HAO Huizhen cannot forget the joy she felt winning her first lawsuit dealing with a transnational marriage case. The court decided that Hao’s litigant voluntarily offered his ex-wife ¥5,000. The first trial was anno...HAO Huizhen cannot forget the joy she felt winning her first lawsuit dealing with a transnational marriage case. The court decided that Hao’s litigant voluntarily offered his ex-wife ¥5,000. The first trial was announced effective because the defendant didn’t lodge an appeal. Hao carefully researched the economic conditions of both sides and collected 18 pieces of evidence. Based on this evidence, she put forth a 15,000-character statement for the plaintiff which won the decision of the court. The plaintiff, a man from another country, did not have to pay his estranged wife ¥300,000 she had demanded. Settling this first transnational marriage court case increased Hao’s confidence in herself. As a result,展开更多
A better comprehension of the superficial white matter organization is important in order to minimize potential and avoidable damage to long or intermediate association fibre bundles during every step of a surgical ap...A better comprehension of the superficial white matter organization is important in order to minimize potential and avoidable damage to long or intermediate association fibre bundles during every step of a surgical approach.We recently proposed a technique for cadaver specimen preparation,which seems able to identify a more systematic organization of the superficial white matter terminations.Moreover,the use of the physiological intracranial vascular network for the fixation process allowed us to constantly show main vascular landmarks associated with white matter structures.Hence three examples of standard approaches to eloquent areas are herein reanalyzed starting from the first superficial layer.New insights into the possible surgical trajectories and subsequent quantitative damages of both vessels and white matter fibres can help readapt even the most standard and widely accepted approach trough the brain cortex.A more detailed study of these fine anatomical details may become in the near future a fundamental part of the neurosurgical training and the preoperative planning.展开更多
The Holy Quran (1982) is the Holy Book of the Moslems and the most understandable aspect of its eloquence. One of the most interesting aspects found in different languages is the use of implicatures or implied meani...The Holy Quran (1982) is the Holy Book of the Moslems and the most understandable aspect of its eloquence. One of the most interesting aspects found in different languages is the use of implicatures or implied meaning. How and why such implicatures are generated and are discussed in pragmatics? In this study, a list of conversations (direct and indirect) from "Surah Livestock" ("A1-An'am"), the sixth Chapter of the Holy Quran, and the implicatures implied in the conversations are analyzed through a pragmatic theory: CP (Cooperative Principle). The present study shows that in most cases, the non-observance of Grice's (1975) maxims is found in the maxim of Quantity and the least in Manner. Grice's CP and its contributory maxims have not been observed in the "Surah Livestock" in this study. All maxims of Grice have been flouted in This Surah (1982) and there is no difference among Gricean maxims as far as flouting in the Surah is concerned.展开更多
Background:Awake craniotomy(AC)has become gold standard in surgical resection of gliomas located in eloquent areas.The conscious sedation techniques in AC include both monitored anesthesia care(MAC)and asleep-awake-as...Background:Awake craniotomy(AC)has become gold standard in surgical resection of gliomas located in eloquent areas.The conscious sedation techniques in AC include both monitored anesthesia care(MAC)and asleep-awake-asleep(AAA).The choice of optimal anesthetic method depends on the preferences of the surgical team(mainly anesthesiologist and neurosurgeon).The aim of this study was to compare the difference in physiological and blood gas data,dosage of different drugs,the probability of switching to endotracheal intubation,and extent of tumor resection and dysfunction after operation between AAA and MAC anesthetic management for resection of gliomas in eloquent brain areas.Methods:Two-hundred and twenty-five patients with super-tentorial tumor located in eloquent areas underwent AC from 2009 to 2021 in Xijing Hospital.Forty-one patients underwent AAA technique,and the rest one-hundred eighty-four patients underwent