In modern Chinese style garden, the designer could express the emotions in garden creation to produce artistic conception with landscape plants, which could make the sightseers desire to integrate with the nature and ...In modern Chinese style garden, the designer could express the emotions in garden creation to produce artistic conception with landscape plants, which could make the sightseers desire to integrate with the nature and led to sympathizing with the concept, thereby motivating and arousing people's emotion to return to and close to nature. Through the 6 specific characteristics of "shape, color, aroma, shadow, sound and art" of landscape plants, some ways to build artistic conception in Chinese style garden were introduced in this study to provide references for the creation of artistic conception creation through senses in the future landscaping design.展开更多
This study explored the origin and development of modern garden city,by integrating concepts of world modern garden city and characteristics of Chengdu cultures,analyzed the application of its aesthetic value and the ...This study explored the origin and development of modern garden city,by integrating concepts of world modern garden city and characteristics of Chengdu cultures,analyzed the application of its aesthetic value and the design of its artistic conception.It was found that Chengdu City had high aesthetic value such as a large area of green spaces and unique recreational cultures,as well as a great potential of unifying idyllic images and natural cultures.To design Chengdu into a world modern garden city,the planning of its urban green space system should be taken as the foundation,"one group and three districts" as the construction system,urban folk cultures,logistics and traffic,information and other such networks as the support to achieve the "beauty of nature,social equity and urban-rural integration".展开更多
To better inherit traditional culture in creating artistic conception in modern gardens and develop the style and function of garden artistic conception,this study summarized various creation techniques of traditional...To better inherit traditional culture in creating artistic conception in modern gardens and develop the style and function of garden artistic conception,this study summarized various creation techniques of traditional garden artistic conceptions from the perspective of design thought and conception of classical Chinese gardens.It was put forward that the creation of artistic conception in modern gardens should be human-centered in a great culture context;and meanwhile,aesthetic habits of modern people should be respected and traditional thoughts should be developed to enrich the connotation of garden artistic conception design.展开更多
After the September 11th events and especially after the follow-updevelopment of the US-Russian relationship,many Americangovernment officials in the Bush team stated time and again in
Elementary knowledge of classical Chinese gardens was introduced,its history was studied in 3 stages:initial phase,development phase and prosperous phase,component system of classical Chinese gardens was introduced fr...Elementary knowledge of classical Chinese gardens was introduced,its history was studied in 3 stages:initial phase,development phase and prosperous phase,component system of classical Chinese gardens was introduced from different perspectives,cultural background and specific demonstrations of its artistic conceptions were expounded as key points,and it was proposed that its artistic conceptions were actually reverence and respect for the nature,and also expressions of various philosophical doctrines and religious cultures.On this basis,construction techniques and connotations of artistic conception were researched as well as its components and expression ways.It was proposed that construction elements of artistic conceptions included buildings,hill stones,water and plants;image-building in the landscaping should be stressed,and artistic conception integrated into key points to bring out the theme,garden scenes and paintings combined.This study aimed at providing references for relevant researches through introducing classical Chinese gardens and their artistic conceptions.展开更多
Chinese classical poetry has long been known for its unique artistic conception of mixture of sentiments andscenery, the conception beyond image and the refinement out of rhyme. From the perspective of receptionaesthe...Chinese classical poetry has long been known for its unique artistic conception of mixture of sentiments andscenery, the conception beyond image and the refinement out of rhyme. From the perspective of receptionaesthetics theory, this paper analyzes translation strategies of the classical poetry, probes into the problems thatretaining “indeterminacy” and satisfying the readers “horizon of expectations” when translate Chinese classicalpoetry. It is necessary to keep enough aesthetic space, and to give full play to the translator’s aesthetic creativitywhen translate Chinese classical poetry, so as to reproduce the artistic conception of Chinese classical poetry.展开更多
