Background Abdominal pain is a common symptom among patients with acute appendicitis, yet these patients have long been denied relief from suffering because of widespread misconceptions associated with the use of opio...Background Abdominal pain is a common symptom among patients with acute appendicitis, yet these patients have long been denied relief from suffering because of widespread misconceptions associated with the use of opioids. We determined whether morphine hydrochloride masked the physical signs in adults with acute appendicitis and assessed the efficacy of morphine in relieving abdominal pain. Methods A prospective, double-blind, placebo controlled, clinical trial was conducted with 106 adult patients between 16 and 70 years old with acute appendicitis. Patients were randomly divided into a morphine group （n=-54） or a normal saline group （n=52）. All patients presented with acute abdominal pain with onset within 3 days. The morphine group received hypodermic injection of morphine （0.15 mg/kg; maximum 20 mg） and the control group members were given an equivalent volume of normal saline solution. The clinical symptoms, physical signs, and patients＇ cooperation during physical examination were assessed before and after 30 minutes of morphine or normal saline administration. Results Abdominal pain was significantly relieved and the patients＇ cooperation was improved in the morphine group after 30 minutes treatment compared with the control group and before morphine administration （P 〈0.05）. The physical signs were unaffected by either treatment （P 〉0.05）. Conclusions Morphine relieved abdominal pain and improved the patients＇ cooperation for treatment and care. Furthermore, the morphine did not mask the physical signs of acute appendicitis.展开更多
The centric position of the body in cognition has long been the paradigm for theories of embodiment; its research, however, has two limitations: 1) many studies have primarily worked on a specific, single dimension of...The centric position of the body in cognition has long been the paradigm for theories of embodiment; its research, however, has two limitations: 1) many studies have primarily worked on a specific, single dimension of the body, lacking a dynamic and comprehensive perspective; 2) the multimodal nature of embodied cognition has been tremendously underestimated, particularly in terms of the multimodal representation of physical signs. In view of the above two problems, the present research, with news cartoons as its research objects, takes a multi-layered perspective to view the semiosis of physical signs, for the role of the "body"amid the semiotization process might differ on different layers of representation. The author argues that: 1) on the formal layer, physical signs, which depend on perceptual senses, are realized by virtue of embodied simulation, which can help divert interpreters' attention from the form to the cognitive content; 2) on the conceptual layer, the semiotization of physical signs can be considered as a modularization process, absorbing modules from different sources and then being integrated as a whole, which can be explained by metonymy and multimodal metaphor theory; 3) on the contextual layer, the referent of the "body" is believed to be gradually replaced by its contextual symbolic meaning, which, by nature, arises from the reinterpretation of physical signs in specific cognitive situations.展开更多
At each and every moment the things of our universe are subject to change. The human body too,from the very moment it is born, begins the process that will ultimately lead to death.
Dalian Institute of Chemical Physics （DICP） /Chinese Academy of Sciences （CAS） and Elsevier have concluded a publishing agreement for the Journa/of Natural Gas Chemistry （JNGC） on June 07, 2005. Beginning from 2...Dalian Institute of Chemical Physics （DICP） /Chinese Academy of Sciences （CAS） and Elsevier have concluded a publishing agreement for the Journa/of Natural Gas Chemistry （JNGC） on June 07, 2005. Beginning from 2006, Elsevier will publish JNGC on ScienceDirect, the online full text and bibliographic information resource, and take care of JNGC＇s international institutional print subscriptions. JNGC will also be covered in Elsevier＇s EI Compendex.展开更多
Dalian Institute of Chemical Physics (DICP) /Chinese Academy of Sciences (CAS) and Elsevier have concluded a publishing agreement for the Journal of Natural Gas Chemistry (JNGC) on June 07, 2005. Beginning from 2006, ...Dalian Institute of Chemical Physics (DICP) /Chinese Academy of Sciences (CAS) and Elsevier have concluded a publishing agreement for the Journal of Natural Gas Chemistry (JNGC) on June 07, 2005. Beginning from 2006, Elsevier will publish JNGC on ScienceDirect, the online full text and bibliographic information resource, and take care of JNGC’s international institutional print subscriptions. JNGC will also be covered in Elsevier’s EI Compendex.展开更多
