《谈女性与战争》是当代美国一位犹太女作家玛吉·皮尔希(Marge Piercy)的一篇创作漫谈。这位女作家针对人们,龙其是男人们所发出的疑问和责难,根据自己的体会和认识,娓娓而谈,发表了一篇女性作家的辩护词。语气从容温和,坦然自信;...《谈女性与战争》是当代美国一位犹太女作家玛吉·皮尔希(Marge Piercy)的一篇创作漫谈。这位女作家针对人们,龙其是男人们所发出的疑问和责难,根据自己的体会和认识,娓娓而谈,发表了一篇女性作家的辩护词。语气从容温和,坦然自信;志向宏大高远,不让须眉。全文字数虽然不多,议论却有精妙之处。此文原载美国《哈泼斯》月刊(Harper's Magayine)1987年6号,选自作者的文集《我和我的小说》(Me and My Novel),兹泽出,以飨读者。展开更多
Physiological parameters of people and enact assessment standard of indoor thermal environment that are appropriate to our national conditions were explored from the perspective of physiology. From December 2005 to Ja...Physiological parameters of people and enact assessment standard of indoor thermal environment that are appropriate to our national conditions were explored from the perspective of physiology. From December 2005 to January 2006, nerve conduction velocities and skin temperatures of 20 healthy students were tested with questionnaire investigation. The results show that the nerve conduction velocities as well as skin temperatures present an obvious decline trend in a continuous draught, and that the nerve conduction velocities and skin temperatures have a definite linear relationship. Draught velocity is an important factor in winter that affects body comfort, and the subjects are sensitive to air velocity.展开更多
A general research program, focusing on activated carbon fiber cloths （ACFC） and felt for environmental protection was performed. The objectives were multiple： （i） a better understanding of the adsorption mecha- ...A general research program, focusing on activated carbon fiber cloths （ACFC） and felt for environmental protection was performed. The objectives were multiple： （i） a better understanding of the adsorption mecha- nisms of these kinds of materials; （ii） the specification and optimization of new processes using these adsorbents; （iii） the modeling of the adsorption of organic pollutants using both the usual and original approaches; （iv） applications of ACFC in industrial processes. The general question was： how can activated carbon fiber cloths and felts be used in air treatment processes for the protection of environment. In order to provide an answer, different approaches were adopted. The materials （ACFC） were characterized in terms of macro structure and internal porosity. Specific studies were performed to get the air flow pattern through the fabrics. Head loss data were generated and modeled as a fi.mction of air velocity. The performances of ACF to remove volatile organic compounds （VOCs） were approached with the adsorption isotherms and breakthrough curves in various operating conditions. Regenera- tion by Joule effect shows a homogenous heating of adsorber modules with rolled or pleated layers. Examples of industrial developments were presented showing an interesting technology for the removal of VOCs, such as dichloromethane, benzene, isopropyl alcohol and toluene, alone or in a complex mixture.展开更多
To assess the merits of currently available treatment options in the management of patients with low rectal cancer, a review of the medical literature pertaining to the operative and non-operative management of low re...To assess the merits of currently available treatment options in the management of patients with low rectal cancer, a review of the medical literature pertaining to the operative and non-operative management of low rectal cancer was performed, with particular emphasis on sphincter preservation, oncological outcome, functional outcome, morbidity, quality of life, and patient preference. Low anterior resection (AR) is technically feasible in an increasing proportion of patients with low rectal cancer. The cost of sphincter preservation is the risk of morbidity and poor functional outcome in a significant proportion of patients. Transanal and endoscopic surgery are attractive options in selected patients that can provide satisfactory oncological outcomes while avoiding the morbidity and functional sequelae of open total mesorectal excision. In complete responders to neo-adjuvant chemoradiotherapy, a non-operative approach may prove to be an option. Abdominoperineal excision (APE) imposes a permanent stoma and is associated with significant incidence of perineal morbidity but avoids the risk of poor functional outcome following AR. Quality of life following AR and APE is comparable. Given the choice, most patients will choose AR over APE, however patients following APE positively appraise this option. In striving toward sphincter preservation the challenge is not only to achieve the best possible oncological outcome, but also to ensure that patients with low rectal cancer have realistic and accurate expectations of their treatment choice so that the best possible overall outcome can be obtained by each individual.展开更多