In this article , we report 139 autopsy cases of medical tangle , which were examined by the Department of Forensic Pathology, Faculty of Medicine, Tongji Medical University from Jan. 1972 to Dec. 1992.The emphasis is...In this article , we report 139 autopsy cases of medical tangle , which were examined by the Department of Forensic Pathology, Faculty of Medicine, Tongji Medical University from Jan. 1972 to Dec. 1992.The emphasis is put on analyses of the status of medical tangle autopsy in forensic pathology, involved medical departments , distribution of victim's age and sex , differences between clinical diagnosis and autoptical conclusion, the composition and causes of medical tangle. The associated problems in forensic pathological autopsy are also discussed.展开更多
Background: The status of inquisition by the nursing students shall be determined as it will be utilized as a tool to measure their clinical performance expertise as future nursing practitioners. The element of scient...Background: The status of inquisition by the nursing students shall be determined as it will be utilized as a tool to measure their clinical performance expertise as future nursing practitioners. The element of scientific inquiry is essential in providing standard fillers to give meaning to the various practical nursing gaps in the actual field, the hospital ward to be specific. Objective: This research study aims to establish the level of scientific inquiry and clinical performance of undergraduate Arab nursing students. Methods: The researcher utilized descriptive-correlational study as the research design. This is a descriptive study because it describes the level of scientific inquiry and level of clinical performance of the undergraduate Arab nursing students. Results: The finding of the study is that “the majority of the Arab student nurses demonstrate a guided inquiry in their scientific inquiry level”. Most of the Arab student nurses demonstrate a guided inquiry (?= 2.74, SD ± 0.99) in terms of their level of scientific inquiry. Largely, the Arab student nurses have proficient level in their level of clinical performance (?= 87.32, SD ± 12.36). Regression analysis revealed a no significant relationship (r2 = 0.57;adjusted r2 = 0.57;p > 0.005) between the level of scientific inquiry and clinical performance among Arab student nurses. Conclusions: The study concluded that the majority of the Arab student nurses demonstrated a guided inquiry in their scientific inquiry level and a moderately proficient level of clinical performance. Furthermore, the study concluded that the level of scientific inquiry was not significantly related to clinical performance.展开更多
In this study, the authors describe the profile of people seen in criminal psychiatric expertise in northern Benin and their results. It covered the 138 psychiatric assessments carried out as part of criminal proceedi...In this study, the authors describe the profile of people seen in criminal psychiatric expertise in northern Benin and their results. It covered the 138 psychiatric assessments carried out as part of criminal proceedings in the years 2017 and 2018. Expertises were on men in 94.9% of the cases. They were over 30 years old in 66.2% of cases. They were prosecuted for blood crimes in 89.5% of cases. The defendants were in detention at the time of the expert in 87.5% of cases. Psychiatric experts diagnosed a psychiatric disorder in 22.8% of cases. There was a relationship between the identified psychiatric disorder and the offense that motivated the charge in 25.8% of the mental disorder cases. It was exclusively cases of psychotic disorders. There was an abolition of discernment in 3.8% of the accused.展开更多
[ Objective] To propose strategic conception for sustainable development of massive freshwater fish in China. [ Method] The current development status of massive freshwater fish industry in China was analyzed. On this...[ Objective] To propose strategic conception for sustainable development of massive freshwater fish in China. [ Method] The current development status of massive freshwater fish industry in China was analyzed. On this basis, strategic conception for sustainable development of massive freshwater fish in China was proposed. [Remlt] In order to solve the present problems in the massive freshwater fish industry in China, basic strategies were proposed to develop the massive freshwater fish industry in China. The fishery resources should be capitalized to promote sustainable development of resources. Consumer demand of end-market should be used to drive stable development of the whole industry chain. Consumer demand should be guided to enhance the industrial market position. Processing and distribution channels should be constructed to promote sustainable development of seed and farming industries. Consumer demand at different levels should be used to promote multi-level multi-media health culture. Brand building and operating should be performed to enhance the competitive position of the industry in international and domestic markets. [ Condusion] The study has great theoretical and practical significance for promoting development of the massive freshwater fish industry in China.展开更多
