A Comparison of the Views of Heavenly Principles and Human Desire and the Theory of Personality Structure

This paper makes a comparative study of the theory of heavenly principles and human desires in the Neo-Confucianism of the Song and Ming Dynasties and the theory of personality structure in psychoanalytic theory.From the perspective of the construction of the subject,in the debate between the heavenly principle and the human desire,the person is built into the moral subject.The id,ego,and super-ego in the psychoanalytic theory constitute the unconscious structural subject.In the framework of these two theories,the“maintain the heavenly principles and eradicate human desires”and“the heavenly principles exist in desire”in the theory of heavenly principles and human desires express the unity of opposites between heavenly principles and human desire.The core of personality structure theory is the relationship of obedience and control among the id,ego,and super-ego.As far as the value orientation is concerned,the debate between the heavenly principle and the human desire provides a theoretical basis for the moral practice of Confucianism of“aim at absolute perfection”,while the free will of the id in the unconscious subject is the most essential ethical aspect of psychoanalysis.

Between the Heaven and Human Beings: On the Idea of the Heaven and the Transformation of Poetry in the Mid-Tang Dynasty

The relationship between the Heaven and human beings is a central issue in the transformation of Confucianism in the Mid-Tang Dynasty.The discourses on the Heaven by Han Yu,Liu Zongyuan,and Liu Yuxi helped to promote the transformation and greatly influenced the transformation in literature.The differences in the poetry among the three authors may also be interpreted from the perspective of their perceptions of the Heaven—Han Yu’s discourse on the Heaven focused on the enemy-relationship between the Heaven and human beings,so his poems always showed tension and loss.Liu Zongyuan was interested in the alienation between the heaven and human beings,so his poems were more rational and placid than Han Yu’s.However,Liu Yuxi’s discourse on the Heaven paid attention to the positive influence of the Heaven on human beings,and most of his poems were filled with reason.The changes in the relationship between the Heaven and human beings lead to the broadened themes,innovated vocabulary,diversified styles,and varied fresh imageries.Likewise,the relationship between the Heaven and human beings established in the Song Dynasty led accordingly to a new type of literature different from the Tang literature.

Series of Interpretation on Yellow Emperor’s Inner Classic: Two Correspondence between Human and the Heaven: Views from Huang Di Nei Jing (《黄帝内经》 Yellow Emperor’s Inner Classic)

This paper introduces the relations between human and the nature in traditional Chinese medicine(TCM).TCM is a science dedicated to studies on laws of human life activities.

Measurement of the Trace Elements Cu, Zn, Fe, and Mg and the Ultratrace Elements Cd, Co, Mn, and Pb in Limited Quantity Human Plasma and Serum Samples by Inductively Coupled Plasma-Mass Spectrometry

In public health studies limited volumes of blood are often collected and stored for future hypothesis testing. Archived samples are irreplaceable and therefore it is valuable to develop analytical techniques that require minimal sample vo-lume. This work describes the measurement of trace elements Mg, Cu, Fe, Zn and ultratrace elements Cd, Co, Mn, Pb in limited quantity (150 μL) human serum or plasma samples. Samples were digested using a hotblock and analyzed using inductively coupled plasma mass spectrometry (ICP-MS). The analytical method was evaluated using a quadrupole (Q) and sector field high resolution (SF) instrument to analyze trace elements in Seronorm? quality control serum material. The method was used to analyze 1888 blinded human plasma samples which were archived for the National Cancer Institute from the Nutrition Intervention Trial in Linxian China. The inductively coupled plasma method was capable of accurately analyzed limited quantity samples of human serum and plasma for the trace elements Mg, Cu, Fe Zn and the ultra trace elements Co, Mn and Pb. The concentration of Cd in human plasma samples was below the level of detection for 75% of the samples analyzed.

