High-grade dysplasia(HGD) in Barrett's esophagus(BE) is the critical step before invasive esophageal adenocarcinoma.Although its natural history remains unclear,an aggressive therapeutic approach is usually indica...High-grade dysplasia(HGD) in Barrett's esophagus(BE) is the critical step before invasive esophageal adenocarcinoma.Although its natural history remains unclear,an aggressive therapeutic approach is usually indicated.Esophagectomy represents the only treatment able to reliably eradicate the neoplastic epithelium.In healthy patients with reasonable life expectancy,vagal-sparing esophagectomy,with associated low mortality and low early and late postoperative morbidity,is considered the treatment of choice for BE with HGD.Patients unfit for surgery should be managed in a less aggressive manner,using endoscopic ablation or endoscopic mucosal resection of the entire BE segment,followed by lifelong surveillance.Patients eligible for surgery who present with a long BE segment,multifocal dysplastic lesions,severe reflux symptoms,a large fixed hiatal hernia or dysphagia comprise a challenging group with regard to the appropriate treatment,either surgical or endoscopic.展开更多
In Moon Palace, on the surface, there are loosely unbelievable adventurous experiences of three generations, but at depth, it examines the wild west and urban civilization and their roles in American history as initia...In Moon Palace, on the surface, there are loosely unbelievable adventurous experiences of three generations, but at depth, it examines the wild west and urban civilization and their roles in American history as initiator of the myths of the frontier and the urban progress. In this novel, Auster uncovers how American history and myth of frontier are constructed by describing the wildness and Auster reflects and criticize urban civilization by depicting the cities.展开更多
Some thinkers believe that historical accuracy deviates into myths and legends, when the subjects of discussion are powerful figures, be they human beings or gods. Such thinkers question the accuracy of works like the...Some thinkers believe that historical accuracy deviates into myths and legends, when the subjects of discussion are powerful figures, be they human beings or gods. Such thinkers question the accuracy of works like the Odyssey, the llliad and the Bible, wondering where history meets mythology and religion. Another set of thinkers doubts if history is about truth at all. Then, a third group of thinkers wonders what light has modern technology and increased speed of travel have shed light on the subject. These are some of the issues we shall seek to examine, while narrating the story of the relocation of a recent immigrant family from the Northeast to the Midwest of the United States of America. When the date for their move finally came, friends had anxieties and mild cautions about the family's decision, wondering if they really understood the geography of the land along with perceived popular notions about the different sections of the big continent turned a country. Then, there was the compensatory dream, casting a different hue on the whole story. As the narrator looked for provisions in a corn field, a large brown snake lounged at her, narrowly missed her, but poured her venomous fluid into a little animal nearby, which died instantaneously. The poor creature had taken the fall for her. A preliminary attempt at dream interpretation suggested trouble ahead, but triumph at the end of the tunnel.展开更多
This paper deals with the Mangal Kavyas of Bengal, folk epics arising out of an oral tradition practiced by rural women. The female deities to whom these epics are devoted, like the snake goddess Manasa, are also part...This paper deals with the Mangal Kavyas of Bengal, folk epics arising out of an oral tradition practiced by rural women. The female deities to whom these epics are devoted, like the snake goddess Manasa, are also part of the folk tradition, far removed from the Hindu pantheon of gods or the Vedic ways of worship and are related to the particular fears of village life. There is therefore, a de-mythologized version of these deities represented in these epics, a crystallization of the desires, wants, and ways of life of the rural population through the figure of the goddess, a version these village women can readily empathize with, making these epics rich in social documentation of contemporary village life.展开更多
The paper intends to study the formation of the spirit of independence, curiosity, innovation and benevolence which the university teachers in Medieval Europe had under the specific social and historical conditions. B...The paper intends to study the formation of the spirit of independence, curiosity, innovation and benevolence which the university teachers in Medieval Europe had under the specific social and historical conditions. Based on this, by contrast the current crisis of spirits of medieval university teachers in modem society, the paper also analyzes the reasons and tries to find out the mechanism to cultivate the spirit of the university teachers in modem society.展开更多
Traditional national sports are the representatives of traditional Chinese historic culture. With features like strong universality, nationality and involvement, they are deeply loved by the people. And after thousand...Traditional national sports are the representatives of traditional Chinese historic culture. With features like strong universality, nationality and involvement, they are deeply loved by the people. And after thousands of years of development, the constant evolution and precipitation, they have become not only the outstanding distinctive culture but also the spiritual wealth of Chinese nation. National fitness programs are mainly for improving the standards of people' s physical and mental health to serve for the enhancement of people' s overall quality. Traditional national sports are the fertile soil of the social culture and modem sports, as well as the inexhaustible material of popularizing the national fitness programs. With abundant life interest and great sport leisure, the people-oriented traditional national sports are in line with the national fitness programs.展开更多
