness is an eternal literay theme seriously treated in American Literature and Black Literature in particular,This paper gives a survey of the progress of Black self-consciousness in which Black...The Black self-consciousness is an eternal literay theme seriously treated in American Literature and Black Literature in particular,This paper gives a survey of the progress of Black self-consciousness in which Black Americans have neen struggling continously to earn their freedom and equality,and later to restore their own self-respect and confidence.The progressive self-consciousness is evidently demonstrated in this paper by comparative analysis of various Black figures,from the obedient and meek Ngro slaves represented by Uncle Tom to the rebellious and difi-ant characters portrayed by Richard Wright and Ralph Ellison,In reality,the promising generation involved in the Harlem Renaissance have taken some measures to search for their own identity in a highly organized and prejudiced society.展开更多
The era of consumption upgrade has begun due to the rapid economic development.Nowadays,the new luxuryconsumption is prevailing,and China has emerged as the primary consumer of these luxury goods.Based on the public s...The era of consumption upgrade has begun due to the rapid economic development.Nowadays,the new luxuryconsumption is prevailing,and China has emerged as the primary consumer of these luxury goods.Based on the public self-consciousness of consumers,the relationship between this aspect and consumers'purchase intentions of the new luxury goodsis explored.This study investigated the impact of consumers'public self-consciousness on their willingness to purchase newluxury goods,validated the proposed hypothesis by design experiments,and used the linear regression analysis of theexperimental data.This study showed that the higher the consumer's public self-consciousness,the more inclined they wereto purchase these luxury goods.The findings of this study would be helpful to expand and enrich the researeh of the newluxury consumption behaviors in consideration that public self-consciousness is hardly reflected in recent research.Hence,this study would enlighten and acts as a significant reference for companies of the new luxury goods to develop more effectivemarketing strategies.展开更多
BACKGROUND In recent years,minimally invasive liver resection has become a standard of care for liver tumors.Considering the need to treat increasingly fragile patients,general anesthesia is sometimes avoided due to r...BACKGROUND In recent years,minimally invasive liver resection has become a standard of care for liver tumors.Considering the need to treat increasingly fragile patients,general anesthesia is sometimes avoided due to respiratory complications.Therefore,surgical treatment with curative intent is abandoned in favor of a less invasive and less radical approach.Epidural anesthesia has been shown to reduce respiratory complications,especially in elderly patients with pre-existing lung disease.CASE SUMMARY A 77-year-old man with hepatitis-C-virus-related chronic liver disease underwent robotic liver resection for hepatocellular carcinoma.The patient was suffering from hypertension,diabetes and chronic obstructive pulmonary disease.The National Surgical Quality Improvement Program score for developing pneumonia was 9.2%.We planned a combined spinal–epidural anesthesia with conscious sedation to avoid general anesthesia.No modification of the standard surgical technique was necessary.Hemodynamics were stable and bleeding was minimal.The postoperative course was uneventful.CONCLUSION Robotic surgery in locoregional anesthesia with conscious sedation could be considered a safe and suitable approach in specialized centers and in selected patients.展开更多
文摘BACKGROUND Awake fiberoptic nasotracheal intubation(AFNI)is the preferred airway ma-nagement strategy for patients with difficult airways.However,this procedure can cause significant physical and psychological distress.This case report explores the application of a sphenopalatine ganglion(SPG)block as an alternative anal-gesic modality to mitigate the discomfort associated with AFNI.CASE SUMMARY A 63-year-old female with a history of right maxillary osteosarcoma underwent craniotomy for a suspected malignant brain lesion.The patient’s medical history included prior surgery,chemotherapy,and radiation therapy,resulting in signi-ficant jaw impairment and limited neck mobility.Considering the anticipated air-way challenges,AFNI was planned.A SPG block was performed under real-time ultrasound guidance,providing effective analgesia during nasotracheal intuba-tion.CONCLUSION The SPG block represents a promising analgesic approach in AFNI,offering po-tential benefits in alleviating pain involving the nasal and nasopharyngeal regions as well as improving patient cooperation.
文摘Alice Walker is one of the prominent American writers in American women's literature and black literature in 1950s-1960s. Everyday Use is regarded as Alice Walker's best-written short story. The prevailing opinion among the critics about this story is that Dee is the traitor of black American's cultural heritage, and the mother and Maggie are the hope of true value of the African Americans' tradition and heritage; however, after considering the historical and cultural background of the story, we may safely come to the conclusion that Dee actually took the first step toward the awakening of self-consciousness of the African Americans women.