Lethal effect of mononuclear cells derived from human umbilical cord blood differentiating into dendritic cells after in vitro induction of cytokines on neuroblastoma cells

BACKGROUND： Dendritic cell is the most major antigen presenting cell of organism. It is proved in recent studies that human umbilical cord blood mononuclear cells induced and cultured in vitro by recombinant human granulocyte-macrophage colony stimulating factor （rhG-MCSF） and recombinant human interleukin-4 （rhlL-4） can generate a great many dendritic cells and promote the lethal effect of T cells on human neuroblastoma, but it is unclear that whether the lethal effect is associated with the most proper concentration of dendritic cells. OBJEETIVE： To investigate the lethal effect of human umbilical cord blood mononuclear cells induced in vitro by cytokines differentiating into dendritic cells on human neuroblastoma, and its best concentration range. DESIGN ： Open experiment SEI-FING： Department of Pediatrics, the Medical School Hospital of Qingdao University MATERIALS ： The study was carried out in the Shandong Provincial Key Laboratory （Laboratory for the Department of Pediatrics of the Medical School Hospital of Qingdao University） during September 2005 to May 2006. Human umbilical cord blood samples were taken from the healthy newborn infants of full-term normal delivery during October to November 2005 in the Medical School Hospital of Qingdao University, and were voluntarily donated by the puerperas. Main instruments： type 3111 CO2 incubator （Forma Scientific, USA）, type 550 ELISA Reader （Bio-Rad, USA）. Main reagents： neuroblastoma cell line SK-N-SH （Shanghai Institute of Life Science, Chinese Academy of Sciences）, RPMI-1640 culture fluid and fetal bovine serum （Hyclone）, rhlL-4 （Promega, USA）, rhG-MCSF （Harbin Pharmaceutic Group Bioengineering Co.Ltd）, rat anti-human CDla monoclonal antibody and FITC-labeled rabbit anti-rat IgG （Xiehe Stem cell Gene Engineering Co.Ltd）. METHODS： ① Human umbilical cord blood mononuclear cells obtained with attachment methods differentiated into human umbilical cord blood dendritic cells, presenting typical morphology of dendritic cells after in vitro induction by rhG-MCSF and rhlL-4. ② Different concentrations of dendritic cells[ dendritic cells： neuroblastoma cells=20：1,50：1,100：1 （2×10^8 L^-1,5×10^8 L^-1,1×10^9 L^-1）], 1×10^9 L^-1 T cells and 1×10^7 L^-1 neuroblastoma cells were added in the experimental group. 1 ×10^9 L^-1 T cells and 1 ×10^7 L^-1 neuroblastoma cells were added in the control group. ③ Main surface marker CDla molecules of dendritic cells were detected with indirect immunofluorescence, and the percent rate of dendritic cells was counted with ultraviolet light and expressed as the expression rate of CD1a^＋ cells. ④Single effector cells and target cells were respectively set in the experimental group and control group to obtain the lethal effect. The lethal effect of dendritic cells on neuroblastoma cells was indirectly evaluated by detecting cellular survival with MTT assay. The lethal effect（%）= （1-A experimentat well-A effector cell /A target cell well）×100%.⑤The expenmental data were presented as Mean ±SD, and paired t test was used. MAIN OUTCOME MEASURES： ① Morphological characters of dendritic cells in the process of induction and differentiation. ②CD1a^＋ cellular expression rate. ③Lethal effect of dendntic cells on neuroblastoma cells. RESULTS： ①Morphological characters of dendritic cells in the process of induction and differentiation： On the 15^th day after human umbilical cord blood mononuclear cells were induced by rhG-MCSF and rhlL-4, typical morphology of dendritic cells could be seen under an inverted microscope. ②Expression rate of CD1a^＋ cells was （43.12±5.83）%. ③Lethal effect of dendritic cells on neuroblastoma cells： Lethal effect of dendritic cells stimulated T cells in each experimental group （ dendritic cells： neuroblastoma cells=100：1,50：1, 20：1 respectively） on neuroblastoma cells was significantly higher than that in control group[（31.00 ±4.41 ）%, （30.92±5.27）%,（33.57±5.35）%,（26.23±5.20）%, t=3.51,2.98,4.24, P〈 0.01 ）; But the lethal effect of dendntic cells on neuroblastoma was significantly lower when their ratio was 100：1 and 50：1 in comparison with 20：1 （t=2.01,2.36, P 〈 0.05）, and no significant difference in lethal effect existed between the ratio at 100：1 and 50：1 （t=0.06,P 〉 0.05）. CONCLUSION： Dendritic cells differentiated from human umbilical cord blood mononuclear cells after in vitro induction of cytokines can promote the lethal effect of T cells on neuroblastoma cells. The lethal effect is associated with the concentration of dendritic cells within some range.

