Objective: We aimed to evaluate the activity of the human glymphatic system in type 2 diabetes mellitus using diffusion tensor image analysis along with the perivascular space.Methods: Diffusion tensor images were acquired to calculate the diffusivities in the direction of the x-axis, y-axis, and z-axis of the plane of the lateral ventricle body in 20 patients with type 2 diabetes and 10 people in a control group. We evaluated the diffusivity along with the perivascular spaces, as well as the projection (...) fibers and association fibers, separately. The analysis along the perivascular space was defined as the mean /mean, where the Dxpro and Dxasc were the Dx values in the projection and association fiber areas, respectively.Results: There were significant differences in diffusivity along the projection fibers and the association fibers among the groups. The significant differences among the groups along the perivascular spaces, shown as the ALPS-index and medical history of T2DM, indicating lower water diffusivity along the perivascular space concerning type 2 diabetes severity, was also observed.Conclusion: Lower diffusivity along the perivascular space on DTI-APLS can reflect impairment of the glymphatic system in T2DM. This study showed that the activity of the glymphatic system could be evaluated by diffusion tensor image analysis. (shrink)

Mengzi dui yu ru jia si xiang he Zhonghua wen ming de gong xian ju gong zhi wei, xue xi ru jia si xiang, chuan cheng Zhonghua wen ming, yang cheng du li ping deng de ren ge, bu neng bu du"Mengzi". "Mengzi" shi yi bu zheng zhi shu ji, jiang de shi wei jun zhi dao. Yi ci wei xian suo, ben shu zai shu li Mengzi qi ren de ji chu shang, zhuo zhong cong xing shan lun, (...) ren zheng lun he ren ge lun san ge fang mian chan shu liao Mengzi de si xiang ti xi. (shrink)

di 1 juan. Lun yu bie cai -- di 2 juan. Laozi ta shuo, Mengzi pang tong -- di 3 juan. Yi jing za shuo, Yi jing xi zhuan bie jiang -- di 4 juan. Chan zong yu dao jia, Dao jia, Mi zong yu dong fang shen mi xue, Jing zuo xiu dao yu chang sheng bu lao -- di 5 juan. Chan hai li ce, Chan hua, Zhongguo fo jiao fa zhan shi lüe, Zhongguo dao jiao fa zhan (...) shi lüe -- di 6 juan. Li shi de jing yan, Yi xin yi jiu de yi dai, Zhongguo wen hua fan yan -- di 7 juan. Ru he xiu zheng fo fa, Yao shi jing de ji shi guan, Xue fo zhe de ji ben xin nian -- di 8 juan. Jin gang jing shuo shen mo, Leng yan da yi jin shi -- di 9 juan. Yuan jue jing lüe shuo, Ding hui chu xiu, Leng qie da yi jin shi -- di 10 juan. Yuan ben da xue wei yan. (shrink)

本书包括《南询录》校注记、《南询录》校注、记录邓豁渠生平的文献资料、研究邓豁渠的两篇论文这四个部分的内容。.

Xue xi he yan jiu Zhongguo zhe xue, yi ban lai shuo, Feng xian sheng shi ke chao er bu ke yue de. Yi si shi, hou ren wan quan ke neng er qie ye ying dang sheng guo Feng xian sheng, dan shi que bu neng rao guo Feng xian sheng. Rao guo Feng xian sheng, bu dan bi ran yao duo fei li qi, er qie rong yi zou wan lu er nan yu shen ru tang ao. Feng (...) Youlan zuo wei wo guo jin dai zhe xue de yi dai ju bo, zai mou zhong yi yi shang, ying xiang liao zheng ge jin dai Zhongguo zhe xue de ge ju. Er dui yu Feng Youlan zhe xue ji qi xue shu sheng ya de yan jiu, ye sui zhe dang dai guo xue yan jiu de xing qi, shou dao yue lai yue duo de guan zhu. Minguo shi qi de Zhongguo xue shu jie, ying gai shuo shi hui ju le yi da pi kua shi dai de xue shu jing ying, te bie shi zai chuan tong xue shu ling yu, kan cheng yi chang si xiang de sheng yan.ben shu zuo zhe zai hao ru yan hai de Minguo wen xian zhong, jing xin zheng li chu dang shi xue jie dui Feng Youlan zhe xue de hui ying he dui hua, qi zhong bao kuo zhu ru Chen Yinke, Jin Yuelin, Hu Shi, Zhang Dainian, Cai Shangsi deng yi da pi xue jie tai dou de wen zhang, zi liao xing fei chang qiang, bu jin fan ying le zhu wei xue zhe ge ren de du dao jian jie, geng cong yi ge ce mian fan ying le Minguo shi qi Feng Youlan zhe xue yan jiu de sheng kuang, dui dang xia yan jiu Feng Youlan zhe xue si xiang ju you zhong yao de can kao jia zhi. (shrink)

Ben shu nei rong bao kuo: ren lei wei he ru ci duo shi; dong fang gu dian de Afanda Wutuobang; sheng ren jiu jing wei shui xiao lao; zhi li de xian du yu xu wei you guo lun; deng gao si wang, man mu zhu ji hai shi man mu la ji; nan yi yong yu yan wen zi biao da yu chuan shou de da dao deng.