文摘Alice Walker is one of the prominent American writers in American women' s literature and black literature in 1950s-1960s.The short story Everyday Use was published early in her writing career.She displays the differences in the behav iors and minds of the mother and her two daughters during the process of seeking the self-consciousness of black woman from the point of view of " womanism".This paper attempts to explore the awakening of their heritage and self-consciousness in or der to deepen the understanding and thoughts on the theme of the text.
文摘Objective To study the self-consciousness of children with learning disabilities (LD) and to identify related factors. Methods Five hundred and sixty pupils graded from 1 to 6 in an elementary school were investigated. According to the pupil rating scale revised screening for learning disabilities (PRS), combined Raven’s test (CRT) and achievement of main courses, 35 of 560 pupils were diagnosed as LD children. Thirty-five children were selected from the average children and 35 from advanced children in academic achievement equally matched in class, gender, and age with LD children as control groups. The three groups were tested by Piers-Harris children’s self-concept scale. Basic information of each subject was collected by self-made questionnaire. Results Compared with the average and advanced children, LD children got significantly lower scores in self-concept scale. Based on logistic regression analysis, 3 factors were identified, including family income per month, single child and delivery model. Conclusion The results suggest that self-consciousness of children with LD is lower than that of normal children.
文摘Adventures of Huckleberry Finn is one of the masterpieces of American novelist Mark Twain. In this novel, Twain not onlydescribes the courageous adventures of Huck, but also his psychological or spiritual growth. Due to the social and cultural back-ground of that time and general cultural concept the protagonist was instilled before, the conflicts of the protagonist's self-con-sciousness appear many times in this novel when the issue of slavery is concerned. However, through the protagonist's inner con-flicts, he finally gains spiritual growth and obtains a higher level of moral maturity.
基金supported by the academic requirements for the National Education Science Planning Project of China under Grant No.BBA210041.
文摘The aim of the study was to explore the relationship between college graduates’dual self-consciousness,job search clarity and perceived stress,and reveal the mediating role of perceived stress between dual self-consciousness and job search clarity.In this study,467 college graduates were investigated using the Dual Self-Consciousness Scale,Job Search Clarity Scale,and Perceived Stress Scale.After controlling for gender,age,and region,the results revealed that:(1)private self-consciousness has a significant positive predictive effect on job search clarity;(2)perceived stress has a significant negative predictive effect on job search clarity;(3)perceived stress plays partial mediation effects between private self-consciousness and job search clarity;(4)perceived stress plays complete mediation effects between public self-consciousness and job search clarity;(5)perceived stress has suppressing effects between public self-consciousness and job search clarity.
文摘The issue of consciousness is a core issue in flow theory.The key element of flow is concentration,which is based on self-control and the order of consciousness.Flow usually gives people a feeling of ecstasy,but this disappearance of self-awareness does not mean the disappearance of the self.Self still controls actions and thinking.The abnormality of the sense of time in flow is related to the disappearance of self-consciousness.Reflection provides the dynamic situation of behavior and helps people adjust themselves in time to achieve the optimal experience of heart flow.
文摘In this article I will confront Antonio Damasio＇s theory （exposed in his last book Self Comes to Mind） with the criticism it received from Ned Block. The latter holds that Damasio does not distinguish the concepts of phenomenal consciousness and self-consciousness and this has two kinds of consequences. One is that it cannot satisfactorily explain certain mental states （dreams, vegetative states）; the other is that it has harmful consequences for animal ethics. I maintain that to compare the two theories we can only rely on our pre-theoretical intuition of consciousness. Thus, I argue that Dam^tsio＇s theory combines more with our intuitions. One of the reasons is that the cases that Block describes as phenomenal consciousness without access consciousness （and without self-consciousness） are best explained as being cases of mind without consciousness. Dam^sio＇s theory can also explain those referred cases which are theoretically problematic. Moreover, Dam^isio has a threshold model （an expression by Barry Dainton）, which is something that Block seems to ignore. This model fits well with the intuitions and neurological knowledge that we normally have on animal consciousness. Dam^isio＇s core self and his theory of emotions and feelings allow us to understand why we feel compassion for animals. Therefore, we are able to develop an animal ethics, which does not mean that we are required to do so. So even though Damasio does not solve the mystery of consciousness, he should not be the subject of Block＇s criticism.