Folk songs as an important part of traditional culture in Shandong, is very important spiritual wealth. In this paper, from terms of development history, classification, local language, melody type, etc. we analyze th...Folk songs as an important part of traditional culture in Shandong, is very important spiritual wealth. In this paper, from terms of development history, classification, local language, melody type, etc. we analyze the artistic characteristics of folk music in northern Shandong.展开更多
文摘High-grade dysplasia(HGD) in Barrett's esophagus(BE) is the critical step before invasive esophageal adenocarcinoma.Although its natural history remains unclear,an aggressive therapeutic approach is usually indicated.Esophagectomy represents the only treatment able to reliably eradicate the neoplastic epithelium.In healthy patients with reasonable life expectancy,vagal-sparing esophagectomy,with associated low mortality and low early and late postoperative morbidity,is considered the treatment of choice for BE with HGD.Patients unfit for surgery should be managed in a less aggressive manner,using endoscopic ablation or endoscopic mucosal resection of the entire BE segment,followed by lifelong surveillance.Patients eligible for surgery who present with a long BE segment,multifocal dysplastic lesions,severe reflux symptoms,a large fixed hiatal hernia or dysphagia comprise a challenging group with regard to the appropriate treatment,either surgical or endoscopic.
文摘In Moon Palace, on the surface, there are loosely unbelievable adventurous experiences of three generations, but at depth, it examines the wild west and urban civilization and their roles in American history as initiator of the myths of the frontier and the urban progress. In this novel, Auster uncovers how American history and myth of frontier are constructed by describing the wildness and Auster reflects and criticize urban civilization by depicting the cities.
文摘Some thinkers believe that historical accuracy deviates into myths and legends, when the subjects of discussion are powerful figures, be they human beings or gods. Such thinkers question the accuracy of works like the Odyssey, the llliad and the Bible, wondering where history meets mythology and religion. Another set of thinkers doubts if history is about truth at all. Then, a third group of thinkers wonders what light has modern technology and increased speed of travel have shed light on the subject. These are some of the issues we shall seek to examine, while narrating the story of the relocation of a recent immigrant family from the Northeast to the Midwest of the United States of America. When the date for their move finally came, friends had anxieties and mild cautions about the family's decision, wondering if they really understood the geography of the land along with perceived popular notions about the different sections of the big continent turned a country. Then, there was the compensatory dream, casting a different hue on the whole story. As the narrator looked for provisions in a corn field, a large brown snake lounged at her, narrowly missed her, but poured her venomous fluid into a little animal nearby, which died instantaneously. The poor creature had taken the fall for her. A preliminary attempt at dream interpretation suggested trouble ahead, but triumph at the end of the tunnel.
文摘This paper deals with the Mangal Kavyas of Bengal, folk epics arising out of an oral tradition practiced by rural women. The female deities to whom these epics are devoted, like the snake goddess Manasa, are also part of the folk tradition, far removed from the Hindu pantheon of gods or the Vedic ways of worship and are related to the particular fears of village life. There is therefore, a de-mythologized version of these deities represented in these epics, a crystallization of the desires, wants, and ways of life of the rural population through the figure of the goddess, a version these village women can readily empathize with, making these epics rich in social documentation of contemporary village life.
文摘The paper intends to study the formation of the spirit of independence, curiosity, innovation and benevolence which the university teachers in Medieval Europe had under the specific social and historical conditions. Based on this, by contrast the current crisis of spirits of medieval university teachers in modem society, the paper also analyzes the reasons and tries to find out the mechanism to cultivate the spirit of the university teachers in modem society.
文摘Traditional national sports are the representatives of traditional Chinese historic culture. With features like strong universality, nationality and involvement, they are deeply loved by the people. And after thousands of years of development, the constant evolution and precipitation, they have become not only the outstanding distinctive culture but also the spiritual wealth of Chinese nation. National fitness programs are mainly for improving the standards of people' s physical and mental health to serve for the enhancement of people' s overall quality. Traditional national sports are the fertile soil of the social culture and modem sports, as well as the inexhaustible material of popularizing the national fitness programs. With abundant life interest and great sport leisure, the people-oriented traditional national sports are in line with the national fitness programs.
文摘Folk songs as an important part of traditional culture in Shandong, is very important spiritual wealth. In this paper, from terms of development history, classification, local language, melody type, etc. we analyze the artistic characteristics of folk music in northern Shandong.