The development of the medicinal trade and markets in late imperial China increased anxiety among scholarly physicians about the authenticity of medicines.Even though the market was typically depicted by scholarly phy...The development of the medicinal trade and markets in late imperial China increased anxiety among scholarly physicians about the authenticity of medicines.Even though the market was typically depicted by scholarly physicians as a place full of tricks and deceptions,it was a repertoire where practical knowledge about authentication was created and circulated.The specialized knowledge was mainly transmitted through oral tradition.But in some instances,it was also written down by scholarly physicians or merchants,allowing us to reconstruct the techniques and their underlying rationales.Authentication of medicines mobilized multiple sensory perceptions of the human body,consisting of observing,tasting,smelling,touching,and performing small tests.All these techniques played different roles in the practice of authentication.Even though these sensory techniques seemed like a collection of trivial and practical records without any coherent rationales,an underlying episteme could be detected through a close investigation.Merchants and practitioners in the market did not understand the nature and materiality of medicines by any established theories.Instead,they actively engaged with the tangible form of medicines through the senses and bodily techniques.This sensory form of knowing indicates a type of practical expertise that is distant from the scholarly tradition of materia medica in late imperial China.展开更多
BACKGROUND Needle-knife fistulotomy(NKF)is used as a rescue technique for difficult cannulation.However,the data are limited regarding the use of NKF for primary biliary cannulation,especially when performed by beginn...BACKGROUND Needle-knife fistulotomy(NKF)is used as a rescue technique for difficult cannulation.However,the data are limited regarding the use of NKF for primary biliary cannulation,especially when performed by beginners.AIM To assess the effectiveness and safety of primary NKF for biliary cannulation,and the role of the endoscopist’s expertise level(beginner vs expert).METHODS We retrospectively evaluated the records of 542 patients with naïve prominent bulging papilla and no history of pancreatitis,who underwent bile duct cannulation at a tertiary referral center.The patients were categorized according to the endoscopist’s expertise level and the technique used for bile duct cannulation.We assessed the rates of successful cannulation and adverse events.RESULTS The baseline characteristics did not differ between the experienced and lessexperienced endoscopists.The incidence rate of post-endoscopic retrograde cholangiopancreatography(ERCP)pancreatitis(PEP)was significantly affected by the endoscopist’s expertise level in patients who received conventional cannulation with sphincterotomy(8.9%vs 3.4%for beginner vs expert,P=0.039),but not in those who received NKF.In the multivariable analysis,a lower expertise level of the biliary endoscopist(P=0.037)and longer total procedure time(P=0.026)were significant risk factor of PEP in patients who received conventional cannulation with sphincterotomy but only total procedure time(P=0.004)was significant risk factor of PEP in those who received NKF.CONCLUSION Primary NKF was effective and safe in patients with prominent and bulging ampulla,even when performed by less-experienced endoscopist.We need to confirm which level of endoscopist’s experience is needed for primary NKF through prospective randomized study.展开更多
An equivalent bar conception is firstly developed for the computer analysis of pantographic foldable structures. The uniplet of two three node beam elements is assumed as a six bar assembly with respect to least norm ...An equivalent bar conception is firstly developed for the computer analysis of pantographic foldable structures. The uniplet of two three node beam elements is assumed as a six bar assembly with respect to least norm least square solution for the elastic strain energy equality. The equilibrium equation is developed for the equivalent models, and the internal forces formulated sequently for backup calculation. This procedure is proved practical for some engineering, and some interesting concepts proposed. Finally, three numerical tests are presented.展开更多
The analytic method, part of the epistemonic method, provides us with a way to cope with perplexed cases, without even referring to the world out there. We are able to predict all possible variations of consent, and g...The analytic method, part of the epistemonic method, provides us with a way to cope with perplexed cases, without even referring to the world out there. We are able to predict all possible variations of consent, and go on forming minimum logical quadripoles, 8-poles, 16-poles, etc., before even trying to make any connection to the world. This way, there are two major outcomes: All possible scenarios are predicted, and, because of that, our "logical generator" produces scenarios we couldn't even think of. Consent is, therefore, neither binary (existence or absence), nor just a continuum from existence to absence, but a cladistic tree stemming from the basic quadripole "existence of consent/not existence of consent/absence of consent/not absence of consent." The complexity increases rapidly when other terms are included; try: "existence of informed consent" or "existence of unintentional consent." More levels develop as we examine relevant terms, such as "exposure," "protection," or "consumption." In our case-study, we shall examine how different aspects of consent are expressed regarding the issue of performance enhancement and consider some implications for the notion of expertise within an SEA (Science of Exceptional Achievement) context. Many different terms may describe the most common situations, namely, "uniformed consent," "unintentional consent," "non-intentional consent," "not absence of consent," and also, "unintentional exposure," "intentional non-protection," and so on. In Greek language, the possible variations are even more (there are two kinds of negation in Greek). All the aforementioned terms have different ethical consequences. We shall also examine whether doping is an inherent part of expertise attainment.展开更多
