The Awakening is about the heroine Edna Pontellier awakes and tries to reset her relation with the world in New Orleans,a place the family chose to spend the summer, where there also are influences working their way t...The Awakening is about the heroine Edna Pontellier awakes and tries to reset her relation with the world in New Orleans,a place the family chose to spend the summer, where there also are influences working their way to awake Edna. Among them, theeffects from Madame Ratignolle and Madame Reisz are of great importance in the process of Edna's awakening and to her final sui-cide. This dissertation will see how Edna is affected by and distinguished from them, and get the conclusion that Edna fails being alife mediator by contrasting with the two women.展开更多
Vestibular schwannoma(VS) is a slow-growing benign neoplasm. There has been an evolution in the management of VS from active treatments(microsurgery and stereotactic radiotherapy) to conservative management(wait and s...Vestibular schwannoma(VS) is a slow-growing benign neoplasm. There has been an evolution in the management of VS from active treatments(microsurgery and stereotactic radiotherapy) to conservative management(wait and scan). Regular MRI scanning is necessary to monitor tumor progression. Conservative management causes significantly less complications and offers a higher quality of life compared with active treatments. The mean growth rate of VS varies from 0.4 to 2.9 mm/year, and spontaneous shrinkage is observed in 3.8 percent of tumors during observation. If significant growth occurs, active treatment is considered. Significant growth is defined as an increase of at least 3 mm in the largest extrameatal diameter in any plane between the first and last available scans. The vestibulocochlear nerve is surrounded by cerebrospinal fluid, which provides natural contrast for MRI; thus, gadolinium may not be needed to detect VS. Specific sequences have high sensitivity, specificity, and accuracy for detection of progression. Hypointense signal in the ipsilateral inner ear fluid might be a useful sign to distinguish VS from meningioma. In this paper, we summarize the current status of research on conservative management and non-contrast MRI for the detection of VS.展开更多
文摘The Awakening is about the heroine Edna Pontellier awakes and tries to reset her relation with the world in New Orleans,a place the family chose to spend the summer, where there also are influences working their way to awake Edna. Among them, theeffects from Madame Ratignolle and Madame Reisz are of great importance in the process of Edna's awakening and to her final sui-cide. This dissertation will see how Edna is affected by and distinguished from them, and get the conclusion that Edna fails being alife mediator by contrasting with the two women.
基金supported by the National Natural Science Foundation of China (81170914/H1304)
文摘Vestibular schwannoma(VS) is a slow-growing benign neoplasm. There has been an evolution in the management of VS from active treatments(microsurgery and stereotactic radiotherapy) to conservative management(wait and scan). Regular MRI scanning is necessary to monitor tumor progression. Conservative management causes significantly less complications and offers a higher quality of life compared with active treatments. The mean growth rate of VS varies from 0.4 to 2.9 mm/year, and spontaneous shrinkage is observed in 3.8 percent of tumors during observation. If significant growth occurs, active treatment is considered. Significant growth is defined as an increase of at least 3 mm in the largest extrameatal diameter in any plane between the first and last available scans. The vestibulocochlear nerve is surrounded by cerebrospinal fluid, which provides natural contrast for MRI; thus, gadolinium may not be needed to detect VS. Specific sequences have high sensitivity, specificity, and accuracy for detection of progression. Hypointense signal in the ipsilateral inner ear fluid might be a useful sign to distinguish VS from meningioma. In this paper, we summarize the current status of research on conservative management and non-contrast MRI for the detection of VS.