The objective of this appraisal is to shed light on the various approaches to screen sensory information in the human gut. Understanding and characterization of sensory symptoms in gastrointestinal disorders is poor. ...The objective of this appraisal is to shed light on the various approaches to screen sensory information in the human gut. Understanding and characterization of sensory symptoms in gastrointestinal disorders is poor. Experimental methods allowing the investigator to control stimulus intensity and modality, as well as using validated methods for assessing sensory response have contributed to the understanding of pain mechanisms. Mechanical stimulation based on impedance planimetry allows direct recordings of luminal cross-sectional areas, and combined with ultrasound and magnetic resonance imaging, the contribution of different gut layers can be estimated. Electrical stimulation depolarizes free nerve endings non-selectively. Consequently, the stimulation paradigm （single, train, tetanic） influences the involved sensory nerves. Visual controlled electrical stimulation combines the probes with an endoscopic approach, which allows the investigator to inspect and obtain small biopsies from the stimulation site. Thermal stimulation （cold or warm） activates selectively mucosal receptors, and chemical substances such as acid and capsaicin （either alone or in combination） are used to evoke pain and sensitization. The possibility of multimodal （e.g. mechanical, electrical, thermal and chemical） stimulation in different gut segments has developed visceral pain research. The major advantage is involvement of distinctive receptors, various sensory nerves and different pain pathways mimicking clinical pain that favors investigation of central pain mechanisms involved in allodynia, hyperalgesia and referred pain. As impairment of descending control mechanisms partly underlies the pathogenesis in chronic pain, a cold pressor test that indirectly stimulates such control mechanisms can be added. Hence, the methods undoubtedly represent a major step forward in the future characterization and treatment of patients with various diseases of the gut, which provides knowledge to dinicians about the underlying symptoms and treatment of these patients.展开更多
Splenic metastasis is generally not a common clinical event. However, metastasis to the spleen from adrenal pheochromocytoma is extremely rare and has not been reported in literature. This report presents a case of a ...Splenic metastasis is generally not a common clinical event. However, metastasis to the spleen from adrenal pheochromocytoma is extremely rare and has not been reported in literature. This report presents a case of a 58 year-old male patient who developed spleen-only metastases in July 2007. The patient had a previous history of left epinephroectomy for adrenal pheochromocytoma in January 2003. Abdominal computed tomography demonstrated multiple enhancing lesions suggestive of metastases; thus splenectomy was performed. Pathological examinations confirmed the diagnosis of splenic metastases from pheochromocytoma. The patient was alive without recurrence 48 months after splenectomy. qttis study is the first report on splenic metastasis from previous adrenal pheochromocytoma, and long-term survival was achieved by splenectomy. A history of malignancy indicates a high index of suspicion for splenic metastasis, and long-term survival can be achieved by splenectomy for spleen-only metastasis.展开更多
Plasmablastic lymphoma(PBL) is a rare aggressive B-cell lymphoproliferative disorder,which has been characterized by the World Health Organization as a new entity.Although PBL is most commonly seen in the oral cavity ...Plasmablastic lymphoma(PBL) is a rare aggressive B-cell lymphoproliferative disorder,which has been characterized by the World Health Organization as a new entity.Although PBL is most commonly seen in the oral cavity of human immunodeficiency virus(HIV)-positive patients,it can also be seen in extraoral sites in immunocompromised patients who are HIV-negative.Here we present a rare case of PBL of the small intestine in a 55-year-old HIV-negative male.Histopathological examination of the excisional lesion showed a large cell lymphoma with plasmacytic