Having a long history, Chinese floral arrangement has its unique floral arrangement patterns in different dynasties from the floral decoration on Buddhist altar in the Wei-Jin Period to the flower arranging by literat...Having a long history, Chinese floral arrangement has its unique floral arrangement patterns in different dynasties from the floral decoration on Buddhist altar in the Wei-Jin Period to the flower arranging by literatus, presenting the distinct lasting appeal of oriental floral arrangement. In terms of aesthetics features, Chinese ancient floral arrangement presented the features of natural inspiration and harmony between nature and man, attached thoughts to flowers and expressed emotions through flowers, and showed the aesthetic characteristics of poetic illusion and harmonious unification. Both the selection of flowers and overall layout of flower arrangement in ancient China show the beauty of artistic conception in aesthetics.展开更多
Prior studies commonly use an auditor's market share in an industry as a proxy for auditor industry expertise and find that audit quality is positively related to an audit partner's within-industry market share in a...Prior studies commonly use an auditor's market share in an industry as a proxy for auditor industry expertise and find that audit quality is positively related to an audit partner's within-industry market share in a voluntary audit partner rotation regime where the length of the client-partner relationship is not limited. Mandatory audit partner rotation, however, limits the length of the client-partner relationship and can artificially increase or decrease the market shares of incoming and departing partners, thus making the audit partner's within-industry market share an unreliable proxy for auditor industry expertise. Using a sample of banks in Taiwan, we find that audit quality is positively related to an audit partner's within-industry market share in the voluntary audit partner rotation regime. However, such a positive relation disappears in the mandatory audit partner rotation regime. Thus, we conclude that mandatory audit partner rotation decouples the link between an audit partner's within-industry market share and auditor industry expertise and caution researchers against using an audit partner's within-industry market share as a proxy for auditor industry expertise in a mandatory audit partner rotation regime.展开更多
The Article 23 in the Universal Declaration of Human Rights mentions that all work must have a fair and favorable remuneration. However, in Brazil, the State uses the free legal aid as a way of minimizing the social a...The Article 23 in the Universal Declaration of Human Rights mentions that all work must have a fair and favorable remuneration. However, in Brazil, the State uses the free legal aid as a way of minimizing the social and economic inequality, making it possible for the needy to have access to justice. Through the free legal aid, the litigant is exempted from payment of fees and legal expenses and court, thus, transferring the burden of work to professionals who assist in the judicial process. So, the magistrate can appoint an expert accountant to assist him in the trial of the legal question when the proof requires accounting knowledge. In this way, this article discusses the accounting expertise that is free of charge from the perception of expert accountants. The authors had applied questionnaires in August and September in 2008, and obtained 131 responses and 2,859 data. From this research, the authors observed that the majority of respondents when solicited to work with the possibility of non-payment attended the demand, and believed that this would contribute to society and assist the magistrate.展开更多
The artistic conception of the garden is the visual and typical natural environment and the ideological implication of the garden landscape expressed by the designer’s conception and creation.This paper analyzed the ...The artistic conception of the garden is the visual and typical natural environment and the ideological implication of the garden landscape expressed by the designer’s conception and creation.This paper analyzed the artistic conception of Chinese classical gardens from four aspects:the types,functions,creative techniques and contemporary factors restricting the development of artistic conception of gardens.It showed the charm of artistic conception of classical Chinese gardens,the important role of artistic conception of gardens,the current situation and problems encountered in the development of artistic conception of contemporary Chinese gardens.The paper also put forward some thoughts on the development status and problems of garden artistic conception,and explored the fusion method of Chinese classical garden artistic conception and modern garden.展开更多
