Marx’s spirit of pursuing truth,his hatred of exploitation system and sympathy for laborers prompted him to move from the young Hegelian school to fehbaism and eventually to communism,and completed the transformation...Marx’s spirit of pursuing truth,his hatred of exploitation system and sympathy for laborers prompted him to move from the young Hegelian school to fehbaism and eventually to communism,and completed the transformation from idealism to thorough dialectical materialism in the world view.To do so,he constructed his own theoretical system based on criticism and targeted the social practice,providing ideological weapon for the transformation of unreasonable social forms.Thereby,the unit of"critical weapon"and"weapon of criticism"was accomplished historically and logically,fulfilling the construction of his critical view.展开更多
Joyce and Woolf have introduced into modern fiction both a matter and a manner peculiar in English literature. One fact strikes the reader at the very outset: in their fiction, time and consciousness are always in ope...Joyce and Woolf have introduced into modern fiction both a matter and a manner peculiar in English literature. One fact strikes the reader at the very outset: in their fiction, time and consciousness are always in operation. Joyce and Woolf took pains to explore the true inward life of their characters and the possibilities展开更多
BACKGROUND Gangrenous cholecystitis is a form of acute cholecystitis which involves gangrenous alterations in the gallbladder wall and it often follows an acute and serious course.We herein report on two cases of very...BACKGROUND Gangrenous cholecystitis is a form of acute cholecystitis which involves gangrenous alterations in the gallbladder wall and it often follows an acute and serious course.We herein report on two cases of very elderly people diagnosed early with gangrenous cholecystitis,who safely underwent laparoscopic cholecystectomy(LC)and both demonstrated a good outcome.CASE SUMMARY Case 1:An 89-year-old female.She underwent abdominal contrast-enhanced computed tomography(CECT)due to abdominal pain and diarrhea.Her gallbladder wall indicated the absence of contrast enhancement,thus leading to diagnosis of gangrenous cholecystitis and she therefore underwent LC.Although her gallbladder demonstrated diffuse necrosis and it was also partly perforated,she was able to be discharged without any serious complications.Case 2:A 91-year-old female.She made an emergency visit with a chief complaint of abdominal pain.Abdominal CECT revealed swelling of the gallbladder and an ambiguous continuity of the gallbladder wall.She was diagnosed with gangrenous cholecystitis and underwent LC.Her gallbladder had swelling and diffuse necrosis.Although her preoperative blood culture was positive,she showed a good outcome following surgery.CONCLUSION Although a definite diagnosis of gangrenous cholecystitis is difficult to make prior to surgery,if an early diagnosis can be made and appropriate treatment can be carried out,then even very elderly individuals may be discharged without major complications.展开更多
基金a stage achievement of the project of philosophy and social science research foundation of Jiangsu province——“Research on Innovation of Ideological and Political Work in Colleges and Universities from the Perspective of Cultural Self-confidence”(No.2017SJBFDY115)。
文摘Marx’s spirit of pursuing truth,his hatred of exploitation system and sympathy for laborers prompted him to move from the young Hegelian school to fehbaism and eventually to communism,and completed the transformation from idealism to thorough dialectical materialism in the world view.To do so,he constructed his own theoretical system based on criticism and targeted the social practice,providing ideological weapon for the transformation of unreasonable social forms.Thereby,the unit of"critical weapon"and"weapon of criticism"was accomplished historically and logically,fulfilling the construction of his critical view.
文摘Joyce and Woolf have introduced into modern fiction both a matter and a manner peculiar in English literature. One fact strikes the reader at the very outset: in their fiction, time and consciousness are always in operation. Joyce and Woolf took pains to explore the true inward life of their characters and the possibilities
文摘BACKGROUND Gangrenous cholecystitis is a form of acute cholecystitis which involves gangrenous alterations in the gallbladder wall and it often follows an acute and serious course.We herein report on two cases of very elderly people diagnosed early with gangrenous cholecystitis,who safely underwent laparoscopic cholecystectomy(LC)and both demonstrated a good outcome.CASE SUMMARY Case 1:An 89-year-old female.She underwent abdominal contrast-enhanced computed tomography(CECT)due to abdominal pain and diarrhea.Her gallbladder wall indicated the absence of contrast enhancement,thus leading to diagnosis of gangrenous cholecystitis and she therefore underwent LC.Although her gallbladder demonstrated diffuse necrosis and it was also partly perforated,she was able to be discharged without any serious complications.Case 2:A 91-year-old female.She made an emergency visit with a chief complaint of abdominal pain.Abdominal CECT revealed swelling of the gallbladder and an ambiguous continuity of the gallbladder wall.She was diagnosed with gangrenous cholecystitis and underwent LC.Her gallbladder had swelling and diffuse necrosis.Although her preoperative blood culture was positive,she showed a good outcome following surgery.CONCLUSION Although a definite diagnosis of gangrenous cholecystitis is difficult to make prior to surgery,if an early diagnosis can be made and appropriate treatment can be carried out,then even very elderly individuals may be discharged without major complications.