MAC technique.Anesthetic management,dosage of different drugs,intraoperative complications,postoperative outcomes,adverse events,extent of resection and motor,and sensory and language dysfunction after operation were compared between MAC and AAA.Result:There was no significant difference in gender,KPS score,MMSE score,glioma grade,type,and growth site between the patients in the two groups,except the older age of patients in MAC group than that in AAA group.During the whole process of operation,there were greater pulse pressure difference(P=0.046),shorter operation time(P=0.039),less dosage of remifentanil(P=0.000),more dosage of dexmedetomidine(P=0.013),more use of antiemetics(81%,P=0.0067),lower use of vasoactive agent(45.1%,P=0.010),and lower probability of conversion to general anesthesia(GA,P=0.027)in MAC group than that in AAA group.Blood gas analysis showed that PetCO2(P=0.000),Glu concentration(P=0.000),and PaCO2(P=0.000)were higher,but SPO2(P=0.002)and PaO2(P=0.000)were lower in MAC group than that in AAA group.In the postoperative recovery stage,compared with that of AAA group,the probability of dysfunction in MAC group at 1,3,5,and 7 days after operation was lower,which were 27.8%vs 53.6%(P=0.003),31%vs 68.3%(P=0.000),28.8%vs 63.4%(P=0.000),and 25.6%vs 58.5%(P=0.000),respectively.Conclusion:Compared with AAA,it seems that MAC has more advantages in the management for resection of gliomas in eloquent brain areas,and MAC combined with multiple monitoring such as cerebral cortical mapping,neuronavigation,and ultrasonic detection is worthy of popularization for the resection of gliomas in eloquent brain areas.展开更多
It is argued in this paper that Chinese students' preference to reticence and American students' to eloquence in class are respectively reflections of the cultural values held by the two peoples. The purpose o...It is argued in this paper that Chinese students' preference to reticence and American students' to eloquence in class are respectively reflections of the cultural values held by the two peoples. The purpose of this paper is to explore the reasons for the differences in class participation between Chinese and American students from the perspective of cultural values. The learning behaviors of both Chinese and American students are described based on the author's observation and research. A questionnaire delivered to a number of Chinese and American students is then briefly analyzed. The paper focuses on five dimensions of contrastive values held by the Chinese and Americans, which lead to their different views about talk: high-context culture vs. low-context culture; harmony vs. confrontation; collectivism vs. individualism; obedience vs. aggression; face giving vs. facing saving.展开更多
文摘HAO Huizhen cannot forget the joy she felt winning her first lawsuit dealing with a transnational marriage case. The court decided that Hao’s litigant voluntarily offered his ex-wife ¥5,000. The first trial was announced effective because the defendant didn’t lodge an appeal. Hao carefully researched the economic conditions of both sides and collected 18 pieces of evidence. Based on this evidence, she put forth a 15,000-character statement for the plaintiff which won the decision of the court. The plaintiff, a man from another country, did not have to pay his estranged wife ¥300,000 she had demanded. Settling this first transnational marriage court case increased Hao’s confidence in herself. As a result,
文摘A better comprehension of the superficial white matter organization is important in order to minimize potential and avoidable damage to long or intermediate association fibre bundles during every step of a surgical approach.We recently proposed a technique for cadaver specimen preparation,which seems able to identify a more systematic organization of the superficial white matter terminations.Moreover,the use of the physiological intracranial vascular network for the fixation process allowed us to constantly show main vascular landmarks associated with white matter structures.Hence three examples of standard approaches to eloquent areas are herein reanalyzed starting from the first superficial layer.New insights into the possible surgical trajectories and subsequent quantitative damages of both vessels and white matter fibres can help readapt even the most standard and widely accepted approach trough the brain cortex.A more detailed study of these fine anatomical details may become in the near future a fundamental part of the neurosurgical training and the preoperative planning.
