Montanelli suffered from the fierce conflict between humanity and divinity in his pursuit of religious belief.As a sacrifice on the altar of God,Montanelli's tragedy reflects the influence of the religion upon his...Montanelli suffered from the fierce conflict between humanity and divinity in his pursuit of religious belief.As a sacrifice on the altar of God,Montanelli's tragedy reflects the influence of the religion upon his behaviors,his internal spirit and his tragic destiny in the end.Furthermore,it manifests the cruelty and darkness of the religious rule and the distortion of the humankind in his age.展开更多
AIM: To evaluate the feasibility of using an automatedspring-loaded needle device for endoscopic ultrasound(EUS)-guided abdominal paracentesis(EUS-P) to see if this would make it easier to puncture the mobile and lax ...AIM: To evaluate the feasibility of using an automatedspring-loaded needle device for endoscopic ultrasound(EUS)-guided abdominal paracentesis(EUS-P) to see if this would make it easier to puncture the mobile and lax gastric wall for EUS-P.METHODS: The EUS database and electronic medical records at Fukushima Medical University Hospital were searched from January 2001 to April 2011. Patients with a history of cancer and who underwent EUS-P using an automated spring-loaded needle device with a 22-gauge puncture needle were included. The needle was passed through the instrument channel and advanced through the gastrointestinal wall under EUS guidance into the echo-free space in the abdominal cavity and ascitic fluid was collected. The confirmed diagnosis of malignant ascites included positive cytology and results from careful clinical observation for at least 6 mo in patients with negative cytology. The technical success rate, cytology results and complications were evaluated.RESULTS: We found 11 patients who underwent EUS-P with an automated spring-loaded needle device. In 4 cases, ascites was revealed only with EUS but not in other imaging modalities. EUS-P was done in 7 other cases because there was minimal ascitic fluid and no safe window for percutaneous abdominal aspiration. Ascitic fluid was obtained in all cases by EUS-P. The average amount aspirated was 14.1 mL(range 0.5-38 mL) and that was sent for cytological exam. The etiology of ascitic fluid was benign in 5 patients and malignant in 6. In all cases, ascitic fluid was obtained with the first needle pass. No procedure-related adverse effects occurred.CONCLUSION: EUS-P with an automated springloaded needle device is a feasible and safe method for ascites evaluation.展开更多
Due to Reformation movement in the 16th century,Protestantism came into being.Lutheranism,Calvinism and Puritanism rationalized and justified worldly economic activity.The Protestant asceticism was considered favorabl...Due to Reformation movement in the 16th century,Protestantism came into being.Lutheranism,Calvinism and Puritanism rationalized and justified worldly economic activity.The Protestant asceticism was considered favorable to the development of capitalistic economy.Religious reform was in a certain degree beneficial to the development of capitalism.This thesis mainly discusses the influence of Reformation upon the development of capitalism.展开更多
文摘Montanelli suffered from the fierce conflict between humanity and divinity in his pursuit of religious belief.As a sacrifice on the altar of God,Montanelli's tragedy reflects the influence of the religion upon his behaviors,his internal spirit and his tragic destiny in the end.Furthermore,it manifests the cruelty and darkness of the religious rule and the distortion of the humankind in his age.
文摘AIM: To evaluate the feasibility of using an automatedspring-loaded needle device for endoscopic ultrasound(EUS)-guided abdominal paracentesis(EUS-P) to see if this would make it easier to puncture the mobile and lax gastric wall for EUS-P.METHODS: The EUS database and electronic medical records at Fukushima Medical University Hospital were searched from January 2001 to April 2011. Patients with a history of cancer and who underwent EUS-P using an automated spring-loaded needle device with a 22-gauge puncture needle were included. The needle was passed through the instrument channel and advanced through the gastrointestinal wall under EUS guidance into the echo-free space in the abdominal cavity and ascitic fluid was collected. The confirmed diagnosis of malignant ascites included positive cytology and results from careful clinical observation for at least 6 mo in patients with negative cytology. The technical success rate, cytology results and complications were evaluated.RESULTS: We found 11 patients who underwent EUS-P with an automated spring-loaded needle device. In 4 cases, ascites was revealed only with EUS but not in other imaging modalities. EUS-P was done in 7 other cases because there was minimal ascitic fluid and no safe window for percutaneous abdominal aspiration. Ascitic fluid was obtained in all cases by EUS-P. The average amount aspirated was 14.1 mL(range 0.5-38 mL) and that was sent for cytological exam. The etiology of ascitic fluid was benign in 5 patients and malignant in 6. In all cases, ascitic fluid was obtained with the first needle pass. No procedure-related adverse effects occurred.CONCLUSION: EUS-P with an automated springloaded needle device is a feasible and safe method for ascites evaluation.
文摘Due to Reformation movement in the 16th century,Protestantism came into being.Lutheranism,Calvinism and Puritanism rationalized and justified worldly economic activity.The Protestant asceticism was considered favorable to the development of capitalistic economy.Religious reform was in a certain degree beneficial to the development of capitalism.This thesis mainly discusses the influence of Reformation upon the development of capitalism.