differentiation diffusely infiltrating the small intestine and involving the surrounding organs.The neoplastic cells were diffusely positive for CD79a,CD138 and CD10 and partly positive for CD38 and epithelial membrane antigen.Approximately 80% of the tumor cells were positive for Ki-67.A monoclonal rearrangement of the kappa light chain gene was demonstrated.The patient died approximately 1.5 mo after diagnosis in spite of receiving two courses of the CHOP chemotherapy regimen.In a review of the literature,this is the first case report of PBL with initial presentation in the small intestine without HIV and Epstein-Barr virus infection,and a history of hepatitis B virus infection and radiotherapy probably led to the iatrogenic immunocompromised state.展开更多
AIM:To determine the anti-Helicobacter property of Lactobacillus plantarum B7(L.plantarum)B7 supernatants in vitro and the protective effects of L.plantarum B7 on serum tumor necrosis factor-alpha(TNF-?),gastric malon...AIM:To determine the anti-Helicobacter property of Lactobacillus plantarum B7(L.plantarum)B7 supernatants in vitro and the protective effects of L.plantarum B7 on serum tumor necrosis factor-alpha(TNF-?),gastric malondialdehyde(MDA)level,apoptosis,and histopathology in Helicobacter pylori(H.pylori)-induced gastric inflammation in rats. METHODS:In vitro,the inhibition of H.pylori growth was examined using L.plantarum B7 supernatants at pH 4 and pH 7 and at the concentration of 1×,5×and 10×on plates inoculated with H.pylori.The inhibitory effect of H.pylori was interpreted by the size of the inhibition zone.In vitro,male Sprague-Dawley rats were randomly divided into four groups including group 1(control group),group 2(H.pylori infected group), group 3(H.pylori infected with L.plantarum B7 106 CFUs/mL treated group)and group 4(H.pylori infected with L.plantarum B7 1010 CFUs/mL treated group).One week after H.pylori inoculation,L.plantarum B7 106 CFUs/mL or 10 10 CFUs/mL were fed once daily to group 3 and group 4,respectively,for one week.Blood and gastric samples were collected at the end of the study. RESULTS:In vitro,at intact pH 4,mean inhibitory zone diameters of 8.5 mm and 13 mm were noted at concentrations of 5×and 10×of L.plantarum B7 supernatant disks,respectively.At adjusted pH 7, L.plantarum B7 supernatants at concentrations of 5 ×and 10×yielded mean inhibitory zone diameters of 6.5 mm and 11 mm,respectively.In the in vitro study, in group 2,stomach histopathology revealed mild to moderate H.pylori colonization and inflammation.The level of gastric MDA and epithelial cell apoptosis were significantly increased compared with group 1.The serum TNF-??level was significant decreased in group 3 compared with group 2(P<0.05).In addition,L.plantarum B7 treatments resulted in a significant improvement in stomach pathology,and decreased gastric MDA level and apoptotic epithelial cells. CONCLUSION:L.plantarum B7 supernatant inhibits H.pylori growth.This inhibition was dose-dependent and greater at pH 4.Moreover,L.plantarum B7 attenuated H.pylori-induced gastric inflammation.展开更多
According to five consecutive year＇ s mental Health survey for freshmen in a higher vocational school, it is found that： vocational students＇ mental health is gradually improved; the most prominent psychological pr...According to five consecutive year＇ s mental Health survey for freshmen in a higher vocational school, it is found that： vocational students＇ mental health is gradually improved; the most prominent psychological problems among higher vocational students are： compulsion, depression and interpersonal communication; boys＇ mental health is significantly better than girls＇ ; students from different grades have varies mental health problems.展开更多
Colonic lipoma is an uncommon benign non-epithelial tumor of the gastrointestinal tract. It typically occurs in the ascending colon and among old female patients. Most cases are asymptomatic and do not require any spe...Colonic lipoma is an uncommon benign non-epithelial tumor of the gastrointestinal tract. It typically occurs in the ascending colon and among old female patients. Most cases are asymptomatic and do not require any special treatment. However, we encountered a young male patient with a symptomatic lipoma located in the transverse colon that induced a transcolocolonic intussusception. He presented with such symptoms as diarrhea, tenesmus, abdominal pain, and weight loss. Colonoscopy revealed a spherical polypoid lesion with partial congestion and ulceration on its surface, and the related biopsy and inflammatory cell infiltration. revealed spindle cell hyperplasia Reduction of the intussusception was not attempted, and transverse hemicolectomy was conducted. Although several novel techniques have been reported for the diagnosis and treatment of colonic lipoma, for our case patient, an exact diagnosis was made postoperatively via histological examina- tion and laparotomy was performed.展开更多
