Narrative foreclosure is a phenomenon highlighted within the Chinese narrative medicine system, characterized by a state in which individuals become overly suspicious due to certain events in their development, leadin...Narrative foreclosure is a phenomenon highlighted within the Chinese narrative medicine system, characterized by a state in which individuals become overly suspicious due to certain events in their development, leading to profound concerns about their health and safety. This article employs the logical discourse framework of Chinese narrative medicine to illustrate the experiences of various patients exhibiting typical instances of narrative foreclosure in traditional Chinese medicine(TCM) cases, such as Bei Gong She Ying(杯弓蛇影 to see a bow reflected in a cup as a snake), Wu Qiu Zhi Chong(吴球治虫 Wu Qiu treats worms), and Fa Jing Qu She(法靖驱蛇 Fajing drives away snakes). It explores how TCM practitioners leverage narrative wisdom to facilitate patients in dispelling their internal doubts through the concept of Bu Yao Wei Yao(不药为药 healing diseases without medicine). Through these medical cases, the article advocates for the significance of narrative competencies among medical practitioners in diagnosing and treating patients, alongside the use of pharmaceuticals and surgical interventions. Additionally, it outlines the prospects for the future development of narrative approaches in TCM.展开更多
John Bunyan's The Pilgrim's Progress has been written to preach the glad tidings of salvation.Therefore its allegorical protagonists have gradually gone through many tests and trials on the path to salvation.T...John Bunyan's The Pilgrim's Progress has been written to preach the glad tidings of salvation.Therefore its allegorical protagonists have gradually gone through many tests and trials on the path to salvation.This paper is focused on the doctrinal instruction of the later two episodes,Doubting Castle and Enchanted Ground.展开更多
Dear Editor： Extensive studies have measured antidepressant- like effects of chemical compounds to discover new drugs for depression treatment or to clarify the mo- lecular mechanisms of depression. Most useful anti-...Dear Editor： Extensive studies have measured antidepressant- like effects of chemical compounds to discover new drugs for depression treatment or to clarify the mo- lecular mechanisms of depression. Most useful anti- depressants including tricyclics, selective serotonin reuptake inhibitors （SSRIs）, noradrenaline reuptake inhibitors （NRIs）, serotonin and noradrenaline re- uptake inhibitors （SNRIs）, and monoamine oxidase inhibitors （MAOIs） exert antidepressant-like effects in forced swimmin~ test （FST） in mice and rats[1].展开更多
American poet, Walt Whitman and Harold Hart Crane both write poems about the place connecting Brooklyn and Manhattan, in Crossing Brooklyn Ferry and To Brooklyn Bridge respectively. By comparing the similarities of th...American poet, Walt Whitman and Harold Hart Crane both write poems about the place connecting Brooklyn and Manhattan, in Crossing Brooklyn Ferry and To Brooklyn Bridge respectively. By comparing the similarities of these two poems, this paper analyses the two poets’ attitudes towards the development of modern society, finding that both poets not only show admiration for modern society but also doubt about the fast development. It aims to reveal the influence of fast development of modern society on people’s mentality.展开更多
Recently, a circular has been is- sued by the Ministry of Com merce to notify the domestictextile exporters not to be engaged in il- legal transit trade. If those practices are founded, there will be severe punishment.