Effective teaching has always been a goal pursued by teachers as a part of education both from the western and eastern society,for it to some extend is considered an effective way to improve society.In this essay,both...Effective teaching has always been a goal pursued by teachers as a part of education both from the western and eastern society,for it to some extend is considered an effective way to improve society.In this essay,both Chinese and western conceptions of teaching and learning will be discussed.In doing so,their differences and similarities can be seen clearly,which will help the cross-cultural educators to understand their teaching environment and learning styles.展开更多
基金Supported by the Soft Science Project of the Science and Technology Agency of Jiangxi Province(20133BBA10017)the Planning Project for Arts and Social Sciences of Jiangxi Province~~
文摘In modern Chinese style garden, the designer could express the emotions in garden creation to produce artistic conception with landscape plants, which could make the sightseers desire to integrate with the nature and led to sympathizing with the concept, thereby motivating and arousing people's emotion to return to and close to nature. Through the 6 specific characteristics of "shape, color, aroma, shadow, sound and art" of landscape plants, some ways to build artistic conception in Chinese style garden were introduced in this study to provide references for the creation of artistic conception creation through senses in the future landscaping design.
基金Supported by Protection of Linpan Resources and Demonstration Protection of Bamboo Industry Chain Cultivation in West Sichuan under the Supervision of Sichuan Provincial Department of Science and Technology (2009FZ0028)~~
文摘This study explored the origin and development of modern garden city,by integrating concepts of world modern garden city and characteristics of Chengdu cultures,analyzed the application of its aesthetic value and the design of its artistic conception.It was found that Chengdu City had high aesthetic value such as a large area of green spaces and unique recreational cultures,as well as a great potential of unifying idyllic images and natural cultures.To design Chengdu into a world modern garden city,the planning of its urban green space system should be taken as the foundation,"one group and three districts" as the construction system,urban folk cultures,logistics and traffic,information and other such networks as the support to achieve the "beauty of nature,social equity and urban-rural integration".
文摘To better inherit traditional culture in creating artistic conception in modern gardens and develop the style and function of garden artistic conception,this study summarized various creation techniques of traditional garden artistic conceptions from the perspective of design thought and conception of classical Chinese gardens.It was put forward that the creation of artistic conception in modern gardens should be human-centered in a great culture context;and meanwhile,aesthetic habits of modern people should be respected and traditional thoughts should be developed to enrich the connotation of garden artistic conception design.
文摘After the September 11th events and especially after the follow-updevelopment of the US-Russian relationship,many Americangovernment officials in the Bush team stated time and again in
文摘Elementary knowledge of classical Chinese gardens was introduced,its history was studied in 3 stages:initial phase,development phase and prosperous phase,component system of classical Chinese gardens was introduced from different perspectives,cultural background and specific demonstrations of its artistic conceptions were expounded as key points,and it was proposed that its artistic conceptions were actually reverence and respect for the nature,and also expressions of various philosophical doctrines and religious cultures.On this basis,construction techniques and connotations of artistic conception were researched as well as its components and expression ways.It was proposed that construction elements of artistic conceptions included buildings,hill stones,water and plants;image-building in the landscaping should be stressed,and artistic conception integrated into key points to bring out the theme,garden scenes and paintings combined.This study aimed at providing references for relevant researches through introducing classical Chinese gardens and their artistic conceptions.
基金This paper is sponsored by the Postgraduate Creative Foundation of Gannan Normal University entitled“模因论视域下康达维辞赋译本中文化负载词的英译研究”(YCX20A042).
文摘Chinese classical poetry has long been known for its unique artistic conception of mixture of sentiments andscenery, the conception beyond image and the refinement out of rhyme. From the perspective of receptionaesthetics theory, this paper analyzes translation strategies of the classical poetry, probes into the problems thatretaining “indeterminacy” and satisfying the readers “horizon of expectations” when translate Chinese classicalpoetry. It is necessary to keep enough aesthetic space, and to give full play to the translator’s aesthetic creativitywhen translate Chinese classical poetry, so as to reproduce the artistic conception of Chinese classical poetry.