Capacity of bone induction of compound material of decalcified bone matrix combined with rhBMP-2 and impregnated with bone cement

AIM:To analyze bone inductive capacity of the compound material of decalcified bone matrix combined with rhBMP 2 and impregnated with bone cement.METHODS:To assess the experimental study, histological and Masson’s methods were used.RESULTS:The effects of compound material on the induction of bone formation were investigated in NIH mouse models.It was observed that in the with rhBMP 2 group, mesenchymal cells gathered in the implanted material at the 7th day postoperation,chondrogenesis were found at 14 to 21 days after implantation,new bone formation were observed at about 21 to 28 days after surgery and the DBM particles were absorbed by the new generated tissues gradually.CONCLUSIONS:The compound material of DBM combined with rhBMP 2 and impregnated with bone cement could induce the proliferation and migration of mesenchymal tissues that could be differentiated into cartilage and formed new bone finally.The new bone could absorb DBM particles gradually.The compound material had fair capacity of bone induction.

The Role of Trace Metals and Environmental Factors in the Onset and Progression of Schizophrenia in Pakistani Population

Exposure to toxic chemicals appears to be one of the major factors in the onset of Schizophrenia. Present study was designed to find out the association of socio-economic, clinical and heavy metals such as chromium (Cr), lead (Pb) copper (Cu), zinc (Zn), iron (Fe), manganese (Mn) selenium (Se) and arsenic (As) as the principle environmental factors that appear to impact schizophrenic condition in Pakistani population. In this study we have tried to expose some factors such as drug abuse, marital status, education, monthly income that could be related to the disease. These parameters were not investigated before in Pakistani subjects. A self-made questionnaire was developed to collect and record the history of patient’s social and economical status. The level of transition metals in the whole blood was also measured by using Inductive couple plasma optical emission spectroscopy (ICP-OES). Present study has found higher levels of Cr, Pb, Zn, Se, As and Cu and lower levels of Fe and Mn in the blood of newly diagnosed (ND) patients when compared to the controls. While comparing ND with the patients who were on medication (Old Diagnosed) we, found lower level of these metals except for copper in ND. However no significant differences were observed between any trace metal levels between the studied groups. The survey concludes that economic status, marital status and illegal drugs are significantly associated with schizophrenia. Pakistani men who use cannabis are significantly higher in numbers when compared to women in acquiring the psychiatric symptoms.

Ovarian hyperstimulation syndrome following the use of GnRH agonist trigger of final oocyte maturation and freeze-all strategy: A case report and review of the literature

Rationale:The current literature has a surprising controversy regarding the use of low-dose human chorionic gonadotropin(hCG)for luteal support as an explanation for the development of ovarian hyperstimulation syndrome,and this is because of the gap in the listing of the predisposing factors that put women at an increased risk of ovarian hyperstimulation syndrome.Patient concerns:A case of 25-year-old woman presented with abdominal pain,distention,dyspnea,and nausea with a 6.5 kg increase in weight from baseline.Ultrasonographic examination showed bilaterally enlarged multicystic ovaries after gonadotropin-releasing hormone(GnRH)agonist triggering and cycle segmentation with no hCG rescue administration.Diagnosis:Moderate/severe ovarian hyperstimulation syndrome.Interventions:The woman was admitted to the hospital for medical management of moderate/severe ovarian hyperstimulation syndrome,and pain management was advanced to patient-controlled anesthesia with the start of low molecular weight heparin.On day 2,albumin therapy followed by a furosemide chase was started due to an increase in abdominal girth.On day 1,Cabergoline was maintained,and on day 2 the GnRH antagonist Cetrorelix was started.Outcomes:The woman’s clinical condition improved,and a clinical pregnancy was eventually achieved during the first cryo-warmed blastocyst cycle.Lessons:Ovarian hyperstimulation syndrome can still happen even after the use of GnRH agonist and avoidance of hCG support.Segmentation of in vitro fertilization with complete avoidance of hCG for luteal support remains the best approach.