文摘The Holy Quran (1982) is the Holy Book of the Moslems and the most understandable aspect of its eloquence. One of the most interesting aspects found in different languages is the use of implicatures or implied meaning. How and why such implicatures are generated and are discussed in pragmatics? In this study, a list of conversations (direct and indirect) from "Surah Livestock" ("A1-An'am"), the sixth Chapter of the Holy Quran, and the implicatures implied in the conversations are analyzed through a pragmatic theory: CP (Cooperative Principle). The present study shows that in most cases, the non-observance of Grice's (1975) maxims is found in the maxim of Quantity and the least in Manner. Grice's CP and its contributory maxims have not been observed in the "Surah Livestock" in this study. All maxims of Grice have been flouted in This Surah (1982) and there is no difference among Gricean maxims as far as flouting in the Surah is concerned.
基金funded by multidisciplinary MDT diagnosis and treatment fund for glioma and academic discipline boosting of Xijing Hospital.
文摘Background:Awake craniotomy(AC)has become gold standard in surgical resection of gliomas located in eloquent areas.The conscious sedation techniques in AC include both monitored anesthesia care(MAC)and asleep-awake-asleep(AAA).The choice of optimal anesthetic method depends on the preferences of the surgical team(mainly anesthesiologist and neurosurgeon).The aim of this study was to compare the difference in physiological and blood gas data,dosage of different drugs,the probability of switching to endotracheal intubation,and extent of tumor resection and dysfunction after operation between AAA and MAC anesthetic management for resection of gliomas in eloquent brain areas.Methods:Two-hundred and twenty-five patients with super-tentorial tumor located in eloquent areas underwent AC from 2009 to 2021 in Xijing Hospital.Forty-one patients underwent AAA technique,and the rest one-hundred eighty-four patients underwent MAC technique.Anesthetic management,dosage of different drugs,intraoperative complications,postoperative outcomes,adverse events,extent of resection and motor,and sensory and language dysfunction after operation were compared between MAC and AAA.Result:There was no significant difference in gender,KPS score,MMSE score,glioma grade,type,and growth site between the patients in the two groups,except the older age of patients in MAC group than that in AAA group.During the whole process of operation,there were greater pulse pressure difference(P=0.046),shorter operation time(P=0.039),less dosage of remifentanil(P=0.000),more dosage of dexmedetomidine(P=0.013),more use of antiemetics(81%,P=0.0067),lower use of vasoactive agent(45.1%,P=0.010),and lower probability of conversion to general anesthesia(GA,P=0.027)in MAC group than that in AAA group.Blood gas analysis showed that PetCO2(P=0.000),Glu concentration(P=0.000),and PaCO2(P=0.000)were higher,but SPO2(P=0.002)and PaO2(P=0.000)were lower in MAC group than that in AAA group.In the postoperative recovery stage,compared with that of AAA group,the probability of dysfunction in MAC group at 1,3,5,and 7 days after operation was lower,which were 27.8%vs 53.6%(P=0.003),31%vs 68.3%(P=0.000),28.8%vs 63.4%(P=0.000),and 25.6%vs 58.5%(P=0.000),respectively.Conclusion:Compared with AAA,it seems that MAC has more advantages in the management for resection of gliomas in eloquent brain areas,and MAC combined with multiple monitoring such as cerebral cortical mapping,neuronavigation,and ultrasonic detection is worthy of popularization for the resection of gliomas in eloquent brain areas.
文摘It is argued in this paper that Chinese students' preference to reticence and American students' to eloquence in class are respectively reflections of the cultural values held by the two peoples. The purpose of this paper is to explore the reasons for the differences in class participation between Chinese and American students from the perspective of cultural values. The learning behaviors of both Chinese and American students are described based on the author's observation and research. A questionnaire delivered to a number of Chinese and American students is then briefly analyzed. The paper focuses on five dimensions of contrastive values held by the Chinese and Americans, which lead to their different views about talk: high-context culture vs. low-context culture; harmony vs. confrontation; collectivism vs. individualism; obedience vs. aggression; face giving vs. facing saving.