文摘In this article , we report 139 autopsy cases of medical tangle , which were examined by the Department of Forensic Pathology, Faculty of Medicine, Tongji Medical University from Jan. 1972 to Dec. 1992.The emphasis is put on analyses of the status of medical tangle autopsy in forensic pathology, involved medical departments , distribution of victim's age and sex , differences between clinical diagnosis and autoptical conclusion, the composition and causes of medical tangle. The associated problems in forensic pathological autopsy are also discussed.
文摘Background: The status of inquisition by the nursing students shall be determined as it will be utilized as a tool to measure their clinical performance expertise as future nursing practitioners. The element of scientific inquiry is essential in providing standard fillers to give meaning to the various practical nursing gaps in the actual field, the hospital ward to be specific. Objective: This research study aims to establish the level of scientific inquiry and clinical performance of undergraduate Arab nursing students. Methods: The researcher utilized descriptive-correlational study as the research design. This is a descriptive study because it describes the level of scientific inquiry and level of clinical performance of the undergraduate Arab nursing students. Results: The finding of the study is that “the majority of the Arab student nurses demonstrate a guided inquiry in their scientific inquiry level”. Most of the Arab student nurses demonstrate a guided inquiry (?= 2.74, SD ± 0.99) in terms of their level of scientific inquiry. Largely, the Arab student nurses have proficient level in their level of clinical performance (?= 87.32, SD ± 12.36). Regression analysis revealed a no significant relationship (r2 = 0.57;adjusted r2 = 0.57;p > 0.005) between the level of scientific inquiry and clinical performance among Arab student nurses. Conclusions: The study concluded that the majority of the Arab student nurses demonstrated a guided inquiry in their scientific inquiry level and a moderately proficient level of clinical performance. Furthermore, the study concluded that the level of scientific inquiry was not significantly related to clinical performance.
文摘In this study, the authors describe the profile of people seen in criminal psychiatric expertise in northern Benin and their results. It covered the 138 psychiatric assessments carried out as part of criminal proceedings in the years 2017 and 2018. Expertises were on men in 94.9% of the cases. They were over 30 years old in 66.2% of cases. They were prosecuted for blood crimes in 89.5% of cases. The defendants were in detention at the time of the expert in 87.5% of cases. Psychiatric experts diagnosed a psychiatric disorder in 22.8% of cases. There was a relationship between the identified psychiatric disorder and the offense that motivated the charge in 25.8% of the mental disorder cases. It was exclusively cases of psychotic disorders. There was an abolition of discernment in 3.8% of the accused.
基金supported by the grants of the China Spark Program (2006EA770019)National Special Research Fund for Public Welfare (Agriculture) of China (200903028)+2 种基金the 11th Five-year Plan for Key Construction Academic Subject (Zoology) of Hunan Province (07-A-2)Production-Teaching-Research Demonstration Base Project of Colleges and Universities of Hunan Province (2008-2010)Technology Innovation Platform of Colleges and Universities of Hunan Province for Conservation and Use of Living Aquatic Resources (2010-2012)
文摘[ Objective] To propose strategic conception for sustainable development of massive freshwater fish in China. [ Method] The current development status of massive freshwater fish industry in China was analyzed. On this basis, strategic conception for sustainable development of massive freshwater fish in China was proposed. [Remlt] In order to solve the present problems in the massive freshwater fish industry in China, basic strategies were proposed to develop the massive freshwater fish industry in China. The fishery resources should be capitalized to promote sustainable development of resources. Consumer demand of end-market should be used to drive stable development of the whole industry chain. Consumer demand should be guided to enhance the industrial market position. Processing and distribution channels should be constructed to promote sustainable development of seed and farming industries. Consumer demand at different levels should be used to promote multi-level multi-media health culture. Brand building and operating should be performed to enhance the competitive position of the industry in international and domestic markets. [ Condusion] The study has great theoretical and practical significance for promoting development of the massive freshwater fish industry in China.