A key challenge in the management of the public-private partnership project is to understand the critical factors for sustainability performance as well as their complex interaction. Majority of existing studies focus on identifying general factors without consideration of specific context of individual sector. To bridge the gap, unique characteristics of water PPP projects are taken into consideration in this study where the relationship among critical factors to achieve sustainable performance is analyzed from a network perspective. Stakeholder-associated factors and their interrelations (...) were identified via extensive literature review and structured interview, and the social network analysis method was employed to recognize the critical factors and their interactions in sustainability achievement of water PPP projects. As a result, seven stakeholder groups and 18 critical factor nodes were identified and further classified into four challenges when achieving sustainability. These challenges are promoting ecological awareness and responsible citizen behaviour; project construction quality; ecological designs and technology innovations; and project management capacity. These findings provide the stakeholders of water PPP projects with useful references for mitigating the risks and facilitating efforts to achieve better sustainability performance. (shrink)

In Nothing To It, Brother Phap Hai brings his characteristic warmth and humor to explore the many different gates to transformation offered by Buddhism. A gate is a teaching, practice, or way of looking at things. Each gate is an invitation to consider a new frame of reference through which we can consider our situation, an opportunity to look at things differently. Readers who enjoyed Bhante Gunaratana's Mindfulness in Plain English will delight in this new explanation from the Australian-born monk, (...) who lives at Deer Park Monastery in Escondido, California. There are fifty-eight gates explored in Nothing To It, arranged in ten traditional groups, with one chapter exploring each gate. Based on a series of talks given by Phap Hai in 2013, the book is designed to be equally valuable when read through at leisure or used as the text for a ten week self-guided course. Each chapter includes questions for reflection, additional reading suggestions on the topic, and writing exercises. The gates can be explored in order or investigated at random. Phap Hai offers a charming blend of ancient wisdom, Dharma scholarship, and contemporary applications. (shrink)

This study investigates the ethical climate types presented in the Korean tourism industry, the differences in the perceptions of these ethical climate types based on individual/organizational characteristics, and the influence of ethical climate types based on job satisfaction/organizational commitment. Empirical findings of this study identify six ethical climate types and demonstrate significant difference and significant influence of the proposed relationships. This research contributes to the existing body of academic work by using empirical data collected from 820 respondents across 14 companies (...) within the Korean tourism industry, to demonstrate the relationship between actual ethical climate types and ethical climate related factors. The findings of this study identify the new factor ‹moral caring,’ which describes an environment characterized by decisions that maximize collective interest, but based on an individual employee’s personal values and ethics. Such a factor has important implications for the service industry, where face-to-face encounters typify the relationship between employee and consumer. (shrink)

Advocacy is an important concept in nursing practice; it is frequently used to describe th nurse-client relationship. The term advocacy, however, is subject to ambiguity of interpretation. Such ambiguity was evidenced recently in criticisms levelled at the nursing profession by hospital ethicist Ellen Bernal. She reproached nursing for using 'patient rights advocate' as a viable role for nurses. We maintain that, for nursing, patient advocacy may encompass, but is not limited to, patient rights advocacy. Patient advocacy is not merely the (...) defence of infringements of patient rights. Advocacy for nursing stems from a philosophy of nursing in which nursing practice is the support of an individual to promote his or her own well-being, as understood by that individual. It is an ethic of practice. La défense des malades joue un grand rôle dans la pratique des infirmiers/ères. Le terme est souvent utilisé pour définir les rapports entre malades et soignants. Le mot 'defénse' pourtant, peut être mal compris. Une ambiguïté était évidente récemment dans la critique de la profession infirmière faite par la philosophe éthique Ellen Bernal. Elle reproche à la profession d'utiliser le terme 'avocat des droits des malades' pour désigner le rôle primordial des infirmiers/ères. Nous croyons que pour les soignants, la défense des malades peut comprendre le rôle 'd'avocat des droits des malades' mais elle ne s'y borne pas. La défense n'est pas limitée à la défense des infractions des droits des malades. La défense dans la profession infirmière est basée sur une philosophie où la pratique infirmière est le soutien des malades dans leur quête de promouvoir leur propre bien-être. Die Fürsprache spielt eine wichtige Rolle in der Krankenpflege. Sie wird oft als kennzeichnend für die Beziehung zwischen Patient und Pflegepersonal beschrieben. Der Ausdruck 'Fürsprache' kann aber auch mehrdeutig interpretiert werden. Das wurde letzthin in der Kritik der Ethikerin Ellen Bernal an der Krankenpflege sichtbar. Sie machte den Pflegenden den Vorwurf, dass sie sich die Rolle des 'Rechts-Advokat des Patienten' aneignen. Wir sind der Meinung, dass es die Aufgabe des Pflegepersonals ist, auch die Rechte der Patienten zu vertreten, aber dass das nur ein Teil der Fürsprache ist. Sie ist nicht nur Verteidignung von verletzten Patientenrechten. Die Fürsprache in der Krankenpflege stammt von einer Philosophie, deren Ausübung die Unterstützung der Patienten für ihr Wohlergehen zum Ziel hat, so wie die Patienten selbst ihr Wohlergehen verstehen. Sie ist eine Ethik der Tat. (shrink)