文摘《谈女性与战争》是当代美国一位犹太女作家玛吉·皮尔希(Marge Piercy)的一篇创作漫谈。这位女作家针对人们,龙其是男人们所发出的疑问和责难,根据自己的体会和认识,娓娓而谈,发表了一篇女性作家的辩护词。语气从容温和,坦然自信;志向宏大高远,不让须眉。全文字数虽然不多,议论却有精妙之处。此文原载美国《哈泼斯》月刊(Harper's Magayine)1987年6号,选自作者的文集《我和我的小说》(Me and My Novel),兹泽出,以飨读者。
基金Project(CSTC 2004AA7008) supported by the State I mportant Project of the Science and Technology
文摘Physiological parameters of people and enact assessment standard of indoor thermal environment that are appropriate to our national conditions were explored from the perspective of physiology. From December 2005 to January 2006, nerve conduction velocities and skin temperatures of 20 healthy students were tested with questionnaire investigation. The results show that the nerve conduction velocities as well as skin temperatures present an obvious decline trend in a continuous draught, and that the nerve conduction velocities and skin temperatures have a definite linear relationship. Draught velocity is an important factor in winter that affects body comfort, and the subjects are sensitive to air velocity.
文摘A general research program, focusing on activated carbon fiber cloths （ACFC） and felt for environmental protection was performed. The objectives were multiple： （i） a better understanding of the adsorption mecha- nisms of these kinds of materials; （ii） the specification and optimization of new processes using these adsorbents; （iii） the modeling of the adsorption of organic pollutants using both the usual and original approaches; （iv） applications of ACFC in industrial processes. The general question was： how can activated carbon fiber cloths and felts be used in air treatment processes for the protection of environment. In order to provide an answer, different approaches were adopted. The materials （ACFC） were characterized in terms of macro structure and internal porosity. Specific studies were performed to get the air flow pattern through the fabrics. Head loss data were generated and modeled as a fi.mction of air velocity. The performances of ACF to remove volatile organic compounds （VOCs） were approached with the adsorption isotherms and breakthrough curves in various operating conditions. Regenera- tion by Joule effect shows a homogenous heating of adsorber modules with rolled or pleated layers. Examples of industrial developments were presented showing an interesting technology for the removal of VOCs, such as dichloromethane, benzene, isopropyl alcohol and toluene, alone or in a complex mixture.
文摘To assess the merits of currently available treatment options in the management of patients with low rectal cancer, a review of the medical literature pertaining to the operative and non-operative management of low rectal cancer was performed, with particular emphasis on sphincter preservation, oncological outcome, functional outcome, morbidity, quality of life, and patient preference. Low anterior resection (AR) is technically feasible in an increasing proportion of patients with low rectal cancer. The cost of sphincter preservation is the risk of morbidity and poor functional outcome in a significant proportion of patients. Transanal and endoscopic surgery are attractive options in selected patients that can provide satisfactory oncological outcomes while avoiding the morbidity and functional sequelae of open total mesorectal excision. In complete responders to neo-adjuvant chemoradiotherapy, a non-operative approach may prove to be an option. Abdominoperineal excision (APE) imposes a permanent stoma and is associated with significant incidence of perineal morbidity but avoids the risk of poor functional outcome following AR. Quality of life following AR and APE is comparable. Given the choice, most patients will choose AR over APE, however patients following APE positively appraise this option. In striving toward sphincter preservation the challenge is not only to achieve the best possible oncological outcome, but also to ensure that patients with low rectal cancer have realistic and accurate expectations of their treatment choice so that the best possible overall outcome can be obtained by each individual.