(2021年全国新高考Ⅰ卷·58)The hot spring at the foot of the mountain is something you must try after the climb.It will__________(undoubted)help you get refreshed!这道题毫无疑问的答案是undoubtedly,但我们从答案往回...(2021年全国新高考Ⅰ卷·58)The hot spring at the foot of the mountain is something you must try after the climb.It will__________(undoubted)help you get refreshed!这道题毫无疑问的答案是undoubtedly,但我们从答案往回推,为何给出的提示词不是给出doubt或者是doubted呢?展开更多
Based on the description of an ordinary American young man—Clyde’s short life,An American Tragedy mingled many social aspects of modern American society together,which portrayed the money-oriented and indifferent Am...Based on the description of an ordinary American young man—Clyde’s short life,An American Tragedy mingled many social aspects of modern American society together,which portrayed the money-oriented and indifferent American society.The analysis of the novel finds that the main characters shared some common traits,having both self-doubt and social dependence.They didn’t believe in their own ability but trusted the so-called social hierarchy;they didn’t count on their own efforts to be better off but depended on the society,on others and on fortune;they didn’t adhere to their own faiths but attached to others’opinions.It is clear through close studying that these characteristics resulted from American social system at that time,and the system made people mammonish,hidebound and indifferent.In this sense,the tragedy is not so much a tragedy of humanity as a tragedy of a society.展开更多
Cardiovascular diseases(CVD)are undoubtedly the leading cause of morbidity and mortality in the elderly.Population aging is a global phenomenon.In developed countries,by the year 2050 one in four people will be aged 6...Cardiovascular diseases(CVD)are undoubtedly the leading cause of morbidity and mortality in the elderly.Population aging is a global phenomenon.In developed countries,by the year 2050 one in four people will be aged 65+years.This ongoing growth of the aging population leads to an increasing burden of CVD.The management of CVD in geriatric patients requires specific considerations.Aging is associated with complex pathophysiology due to decreased organ reserve,which is clinically described as frailty.Additionally,the aging population is extremely heterogenous and frequently characterized by a combination of unique features,including atypical disease presentation,multimorbidity,polypharmacy,altered pharmacokinetics,cognitive impairment,renal impairment,dysautonomia,elevated risk of falls,sarcopenia,and frailty.Furthermore,significant gaps in evidence exist largely due to the limited representation of the very elderly,and especially frail patients,in randomized controlled trials.When combined with issues related to life expectancy,goals of care,bioethics,and patients’preferences,these factors pose intricate challenges for healthcare providers.This literature review summarizes selected clinical scenarios that often introduce dilemmas in the management of elderly patients in cardiology practice,emphasizing the intersection of geriatric medicine and cardiology.These include blood pressure management,management of dyslipidemia,anticoagulation in atrial fibrillation,medical and device treatment of heart failure,antiplatelet and interventional management of acute coronary syndromes,and peri-procedural considerations in severe aortic stenosis.The above will provide guidance for clinical practice,as well as implications for health policies and future research in the field of geriatric cardiology.展开更多
If you are to choose an event that can best represent China’s culture,undoubtedly,it will be the Spring Festival,or the Chinese Lunar New Year.It is a cherished occasion for families to get together,extend best wishe...If you are to choose an event that can best represent China’s culture,undoubtedly,it will be the Spring Festival,or the Chinese Lunar New Year.It is a cherished occasion for families to get together,extend best wishes to the people around them,and maintain friendships.展开更多
基金National Social Science Fund of China (No. 21FSHB007)Affiliated Shunde Hospital of Southern Medical University (No. SPSPSP2021024)。
文摘Narrative foreclosure is a phenomenon highlighted within the Chinese narrative medicine system, characterized by a state in which individuals become overly suspicious due to certain events in their development, leading to profound concerns about their health and safety. This article employs the logical discourse framework of Chinese narrative medicine to illustrate the experiences of various patients exhibiting typical instances of narrative foreclosure in traditional Chinese medicine(TCM) cases, such as Bei Gong She Ying(杯弓蛇影 to see a bow reflected in a cup as a snake), Wu Qiu Zhi Chong(吴球治虫 Wu Qiu treats worms), and Fa Jing Qu She(法靖驱蛇 Fajing drives away snakes). It explores how TCM practitioners leverage narrative wisdom to facilitate patients in dispelling their internal doubts through the concept of Bu Yao Wei Yao(不药为药 healing diseases without medicine). Through these medical cases, the article advocates for the significance of narrative competencies among medical practitioners in diagnosing and treating patients, alongside the use of pharmaceuticals and surgical interventions. Additionally, it outlines the prospects for the future development of narrative approaches in TCM.
文摘John Bunyan's The Pilgrim's Progress has been written to preach the glad tidings of salvation.Therefore its allegorical protagonists have gradually gone through many tests and trials on the path to salvation.This paper is focused on the doctrinal instruction of the later two episodes,Doubting Castle and Enchanted Ground.