文摘BACKGROUND Laparoscopic cholecystectomy(LC)is one of the most widely practiced surgical procedures in abdominal surgery.Patients undergo LC during general anaesthesia;however,in recent years,several studies have suggested the ability to perform LC in patients who are awake.We report a case of awake LC and a literature review.CASE SUMMARY A 69-year-old patient with severe pulmonary disease affected by cholelithiasis was scheduled for LC under regional anaesthesia.We first performed peridural anaesthesia at the T8-T9 level and then spinal anaesthesia at the T12-L1 level.The procedure was managed in total comfort for both the patient and the surgeon.The intra-abdominal pressure was 8 mmHg.The patient remained stable throughout the procedure,and the postoperative course was uneventful.CONCLUSION Evidence has warranted the safe use of spinal and epidural anaesthesia,with minimal side effects easily managed with medications.Regional anaesthesia in selected patients may provide some advantages over general anaesthesia,such as no airway manipulation,maintenance of spontaneous breathing,effective postoperative analgesia,less nausea and vomiting,and early recovery.However,this technique for LC is not widely used in Europe;this is the first case reported in Italy in the literature.Regional anaesthesia is feasible and safe in performing some types of laparoscopic procedures.Further studies should be carried out to introduce this type of anaesthesia in routine clinical practice.
文摘The notion of"Queen's English",depending on who is the ruler of the time,could be traced back to the sixteenth century,when the idea that the monarch's usage of the language should be a model in speech and writing.That is where the"Elizabethan English" originated from.From the linguistic point of view,Elizabethan English is categorized into Early Modern English,which dominantly spanned the Renaissance,Elizabethan era and Shakespeare.On a smaller scale,this paper focused upon language itself,trying to exemplify the rise of Elizabethan Language from the second half of 16th century to the outset of 17th century by presenting two factors of self-consciousness and the relevant policy.
文摘The Black self-consciousness is an eternal literay theme seriously treated in American Literature and Black Literature in particular,This paper gives a survey of the progress of Black self-consciousness in which Black Americans have neen struggling continously to earn their freedom and equality,and later to restore their own self-respect and confidence.The progressive self-consciousness is evidently demonstrated in this paper by comparative analysis of various Black figures,from the obedient and meek Ngro slaves represented by Uncle Tom to the rebellious and difi-ant characters portrayed by Richard Wright and Ralph Ellison,In reality,the promising generation involved in the Harlem Renaissance have taken some measures to search for their own identity in a highly organized and prejudiced society.
文摘The era of consumption upgrade has begun due to the rapid economic development.Nowadays,the new luxuryconsumption is prevailing,and China has emerged as the primary consumer of these luxury goods.Based on the public self-consciousness of consumers,the relationship between this aspect and consumers'purchase intentions of the new luxury goodsis explored.This study investigated the impact of consumers'public self-consciousness on their willingness to purchase newluxury goods,validated the proposed hypothesis by design experiments,and used the linear regression analysis of theexperimental data.This study showed that the higher the consumer's public self-consciousness,the more inclined they wereto purchase these luxury goods.The findings of this study would be helpful to expand and enrich the researeh of the newluxury consumption behaviors in consideration that public self-consciousness is hardly reflected in recent research.Hence,this study would enlighten and acts as a significant reference for companies of the new luxury goods to develop more effectivemarketing strategies.
文摘BACKGROUND In recent years,minimally invasive liver resection has become a standard of care for liver tumors.Considering the need to treat increasingly fragile patients,general anesthesia is sometimes avoided due to respiratory complications.Therefore,surgical treatment with curative intent is abandoned in favor of a less invasive and less radical approach.Epidural anesthesia has been shown to reduce respiratory complications,especially in elderly patients with pre-existing lung disease.CASE SUMMARY A 77-year-old man with hepatitis-C-virus-related chronic liver disease underwent robotic liver resection for hepatocellular carcinoma.The patient was suffering from hypertension,diabetes and chronic obstructive pulmonary disease.The National Surgical Quality Improvement Program score for developing pneumonia was 9.2%.We planned a combined spinal–epidural anesthesia with conscious sedation to avoid general anesthesia.No modification of the standard surgical technique was necessary.Hemodynamics were stable and bleeding was minimal.The postoperative course was uneventful.CONCLUSION Robotic surgery in locoregional anesthesia with conscious sedation could be considered a safe and suitable approach in specialized centers and in selected patients.
