My eyes kept being drawn to the cartoon characters on the bob-bing bus ceiling. Mickey Mouse and Pluto were pasted between metallic paper roses, hearts and butterflies. It seemed incongruous, hovering over an eclectic...My eyes kept being drawn to the cartoon characters on the bob-bing bus ceiling. Mickey Mouse and Pluto were pasted between metallic paper roses, hearts and butterflies. It seemed incongruous, hovering over an eclectic collection of rural passengers jabbering away in a jarring dialect, crammed into a bus chugging its way to the mountains high above Xining, the capital of Qinghai Province in northwest China.展开更多
Willa Cather is one of the most famous female writers in American literary history.The Song of the Lark is the early work of Willa Cather.The thesis intends to offer a thorough study on the heroine's image of The ...Willa Cather is one of the most famous female writers in American literary history.The Song of the Lark is the early work of Willa Cather.The thesis intends to offer a thorough study on the heroine's image of The Song of the Lark with the myth and archetypal criticism to have an elaborate discussion on how the heroine of this work is embodied by the archetypal goddess of Muse so as to explore how Cather suggests her deep themes and expresses her permanent pursuit of art.展开更多
Gastro-esophageal reflux disease(GERD)is a verycommon disorder that results primarily from the loss of an effective antireflux barrier,which forms a mechanical obstacle to the retrograde movement of gastric content.GE...Gastro-esophageal reflux disease(GERD)is a verycommon disorder that results primarily from the loss of an effective antireflux barrier,which forms a mechanical obstacle to the retrograde movement of gastric content.GERD can be currently treated by medical therapy,surgical or endoscopic transoral intervention.Medical therapy is the most common approach,though concerns have been increasingly raised in recent years about the potential side effects of continuous longterm medication,drug intolerance or unresponsiveness,and the need for high dosages for long periods to treat symptoms or prevent recurrences.Surgery too may in some cases have consequences such as longlasting dysphagia,flatulence,inability to belch or vomit,diarrhea,or functional dyspepsia related to delayed gastric emptying.In the last few years,transoral incisionless fundoplication(TIF)has proved an effective and promising therapeutic option as an alternative to medical and surgical therapy.This review describes the steps of the TIF technique,using the Esophy X®device and the MUSETM system.Complications and their management are described in detail,and the recent literature regarding the outcomes is reviewed.TIF reconfigures the tissue to obtain a full-thickness gastroesophageal valve from inside the stomach,by serosato-serosa plications which include the muscle layers.To date the procedure has achieved lasting improvement of GERD symptoms(up to six years),cessation or reduction of proton pump inhibitor medication in about 75%of patients,and improvement of functional findings,measured by either p H or impedance monitoring.展开更多
文摘My eyes kept being drawn to the cartoon characters on the bob-bing bus ceiling. Mickey Mouse and Pluto were pasted between metallic paper roses, hearts and butterflies. It seemed incongruous, hovering over an eclectic collection of rural passengers jabbering away in a jarring dialect, crammed into a bus chugging its way to the mountains high above Xining, the capital of Qinghai Province in northwest China.
文摘Willa Cather is one of the most famous female writers in American literary history.The Song of the Lark is the early work of Willa Cather.The thesis intends to offer a thorough study on the heroine's image of The Song of the Lark with the myth and archetypal criticism to have an elaborate discussion on how the heroine of this work is embodied by the archetypal goddess of Muse so as to explore how Cather suggests her deep themes and expresses her permanent pursuit of art.
文摘Gastro-esophageal reflux disease(GERD)is a verycommon disorder that results primarily from the loss of an effective antireflux barrier,which forms a mechanical obstacle to the retrograde movement of gastric content.GERD can be currently treated by medical therapy,surgical or endoscopic transoral intervention.Medical therapy is the most common approach,though concerns have been increasingly raised in recent years about the potential side effects of continuous longterm medication,drug intolerance or unresponsiveness,and the need for high dosages for long periods to treat symptoms or prevent recurrences.Surgery too may in some cases have consequences such as longlasting dysphagia,flatulence,inability to belch or vomit,diarrhea,or functional dyspepsia related to delayed gastric emptying.In the last few years,transoral incisionless fundoplication(TIF)has proved an effective and promising therapeutic option as an alternative to medical and surgical therapy.This review describes the steps of the TIF technique,using the Esophy X®device and the MUSETM system.Complications and their management are described in detail,and the recent literature regarding the outcomes is reviewed.TIF reconfigures the tissue to obtain a full-thickness gastroesophageal valve from inside the stomach,by serosato-serosa plications which include the muscle layers.To date the procedure has achieved lasting improvement of GERD symptoms(up to six years),cessation or reduction of proton pump inhibitor medication in about 75%of patients,and improvement of functional findings,measured by either p H or impedance monitoring.