基金Supported by Det Obelske Familie fond and Spar Nord Fonden
文摘The objective of this appraisal is to shed light on the various approaches to screen sensory information in the human gut. Understanding and characterization of sensory symptoms in gastrointestinal disorders is poor. Experimental methods allowing the investigator to control stimulus intensity and modality, as well as using validated methods for assessing sensory response have contributed to the understanding of pain mechanisms. Mechanical stimulation based on impedance planimetry allows direct recordings of luminal cross-sectional areas, and combined with ultrasound and magnetic resonance imaging, the contribution of different gut layers can be estimated. Electrical stimulation depolarizes free nerve endings non-selectively. Consequently, the stimulation paradigm （single, train, tetanic） influences the involved sensory nerves. Visual controlled electrical stimulation combines the probes with an endoscopic approach, which allows the investigator to inspect and obtain small biopsies from the stimulation site. Thermal stimulation （cold or warm） activates selectively mucosal receptors, and chemical substances such as acid and capsaicin （either alone or in combination） are used to evoke pain and sensitization. The possibility of multimodal （e.g. mechanical, electrical, thermal and chemical） stimulation in different gut segments has developed visceral pain research. The major advantage is involvement of distinctive receptors, various sensory nerves and different pain pathways mimicking clinical pain that favors investigation of central pain mechanisms involved in allodynia, hyperalgesia and referred pain. As impairment of descending control mechanisms partly underlies the pathogenesis in chronic pain, a cold pressor test that indirectly stimulates such control mechanisms can be added. Hence, the methods undoubtedly represent a major step forward in the future characterization and treatment of patients with various diseases of the gut, which provides knowledge to dinicians about the underlying symptoms and treatment of these patients.
文摘Splenic metastasis is generally not a common clinical event. However, metastasis to the spleen from adrenal pheochromocytoma is extremely rare and has not been reported in literature. This report presents a case of a 58 year-old male patient who developed spleen-only metastases in July 2007. The patient had a previous history of left epinephroectomy for adrenal pheochromocytoma in January 2003. Abdominal computed tomography demonstrated multiple enhancing lesions suggestive of metastases; thus splenectomy was performed. Pathological examinations confirmed the diagnosis of splenic metastases from pheochromocytoma. The patient was alive without recurrence 48 months after splenectomy. qttis study is the first report on splenic metastasis from previous adrenal pheochromocytoma, and long-term survival was achieved by splenectomy. A history of malignancy indicates a high index of suspicion for splenic metastasis, and long-term survival can be achieved by splenectomy for spleen-only metastasis.
文摘Plasmablastic lymphoma(PBL) is a rare aggressive B-cell lymphoproliferative disorder,which has been characterized by the World Health Organization as a new entity.Although PBL is most commonly seen in the oral cavity of human immunodeficiency virus(HIV)-positive patients,it can also be seen in extraoral sites in immunocompromised patients who are HIV-negative.Here we present a rare case of PBL of the small intestine in a 55-year-old HIV-negative male.Histopathological examination of the excisional lesion showed a large cell lymphoma with plasmacytic differentiation diffusely infiltrating the small intestine and involving the surrounding organs.The neoplastic cells were diffusely positive for CD79a,CD138 and CD10 and partly positive for CD38 and epithelial membrane antigen.Approximately 80% of the tumor cells were positive for Ki-67.A monoclonal rearrangement of the kappa light chain gene was demonstrated.The patient died approximately 1.5 mo after diagnosis in spite of receiving two courses of the CHOP chemotherapy regimen.In a review of the literature,this is the first case report of PBL with initial presentation in the small intestine without HIV and Epstein-Barr virus infection,and a history of hepatitis B virus infection and radiotherapy probably led to the iatrogenic immunocompromised state.