基金funded by the project“宋元以来中医知识的演变与现代中医的形成”(The Evolution of TCM Knowledge Since the Song and Yuan Dynasties and the Formation of Modern Chinese Medicine)supported by the National Social Science Fund of China)(No.18ZDA75)。
文摘The development of the medicinal trade and markets in late imperial China increased anxiety among scholarly physicians about the authenticity of medicines.Even though the market was typically depicted by scholarly physicians as a place full of tricks and deceptions,it was a repertoire where practical knowledge about authentication was created and circulated.The specialized knowledge was mainly transmitted through oral tradition.But in some instances,it was also written down by scholarly physicians or merchants,allowing us to reconstruct the techniques and their underlying rationales.Authentication of medicines mobilized multiple sensory perceptions of the human body,consisting of observing,tasting,smelling,touching,and performing small tests.All these techniques played different roles in the practice of authentication.Even though these sensory techniques seemed like a collection of trivial and practical records without any coherent rationales,an underlying episteme could be detected through a close investigation.Merchants and practitioners in the market did not understand the nature and materiality of medicines by any established theories.Instead,they actively engaged with the tangible form of medicines through the senses and bodily techniques.This sensory form of knowing indicates a type of practical expertise that is distant from the scholarly tradition of materia medica in late imperial China.
基金Korea Medical Device Development Fund Grant Funded by the Korea Government the Ministry of Trade,Industry and Energy(Project Number:9991007196),No.KMDF_PR_20200901_0066.
文摘BACKGROUND Needle-knife fistulotomy(NKF)is used as a rescue technique for difficult cannulation.However,the data are limited regarding the use of NKF for primary biliary cannulation,especially when performed by beginners.AIM To assess the effectiveness and safety of primary NKF for biliary cannulation,and the role of the endoscopist’s expertise level(beginner vs expert).METHODS We retrospectively evaluated the records of 542 patients with naïve prominent bulging papilla and no history of pancreatitis,who underwent bile duct cannulation at a tertiary referral center.The patients were categorized according to the endoscopist’s expertise level and the technique used for bile duct cannulation.We assessed the rates of successful cannulation and adverse events.RESULTS The baseline characteristics did not differ between the experienced and lessexperienced endoscopists.The incidence rate of post-endoscopic retrograde cholangiopancreatography(ERCP)pancreatitis(PEP)was significantly affected by the endoscopist’s expertise level in patients who received conventional cannulation with sphincterotomy(8.9%vs 3.4%for beginner vs expert,P=0.039),but not in those who received NKF.In the multivariable analysis,a lower expertise level of the biliary endoscopist(P=0.037)and longer total procedure time(P=0.026)were significant risk factor of PEP in patients who received conventional cannulation with sphincterotomy but only total procedure time(P=0.004)was significant risk factor of PEP in those who received NKF.CONCLUSION Primary NKF was effective and safe in patients with prominent and bulging ampulla,even when performed by less-experienced endoscopist.We need to confirm which level of endoscopist’s experience is needed for primary NKF through prospective randomized study.
文摘An equivalent bar conception is firstly developed for the computer analysis of pantographic foldable structures. The uniplet of two three node beam elements is assumed as a six bar assembly with respect to least norm least square solution for the elastic strain energy equality. The equilibrium equation is developed for the equivalent models, and the internal forces formulated sequently for backup calculation. This procedure is proved practical for some engineering, and some interesting concepts proposed. Finally, three numerical tests are presented.