Development of early gastric cancer 4 and 5 years after complete remission of Helicobacter pyloriassociated gastric low-grade marginal zone B-cell lymphoma of MALT type

AIM: To report 3 of 120 patients on the German MALT lymphoma trial with H. pylori associated gastric MALT lymphoma who developed early gastric cancer 4 and 5 years, after complete lymphoma remission following cure of H. pylori infection. PATIENTS AND RESULTS: Three patients (two men, 74 and 70 years; one women, 77 years) with H. pylori-associated low-grade MALT lymphoma achieved complete lymphoma remission after being cured. Surveillance endoscopies were performed twice a year in accordance to the protocol. Four years after complete lymphoma remission in two patients, and after 5 years in the other, early gastric adenocarcinoma of the mucosa-type, type IIa and type IIc, respectively, was detected, which were completely removed by endoscopic mucosa resection. In one patient, the gastric cancer was diagnosed at the same location as the previous MALT lymphoma, in the other patients it was detected at different sites of the stomach distant from location of the previous MALT lymphoma. The patients were H. pylori negative during the whole follow-up time. CONCLUSION: These findings strengthen the importance of regular Long-term follow-up endoscopies in patients with complete remission of gastric MALT lymphoma after cure of H. pylori infection. Furthermore, gastric adenocarcinoma may develop despite eradication of H. pylori.

Philosophical Implications of “A Community of Shared Future for Humanity”

A new concept contributing to global governance in the era of globalization,“A Community of Shared Future for Humanity(CSFH)”boasts rich philosophical implications and values connotations despite insufficient research toward it in academia.This study seeks to analyze the philosophical significance of CSFH and concludes that it is a new practice of Marxist“Anthropological Philosophy”,a reserved development of“One Unified World under the Heaven”and“Supreme Harmony Consummated by Coordination of Varied Interests”in traditional Chinese philosophy and a dimensional transcendence over the western“self-reliant”national state system.

Human Physical Activity Measurement Method Based on Electrostatic Induction

In this study, an effective noncontact and nonattached technique that is based on electrostatic induction current generated during walking motion is proposed for the detection and assessment of human physical activity. In addition, a theoretical model is proposed for the electrostatic induction current generated owing to variation in the electric potential of the human body. The proposed electrostatic induction current model is compared with the theoretical model, and the proposed model is shown to effectively explain the behavior of the electrostatic induction current waveform. The normal walking motions of daily living are recorded with a portable sensor located in a regular house. The obtained results show that detailed information of physical activity such as a gait cycle can be estimated using our proposed technique. Additionally, the walking signal was measured when the subject walked with the ankle and knee fastened to a splint with bandages to simulate a limp. Therefore, the proposed technique, which is based on the detection of signal generated during walking, can be successfully employed to assess human physical activity.

An Attempt to Analyze a Human Nervous System Algorithm for Sensing Earthquake Precursors

We statistically validate the 2011-2022 earthquake prediction records of Ada, the sixth finalist of the 2nd China AETA in 2021, who made 147 earthquake predictions (including 60% of magnitude 5.5 earthquakes) with a prediction accuracy higher than 70% and a confidence level of 95% over a 12-year period. Since the reliable earthquake precursor signals described by Ada and the characteristics of Alfvén waves match quite well, this paper proposes a hypothesis on how earthquakes are triggered based on the Alfvén (Q G) torsional wave model of Gillette et al. When the plume of the upper mantle column intrudes into the magma and lithosphere of the soft flow layer during the exchange of hot and cold molten material masses deep inside the Earth’s interior during ascent and descent, it is possible to form body and surface plasma sheets under certain conditions to form Alfven nonlinear isolated waves, and Alfven waves often perturb the geomagnetic field, releasing huge heat and kinetic energy thus triggering earthquakes. To explain the complex phenomenon of how Ada senses Alvfen waves and how to locate epicenters, we venture to speculate that special magnetosensory cells in a few human bodies can sense earthquake precursors and attempt to hypothesize an algorithm that analyzes how the human biological nervous system encodes and decodes earthquake precursors and explains how human magnetosensory cells can solve complex problems such as predicting earthquake magnitude and locating epicenters.