基金Supported by The 90th Anniversary of Chulalongkorn University Fund(Ratchada phiseksomphot Endowment Fund)the grant of Ratchada phiseksomphot,Faculty of Medicine,Chulalongkorn University,Bangkok,Thailand
文摘AIM:To determine the anti-Helicobacter property of Lactobacillus plantarum B7(L.plantarum)B7 supernatants in vitro and the protective effects of L.plantarum B7 on serum tumor necrosis factor-alpha(TNF-?),gastric malondialdehyde(MDA)level,apoptosis,and histopathology in Helicobacter pylori(H.pylori)-induced gastric inflammation in rats. METHODS:In vitro,the inhibition of H.pylori growth was examined using L.plantarum B7 supernatants at pH 4 and pH 7 and at the concentration of 1×,5×and 10×on plates inoculated with H.pylori.The inhibitory effect of H.pylori was interpreted by the size of the inhibition zone.In vitro,male Sprague-Dawley rats were randomly divided into four groups including group 1(control group),group 2(H.pylori infected group), group 3(H.pylori infected with L.plantarum B7 106 CFUs/mL treated group)and group 4(H.pylori infected with L.plantarum B7 1010 CFUs/mL treated group).One week after H.pylori inoculation,L.plantarum B7 106 CFUs/mL or 10 10 CFUs/mL were fed once daily to group 3 and group 4,respectively,for one week.Blood and gastric samples were collected at the end of the study. RESULTS:In vitro,at intact pH 4,mean inhibitory zone diameters of 8.5 mm and 13 mm were noted at concentrations of 5×and 10×of L.plantarum B7 supernatant disks,respectively.At adjusted pH 7, L.plantarum B7 supernatants at concentrations of 5 ×and 10×yielded mean inhibitory zone diameters of 6.5 mm and 11 mm,respectively.In the in vitro study, in group 2,stomach histopathology revealed mild to moderate H.pylori colonization and inflammation.The level of gastric MDA and epithelial cell apoptosis were significantly increased compared with group 1.The serum TNF-??level was significant decreased in group 3 compared with group 2(P<0.05).In addition,L.plantarum B7 treatments resulted in a significant improvement in stomach pathology,and decreased gastric MDA level and apoptotic epithelial cells. CONCLUSION:L.plantarum B7 supernatant inhibits H.pylori growth.This inhibition was dose-dependent and greater at pH 4.Moreover,L.plantarum B7 attenuated H.pylori-induced gastric inflammation.
文摘According to five consecutive year＇ s mental Health survey for freshmen in a higher vocational school, it is found that： vocational students＇ mental health is gradually improved; the most prominent psychological problems among higher vocational students are： compulsion, depression and interpersonal communication; boys＇ mental health is significantly better than girls＇ ; students from different grades have varies mental health problems.
基金This work was supported by the National Science Foundation of China （Grant Nos. 30972879 and81172370）, the Specialized Research Fund for the Doctoral Program of Higher Education （Grant No. 200801590006）, and the Natural Science Foundation of Liaoning Province （Grant No. 20092129）
文摘Colonic lipoma is an uncommon benign non-epithelial tumor of the gastrointestinal tract. It typically occurs in the ascending colon and among old female patients. Most cases are asymptomatic and do not require any special treatment. However, we encountered a young male patient with a symptomatic lipoma located in the transverse colon that induced a transcolocolonic intussusception. He presented with such symptoms as diarrhea, tenesmus, abdominal pain, and weight loss. Colonoscopy revealed a spherical polypoid lesion with partial congestion and ulceration on its surface, and the related biopsy and inflammatory cell infiltration. revealed spindle cell hyperplasia Reduction of the intussusception was not attempted, and transverse hemicolectomy was conducted. Although several novel techniques have been reported for the diagnosis and treatment of colonic lipoma, for our case patient, an exact diagnosis was made postoperatively via histological examina- tion and laparotomy was performed.