基金supported by grants from the Science and Technology Foundation of Nanjing Medical University (No. 09NJMUZ15)from the Natural Science Foundation of Jiangsu Province (No.10KJB31008)
文摘Dear Editor： Extensive studies have measured antidepressant- like effects of chemical compounds to discover new drugs for depression treatment or to clarify the mo- lecular mechanisms of depression. Most useful anti- depressants including tricyclics, selective serotonin reuptake inhibitors （SSRIs）, noradrenaline reuptake inhibitors （NRIs）, serotonin and noradrenaline re- uptake inhibitors （SNRIs）, and monoamine oxidase inhibitors （MAOIs） exert antidepressant-like effects in forced swimmin~ test （FST） in mice and rats[1].
文摘American poet, Walt Whitman and Harold Hart Crane both write poems about the place connecting Brooklyn and Manhattan, in Crossing Brooklyn Ferry and To Brooklyn Bridge respectively. By comparing the similarities of these two poems, this paper analyses the two poets’ attitudes towards the development of modern society, finding that both poets not only show admiration for modern society but also doubt about the fast development. It aims to reveal the influence of fast development of modern society on people’s mentality.
文摘Recently, a circular has been is- sued by the Ministry of Com merce to notify the domestictextile exporters not to be engaged in il- legal transit trade. If those practices are founded, there will be severe punishment.
文摘(2021年全国新高考Ⅰ卷·58)The hot spring at the foot of the mountain is something you must try after the climb.It will__________(undoubted)help you get refreshed!这道题毫无疑问的答案是undoubtedly,但我们从答案往回推,为何给出的提示词不是给出doubt或者是doubted呢?
文摘Based on the description of an ordinary American young man—Clyde’s short life,An American Tragedy mingled many social aspects of modern American society together,which portrayed the money-oriented and indifferent American society.The analysis of the novel finds that the main characters shared some common traits,having both self-doubt and social dependence.They didn’t believe in their own ability but trusted the so-called social hierarchy;they didn’t count on their own efforts to be better off but depended on the society,on others and on fortune;they didn’t adhere to their own faiths but attached to others’opinions.It is clear through close studying that these characteristics resulted from American social system at that time,and the system made people mammonish,hidebound and indifferent.In this sense,the tragedy is not so much a tragedy of humanity as a tragedy of a society.
文摘Cardiovascular diseases(CVD)are undoubtedly the leading cause of morbidity and mortality in the elderly.Population aging is a global phenomenon.In developed countries,by the year 2050 one in four people will be aged 65+years.This ongoing growth of the aging population leads to an increasing burden of CVD.The management of CVD in geriatric patients requires specific considerations.Aging is associated with complex pathophysiology due to decreased organ reserve,which is clinically described as frailty.Additionally,the aging population is extremely heterogenous and frequently characterized by a combination of unique features,including atypical disease presentation,multimorbidity,polypharmacy,altered pharmacokinetics,cognitive impairment,renal impairment,dysautonomia,elevated risk of falls,sarcopenia,and frailty.Furthermore,significant gaps in evidence exist largely due to the limited representation of the very elderly,and especially frail patients,in randomized controlled trials.When combined with issues related to life expectancy,goals of care,bioethics,and patients’preferences,these factors pose intricate challenges for healthcare providers.This literature review summarizes selected clinical scenarios that often introduce dilemmas in the management of elderly patients in cardiology practice,emphasizing the intersection of geriatric medicine and cardiology.These include blood pressure management,management of dyslipidemia,anticoagulation in atrial fibrillation,medical and device treatment of heart failure,antiplatelet and interventional management of acute coronary syndromes,and peri-procedural considerations in severe aortic stenosis.The above will provide guidance for clinical practice,as well as implications for health policies and future research in the field of geriatric cardiology.
文摘If you are to choose an event that can best represent China’s culture,undoubtedly,it will be the Spring Festival,or the Chinese Lunar New Year.It is a cherished occasion for families to get together,extend best wishes to the people around them,and maintain friendships.