Dalian Institute of Chemical Physics （DICP）/Chinese Academy of Sciences （CAS） and Elsevier have concluded a publishing agreement for the Journal of Natural Gas Chemistry （JNGC） on June 07, 2005. Beginning from 2...Dalian Institute of Chemical Physics （DICP）/Chinese Academy of Sciences （CAS） and Elsevier have concluded a publishing agreement for the Journal of Natural Gas Chemistry （JNGC） on June 07, 2005. Beginning from 2006, Elsevier will publish JNGC on ScienceDirect, the online full text and bibliographic information resource, and take care of JNGC＇s international institutional print subscriptions. JNGC will also be covered in Elsevier＇s EI Compendex.展开更多
文摘Background Abdominal pain is a common symptom among patients with acute appendicitis, yet these patients have long been denied relief from suffering because of widespread misconceptions associated with the use of opioids. We determined whether morphine hydrochloride masked the physical signs in adults with acute appendicitis and assessed the efficacy of morphine in relieving abdominal pain. Methods A prospective, double-blind, placebo controlled, clinical trial was conducted with 106 adult patients between 16 and 70 years old with acute appendicitis. Patients were randomly divided into a morphine group （n=-54） or a normal saline group （n=52）. All patients presented with acute abdominal pain with onset within 3 days. The morphine group received hypodermic injection of morphine （0.15 mg/kg; maximum 20 mg） and the control group members were given an equivalent volume of normal saline solution. The clinical symptoms, physical signs, and patients＇ cooperation during physical examination were assessed before and after 30 minutes of morphine or normal saline administration. Results Abdominal pain was significantly relieved and the patients＇ cooperation was improved in the morphine group after 30 minutes treatment compared with the control group and before morphine administration （P 〈0.05）. The physical signs were unaffected by either treatment （P 〉0.05）. Conclusions Morphine relieved abdominal pain and improved the patients＇ cooperation for treatment and care. Furthermore, the morphine did not mask the physical signs of acute appendicitis.
文摘The centric position of the body in cognition has long been the paradigm for theories of embodiment; its research, however, has two limitations: 1) many studies have primarily worked on a specific, single dimension of the body, lacking a dynamic and comprehensive perspective; 2) the multimodal nature of embodied cognition has been tremendously underestimated, particularly in terms of the multimodal representation of physical signs. In view of the above two problems, the present research, with news cartoons as its research objects, takes a multi-layered perspective to view the semiosis of physical signs, for the role of the "body"amid the semiotization process might differ on different layers of representation. The author argues that: 1) on the formal layer, physical signs, which depend on perceptual senses, are realized by virtue of embodied simulation, which can help divert interpreters' attention from the form to the cognitive content; 2) on the conceptual layer, the semiotization of physical signs can be considered as a modularization process, absorbing modules from different sources and then being integrated as a whole, which can be explained by metonymy and multimodal metaphor theory; 3) on the contextual layer, the referent of the "body" is believed to be gradually replaced by its contextual symbolic meaning, which, by nature, arises from the reinterpretation of physical signs in specific cognitive situations.
文摘At each and every moment the things of our universe are subject to change. The human body too,from the very moment it is born, begins the process that will ultimately lead to death.
文摘Dalian Institute of Chemical Physics （DICP） /Chinese Academy of Sciences （CAS） and Elsevier have concluded a publishing agreement for the Journa/of Natural Gas Chemistry （JNGC） on June 07, 2005. Beginning from 2006, Elsevier will publish JNGC on ScienceDirect, the online full text and bibliographic information resource, and take care of JNGC＇s international institutional print subscriptions. JNGC will also be covered in Elsevier＇s EI Compendex.
文摘Dalian Institute of Chemical Physics (DICP) /Chinese Academy of Sciences (CAS) and Elsevier have concluded a publishing agreement for the Journal of Natural Gas Chemistry (JNGC) on June 07, 2005. Beginning from 2006, Elsevier will publish JNGC on ScienceDirect, the online full text and bibliographic information resource, and take care of JNGC’s international institutional print subscriptions. JNGC will also be covered in Elsevier’s EI Compendex.
文摘Dalian Institute of Chemical Physics （DICP）/Chinese Academy of Sciences （CAS） and Elsevier have concluded a publishing agreement for the Journal of Natural Gas Chemistry （JNGC） on June 07, 2005. Beginning from 2006, Elsevier will publish JNGC on ScienceDirect, the online full text and bibliographic information resource, and take care of JNGC＇s international institutional print subscriptions. JNGC will also be covered in Elsevier＇s EI Compendex.