秦汉畤祭遗址出土玉人功用研究

目前发现秦汉畤祭遗址的祭祀坑内,多是男女玉人一对与玉琮组合,应是畤祭礼仪最主要的祭祀形式。文章认为玉琮象征天圆地方,是祭天礼地的祭器。周秦汉时期奉行“以天为父,以地为母”之信仰,男女玉人与琮组合用于祭祀,正符合天为阳,地为阴,以天为父,以地为母的认知。并由此推断,男女玉人应分别是受祭的天神和地神之神主,用驷马车载之前往雍地进行畤祭之礼。西汉畤祭仍然继续沿用秦故礼仪,此正是由春秋至西汉数百年间,畤祭所用男女玉人造型及功用基本相同的缘由所在。

“天命之性”的现代解读——兼及戴震对朱子的辩驳

天命之性是程朱理学核心概念之一。意思是,人的存在即性,与生俱来。性有二重,一曰气质之性,一曰天命之性,天命之性即理。按现代观念,人的社会存在是其一切社会关系之总和。每个人一出生即落入某些社会关系之中。说社会存在与生俱来,或许成立。但是,朱子所说的天命之性,指的是天理(仁义礼智),落在人身,实为文化存在。此学说的涵义是:人生来就是高贵的,具备尊严。这为现代人人平等的观念奠定了基础。但仁义礼智是否与生俱来,却是个要研讨的问题。本文的解决思路是:将“天命之性”之“天”解读为意义世界,即属于第三世界;而将“天命”解读为来源于意义世界,因其并非与生俱来,而是在成长过程中得其教化。于是,工夫论要作调整,由朱子的复性论改变为充实完满论。自我,即本己存在。自我建构不仅有文化存在维度,还有社会存在维度。社会存在维度可以设计;文化存在维度目的唯一,即朱子所论。戴震深刻剖析了朱子的天命之性,恢复天命之性乃是气禀(血气心知)的古代学说,否定性即理,解构理义、气质二本,破性本善,开启了现代解读之路。

HIV阳性实体器官移植受者的免疫抑制药物管理

联合抗逆转录病毒治疗(cART)的应用显著提高了人类免疫缺陷病毒(HIV)感染者的预期寿命。但病毒感染和cART药物的不良反应使患者更容易发生器官衰竭。针对HIV感染者的终末期器官衰竭患者,实体器官移植成为一种标准的治疗方案。然而,在HIV阳性实体器官移植受者中,存在移植物排斥反应发生增多、感染风险升高、药物毒性以及cART治疗和免疫抑制药之间的药物相互作用等诸多问题,管理HIV阳性实体器官移植受者具有极大的挑战性。因此,本文就免疫诱导治疗、钙调磷酸酶抑制剂、哺乳动物雷帕霉素靶蛋白抑制剂及其他免疫抑制药在HIV阳性实体器官移植受者中的应用进行综述,旨在为未来HIV阳性实体器官移植受者的免疫抑制管理提供参考。

论儒家教化思想的人性论根基

儒家教化思想的框架可概括为“本性立教”,即强调将教化理论建立在人性的基础上,施教者根据人人固有的天命之性,确立与开展教化工作。人性在儒家教化思想中,至少有三个层面的意义:其一,人性蕴含着来自天命的人生目的,即为了成就孝悌美德;其二,人性在经验层面的形态会随着教化的推进,日渐彰显与实现;其三,人性在任何时刻都具有一个朝向至善目的的趋势,因而教化的实质是因性利导。由于儒家并不是将父子之道建立在私情或血缘的基础上,而是视为具有超越与普遍意义的人性,所以儒家教化能够以父子之道作为基础,将孝德推向他人乃至天下万物。其原理是父子之道与天人之道相结合,一切伦理关系都需要置于天人关系的视野下才能得到理解。总之,人性是教化的根基,教化是人性的实现,二者之间相互成就。