Post-mortem reproduction is a complex and contested matter attracting attention from a diverse group of scholars and resulting in various responses from a range of countries. Vietnam has been reluctant to deal directly with this matter and has, accordingly, permitted post-mortem reproduction implicitly. First, by analysing Vietnam’s post-mortem reproduction cases, this paper reflects on the manner in which Vietnamese authorities have handled each case in the context of the contemporary legal framework, and it reveals the moral questions arising therefrom. The (...) article then offers an account of Vietnamese social norms as an explanation for the tendency to conduct post-mortem reproduction. In arguing that a deeper and more thorough examination of the moral and ethical reasoning is required, the paper advocates in favour of supportive post-mortem reproduction regulation. In doing so, the paper seeks to reconcile the Vietnamese legal framework and post-mortem reproduction experiences of other countries. The article concludes that Vietnam and countries sharing the similar cultural traits should permit post-mortem reproduction explicitly. This would require full engagement with the ethical and legal issues arising, and careful promulgation of regulations and guidelines based on comparative experiences of a range of countries in handling this matter. (shrink)

In ‘The Revisionist Psychoanalysis’, Adorno criticizes the neo-Freudian psychoanalysis for losing the critical edge of Freud’s theory with regard to social critique. Neo-Freudians whom Adorno calls ‘revisionists’ criticize Freud for his ‘mechanical’ views of the human psyche and for his over-emphasis on sexual libido. They reverse Freud’s dictum – ‘where id was, there ego shall be’ – by stressing the importance of development of the ego, and thus that of its adaptive functions. For revisionists, the aim of psychoanalytic practice is (...) to help analysands be better adapted to their social environment. According to Adorno, the revisionist psychoanalysis is suspected of conformism, and implicitly advocating an ideology that what is existent is the best of all possible worlds. The emphasis on adaptation actually weakens the ego instead of strengthening it – leaving it vulnerable to the whim of social conditions, and that of instinctual impulses. Most importantly, it weakens individuals’ ability to think critically and makes them susceptible to ideological and psychological manipulation against their own rational interests. (shrink)

This essay argues that individual-oriented informed consent is inadequate to protect human research subjects in mainland China. The practice of family-oriented decision-making is better suited to guide moral research conduct. The family’s role in medical decision-making originates from the mutual benevolence that exists among family members, and is in accordance with family harmony, which is the aim of Confucian society. I argue that the practice of informed consent for medical research on human subjects ought to remain family-oriented in mainland China. (...) This essay explores the main features of this model of informed consent and demonstrates the proper authority of the family. The family’s participation in decision-making as a whole does not negate or deny the importance of the individual who is the subject of the choice, but rather acts more fully to protect research subjects. (shrink)

This study addressed the questions of perceived importance of social responsibility information (SRI) characteristics in a decision context, as well as the attitudes of institutional investors toward social responsibility involvement. The results showed that SRI presently disclosed in company annual reports did not have any significant impact on institutional investors' decisions. However, if SRI were presented in quantified, financial form, and were focused on product improvement and fair business practices, such information would be perceived as more important for investment decisions. (...) Attitudes toward corporate social responsibility also suggested that institutional investors were not totally opposed to company involvement in social activities. (shrink)

Ninety-year-old Master Nan Huaijin and his students' ten-day course, the essence of his life is all in his life. The recording of the class in 2008 was formally compiled and published today. Nanshi has explained the essentials of practice with nearly a hundred years of experience and reminded the quick way to get started. Study case study for each person, reminding the key points of study, it is enough for later reference. Introduce the content and history of Dharma Sutra and (...) Dao Di Sutra repeatedly, and use the essence of Langa Sutra, Deep Secret Sutra, Middle Theory, Guan Zi and other books to illustrate internal cultivation Theories and methods for external use. The study of traditional Chinese mind, body, life and life, including Zen, Taoism. (shrink)

Bloch is the most original of Germany after World War II, Marxist philosopher and Marxist tradition to make innovative character. His understanding of materialism, his interpretation of Hegel, his religious philosophy, his views on heritage, his theory of socialism is the Marxist tradition he made ​​a major innovation. Ernst Bloch is a Marxist philosopher, who is most rich in originality and a person of figures, who makes innovation in tradition of Marxism after the Second World War in Germany. His understanding (...) of materialism, his interpretation of Hegel, his viewpoint of legacy, his theory of socialism, etc. all are great innovation, that are engaged he in tradition of Marxism. (shrink)

How do we theorize the Chinese state, a state both transforming itself rapidly through economic rationalism and yet standing firmly through governmental authoritarianism? Where and how is the figure of the middle class situated in this Chinese state? How does a critical understanding of the Chinese situation offer insights into problems of risks associated with the middle class in the current global economic crisis/recession? To address these questions, I look at both the politics of the Chinese state and its transformative (...) relations to the people, the subject of the Chinese nation. More specifically, I examine the evolving relationship between the…. (shrink)