文摘The analytic method, part of the epistemonic method, provides us with a way to cope with perplexed cases, without even referring to the world out there. We are able to predict all possible variations of consent, and go on forming minimum logical quadripoles, 8-poles, 16-poles, etc., before even trying to make any connection to the world. This way, there are two major outcomes: All possible scenarios are predicted, and, because of that, our "logical generator" produces scenarios we couldn't even think of. Consent is, therefore, neither binary (existence or absence), nor just a continuum from existence to absence, but a cladistic tree stemming from the basic quadripole "existence of consent/not existence of consent/absence of consent/not absence of consent." The complexity increases rapidly when other terms are included; try: "existence of informed consent" or "existence of unintentional consent." More levels develop as we examine relevant terms, such as "exposure," "protection," or "consumption." In our case-study, we shall examine how different aspects of consent are expressed regarding the issue of performance enhancement and consider some implications for the notion of expertise within an SEA (Science of Exceptional Achievement) context. Many different terms may describe the most common situations, namely, "uniformed consent," "unintentional consent," "non-intentional consent," "not absence of consent," and also, "unintentional exposure," "intentional non-protection," and so on. In Greek language, the possible variations are even more (there are two kinds of negation in Greek). All the aforementioned terms have different ethical consequences. We shall also examine whether doping is an inherent part of expertise attainment.
文摘Having a long history, Chinese floral arrangement has its unique floral arrangement patterns in different dynasties from the floral decoration on Buddhist altar in the Wei-Jin Period to the flower arranging by literatus, presenting the distinct lasting appeal of oriental floral arrangement. In terms of aesthetics features, Chinese ancient floral arrangement presented the features of natural inspiration and harmony between nature and man, attached thoughts to flowers and expressed emotions through flowers, and showed the aesthetic characteristics of poetic illusion and harmonious unification. Both the selection of flowers and overall layout of flower arrangement in ancient China show the beauty of artistic conception in aesthetics.
文摘Prior studies commonly use an auditor's market share in an industry as a proxy for auditor industry expertise and find that audit quality is positively related to an audit partner's within-industry market share in a voluntary audit partner rotation regime where the length of the client-partner relationship is not limited. Mandatory audit partner rotation, however, limits the length of the client-partner relationship and can artificially increase or decrease the market shares of incoming and departing partners, thus making the audit partner's within-industry market share an unreliable proxy for auditor industry expertise. Using a sample of banks in Taiwan, we find that audit quality is positively related to an audit partner's within-industry market share in the voluntary audit partner rotation regime. However, such a positive relation disappears in the mandatory audit partner rotation regime. Thus, we conclude that mandatory audit partner rotation decouples the link between an audit partner's within-industry market share and auditor industry expertise and caution researchers against using an audit partner's within-industry market share as a proxy for auditor industry expertise in a mandatory audit partner rotation regime.
文摘The Article 23 in the Universal Declaration of Human Rights mentions that all work must have a fair and favorable remuneration. However, in Brazil, the State uses the free legal aid as a way of minimizing the social and economic inequality, making it possible for the needy to have access to justice. Through the free legal aid, the litigant is exempted from payment of fees and legal expenses and court, thus, transferring the burden of work to professionals who assist in the judicial process. So, the magistrate can appoint an expert accountant to assist him in the trial of the legal question when the proof requires accounting knowledge. In this way, this article discusses the accounting expertise that is free of charge from the perception of expert accountants. The authors had applied questionnaires in August and September in 2008, and obtained 131 responses and 2,859 data. From this research, the authors observed that the majority of respondents when solicited to work with the possibility of non-payment attended the demand, and believed that this would contribute to society and assist the magistrate.
文摘The artistic conception of the garden is the visual and typical natural environment and the ideological implication of the garden landscape expressed by the designer’s conception and creation.This paper analyzed the artistic conception of Chinese classical gardens from four aspects:the types,functions,creative techniques and contemporary factors restricting the development of artistic conception of gardens.It showed the charm of artistic conception of classical Chinese gardens,the important role of artistic conception of gardens,the current situation and problems encountered in the development of artistic conception of contemporary Chinese gardens.The paper also put forward some thoughts on the development status and problems of garden artistic conception,and explored the fusion method of Chinese classical garden artistic conception and modern garden.
文摘Effective teaching has always been a goal pursued by teachers as a part of education both from the western and eastern society,for it to some extend is considered an effective way to improve society.In this essay,both Chinese and western conceptions of teaching and learning will be discussed.In doing so,their differences and similarities can be seen clearly,which will help the cross-cultural educators to understand their teaching environment and learning styles.