拮抗剂方案双扳机次日血清β-hCG水平对新鲜胚胎移植结局的影响

目的:探讨拮抗剂方案双扳机次日血清β-人绒毛膜促性腺激素(β-human chorionic gonadotropin,β-hCG)水平对体外受精/卵胞质内单精子注射(in vitro fertilization/intracytoplasmic sperm injection,IVF/ICSI)新鲜胚胎移植周期妊娠结局的预测价值。方法:回顾性分析2017年1月-2024年1月于南京医科大学附属妇产医院生殖中心行拮抗剂方案促排卵患者共717个周期的临床资料,所有周期均采用双扳机(hCG+促性腺激素释放激素激动剂)诱导排卵,按照扳机次日血清β-hCG水平分为5组,A组(42个周期)β-hCG≤50 U/L,B组(282个周期)50 U/L<β-hCG≤100 U/L,C组(250个周期)100 U/L<β-hCG≤150 U/L,D组(92个周期)150 U/L<β-hCG≤200 U/L,E组(51个周期)β-hCG>200 U/L。比较各组的促排卵实验室结局及妊娠结局。结果:5组间体质量指数、基础卵泡刺激素、促性腺激素天数及总量、hCG日雌孕激素水平及高评分囊胚数的差异均有统计学意义(均P<0.05),其中体质量指数越高,扳机次日β-hCG水平越低。5组可利用胚胎数、高评分囊胚率、临床妊娠率、流产率及活产率比较,差异均无统计学意义(均P>0.05)。结论:在拮抗剂方案新鲜胚胎移植周期中,双扳机次日血清β-hCG水平并不能预测IVF/ICSI治疗周期的妊娠结局。

庞敏“五位一体”诊疗思路治疗心肌桥经验

冠状动脉心肌桥是一种先天冠脉变异疾病,常出现胸闷、胸痛等临床症状,西医治疗指南尚未完善,常通过药物、手术和介入方式进行治疗。中医将其作为胸痹疾病来进行治疗,各家经临床证实皆取得较好疗效。庞敏教授在从业中总结出“天、人、证、机、病——五位一体”的处方思路,临床中应用于治疗心肌桥疗效显著,患者胸闷、胸痛可见有效缓解。文章旨在介绍吾师庞敏教授的诊疗思路,为临床中治疗冠状动脉心肌桥提供新思维。

二甲双胍介导NF-κB信号通路对糖尿病肾病细胞损伤的保护作用

为探究二甲双胍介导核因子-κB(NF-κB)信号通路对糖尿病肾病细胞损伤的保护作用,体外培养人肾小球足细胞(HGPC),利用10、20、30和40 mmol/L D-葡萄糖进行干预,筛选构建HGPC高糖炎症损伤模型的D-葡萄糖最适浓度;再利用20、40、80、160 mmol/L二甲双胍进行干预,筛选最适二甲双胍浓度;随后将细胞分为对照组(Con组)、高糖组(HG组)、二甲双胍组(Met组,30 mmol/L D-葡萄糖+80 mmol/L二甲双胍)、抑制剂组(Y组,30 mmol/L D-葡萄糖+1μmol/L NF-κB通路抑制剂BAY 11-7082)、二甲双胍+抑制剂组(Met+Y组,30 mmol/L D-葡萄糖+80 mmol/L二甲双胍+1μmol/L BAY 11-7082)和二甲双胍+激动剂组(Met+A组,30 mmol/L D-葡萄糖+80 mmol/L二甲双胍+1μmol/L NF-κB通路激动剂Prostratin),干预24 h。利用细胞计数试剂盒-8(CCK-8)检测细胞活力;酶联免疫吸附试验(ELISA)法检测炎症因子水平;Transwell小室法测定细胞侵袭和迁移能力;蛋白免疫印迹(WB)法检测E-钙黏蛋白(E-cadherin)、N-钙黏蛋白(N-cadherin)、波形蛋白(vimentin)、纤连蛋白(FN)、NF-κB p65和p-NF-κB p65蛋白的表达水平。结果显示:选择30 mmol/L D-葡萄糖干预HGPC细胞24 h以构建HGPC高糖炎症模型,80 mmol/L为二甲双胍最适浓度;HG组细胞炎症因子肿瘤坏死因子(TNF-α)、白细胞介素-1β(IL-1β)水平、细胞侵袭、迁移能力以及N-cadherin、vimentin、FN和p-NF-κB p65蛋白水平高于Con组,E-cadherin蛋白表达水平低于Con组(P<0.05);与HG组相比,Met组和Y组细胞炎症因子TNF-α、IL-1β水平、细胞侵袭能力、迁移能力、N-cadherin、vimentin、FN和p-NF-κB p65蛋白表达水平显著降低,E-cadherin蛋白表达水平升高(P<0.05);与Met组相比,加入BAY 11-7082后,上述指标趋势更显著(P<0.05),Met+A组趋势与Met+Y组相反(P<0.05)。二甲双胍通过阻断NF-κB通路激活抑制D-葡萄糖诱导的HGPC炎症反应、侵袭、迁移和上皮间质转化进程,保护高糖诱导的足细胞损伤。